HT001520R0063.pdf

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Attached to
Teleradiology Federal contract opportunity
Solicitation number
HT001520R0063
Issued by
Defense Health Agency

About this file

This is a solicitation for teleradiology services to be provided to medical treatment facilities within the Defense Health Agency. Required services include non-personal diagnostic radiology image interpretation and reporting by board-certified radiologists to support case volume and on-call needs across the Military Health System. The contractor shall utilize DoD-approved secure broadband connections to transmit radiology images and data between requiring DHA MTFs and the contractor's facilities worldwide, including within the continental United States, outside the continental United States, and in U.S. territories. The solicitation includes pricing terms for various modalities such as plain films, ultrasound, CT, MRI, and nuclear medicine performed on a routine or stat basis. Responses are due by 12:00 AM on November 1, 2020, with the period of performance running from March 30, 2021 through March 29, 2022 and including five one-year option periods.

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SEE ADDENDUM

(No Collect Calls)

HT001520R0063 01-Oct-2020

b. TELEPHONE NUMBER

210-295-1271

8. OFFER DUE DATE/LOCAL TIME

12:00 AM 01 Nov 2020

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA 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.

HT00159. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

MARK HINKLE

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 BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

DHA CONTRACTING OFFICE-(HIT-CD) HT0015

CONTRACTING OPERATIONS DIVISION- SAN ANTONIO

4130 STANLEY ROAD, SUITE 208

FORT SAM HOUSTON TX 78234

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: 210-221-6251 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

X

SIZE STANDARD:

$16,500,000

NAICS:

621512

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 OF197

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.

HT001520R0063

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 979,217 Each Plain Film - Routine

