HE1254-16-T-0007.pdf

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National Association of School Psychologists (NASP) Resources for DoDEA Schools Worldwide
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SEE ADDENDUM

(No Collect Calls)

HE1254-16-T-0007 02-Aug-2016

b. TELEPHONE NUMBER

571-372-1337

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 17 Aug 2016

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.

HE12549. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

CHERYL L. HARDING

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(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

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ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

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HE1254622100

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

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% FOR:SET ASIDE:UNRESTRICTED ORX

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OFFEROR CODE

DOD EDUCATION ACTIVITY

ATTN: PROCUREMENT DIVISION

4800 MARK CENTER DRIVE

SUITE 05F09-02

ALEXANDRIA VA 22350-1400

18a. PAYMENT WILL BE MADE BY CODE

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CODE15. DELIVER TO CODE 16. ADMINISTERED BY

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TION UNLESS BLOCK IS

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RFQ IFB RFPX

FAX:

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8(A)

HUBZONE SMALL

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$11,000,000

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611110

OFFER DATED

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

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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 OF63

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

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RECEIVED INSPECTED

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REPRESENTATIVE

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REPRESENTATIVE

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37. CHECK NUMBER

FINALPARTIALCOMPLETE

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CORRECT FOR

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PARTIAL

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

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42a. RECEIVED BY (Print)

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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.

HE1254-16-T-0007

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 123 Each

CURRENT TOPICS IN PEDIATRICS: 3 VOL SET

FFP

ISBN: 978-1-4129-8318-1

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PN/CN: N0928

PURCHASE REQUEST NUMBER: HE1254622100

NET AMT

0002 123 Each

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THIS LINE ITEM IS FOR THE PRINCIPALS AND ASSISTANT PRINCIPALS

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0012 1 Each Shipping to worldwide locations

FFP

Can be quoted as a fixed amount or a percentage of total order. If a percentage of total order, please identify the percentage.

FOB: Destination

MILSTRIP: HE1254622100

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government

0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 0008 Destination Government Destination Government 0009 Destination Government Destination Government 0010 Destination Government Destination Government 0011 Destination Government Destination Government 0012 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

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ANSBACH 91522

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HE4630

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GUAM

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0001 16-SEP-2016 23 DOD EDUCATION ACTIVITY

JOHN KEATING

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4800 MARK CENTER DRIVE

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571-372-5840

HE1254

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HE1600

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HENCBR

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HEKYKX

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566 COLUMBUS STREET

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HEPRAN

0001 16-SEP-2016 6 SC-FT STEWART ADMIN OFFICE-FT

JACKSON

LORI CRAWFORD

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5900 CHESNUT RD

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803-782-2720

HESCJK

0001 16-SEP-2016 6 SUPERINTENDENT FT CAMPBELL

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LINDA BRAKE

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77 TEXAS AVE

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HEKYCA

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703-784-2066

HEVAQD

0001 16-SEP-2016 1 W T SAMPSON ELEMENTARY/HIGH

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MICHAEL PERRY

PSC 1005 BOX 49

FPO AE 09593-0005

HE9505

0002 16-SEP-2016 9 BAMBERG SBO

DEPARTMENT OF DEFENSE SCHOOLS

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ANSBACH 91522

0002 16-SEP-2016 3 CAMP LEJEUNE DISTRICT

BLDG 40A BREWESTER BLVD

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910-451-5361

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PSC 490 BOX 7655

FPO AP 96538-1606

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82 2 7918 5922

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ATTN: EDUCATION DIVISION

4800 MARK CENTER DRIVE

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571-372-5840

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BLDG 30 RAF FELTWELL

THETFORD IP26 4HL

44 1638 527320

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ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

DODDS KAISERSLAUTERN DSO

KAPAUN AIR STATION GEB 2786

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0002 16-SEP-2016 8 DODDS MEDITERRANEAN DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

VIALE DELLA PACE EDIFICIO NUMERO

VICENZA 36100

39 0444 71 8460

0002 16-SEP-2016 9 DODDS OKINAWA DISTRICT OFFICE

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APO AP 96368-5166

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7441 CUSTER ROAD

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706-545-8263

0002 16-SEP-2016 6 FORT BRAGG COMMUNITY OFFICE

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910-907-0253

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703-784-2066

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MICHAEL PERRY

PSC 1005 BOX 49

FPO AE 09593-0005

0003 16-SEP-2016 9 BAMBERG SBO

DEPARTMENT OF DEFENSE SCHOOLS

BARTON BARRACKS

MEINHARDSWINDENER

BAVARIA DSO GEBAEUDE BLDG 5254-2

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0003 16-SEP-2016 3 CAMP LEJEUNE DISTRICT

