0415R0038_Solicitation.pdf

SEE ADDENDUM

(No Collect Calls)

HDEC04-15-R-0038 24-Jul-2015

b. TELEPHONE NUMBER 8. OFFER DUE DATE/LOCAL TIME

04:00 PM 20 Aug 2045

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

HDEC049. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

SHANTE ATKINS

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.X

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SEE SCHEDULE

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

DEFENSE COMMISSARY AGENCY

SUPPLY & EQUIPMENT DIVISION

BUILDING P 11200

1300 E AVENUE

FORT LEE VA 23801-1800

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

(804) 734-8269/8886FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

7.5 million

NAICS:

811310

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF67

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

HDEC04-15-R-0038

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Great Lakes NTC Commissary

Preventative Maintenance & Repair of Miscellaneous Food Processing (MFP)

Equipment at Great Lakes NTC Commissary.

Base Year: September 1, 2015(or Date of Award)-August 31, 2016

FOB: Destination

PURCHASE REQUEST NUMBER: HQCCAG50092700000

NET AMT

PSC CD: J073

0001AA 75 Hours Time Repairs

T&M

IAW FAR 16.601(a)

“Hourly rate” means the rate(s) prescribed in the contract for payment for labor that meets the labor category qualification of a labor category specified in the contract that are—

(1) Performed by the contractor;

(2) Performed by the subcontractors; or

(3) Transferred between divisions, subsidiaries, or affiliates of the contractor under a common control.

TOT ESTIMATED PRICE

CEILING PRICE

0001AB 6,250 Lot Parts

FFP

This is not a priced CLIN. DeCA will pay actual costs for materials as evidenced by supplier invoice for direct materials and supplies used to accomplish preventative maintenance and repair services.

0001AC 24 Each Travel/Trip Charge

FFP

Trip Charge for Repairs Only ( Do Not Apply to PM Services) IAW PWS 1.2 section C.

0001AD 8 Each PM CED1M20-A/B/HV-Mixer/Grinder

FFP

Quarterly Preventative Maintenance(PM).

0001AE 8 Each PM CED1M18-Band Type Meat Saw

FFP

Quarterly Preventative Maintenance(PM).

0001AF 4 Each PM CED1B15-Mini-Rotary with Proofer

FFP

Quarterly Preventative Maintenance(PM).

Rock Island Arsenal Commissary

Equipment at Rock Island Arsenal Commissary

Base Year: September 1, 2015(or Date of Award)-August 31, 2016

PURCHASE REQUEST NUMBER: HQCCAH50092700000

0002AA 25 Hours Time Repairs

T&M

IAW FAR 16.601(a)

“Hourly rate” means the rate(s) prescribed in the contract for payment for labor that meets the labor category qualification of a labor category specified in the contract that are—

(1) Performed by the contractor;

(2) Performed by the subcontractors; or

0002AB 5,000 Lot Parts

FFP

This is not a priced CLIN. DeCA will pay actual costs for materials as evidenced by supplier invoice for direct materials and supplies used to accomplish preventative maintenance and repair services.

0002AC 24 Each Travel/Trip Charge

FFP

Trip Charge for Repairs Only ( Do Not Apply to PM Services) IAW PWS 1.2 section C.

0002AD 8 Each PM CED1M18-Band Type Meat Saw

FFP

Quarterly Preventative Maintenance(PM).

OPTION Great Lakes NTC Commissary

Base Year: September 1, 2016-August 31, 2017

1001AA 75 Hours OPTION Time Repairs

T&M

IAW FAR 16.601(a)

“Hourly rate” means the rate(s) prescribed in the contract for payment for labor that meets the labor category qualification of a labor category specified in the contract that are—

(1) Performed by the contractor;

(2) Performed by the subcontractors; or

1001AB 6,250 Lot OPTION Parts

FFP

This is not a priced CLIN. DeCA will pay actual costs for materials as evidenced by supplier invoice for direct materials and supplies used to accomplish preventative maintenance and repair services.

1001AC 24 Each OPTION Travel/Trip Charge

FFP

Trip Charge for Repairs Only ( Do Not Apply to PM Services) IAW PWS 1.2 section C.

1001AD 8 Each OPTION PM CED1M20-A/B/HV-Mixer/Grinder

FFP

Quarterly Preventative Maintenance(PM).