FFP

Plain Film - Routine FOB: Destination Q522

NET AMT

0002 333,065 Each Plain Film - STAT

FFP

Plain Film - STAT

0003 195,387 Each Ultrasound - Routine

FFP

Ultrasound - Routine

0004 140,127 Each Ultrasound - STAT

FFP

Ultrasound - STAT

0005 85,799 Each CT - Routine

FFP

CT - Routine

0006 242,965 Each MRI - Routine

FFP

MRI - Routine

0007 337,420 Each

CT - STAT

FFP

CT - STAT

0008 4,290 Each CT Cardiac/Coronary Angiography

FFP

CT Cardiac/Coronary Angiography

0009 16,871 Each CT Cardiac/Coronary Angiography STAT

FFP

CT Cardiac/Coronary Angiography STAT

0010 30,930 Each

MRI - STAT

FFP

MRI - STAT

0011 25,940 Each Nuclear Medicine - Routine

FFP

Nuclear Medicine - Routine

0012 710 Each Nuclear Medicine - STAT

FFP

Nuclear Medicine - STAT

0013 2,033 Each Bone Densitometry - Routine

FFP

Bone Densitometry - Routine

0014 86 Each Positron Emission Tomography

FFP

Positron Emission Tomography

0015 10,000 Each Non-Contrast Heat CT for Stroke

FFP

Non-Contrast Heat CT for Stroke

0016 500 Each Radiographs for Unintentionally

FFP

Radiographs for Unintentionally Retained Foreign Objects

0017 Each Travel for CAC and Contract Review

COST

Travel for CAC and Contract Review

ESTIMATED COST

0018 10 Each Post Award Conference

FFP

Post Award Conference

1001 979,217 Each OPTION Plain Film - Routine

FFP

Plain Film - Routine

1002 333,065 Each OPTION Plain Film - STAT

FFP

Plain Film - STAT

1003 195,387 Each OPTION Ultrasound - Routine

FFP

Ultrasound - Routine

1004 140,127 Each OPTION Ultrasound - STAT

FFP

1005 85,799 Each OPTION CT - Routine

FFP

CT - Routine

1006 242,965 Each OPTION MRI - Routine

FFP

MRI - Routine

1007 337,420 Each

OPTION CT - STAT

FFP

CT - STAT

1008 4,290 Each OPTION CT Cardiac/Coronary Angiography

FFP

CT Cardiac/Coronary Angiography

1009 16,871 Each OPTION CT Cardiac/Coronary Angiography STAT

FFP

CT Cardiac/Coronary Angiography STAT

1010 30,930 Each

OPTION MRI - STAT

FFP

MRI - STAT

1011 25,940 Each OPTION Nuclear Medicine - Routine

FFP

Nuclear Medicine - Routine

1012 710 Each OPTION Nuclear Medicine - STAT

FFP

Nuclear Medicine - STAT

1013 2,033 Each OPTION Bone Densitometry - Routine

FFP

Bone Densitometry - Routine

1014 86 Each OPTION Positron Emission Tomography

FFP

Positron Emission Tomography

1015 10,000 Each OPTION Non-Contrast Heat CT for Stroke

FFP

Non-Contrast Heat CT for Stroke

1016 500 Each OPTION Radiographs for Unintentionally

FFP

Radiographs for Unintentionally Retained Foreign Objects

1017 Each OPTION Travel for CAC and Contract Review

COST

Travel for CAC and Contract Review

2001 979,217 Each OPTION Plain Film - Routine

FFP

Plain Film - Routine

2002 333,065 Each OPTION Plain Film - STAT

FFP

Plain Film - STAT

2003 195,387 Each OPTION Ultrasound - Routine

FFP

Ultrasound - Routine

2004 140,127 Each OPTION Ultrasound - STAT

FFP

2005 85,799 Each OPTION CT - Routine

FFP

CT - Routine

2006 242,965 Each OPTION MRI - Routine

FFP

MRI - Routine

2007 337,420 Each

OPTION CT - STAT

FFP

CT - STAT

2008 4,290 Each OPTION CT Cardiac/Coronary Angiography

FFP

CT Cardiac/Coronary Angiography

2009 16,871 Each OPTION CT Cardiac/Coronary Angiography STAT

FFP

CT Cardiac/Coronary Angiography STAT

2010 30,930 Each

OPTION MRI - STAT

FFP

MRI - STAT

2011 25,940 Each OPTION Nuclear Medicine - Routine

FFP

Nuclear Medicine - Routine

2012 710 Each OPTION Nuclear Medicine - STAT

FFP

Nuclear Medicine - STAT

2013 2,033 Each OPTION Bone Densitometry - Routine

FFP

Bone Densitometry - Routine

2014 86 Each OPTION Positron Emission Tomography

FFP

Positron Emission Tomography

