M6700125Q0013 Chemcial RFQ.pdf

SEE ADDENDUM

(No Collect Calls)

M6700125Q0013 13-Mar-2025

b. TELEPHONE NUMBER

910-451-7848

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 21 Apr 2025

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

M670019. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

PATRICIA QUINONES

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

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

MMP1005692546

ARE NOT ATTACHED

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

M67001

MARINE CORPS FIELD CONTRACTING SYS

PO BOX 8368 BLDG 316

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 MMP100 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

MMP100 MCB TELECOMMUNICATIONS

TERESA COVINGTON

PUBLIC WORKS RECEIVING

1101 BIRCH STREET DOOR 4

CAMP LEJEUNE NC 28542

TEL: 910-451-3994 FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

1,000

NAICS:

325180

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

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

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF94

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

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

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

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

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

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

M6700125Q0013

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Lot

BASE YEAR CHEMICALS CAMP LEJEUNE

FP-EPA

Base Year Chemicals 15 June 2025 through 14 June 2026.

FOB: Destination

PURCHASE REQUEST NUMBER: MMP1005692546

PSC CD: 6810

NET AMT

000101

SULFRIC ACID

FFP

SULFRIC ACID SOLUTION 33-39% H2SO4

Unit of Issue equals 1 Gallon

Estimated quantity per 12 months= 6,500 Gallons

** One quarterly delivery order equal three-monthly deliveries and three-monthly invoices for payment**

000102

LIQUID SODIUM HYPOCHLORITE

FFP

LIQUID SODIUM HYPOCHLORITE-- NaCIO

Unit of issue equals 1 Gallon

Estimated quantity for 12 months = 111,000 Gallons

000103

CALCIUM HYPOCHLORITE

FFP

CALCIUM HYPOCHLORITE- GRANULAR -

Calcium process; Available chlorine 65% min; Moisture; 3% max; Calcium chlorite; 9% Granular size 8 to 60 meshes

Unit of Issue equals 100 lb drum

Estimated Qty For 12 Months equal 225 Drums

000104

SODIUM FLOURIDE

FFP

SODIUM FLOURIDE-- NaF

Unit of Issue equals 50 LB BAGS

Estimated Qty for 12 months =700 (50 lb) Bags

000105

ROCK SALT

FFP

ROCK SALT-

NaCI 99.6% pure; Rock Salt;1 tank truck @approximately 25 tons

Unit of Issue equals 25 Ton tankard --

Estimated quantity for 12 months = 55 Ton Tankards

** One quarterly delivery order equals three-monthly deliveries and three-monthly

000106

METHANOL

FFP

METHANOL-CH3OH

Unit of Issue equals 1 Gallon

Estimated quantity for 12 months = 37,000 gallons

000107

ROCK SALT

FFP

ROCK SALT- NaCl

Unit of issue equals 50 pound bags

Estimated quantities for 12 months = 9000 (50 lb) bags

** One quarterly delivery order equals three-monthly deliveries and three-monthly invoices for payment**

000108

LIQUID ALUMINUM SULFATE

FFP

LIQUID ALUMINUM SULFATE

A12(SO4)3-14.3 H20; Percentage active liquid alum 8.32%; specific gravity 1.326

@98 degrees.

