M6700124Q1098.pdf
PDF 943 KB Posted
- Attached to
- Telecomm Parts Federal contract opportunity
- Solicitation number
- M6700124Q1098
- Issued by
- United States Marine Corps
About this file
This document is a Request for Quote (RFQ) for the United States Marine Corps for the purchase of various telecommunications parts, cables, and auxiliary items to restock the Base Telephone's Warehouse.
The RFQ includes a detailed list of the required supplies, including quantities, brand names or approved equals, and salient physical, functional, and performance characteristics. Key items include splice cases, splice trays, fiber optic patch cords, Ethernet cables, telephone equipment, and other connectivity components. The total requirement is for a large quantity of items across multiple line items. The solicitation requires delivery within 16 weeks of award. The basis of award will be on price, technical capability, and delivery. The acquisition is set aside for small business and includes applicable clauses for small business programs. Quotes are due by June 13, 2024.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| RFQ M6700124Q1098 Amendment 0001.pdf | ||
| Brand Names Justification.pdf | ||
| M6700124Q1098.pdf |
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Text version
SEE A DDENDUM
(No Collect Call s)
M6700124Q1098 22-May-2024
b. TELEPHONE NUMBER
910-451-1595
8. OFF ER DUE DAT E/LOCAL T IME
02:00 PM 13 Jun 2024
5. SOLICIT ATION NUM BER 6. SOLICITAT ION ISSUE DAT E
A UTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STA NDARD FORM 1449 (REV . 2/2012)
Prescribed by GSA – FAR (48 CFR) 53.212
(TYPE OR P RINT)
(SIGNAT URE OF CONTRACTING OFFICER)
ADDENDA X ARE
26. TOTAL AWARD AMOUNT (For Gov t. Us e Only )
23.
CODE 10. THIS ACQUISITION IS
SUCH ADDRESS IN OFFER
17b. CHECK IF REMITTA NCE IS DIFFERENT A ND PUT
BELOW IS CHECKED
TELEPHONE NO.
M670019. ISSUED BY
18b. SUBMIT INVOICES TO A DDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK
7. FOR SOLICITATION
INFORM AT ION CALL:
a. NAME
EMILY N. TSAN
2. CONTRACT NO. 3. AWARD/EFF ECTIVE DATE 4. ORDER NUM BER
(TYPE OR PRINT)
30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER
30a. SIGNA TURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA
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. REQUISIT ION 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
M MP1004531250
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:
. Y OUR 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
M67001MARINE CORPS FIELD CONTRACTING SY S
ATTN: EMILY TSAN
PO BOX 8368 BLDG 316
CAMP LEJ EUNE NC 28546
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 MP100 16. ADMINISTERED BY
12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
SEE SCHEDULE
14. METHOD OF SOLICITATION
RFQ IFB RFPX
DISTRIBUTION M ANAGEMENT OF FICE MCB CLNC
KENTON FORD
BLDG 1012 O ST REET (M /F)
CAMP LEJEUNE NC 28542
T EL: FAX:
910-451-1275FAX:
TEL: 910-451-1595 SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
X 8(A)
HUBZONE SMALL
BUSINESS
SIZE STANDARD:
1,250
NAICS:
334210
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. QUA NTITY UNIT UNIT PRICE AMOUNT
24.22.21.19.
WOM EN-OWNED SM ALL BUSINESS (WOSB)
ELIGIBLE UNDER THE WOMEN-OWNED
SM ALL BUSINESS P ROGRAM
EDWOSB
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
(CONTINUED)
PAGE 2 OF59
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 PAY MENT
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
STANDA RD FORM 1449 (REV. 2/2012) BA CK
Prescribed by GSA – FAR (48 CFR) 53.212
AUTHORIZED FOR LOCA L REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
SEE SCHEDULE
20.
SCHEDULE OF SUPPLIES/ SERVICES
21.
QUA NTITY UNIT
22. 23.
UNIT PRICE
24.
AMOUNT
19.
ITEM NO.
