M6700120Q1335.pdf

SEE ADDENDUM

( No Col lect Cal ls )

M6700120Q1335 20-Aug-2020

b. TELEPHONE NUMBER

910-451-1578

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 03 Sep 2020

5. SOLICITATION NUM BER 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. TH IS ACQUISI TION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

M670019. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAM E

JAMIE N. FERNANDEZ

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. SOLI CI TATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52. 212-3. 52.212-5 ARE ATTACHED.X

25. ACCOUNTING AND APPROPRI ATION DATA

1. REQUISITION NUMBER

20.

ADDI TIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

M 9305520SU00013

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), INCLUDI NG ANY ADDITI ONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO I TEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THI S DOCUMENT AND RETURN

% FOR:SET ASI DE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

M67001MARINE CORPS FIELD CONTRACTING SYS

P. O. BOX 8368

BLDG 1116 BIRCH STREET

CAMP LEJEUNE NC 28547-8368

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 M 93055 16. ADMINISTERED BY

12. DI SCOUNT TERMS11. DELIVERY FOR FOB DESTI NA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLIC ITATION

RFQ IFB RFPX

SCHOOL OF INFANTRY-EAST

ERIC RULLMAN

SOI- E HS BN BLDG G- 644

CAMP GEIGER NC 28542

TEL: FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

334310

OFFER DATED

29. AW ARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWI SE IDENTIFI ED ABOVE AND ON ANY

COPI ES TO ISSUI NG 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

SM ALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF72

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEI VED INSPECTED

32b. SIGNATURE OF AUTHORI ZED GOVERNMENT

REPRESENTATIVE

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

REPRESENTATI VE

32e. MAILI NG ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORI ZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FI NALPARTIALCOMPLETE

36. PAY MENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHI P NUMBER

PARTI AL

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

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

41b. SIGNATURE AND TITLE OF CERTIFYI NG OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

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.

M6700120Q1335

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 2 Each Laser Projector

FFP

Manufacturer: Epson, Part#: V11H735020 EPSON PRO L1100U Laser Projector or Equal

Native Resolution 1920 x 1200 (WUXGA) NOTE: The requirements in DFARS 252.211-7003, Item Identification and Valuation, are applicable for this line item. The contractor shall provide DoD unique identification or a DoD recognized unique identification equivalent.

FOB: Destination

MILSTRIP: M9305520SU00013

PURCHASE REQUEST NUMBER: M9305520SU00013

PSC CD: 6730

NET AMT

0002 1 Each Lace and Grommet Frame Kit

FFP

Manufacturer: Dalite, Part#: 94160 Lace and Grommet FRame Kit or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0003 1 Each Lace and Grommet Screen

FFP

Manufacturer: Dalite, Part#: 35431 Custom Lace Grommet Screen or Equal 300" X 128.50" FOB: Destination

MILSTRIP: M9305520SU00013

0004 2 Each Laser Projector

FFP

Manufacturer: Epson, Part#: V11H907020 Epson Powerlite L400U Laser Projector or Equal 4500 Lumens FOB: Destination

MILSTRIP: M9305520SU00013

0005 2 Each Projection Screen

FFP

Manufacturer: Dalite, Part#: DAL-70281L Dalite Large Cosmopolitan Electrol or Equal 110" X 176" FOB: Destination

MILSTRIP: M9305520SU00013

0006 1 Each Wireless System and Transmitter

FFP

Manufacturer: Shure, Part#: ULX124/85-G3 Shure Prosound ULX Wireless System With Beltpack Transmitter and handheld transmitter (SM58 MICROPHONE) or Equal FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: 5965

0007 1 Each Microphone

FFP

Manufacturer: Shure, Part#: MX150B/O-TQG SHURE Omnidirectional Lavalier Microphone or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0008 1 Each Headset Microphone

FFP

Manufacturer: Shure, Part#: WCE2LT Countryman Headset Microphone or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0009 1 Each Podium Microphone

FFP

Manufacturer: Shure, Part#: MX418-SE/S Shure Podium Microphone or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0010 2 Each 2-Way Loudspeaker

FFP

Manufacturer: JBL, Part#: ACT16 JBL 2-Way Full Range Loudspeaker or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0011 2 Each Wall Mounting Brackets for 2-Way Speaker

FFP

Manufacturer: JBL, Part#: ACT16-BRACKETS Wall Mounting Brackets for JBL 2-Way Loudspeaker or Equal FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: 5999

0012 12 Each Wall Mount Control Speakers

FFP

Manufacturer: JBL, Part#: CONTROL 28T-1L JBL CONTROL 28 T 1L Wall Mount Speakers or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0013 1 Each Microphone Mixer

