Solicitation HDEC05-20-Q-0002 LWN SNO (Harrison Village).pdf

SEE ADDENDUM

(No Collect Calls)

HDEC0520Q0002 10-Jan-2020

b. TELEPHONE NUMBER

804-734-8000 EXT 86530

8. OFFER DUE DATE/LOCAL TIME

02:00 PM 05 Feb 2020

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 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.

HDEC059. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

DAVID M. SHINGLETON JR

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

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

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

HQCCAJ92950001000

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

ENTERPRISE ACQUISITION DIVISION

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 HQCCAJ 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

X SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

HARRISON VILLAGE COMMISSARY

9702 EAST 59TH STREET

DECA AREA A

INDIANAPOLIS IN 46216

TEL: 317-610-7202 FAX: 317-542-0148

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$7,500,000

NAICS:

561730

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 OF72

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.

HDEC0520Q0002

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Harrison Village Lawn Maintenance

FFP

Non-personal services in accordance with the Statement of Work

Harrison Village Commissary 9702 E 59th St.

Indianapolis, IN 46216

POC: Chad Roth, (317) 610-7202 ext. 3112

Grass shrubs, trees: approximately 83,693 square feet.

Base Year: May 1, 2020 through April 30, 2021

PURCHASE REQUEST NUMBER: HQCCAJ92950001000

NET AMT

0001AA 32 Week Routine Lawn Maintenance

FFP

Routine Mowing, Trimming, Edging, Bed Definition, Leaf/Straw/Needle Removal, Weeding, and Fertilization as directed by the Store Director or authorized representative. Not to exceed 32 times per year during the months of April thru October. Performance will be in accordance with the Statement of Work.

FOB: Destination

PSC CD: S208

0001AB 1 Each Mulching

FFP

To be performed once per year- applied in the spring to a 2,597 square foot area in accordance with the Statement of Work. Color should match existing mulch, and shall be applied to a minimum depth of three (3) inches.

0001AC 2 Each Shrub Pruning (Excludes Mature Trees)

FFP

Two (2) times per year. Spring and Fall. Performance will be in accordance with the Statement of Work.

0001AD 2 Each Insect and Disease Control

FFP

Two (2) times per year - between the months of April and October.

Performance will be in accordance with Statement of Work.

0001AE 2 Each Herbicides & Fertilizers

FFP

As required and requested by Store to maintain lawn/weeds, but no more than twice pear year- between the months of April and October. Performance will be in accordance with Statement of Work.

Fertilizer each $______ X 2 = $___________

Herbicides each $________ X 2 = $________

0001AF 2 Each Quick Response Service

FFP

Within 72 Hours for Special Events/or visits at the request of the store.

Harrison Village Snow Removal

FFP

Non-personal services in accordance with the Statement of Work

Harrison Village Commissary 9702 E 59th St.

Indianapolis, IN 46216

POC: Chad Roth, (317) 610-7202 ext. 3112

Parking lot and sidewalks approximately 96,939 square feet. 600 feet of access road bordering the Harrison Village Commissary from East 59th Street to the back of the Commissary (Brooks Blvd).

Base Year: May 1, 2020 through April 30, 2021

PURCHASE REQUEST NUMBER: HQCCAJ92950001000

0002AA 8,608.45 Each Snow Removal - 2" or more of snow

FFP

Contractor to perform snow removal as necessary when there is 2 or more inches of snow, prior to store opening at 7:00 am Wednesday - Sunday, and any other time deemed necessary by the store director on an on call basis.

A. Hourly Charge:

$_________________x EST 30 hours = $________________(A)

B. Trip Charge:

$_____________x EST 10 trips = $_________________(B)

Total: $______________(A+B)

The above hours and trips are estimated amounts for evaluation purposes only and are not to be construed as guaranteed quantities or actual number of hours or trips.

Actual quantities will be based on actual usage.

The government will insert a Not to Exceed (NTE) amount at the time of award based on the estimated amount.

0002AB 8,608 Each Salt Treatment

FFP

Contractor to perform salt treatment as necessary to prevent ice, prior to store opening at 7:00 am, Wednesday – Sunday, and any other time deemed necessary by the store director on an on call basis.

