HQC004-22-Q-0005 Solicitation.pdf

SEE ADDENDUM

(No Collect Calls)

HQC00422Q0005 01-Jul-2022

b. TELEPHONE NUMBER

804-734-8000X48914

8. OFFER DUE DATE/LOCAL TIME

04:00 PM 01 Aug 2022

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

HQC0049. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

TAKYIA HOPE

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

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

ARE NOT ATTACHED

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

DEFENSE COMMISSARY AGENCY

SUPPLY & EQUIPMENT DIVISION

BUILDING P 11200

1300 E AVENUE

FORT LEE VA 23801-1800

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

X SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$8,000,000

NAICS:

811310

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

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

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF89

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.

HQC00422Q0005

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES ESTIMATED

QUANTITY

UNIT UNIT PRICE ESTIMATED AMOUNT

Bangor ANGB Commissary MHE

FFP

Preventive Maintenance and Repair on Material Handling Equipment Base: October 1, 2022 through September 30, 2023 PMs shall include: labor, parts, expendables, fluids and trip charges to perform the requirements listed in the PM checklist. See Performance Work Statement (PWS) attached.

The contractor is responsible for capturing costs to complete the administrative process of manpower reporting. See PWS attached.

ESTIMATED

NET AMT

ITEM NO SUPPLIES/SERVICES EST.

UNIT UNIT PRICE EST. AMOUNT

0001AA 60 Hours Time-Unscheduled Maint/Repair-Bangor ANG

T&M Hourly Rate The Quantity represents a ceiling, not to exceed amount.

FOB: Destination J039

TOT ESTIMATED PRICE

CEILING PRICE

UNIT UNIT PRICE EST. AMOUNT

0001AB 8,000 Each Materials-Unscheduled Maint/Repair-Bango

T&M This is NOT a priced CLIN, the quantity represents a ceiling, not to exceed amount DeCA will pay actual costs for pasts as evidenced by supplier invoice for direct materials and supplies used to accomplish preventive maintenance and repair services.

UNIT UNIT PRICE ESTIMATED AMOUNT

0001AC 10 Each Trip Charge-Unscheduled Maint/Repair-Ban

FFP

Round trip from contractor's business to the commissary and return.

UNIT UNIT PRICE ESTIMATED AMOUNT

0001AD 4 Each 1R05-A, Electric Walkie Pallet Jack

FFP

Semi-Annual Preventative Maintenance.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001AE 2 Each 1R12-B, Gasoline Forklift

FFP

Semi-Annual Preventative Maintenance

UNIT UNIT PRICE ESTIMATED AMOUNT

0001AF 2 Each 1R13, Forklift, Electric, Order Picker

FFP

Semi-Annual Preventative Maintenance

UNIT UNIT PRICE ESTIMATED AMOUNT

Vance AFB Commissary MHE

FFP

Preventive Maintenance and Repair on Material Handling Equipment Base: October 1, 2022 through September 30, 2023 PMs shall include: labor, parts, expendables, fluids and trip charges to perform the requirements listed in the PM checklist. See Performance Work Statement (PWS) attached.

UNIT UNIT PRICE EST. AMOUNT

0002AA 50 Hours Time-Unscheduled Maint/Repair-Vance AFB

T&M Hourly Rate The Quantity represents a ceiling, not to exceed amount.

UNIT UNIT PRICE EST. AMOUNT

0002AB 7,000 Each Materials-Unscheduled Maint/Repair-Vance

T&M This is NOT a priced CLIN, the quantity represents a ceiling, not to exceed amount DeCA will pay actual costs for pasts as evidenced by supplier invoice for direct materials and supplies used to accomplish preventive maintenance and repair services.

UNIT UNIT PRICE EST. AMOUNT

0002AC 10 Each Trip Charge-Unscheduled Maint/Repair-Van

T&M Round trip from contractor's business to the commissary and return.

UNIT UNIT PRICE ESTIMATED AMOUNT

0002AD 2 Each 1R06, Electric Forklift Low Profile

FFP

Semi-Annual Preventative Maintenance.

0002AE 2 Each 1R07, Narrow Aisle Forklift

UNIT UNIT PRICE ESTIMATED AMOUNT

Wright Patterson AFB Commissary MHE

FFP

Preventive Maintenance and Repair on Material Handling Equipment Base: October 1, 2022 through September 30, 2023 PMs shall include: labor, parts, expendables, fluids and trip charges to perform the requirements listed in the PM checklist. See Performance Work Statement (PWS) attached.

UNIT UNIT PRICE EST. AMOUNT

0003AA 70 Hours Time-Unscheduled Maint/Repair-Wright Pat

T&M Hourly Rate The Quantity represents a ceiling, not to exceed amount.