FFP

Manufacturer: Clearone, Part#: 910-151-881 Clearone Converge Pro 880T or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0014 1 Each Controller

FFP

Manufacturer: AMX, Part#: FG2106-02 NX-2200AMX Controller or Equal FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: 7042

0015 1 Each Relay

FFP

Manufacturer: AMX, Part # FG2100-20 EXB-REL8 - AMX Relay or Equal FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: 7050

0016 1 Each Studio Amp

FFP

Manufacturer: Crown Audio,Part#: CDI4000 Crown CDi4000 Audio Amp or Equal FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: 5895

0017 1 Each Document Camera

FFP

Manufacturer: Epson, Part#: DC-13 Epson DC-13 Document Camera or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0018 1 Each Monitor

FFP

Manufacturer: NEC, Part # E22IN-BK NEC 22" Monitor or Equal FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: 7045

0019 1 Each Switch

FFP

Manufacturer: AMX, Part # FG1061-16 AMX DGX 16X16 SWITCH - DGX ENC 16 or Equal FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: 5930

0020 3 Each Output Link Card

FFP

Manufacturer: AMX, Part#: FG1058-550 AMX - OUTPUT DXLINXK Card - DGX-O-DXL or Equal FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: 5998

0021 1 Each HDMI Output-board

FFP

Manufacturer: AMX, Part#: FG1058--550-FX AMX - DGX-O-HDMI or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0022 1 Each Audio Extraction Card

FFP

Manufacturer: AMX, Part#: FG1058-705-FX AMX - AUDIO EXTRACTION CARD - DGX-AIE or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0023 2 Each Input Card

FFP

Manufacturer: AMX, Part#: FG1058-570 AMX DXLINK INPUT CARD - DGX-I-DXL or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0024 1 Each Touch Panel

FFP

Manufacturer: AMX, Part#: FG2265-06 AMX MODERO 7" TOUCH PANEL - MST-701 or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0025 1 Each Touch Panel Table Top Mount

FFP

Manufacturer: AMX, Part#: FG2265-17 AMX MODERO TOUCH PANEL - TABLE TOP MOUNT - MXA-STMK-701 or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0026 1 Each Ethernet POE Switch

FFP

Manufacturer: AMX, Part# FG2178-84 AMX ETHERNET POE SWITCH - NXA-ENET-2POE or Equal FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: 5930

0027 10 Each HDMI Receiver Module

FFP

Manufacturer: AMX, Part#: FG1010500 AMX DX-RX HDMI DX-LINK RECEIVER - DX-RX or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0028 7 Each Multi-Format Transmitter

FFP

Manufacturer: AMX, Part#:FG1010-300 AMX DX-TX DX-LINK MUTI FORMAT TRANSMITTER - DX-TX or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0029 1 Each Hydraport (for USB/HDMI Connections)

FFP

Manufacturer: AMX, Part#: FG560-01-BK AMX HYRDAPORT HPX-600 -BL or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0030 1 Each RGB Connection

FFP

Manufacturer: AMX, Part#: FG552-25 HPX-AV102-RGB+A or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0031 1 Each HDMI Connection

FFP

Manufacturer: AMX, Part#: FG552-24 HPX-AV102-HDMI or Equal FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: 7040

0032 1 Each RJ45 Connection

FFP

Manufacturer: AMX, Part#: FG553-02 HPX-N102-RJ45 or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0033 1 Each Standard Outlet Connection

FFP

Manufacturer: AMX, Part#: FG561-01 HPX-P200-PC-US or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0034 1 Each Hydraport for Printer Connections

FFP

Manufacturer: AMX, Part#: FG558-02 HPX-B100 or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0035 1 Each Video Processor

FFP

Manufacturer: Avenview, Part#: AVMLTEDGEPRO AVENVIEW MT EDGE PRO 2X2 EDGE BLENDING VIDEO PROCESSOR or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0036 1 Each Camera

FFP

Manufacturer: Vaddio, Part#: 999-9916-000 VADDIO PTZ CAMERA - ROBOSHOT 30-QDVI or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0037 1 Each Ceiling Mount Kit for Camera

FFP

Ceiling Mount Kit for - ROBOSHOT30-QDVI or Equal FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: 5975

0038 8 Each LED Backlit Display with Tuner

FFP

Manufacturer: NEC, Part#: E656 NEC 65" LED BACKLIT DISPLAY W/ INTEGRATED TUNER or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0039 1 Each Media Manager Lectern