BLDG 40A BREWESTER BLVD

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910-451-5361

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FPO AP 96538-1606

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UNIT 5072

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82 2 7918 5922

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571-372-5840

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THETFORD IP26 4HL

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706-545-8263

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281 FAYETTE AVE, BLDG 4553

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5026242345

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566 COLUMBUS STREET

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787-707-4631

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0003 16-SEP-2016 6 SUPERINTENDENT FT CAMPBELL

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77 TEXAS AVE

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703-784-2066

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MICHAEL PERRY

PSC 1005 BOX 49

FPO AE 09593-0005

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BLDG 40A BREWESTER BLVD

CAMP LEJEUNE NC 28547-2520

910-451-5361

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APO AP 96205-5549

82 2 7918 5922

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4800 MARK CENTER DRIVE

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571-372-5840

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BLDG 30 RAF FELTWELL

THETFORD IP26 4HL

44 1638 527320

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KAPAUN AIR STATION GEB 2786

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0004 16-SEP-2016 8 DODDS MEDITERRANEAN DISTRICT

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DEPARTMENT OF DEFENSE SCHOOLS

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39 0444 71 8460

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UNIT 5166

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7441 CUSTER ROAD

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FORT BENNING GA 31905

706-545-8263

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910-907-0253

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82 2 7918 5922

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ALEXANDRIA VA 22350-1400

571-372-5840

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DEPARTMENT OF DEFENSE SCHOOLS

BLDG 30 RAF FELTWELL

THETFORD IP26 4HL

44 1638 527320

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KAPAUN AIR STATION GEB 2786

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0005 16-SEP-2016 8 DODDS MEDITERRANEAN DISTRICT

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DEPARTMENT OF DEFENSE SCHOOLS

VIALE DELLA PACE EDIFICIO NUMERO

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39 0444 71 8460

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BLDG 2667

FORT BENNING GA 31905

706-545-8263

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0005 16-SEP-2016 1 FT KNOX COMMUNITY OFFICE

ATTN: SUPPLY TECH

281 FAYETTE AVE, BLDG 4553

FORT KNOX KY 40121-6201

5026242345

0005 16-SEP-2016 3 PUERTO RICO SCHOOL DISTRICT

ATTN: SUPPLY TECHÂ

566 COLUMBUS STREET

FORT BUCHANAN PR 00934-4540

787-707-4631

0005 16-SEP-2016 6 SC-FT STEWART ADMIN OFFICE-FT

LORI CRAWFORD

ATTN: LOGISTICS ASSISTANT

5900 CHESNUT RD

COLUMBIA SC 29206

803-782-2720

0005 16-SEP-2016 6 SUPERINTENDENT FT CAMPBELL

LINDA BRAKE

ATTN: SUPPLY TECH

77 TEXAS AVE

FORT CAMPBELL KY 42223-5127

931-431-6918

0005 16-SEP-2016 4 VIRGINIA-NEW YORK SCHOOL DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