UNIT UNIT PRICE EST. AMOUNT

0003AB 9,000 Each Materials-Unscheduled Maint/Repair-Wrigh

T&M This is NOT a priced CLIN, the quantity represents a ceiling, not to exceed amount DeCA will pay actual costs for pasts as evidenced by supplier invoice for direct materials and supplies used to accomplish preventive maintenance and repair services.

UNIT UNIT PRICE ESTIMATED AMOUNT

0003AC 10 Each Trip Charge-Unscheduled Maint/Repair-Wri

FFP

Round trip from contractor's business to the commissary and return.

UNIT UNIT PRICE ESTIMATED AMOUNT

0003AD 4 Each 1R05-A, Electric Walkie Pallet Jack

FFP

Semi-Annual Preventative Maintenance.

UNIT UNIT PRICE ESTIMATED AMOUNT

0003AE 4 Each 1R06, Electric Forklift

FFP

Semi-Annual Preventative Maintenance.

UNIT UNIT PRICE ESTIMATED AMOUNT

0003AF 2 Each 1R07, Narrow Aisle Forklift

UNIT UNIT PRICE ESTIMATED AMOUNT

0003AG 4 Each 1R08, Walkie Rider Pallet Jack

FFP

Semi-Annual Preventative Maintenance.

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION Bangor ANGB Commissary-MHE

FFP

Preventive Maintenance and Repair on Material Handling Equipment Option Year 1: October 1, 2023 through September 30, 2024 PMs shall include: labor, parts, expendables, fluids and trip charges to perform the requirements listed in the PM checklist. See Performance Work Statement (PWS) attached.

UNIT UNIT PRICE EST. AMOUNT

1001AA 60 Hours OPTION Time-Unscheduled Maint/Repair-Bangor ANG

T&M Hourly Rate The Quantity represents a ceiling, not to exceed amount.

UNIT UNIT PRICE EST. AMOUNT

1001AB 8,000 Each OPTION Materials-Unscheduled Maint/Repair-Bango

T&M This is NOT a priced CLIN, the quantity represents a ceiling, not to exceed amount DeCA will pay actual costs for pasts as evidenced by supplier invoice for direct materials and supplies used to accomplish preventive maintenance and repair services.

UNIT UNIT PRICE ESTIMATED AMOUNT

1001AC 10 Each OPTION Trip Charge-Unscheduled Maint/Repair-Ban

UNIT UNIT PRICE ESTIMATED AMOUNT

1001AD 4 Each OPTION 1R05-A, Electric Walkie Pallet Jack

1001AE 2 Each OPTION 1R12-B, Gasoline Forklift

Semi-Annual Preventative Maintenance

UNIT UNIT PRICE ESTIMATED AMOUNT

1001AF 2 Each OPTION 1R13, Order Selector

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION Vance AFB Commissary-MHE

FFP

Preventive Maintenance and Repair on Material Handling Equipment Option Year 1: October 1, 2023 through September 30, 2024 PMs shall include: labor, parts, expendables, fluids and trip charges to perform the requirements listed in the PM checklist. See Performance Work Statement (PWS) attached.

process of manpower reporting. See PWS attached

UNIT UNIT PRICE EST. AMOUNT

1002AA 50 Hours OPTION Time-Unscheduled Maint/Repair-Vance AFB

T&M Hourly Rate The Quantity represents a ceiling, not to exceed amount.

UNIT UNIT PRICE EST. AMOUNT

1002AB 7,000 Each OPTION Materials-Unscheduled Maint/Repair-Vance

T&M This is NOT a priced CLIN, the quantity represents a ceiling, not to exceed amount DeCA will pay actual costs for pasts as evidenced by supplier invoice for direct materials and supplies used to accomplish preventive maintenance and repair services.

UNIT UNIT PRICE ESTIMATED AMOUNT

1002AC 10 Each OPTION Trip Charge-Unscheduled Maint/Repair-Van

FFP

Round trip from contractor's business to the commissary and return.

UNIT UNIT PRICE ESTIMATED AMOUNT

1002AD 2 Each OPTION 1R06, Electric Forklift

FFP

Semi-Annual Preventative Maintenance.

1002AE 2 Each OPTION 1R07, Narrow Aisle Forklift

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION Wright Patterson AFB Commissary MHE

FFP

Preventive Maintenance and Repair on Material Handling Equipment Option Year 1: October 1, 2023 through September 30, 2024 PMs shall include: labor, parts, expendables, fluids and trip charges to perform the requirements listed in the PM checklist. See Performance Work Statement (PWS) attached.