1001AE 8 Each OPTION PM CED1M18-Band Type Meat Saw

FFP

1001AF 4 Each OPTION PM CED1B15-Mini-Rotary with Proofer

FFP

OPTION Rock Island Arsenal Commissary

Base Year: September 1, 2016-August 31, 2017

1002AA 25 Hours OPTION Time Repairs

T&M

IAW FAR 16.601(a)

“Hourly rate” means the rate(s) prescribed in the contract for payment for labor that meets the labor category qualification of a labor category specified in the contract that are—

(1) Performed by the contractor;

(2) Performed by the subcontractors; or

1002AB 5,000 Lot OPTION Parts

FFP

This is not a priced CLIN. DeCA will pay actual costs for materials as evidenced by supplier invoice for direct materials and supplies used to accomplish preventative maintenance and repair services.

1002AC 24 Each OPTION Travel/Trip Charge

FFP

Trip Charge for Repairs Only ( Do Not Apply to PM Services) IAW PWS 1.2

1002AD 8 Each OPTION PM CED1M18-Band Type Meat Saw

FFP

OPTION Great Lakes NTC Commissary

Base Year: September 1, 2017-August 31, 2018

2001AA 75 Hours OPTION Time Repairs

T&M

IAW FAR 16.601(a)

“Hourly rate” means the rate(s) prescribed in the contract for payment for labor that meets the labor category qualification of a labor category specified in the contract that are—

(1) Performed by the contractor;

(2) Performed by the subcontractors; or

2001AB 6,250 Lot OPTION Parts

FFP

This is not a priced CLIN. DeCA will pay actual costs for materials as evidenced by supplier invoice for direct materials and supplies used to accomplish preventative maintenance and repair services.

2001AC 24 Each OPTION Travel/Trip Charge

FFP

Trip Charge for Repairs Only ( Do Not Apply to PM Services) IAW PWS 1.2

2001AD 8 Each OPTION PM CED1M20-A/B/HV-Mixer/Grinder

FFP

2001AE 8 Each OPTION PM CED1M18-Band Type Meat Saw

FFP

2001AF 4 Each OPTION PM CED1B15-Mini-Rotary with Proofer

FFP

OPTION Rock Island Arsenal Commissary

Base Year: September 1, 2017-August 31, 2018

2002AA 25 Hours OPTION Time Repairs

T&M

IAW FAR 16.601(a)

“Hourly rate” means the rate(s) prescribed in the contract for payment for labor that meets the labor category qualification of a labor category specified in the contract that are—

(1) Performed by the contractor;

(2) Performed by the subcontractors; or

2002AB 5,000 Lot OPTION Parts

FFP

This is not a priced CLIN. DeCA will pay actual costs for materials as evidenced by supplier invoice for direct materials and supplies used to accomplish preventative maintenance and repair services.

2002AC 24 Each OPTION Travel/Trip Charge

FFP

Trip Charge for Repairs Only ( Do Not Apply to PM Services) IAW PWS 1.2

2002AD 8 Each OPTION PM CED1M18-Band Type Meat Saw

FFP

INSTRUCTION TO OFFERORS

ADDENDUM TO FAR 52.212-1

INSTRUCTION TO OFFERORS- COMMERCIAL ITEMS

SUBMISSION OF OFFERS:

a. Proposals are to be submitted to the Defense Commissary Agency (DeCA), Supply/Equipment Acquisition

Division DeCA/LEAE, ATTN: Shante Atkins, 1300 E Avenue, Fort Lee, Virginia 23801-1800 or via email at shante.atkins@deca.mil. The complete proposal with authorized representative’s signature must be received by the closing date and time annotated within this solicitation.

b. Failure by the offeror to submit all of the requirements may be cause for the offer to be rejected with no further consideration given.

c. Technical specifications for the equipment covered by this requirement can be found on the Automated

Commercial Equipment Description (ACED) website. Please reference the complete Commercial

Equipment Description (CED) of the requested items at www.commissaries.com. Use the following instructions to navigate the website:

(1) Go to: www.commissaries.com

(2) To “About Us”

(3) To “Business with DECA”

(4) To “Equipment”

(5) To “Automated Commissary Equipment Descriptions”

(6) To “Search CED’s”

(7) In “Search” enter the CED number and search

(8) The CED will open for viewing/printing

CED numbers, for MFP covered by this requirement, can be found in the Performance Work Statement

(PWS), Paragraph 1.2, Definitions.

d. Offerors must have updated the System for Award Management (SAM) at https://www.acquisition.gov/.