ATTN: SUPPLY TECH

3308 JOHN QUICK RD SUITE 202B

QUANTICO VA 22134-2028

703-784-2066

0005 16-SEP-2016 1 W T SAMPSON ELEMENTARY/HIGH

MICHAEL PERRY

PSC 1005 BOX 49

FPO AE 09593-0005

0006 16-SEP-2016 9 BAMBERG SBO

DEPARTMENT OF DEFENSE SCHOOLS

BARTON BARRACKS

MEINHARDSWINDENER

BAVARIA DSO GEBAEUDE BLDG 5254-2

ANSBACH 91522

0006 16-SEP-2016 3 CAMP LEJEUNE DISTRICT

BLDG 40A BREWESTER BLVD

CAMP LEJEUNE NC 28547-2520

910-451-5361

0006 16-SEP-2016 3 DISTRICT SUPERINTENDENT OFFICE -

ATTN: SCHOOL PSYCHOLOGISTS

DDESS SCHOOLS

PSC 490 BOX 7655

FPO AP 96538-1606

0006 16-SEP-2016 13 DISTRICT SUPERINTENDENT OFFICE

ATTN: SCHOOL PSYCHOLOGISTS

UNIT 5072

APO AP 96328-5072

0006 16-SEP-2016 5 DISTRICT SUPERINTENDENT OFFICE

ATTN: SCHOOL PSYCHOLOGISTS

UNIT 15549

APO AP 96205-5549

82 2 7918 5922

0006 16-SEP-2016 23 DOD EDUCATION ACTIVITY

DODEA

ATTN: EDUCATION DIVISION

4800 MARK CENTER DRIVE

ALEXANDRIA VA 22350-1400

571-372-5840

0006 16-SEP-2016 5 DODDS ISLES DISTRICT OFFICE

DEPARTMENT OF DEFENSE SCHOOLS

BLDG 30 RAF FELTWELL

THETFORD IP26 4HL

44 1638 527320

0006 16-SEP-2016 13 DODDS KAISERSLAUTERN DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

DODDS KAISERSLAUTERN DSO

KAPAUN AIR STATION GEB 2786

KAISERSLAUTERN 67663

0006 16-SEP-2016 8 DODDS MEDITERRANEAN DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

VIALE DELLA PACE EDIFICIO NUMERO

VICENZA 36100

39 0444 71 8460

0006 16-SEP-2016 9 DODDS OKINAWA DISTRICT OFFICE

UNIT 5166

APO AP 96368-5166

0006 16-SEP-2016 5 DSO WAREHOUSE

7441 CUSTER ROAD

BLDG 2667

FORT BENNING GA 31905

706-545-8263

0006 16-SEP-2016 6 FORT BRAGG COMMUNITY OFFICE

BLDG 1-4979

KNOX AVENUE

FORT BRAGG NC 28307

910-907-0253

0006 16-SEP-2016 1 FT KNOX COMMUNITY OFFICE

ATTN: SUPPLY TECH

281 FAYETTE AVE, BLDG 4553

FORT KNOX KY 40121-6201

5026242345

0006 16-SEP-2016 3 PUERTO RICO SCHOOL DISTRICT

ATTN: SUPPLY TECHÂ

566 COLUMBUS STREET

FORT BUCHANAN PR 00934-4540

787-707-4631

0006 16-SEP-2016 6 SC-FT STEWART ADMIN OFFICE-FT

LORI CRAWFORD

ATTN: LOGISTICS ASSISTANT

5900 CHESNUT RD

COLUMBIA SC 29206

803-782-2720

0006 16-SEP-2016 6 SUPERINTENDENT FT CAMPBELL

LINDA BRAKE

ATTN: SUPPLY TECH

77 TEXAS AVE

FORT CAMPBELL KY 42223-5127

931-431-6918

0006 16-SEP-2016 4 VIRGINIA-NEW YORK SCHOOL DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

ATTN: SUPPLY TECH

3308 JOHN QUICK RD SUITE 202B

QUANTICO VA 22134-2028

703-784-2066

0006 16-SEP-2016 1 W T SAMPSON ELEMENTARY/HIGH

MICHAEL PERRY

PSC 1005 BOX 49

FPO AE 09593-0005

0007 16-SEP-2016 9 BAMBERG SBO

DEPARTMENT OF DEFENSE SCHOOLS

BARTON BARRACKS

MEINHARDSWINDENER

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ANSBACH 91522

0007 16-SEP-2016 3 CAMP LEJEUNE DISTRICT

BLDG 40A BREWESTER BLVD

CAMP LEJEUNE NC 28547-2520

910-451-5361

0007 16-SEP-2016 3 DISTRICT SUPERINTENDENT OFFICE -

ATTN: SCHOOL PSYCHOLOGISTS

DDESS SCHOOLS

PSC 490 BOX 7655

FPO AP 96538-1606

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ATTN: SCHOOL PSYCHOLOGISTS

UNIT 5072

APO AP 96328-5072

0007 16-SEP-2016 5 DISTRICT SUPERINTENDENT OFFICE

ATTN: SCHOOL PSYCHOLOGISTS

UNIT 15549

APO AP 96205-5549

82 2 7918 5922

0007 16-SEP-2016 23 DOD EDUCATION ACTIVITY

DODEA

ATTN: EDUCATION DIVISION

4800 MARK CENTER DRIVE

ALEXANDRIA VA 22350-1400

571-372-5840

0007 16-SEP-2016 5 DODDS ISLES DISTRICT OFFICE

DEPARTMENT OF DEFENSE SCHOOLS

BLDG 30 RAF FELTWELL

THETFORD IP26 4HL

44 1638 527320

0007 16-SEP-2016 13 DODDS KAISERSLAUTERN DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