M6700124Q1098
Section SF 1449 - CONTINUATION SHEET
QUESTIONS AND ANSWERS
TELECOMM PARTS RESTOCK
Q1. The feedback that I have received on this RFQ material list is that it is unconventional for fiber jumpers to be plenum rated and that they would all be specially customized whereas PVC would be readily available and more cost effective. Can you confirm that it is a requirement for the fiber jumpers to be plenum rated, please?
A1. It is not a requirement for the Fiber Jumpers to be Plenum rated.
NOTICE TO OFFERORS
QUESTIONS: Questions related to this Request for Quote (RFQ) shall be received by the Contracting Department by 04 June 2024 at 2:00 PM EST. Responses to questions will be provided after that date via Amendment to the RFQ and posted in NASA SEWP.
SUBMISSION OF QUOTES: Quotes may be submitted via email (no larger than 2MB) to emily.n.tsan.civ@usmc.mil; (PREFERRED METHOD) or via hand delivery/courier to Contracting Department, Bldg. 308, Holcomb Blvd, Camp Lejeune, NC 28542. It is solely the Offeror’s responsibility to ensure quotes are submitted in accordance with FAR provision 52.212-1 including its addenda, and received within the required timeframe. All quotes, if timely received, will be considered for award. The information submitted shall be clear and legible.
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0001 4 Kit Preformed Line Products Splice Case
FFP
BRAND NAME
Manufacturer: Preformed Model: Armadillo Stainless Part Number: 8006220 FOB: Destination
BRAND NAME/SOLE SOURCE: BN
PURCHASE REQUEST NUMBER: MMP1004531250
PSC CD: 5999
NET AMT
0002 99 Each Preformed Line Products Splice Tray
FFP
BRAND NAME
Manufacturer: Preformed Model: Coyote Part Number: 80806033 FOB: Destination
BRAND NAME/SOLE SOURCE: BN
0003 34 Each Patch Cord Fiber Optic
FFP
"Brand Name or Equal:"
Manufacturer: Quiktron Model: Jumper Cable Part Number: 810-LL7-033 An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Length – 10 Meter Connector End #1 – LC Duplex Connector End #2 – LC Duplex Fiber Type – Single Mode Color – Yellow
FOB: Destination
0004 50 Each Patch Cord Fiber Optic
FFP
"Brand Name or Equal:"
Manufacturer: Quiktron Model: LC-ST Part Number: 810-L12-009 An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Length – 3 Meter Connector End #1 – LC Duplex Connector End #2 – ST Duplex Fiber Type – Multi-Mode Fiber Size – 62.5um Color – Orange
FOB: Destination
0005 190 Each Patch Cord Fiber Jumper
FFP
"Brand Name or Equal:"
Manufacturer: Quiktron Model: Jumper Cable Part Number: 810-132-009 An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Length – 3 Meter Connector End #1 – SC Duplex Connector End #2 – ST Duplex Fiber Type – Multi-Mode Fiber Size – 62.5um Color – Orange
FOB: Destination
0006 238 Each Patch Cord Fiber Jumper
FFP
"Brand Name or Equal:"
Manufacturer: Quiktron Model: Jumper Cable Part Number: 810-L27-017 An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Length – 5 Meter Connector End #1 – LC Duplex Connector End #2 – ST Duplex Fiber Type – Single Mode Color – Yellow
FOB: Destination
0007 22 Each Patch Cord Fiber Jumper
FFP
"Brand Name or Equal:"
Manufacturer: Quiktron Model: Jumper Cable Part Number: 810-227-017 An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Length – 5 Meter Connector End #1 – ST Duplex Connector End #2 – ST Duplex Fiber Type – Single Mode Color – Yellow
FOB: Destination
0008 205 Each Patch Cord Fiber Optic
FFP
"Brand Name or Equal:"