A. Salt Treatment; Price Per Application:

$___________________x EST 20 app. = $__________________(A)

B. Trip Charge (only if performed other than w/snow removal above):

$_______________x EST 5 trips = $_____________________(B)

Total: $______________________(A + B)

The above hours and trips are estimated amounts for evaluation purposes only and are not to be construed as guaranteed quantities or actual number of hours or trips.

Actual quantities will be based on actual usage.

The government will insert a Not to Exceed (NTE) amount at the time of award

OPTION Harrison Village Lawn Maintenance

FFP

Non-personal services in accordance with the Statement of Work

Harrison Village Commissary 9702 E 59th St.

Indianapolis, IN 46216

POC: Chad Roth, (317) 610-7202 ext. 3112

Grass shrubs, trees: approximately 83,693 square feet.

First Option Year: May 1, 2021 through April 30, 2022

1001AA 32 Week OPTION Routine Lawn Maintenance

FFP

Routine Mowing, Trimming, Edging, Bed Definition, Leaf/Straw/Needle Removal, Weeding, and Fertilization as directed by the Store Director or authorized representative. Not to exceed 32 times per year during the months of April thru

1001AB 1 Each OPTION Mulching

FFP

To be performed once per year- applied in the spring to a 2,597 square foot area in accordance with the Statement of Work. Color should match existing mulch, and

1001AC 2 Each OPTION Shrub Pruning (Excludes Mature Trees)

FFP

Two (2) times per year. Spring and Fall. Performance will be in accordance with

1001AD 2 Each OPTION Insect and Disease Control

FFP

Two (2) times per year - between the months of April and October.

1001AE 2 Each OPTION Herbicides & Fertilizers

FFP

As required and requested by Store to maintain lawn/weeds, but no more than twice pear year- between the months of April and October. Performance will be in accordance with Statement of Work.

Fertilizer each $______ X 2 = $___________

1001AF 2 Each OPTION Quick Response Service

FFP

OPTION Harrison Village Snow Removal

FFP

Non-personal services in accordance with the Statement of Work

Harrison Village Commissary 9702 E 59th St.

Indianapolis, IN 46216

POC: Chad Roth, (317) 610-7202 ext. 3112

Parking lot and sidewalks approximately 96,939 square feet. 600 feet of access road bordering the Harrison Village Commissary from East 59th Street to the back of the Commissary (Brooks Blvd).

First Option Year: May 1, 2021 through April 30, 2022

1002AA 8,608.45 Each OPTION Snow Removal - 2" or more of snow

FFP

Contractor to perform snow removal as necessary when there is 2 or more inches of snow, prior to store opening at 7:00 am Wednesday - Sunday, and any other time deemed necessary by the store director on an on call basis.

A. Hourly Charge:

$_________________x EST 30 hours = $________________(A)

Actual quantities will be based on actual usage.

The government will insert a Not to Exceed (NTE) amount at the time of award

1002AB 8,608 Each OPTION Salt Treatment

FFP

Contractor to perform salt treatment as necessary to prevent ice, prior to store opening at 7:00 am, Wednesday – Sunday, and any other time deemed necessary by the store director on an on call basis.

A. Salt Treatment; Price Per Application:

$___________________x EST 20 app. = $__________________(A)

B. Trip Charge (only if performed other than w/snow removal above):

$_______________x EST 5 trips = $_____________________(B)

Total: $______________________(A + B)

The above hours and trips are estimated amounts for evaluation purposes only and are not to be construed as guaranteed quantities or actual number of hours or trips.

Actual quantities will be based on actual usage.

The government will insert a Not to Exceed (NTE) amount at the time of award

OPTION Harrison Village Lawn Maintenance

FFP

Non-personal services in accordance with the Statement of Work

Harrison Village Commissary 9702 E 59th St.

Indianapolis, IN 46216

POC: Chad Roth, (317) 610-7202 ext. 3112

Second Option Year: May 1, 2022 through April 30, 2023

2001AA 32 Week OPTION Routine Lawn Maintenance

FFP

Routine Mowing, Trimming, Edging, Bed Definition, Leaf/Straw/Needle Removal, Weeding, and Fertilization as directed by the Store Director or authorized representative. Not to exceed 32 times per year during the months of April thru

2001AB 1 Each OPTION Mulching

FFP

To be performed once per year- applied in the spring to a 2,597 square foot area in accordance with the Statement of Work. Color should match existing mulch, and

2001AC 2 Each OPTION Shrub Pruning (Excludes Mature Trees)

FFP

Two (2) times per year. Spring and Fall. Performance will be in accordance with

2001AD 2 Each OPTION Insect and Disease Control

FFP

Two (2) times per year - between the months of April and October.