Unit of issue equal one (1) ton

** One quarterly delivery order equals three-monthly deliveries and three-

Estimated quantity for 12 months = 700 tons

000109

SULFURIC ACID 50%

FFP

Sulfuric Acid-50%

H2SO4

Unit of Issue equals 1 Gallon

Estimated quantity for 12 months = 4000 GALS

000110

SODIUM HYDROXIDE- 25%

FFP

Sodium Hydroxide-25%

NaOH

Unit of issue equals 1 Gallon

Estimated quantity for 12 months= 20,000 Gallons

000111

MURIATIC ACID

FFP

Muriatic Acid

HCl

Unit of Issue 1 case

Estimated quantity for 12 months = 400 cases

000112 CARUS 4200 or equal

FFP

CARUS 4200 or equal

(Blended phosphate solution) Orthophophate 23.8%-29.2%; Specifice gravity 1.47-

1.55; pH, 1% solution >9.5

Unit of Issue equals (1) 55 Gallon Drum

** One quarterly delivery order equals three-monthly deliveries and three-

Estimated quantity for 12 months = 100 Drums

000113

SUGAR WATER

FFP

Sugar Water WT-310 CS

Unit of issue equals One (1) Tote

1 Tote equals 275 Gallons/2800 LB

Estimated quantity for 12 months= 100 Totes

** One quarterly delivery order equals three -monthly deliveries and three-

000114

SULFURIC ACID 93%

FFP

SULFURIC ACID 93%

H2S04

Unit of Issue equals 1 Gallon

Estimated quantity for 12 months = 51,000 gallons

** One quarterly delivery order equals three -monthly deliveries and three -

000115

SODIUM BISULFITE LIQUID 38-40%

FFP

Sodium Bisulfite Liquid 38-40%

Unit of Issue equals 1 Gallon

Estimated quantity for 12 months = 20,000 Gallons

** One quarterly delivery order equal three- monthly deliveries and three-

000116

AQUAL FLOW LIME SLURRY

FFP

AQUAL FLOW LIME SLURRY

Unit of Issue equals 1 Gallon

Estimated quantity for 12 months equals 70,000 Gallons

000117

HYDROFLUOSILICIC ACID

FFP

HYDROFLUOSILICIC ACID

Unit of Issue equals 1 Gallon

Estimated quantity for 12 months equals 5000 gallons

1001 Each

OPTION Option Year One Chemicals

FP-EPA

Option year one Chemicals 15 June 2026 through 14 June 2027

FOB: Destination

PSC CD: 6810

100101

SULFURIC ACID SOLUTION 33-39%

FFP

SULFRIC ACID SOLUTION 33-39%

H2S04

Unit of Issue equals 1 Gallon

Estimated quantity per 12 months= 6,500 Gallons

** One quarterly delivery order equal three-monthly deliveries and three- monthly

100102

LIQUID SODIUM HYPOCHLORITE

FFP

LIQUID SODIUM HYPOCHLORITE

NaClO- Approximately 12.5%- Manufacturer date can be no more than 10 days prior to delivery. Manufacturer date must be provided at time of delivery

** One quarterly delivery order equal three-monthly deliveries and three- monthly invoices for payment**

Unit of issue equals 1 Gallon

Estimated quantity for 12 months = 111,000 Gallons

100103

CALCIUM HPOCHLORITE-GRANULAR

FFP

CALCIUM HYPOCHLORITE- GRANULAR

Calcium process; Available chlorine; 65% min Moisture; 3% max; Calcium chlorite; 9% Granular size 8 to 60 meshe; Appearance; white or light grey powder, granular, mixed tablet