Manufacturer: Show Me Cables Model: APC-UPC Singlemode Part Number: 30-319-05M An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Length – 5 Meter Connector End #1 – SC-APC Duplex Connector End #2 – ST-UPC Duplex Fiber Type – Single Mode Color – Yellow
FOB: Destination
0009 180 Each Patch Cord Fiber Optic
FFP
"Brand Name or Equal:"
Manufacturer: Show Me Cables Model: APC-UPC Singlemode Part Number: 30-318-03M An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Length – 3 Meter Connector End #1 – SC-APC Duplex Connector End #2 – SC-UPC Duplex Fiber Type – Single Mode Color – Yellow
FOB: Destination
0010 209 Each Patch Cord Fiber Optic
FFP
"Brand Name or Equal:"
Manufacturer: Show Me Cables Model: APC-UPC Singlemode Part Number: 30-318-05M An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Length – 5 Meter Connector End #1 – SC-APC Duplex Connector End #2 – SC-UPC Duplex Fiber Type – Single Mode Color – Yellow
FOB: Destination
0011 208 Each Patch Cord Fiber Optic
FFP
"Brand Name or Equal:"
Manufacturer: Show Me Cables Model: APC-UPC Singlemode Part Number: 30-318-10M An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Length – 10 Meter Connector End #1 – SC-APC Duplex Connector End #2 – SC-UPC Duplex Fiber Type – Single Mode Color – Yellow
FOB: Destination
0012 31 Each Patch Cord Fiber Optic
FFP
"Brand Name or Equal:"
Manufacturer: Quiktron Model: Jumper Cable Part Number: 810-L27-009 An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Length – 3 Meter Connector End #1 – LC Duplex Connector End #2 – ST Duplex Fiber Type – Single Mode Color – Yellow
FOB: Destination
0013 500 Each Cortelco Telephone
FFP
BRAND NAME
Manufacturer: Cortelco Model: 9 Series Multi-Feature Speaker Telephone Part Number: 912500TP227S FOB: Destination
BRAND NAME/SOLE SOURCE: BN
0014 30 Kit Unicam Kit
FFP
BRAND NAME
Manufacturer: Corning Model: Unicam Part Number: 95-050-41-X-Z FOB: Destination
BRAND NAME/SOLE SOURCE: BN
0015 76 Kit Unicam Kit
FFP
BRAND NAME
Manufacturer: Corning Model: Unicam Part Number: 95-200-41-Z FOB: Destination
BRAND NAME/SOLE SOURCE: BN
0016 48 Each Connector Housing Panel
FFP
BRAND NAME
Manufacturer: Corning Model: Closet Connector Housing Part Number: CCH-CP12-E7 FOB: Destination
BRAND NAME/SOLE SOURCE: BN
0017 10 Each Dome Closure Kit
FFP
BRAND NAME
Manufacturer: Preformed Model: Coyote One Part Number: COY1-001 FOB: Destination
BRAND NAME/SOLE SOURCE: BN
0018 5 Each Dome Closure Cable Restraint Bracket
FFP
BRAND NAME
Manufacturer: Preformed Model: Coyote Part Number: COYW622P001 FOB: Destination
BRAND NAME/SOLE SOURCE: BN
0019 152 Each Ethernet Cable
FFP
"Brand Name or Equal:"
Manufacturer: Show Me Cables Model: Cat6 Ethernet Cable Part Number: 600-15 GY An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Cable Type – Category 6 Pair Count – 4 Pair Wire size – 30 AWG Connector Type – Booted RJ45 Boot Type – Snagless Length – 15 Foot Jacket Color – Gray
FOB: Destination
0020 131 Each Ethernet Cable
FFP
"Brand Name or Equal:"
Manufacturer: Show Me Cables Model: Cat6 Ethernet Cable Part Number: 600-14 GY An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Cable Type – Category 6 Pair Count – 4 Pair Wire size – 24 AWG Connector Type – Booted RJ45 Boot Type – Snagless Length – 14 Foot Jacket Color – Gray
FOB: Destination
0021 60 Each Category 6 Cable
FFP
"Brand Name or Equal:"
Manufacturer: Mohawk Model: 6LAN Part Number: M58286B An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Type Cable – Category 6 Pair Count – 4 Wire Gauge – 23 AWG Flammability Rating – Plenum Jacket Color – Green Length – 1000 Foot Configuration – Spool in a Box
FOB: Destination
0022 1,250 Each Ethernet Cable
FFP