UNIT UNIT PRICE EST. AMOUNT

1003AA 70 Hours OPTION Time-Unscheduled Maint/Repair-Wright Pat

T&M

UNIT UNIT PRICE EST. AMOUNT

1003AB 9,000 Each OPTION Materials-Unscheduled Maint/Repair-Wrigh

T&M This is NOT a priced CLIN, the quantity represents a ceiling, not to exceed amount DeCA will pay actual costs for pasts as evidenced by supplier invoice for direct materials and supplies used to accomplish preventive maintenance and repair services.

UNIT UNIT PRICE ESTIMATED AMOUNT

1003AC 10 Each OPTION Trip Charge-Unscheduled Maint/Repair-Wri

UNIT UNIT PRICE ESTIMATED AMOUNT

1003AD 4 Each OPTION 1R05-A, Electric Walkie Pallet Jack

UNIT UNIT PRICE ESTIMATED AMOUNT

1003AE 4 Each OPTION 1R06, Electric Forklift

UNIT UNIT PRICE ESTIMATED AMOUNT

1003AF 2 Each OPTION 1R07, Narrow Aisle Forklift

FFP

Semi-Annual Preventative Maintenance.

UNIT UNIT PRICE ESTIMATED AMOUNT

1003AG 4 Each OPTION 1R08, Walkie Rider Pallet Jack

FFP

Semi-Annual Preventative Maintenance.

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION Bangor ANGB Commissary-MHE

FFP

Preventive Maintenance and Repair on Material Handling Equipment Option Year 2: October 1, 2024 through September 30, 2025 PMs shall include: labor, parts, expendables, fluids and trip charges to perform the requirements listed in the PM checklist. See Performance Work Statement (PWS) attached.

UNIT UNIT PRICE EST. AMOUNT

2001AA 60 Hours OPTION Time-Unscheduled Maint/Repair-Bangor ANG

T&M

UNIT UNIT PRICE EST. AMOUNT

2001AB 8,000 Each OPTION Materials-Unscheduled Maint/Repair-Bango

T&M This is NOT a priced CLIN, the quantity represents a ceiling, not to exceed amount DeCA will pay actual costs for pasts as evidenced by supplier invoice for direct materials and supplies used to accomplish preventive maintenance and repair services.

UNIT UNIT PRICE ESTIMATED AMOUNT

2001AC 10 Each OPTION Trip Charge-Unscheduled Maint/Repair-Ban

UNIT UNIT PRICE ESTIMATED AMOUNT

2001AD 4 Each OPTION 1R05-A, Electric Walkie Pallet Jack

UNIT UNIT PRICE ESTIMATED AMOUNT

2001AE 2 Each OPTION 1R12-B, Gasoline Forklift

UNIT UNIT PRICE ESTIMATED AMOUNT

2001AF 2 Each OPTION 1R13, Order Selector

FFP

Semi-Annual Preventative Maintenance

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION Vance AFB Commissary-MHE

FFP

Preventive Maintenance and Repair on Material Handling Equipment Option Year 2: October 1, 2024 through September 30, 2025 PMs shall include: labor, parts, expendables, fluids and trip charges to perform the requirements listed in the PM checklist. See Performance Work Statement (PWS) attached.

UNIT UNIT PRICE EST. AMOUNT

2002AA 50 Hours OPTION Time-Unscheduled Maint/Repair-Vance AFB

T&M Hourly Rate The Quantity represents a ceiling, not to exceed amount.

UNIT UNIT PRICE EST. AMOUNT

2002AB 7,000 Each OPTION Materials-Unscheduled Maint/Repair-Vance

T&M This is NOT a priced CLIN, the quantity represents a ceiling, not to exceed amount DeCA will pay actual costs for pasts as evidenced by supplier invoice for direct materials and supplies used to accomplish preventive maintenance and repair services.

UNIT UNIT PRICE ESTIMATED AMOUNT

2002AC 10 Each OPTION Trip Charge-Unscheduled Maint/Repair-Van

FFP

Round trip from contractor's business to the commissary and return.

UNIT UNIT PRICE ESTIMATED AMOUNT

2002AD 2 Each OPTION 1R06, Electric Forklift

2002AE 2 Each OPTION 1R07, Narrow Aisle Forklift

FFP

Semi-Annual Preventative Maintenance.

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION Wright Patterson AFB Commissary-MHE

FFP

Preventive Maintenance and Repair on Material Handling Equipment Option Year 2: October 1, 2024 through September 30, 2025 PMs shall include: labor, parts, expendables, fluids and trip charges to perform the requirements listed in the PM checklist. See Performance Work Statement (PWS) attached.