** One quarterly delivery order equals three-monthly deliveries and three monthly invoices for payment**

Unit of Issue equals 100 lb. drum

Estimated Qty For 12 Months equals 225 Drums

100104

SODIUM FLUORIDE

FFP

SODIUM FLOURIDE-- NaF

Unit of Issue equals 50 LB BAGS

Estimated Qty for 12 months =700 (50 lb.) Bags

100105

ROCK SALT

FFP

ROCK SALT-

NaCl; 99.6% pure Rock Salt

Unit of Issue equals 25 Ton tankard --

Estimated quantity for 12 months = 55 Ton Tankards

100106

METHANOL

FFP

METHANOL

CH3OH

Unit of Issue equals 1 Gallon

Estimated quantity for 12 months = 37,000 gallons

100107

ROCK SALT

FFP

ROCK SALT

NaCl 99.6 pure

Unit of issue equals 50-pound bags

Estimated quantities for 12 months = 9000 (50 lb.) bags

100108

LIQUID ALUMINUM SULFATE

FFP

LIQUID ALUMINUM SULFATE

A12 (SO4)3-14.3 H20; Percentage active liquid alum 8.32%; specific gravity

1.326@98 degrees

Unit of issue equals one (1) Net ton

Estimated quantity for 12 months equal 700 net tons

** One quarterly delivery order equal three-monthly deliveries and three- monthly

Estimated quantity for 12 months = 700 tons

100109

SULFURIC ACID- 50%

FFP

Sulfuric Acid-50%

H2SO4

Unit of Issue equals 1 Gallon

Estimated quantity for 12 months = 4000 GALS

100110

SODIUM HYDROXIDE-25%

FFP

Sodium Hydroxide-25%

NaOH

Unit of issue equals 1 Gallon

Estimated quantity for 12 months= 20,000 Gallons

100111

MURIATIC ACID

FFP

Muriatic Acid (Also known as hydrochloric acid) HCl

Unit of Issue 1 case

Estimated quantity for 12 months = 400 cases

100112

CARUS 4200 OR EQUAL

FFP

CARUS 4200 or equal

(Blended phosphate solution) Orthophosphate 23.9%-29.2%; Specific gravity 1.47-

1.55; pH, 1% solution >9.5

Unit of Issue equals (1) 55 Gallon Drum

** One quarterly delivery order equal three-monthly deliveries and three- monthly

Estimated quantity for 12 months = 100 Drums

100113

SUGAR WATER WT-310 CS

FFP

Sugar Water WT-310 CS

Unit of issue equals One (1) Tote

1 Tote equals 275 Gallons/2800 LB

Estimated quantity for 12 months= 100 Totes

100114

SULFURIC ACID 93%

FFP

SULFURIC ACID 93%

H2SO4, Approximately 93% Requires on board air system for delviery

Unit of Issue equals 1 Gallon

Estimated quantity for 12 months = 51,000 gallons

100115

SODIUM BISULFITE LIQUID 38-40%

FFP

Sodium Bisulfite Liquid 38-40%

Unit of Issue equals 1 Gallon

Estimated quantity for 12 months = 20,000 Gallons

100116

AQUAL FLOW SLURRY

FFP

AQUAL FLOW LIME SLURRY

Unit of Issue equals 1 Gallon

Estimated quantity for 12 months equals 70,000 Gallons

100117

HYDROFLUOSILICIC ACID

FFP

HYDROFLUOSILICIC ACID

Unit of Issue equals 1 Gallon

Estimated quantity for 12 months equals 5000 gallons

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

000101 N/A N/A N/A N/A

000102 N/A N/A N/A N/A

000103 N/A N/A N/A N/A

000104 N/A N/A N/A N/A

000105 N/A N/A N/A N/A

000106 N/A N/A N/A N/A

000107 N/A N/A N/A N/A

000108 N/A N/A N/A N/A

000109 N/A N/A N/A N/A

000110 N/A N/A N/A N/A

000111 N/A N/A N/A N/A

000112 N/A N/A N/A N/A

000113 N/A N/A N/A N/A

000114 N/A N/A N/A N/A

000115 N/A N/A N/A N/A

000116 N/A N/A N/A N/A

000117 N/A N/A N/A N/A

1001 Destination Government Destination Government

100101 N/A N/A N/A N/A

100102 N/A N/A N/A N/A

100103 N/A N/A N/A N/A

100104 N/A N/A N/A N/A

100105 N/A N/A N/A N/A

100106 N/A N/A N/A N/A

100107 N/A N/A N/A N/A

100108 N/A N/A N/A N/A

100109 N/A N/A N/A N/A

100110 N/A N/A N/A N/A

100111 N/A N/A N/A N/A

100112 N/A N/A N/A N/A

100113 N/A N/A N/A N/A

100114 N/A N/A N/A N/A

100115 N/A N/A N/A N/A

100116 N/A N/A N/A N/A

100117 N/A N/A N/A N/A

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 15-JUN-2025 TO

14-JUN-2026

N/A MMP100 MCB TELECOMMUNICATIONS

TERESA COVINGTON

PUBLIC WORKS RECEIVING

1101 BIRCH STREET DOOR 4

CAMP LEJEUNE NC 28542

910-451-3994

MMP100

000101 N/A N/A N/A N/A

000102 N/A N/A N/A N/A

000103 N/A N/A N/A N/A

000104 N/A N/A N/A N/A

000105 N/A N/A N/A N/A

000106 N/A N/A N/A N/A

000107 N/A N/A N/A N/A

000108 N/A N/A N/A N/A

000109 N/A N/A N/A N/A

000110 N/A N/A N/A N/A

000111 N/A N/A N/A N/A

000112 N/A N/A N/A N/A

000113 N/A N/A N/A N/A

000114 N/A N/A N/A N/A

000115 N/A N/A N/A N/A

000116 N/A N/A N/A N/A

000117 N/A N/A N/A N/A

1001 POP 15-JUN-2026 TO

14-JUN-2027

N/A MMP100 MCB TELECOMMUNICATIONS

TERESA COVINGTON

PUBLIC WORKS RECEIVING

1101 BIRCH STREET DOOR 4

CAMP LEJEUNE NC 28542

910-451-3994

MMP100

100101 N/A N/A N/A N/A

100102 N/A N/A N/A N/A

100103 N/A N/A N/A N/A

100104 N/A N/A N/A N/A

100105 N/A N/A N/A N/A

100106 N/A N/A N/A N/A

100107 N/A N/A N/A N/A

100108 N/A N/A N/A N/A

100109 N/A N/A N/A N/A

100110 N/A N/A N/A N/A

100111 N/A N/A N/A N/A

100112 N/A N/A N/A N/A

100113 N/A N/A N/A N/A

100114 N/A N/A N/A N/A

100115 N/A N/A N/A N/A

100116 N/A N/A N/A N/A

100117 N/A N/A N/A N/A

52.212-1 ADDENDUM

MISSION OF QUOTES.

Addenddum to paragraph (b):

Quotes shall be submitted electronically via e-mail to patricia.quinones@usmc.mil.

RFQ Number M6700125Q0013 must be clearly shown in the subject line.

The offeror shall submit with their offer:

Technical Capability:

Descriptive literature outlining the specifications of each SubClin Chemical and capability to provide

Seventeen (17) chemicals (see Salient Characteristics) quoted to include drawings, the manufacturer’s name, and manufacturer’s complete part numbers, Material Safety Data Sheet (MSDS) and Chemical analysis of all items offered. Chemicals will be delivered to the twenty-nine (29) locations as described in the

Performance Work Statement(PWS) and added to the specific site as required with a specialized truck.