"Brand Name or Equal:"
Manufacturer: Show Me Cables Model: Cat6 Ethernet Cable Part Number: 600-07 GN An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Cable Type – Category 6 Pair Count – 4 Pair Wire Gauge – 24 AWG Wire Type – Stranded Connector Type – Booted RJ-45 Length – 7 Foot Jacket Color – Green
FOB: Destination
0023 7 Each Patch Cord
FFP
"Brand Name or Equal:"
Manufacturer: Quiktron Model: Fiber Optic Patch Cable Part Number: 810-L47-066 An “Equal” item must meet the following salient physical, functional, or performance characteristics to be considered for award:
Length – 20 Meter Connector End #1 – LC Duplex Connector End #2 – SC Duplex Fiber Type – Single Mode Color – Yellow
FOB: Destination
0024 50 Each Panduit Patch Panel
FFP
BRAND NAME
Manufacturer: Panduit Model: Pan-Net Voice Patch Panel Part Number: VP50384KBLY FOB: Destination
BRAND NAME/SOLE SOURCE: BN
0025 90 Each Siemon Outlet
FFP
BRAND NAME
Manufacturer: Siemon Model: ZMAX Part Number: Z6A-04 FOB: Destination
BRAND NAME/SOLE SOURCE: BN
0026 200 Each Siemon Outlet
FFP
BRAND NAME
Manufacturer: Siemon Model: ZMAX Part Number: Z6A-20 FOB: Destination
BRAND NAME/SOLE SOURCE: BN
0027 100 Each Siemon Outlet
FFP
BRAND NAME
Manufacturer: Siemon Model: ZMAX Part Number: Z6A-S20 FOB: Destination
BRAND NAME/SOLE SOURCE: BN
0028 10 Bag Siemon Blank Panel
FFP
BRAND NAME
Manufacturer: Siemon Model: ZMAX Patch Panel Part Number: Z-BL-01 FOB: Destination
BRAND NAME/SOLE SOURCE: BN
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
DELIVERY INFORMATION
CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /
CAGE
0001 16 wks. ADC 4 DISTRIBUTION MANAGEMENT OFFICE
MCB CLNC
KENTON FORD
BLDG 1012 O STREET (M/F)
CAMP LEJEUNE NC 28542
FOB: Destination
MMP100
0002 16 wks. ADC 99 (SAME AS PREVIOUS LOCATION)
0003 16 wks. ADC 34 (SAME AS PREVIOUS LOCATION)
0004 16 wks. ADC 50 (SAME AS PREVIOUS LOCATION)
0005 16 wks. ADC 190 (SAME AS PREVIOUS LOCATION)
0006 16 wks. ADC 238 (SAME AS PREVIOUS LOCATION)
0007 16 wks. ADC 22 (SAME AS PREVIOUS LOCATION)
0008 16 wks. ADC 205 (SAME AS PREVIOUS LOCATION)
0009 16 wks. ADC 180 (SAME AS PREVIOUS LOCATION)
0010 16 wks. ADC 209 (SAME AS PREVIOUS LOCATION)
0011 16 wks. ADC 208 (SAME AS PREVIOUS LOCATION)
0012 16 wks. ADC 31 (SAME AS PREVIOUS LOCATION)
0013 16 wks. ADC 500 (SAME AS PREVIOUS LOCATION)
0014 16 wks. ADC 30 (SAME AS PREVIOUS LOCATION)
0015 16 wks. ADC 76 (SAME AS PREVIOUS LOCATION)
0016 16 wks. ADC 48 (SAME AS PREVIOUS LOCATION)
0017 16 wks. ADC 10 (SAME AS PREVIOUS LOCATION)
0018 16 wks. ADC 5 (SAME AS PREVIOUS LOCATION)
0019 16 wks. ADC 152 (SAME AS PREVIOUS LOCATION)
0020 16 wks. ADC 131 (SAME AS PREVIOUS LOCATION)
0021 16 wks. ADC 60 (SAME AS PREVIOUS LOCATION)
0022 16 wks. ADC 1,250 (SAME AS PREVIOUS LOCATION)
0023 16 wks. ADC 7 (SAME AS PREVIOUS LOCATION)
0024 16 wks. ADC 50 (SAME AS PREVIOUS LOCATION)
0025 16 wks. ADC 90 (SAME AS PREVIOUS LOCATION)
0026 16 wks. ADC 200 (SAME AS PREVIOUS LOCATION)
0027 16 wks. ADC 100 (SAME AS PREVIOUS LOCATION)
0028 16 wks. ADC 10 (SAME AS PREVIOUS LOCATION)
CLAUSES INCORPORATED BY REFERENCE
52.203-12 Limitation On Payments To Influence Certain Federal
Transactions
JUN 2020
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 Products and
Commercial Services
SEP 2023
ADDENDA TO FAR 52.212-1
Addendum to paragraph (b)(4):
The offeror shall submit with their offer:
Technical Capability:
Descriptive literature outlining the specifications of the items quoted to include drawings, the manufacturer’s name, and manufacturer’s complete part numbers of all items offered.
