M67861-18-Q-0099.pdf

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Gym Equipment
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M67861-18-Q-0099
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SF 1449 for Gym Equipment.

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SEE ADDENDUM

(No Collect Calls)

M6786118Q0099 19-Sep-2018

b. TELEPHONE NUMBER

504-697-8357

8. OFFER DUE DATE/LOCAL TIME

12:00 AM 26 Sep 2018

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.

M678619. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

ISIDRO RAMIREZ SGT

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

M7790218RC01035

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

MARFORRES REGIONAL CONTRACTING OFFICE

MFR RCO

2000 OPELOUSAS AVE

NEW ORLEANS LA 70114

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: 504-697-8357 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

339920

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)

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.

M6786118Q0099

Section SF 1449 - CONTINUATION SHEET

INSTRUCTIONS TO OFFERORS

1 Synopsis: This is a Combined Synopsis/Solicitation for commercial items in accordance with in FAR Subparts 12 and 13, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a separate written solicitation will not be issued.

2 Brand Name or Equal Product: This is a Competitive Brand Name or Equal solicitation for a firm-fixed price contract for the purchase of Gym Equipment.

QUOTATION INSTRUCTIONS

8Quotations/bids may be submitted via email only to Sgt Isidro Ramirez at isidro.ramirez@usmc.mil with a copy to george.vidtor@usmc.mil.

9All responsible sources may submit a quotation which, if received in a timely manner, shall be considered by the agency.

10 Award will be made to the lowest-priced technically acceptable (LPTA) offer. The Technical Evaluation Template that will be used to evaluate the LPTA bid is incorporated herein for Contractor awareness only. See FAR 52.212-2 herein for technical evaluation procedures.

11 The Government will accept Open Market and/or GSA offers.

12 Descriptive literature/brochures are required with all quotes bidding equal.

13 Method of Invoicing/Payment: Wide Area Workflow (WAWF) DFARS 252.232-7006 WAWF Instructions.

14 Any direct customer contact by Bidders is not authorized during the solicitation phase or your bid may be at risk of being eliminated from consideration for this solicitation.

15 NO PHONE CALLS will be accepted regarding this solicitation. ALL QUESTIONS shall be sent in writing via email to isidro.ramirez@usmc.mil and copy george.vidtor@usmc.mil.

17 The Contracting Officer may review Past Performance Information Retrieval System (PPIRS) for responsibility determination purposes.

18 The Government reserves the right to make award solely on initial quotes received; requirement will be awarded on an all or none basis.

19 Offerors bear the burden of ensuring that all portions of the offer (and any authorized amendments) reach the designated office before the deadline specified in the solicitation.

INSTRUCTIONS TO BE CONSIDERED RESPONSIVE TO THIS SOLICITATION

20 Bidders should include and comply with all remaining numbered instructions to Offerors:

21 CAGE code 22 DUNS number 23 Address 24 Point of contact 26 Prompt payment/discount terms (if offered). This will not be used to evaluate offers.

27 Contract number and expiration date shall be included if bidding under a GSA or other contract. This shall be listed per line item unless the contract vehicle is applicable to all line items. Any conflicts between this solicitation document and the terms and conditions of the GSA contract shall be clearly identified in the offeror’s quote.

28Offerors should complete certifications and representations for paragraphs i, j, n, p, q, and r at FAR 52.212-3 Alt I herein, or indicate completion of paragraphs within SAM registration. For service acquisitions, offerors shall also complete paragraphs k(1) and k(2) within their SAM registration. For information technology procurements, offerors shall also complete DFARS 252.239-7009.

29Offeror should sumbit all documents in .pdf format.

33 Brand Name or Equal Bids: All responses to this solicitation should indicate whether the firm is offering a ‘brand name manufacturer's products’ or ‘equal products.’ Descriptive literature is required with all quotes. Firms should submit sufficient descriptive literature to permit the contracting agency to assess whether the product proposed meets all the salient characteristics specified in the solicitation in accordance to the Lowest Priced mailto:isidro.ramirez@usmc.mil mailto:isidro.ramirez@usmc.mil

Technically Acceptable Template included/attached to this solicitation. Firms offering "equal" items should provide and proof website is authorized to operate on MCEN-L and MCEN-N, and product literature/brochures.

This agency will not be responsible for locating or obtaining any information not included on the face of the offer or a hardcopy attachment to the offer in a response to this solicitation.

41 Basis of Single Award - Lowest Price Technically Acceptable (LPTA) – IAW FAR 52.212-2 herein.

46 Solicitation/Contract Line Item Numbers (CLIN) Structure – Potential bidders should submit bids in the same CLIN structure as outlined in the solicitation for bid evaluation purposes. However, an alternate line item structure can be submitted as an additional attachment consolidating like line items and pricing for award consideration.

48 System for Award Management (SAM.gov) – Potential bidders not currently registered at SAM.gov should register (including completion of certifications and representations) to be considered for award. Registration may take several days to be visible at SAM.gov, therefore, affected bidders should provide proof of registration/date with bid submittal. Contact SAM.gov website points of contact if you need assistance with registration.

SALIENT CHARACTERISTICS

Salient Characteristics This is a Brand Name or Equal solicitation. This solicitation is for Supplies Only.

Background: The requirement is for three identical sets of gym equipment in order to support three individual locations. All supplies will be shipped to a single location listed in the solicitation in New Orleans, Louisiana.