Delivery Information:

Clearly state if the offeror can meet the required delivery dates for each of the twenty-nine 29 locations in the Performance Work Statement. If not then provide an alternate delivery dates for each line item.

Price:

The price offered must reflect unit prices, extended amounts per line item, and overall total on main CLINS and SubCLINS

(Note: All prices must be actual “face-value” pricing having already accounted for any discounts offered and extended to the Government).

Past Performance:

The Supplier Performance Risk System (SPRS) will be used to obtain Past Performance on quoters. The

Government may consider other past performance data from a wide variety of sources both inside and outside of the Federal Government.

Completed Representations and Certifications. The following representations and certifications must be completed and returned as part of the vendor’s quote:

1. 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.)

2. FAR Provision 52.204-24 (Representation Regarding Certain Telecommunications and Video

Surveillance Services or Equipment)

3. FAR Provision 52.204-26 (Covered Telecommunications Equipment or Services- Representation)

4. DFARS Provision 252.204-7016 [Covered Defense Telecommunications Equipment or

Services—Representation (Dec 2019)]

5. DFARS Provision 252.204-7017 [Prohibition on the Acquisition of Covered Defense

Telecommunications Equipment or Services—Representation (Dec 2019)]

Questions on this Solicitation are required by the 20th of March 2025 and sent to Ms.

Patricia.Quinones@usmc.mil and will be answered in an Amendment to the Solicitation. No Question will be answered that are submitted after the 20th of March 2025.

(End of Addenda to Provision)

PERFORMANCE WORK STATEMENT

1.0 INTRODUCTION: This requirement is for chemicals to treat water and Marine Corps Base (MCB)

Camp Lejeune, Marine Corps Air Station (MCAS) New River, North Carolina to ensure safe clean potable water for base operations. The Contractor shall furnish all labor, transportation, materials and equipment mailto:Patricia.Quinones@usmc.mil for chemical supplies to be delivered and added into each water treatment location to meet safe water standards.

2.0 BACKGROUND: The chemicals are for use at various water treatment plants, Steam Plants, and

Swimming Pools. The purpose of water treatment with chemicals for safe potable water is to improve water quality, remove harmful contaminants, and provide water that is safe for drinking, processes, and agriculture.

3.0 TYPE OF CONTRACT: This will be a IDIQ Requirements Contract FAR Part 16.5. The quantities and delivery schedules are estimated on this Requirements contract. The price for each of the types of chemicals is fixed price.

4.0 GENERAL SCOPE INTENT: The purpose of this contract is for the supply of seventeen (17) chemicals, to be delivered to twenty-nine (29) locations aboard Marine Corps Base (MCB) Camp Lejeune, Marine

Corps Air Station (MCAS) New River, North Carolina. The chemicals are for use at various Government owned water and wastewater treatment plants, steam plants, and swimming pools. The Government will execute a funded delivery order for each chemical requirement. The Contractor shall provide the chemicals required and transport to each delivery site specified by the Water Treatment Plant/Steam Plant

Government Technical Representative.

5.0 TASKS:

5.1 Communication Plan: The Water Treatment Plant Technical Point of Contact shall provide an

IGCE for the UPR (Universal Procurement Request) POC, the UPR approver, the

Comptroller, Contracting Officer, and Contract Specialist that will be attached as a support document. The UPR POC customer will ensure the Contracting Officer, Contract Specialist. UPR approving supervisor and comptroller are all CC’ d on all communication.

5.2 The Government customer UPR POC will provide UPR funding at the delivery order level to the

MCIEAST, Regional Contracting Office in the amount of the Independent Government Cost

Estimate.

5.3 From October of the FY to December of the FY, the customer will provide monthly UPR funding

15 days prior to the expected planned delivery order award dates.

5.4 From January of the FY to September of the FY, the customer will provide Quarterly funding 15 days prior to the expected planned delivery order award dates.

5.5 The Government customer will provide a Memorandum with an Independent Government Cost

Estimate for each delivery order with the FY UPR submitted in DAI

5.6 The Government customer will provide a completely funded Universal Purchase Request 15 days prior to the planned delivery date

5.7 The MCIEAST, RCO may take up to 15 days to complete a new delivery order.

5.8 The contractor shall receive an awarded chemical delivery order with funding from a Warranted

Contracting Officer/Contract Specialist prior to providing chemicals for the Government

Customers at each site location.

5.9 After delivery and acceptance to specified locations by the Government, the contractor shall provide a detailed actuals delivery ticket spreadsheet of the quantity and amount of chemicals delivered and accepted by the Government Point of Contact to the MCIEAST, RCO Contracting

Officer, Contract Specialist, and Government POC.