FFP

Manufacturer: Spectrum, Part#: MM-V2-CUSTOM Spectrum Media Manager Lectern or Equal FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: 7195

0040 1 Each Equipment Rack

FFP

Manufacturer: Middle Atlantic, Part#: ERK-3520-RD MID Atlantic Equipment Rack with Locking Front and Back Door or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0041 1 Each Rack, Caster Base

FFP

Manufacturer: Middle Atlantic, Part#: CBS-ERK-20 MID Atlantic Rack caster Base or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0042 1 Each Cable Organizer

FFP

Manufacturer: Flexco F6,Part#:BSF6-100-100FT-BK Cable Organizer 100' Spool Black Flex Wrap or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0043 1 Each Remote Control

FFP

Manufacturer: Interlink, Part#: VP4150 Interlink RF Remote Control or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0044 2 Each Power Conditioner

FFP

Manufacturer: Middle Atlantic, Part#: PD915r MID Atlantic Power Conditioner or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0045 1 Each Vented Plates

FFP

Manufacturer: Middle Atlantic, Part#: VT1-CP12 1U Blank Vented Plates Contractors Pack or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0046 1 Each Fan Kit

FFP

Manufacturer: Middle Atlantic, Part#: DCFANKIT4 MID Atlantic DC Fan Kit or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0047 1 Each Lacing Bars

FFP

Manufacturer: Middle Atlantic, Part# LBP-1A Lacing Bars LBP-1A (MID ATLANTIC) Pack of 10 or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0048 3 Each Shelves

FFP

Manufacturer: Middle Atlantic, Part#: U1 MID Atlantic Shelves or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0049 2 Each Storage Box

FFP

Manufacturer: Chief, Part#: CMS492 Chief Above Ceiling Grid Plenum Rated Storage Box or Equal FOB: Destination

MILSTRIP: M9305520SU00013

0050 1 Each Cables, Connectors and Mounting Hardware

FFP

CAT 6 - 8,000 Feet Mic Wire 1000 Feet DVI to HDMI 3', 12 each 6' HDMI, 6 each

3' HDMI,

DB9 Hoods and Female DB9 connectors, 10 pk XLR FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: 5999

0051 1 Each Equipment Removal

FFP

Removal of existing equipment. See the attached Performance Work Statement (PWS) for details.

FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: N074

0052 1 Each Installation

FFP

Installation of new equipment. See the attached Performance Work Statement (PWS) for details.

FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: N074

0053 1 Each Freight

FFP

FOB: Destination

MILSTRIP: M9305520SU00013

PSC CD: R604

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 0008 Destination Government Destination Government 0009 Destination Government Destination Government 0010 Destination Government Destination Government 0011 Destination Government Destination Government 0012 Destination Government Destination Government 0013 Destination Government Destination Government 0014 Destination Government Destination Government 0015 Destination Government Destination Government 0016 Destination Government Destination Government 0017 Destination Government Destination Government 0018 Destination Government Destination Government 0019 Destination Government Destination Government 0020 Destination Government Destination Government 0021 Destination Government Destination Government 0022 Destination Government Destination Government 0023 Destination Government Destination Government 0024 Destination Government Destination Government 0025 Destination Government Destination Government 0026 Destination Government Destination Government 0027 Destination Government Destination Government 0028 Destination Government Destination Government

0029 Destination Government Destination Government 0030 Destination Government Destination Government 0031 Destination Government Destination Government 0032 Destination Government Destination Government 0033 Destination Government Destination Government 0034 Destination Government Destination Government 0035 Destination Government Destination Government 0036 Destination Government Destination Government 0037 Destination Government Destination Government 0038 Destination Government Destination Government 0039 Destination Government Destination Government 0040 Destination Government Destination Government 0041 Destination Government Destination Government 0042 Destination Government Destination Government 0043 Destination Government Destination Government 0044 Destination Government Destination Government 0045 Destination Government Destination Government 0046 Destination Government Destination Government 0047 Destination Government Destination Government 0048 Destination Government Destination Government 0049 Destination Government Destination Government 0050 Destination Government Destination Government 0051 Destination Government Destination Government 0052 Destination Government Destination Government 0053 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 10 wks. ADC 2 SCHOOL OF INFANTRY-EAST

ERIC RULLMAN

SOI-E HS BN BLDG G-644

CAMP GEIGER NC 28542

FOB: Destination

M93055

0002 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0003 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0004 10 wks. ADC 2 (SAME AS PREVIOUS LOCATION)

0005 10 wks. ADC 2 (SAME AS PREVIOUS LOCATION)