2001AE 2 Each OPTION Herbicides & Fertilizers

FFP

As required and requested by Store to maintain lawn/weeds, but no more than twice pear year- between the months of April and October. Performance will be in accordance with Statement of Work.

Fertilizer each $______ X 2 = $___________

2001AF 2 Each OPTION Quick Response Service

FFP

OPTION Harrison Village Snow Removal

FFP

Non-personal services in accordance with the Statement of Work

Harrison Village Commissary 9702 E 59th St.

Indianapolis, IN 46216

POC: Chad Roth, (317) 610-7202 ext. 3112

Parking lot and sidewalks approximately 96,939 square feet. 600 feet of access road bordering the Harrison Village Commissary from East 59th Street to the back

Second Option Year: May 1, 2022 through April 30, 2023

2002AA 8,608.45 Each OPTION Snow Removal - 2" or more of snow

FFP

Contractor to perform snow removal as necessary when there is 2 or more inches of snow, prior to store opening at 7:00 am Wednesday - Sunday, and any other time deemed necessary by the store director on an on call basis.

A. Hourly Charge:

$_________________x EST 30 hours = $________________(A)

Actual quantities will be based on actual usage.

The government will insert a Not to Exceed (NTE) amount at the time of award

2002AB 8,608 Each OPTION Salt Treatment

FFP

Contractor to perform salt treatment as necessary to prevent ice, prior to store opening at 7:00 am, Wednesday – Sunday, and any other time deemed necessary by the store director on an on call basis.

A. Salt Treatment; Price Per Application:

$___________________x EST 20 app. = $__________________(A)

B. Trip Charge (only if performed other than w/snow removal above):

$_______________x EST 5 trips = $_____________________(B)

Total: $______________________(A + B)

The above hours and trips are estimated amounts for evaluation purposes only and are not to be construed as guaranteed quantities or actual number of hours or trips.

Actual quantities will be based on actual usage.

The government will insert a Not to Exceed (NTE) amount at the time of award

OPTION Harrison Village Lawn Maintenance

FFP

Non-personal services in accordance with the Statement of Work

Harrison Village Commissary 9702 E 59th St.

Indianapolis, IN 46216

POC: Chad Roth, (317) 610-7202 ext. 3112

Third Option Year: May 1, 2023 through April 30, 2024

3001AA 32 Week OPTION Routine Lawn Maintenance

FFP

Routine Mowing, Trimming, Edging, Bed Definition, Leaf/Straw/Needle Removal, Weeding, and Fertilization as directed by the Store Director or authorized representative. Not to exceed 32 times per year during the months of April thru

3001AB 1 Each OPTION Mulching

FFP

To be performed once per year- applied in the spring to a 2,597 square foot area in accordance with the Statement of Work. Color should match existing mulch, and

3001AC 2 Each OPTION Shrub Pruning (Excludes Mature Trees)

FFP

Two (2) times per year. Spring and Fall. Performance will be in accordance with

3001AD 2 Each OPTION Insect and Disease Control

FFP

Two (2) times per year - between the months of April and October.

3001AE 2 Each OPTION Herbicides & Fertilizers

FFP

As required and requested by Store to maintain lawn/weeds, but no more than twice pear year- between the months of April and October. Performance will be in accordance with Statement of Work.

Fertilizer each $______ X 2 = $___________

3001AF 2 Each OPTION Quick Response Service

FFP

OPTION Harrison Village Snow Removal

FFP

Non-personal services in accordance with the Statement of Work

Harrison Village Commissary 9702 E 59th St.