SAM certifications must include the respective NAICS code found within the solicitation. The offeror only needs to complete paragraph (b) of FAR 52.212-3 and submit with their proposal if in SAM, if not in SAM then the offeror must complete FAR 52.212-3 in its entirety .

e. By submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the SAM database prior to award, during performance, and through final payment of any contract resulting from this solicitation. If the Offeror does not become registered in the SAM database in the time prescribed by the Contracting Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror. (refer to clause 52.204-7 CENTRAL CONTRACTOR

REGISTRATION (APR 2008))

f. By submission of an offer, the offeror acknowledges the requirement to register in Wide Area Workflow

(WAWF) prior to award. The successful awardee will be required to submit “combo invoices” in WAWF to facilitate the payment process. For more information on WAWF, please log in to https://wawf.eb.mil/.

Offerors are encouraged to take the Web Based Training on the WAWF site if this is the first time providing a proposal to the government.

g. By submission of an offer, the offeror acknowledges the requirement to register in Electronic Document

Access (EDA) prior to award. The successful awardee will use this site to receive and/or obtain the basic contract and any future modifications. For more information on EDA, please log in to http://eda.ogden.disa.mil/. Offerors are encouraged to review the Training Material on the EDA site if this is the first time providing a proposal to the government.

h. By submission of an offer, the offeror acknowledges the requirement to register in myInvoice prior to award. The successful awardee can use this site to review payment status for invoices. For more http://www.commissaries.com/ http://www.commissaries.com/ https://www.acquisition.gov/ https://wawf.eb.mil/ information on myInvoice, please log in to https://myinvoice.csd.disa.mil/. Offerors are encouraged to review the Instructions on the myInvoice site if this is the first time providing a proposal to the government.

i. Offeror’s are encouraged to arrange site visits to obtain detailed information regarding the equipment shown in the equipment list in the PWS. Arrangements should be made with the store director at each location. Store addresses and contact information can be found at http://www.commissaries.com/store_locator.cfm.

j. TECHNICAL ACCEPTABILITY

Offerors shall submit a technical proposal, including any applicable exhibits. It is imperative that your written technical proposal explicitly addresses HOW the offeror proposes to perform the requirements. The technical proposal must be written in a clear, concise fashion and should address each question separately.

It should address your company background, the experience and knowledge of your service technicians, the ability to service multiple service locations, ability to meet timelines set forth in the Performance Work

Statement(PWS), ability to meet standards for preventative maintenance and repairs of miscellaneous food processing equipment as outlined in the PWS, ability to obtain parts for repairs, ability of the administrative staff to promptly take service calls, dispatch service technician and invoicing to Wide Area

Workflow(WAWF) in accordance with the PWS. If you plan on subcontracting, provide information on your subcontractor(s) in each narrative. Please keep in mind the Limitations on Subcontracting as stated in

FAR 52.219-14 when applicable.

k. PAST PERFORMANCE

Submit at least five (5) references from companies that you have conducted business with for services that are similar to those listed in this solicitation within the last three (3) years. You should notify the references that we will be contacting them to complete past performance surveys and that they should respond promptly. THIS INFORMATION MUST BE SUBMITTED BY 4 P.M., EDT/EST, August

10, 2015. THIS INFORMATION MAY BE EMAILED TO THE Supply/Equipment Acquisition

Division DeCA/LEAE, ATTN: Shante Atkins, shante.atkins@deca.mil. Include the following information for each reference:

(1) Name of Company

(2) Address of Company

(3) Name and Title of Point of Contact

(4) Phone Number/Fax Number/Email Address

(5) Type of Contract/Agreement

(6) Period of Performance of Contract/Agreement

(7) Annual Dollar Value of Contract/Agreement

(8) Description of Services Provided in Contract/Agreement

The references will be asked to provide information on your company’s past performance with regard to timeliness of service, quality of service, and customer service/business relations. Any other past performance information available will also be considered. Please do not submit past performance references from DeCA Commissaries. DeCA will obtain past performance information from the commissaries.

l. PRICE

Offeror must submit a fixed unit price for each “Time” sub-CLIN ending in AA and “Travel” sub-CLIN ending in AC and each equipment category for preventative maintenance found on sub-CLINs AD through the end. DO NOT price “Material” sub-CLIN’s ending in AB. A predetermined amount will be used as a placeholder; contractor will be paid for actual material charges supported by a copy of the materials invoice. Pricing must be recorded on the provided spreadsheet and in each line item of the solicitation.

mailto:shante.atkins@deca.mil

m. PERIOD FOR ACCEPTANCE OF OFFERS: 90 days.

TERMS & CONDITIONS

ADDENDUM TO FAR 52.212-4

TERMS AND CONDITIONS - COMMERCIAL ITEMS

The following paragraphs have been changed/added to FAR 52.212-4 Terms and Conditions – Commercial Items.