DODDS KAISERSLAUTERN DSO

KAPAUN AIR STATION GEB 2786

KAISERSLAUTERN 67663

0007 16-SEP-2016 8 DODDS MEDITERRANEAN DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

VIALE DELLA PACE EDIFICIO NUMERO

VICENZA 36100

39 0444 71 8460

0007 16-SEP-2016 9 DODDS OKINAWA DISTRICT OFFICE

UNIT 5166

APO AP 96368-5166

0007 16-SEP-2016 5 DSO WAREHOUSE

7441 CUSTER ROAD

BLDG 2667

FORT BENNING GA 31905

706-545-8263

0007 16-SEP-2016 6 FORT BRAGG COMMUNITY OFFICE

BLDG 1-4979

KNOX AVENUE

FORT BRAGG NC 28307

910-907-0253

0007 16-SEP-2016 1 FT KNOX COMMUNITY OFFICE

ATTN: SUPPLY TECH

281 FAYETTE AVE, BLDG 4553

FORT KNOX KY 40121-6201

5026242345

0007 16-SEP-2016 3 PUERTO RICO SCHOOL DISTRICT

ATTN: SUPPLY TECHÂ

566 COLUMBUS STREET

FORT BUCHANAN PR 00934-4540

787-707-4631

0007 16-SEP-2016 6 SC-FT STEWART ADMIN OFFICE-FT

LORI CRAWFORD

ATTN: LOGISTICS ASSISTANT

5900 CHESNUT RD

COLUMBIA SC 29206

803-782-2720

0007 16-SEP-2016 6 SUPERINTENDENT FT CAMPBELL

LINDA BRAKE

ATTN: SUPPLY TECH

77 TEXAS AVE

FORT CAMPBELL KY 42223-5127

931-431-6918

0007 16-SEP-2016 4 VIRGINIA-NEW YORK SCHOOL DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

ATTN: SUPPLY TECH

3308 JOHN QUICK RD SUITE 202B

QUANTICO VA 22134-2028

703-784-2066

0007 16-SEP-2016 1 W T SAMPSON ELEMENTARY/HIGH

MICHAEL PERRY

PSC 1005 BOX 49

FPO AE 09593-0005

0008 16-SEP-2016 9 BAMBERG SBO

DEPARTMENT OF DEFENSE SCHOOLS

BARTON BARRACKS

MEINHARDSWINDENER

BAVARIA DSO GEBAEUDE BLDG 5254-2

ANSBACH 91522

0008 16-SEP-2016 3 CAMP LEJEUNE DISTRICT

BLDG 40A BREWESTER BLVD

CAMP LEJEUNE NC 28547-2520

910-451-5361

0008 16-SEP-2016 3 DISTRICT SUPERINTENDENT OFFICE -

ATTN: SCHOOL PSYCHOLOGISTS

DDESS SCHOOLS

PSC 490 BOX 7655

FPO AP 96538-1606

0008 16-SEP-2016 13 DISTRICT SUPERINTENDENT OFFICE

ATTN: SCHOOL PSYCHOLOGISTS

UNIT 5072

APO AP 96328-5072

0008 16-SEP-2016 5 DISTRICT SUPERINTENDENT OFFICE

ATTN: SCHOOL PSYCHOLOGISTS

UNIT 15549

APO AP 96205-5549

82 2 7918 5922

0008 16-SEP-2016 23 DOD EDUCATION ACTIVITY

DODEA

ATTN: EDUCATION DIVISION

4800 MARK CENTER DRIVE

ALEXANDRIA VA 22350-1400

571-372-5840

0008 16-SEP-2016 5 DODDS ISLES DISTRICT OFFICE

DEPARTMENT OF DEFENSE SCHOOLS

BLDG 30 RAF FELTWELL

THETFORD IP26 4HL

44 1638 527320

0008 16-SEP-2016 13 DODDS KAISERSLAUTERN DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