Indianapolis, IN 46216

POC: Chad Roth, (317) 610-7202 ext. 3112

Parking lot and sidewalks approximately 96,939 square feet. 600 feet of access road bordering the Harrison Village Commissary from East 59th Street to the back

Third Option Year: May 1, 2023 through April 30, 2024

3002AA 8,608.45 Each OPTION Snow Removal - 2" or more of snow

FFP

Contractor to perform snow removal as necessary when there is 2 or more inches of snow, prior to store opening at 7:00 am Wednesday - Sunday, and any other time deemed necessary by the store director on an on call basis.

A. Hourly Charge:

$_________________x EST 30 hours = $________________(A)

Actual quantities will be based on actual usage.

The government will insert a Not to Exceed (NTE) amount at the time of award

3002AB 8,608 Each OPTION Salt Treatment

FFP

Contractor to perform salt treatment as necessary to prevent ice, prior to store opening at 7:00 am, Wednesday – Sunday, and any other time deemed necessary by the store director on an on call basis.

A. Salt Treatment; Price Per Application:

$___________________x EST 20 app. = $__________________(A)

B. Trip Charge (only if performed other than w/snow removal above):

$_______________x EST 5 trips = $_____________________(B)

Total: $______________________(A + B)

The above hours and trips are estimated amounts for evaluation purposes only and are not to be construed as guaranteed quantities or actual number of hours or trips.

Actual quantities will be based on actual usage.

The government will insert a Not to Exceed (NTE) amount at the time of award

OPTION Harrison Village Lawn Maintenance

FFP

Non-personal services in accordance with the Statement of Work

Harrison Village Commissary 9702 E 59th St.

Indianapolis, IN 46216

POC: Chad Roth, (317) 610-7202 ext. 3112

Fourth Option Year: May 1, 2024 through April 30, 2025

4001AA 32 Week OPTION Routine Lawn Maintenance

FFP

Routine Mowing, Trimming, Edging, Bed Definition, Leaf/Straw/Needle Removal, Weeding, and Fertilization as directed by the Store Director or authorized representative. Not to exceed 32 times per year during the months of April thru

4001AB 1 Each OPTION Mulching

FFP

To be performed once per year- applied in the spring to a 2,597 square foot area in accordance with the Statement of Work. Color should match existing mulch, and

4001AC 2 Each OPTION Shrub Pruning (Excludes Mature Trees)

FFP

Two (2) times per year. Spring and Fall. Performance will be in accordance with

4001AD 2 Each OPTION Insect and Disease Control

FFP

Two (2) times per year - between the months of April and October.

4001AE 2 Each OPTION Herbicides & Fertilizers

FFP

As required and requested by Store to maintain lawn/weeds, but no more than twice pear year- between the months of April and October. Performance will be in accordance with Statement of Work.

Fertilizer each $______ X 2 = $___________

4001AF 2 Each OPTION Quick Response Service

FFP

OPTION Harrison Village Snow Removal

FFP

Non-personal services in accordance with the Statement of Work

Harrison Village Commissary 9702 E 59th St.

Indianapolis, IN 46216

POC: Chad Roth, (317) 610-7202 ext. 3112

Parking lot and sidewalks approximately 96,939 square feet. 600 feet of access road bordering the Harrison Village Commissary from East 59th Street to the back

Fourth Option Year: May 1, 2024 through April 30, 2025

4002AA 8,608.45 Each OPTION Snow Removal - 2" or more of snow

FFP

Contractor to perform snow removal as necessary when there is 2 or more inches of snow, prior to store opening at 7:00 am Wednesday - Sunday, and any other time deemed necessary by the store director on an on call basis.

A. Hourly Charge:

$_________________x EST 30 hours = $________________(A)

Actual quantities will be based on actual usage.

The government will insert a Not to Exceed (NTE) amount at the time of award

4002AB 8,608 Each OPTION Salt Treatment

FFP

Contractor to perform salt treatment as necessary to prevent ice, prior to store opening at 7:00 am, Wednesday – Sunday, and any other time deemed necessary by the store director on an on call basis.

A. Salt Treatment; Price Per Application:

$___________________x EST 20 app. = $__________________(A)

B. Trip Charge (only if performed other than w/snow removal above):

$_______________x EST 5 trips = $_____________________(B)

Total: $______________________(A + B)

The above hours and trips are estimated amounts for evaluation purposes only and are not to be construed as guaranteed quantities or actual number of hours or trips.

Actual quantities will be based on actual usage.