1. Administrative Modifications:

The government may issue unilateral written modifications that do not affect the substantive rights of the parties.

Examples of administrative modifications are corrections in the payment office address or changes to the accounting and appropriation data. Contract modifications will be issued and accessed through the Electronic Document

Access System (EDA) http://eda.ogden.disa.mil. Contractors must complete the on-line registration available at the website in order to retrieve documents displayed there.

2. Payment Procedures:

Contract payments will be processed electronically via EFT through the Defense Finance and Accounting

Service (DFAS). Prior to DFAS releasing any contract payment, the contractor must submit a proper invoice using

Wide Area Work Flow (WAWF) electronic commerce to include the items described in the PWS. After a proper invoice is received, a Government representative will acknowledge acceptance and receipt. After all items are properly submitted, the contract payment will be processed via DFAS electronically.

The contractor must access the WAWF Vendor Tools on the DFAS website and complete the requirements to obtain an active WAWF account. This will allow the contractors to submit invoices via WAWF so that payments can be processed electronically through EFT.

All invoices shall be submitted electronically to DFAS Columbus via https://wawf.eb.mil/ in accordance with

DFARS clause 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports (MAR 2008).

The contract will require the type of invoice to be used as “Invoice and Receiving Report (COMBO)”. Separate invoices shall be created for each location and service call.

Pay DoDAAC: Block 18a of the contract.

Admin DoDAAC: Block 9 of the contract

Ship To DoDAAC:

Rock Island Arsenal—HQCCAH

Great Lakes NTC---HQCCAG

Payment status can be obtained by checking the Misc Info Tab on your invoice in WAWF and on the

MyInvoice link or at https://myinvoice.csd.disa.mil/index.html.

Payment Inquiries: Payment questions can be addressed by calling DFAS – Columbus, OH Customer Service at

800-756-4571, Opt 2, Opt 2.

If you need technical assistance on WAWF, contact: Ogden Help Desk, 866-618-5988, Opt 2, Opt 3 http://eda.ogden.disa.mil/ https://wawf.eb.mil/ https://myinvoice.csd.disa.mil/index.html

For additional WAWF information, see clause 252.232-7003, ELECTRONIC SUBMISSION OF PAYMENT

REQUESTS AND RECEIVING REPORTS (MAR 2008).

3. Period of Performance:

Base Year: September 1, 2015(or date of award) through August 31, 2016

Option Year 1: September 1, 2016 through August 31, 2017

Option Year 2: September 1, 2017 through August 31, 2018

4. Be advised that this contract(s) will be posted on http://www.commissaries.com/business/contracting.cfm at two distinct points during the procurement cycle:

(1) RECENT CONTRACT AWARDS - The first posting will take place immediately after the contract is awarded and will contain only the base year pricing.

(2) HISTORICAL PRICING – The second posting will take place when it is time for re-solicitation of an existing contract and will contain all CLINs and Sub-CLINs prices of the base period and all exercised options of the contract which is about to expire and is being re-solicited.

5. Labor Poster Information

Clause at 52.222-41, Service Contract Act of 1965, as amended, is applicable to the services performed under this contract. The contractor is responsible for obtaining and posting the following publications available at http://www.dol.gov/compliance/topics/posters.htm

1. Employee Rights on Government Contracts (WHD Publication 1313)

2. Employee Rights under Fair Labor Standards Act (WHD Publication 1088)

3. Equal Employment Opportunity is the Law (OFCCP 1420)

If you are unable to obtain a copy of the applicable posters at the above web site, please contact the Contract

Administrator identified on page one of this award document.

6. Ceiling Price

This contract includes ceiling prices for each Material sub-CLIN and each Time sub-CLIN. Each Time and Material

Sub-CLIN is to be monitored by both the Defense Commissary Agency location and the Contractor. If the

Contractor exceeds the ceiling price they do so at their own risk of not being paid for services. The below is the ceiling price per sub-CLIN (AMOUNTS WILL BE ADDED AT TIME OF AWARD)

Rock Island Arsenal

Sub-CLIN 0001AA Time

Sub-CLIN 0001AB Materials

Great Lakes NTC

Sub-CLIN 0002AA Time

Sub-CLIN 0002AB Materials

PM CHECKLISTS

PREVENTIVE MAINTENANCE CHECK LIST

http://www.commissaries.com/business/contracting.cfm http://www.dol.gov/compliance/topics/posters.htm

1M20- A

MIXER/GRINDER (SINGLE UNIT 1M20-A), (TANDEM UNIT 1M20-B), (HEAVY DUTY TANDEM UNIT

1M20-HV)