2015 10,000 Each OPTION Non-Contrast Heat CT for Stroke

FFP

Non-Contrast Heat CT for Stroke

2016 500 Each OPTION Radiographs for Unintentionally

FFP

Radiographs for Unintentionally Retained Foreign Objects

2017 Each OPTION Travel for CAC and Contract Review

COST

Travel for CAC and Contract Review

3001 979,217 Each OPTION Plain Film - Routine

FFP

Plain Film - Routine

3002 333,065 Each OPTION Plain Film - STAT

FFP

Plain Film - STAT

3003 195,387 Each OPTION Ultrasound - Routine

FFP

Ultrasound - Routine

3004 140,127 Each OPTION Ultrasound - STAT

FFP

3005 85,799 Each OPTION CT - Routine

FFP

CT - Routine

3006 242,965 Each OPTION MRI - Routine

FFP

MRI - Routine

3007 337,420 Each

OPTION CT - STAT

FFP

CT - STAT

3008 4,290 Each OPTION CT Cardiac/Coronary Angiography

FFP

CT Cardiac/Coronary Angiography

3009 16,871 Each OPTION CT Cardiac/Coronary Angiography STAT

FFP

CT Cardiac/Coronary Angiography STAT

3010 30,930 Each

OPTION MRI - STAT

FFP

MRI - STAT

3011 25,940 Each OPTION Nuclear Medicine - Routine

FFP

Nuclear Medicine - Routine

3012 710 Each OPTION Nuclear Medicine - STAT

FFP

Nuclear Medicine - STAT

3013 2,033 Each OPTION Bone Densitometry - Routine

FFP

Bone Densitometry - Routine

3014 86 Each OPTION Positron Emission Tomography

FFP

Positron Emission Tomography

3015 10,000 Each OPTION Non-Contrast Heat CT for Stroke

FFP

Non-Contrast Heat CT for Stroke

3016 500 Each OPTION Radiographs for Unintentionally

FFP

Radiographs for Unintentionally Retained Foreign Objects

3017 Each OPTION Travel for CAC and Contract Review

COST

Travel for CAC and Contract Review

4001 979,217 Each OPTION Plain Film - Routine

FFP

Plain Film - Routine

4002 333,065 Each OPTION Plain Film - STAT

FFP

Plain Film - STAT

4003 195,387 Each OPTION Ultrasound - Routine

FFP

Ultrasound - Routine

4004 140,127 Each OPTION Ultrasound - STAT

FFP

4005 85,799 Each OPTION CT - Routine

FFP

CT - Routine

4006 242,965 Each OPTION MRI - Routine

FFP

MRI - Routine

4007 337,420 Each

OPTION CT - STAT

FFP

CT - STAT

4008 4,290 Each OPTION CT Cardiac/Coronary Angiography

FFP

CT Cardiac/Coronary Angiography

4009 16,871 Each OPTION CT Cardiac/Coronary Angiography STAT

FFP

CT Cardiac/Coronary Angiography STAT

4010 30,930 Each

OPTION MRI - STAT

FFP

MRI - STAT

4011 25,940 Each OPTION Nuclear Medicine - Routine

FFP

Nuclear Medicine - Routine

4012 710 Each OPTION Nuclear Medicine - STAT

FFP

Nuclear Medicine - STAT

4013 2,033 Each OPTION Bone Densitometry - Routine

FFP

Bone Densitometry - Routine

4014 86 Each OPTION Positron Emission Tomography

FFP

Positron Emission Tomography

4015 10,000 Each OPTION Non-Contrast Heat CT for Stroke

FFP

Non-Contrast Heat CT for Stroke

4016 500 Each OPTION Radiographs for Unintentionally

FFP

Radiographs for Unintentionally Retained Foreign Objects

4017 Each OPTION Travel for CAC and Contract Review

COST

Travel for CAC and Contract Review

5001 979,217 Each OPTION Plain Film - Routine

FFP

Plain Film - Routine

5002 333,065 Each OPTION Plain Film - STAT

FFP

Plain Film - STAT

5003 195,387 Each OPTION Ultrasound - Routine

FFP

Ultrasound - Routine

5004 140,127 Each OPTION Ultrasound - STAT

FFP

5005 85,799 Each OPTION CT - Routine

FFP

CT - Routine

5006 242,965 Each OPTION MRI - Routine

FFP

MRI - Routine

5007 337,420 Each

OPTION CT - STAT

FFP

CT - STAT

5008 4,290 Each OPTION CT Cardiac/Coronary Angiography

FFP

CT Cardiac/Coronary Angiography

5009 16,871 Each OPTION CT Cardiac/Coronary Angiography STAT

FFP

CT Cardiac/Coronary Angiography STAT

5010 30,930 Each

OPTION MRI - STAT