Delivery Information:
Clearly state if the offeror can meet the required delivery date as stated in each line item. If not then provide an alternate delivery date for each line item.
Addendum to paragraph (b)(6):
The offeror shall submit with their offer:
Price:
The price offered must reflect unit prices, extended amounts per line item, and overall total.
(Note: All prices must be actual “face-value” pricing having already accounted for any discounts offered and extended to the Government).
Addendum to paragraph (b)(8):
Completed Representations and Certifications. The following representations and certifications must be completed and returned as part of the vendor’s quote:
FAR 52.212-3 (Note that vendor is only required to complete paragraph (b) if they have not completed annual representations and certifications via the System for Award Management (SAM) website.)
FAR 52.204-26, Covered Telecommunications Equipment or Services – Representation -OR- FAR 52.204-24, Representation regarding Certain Telecommunications and Video Surveillance Services or Equipment
DFARS 252.204-7016, Covered Defense Telecommunication Equipment or Services – Representation -OR- DFARS 252.204-7017, Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services – Representation
Provide the following: CAGE Code
(End of Addenda to Provision)
CLAUSES INCORPORATED BY REFERENCE
52.212-4 Contract Terms and Conditions--Commercial Products and
Commercial Services
NOV 2023
52.219-1 Alt I Small Business Program Representations (FEB 2024) Alternate I
FEB 2024
52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 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 DEC 2022 252.203-7005 Representation Relating to Compensation of Former DoD
Officials
SEP 2022
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 (Dev) Safeguarding Covered Defense Information and Cyber Incident Reporting (DEVIATION 2024-O0013)
MAY 2024
252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support
JAN 2023
252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services
JAN 2023
252.204-7024 Notice on the Use of the Supplier Performance Risk System MAR 2023 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
252.223-7008 Prohibition of Hexavalent Chromium JAN 2023 252.223-7997 (Dev) Prohibition on Procurement of Certain Items Containing
Perfluorooctane Sulfonate or Perfluorooctanoic Acid - Representation (DEVIATION 2022-O0010)
SEP 2022
252.223-7998 (Dev) Prohibition on Procurement of Certain Items Containing Perfluorooctane Sulfonate or Perfluorooctanoic Acid
(DEVIATION 2022-O0010)
SEP 2022
252.225-7001 Buy American and Balance of Payments Program FEB 2024 252.225-7002 Qualifying Country Sources As Subcontractors MAR 2022 252.225-7048 Export-Controlled Items JUN 2013 252.225-7055 Representation Regarding Business Operations with the
Maduro Regime
MAY 2022
252.225-7056 Prohibition Regarding Business Operations with the Maduro Regime
JAN 2023
252.225-7059 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region - Representation
JUN 2023
252.225-7060 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region
JUN 2023
252.232-7003 Electronic Submission of Payment Requests and Receiving Reports
DEC 2018
252.239-7098 (Dev) Prohibition on Contracting to Maintain or Establish a Computer Network Unless Such Network is Designed to Block Access to Certain Websites - Representation.