0006 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0007 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0008 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0009 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0010 10 wks. ADC 2 (SAME AS PREVIOUS LOCATION)

0011 10 wks. ADC 2 (SAME AS PREVIOUS LOCATION)

0012 10 wks. ADC 12 (SAME AS PREVIOUS LOCATION)

0013 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0014 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0015 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0016 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0017 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0018 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0019 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0020 10 wks. ADC 3 (SAME AS PREVIOUS LOCATION)

0021 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0022 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0023 10 wks. ADC 2 (SAME AS PREVIOUS LOCATION)

0024 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0025 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0026 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0027 10 wks. ADC 10 (SAME AS PREVIOUS LOCATION)

0028 10 wks. ADC 7 (SAME AS PREVIOUS LOCATION)

0029 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0030 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0031 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0032 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0033 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0034 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0035 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0036 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0037 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0038 10 wks. ADC 8 (SAME AS PREVIOUS LOCATION)

0039 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0040 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0041 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0042 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0043 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0044 10 wks. ADC 2 (SAME AS PREVIOUS LOCATION)

0045 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0046 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0047 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0048 10 wks. ADC 3 (SAME AS PREVIOUS LOCATION)

0049 10 wks. ADC 2 (SAME AS PREVIOUS LOCATION)

0050 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0051 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0052 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0053 10 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

PERFORMANCE WORK STATEMENT

1. Background. SOI-East current Audio and Video equipment in Building G-618 needs to be updated and refreshed old existing equipment in the building.

2. Scope. Contractor will remove designated existing equipment (line item 0051), provide new replacement equipment (designated in line items 0001 to 0050), and install the new equipment (designated in line item 0052). Contractor will not modify the building or room in any way. Contractor responsibilities include the following:

Removal of all designated existing equipment from BLGD G-618.

Transporting removed equipment to Building G-484 SOI-East Supply.

Installation of new equipment in Building G-618 auditorium.

Integration and programing of all newly installed equipment.

Troubleshooting of all installed equipment to ensure proper function.

3. Equipment. Contractor is responsible for providing all necessary equipment to perform required tasks.

4. Task Performance Standards: The installation and function of all newly installed equipment shall be inspected and approved by the government point of contact prior to the completion of the contract. The government point of contact will be provided at time of award.

5. Place of Performance. All work will be performed within Building G-618 A Street, Camp Geiger NC 28542 and

Building G-484 , camp Geiger NC 28542.

6. Period of Performance. All work will be completed within two weeks of work being started.

7. Hours of Operations. Contractor shall performs all activities during business hours (08:00 am – 16:30 pm)

Monday through Friday. Contractor is not required to perform services on federal holidays or days when government facilities are closed due to local emergencies, national emergencies, and similar government directed facility closings.

BASE ACCESS

Contractors, and or delivery drivers, must have in their possession: their contract number, delivery address and sponsor’s contact information in order to gain initial access to the base. The sponsor for this requirement will be provided at the time of award.

1. Contractors must be registered in the Defense Biometrics Identification System (DBIDS). It is the Contractors responsibility to ensure all their employees and or subcontractors are properly registered within DBIDS.

2. DBIDS credentials will be valid for the duration of your contract, not to exceed three years.

However, re-vetting of individuals information will occur each year.

3. Contractors requiring access for over 60 days will receive a credential valid for up to one year.

4. Contractors requiring access for less than 60 days will receive a temporary paper pass.

5. Contractor Common Access Card (CAC) Eligibility: Contractor personnel authorized CAC’s are exempt from DBIDS enrollment.

6. If you have additional questions regarding DBIDS contact the Physical Security Office at 910-450-0283.

Alternate extensions are 0284/0285.

**The Government will not be responsible for any contractor access delays. Delays that may result from inadequate planning are strictly the responsibility of the contractor.

UNAUTHORIZED WORK PERFORMANCE

The Contractor must not perform work that deviates from contract requirements and specifications. If the Contractor deviates from contract requirements and specifications without approval of the Contracting Officer, such deviation must be at the risk of the Contractor and any cost related thereto must be borne by the Contractor.

CLAUSES INCORPORATED BY FULL TEXT

WAGE RATE DETERMINATION

(a) The contractor is advised that this procurement is subject to the requirements of the Service Contract Act of 1965, as amended.

(b) The Contractor agrees to furnish the Contracting Officer a copy of any collective bargaining agreement applicable to employees performing under this contract.

(c) The labor category and wage rate that is applicable to this requirement is: Occupational Title(s) and hourly rate – To be determined by the vendor.

Salaries paid to employees must be in compliance with this labor category and wage determination or collective bargaining agreement.