DODDS KAISERSLAUTERN DSO

KAPAUN AIR STATION GEB 2786

KAISERSLAUTERN 67663

0008 16-SEP-2016 8 DODDS MEDITERRANEAN DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

VIALE DELLA PACE EDIFICIO NUMERO

VICENZA 36100

39 0444 71 8460

0008 16-SEP-2016 9 DODDS OKINAWA DISTRICT OFFICE

UNIT 5166

APO AP 96368-5166

0008 16-SEP-2016 5 DSO WAREHOUSE

7441 CUSTER ROAD

BLDG 2667

FORT BENNING GA 31905

706-545-8263

0008 16-SEP-2016 6 FORT BRAGG COMMUNITY OFFICE

BLDG 1-4979

KNOX AVENUE

FORT BRAGG NC 28307

910-907-0253

0008 16-SEP-2016 1 FT KNOX COMMUNITY OFFICE

ATTN: SUPPLY TECH

281 FAYETTE AVE, BLDG 4553

FORT KNOX KY 40121-6201

5026242345

0008 16-SEP-2016 3 PUERTO RICO SCHOOL DISTRICT

ATTN: SUPPLY TECHÂ

566 COLUMBUS STREET

FORT BUCHANAN PR 00934-4540

787-707-4631

0008 16-SEP-2016 6 SC-FT STEWART ADMIN OFFICE-FT

LORI CRAWFORD

ATTN: LOGISTICS ASSISTANT

5900 CHESNUT RD

COLUMBIA SC 29206

803-782-2720

0008 16-SEP-2016 6 SUPERINTENDENT FT CAMPBELL

LINDA BRAKE

ATTN: SUPPLY TECH

77 TEXAS AVE

FORT CAMPBELL KY 42223-5127

931-431-6918

0008 16-SEP-2016 4 VIRGINIA-NEW YORK SCHOOL DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

ATTN: SUPPLY TECH

3308 JOHN QUICK RD SUITE 202B

QUANTICO VA 22134-2028

703-784-2066

0008 16-SEP-2016 1 W T SAMPSON ELEMENTARY/HIGH

MICHAEL PERRY

PSC 1005 BOX 49

FPO AE 09593-0005

0009 16-SEP-2016 9 BAMBERG SBO

DEPARTMENT OF DEFENSE SCHOOLS

BARTON BARRACKS

MEINHARDSWINDENER

BAVARIA DSO GEBAEUDE BLDG 5254-2

ANSBACH 91522

0009 16-SEP-2016 3 CAMP LEJEUNE DISTRICT

BLDG 40A BREWESTER BLVD

CAMP LEJEUNE NC 28547-2520

910-451-5361

0009 16-SEP-2016 3 DISTRICT SUPERINTENDENT OFFICE -

ATTN: SCHOOL PSYCHOLOGISTS

DDESS SCHOOLS

PSC 490 BOX 7655

FPO AP 96538-1606

0009 16-SEP-2016 13 DISTRICT SUPERINTENDENT OFFICE

ATTN: SCHOOL PSYCHOLOGISTS

UNIT 5072

APO AP 96328-5072

0009 16-SEP-2016 5 DISTRICT SUPERINTENDENT OFFICE

ATTN: SCHOOL PSYCHOLOGISTS

UNIT 15549

APO AP 96205-5549

82 2 7918 5922

0009 16-SEP-2016 23 DOD EDUCATION ACTIVITY

DODEA

ATTN: EDUCATION DIVISION

4800 MARK CENTER DRIVE

ALEXANDRIA VA 22350-1400

571-372-5840

0009 16-SEP-2016 5 DODDS ISLES DISTRICT OFFICE

DEPARTMENT OF DEFENSE SCHOOLS

BLDG 30 RAF FELTWELL

THETFORD IP26 4HL

44 1638 527320

0009 16-SEP-2016 13 DODDS KAISERSLAUTERN DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

DODDS KAISERSLAUTERN DSO

KAPAUN AIR STATION GEB 2786

KAISERSLAUTERN 67663

0009 16-SEP-2016 8 DODDS MEDITERRANEAN DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