The government will insert a Not to Exceed (NTE) amount at the time of award

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A N/A 0001AA N/A N/A N/A Government 0001AB N/A N/A N/A Government 0001AC N/A N/A N/A Government 0001AD N/A N/A N/A Government 0001AE N/A N/A N/A Government 0001AF N/A N/A N/A Government 0002 N/A N/A N/A N/A 0002AA N/A N/A N/A Government

0002AB N/A N/A N/A Government 1001 N/A N/A N/A N/A 1001AA N/A N/A N/A Government 1001AB N/A N/A N/A Government 1001AC N/A N/A N/A Government 1001AD N/A N/A N/A Government 1001AE N/A N/A N/A Government 1001AF N/A N/A N/A Government 1002 N/A N/A N/A N/A 1002AA N/A N/A N/A Government 1002AB N/A N/A N/A Government 2001 N/A N/A N/A N/A 2001AA N/A N/A N/A Government 2001AB N/A N/A N/A Government 2001AC N/A N/A N/A Government 2001AD N/A N/A N/A Government 2001AE N/A N/A N/A Government 2001AF N/A N/A N/A Government 2002 N/A N/A N/A N/A 2002AA N/A N/A N/A Government 2002AB N/A N/A N/A Government 3001 N/A N/A N/A N/A 3001AA N/A N/A N/A Government 3001AB N/A N/A N/A Government 3001AC N/A N/A N/A Government 3001AD N/A N/A N/A Government 3001AE N/A N/A N/A Government 3001AF N/A N/A N/A Government 3002 N/A N/A N/A N/A 3002AA N/A N/A N/A Government 3002AB N/A N/A N/A Government 4001 N/A N/A N/A N/A 4001AA N/A N/A N/A Government 4001AB N/A N/A N/A Government 4001AC N/A N/A N/A Government 4001AD N/A N/A N/A Government 4001AE N/A N/A N/A Government 4001AF N/A N/A N/A Government 4002 N/A N/A N/A N/A 4002AA N/A N/A N/A Government 4002AB N/A N/A N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

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

0001AA POP 01-MAY-2020 TO

30-APR-2021

N/A HARRISON VILLAGE COMMISSARY

9702 EAST 59TH STREET

DECA AREA A

INDIANAPOLIS IN 46216

317-610-7202

HQCCAJ

0001AB POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AC POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AD POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AE POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AF POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

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

0002AA POP 01-MAY-2020 TO

30-APR-2021

N/A HARRISON VILLAGE COMMISSARY

9702 EAST 59TH STREET

DECA AREA A

INDIANAPOLIS IN 46216

317-610-7202

0002AB POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

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

1001AA POP 01-MAY-2021 TO

30-APR-2022

N/A HARRISON VILLAGE COMMISSARY

9702 EAST 59TH STREET

DECA AREA A

INDIANAPOLIS IN 46216

317-610-7202

1001AB POP 01-MAY-2021 TO

30-APR-2022

N/A (SAME AS PREVIOUS LOCATION)

1001AC POP 01-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AD POP 01-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AE POP 01-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AF POP 01-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

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

1002AA POP 01-MAY-2021 TO

30-APR-2022

N/A HARRISON VILLAGE COMMISSARY

9702 EAST 59TH STREET

DECA AREA A

INDIANAPOLIS IN 46216

317-610-7202

1002AB POP 01-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

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

2001AA POP 01-MAY-2022 TO

30-APR-2023

N/A HARRISON VILLAGE COMMISSARY

9702 EAST 59TH STREET

DECA AREA A

INDIANAPOLIS IN 46216

317-610-7202

2001AB POP 01-MAY-2022 TO

30-APR-2023

N/A (SAME AS PREVIOUS LOCATION)

2001AC POP 01-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AD POP 01-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AE POP 01-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AF POP 01-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

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

2002AA POP 01-MAY-2022 TO

30-APR-2023

N/A HARRISON VILLAGE COMMISSARY

9702 EAST 59TH STREET

DECA AREA A

INDIANAPOLIS IN 46216

317-610-7202

2002AB POP 01-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 N/A N/A N/A N/A