B

HV

Task Procedure or Action Service Tech Initials

1 Interlocks check operation, perform corrective action if necessary

2 Electrical circuits check condition

3 Electrical cord check condition and replace if damaged

Electrical plug check condition and replace if damaged

4 Switches check operation and replace if necessary

5 Feed screw pin check operation and replace if necessary

6 Barrel plate pin check operation and replace if necessary

7 Knives and plates check condition and replace if necessary

8 Hopper check for obstructions and blockages, perform corrective action

9 Gear unit check oil and fill if necessary

Gear oil replace oil every three years

10 Anti-friction bearing replace every three years

11 Bearings pack bearings with cannery grease

12 Safety Labels check condition and replace if needed

13 Non-product contact seals check condition, replace if necessary grease seals using cannery grease

14 Overall Operation check grinder operation

NOTE* If deficiencies are detected during quarterly PM checks, report findings to the

COR.

Signature of COR Signature of Service Technician

CED# PREVENTIVE MAINTENANCE CHECK LIST

1M18 SAW, MEAT, BAND TYPE

Task Procedure or Action Service Tech Initials

1 Interlocks check operation, perform corrective action if necessary

1 V-Belts check tension and adjust if necessary replace if damaged

2 Electrical Circuits check condition

3 Electrical cord check condition and replace if damaged

Electrical plug check condition and replace if damaged

4 Switches check operation and replace if necessary

5 Adjustment controls check operation and condition

Tracking control clean and lubricate with food grade lubricant

Height adjustment control clean and lubricate with food grade lubricant

6 Table check condition and lubricate with food grade lubricant

7 Blade check condition and lubricate with food grade lubricant

8 Safety Labels check condition and replace if needed

9 All mounting bolts check and tighten as needed

10 Overall Operation check bandsaw operation

Signature of COR Signature of Service Technician

1B12-A OVEN, ROTARY, ELECTRIC

Task Procedure or Action Service Tech Initials

1 Control / burner compartment check condition and vacuum dust accumulation

Oven compartment check operating temperature and adjust if necessary

2 Electrical wiring inspect for discoloration and replace if necessary

3 Electrical cord check condition and replace if damaged

Electrical plug check condition and replace if damaged

4 Switches check operation and replace if necessary

5 Blower motor check operation and vacuum dust accumulation

Motor cooling fan check operation and vacuum dust accumulation

6 Cavity vent check operation and repair if faulty

7 Rack lift assembly check operation and adjust if necessary

8 Door gasket check condition and replace if necessary

9 Loading door latch and interior release check operation and replace if faulty

10 Door sweep check condition and replace if necessary

11 Set screws, panel screws, air louver screws inspect and tighten or replace

12 Floor anchors check condition and tighten if necessary

13 Safety Labels check condition and replace if needed

14 Overall Operation check oven operation

1B15 MINI ROTARY OVEN AND PROOFER COMBINATION UNIT

Service Tech

Task Procedure or Action Initials

1 Control / burner compartment check condition and vacuum dust accumulation

Oven compartment check operating temperature and adjust if necessary

2 Electrical wiring inspect for discoloration and replace if necessary

3 Electrical cord check condition and replace if damaged

Electrical plug check condition and replace if damaged

4 Switches check operation and replace if necessary

5 Blower motor check operation and vacuum dust accumulation

Motor cooling fan check operation and vacuum dust accumulation

6 Cavity vent check operation and repair if faulty

7 Rack lift assembly check operation and adjust if necessary

8 Door gasket check condition and replace if necessary

9 Draft inducer pressure switch check condition and replace if necessary

10 Hood exhaust pressure switch check condition and replace if necessary

11 Interior door release check condition and replace if necessary

12 Door sweep check condition and replace if necessary

13 Verfiy steam operation turn on water supply; turn oven to normal bake temperature; allow to cycle three times; set control to steam; verify steam operation

14 Ignition module safety lockout (gas only) check condition and replace if necessary

15 Carrier set screws inspect and tighten or replace

16 Set scews, panel screws, air louver screws inspect and tighten or replace

17 Floor anchors check condition and tighten if necessary

18 Safety Labels check condition and replace if needed

19 Overall Operation check oven operation

EVALUATION

ADDENDUM TO FAR 52.212-2

EVALUATION – COMMERCIAL ITEMS

The Government will make award to the lowest price technically acceptable (LPTA) offeror, in accordance with

FAR 15.101-2. The evaluation criteria consist of three (3) evaluation factors: Technical, Past Performance and

Price. To receive consideration for award, a rating of “Acceptable” must be achieved for the Technical factor and rating of “Acceptable for the Past Performance factor. For each proposal found to be eligible for award, price will become the determining factor for making the award.