FFP

MRI - STAT

5011 25,940 Each OPTION Nuclear Medicine - Routine

FFP

Nuclear Medicine - Routine

5012 710 Each OPTION Nuclear Medicine - STAT

FFP

Nuclear Medicine - STAT

5013 2,033 Each OPTION Bone Densitometry - Routine

FFP

Bone Densitometry - Routine

5014 86 Each OPTION Positron Emission Tomography

FFP

Positron Emission Tomography

5015 10,000 Each OPTION Non-Contrast Heat CT for Stroke

FFP

Non-Contrast Heat CT for Stroke

5016 500 Each OPTION Radiographs for Unintentionally

FFP

Radiographs for Unintentionally Retained Foreign Objects

5017 Each OPTION Travel for CAC and Contract Review

COST

Travel for CAC and Contract Review

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A Government 0002 N/A N/A N/A Government 0003 N/A N/A N/A Government 0004 N/A N/A N/A Government 0005 N/A N/A N/A Government 0006 N/A N/A N/A Government 0007 N/A N/A N/A Government 0008 N/A N/A N/A Government 0009 N/A N/A N/A Government 0010 N/A N/A N/A Government 0011 N/A N/A N/A Government 0012 N/A N/A N/A Government 0013 N/A N/A N/A Government 0014 N/A N/A N/A Government 0015 N/A N/A N/A Government 0016 N/A N/A N/A Government 0017 N/A N/A N/A Government 0018 N/A N/A N/A Government 1001 N/A N/A N/A Government 1002 N/A N/A N/A Government 1003 N/A N/A N/A Government 1004 N/A N/A N/A Government 1005 N/A N/A N/A Government 1006 N/A N/A N/A Government 1007 N/A N/A N/A Government 1008 N/A N/A N/A Government 1009 N/A N/A N/A Government 1010 N/A N/A N/A Government 1011 N/A N/A N/A Government 1012 N/A N/A N/A Government

1013 N/A N/A N/A Government 1014 N/A N/A N/A Government 1015 N/A N/A N/A Government 1016 N/A N/A N/A Government 1017 N/A N/A N/A Government 2001 N/A N/A N/A Government 2002 N/A N/A N/A Government 2003 N/A N/A N/A Government 2004 N/A N/A N/A Government 2005 N/A N/A N/A Government 2006 N/A N/A N/A Government 2007 N/A N/A N/A Government 2008 N/A N/A N/A Government 2009 N/A N/A N/A Government 2010 N/A N/A N/A Government 2011 N/A N/A N/A Government 2012 N/A N/A N/A Government 2013 N/A N/A N/A Government 2014 N/A N/A N/A Government 2015 N/A N/A N/A Government 2016 N/A N/A N/A Government 2017 N/A N/A N/A Government 3001 N/A N/A N/A Government 3002 N/A N/A N/A Government 3003 N/A N/A N/A Government 3004 N/A N/A N/A Government 3005 N/A N/A N/A Government 3006 N/A N/A N/A Government 3007 N/A N/A N/A Government 3008 N/A N/A N/A Government 3009 N/A N/A N/A Government 3010 N/A N/A N/A Government 3011 N/A N/A N/A Government 3012 N/A N/A N/A Government 3013 N/A N/A N/A Government 3014 N/A N/A N/A Government 3015 N/A N/A N/A Government 3016 N/A N/A N/A Government 3017 N/A N/A N/A Government 4001 N/A N/A N/A Government 4002 N/A N/A N/A Government 4003 N/A N/A N/A Government 4004 N/A N/A N/A Government 4005 N/A N/A N/A Government 4006 N/A N/A N/A Government 4007 N/A N/A N/A Government 4008 N/A N/A N/A Government 4009 N/A N/A N/A Government 4010 N/A N/A N/A Government 4011 N/A N/A N/A Government 4012 N/A N/A N/A Government 4013 N/A N/A N/A Government 4014 N/A N/A N/A Government 4015 N/A N/A N/A Government 4016 N/A N/A N/A Government

4017 N/A N/A N/A Government 5001 N/A N/A N/A Government 5002 N/A N/A N/A Government 5003 N/A N/A N/A Government 5004 N/A N/A N/A Government 5005 N/A N/A N/A Government 5006 N/A N/A N/A Government 5007 N/A N/A N/A Government 5008 N/A N/A N/A Government 5009 N/A N/A N/A Government 5010 N/A N/A N/A Government 5011 N/A N/A N/A Government 5012 N/A N/A N/A Government 5013 N/A N/A N/A Government 5014 N/A N/A N/A Government 5015 N/A N/A N/A Government 5016 N/A N/A N/A Government 5017 N/A N/A N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 30-MAR-2021 TO