3001AA POP 01-MAY-2023 TO

30-APR-2024

N/A HARRISON VILLAGE COMMISSARY

9702 EAST 59TH STREET

DECA AREA A

INDIANAPOLIS IN 46216

317-610-7202

3001AB POP 01-MAY-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AC POP 01-MAY-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AD POP 01-MAY-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AE POP 01-MAY-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AF POP 01-MAY-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

3002 N/A N/A N/A N/A

3002AA POP 01-MAY-2023 TO

30-APR-2024

N/A HARRISON VILLAGE COMMISSARY

9702 EAST 59TH STREET

DECA AREA A

INDIANAPOLIS IN 46216

317-610-7202

3002AB POP 01-MAY-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 N/A N/A N/A N/A

4001AA POP 01-MAY-2024 TO

30-APR-2025

N/A HARRISON VILLAGE COMMISSARY

9702 EAST 59TH STREET

DECA AREA A

INDIANAPOLIS IN 46216

317-610-7202

4001AB POP 01-MAY-2024 TO

30-APR-2025

N/A (SAME AS PREVIOUS LOCATION)

4001AC POP 01-MAY-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AD POP 01-MAY-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AE POP 01-MAY-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AF POP 01-MAY-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

4002 N/A N/A N/A N/A

4002AA POP 01-MAY-2024 TO

30-APR-2025

N/A HARRISON VILLAGE COMMISSARY

9702 EAST 59TH STREET

DECA AREA A

INDIANAPOLIS IN 46216

317-610-7202

4002AB POP 01-MAY-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.203-19 Prohibition on Requiring Certain Internal Confidentiality

Agreements or Statements

JAN 2017

52.204-7 System for Award Management OCT 2018 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

OCT 2018

52.204-13 System for Award Management Maintenance OCT 2018 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

OCT 2015

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.212-1 Instructions to Offerors--Commercial Items OCT 2018 52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 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 SEP 2016 52.222-41 Service Contract Labor Standards AUG 2018 52.222-43 Fair Labor Standards Act And Service Contract Labor

Standards - Price Adjustment (Multiple Year And Option Contracts)

AUG 2018

52.222-50 Combating Trafficking in Persons JAN 2019 52.222-55 Minimum Wages Under Executive Order 13658 DEC 2015 52.222-62 Paid Sick Leave Under Executive Order 13706 JAN 2017 52.223-5 Pollution Prevention and Right-to-Know Information 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

OCT 2018

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

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 252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7008 Compliance With Safeguarding Covered Defense Information Controls

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting

OCT 2016

252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support

MAY 2016

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

SEP 2013

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 252.244-7000 Subcontracts for Commercial Items JUN 2013

CLAUSES INCORPORATED BY FULL TEXT

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.

ADDENDUM TO 52.212-1

INSTRUCTIONS TO OFFERORS – COMMERCIAL ITEMS

AWARD CRITERIA: This solicitation is for two different services at one location, Lawn Maintenance and Snow Removal. Each service will be evaluated independently under Lowest Price, Technically Acceptable (LPTA) procedures; therefore multiple awards are possible. Offerors may quote both services or just one.

I. SUBMISSION OF QUOTES: Reference 52.212-1 Paragraph (b)

SITE VISIT:

A site visit to access the facility is mandatory and may be scheduled by calling the below point of contacts at the commissary. [(Reference 52.237-1 Site Visit (April 1984)]

MANDATORY SITE VISIT: Wednesday thru Friday (January 22 to 24, 2020 and/or January 29 to 31, 2020) POINT OF CONTACT: Chad Roth (317) 610-7206 or email: Chad.Roth@deca.mil Alfreda Payne-Stewart (317) 610-7206 or email: Alfreda.payne-stewart@deca.mil

Quoters shall submit an original copy of the following documents:

(1) Standard Form 1449, Solicitation/Contract/Order for Commercial items, page 1, Blocks 17a, 17b, 30a, 30b, 30c completed and signed by an authorized representative on behalf of the quoter. Discount terms, if any, in Block 12.

(2) Schedule of Supplies/Services to include total price overall price for the base year and all option years (CLINs 0001-4002), in addition to a total price and a unit price breakdown for each sub CLIN in the schedule (0001AA-

4002AB).

(3) Prospective contractors shall complete electronic annual representations and certifications at System for Award Management (SAM) website available at https://www.sam.gov and must indicate their business size for the applicable NAICS code.