(Deviation 2021-O0003)
APR 2021
252.243-7001 Pricing Of Contract Modifications DEC 1991 252.244-7000 Subcontracts for Commercial Products or Commercial
Services
NOV 2023
252.246-7008 Sources of Electronic Parts JAN 2023 252.247-7023 Transportation of Supplies by Sea JAN 2023
CLAUSES INCORPORATED BY FULL TEXT
52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO
SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)
The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services-- Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications- Commercial Products and Commercial Services. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.
(a) Definitions. As used in this provision-
Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause
52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.
(b) Prohibition.
(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.
115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to--
(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or
(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.
(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.
115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to--
(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or
(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.
(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services."
(d) Representations. The Offeror represents that--
(1) It [ ___ ] will, [ ___ ] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and
(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that--
It [ ___ ] does, [ ___ ] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.
(e) Disclosures.
(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:
(i) For covered equipment--
(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);
(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and
(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.
(ii) For covered services--
(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or
(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.
(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:
(i) For covered equipment--
(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);
(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and
(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.
(ii) For covered services--
(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or
(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.
(End of provision)
52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES--REPRESENTATION (OCT
2020)
(a) Definitions. As used in this provision, “covered telecommunications equipment or services” and "reasonable inquiry" have 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) Representations.
(1) 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.
(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 any equipment, system, or service that uses covered telecommunications equipment or services.
52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021)
(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose quote 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:
BASIS OF AWARD: Quotes will be evaluated based on (1) price; (2) technical capability of the item offered to meet the Government’s requirement; and (3) delivery.
This acquisition will be conducted in accordance with FAR Part 12, Acquisition of Commercial Products and Commercial Services, and FAR Part 13, Simplified Acquisition Procedures.
(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.
(End of Provision)
52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL PRODUCTS AND
COMMERCIAL SERVICES (FEB 2024) ALTERNATE I (FEB 2024)
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, and the concern is certified by SBA or an approved third-party certifier in accordance with 13 CFR 127.300. 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.
"Predecessor" means an entity that is replaced by a successor and includes any predecessors of the predecessor.
"Reasonable inquiry" has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.
"Restricted business operations" means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate--
(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;
(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;
(3) Consist of providing goods or services to marginalized populations of Sudan;
(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;
(5) Consist of providing goods or services that are used only to promote health or education; or
(6) Have been voluntarily suspended.
"Sensitive technology"--
(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically--
(i) To restrict the free flow of unbiased information in Iran; or
(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and
(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).
"Service-disabled veteran-owned small business (SDVOSB) concern" means a small business concern--
(1)(i) Not less than 51 percent of which is owned and controlled 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; or
(2) A small business concern eligible under the SDVOSB Program in accordance with 13 CFR part 128 (see subpart 19.14).
(3) Service-disabled veteran, as used in this definition, 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), and who is registered in the Beneficiary
Identification and Records Locator Subsystem, or successor system that is maintained by the Department of Veterans Affairs' Veterans Benefits Administration, as a service-disabled veteran.
"Service-disabled veteran-owned small business (SDVOSB) concern eligible under the SDVOSB Program" means an SDVOSB concern that--
(1) Effective January 1, 2024, is designated in the System for Award Management (SAM) as certified by the Small Business Administration (SBA) in accordance with 13 CFR 128.300; or
(2) Has represented that it is an SDVOSB concern in SAM and submitted a complete application for certification to SBA on or before December 31, 2023.
"Service-disabled veteran-owned small business (SDVOSB) Program" means a program that authorizes contracting officers to limit competition, including award on a sole-source basis, to SDVOSB concerns eligible under the SDVOSB Program.
"Small business concern"--
(1) Means a concern, including its affiliates, that is independently owned and operated, not dominant in its field of operation, and qualified as a small business under the criteria in 13 CFR part 121 and size standards in this solicitation.