29-MAR-2022

N/A N/A

0002 POP 30-MAR-2021 TO

29-MAR-2022

0003 POP 30-MAR-2021 TO

0004 POP 30-MAR-2021 TO

0005 POP 30-MAR-2021 TO

0006 POP 30-MAR-2021 TO

0007 POP 30-MAR-2021 TO

0008 POP 30-MAR-2021 TO

0009 POP 30-MAR-2021 TO

0010 POP 30-MAR-2021 TO

0011 POP 30-MAR-2021 TO

0012 POP 30-MAR-2021 TO

0013 POP 30-MAR-2021 TO

0014 POP 30-MAR-2021 TO

0015 POP 30-MAR-2021 TO

0016 POP 30-MAR-2021 TO

0017 POP 30-MAR-2021 TO

0018 POP 30-MAR-2021 TO

1001 POP 30-MAR-2022 TO

29-MAR-2023

1002 POP 30-MAR-2022 TO

1003 POP 30-MAR-2022 TO

1004 POP 30-MAR-2022 TO

1005 POP 30-MAR-2022 TO

1006 POP 30-MAR-2022 TO

1007 POP 30-MAR-2022 TO

1008 POP 30-MAR-2022 TO

1009 POP 30-MAR-2022 TO

1010 POP 30-MAR-2022 TO

1011 POP 30-MAR-2022 TO

1012 POP 30-MAR-2022 TO

1013 POP 30-MAR-2022 TO

1014 POP 30-MAR-2022 TO

1015 POP 30-MAR-2022 TO

1016 POP 30-MAR-2022 TO

1017 POP 30-MAR-2022 TO

2001 POP 30-MAR-2023 TO

29-MAR-2024

2002 POP 30-MAR-2023 TO

2003 POP 30-MAR-2023 TO

2004 POP 30-MAR-2023 TO

2005 POP 30-MAR-2023 TO

2006 POP 30-MAR-2023 TO

2007 POP 30-MAR-2023 TO

2008 POP 30-MAR-2023 TO

2009 POP 30-MAR-2023 TO

2010 POP 30-MAR-2023 TO

2011 POP 30-MAR-2023 TO

2012 POP 30-MAR-2023 TO

2013 POP 30-MAR-2023 TO

2014 POP 30-MAR-2023 TO

2015 POP 30-MAR-2023 TO

2016 POP 30-MAR-2023 TO

2017 POP 30-MAR-2023 TO

3001 POP 30-MAR-2024 TO

29-MAR-2025

3002 POP 30-MAR-2024 TO

3003 POP 30-MAR-2024 TO

3004 POP 30-MAR-2024 TO

3005 POP 30-MAR-2024 TO

3006 POP 30-MAR-2024 TO

3007 POP 30-MAR-2024 TO

3008 POP 30-MAR-2024 TO

3009 POP 30-MAR-2024 TO

3010 POP 30-MAR-2024 TO

3011 POP 30-MAR-2024 TO

3012 POP 30-MAR-2024 TO

3013 POP 30-MAR-2024 TO

3014 POP 30-MAR-2024 TO

3015 POP 30-MAR-2024 TO

3016 POP 30-MAR-2024 TO

3017 POP 30-MAR-2024 TO

4001 POP 30-MAR-2025 TO

29-MAR-2026

4002 POP 30-MAR-2025 TO

4003 POP 30-MAR-2025 TO

4004 POP 30-MAR-2025 TO

4005 POP 30-MAR-2025 TO

4006 POP 30-MAR-2025 TO

4007 POP 30-MAR-2025 TO

4008 POP 30-MAR-2025 TO

4009 POP 30-MAR-2025 TO

4010 POP 30-MAR-2025 TO

4011 POP 30-MAR-2025 TO

4012 POP 30-MAR-2025 TO

4013 POP 30-MAR-2025 TO

4014 POP 30-MAR-2025 TO

4015 POP 30-MAR-2025 TO

4016 POP 30-MAR-2025 TO

4017 POP 30-MAR-2025 TO

5001 POP 30-MAR-2026 TO

29-MAR-2027

5002 POP 30-MAR-2026 TO

5003 POP 30-MAR-2026 TO

5004 POP 30-MAR-2026 TO

5005 POP 30-MAR-2026 TO

5006 POP 30-MAR-2026 TO

5007 POP 30-MAR-2026 TO

5008 POP 30-MAR-2026 TO

5009 POP 30-MAR-2026 TO

5010 POP 30-MAR-2026 TO

5011 POP 30-MAR-2026 TO

5012 POP 30-MAR-2026 TO

5013 POP 30-MAR-2026 TO

5014 POP 30-MAR-2026 TO

5015 POP 30-MAR-2026 TO

5016 POP 30-MAR-2026 TO

5017 POP 30-MAR-2026 TO

CLAUSES INCORPORATED BY REFERENCE

52.202-1 Definitions JUN 2020 52.203-3 Gratuities APR 1984 52.203-6 Alt I Restrictions On Subcontractor Sales To The Government