5.10 A requisition for the actual amounts delivered will be forwarded through the proper channels, to the MCIEAST, RCO. The MCIEAST, RCO at times may prepare a modification to the delivery order reflecting the actual orders placed and delivered for the month.

5.11 After the modification to the delivery order has been processed, the contractor will then be able to submit an invoice electronically through WAWF.

5.12 The invoice will be processed for customer review the accurate, complete and corrected invoices for acceptance and payment as soon as possible. The customer or technical POC is responsible for accepting accurate invoices for payment.

6.0 DELLIVERABLES:

Deliverable PWS

Reference

Format Submit to: Due Date Incentives

Name of deliverable

Section in

PWS

(Word/Excel/etc.) Technical

Point of

Contact

Date Positive/Negative

Chemicals at each Site

Verified

9.0-10.0 Word TBD After delivery

Past Performance

Rating/ Exercise

Option

Customer

Acceptance

8.0 Word TBD After

delivery

Past Performance

Rating/ Exercise

Option

Delivery

Tickets

5.0 Excel TBD After

delivery

Past Performance

Rating/ Exercise

Option

7.0 PACKAGING AND MARKINGS

7.1 ALL ITEMS shall be preserved, package and marked in accordance with the Contractor’s standard commercial practices.

8.0 DELIVERY

8.1 Delivery tickets shall be in duplicate form and shall include spaces for the following information:

contractor’s name, contract number, delivery order, description of item, exact quantity, delivery location, receipt/acceptance signature, delivery date and time. After signatures, one copy will be retained by the contractor and one copy will be retained by the point of contact that inspected and accepted the items.

8.2 Inspection and Acceptance points will be at final destination by authorized Public Works Division personnel. Point of contact will be provided for each delivery order.

8.3 Delivery is F.O.B. Destination and will be made to the site specified at the time the oral order is placed. The Ship to address on the delivery order is for invoicing purposes only. The Government reserves the right to have chemicals delivered to other sites onboard MCB Camp Lejeune, MCAS

New River and MCAS Cherry Point, North Carolina. A base map is available upon request.

9.0 CAMP LEJEUNE LOCATIONS

9.1 SWIMMING POOLS: There are twenty-nine (29) locations to deliver Chemicals to which include twelve (12) total Swimming Pools; Nine (9) are indoor pools, three (3) are outdoor pools, there are three pools operated seasonally, Memorial Day through Labor Day. Chemicals to be delivered to the swimming pools are Sulfuric acid, 33-39%, Sodium Hypochlorite, and Rock Salt.

Chemicals shall be delivered to storage tanks at each pool site. Deliveries shall be made Monday through Friday between the hours of 8:00 AM and 11:00 AM. Delivery shall be coordinated with

Holcomb Blvd. Water Treatment Plant (Bldg. HB670).

9.1.1 Camp Lejeune, Area 5, Bldg. HP-540

9.1.2 Camp Lejeune, Area 2, Bldg. HP-236

9.1.3 Camp Lejeune, Area 2, Bldg. HP-234

9.1.4 Camp Johnson, Bldg. M-139

9.1.5 Stone Bay, Bldg. RR-460

9.1.6 Wallace Creek Fitness Center

9.1.7 Wounded Warrior Pool

9.1.8 Camp Lejeune, Paradise Point Officers Club, Bldg. PP2632 (Seasonal)

9.1.9 Tarawa Terrace, Bldg. TT-20 (Seasonal)

9.1.10 MCAS New River Officers Pool, Bldg. AS-709 (Seasonal)

9.1.11 AS-4400

9.1.12 Camp Lejeune, Court House Bay, BB-330

9.2 WATER, STEAM, AND WASTEWATER TREATMENT PLANTS: Deliveries shall be made

Monday through Friday between the hours of 8:00 AM and 4:00 PM. Bulk deliveries are to be weighed at Base scales (located at Lot 201) between 8:00 AM and 2:00 PM. Deliveries for Water and Wastewater Treatment Plants shall be coordinated with the Water Plant Shift supervisor.

Deliveries for Steam Plants shall be coordinated with the Steam Plant Maintenance or Operations

Superintendent. Only Utility Department personnel are designated to receipt for deliveries.