VIALE DELLA PACE EDIFICIO NUMERO

VICENZA 36100

39 0444 71 8460

0009 16-SEP-2016 9 DODDS OKINAWA DISTRICT OFFICE

UNIT 5166

APO AP 96368-5166

0009 16-SEP-2016 5 DSO WAREHOUSE

7441 CUSTER ROAD

BLDG 2667

FORT BENNING GA 31905

706-545-8263

0009 16-SEP-2016 6 FORT BRAGG COMMUNITY OFFICE

BLDG 1-4979

KNOX AVENUE

FORT BRAGG NC 28307

910-907-0253

0009 16-SEP-2016 1 FT KNOX COMMUNITY OFFICE

ATTN: SUPPLY TECH

281 FAYETTE AVE, BLDG 4553

FORT KNOX KY 40121-6201

5026242345

0009 16-SEP-2016 3 PUERTO RICO SCHOOL DISTRICT

ATTN: SUPPLY TECHÂ

566 COLUMBUS STREET

FORT BUCHANAN PR 00934-4540

787-707-4631

0009 16-SEP-2016 6 SC-FT STEWART ADMIN OFFICE-FT

LORI CRAWFORD

ATTN: LOGISTICS ASSISTANT

5900 CHESNUT RD

COLUMBIA SC 29206

803-782-2720

0009 16-SEP-2016 6 SUPERINTENDENT FT CAMPBELL

LINDA BRAKE

ATTN: SUPPLY TECH

77 TEXAS AVE

FORT CAMPBELL KY 42223-5127

931-431-6918

0009 16-SEP-2016 4 VIRGINIA-NEW YORK SCHOOL DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

ATTN: SUPPLY TECH

3308 JOHN QUICK RD SUITE 202B

QUANTICO VA 22134-2028

703-784-2066

0009 16-SEP-2016 1 W T SAMPSON ELEMENTARY/HIGH

MICHAEL PERRY

PSC 1005 BOX 49

FPO AE 09593-0005

0010 16-SEP-2016 9 BAMBERG SBO

DEPARTMENT OF DEFENSE SCHOOLS

BARTON BARRACKS

MEINHARDSWINDENER

BAVARIA DSO GEBAEUDE BLDG 5254-2

ANSBACH 91522

0010 16-SEP-2016 3 CAMP LEJEUNE DISTRICT

BLDG 40A BREWESTER BLVD

CAMP LEJEUNE NC 28547-2520

910-451-5361

0010 16-SEP-2016 3 DISTRICT SUPERINTENDENT OFFICE -

ATTN: SCHOOL PSYCHOLOGISTS

DDESS SCHOOLS

PSC 490 BOX 7655

FPO AP 96538-1606

0010 16-SEP-2016 13 DISTRICT SUPERINTENDENT OFFICE

ATTN: SCHOOL PSYCHOLOGISTS

UNIT 5072

APO AP 96328-5072

0010 16-SEP-2016 5 DISTRICT SUPERINTENDENT OFFICE

ATTN: SCHOOL PSYCHOLOGISTS

UNIT 15549

APO AP 96205-5549

82 2 7918 5922

0010 16-SEP-2016 23 DOD EDUCATION ACTIVITY

DODEA

ATTN: EDUCATION DIVISION

4800 MARK CENTER DRIVE

ALEXANDRIA VA 22350-1400

571-372-5840

0010 16-SEP-2016 5 DODDS ISLES DISTRICT OFFICE

DEPARTMENT OF DEFENSE SCHOOLS

BLDG 30 RAF FELTWELL

THETFORD IP26 4HL

44 1638 527320

0010 16-SEP-2016 13 DODDS KAISERSLAUTERN DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

DODDS KAISERSLAUTERN DSO

KAPAUN AIR STATION GEB 2786

KAISERSLAUTERN 67663

0010 16-SEP-2016 8 DODDS MEDITERRANEAN DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