Technical Acceptability – Quotes must include:

a. Offeror must provide a written statement that demonstrates the offerors ability to provide the services detailed in the Performance Work Statement (PWS) and Preventive Maintenance (PM) task list.

The lowest offeror will move forward to the technical evaluation. If the lowest priced quote is deemed technically unacceptable, the Government will evaluate the technical acceptability of the next lowest offeror and so on until an awardee is identified. The award will be made to the lowest evaluated price whose offer is deemed technically acceptable.

Rating Description

Acceptable Quote clearly meets the minimum requirements of the solicitation.

Unacceptable Quote does not meet the minimum requirements of the solicitation.

Past Performance will be used as an evaluation factor within the LPTA process, in accordance with FAR 15.101-

2(b). The Government will consider the offeror’s previous and current record of contractual performance. The

Government assessment will focus on recent contracts that are relevant to the effort required by this solicitation and the quality of the performance of those contracts. The offeror’s past performance must be both recent and relevant to receive an acceptable rating. Recent is define for this action to be contracts that were awarded and performed within the last five (5) calendar years prior to issuance to this solicitation.

Rating Description

Acceptable Based on the offeror’s performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort, or the offeror’s performance record is unknown.

Unacceptable Based on the offeror’s performance record, the Government has no reasonable expectation that the offeror will be able to successfully perform the required effort.

**Note: In the case of an offeror without a record of relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned, the offeror may not be evaluated favorably or unfavorably on past performance (see FAR 15.305 (a)(2)(iv)). Therefore, the offeror shall be determined to have unknown past performance. In the context of acceptability/unacceptability, “unknown” shall be considered “acceptable.”

Price – Quotes will be ranked first based on price from high to low. The price evaluation will document the realism, reasonableness and completeness of the total evaluated price. Offeror’s must propose amounts for ALL contract line items. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. This amount will be the total evaluated price. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the

Government to exercise the option(s).

Services Total Evaluated Price

Preventive Maintenance (PM)/Repair

Scheduled Semi-Annual Preventive Maintenance (PM) Checks / Unscheduled Repair (Hourly Labor Rate)

Parts Price to include Contractor Discount/Markup %

**Note: Hourly labor shall include all labor, supervision, equipment, tools, materials, transportation of employees, permits and other necessary items to perform the various services identified in this PWS. See equipment list attached.

Each offeror’s quote is presumed to represent their best effort to respond to the solicitation. The Government will evaluate offers for award purposes by the total price of ALL line items. The Government may determine that an offer is unacceptable if the prices are significantly unbalanced. Award will be based on lowest price technically acceptable; and other factors will be considered. Offers will be evaluated on an acceptable/non-acceptable basis.

INSPECTION AND ACCEPTANCE

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A Government

0002 N/A N/A N/A Government

0003 N/A N/A N/A Government

0004 N/A N/A N/A Government

0005 N/A N/A N/A Government

0006 N/A N/A N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

0001 N/A N/A N/A N/A

0001AA N/A N/A N/A N/A

0001AB 01-MAY-2015 6,250 GREAT LAKES COMMISSARY

2630 GREENBAY ROAD BLDG 3451

GREAT LAKES IL 60088-5129

847-688-2644

HQCCAG

0001AC 01-MAY-2015 24 (SAME AS PREVIOUS LOCATION)

0001AD 01-MAY-2015 8 (SAME AS PREVIOUS LOCATION)

0001AE 01-MAY-2015 8 (SAME AS PREVIOUS LOCATION)

0001AF 01-MAY-2015 4 (SAME AS PREVIOUS LOCATION)

0002 N/A N/A N/A N/A

0002AA N/A N/A N/A N/A

0002AB 01-MAY-2015 5,000 ROCK ISLAND ARSENAL COMMISSARY

BUILDING 334

ROCK ISLAND ARSENAL IL 61299-7280

309-782-4798

HQCCAH

0002AC 01-MAY-2015 24 (SAME AS PREVIOUS LOCATION)

0002AD 01-MAY-2015 8 (SAME AS PREVIOUS LOCATION)

1001 N/A N/A N/A N/A

1001AA N/A N/A N/A N/A

1001AB 01-MAY-2015 6,250 GREAT LAKES COMMISSARY

GREAT LAKES IL 60088-5129

847-688-2644

1001AC 01-MAY-2015 24 (SAME AS PREVIOUS LOCATION)

1001AD 01-MAY-2015 8 (SAME AS PREVIOUS LOCATION)