9.2.1 Water Treatment Plants: Chemicals to be delivered are Sodium Hypochlorite Muriatic

Acid, Sodium Fluoride, and Rock Salt - bulk. Sodium Chloride, Sodium Hydroxide, Orthophosphate. Sulfuric Acid, Sodium Bisulfite Liquid, Aqual Flow Lime Slurry, Hydrofluosilicic Acid

9.2.1.1 Bldg. BA-138

9.2.1.2 Bldg. HP-20

9.2.1.3 Bldg. AS-85

9.2.1.4 Bldg. HB-670

9.2.1.5 New Water Treatment Bldg. BTA1

9.2.2 Steam Plants: Chemical to be delivered is Rock Salt aka Sodium Chloride.

9.2.2.1 FC-65A

9.2.2.2 FC-420

9.2.2.3 FC-303

9.2.2.4 FC-411

9.2.2.5 Bldg. 129

9.2.2.6 Bldg. 227

9.2.2.7 Bldg. 455

9.2.2.8 Bldg. M455

9.2.2.9 Bldg. G640

9.2.2.10 Bldg. RR135

9.2.2.11 Bldg. 286B

9.2.2.12 Bldg. WC100

9.2.3 Wastewater Treatment Plant: Chemicals to be delivered are

9.2.3.1 FC 440

10.0 PERIOD OF PERFORMANCE:

Period of Performance Length Date of Commencement Date of Completion

Base Period One (1) Year June 15, 2025 June 14, 2026

Option period One One (1) Year June 15, 2024 June 14, 2027

Possible Three Months Three (3) to

Six (6) Months

June 15, 2027 Sept 14, 2027

11.0 SAFETY AND ENVIRONMENTAL COMPLIANCE: The contractor shall meet or exceed all state and federal regulations pertaining to the transportation, handling, and storage of chemicals, to include

Occupational Safety and Health Administration (OSHA) standards. The contractor shall provide Material

Safety Data Sheets (MSDS) for each chemical delivered. Within 15 calendar days of contract award and prior to beginning work under this contract, the contractor shall submit a comprehensive spill prevention

Methanol and Liquid Aluminum Sulfate (Alum). Sulfuric Acid drums/Muriatic Acid, HTH, Sugar Water plan to the Contracting Officer. In case of an accidental spill the contractor SHALL CALL 911

IMMEDIATELY, giving the location, type, and amount of material spill. The contractor shall contain, if possible, using a spill kit (Contractor provided) and standby until the arrival of the Fire Department.

Cleanup of spills will be performed at no cost to the Government.

12.0 CONTRACTOR'S UNAUTHORIZED WORK PERFORMANCE: The contractor shall not perform work that deviates from contract requirements and specifications. If the contractor deviates from contract requirements and specifications without approval of the CONTRACT ADMINISTRATOR/OFFICER, such deviation shall be at the risk of the contractor and any cost related thereto shall be borne by the contractor.

16.0 BASE ACCESS: BASE ACCESS INSTRUCTIONS FOR MARINE CORPS BASE CAMP

LEJEUNE, MARINE CORPS AIR STATION NEW RIVER AND CHERRY POINT

-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. For services the Technical Point of Contact

(TPOC) is the sponsor, for supply deliveries the customer/delivery point of contact is the sponsor.

Contract Number: TBD

Sponsor MCB: Teresa Covington

Phone Number: 451-3994

Delivery Address: 1101 Door 4 Birch St.

Camp Lejeune NC 28542

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

-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.

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

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

-Contractor Common Access Card (CAC) Eligibility: Contractor personnel authorized CACs are exempt from

DBIDS enrollment.

-If you have questions regarding base access, Contractor CAC or DBIDS requirements contact the Contractor

Vetting Office at 910-451-0283/0284/0285.

**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.

17.0 UPR POINT OF CONTACTS FOR COMMUNIATION PURPOSES:

1. UPR POC- Carolyn Covington

2. Technical POC- Mr. Mikel Seely

3. Supervisor- Karen Fergason

4. Comptroller- James Gillespy/Betty Monroe

18.0 QUALITY ASSURANCE SURVEILLANCE PLAN:

1. Purpose: This Quality Assurance Surveillance Plan (QASP) has been developed to provide the standard of surveillance for monitoring the contract and to provide a systematic approach for conducting the surveillance.

2. Performance Standards. The QASP provides a systematic method to evaluate and assess the service the

Contractor is required to furnish. The performance standards for this Performance Work Statement (PWS) are stated in the Performance Requirements Summary (PRS) included in this QASP. The standards for this procurement are subjective since specific metric-driven standards are not appropriate.

3. Management and Oversight. The QASP is based on the premise that the Contractor and not the Government, it is responsible for the management and Quality Control action required to meet the terms of the contract. Good management and use of an adequate Quality Control Plan will allow the Contractor to operate within specific performance requirements. QASPs are designed to be objective, fair and consistent in evaluation Contractor performance against the provided standards.

4. Acceptable Quality Levels (AQLs). AQLs have been established in the PRS and provide performance standards that the Contractor will meet in performing the contract.

5. Primary Method of Surveillance/Evaluation. The Government will perform evaluation based on using one of the various methods outlined in the Performance Requirement Summary (PRS) table included in this QASP. The following methods may be incorporated into the PRS to monitor contract performance.

6. Random Inspection. Sampling method in which each unit of the population has an equal chance of being selected.

9. Customer Surveys and Feedback. A review method where customers and end users are surveyed to provide input on specific service levels.