(JUN 2020) -- Alternate I

OCT 1995

52.203-11 Certification And Disclosure Regarding Payments To Influence Certain Federal Transactions

SEP 2007

52.203-13 Contractor Code of Business Ethics and Conduct JUN 2020 52.203-15 Whistleblower Protections Under the American Recovery and

Reinvestment Act of 2009

JUN 2010

52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements

JAN 2017

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper

MAY 2011

52.204-7 System for Award Management OCT 2018 52.204-13 System for Award Management Maintenance OCT 2018 52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.204-21 Basic Safeguarding of Covered Contractor Information Systems

JUN 2016

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

JUL 2018

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

AUG 2019

52.209-7 Information Regarding Responsibility Matters OCT 2018 52.209-10 Prohibition on Contracting With Inverted Domestic

Corporations

NOV 2015

52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.212-5 Contract Terms and Conditions Required to Implement

Statutes or Executive Orders--Commercial Items

AUG 2020

52.216-2 Economic Price Adjustment - Standard Supplies JAN 1997 52.216-3 Economic Price Adjustment - Semistandard Supplies JAN 1997 52.216-4 Economic Price Adjustment-Labor and Material JAN 2017 52.216-5 Price Redetermination--Prospective OCT 1997 52.216-6 Price Redetermination-Retroactive OCT 1997 52.216-7 Allowable Cost And Payment AUG 2018 52.216-8 Fixed Fee JUN 2011

52.216-11 Cost Contract--No Fee APR 1984 52.217-5 Evaluation Of Options JUL 1990 52.222-50 Combating Trafficking in Persons JAN 2019 52.224-1 Privacy Act Notification APR 1984 52.224-2 Privacy Act APR 1984 52.225-25 Prohibition on Contracting with Entities Engaging in Certain

Activities or Transactions Relating to Iran-- Representation and Certifications.

JUN 2020

52.229-12 Tax on Certain Foreign Procurements JUN 2020 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7005 Representation Relating to Compensation of Former DoD Officials

NOV 2011

252.204-7008 Compliance With Safeguarding Covered Defense Information Controls

OCT 2016

252.204-7009 Limitations on the Use or Disclosure of Third-Party Contractor Reported Cyber Incident Information

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting

DEC 2019

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting

DEC 2019

252.204-7016 Covered Defense Telecommunications Equipment or Services -- Representation

DEC 2019

252.204-7017 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services -- Representation

DEC 2019

252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services

DEC 2019

252.213-7000 Notice to Prospective Suppliers on Use of Supplier Performance Risk System in Past Performance Evaluations