(2) Affiliates, as used in this definition, means business concerns, one of whom directly or indirectly controls or has the power to control the others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13
CFR 121.103.
"Small disadvantaged business concern, consistent with 13 CFR 124.1001", 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 the threshold at 13 CFR 124.104(c)(2) 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.
"Successor" means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term "successor" does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.
"Veteran-owned small business concern" means a small business concern--
(1) Not less than 51 percent of which is owned and controlled 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 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, and the concern is certified by SBA or an approved third-party certifier in accordance with 13 CFR 127.300.
(b) (1) Annual Representations and Certifications. Any changes provided by the Offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications in SAM.
(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications--Commercial Products and Commercial Services, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(s) applicable to the NAICS code(s) referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ___
[Offeror to identify the applicable paragraphs at (c) through (v) of this provision that the offeror has completed for the purposes of this solicitation only, if any.
These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.
Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]
(c) Offerors must complete the following representations when the resulting contract is for supplies to be delivered or services to be performed in the United States or its outlying areas, or when the contracting officer has applied part 19 in accordance with 19.000(b)(1)(ii). Check all that apply.
(1) Small business concern. The offeror represents as part of its offer that--
(i) It [ ___ ] is, [ ___ ] is not a small business concern; or
(ii) It [ ___ ] is, [ ___ ] is not a small business joint venture that complies with the requirements of 13 CFR 121.103(h) and 13 CFR 125.8(a) and (b). [The offeror shall enter the name and unique entity identifier of each party to the joint venture: ___ ]
(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) SDVOSB 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 that it [ ___ ] is, [ ___ ] is not an SDVOSB concern.
(4) SDVOSB concern joint venture eligible under the SDVOSB Program. The offeror represents that it [ ___ ] is, [ ___ ] is not an SDVOSB joint venture eligible under the SDVOSB Program that complies with the requirements of 13 CFR 128.402. [Complete only if the offeror represented itself as an SDVOSB concern in paragraph (c)(3) of this provision.] [The offeror shall enter the name and unique entity identifier of each party to the joint venture:
(5) 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.
(6) 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.
(7) WOSB joint venture eligible under the WOSB Program. The offeror represents that it [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR 127.506(a) through (c). [The offeror shall enter the name and unique entity identifier of each party to the joint venture: ___ .]
(8) Economically disadvantaged women-owned small business (EDWOSB) joint venture. The offeror represents that it [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR 127.506(a) through (c).
[The offeror shall enter the name and unique entity identifier of each party to the joint venture: ___ .]
Note to paragraphs (c)(9) and (10): Complete paragraphs (c)(9) and (10) only if this solicitation is expected to exceed the simplified acquisition threshold.
(9) Women-owned business concern (other than small business concern). (Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents that it ( ___ ) is, a women-owned business concern.
(10) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price: _________
(11) HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that--
(i) It [ ___ ] is, [ ___ ] is not a HUBZone small business concern listed, on the date of this representation, as having been certified by SBA as a HUBZone small business concern in the Dynamic Small Business Search and SAM, and will attempt to maintain an employment rate of HUBZone residents of 35 percent of its employees during performance of a HUBZone contract (see 13 CFR 126.200(e)(1)); and
(ii) It [ ___ ] is, [ ___ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR 126.616(a) through (c). [The offeror shall enter the name and unique entity identifier of each party to the joint venture: ___ .] Each HUBZone small business concern participating in the HUBZone joint venture shall provide representation of its HUBZone status.
(12) (Complete if the offeror has represented itself as disadvantaged in paragraph (c)(5) of this provision.)
___ Black American.
___ Hispanic American.
___ Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians).
___ Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, Republic of Palau, Republic of the Marshall Islands, Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).
___ Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal).
___ Individual/concern, other than one of the preceding.
(d) Certifications and representations required to implement provisions of Executive Order 11246--
(1) Previous Contracts and Compliance. The offeror represents that--
(i) It ( ___ ) has, ( ___ ) has not, participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation, and
(ii) It ( ___ ) has, ( ___ ) has not, filed all required compliance reports.
(2) Affirmative Action Compliance.
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