UNIT UNIT PRICE EST. AMOUNT

2003AA 70 Hours OPTION Time-Unscheduled Maint/Repair-Wright Pat

T&M Hourly Rate The Quantity represents a ceiling, not to exceed amount.

UNIT UNIT PRICE EST. AMOUNT

2003AB 9,000 Each OPTION Materials-Unscheduled Maint/Repair-Wrigh

T&M This is NOT a priced CLIN, the quantity represents a ceiling, not to exceed amount DeCA will pay actual costs for pasts as evidenced by supplier invoice for direct materials and supplies used to accomplish preventive maintenance and repair services.

UNIT UNIT PRICE ESTIMATED AMOUNT

2003AC 10 Each OPTION Trip Charge-Unscheduled Maint/Repair-Wri

FFP

Round trip from contractor's business to the commissary and return.

UNIT UNIT PRICE ESTIMATED AMOUNT

2003AD 4 Each OPTION 1R05-A, Electric Walkie Pallet Jack

FFP

Semi-Annual Preventative Maintenance.

UNIT UNIT PRICE ESTIMATED AMOUNT

2003AE 4 Each OPTION 1R06, Electric Forklift

FFP

Semi-Annual Preventative Maintenance.

UNIT UNIT PRICE ESTIMATED AMOUNT

2003AF 2 Each OPTION 1R07, Narrow Aisle Forklift

FFP

Semi-Annual Preventative Maintenance.

UNIT UNIT PRICE ESTIMATED AMOUNT

2003AG 4 Each OPTION 1R08, Walkie Rider Pallet Jack

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

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

0001AA POP 01-OCT-2022 TO

30-SEP-2023

N/A BANGOR ANGB COMMISSARY

STORE DIRECTOR

99 PESCH CIRCLE SUITE 420

BANGOR ME 04401-8035

207-404-7752 EXT 3303

HQCNEQ

0001AB POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AC POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AD POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AE POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AF POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

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

0002AA POP 01-OCT-2022 TO

30-SEP-2023

N/A VANCE AIR FORCE BASE COMMISSARY

BUILDING 410

216 FIELDS STREET

VANCE AFB OK 73705-5702

(580) 213-7788

HQCMCS

0002AB POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AC POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AD POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AE POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003 N/A N/A N/A N/A

0003AA POP 01-OCT-2022 TO

30-SEP-2023

N/A WRIGHT PATTERSON COMMISSARY

STORE DIRECTOR

SUITE 1

2130 SYCAMORE STREET

WRIGHT PATTERSON AFB OH 45433-5442

(937) 257-2060

HQCCA7

0003AB POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AC POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AD POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AE POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AF POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AG POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

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

1001AA POP 01-OCT-2023 TO

30-SEP-2024

N/A BANGOR ANGB COMMISSARY

STORE DIRECTOR

99 PESCH CIRCLE SUITE 420

BANGOR ME 04401-8035

207-404-7752 EXT 3303

1001AB POP 01-OCT-2023 TO

30-SEP-2024

N/A (SAME AS PREVIOUS LOCATION)

1001AC POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AD POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AE POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AF POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

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

1002AA POP 01-OCT-2023 TO

03-SEP-2024

N/A VANCE AIR FORCE BASE COMMISSARY

BUILDING 410

216 FIELDS STREET

VANCE AFB OK 73705-5702

(580) 213-7788

1002AB POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1002AC POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1002AD POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1002AE POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 N/A N/A N/A N/A

1003AA POP 01-OCT-2023 TO

30-SEP-2024

N/A WRIGHT PATTERSON COMMISSARY

STORE DIRECTOR

SUITE 1

2130 SYCAMORE STREET

WRIGHT PATTERSON AFB OH 45433-5442

(937) 257-2060

1003AB POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1003AC POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1003AD POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1003AE POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1003AF POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1003AG POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

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

2001AA POP 01-OCT-2024 TO

30-SEP-2025

N/A BANGOR ANGB COMMISSARY

STORE DIRECTOR

99 PESCH CIRCLE SUITE 420

BANGOR ME 04401-8035

207-404-7752 EXT 3303

2001AB POP 01-OCT-2024 TO

30-SEP-2025

N/A (SAME AS PREVIOUS LOCATION)

2001AC POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AD POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AE POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AF POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

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

2002AA POP 01-OCT-2024 TO

30-SEP-2025

N/A VANCE AIR FORCE BASE COMMISSARY

BUILDING 410

216 FIELDS STREET

VANCE AFB OK 73705-5702

(580) 213-7788

2002AB POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2002AC POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2002AD POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2002AE POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 N/A N/A N/A N/A