SEP 2019

252.225-7974 (Dev) Representation Regarding Business Operations with the Maduro Regime (DEVIATION 2020-O0005)

FEB 2020

252.232-7010 Levies on Contract Payments DEC 2006 252.232-7011 Payments in Support of Emergencies and Contingency

Operations

MAY 2013

252.232-7015 Performance-Based Payments--Representation APR 2020 252.232-7016 Notice of Progress Payments or Performance-Based Payments APR 2020 252.239-7010 Cloud Computing Services OCT 2016 252.247-7023 Transportation of Supplies by Sea FEB 2019

CLAUSES INCORPORATED BY FULL TEXT

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (MAR 2020)

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 621512.

(2) The small business size standard is $16,500,000.

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)(1) If the provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the provision at 52.204-7, System for Award Management, is not included in this solicitation, and the Offeror has an active registration in the System for Award Management (SAM), the Offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The Offeror shall indicate which option applies by checking one of the following boxes:

( ) Paragraph (d) applies.

( ) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c) (1) The following representations or certifications in SAM are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $150,000.

(iii) 52.203-18, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements--Representation. This provision applies to all solicitations.

(iv) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.

(v) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(vi) 52.204-26, Covered Telecommunications Equipment or Services--Representation. This provision applies to all solicitations.

(vii) 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations--Representation.

(viii) 52.209-5, Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(ix) 52.209-11, Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law. This provision applies to all solicitations.

(x) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(xi) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(xii) 52.219-1, Small Business Program Representations (Basic, Alternates I, and II). This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(C) The provision with its Alternate II applies to solicitations that will result in a multiple-award contract with more than one NAICS code assigned.

(xiii) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(xiv) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xv) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xvi) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xvii) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA-designated items; or include the clause at 52.223-2, Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

(xviii) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA- designated items.

(xix) 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals--Representation. This provision applies to solicitations that include the clause at 52.204-7.)

(xx) 52.225-2, Buy American Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xxi) 52.225-4, Buy American--Free Trade Agreements--Israeli Trade Act Certificate. (Basic, Alternates I, II, and III.) This provision applies to solicitations containing the clause at 52.225- 3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $83,099, the provision with its Alternate II applies.

(D) If the acquisition value is $83,099 or more but is less than $100,000, the provision with its Alternate III applies.

(xxii) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xxiii) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan--Certification. This provision applies to all solicitations.

(xxiv) 52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran—Representation and Certification. This provision applies to all solicitations.

(xxv) 52.226-2, Historically Black College or University and Minority Institution Representation. This provision applies to solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions.

(2) The following representations or certifications are applicable as indicated by the Contracting Officer:

[Contracting Officer check as appropriate.]

(i) 52.204-17, Ownership or Control of Offeror.

(ii) 52.204-20, Predecessor of Offeror.

(iii) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.

(iv) 52.222-48, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Certification.

(v) 52.222-52 Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services--Certification.

(vi) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material Content for EPA- Designated Products (Alternate I only).

(vii) 52.227-6, Royalty Information.

(A) Basic.

(B) Alternate I.

(viii) 52.227-15, Representation of Limited Rights Data and Restricted Computer Software.

(d) The Offeror has completed the annual representations and certifications electronically in SAM accessed through https://www.sam.gov. After reviewing the SAM information, the Offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in paragraph (c) of this provision have been entered or updated within 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 the changes identified below [ offeror to insert changes, identifying change by clause number, title, date]. 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.

FAR Clause Title Date Change

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 on SAM.

(End of provision)

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS – ALTERNATE I (JAN 2020)

(a)(1) The North American Industry Classification System (NAICS) codes and corresponding size standards for this acquisition are as follows; the categories or portions these NAICS codes are assigned to are specified elsewhere in the solicitation:

NAICS code Size standard

[Contracting Officer to insert NAICS codes and size standards].

(2) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture (i.e., nonmanufacturer), is 500 employees.