(4) Submit the following information:

(a) Dun and Bradstreet (DUNS) or DUNS + 4 Number: _______________________________

(b) Contractor E-Mail Address: ___________________________________________________

(5) Past Performance information required:

(a) References: Three (3) past performance references are requested to be submitted that are most similar to the work of this solicitation that you have performed in the past three years.

1) The attached past performance survey must be completed and submitted, directly from your reference, to the contracting office via email to David Shingleton at david.shingleton@deca.mil

2) Past performance references must be submitted by February 5, 2020. Surveys provided directly by the offeror will not be considered.

DeCA reserves the right to consider any other past performance information available to the Government such as CPARS (formerly PPIRS) or other databases.

North American Industry Classification System (NAICS) Code applicable to this solicitation is 561790 and the Size Standard is $8.0 mil. Per FAR 4.1201(a): Prospective contractors SHALL complete electronic annual representations and certifications (Reps & Certs) at https://www.acquisition.gov database. Your Reps and Certs must include the NAICS applicable to this solicitation and indicate your organization’s business size status.

Per 13 CFR 121.106 – If the size determination is based on the number of employees, the method of determining business size status is based on the average number of employees of the concern (including part-time and full-time employees of its domestic and foreign affiliates), which is based upon the number of employees for each of the pay periods for the preceding 12 calendar months. [Additional definition is available by searching 13CFR121 at http://www.gpoaccess.gov/cfr/index.html]

Per 13 CFR 121.104 - If the size determination is based on average annual gross revenue, the method for determining business size status is based on the company’s average annual gross revenues for the last three fiscal years. Organizations whose average annual gross revenues exceed the size standard of this solicitation are considered large businesses. [Additional definition is available by searching 13CFR121 at http://www.gpoaccess.gov/cfr/index.html]

II. PERIOD FOR ACCEPTANCE OF QUOTES: Reference 52.212-1 Paragraph(c)

The Government requires a minimum acceptance period of 90 calendar days in lieu of the 30 calendar days as specified in FAR 52.212-1(c), Period of Acceptance of Quotes. The Government will not award a contract to a quoter allowing less than the Government’s minimum acceptance period.

III. NOTICE OF AWARD:

A written notice of award or acceptance of a quote, mailed or otherwise furnished to the successful quoter within the time for acceptance specified in the quote, shall result in a binding contract without further action by either party.

Before the quoter's specified expiration time, the Government may accept a quote (or part of a quote), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

IMPORTANT NOTICE

Upon award of this contract, the Agency intends to make available to the public the total contract award amount, as well as any awarded individual contract line item pricing (CLIN and Sub-CLIN) either by posting within the Agency's electronic reading room located at www.commissaries.com or upon request.

Unexercised Option year prices will not be published.

This action is being taken to ensure contract award information is available to the general public, as it was in the past, pursuant to the President’s January 21, 2009 memorandum regarding the Freedom of Information Act (FOIA).

(End of Provision)

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers using Simplified Acquisition Procedures:

The following factors shall be used to evaluate offers:

1. Past Performance

a. Timeliness

b. Quality of Work

c. Business Relations

2. Price. Total evaluated price will be determined by adding the base price and all option period contract line items (CLINs), as stated in the solicitation, 52.212-2. The Contracting Officer will determine price reasonableness for all pricing, and will ensure the selection of the lowest priced, technically acceptable offer for contract award.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. 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).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of provision)

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (OCT 2018)

ALTERNATE I (OCT 2014)

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management (SAM) accessed through https://www.sam.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (u)) 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;

(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 its stock 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 the stock of which is owned by one or more women; and

(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 in SAM.

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM 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), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs __.

[Offeror to identify the applicable paragraphs at (c) through (u) 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 SAM.]

(c) Offerors must complete the following representations when the resulting contract is to 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.

Note: 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 requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ___ .] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

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

(i) It [ ___ ] is, [ ___ ] is not an EDWOSB concern, 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 requirements of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ___ .] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

(8) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [ ___ ] is, a women-owned business concern.

(9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price:

(10) HUBZone 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--

(i) It [ ___ ] is, [ ___ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [ ___ ] is, [ ___ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for each HUBZone small business concern participating…