1001AE 01-MAY-2015 8 (SAME AS PREVIOUS LOCATION)

1001AF 01-MAY-2015 4 (SAME AS PREVIOUS LOCATION)

1002 N/A N/A N/A N/A

1002AA N/A N/A N/A N/A

1002AB 01-MAY-2015 5,000 ROCK ISLAND ARSENAL COMMISSARY

ROCK ISLAND ARSENAL IL 61299-7280

309-782-4798

1002AC 01-MAY-2015 24 (SAME AS PREVIOUS LOCATION)

1002AD 01-MAY-2015 8 (SAME AS PREVIOUS LOCATION)

2001 N/A N/A N/A N/A

2001AA N/A N/A N/A N/A

2001AB 01-MAY-2015 6,250 GREAT LAKES COMMISSARY

GREAT LAKES IL 60088-5129

847-688-2644

2001AC 01-MAY-2015 24 (SAME AS PREVIOUS LOCATION)

2001AD 01-MAY-2015 8 (SAME AS PREVIOUS LOCATION)

2001AE 01-MAY-2015 8 (SAME AS PREVIOUS LOCATION)

2001AF 01-MAY-2015 4 (SAME AS PREVIOUS LOCATION)

2002 N/A N/A N/A N/A

2002AA N/A N/A N/A N/A

2002AB 01-MAY-2015 5,000 ROCK ISLAND ARSENAL COMMISSARY

ROCK ISLAND ARSENAL IL 61299-7280

309-782-4798

2002AC 01-MAY-2015 24 (SAME AS PREVIOUS LOCATION)

2002AD 01-MAY-2015 8 (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.204-7 System for Award Management JUL 2013

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

JUL 2013

52.204-13 System for Award Management Maintenance JUL 2013

52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for

Debarment

AUG 2013

52.209-10 Prohibition on Contracting With Inverted Domestic

Corporations

DEC 2014

52.212-1 Instructions to Offerors--Commercial Items APR 2014

52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015

52.212-4 Alt I Contract Terms and Conditions--Commercial Items (MAY

2015) Alternate I

MAY 2014

52.219-6 Notice Of Total Small Business Set-Aside NOV 2011

52.219-28 Post-Award Small Business Program Rerepresentation JUL 2013

52.222-3 Convict Labor JUN 2003

52.222-21 Prohibition Of Segregated Facilities APR 2015

52.222-26 Equal Opportunity APR 2015

52.222-37 Employment Reports on Veterans JUL 2014

52.222-41 Service Contract Labor Standards MAY 2014

52.222-43 Fair Labor Standards Act And Service Contract Labor

Standards - Price Adjustment (Multiple Year And Option

Contracts)

MAY 2014

52.222-50 Combating Trafficking in Persons MAR 2015

52.222-55 Minimum Wages Under Executive Order 13658 DEC 2014

52.223-2 Affirmative Procurement of Biobased Products Under Service and Construction Contracts

SEP 2013

52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011

52.223-5 Alt I Pollution Prevention and Right-to-Know Information (May

2011) Alternate I

MAY 2011

52.223-10 Waste Reduction Program MAY 2011

52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.225-13 Restrictions on Certain Foreign Purchases JUN 2008

52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

JUL 2013

52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.233-3 Protest After Award AUG 1996

52.233-4 Applicable Law for Breach of Contract Claim OCT 2004

52.237-1 Site Visit APR 1984

52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.245-1 Government Property APR 2012

52.245-9 Use And Charges APR 2012

252.201-7000 Contracting Officer's Representative DEC 1991

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013

252.203-7003 Agency Office of the Inspector General DEC 2012

252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7004 Alt A System for Award Management Alternate A FEB 2014

252.204-7012 Safeguarding of Unclassified Controlled Technical

Information

NOV 2013

252.204-7015 Disclosure of Information to Litigation Support Contractors FEB 2014

252.213-7000 Notice to Prospective Suppliers on Use of Past Performance

Information Retrieval System--Statistical Reporting in Past

Performance Evaluations

MAY 2015

252.216-7009 Allowability of Legal Costs Incurred in Connection With a

Whistleblower Proceeding

SEP 2013

252.223-7008 Prohibition of Hexavalent Chromium JUN 2013

252.225-7001 Buy American And Balance Of Payments Program-- Basic

(Nov 2014)