(b)(1) If the provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the provision at 52.204-7, System for Award Management, is not included in this solicitation, and the Offeror has an active registration in the System for Award Management (SAM), the Offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The Offeror shall indicate which option applies by checking one of the following boxes:

( ) Paragraph (d) applies.

( ) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c) (1) The following representations or certifications in SAM are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $150,000.

(iii) 52.203-18, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements--Representation. This provision applies to all solicitations.

(iv) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.

(v) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(vi) 52.204-26, Covered Telecommunications Equipment or Services--Representation. This provision applies to all solicitations.

(vii) 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations--Representation.

(viii) 52.209-5, Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(ix) 52.209-11, Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law. This provision applies to all solicitations.

(x) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(xi) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(xii) 52.219-1, Small Business Program Representations (Basic, Alternates I, and II). This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(C) The provision with its Alternate II applies to solicitations that will result in a multiple-award contract with more than one NAICS code assigned.

(xiii) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(xiv) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xv) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xvi) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xvii) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA-designated items; or include the clause at 52.223-2, Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

(xviii) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA- designated items.

(xix) 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals--Representation. This provision applies to solicitations that include the clause at 52.204-7.)

(xx) 52.225-2, Buy American Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xxi) 52.225-4, Buy American--Free Trade Agreements--Israeli Trade Act Certificate. (Basic, Alternates I, II, and III.) This provision applies to solicitations containing the clause at 52.225- 3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $83,099, the provision with its Alternate II applies.

(D) If the acquisition value is $83,099 or more but is less than $100,000, the provision with its Alternate III applies.

(xxii) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xxiii) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan--Certification. This provision applies to all solicitations.

(xxiv) 52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran—Representation and Certification. This provision applies to all solicitations.

(xxv) 52.226-2, Historically Black College or University and Minority Institution Representation. This provision applies to solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions.

(2) The following representations or certifications are applicable as indicated by the Contracting Officer:

[Contracting Officer check as appropriate.]

(i) 52.204-17, Ownership or Control of Offeror.

(ii) 52.204-20, Predecessor of Offeror.

(iii) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.

(iv) 52.222-48, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Certification.

(v) 52.222-52 Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services--Certification.

(vi) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material Content for EPA- Designated Products (Alternate I only).

(vii) 52.227-6, Royalty Information.

(A) Basic.

(B) Alternate I.

(viii) 52.227-15, Representation of Limited Rights Data and Restricted Computer Software.

(d) The Offeror has completed the annual representations and certifications electronically in SAM accessed through https://www.sam.gov. After reviewing the SAM information, the Offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in paragraph (c) of this provision have been entered or updated within 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 the changes identified below [ offeror to insert changes, identifying change by clause number, title, date]. 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.

FAR Clause Title Date Change

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 on SAM.

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2020)

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 the provision at 52.204-26, Covered Telecommunications Equipment or Services--Representation, or in paragraph (v) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Items.

(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.

52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES--REPRESENTATION (DEC

2019)

(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.

(b) 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”.

(c) Representation. The Offeror represents that it [ ___ ] does, [ ___ ] 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.

52.209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS--

REPRESENTATION (NOV 2015)

(a) Definitions. Inverted domestic corporation and subsidiary have the meaning given in the clause of this contract entitled Prohibition on Contracting with Inverted Domestic Corporations (52.209-10).

(b) Government agencies are not permitted to use appropriated (or otherwise made available) funds for contracts with either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation, unless the exception at 9.108-2(b) applies or the requirement is waived in accordance with the procedures at 9.108-4.

(c) Representation. The Offeror represents that--

(1) It [ ___ ] is, [ ___ ] is not an inverted domestic corporation; and

(2) It [ ___ ] is, [ ___ ] is not a subsidiary of an inverted domestic corporation.

52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY OR A

FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that--

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that--

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

52.212-1 INSTRUCTIONS TO OFFERORS--COMMERCIAL ITEMS (JUN 2020)

(a) North American Industry Classification System (NAICS) code and small business size standard.

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