(d) Wage Determination No. 2015-4390 Revision No. 16 dated 3 June, 2020 can be found at http://www.Beta.Sam.gov.

NMCARS 5237.102-90 ECMRA

NMCARS 5237.102-90 ENTERPRISE-WIDE CONTRACTOR MANPOWER REPORTING APPLICATION

(ECMRA)

The contractor shall report contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for AV Equipment Upgrade via a secure data collection site. Contracted services excluded from reporting are based on Product Service Codes (PSCs). The excluded PSCs are:

(1) W, Lease/Rental of Equipment;

(2) X, Lease/Rental of Facilities;

(3) Y, Construction of Structures and Facilities;

(4) D, Automatic Data Processing and Telecommunications, IT and Telecom-Telecommunications Transmission (D304) and Internet (D322) ONLY;

(5) S, Utilities ONLY;

(6) V, Freight and Shipping ONLY;

The contractor is required to completely fill in all required data fields using the following web address https://www.ecmra.mil.

Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk, linked at https://www.ecmra.mil.

CLAUSES INCORPORATED BY REFERENCE

52.203-18 Prohibition on Contracting With Entities That Require Certain

Internal Confidentiality Agreements or Statements-- Representation

JAN 2017

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 AUG 2020 52.204-18 Commercial and Government Entity Code Maintenance AUG 2020 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.204-22 Alternative Line Item Proposal JAN 2017 52.211-6 Brand Name or Equal AUG 1999 52.211-17 Delivery of Excess Quantities SEP 1989 52.212-1 Instructions to Offerors--Commercial Items JUN 2020 52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.237-1 Site Visit APR 1984 52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.247-34 F.O.B. Destination NOV 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

252.204-7003 Control Of Government Personnel Work Product APR 1992 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

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

SEP 2019

252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or Hazardous Materials

SEP 2014

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 DEC 2017 252.225-7048 Export-Controlled Items JUN 2013 252.225-7974 (Dev) Representation Regarding Business Operations with the

Maduro Regime (DEVIATION 2020-O0005)

FEB 2020

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

DEC 2018

252.237-7010 Prohibition on Interrogation of Detainees by Contractor Personnel

JUN 2013

252.243-7001 Pricing Of Contract Modifications DEC 1991 252.244-7000 Subcontracts for Commercial Items JUN 2013 252.247-7023 Transportation of Supplies by Sea FEB 2019

CLAUSES INCORPORATED BY FULL TEXT

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.

(End of 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.

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014) “TAILORED”

(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:

This procurement is 100% SMALL BUSINESS SET ASIDE. All responsible small business sources may submit a response which, if received in a timely manner, will be considered by the agency.

Each vendor must ensure that a completed FAR Provision 52.204-24 (Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment) accompanies their submitted quote.

This procurement is subject to the Buy American Act. If the product you are quoting is not American made, you must identify the country in which it is made.

An award will be made on the basis of best value, price and other factors considered. The Government intends to make an award to the vendor whose proposal represents the best value to the Government based on: (1) price; (2) technical acceptability; and (3) delivery and period of performance.

A mere statement that the vendor “will meet the Government’s requirements” is insufficient; the vendor must demonstrate how it will meet the requirement.

To ensure technical compliance with the requirements, vendor quotes shall include the following information:

1. Vendor Specifications. The manufacturer’s name and manufacturer’s complete part numbers of items shall be submitted in the quote.

2. Vendor’s quote shall include an active Cage Code and Federal Tax Identification number. Vendors are required to be registered with SAM database and have an active cage code at the time of submission of quote.

3. Clearly state if the quoter can meet the requested delivery and period of performance as stated in each

CLIN. If not, then state the best delivery date and period of performance.

Past performance will be verified via the Past Performance Information Retrieval System (PPIRS).

(b) 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.

(c) Quotes are to be submitted via email to jamie.fernandez@usmc.mil at 910-451-1578 by the response date notated on the solicitation.

(d) Questions will not be accepted after 12:00 PM Eastern Standard Time on 27 August, 2020.

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (JUN 2020)

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.

“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

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

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

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

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

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

(6) Have been voluntarily suspended.

“Sensitive technology”—

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

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

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

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).

“Service-disabled veteran-owned small business concern”—

(1) Means a small business concern—

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

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

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

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

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

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

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

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

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

“Subsidiary” means an entity in which more than 50 percent of the entity is owned—

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

“Veteran-owned small business concern” means a small business concern—

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

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

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

“Women-owned small business concern” means a small business concern --

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

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

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

(b)

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

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(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…