VIALE DELLA PACE EDIFICIO NUMERO

VICENZA 36100

39 0444 71 8460

0010 16-SEP-2016 9 DODDS OKINAWA DISTRICT OFFICE

UNIT 5166

APO AP 96368-5166

0010 16-SEP-2016 5 DSO WAREHOUSE

7441 CUSTER ROAD

BLDG 2667

FORT BENNING GA 31905

706-545-8263

0010 16-SEP-2016 6 FORT BRAGG COMMUNITY OFFICE

BLDG 1-4979

KNOX AVENUE

FORT BRAGG NC 28307

910-907-0253

0010 16-SEP-2016 1 FT KNOX COMMUNITY OFFICE

ATTN: SUPPLY TECH

281 FAYETTE AVE, BLDG 4553

FORT KNOX KY 40121-6201

5026242345

0010 16-SEP-2016 3 PUERTO RICO SCHOOL DISTRICT

ATTN: SUPPLY TECHÂ

566 COLUMBUS STREET

FORT BUCHANAN PR 00934-4540

787-707-4631

0010 16-SEP-2016 6 SC-FT STEWART ADMIN OFFICE-FT

LORI CRAWFORD

ATTN: LOGISTICS ASSISTANT

5900 CHESNUT RD

COLUMBIA SC 29206

803-782-2720

0010 16-SEP-2016 6 SUPERINTENDENT FT CAMPBELL

LINDA BRAKE

ATTN: SUPPLY TECH

77 TEXAS AVE

FORT CAMPBELL KY 42223-5127

931-431-6918

0010 16-SEP-2016 4 VIRGINIA-NEW YORK SCHOOL DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

ATTN: SUPPLY TECH

3308 JOHN QUICK RD SUITE 202B

QUANTICO VA 22134-2028

703-784-2066

0010 16-SEP-2016 1 W T SAMPSON ELEMENTARY/HIGH

MICHAEL PERRY

PSC 1005 BOX 49

FPO AE 09593-0005

0011 16-SEP-2016 15 BAMBERG SBO

DEPARTMENT OF DEFENSE SCHOOLS

BARTON BARRACKS

MEINHARDSWINDENER

BAVARIA DSO GEBAEUDE BLDG 5254-2

ANSBACH 91522

0011 16-SEP-2016 7 CAMP LEJEUNE DISTRICT

BLDG 40A BREWESTER BLVD

CAMP LEJEUNE NC 28547-2520

910-451-5361

0011 16-SEP-2016 4 DISTRICT SUPERINTENDENT OFFICE -

ATTN: SCHOOL PSYCHOLOGISTS

DDESS SCHOOLS

PSC 490 BOX 7655

FPO AP 96538-1606

0011 16-SEP-2016 19 DISTRICT SUPERINTENDENT OFFICE

ATTN: SCHOOL PSYCHOLOGISTS

UNIT 5072

APO AP 96328-5072

0011 16-SEP-2016 12 DISTRICT SUPERINTENDENT OFFICE

ATTN: SCHOOL PSYCHOLOGISTS

UNIT 15549

APO AP 96205-5549

82 2 7918 5922

0011 16-SEP-2016 19 DODDS ISLES DISTRICT OFFICE

DEPARTMENT OF DEFENSE SCHOOLS

BLDG 30 RAF FELTWELL

THETFORD IP26 4HL

44 1638 527320

0011 16-SEP-2016 17 DODDS KAISERSLAUTERN DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

DODDS KAISERSLAUTERN DSO

KAPAUN AIR STATION GEB 2786

KAISERSLAUTERN 67663

0011 16-SEP-2016 16 DODDS MEDITERRANEAN DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