9. Negative Incentives. If any of the performance requirement does not meet the AQL set in the PRS table, the

Government shall document the discrepancy(s) and shall notify the Contractor promptly, and the Contracting

Officer, after the installation is completed and monthly for support elements of appropriate action. When the performance is below the AQL standard, the Government may implement a negative incentive that includes increased surveillance and/or Contractor reporting, as well as documentation on the Contractor’s Performance

Assessment Reporting System (CPARS).

10. Notification. The Government will notify the Contracting Officer, in writing, of unacceptable quality levels.

The Contracting Officer will promptly provide written notification of discrepancies on a monthly basis, or immediately if the situation significantly affects the well-being of the project. The Contractor will be given the opportunity to respond, in writing, to each discrepancy.

11. Response. The Contractor shall provide a written response to the cause and the corrective actions to prevent recurrence within 10 working days after receipt of Contracting Officer’s notification. The Contractor should cite specific quality assurance program procedures or new procedures instituted to prevent recurrence.

12. Records. The Government will maintain contract surveillance files as directed by the Contracting Officer

Surveillance files will include, in part the following documentation for this contract.

a. A copy of the contract and all contract modifications

b. Copies of all Task/Delivery Orders.

c. QASP and any other tools, checklists, etc.

d. All Correspondence including Contracting Officer notifications and the Contractor’s responses.

e. Contractor monthly status reports.

f. Evidence of satisfactory performance.

g. Evidence of cost monitoring; invoices certified and tracked against any contract and /or order ceilings.

h. Evidence that all material/equipment obtained under any task order is accounted for and remains in

Government possession.

i. Quarterly technical reviews.

j. Surveillance reports and a summary of the Surveillance Logs will be prepared by the Government and submitted to the Contracting Specialist annually.

k. Out-of-cycle reports may be submitted in support of unacceptable performance identified during the performance period by the Government, or when there is a significant change in performance that alters the assessment in one or more evaluation areas.

l. Annual in-progress reviews will be conducted and entered into CPARS.

13. Ratings. The following criteria will be used for performance evaluations: Exceptional, Satisfactory, Marginal, or Unsatisfactory. Upward or downward arrows may be used to indicate and improving or worsening trend insufficient to change to the assessment status.

a. Exceptional. Indicates performance clearly exceeds contractual requirement. The area of evaluation may contain a few minor problems for which corrective action appears highly effective.

b. Satisfactory. Indicates performance clearly meets contractual requirements. The area of evaluation contains some minor problems for which the corrective actions appear satisfactory.

c. Marginal. Indicates performance meets contractual requirements. The area of evaluation contains one or more serious problems for which corrective actions have not yet been identified, appears only marginally effective, or have not been fully implemented.

d. Unsatisfactory. Indicates the Contractor is in danger of not being able to satisfy contractual requirements and recovery is not likely in a timely manner. The area of evaluation contains one or more serious problems for which the corrective actions appear ineffective.

Documentation. Documentation used and referenced to perform surveillance will consist of monthly reports, Contractor plans and procedures, schedules, customer feedback and contract data requirements.

a. Recording Observations. Use Surveillance Logs to record information on scheduled observations and deficiencies noted. Each observation is recorded on the log. The documents then become a formal record for reference. The Contractor is to be told each time that a deficiency is found during scheduled observations. The Government makes a notation on the surveillance Log of the date and time the deficiency was discovered, and subsequently requests that the Contractor initial the notation, documenting notification of the deficiency only.

b. Potential Unacceptable Performance. The Government must identify the specific service that is unacceptable and the possible causes, and ask a number of questions which if answered, will probably pinpoint the source of the problem.

c. Documenting Unacceptable Performance. The Government must attempt to resolve the problem with the

Contractor. The original log and the attempted solution (along with an evaluation of results) are forwarded to the Contracting Officer.

Based on the severity of the discrepancy and the success of the solution, the Government will notify the Contracting

Officer. The Contractor shall complete a response to the unacceptable evaluation if requested by the Contracting

Specialist or by its own choice.

Course of Action. For positive ratings in quality, the contractor will have positive feedback in the CPARS system and, if necessary, become the vendor if an extension to the contract is necessary.

If the Contractor is unable to meet any of the Acceptable Quality Levels (AQLs) outlined in the QASP, the following corrective actions will be utilized in descending order of severity.

1. Warning Counseling via email

2. Contracting Officer Warning Counseling via letter

3. Program Review Contractor submission of corrective action plan

4. Negative CPARS Annotation of negative actions

5. Cure Notice/Termination for Default

Performance Requirement Summary (PRS). The Performance standards for this PWS are stated in the PRS below.