NOV 2014

252.225-7002 Qualifying Country Sources As Subcontractors DEC 2012

252.225-7048 Export-Controlled Items JUN 2013

252.232-7010 Levies on Contract Payments DEC 2006

252.243-7001 Pricing Of Contract Modifications DEC 1991

252.245-7001 Tagging, Labeling, and Marking of Government-Furnished

Property

APR 2012

252.245-7002 Reporting Loss of Government Property APR 2012

252.245-7003 Contractor Property Management System Administration APR 2012

252.245-7004 Reporting, Reutilization, and Disposal MAR 2015

CLAUSES INCORPORATED BY FULL TEXT

IMPORTANT INFORMATION

FREEDOM OF INFORMATION ACT (FOIA)

Upon award of this contract, the Agency intends to make public the total contract award amount, as well as any awarded individual contract line item pricing (CLIN or Sub-CLIN), within the Agency’s electronic reading room located at www.commissaries.com and on the Government Point of Entry (GPE) www.fbo.gov .

Unexercised Option year prices will not be published.

This action is taken to ensure contract award information is available to the general public pursuant to the

President’s January 21, 2009 memorandum regarding the Freedom of Information Act.

Be advised that the contract(s) resulting from this solicitation will be posted at two distinct points during the procurement cycle:

RECENT CONTRACT AWARDS: The first posting will take place immediately after the contracts are awarded and will contain only the base year pricing.

HISTORICAL PRICING: The second posting will take place when it is time for re-solicitation of an existing contract and will contain all CLIN and Sub-CLIN prices for the base period and all exercised options from the contract(s) under re-solicitation.

52.204-4500 INSTALLATION ACCESS REQUIREMENTS (JAN 31 2012)

The contractor shall be responsible for ensuring full compliance with all installation access procedures. Installation access includes, but is not limited to, obtaining applicable installation passes and inspections for vehicles and personnel. Contractor employees may also be subject to background security checks/clearances in order to obtain credentials for passes. Some installations are using programs, such as RAPIDGate, which may result in a cost to the contractor. Any costs associated with such programs or with obtaining passes, will not be reimbursed separately and should be included in the contractor's proposed pricing for the product or services being acquired.

http://www.commissaries.com/ http://www.fbo.gov/

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (MAR 2015)

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site accessed through http://www.acquisition.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (p) of this provision.

(a) Definitions. As used in this provision --

“Economically disadvantaged women-owned small business (EDWOSB) Concern” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

"Forced or indentured child labor" means all work or service-

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

Highest-level owner means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

Immediate owner means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: Ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

Inverted domestic corporation means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

Manufactured end product means any end product in product and service codes (PSCs) 1000-9999, except--

(1) PSC 5510, Lumber and Related Basic Wood Materials;

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

http://www.acquisition.gov/

(5) PSC 9410, Crude Grades of Plant Materials;

(6) PSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) PSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) PSC 9610, Ores;

(9) PSC 9620, Minerals, Natural and Synthetic; and

(10) PSC 9630, Additive Metal Materials.

Place of manufacture means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

Restricted business operations means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the

Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment

Act of 2007) conducting the business can demonstrate--

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

Sensitive technology--

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically--

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act

(50 U.S.C. 1702(b)(3)).

Service-disabled veteran-owned small business concern--

(1) Means a small business concern--

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

"Small business concern" means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.

Small disadvantaged business concern, consistent with 13 CFR 124.1002, means a small business concern under the size standard applicable to the acquisition, that--

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by--

(i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

Subsidiary means an entity in which more than 50 percent of the entity is owned--

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

Veteran-owned small business concern means a small business concern--

(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

"Women-owned business concern" means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

"Women-owned small business concern" means a small business concern--

(1) That is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least

51 percent of its stock is owned by one or more women; or

(2) Whose management and daily business operations are controlled by one or more women.

Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127)”, means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the

United States.

(b) (1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted electronically on the SAM website.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-

3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ___ .

[Offeror to identify the applicable paragraphs at (c) through (p) of this provision that the offeror has completed for the purposes of this solicitation only, if any.) These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on ORCA.]

(c) Offerors must complete the following representations when the resulting contract will be performed in the United

States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it ( ___ ) is, ( ___ ) is not a small business concern.

(2) Veteran-owned small business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents as part of its offer that it ( ___ ) is, ( ___ ) is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. (Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.) The offeror represents as part of its offer that it ( ___ ) is, ( ___ ) is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents that it ( ___ ) is, ( ___ ) is not a small disadvantaged business concern as defined in 13 CFR 124.1002.

(5) Women-owned small business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents that it ( ___ ) is, ( ___ ) is not a women-owned small business concern.

https://www.acquisition.gov/

Note to paragraphs (c)(8) and (9): Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold.

(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that--

(i) It [ ___ ] is, [ ___ ] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the…