DEPARTMENT OF DEFENSE SCHOOLS

VIALE DELLA PACE EDIFICIO NUMERO

VICENZA 36100

39 0444 71 8460

0011 16-SEP-2016 13 DODDS OKINAWA DISTRICT OFFICE

UNIT 5166

APO AP 96368-5166

0011 16-SEP-2016 9 DSO WAREHOUSE

7441 CUSTER ROAD

BLDG 2667

FORT BENNING GA 31905

706-545-8263

0011 16-SEP-2016 8 FORT BRAGG COMMUNITY OFFICE

BLDG 1-4979

KNOX AVENUE

FORT BRAGG NC 28307

910-907-0253

0011 16-SEP-2016 4 FT KNOX COMMUNITY OFFICE

ATTN: SUPPLY TECH

281 FAYETTE AVE, BLDG 4553

FORT KNOX KY 40121-6201

5026242345

0011 16-SEP-2016 4 PUERTO RICO SCHOOL DISTRICT

ATTN: SUPPLY TECHÂ

566 COLUMBUS STREET

FORT BUCHANAN PR 00934-4540

787-707-4631

0011 16-SEP-2016 9 SC-FT STEWART ADMIN OFFICE-FT

LORI CRAWFORD

ATTN: LOGISTICS ASSISTANT

5900 CHESNUT RD

COLUMBIA SC 29206

803-782-2720

0011 16-SEP-2016 7 SUPERINTENDENT FT CAMPBELL

LINDA BRAKE

ATTN: SUPPLY TECH

77 TEXAS AVE

FORT CAMPBELL KY 42223-5127

931-431-6918

0011 16-SEP-2016 5 VIRGINIA-NEW YORK SCHOOL DISTRICT

ATTN: SCHOOL PSYCHOLOGISTS

ATTN: SUPPLY TECH

3308 JOHN QUICK RD SUITE 202B

QUANTICO VA 22134-2028

703-784-2066

0011 16-SEP-2016 1 W T SAMPSON ELEMENTARY/HIGH

MICHAEL PERRY

PSC 1005 BOX 49

FPO AE 09593-0005

0012 N/A N/A N/A N/A

CLAUSES INCORPORATED BY REFERENCE

52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

OCT 2015

52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 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 2015 52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015 52.219-28 Post-Award Small Business Program Rerepresentation JUL 2013 52.222-3 Convict Labor JUN 2003 52.222-19 Child Labor -- Cooperation with Authorities and Remedies FEB 2016 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity APR 2015 52.222-35 Equal Opportunity for Veterans OCT 2015 52.222-36 Equal Opportunity for Workers with Disabilities JUL 2014 52.222-37 Employment Reports on Veterans FEB 2016 52.222-50 Combating Trafficking in Persons MAR 2015 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

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

252.204-7008 Compliance With Safeguarding Covered Defense Information Controls

DEC 2015

252.204-7011 Alternative Line Item Structure SEP 2011 252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting.

DEC 2015

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

MAY 2016

252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7006 Wide Area WorkFlow Payment Instructions MAY 2013 252.244-7000 Subcontracts for Commercial Items JUN 2013

CLAUSES INCORPORATED BY FULL TEXT

52.212-1 ADDENDUM – INSTRUCTIONS TO OFFERORS - - COMMERCIAL ITEMS (DEC 2006)

QUOTE SUBMISSION REQUIREMENTS: Quotes are to be submitted by the response date and time (see solicitation block 8) via email to the Contract Specialist, Cheryl Harding at Cheryl.Harding@hq.dodea.edu with the subject line “HE1254-16-T-0007 NASP Resources.” Quotes shall include the following:

Volume 1 - Administrative Cover Letter to include the following:

a. Tax identification number (TIN)

b. Dun & Bradstreet Number (DUNS)

c. CAGE Code

d. Complete Business Mailing Address

e. Contact Name, Phone, Fax and Email address

Volume 2 –Quote to include the following:

a. Unit Price and Total for each Contract Line Item Numbers (CLINs) 0001-0012 and an overall total contract amount for all CLINs.

b. Any applicable discounts (Volume, Educational, Federal, etc.)

c. Completed paragraph (b) of FAR Provision 52.212-3, Offeror Representations and

Certifications--Commercial Items if vendor has already completed annual representations and certification electronically via the System for Award Management (SAM) at www.sam.gov.

d. Completed paragraphs (c) through (r) of FAR Provision 52.212-3, Offeror Representations and Certifications--Commercial Items if vendor has NOT completed annual representations and certification electronically via the SAM

e. Completed DFARS Clause 252.209-7991, Representation By Corporations Regarding An Unpaid Delinquent Tax Liability Or A Felony Conviction Under Any Federal Law Fiscal Year 2016 Appropriations

All questions in reference to this solicitation shall be submitted in writing via email to the Contract Specialist, Cheryl Harding at Cheryl.Harding@hq.dodea.edu with the subject line “Questions HE1254-16-T-0007 NASP.”

Questions must be received NLT 12PM Monday, August 8, 2016. Responses to all questions will be posted as an amendment to this solicitation via www.FBO.gov.

(End of Addendum to 52.212-1)

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

(a) The Government will award a contract resulting from this solicitation to the responsible vendor whose quote, conforming to the solicitation, is the lowest priced technically acceptable. The following factors shall be used to evaluate offers:

Factor 1: Technical Acceptability- Vendor is able to provide all resources listed in Contract Line Item Numbers 0001-0011 to all specified delivery addresses.

Factor 2: Price - Price will be evaluated to ensure price fair and reasonableness

(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 (JUL 2016)

ALTERNATE I (OCT 2014)

The offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site located at https://www.sam.gov/portal . If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (r) 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 posted on the SAMwebsite.

(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 representation 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 (q) 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…

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