Performance Standard Performance

Measurement

Inspection Method (At designated time set)

Acceptable Quality

Levels (AQL)

a. Chemical Delivery at all required Site Locations

a. See the Performance

Work Statement

a. Random a. 95%

b. Submitting Delivery Tickets

Timely

b. See the Performance

Work Statement

b. Random b. 95%

c. Submitting Invoices for

Payment Timely and Accurately

c. See the Performance

Work Statement

c. Random c. 95%

d. Timely Invoice Review for

Accuracy

d. See the Performance

Work Statement

d. Random d. 95%

e. Timely Payment e. See the Performance

Work Statement

e. Random e. 95%

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984

52.203-11 Certification and Disclosure Regarding Payments to Influence

Certain Federal Transactions

SEP 2024

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 NOV 2024

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

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

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

NOV 2021

52.204-29 Federal Acquisition Supply Chain Security Act Orders--

Representation and Disclosures.

DEC 2023

52.211-17 Delivery of Excess Quantities SEP 1989

52.212-1 Instructions to Offerors--Commercial Products and

Commercial Services

SEP 2023

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

52.219-16 Liquidated Damages-Subcontracting Plan SEP 2021

52.219-28 Postaward Small Business Program Rerepresentation JAN 2025

52.228-5 Insurance - Work On A Government Installation JAN 1997

52.232-17 Interest MAY 2014

52.232-18 Availability Of Funds APR 1984

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013

52.233-1 Alt I Disputes (May 2014) - Alternate I DEC 1991

52.242-13 Bankruptcy JUL 1995

52.247-34 F.O.B. Destination JAN 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

252.203-7004 Display of Hotline Posters JAN 2023

252.203-7005 Representation Relating to Compensation of Former DoD

Officials

SEP 2022

252.204-7003 Control Of Government Personnel Work Product APR 1992

252.204-7004 Antiterrorism Awareness Training for Contractors JAN 2023

252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

MAY 2024

252.204-7015 Notice of Authorized Disclosure of Information for Litigation

Support

JAN 2023

252.204-7017 Prohibition on the Acquisition of Covered Defense

Telecommunications Equipment or Services -- Representation

MAY 2021

252.204-7018 Prohibition on the Acquisition of Covered Defense

Telecommunications Equipment or Services

JAN 2023

252.204-7020 NIST SP 800-171 DoD Assessment Requirements NOV 2023

252.204-7023 Reporting Requirements for Contracted Services. JUL 2021

252.204-7024 Notice on the Use of the Supplier Performance Risk System MAR 2023

252.205-7000 Provision Of Information To Cooperative Agreement Holders OCT 2024

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

252.211-7003 Item Unique Identification and Valuation JAN 2023

252.215-7008 Only One Offer DEC 2022

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

Hazardous Materials

SEP 2014

252.223-7008 Prohibition of Hexavalent Chromium JAN 2023

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

252.225-7051 Prohibition on Acquisition of Certain Foreign Commercial

Satellite Services.

DEC 2022

252.225-7052 Restriction on the Acquisition of Certain Magnets, Tantalum, and Tungsten.

MAY 2024

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

252.225-7060 Prohibition on Certain Procurements from the Xinjiang

Uyghur Autonomous Region

JUN 2023

252.225-7966 (Dev) Prohibition Regarding Russian Fossil Fuel Business

Operations - Representation (Deviation 2024-O0006).

MAR 2024

252.225-7967 (Dev) Prohibition Regarding Russian Fossil Fuel Business

Operations (Deviation 2024-O0006).

MAR 2024

252.226-7001 Utilization of Indian Organizations, Indian-Owned Economic

Enterprises, and Native Hawaiian Small Business Concerns

JAN 2023

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

DEC 2018

252.237-7010 Prohibition on Interrogation of Detainees by Contractor

Personnel

JAN 2023

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

252.243-7002 Requests for Equitable Adjustment DEC 2022

252.244-7000 Subcontracts for Commercial Products or Commercial

Services

NOV 2023

252.247-7023 Transportation of Supplies by Sea OCT 2024

CLAUSES INCORPORATED BY FULL TEXT

52.202-1 DEFINITIONS (JUN 2020)

When a solicitation provision or contract clause uses a word or term that is defined in the Federal Acquisition

Regulation (FAR), the word or term has the same meaning as the definition in FAR 2.101 in effect at the time the solicitation was issued, unless--

(a) The solicitation, or amended solicitation, provides a different definition;

(b) The contracting parties agree to a different definition;

(c) The part, subpart, or section of the FAR where the provision or clause is prescribed provides a different meaning;

(d) The word or term is defined in FAR part 31, for use in the cost principles and procedures; or

(e) The word or term defines an acquisition-related threshold, and if the threshold is adjusted for inflation as set forth in FAR 1.109(a), then the changed threshold applies throughout the remaining term of the contract, unless there is a subsequent threshold adjustment; see FAR 1.109(d).

(End of clause)

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,…