2003AA POP 01-OCT-2024 TO

30-SEP-2025

N/A WRIGHT PATTERSON COMMISSARY

STORE DIRECTOR

SUITE 1

2130 SYCAMORE STREET

WRIGHT PATTERSON AFB OH 45433-5442

(937) 257-2060

2003AB POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2003AC POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2003AD POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2003AE POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2003AF POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2003AG POP 01-OCT-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 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

JUN 2020

52.204-13 System for Award Management Maintenance OCT 2018 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.204-23 Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities

NOV 2021

52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment

NOV 2021

52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, or Proposed for Debarment

NOV 2021

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.212-1 Instructions to Offerors--Commercial Products and Commercial Services

NOV 2021

52.212-4 Contract Terms and Conditions--Commercial Products and Commercial Services

NOV 2021

52.219-6 (Dev) Notice of Total Small Business Set-Aside (DEVIATION 2020-O0008).

OCT 2020

52.219-28 Post-Award Small Business Program Rerepresentation SEP 2021 52.222-3 Convict Labor JUN 2003 52.222-19 Child Labor -- Cooperation with Authorities and Remedies JAN 2022 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity SEP 2016 52.222-37 Employment Reports on Veterans JUN 2020 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 NOV 2021 52.222-55 Minimum Wages Under Executive Order 13658 JAN 2022 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

JUN 2020

52.223-20 Aerosols JUN 2016 52.225-13 Restrictions on Certain Foreign Purchases FEB 2021 52.232-7 Payments Under Time-And-Materials And Labor-Hour

Contracts

NOV 2021

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

OCT 2018

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

NOV 2021

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

252.201-7000 Contracting Officer's Representative DEC 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7004 Antiterrorism Awareness Training for Contractors. FEB 2019 252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting

DEC 2019

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

MAY 2016

252.209-7004 Subcontracting With Firms That Are Owned or Controlled By The Government of a Country that is a State Sponsor of Terrorism

MAY 2019

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

SEP 2013

252.223-7008 Prohibition of Hexavalent Chromium JUN 2013 252.225-7001 Buy American And Balance Of Payments Program-- Basic DEC 2017 252.225-7002 Qualifying Country Sources As Subcontractors MAR 2022 252.225-7048 Export-Controlled Items JUN 2013 252.232-7010 Levies on Contract Payments DEC 2006 252.244-7000 Subcontracts for Commercial Items JAN 2021 252.245-7001 Tagging, Labeling, and Marking of Government-Furnished

Property

APR 2012

252.245-7002 Reporting Loss of Government Property JAN 2021 252.245-7003 Contractor Property Management System Administration APR 2012 252.245-7004 Reporting, Reutilization, and Disposal DEC 2017

CLAUSES INCORPORATED BY FULL TEXT

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services-- Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications- Commercial Products and Commercial Services. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision-

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services."

(d) Representations. The Offeror represents that--

(1) It [ ___ ] will, [ ___ ] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that--

It [ ___ ] does, [ ___ ] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of provision)

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.

52.212-2 EVALUATION--COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021)

(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:

Factor 1 – Technical Acceptability of Service

Sub-factor 1.1 – Technical Performance Sub-factor 1.2 – Technician Experience

Factor 2 – Past Performance

Sub-factor 2.1 – Service Timeliness Sub-factor 2.2 – Repair History Sub-factor 2.3 – Customer Satisfaction

Factor 3 – Price

Technical Acceptability of Services will be rated Acceptable or Unacceptable.

Past Performance will be rated Acceptable or Unacceptable.

See ADDENDUM 52.212-2 for additional information

Contractor's offer will be negotiated as required and the contracting officer will ensure technical acceptability of offered services. A contract will be awarded only if the prices of the individual items do not result in a cost to DeCA that exceeds the fair market price based on market research and past history. Award will be made based on price and technical capability of the offeror. Offeror will be determined to be technically acceptable if their proposed service meet the minimum requirements/standards outlined in the performance work statement. Total evaluated price will be determined per contract line item (CLIN), by applying the offeror's unit price to the quantity per CLIN, and totaling all CLINs for the base and option years for a total evaluated price. Only one award is possible.

(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 PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021) 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 (v) of this provision.

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

"Covered telecommunications equipment or services" has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

"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.

"Reasonable inquiry" has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

"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"—

(1) 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.

(2) Affiliates, as used in this definition, means business concerns, one of whom directly or indirectly controls or has the power to control the others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13 CFR 121.103.

"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 Products and Commercial Services, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(s) applicable to the NAICS code(s) 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 (v) 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,…