Six-Stack Multi Jungle Configuration:

*The intent is for the Adjustable Crossover to be positioned centrally in the configuration and for there to be two unobstructed sides as to be able to position along a wall.

Two Stack Adjustable Crossover: Brand Name Equivalent: ProMaxima P-122C -Shall have weight stacks consistent with industry standards.

-Shall have pin selector for each weight stack.

-Shall have adjustable positions for various exercises.

-Shall have quick connect that allow for various cable attachments.

-Shall have cooresponding cable attachment to perform exercise.

-Shall have rubber feet to prevent machine from slipping.

One Stack Row Station: Brand Name Equivalent: ProMaxima CM-725 -Shall have weight stacks consistent with industry standards.

-Shall have pin selector for each weight stack.

-Shall have quick connect that allow for various cable attachments.

-Shall have cooresponding cable attachment to perform exercise.

-Shall have rubber feet to prevent machine from slipping.

-Shall have seat and feet platform to perform rowing exercise.

-Shall have black upholstery.

One Stack Lateral Pulldown: Brand Name Equivalent: ProMaxima CM-720 -Shall have weight stacks consistent with industry standards.

-Shall have pin selector for each weight stack.

-Shall have quick connect that allow for various cable attachments.

-Shall have cooresponding cable attachment to perform exercise.

-Shall have rubber feet to prevent machine from slipping.

One Stack Adjustable Pulley: Brand Name Equivalent: ProMaxima CM-730 -Shall have weight stacks consistent with industry standards.

-Shall have pin selector for each weight stack.

-Shall have adjustable positions for various exercises.

-Shall have quick connect that allow for various cable attachments.

-Shall have cooresponding cable attachment to perform exercise.

-Shall have rubber feet to prevent machine from slipping.

One Stack Triceps Press: Brand Name Equivalent: ProMaxima CM-745 -Shall have weight stacks consistent with industry standards.

-Shall have pin selector for each weight stack.

-Shall have quick connect that allow for various cable attachments.

-Shall have cooresponding cable attachment to perform exercise.

-Shall have rubber feet to prevent machine from slipping.

Half Rack: Brand Name Equivalent: ProMaxima SP-640 -Shall have adjustable bar catches consistent with industry standards.

-Shall have adjustable j-hooks consistent with industry standards.

-Shall have horns that are capable of holding olympic weights: (4) 5 lbs, (4) 10 lbs, (4) 25 lbs, (4) 35 lbs, (6) 45 lbs.

Power Rack: Brand Name Equivalent: ProMaxima PL-360 -Shall have heavy duty lock-on weight bar catches consistent with industry standards.

-Shall have heavy duty lock-on adjustable safety catch arms.

-Shall have horns that are capable of holding olympic weights: (4) 5 lbs, (4) 10 lbs, (4) 25 lbs, (4) 35 lbs, (6) 45 lbs.

Adjustable Work Bench: Brand Name Equivalent: ProMaxima FL-585 Bench -Shall have adjustable back with locking mechanism.

-Shall have adjustable seat with locking mechanism.

-Shall have black upholstery.

Arm Curl Bench: Brand Name Equivalent: ProMaxima PLR-450 -Shall have adjustable arm support.

-Shall have seat to conduct exercise.

-Shall have arms to hold curl bar while at rest.

-Shall have black upholstery.

7’ Olympic Bar: Brand Name Equivalent: ProMaxima Olympic Weight Bar (1500 lb) -Shall have revolving sleeves.

-Shall have sleeve that are 2” to be consistent with industry standards.

-Shall have a length of seven feet.

-Shall have a weight of 20kg.

-Shall be capable of holding a minimum of 1200 lbs.

5’ EZ Curl Bar: Brand Name Equivalent: ProMaxima Olympic Power Curl Bar -Shall have revolving sleeves.

-Shall have sleeve that are 2” to be consistent with industry standards.

-Shall have a length of five feet.

EZ Curl Bars 20/110: Brand Name Equivalent: IronCompany UBBT-EZ 020/110 -Shall have (10) EZ Curl Bars in (1) each of: 20, 30, 40, 50, 60, 70, 80, 90, 100, and 110.

-Shall be compatible with all commercially available barbell racks.

Barbell Rack: Brand Name Equivalent: Troy Barbell BB-10 -Shall be capable of holding (10) EZ Curl Bars

Dumbbell Set 5-50: Brand Name Equivalent: ProMaxima Hexagon Rubber Dumbbells -Shall have 10 pairs of dumbbells from 5-50lbs in 5lb increments.

-Shall have rubber or urethane coating to protect gym floor.

Dumbbell Set 55-100: Brand Name Equivalent: ProMaxima Hexagon Rubber Dumbbells -Shall have 10 pairs of dumbbells from 55-100lbs in 5lb increments.

-Shall have rubber or urethane coating to protect gym floor.

Dumbbell Rack-Double Tier: Brand Name Equivalent: ProMaxima FW-234L Two Tier Shelf Dumbbell Rack -Shall be capable of storing 10 pairs of dumbbells from 5-50lbs.

-Shall be capable of storing 10 pairs of dumbbells from 55-100lbs.

Bumper Plates: Brand Name Equivalent: ProMaxima Rubber Bumper Plates -Shall fit all standard olympic size bars.

-Shall be composed of rubber.

Olympic Weights: Brand Name Equivalen: Iron Grip Handgrip Weights WPIG25U -Shall fit all standard olympic size bars.

-Shall have grips on all plates 10lbs and over to reduce hand injuries.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 3 Each Six-Stack Multi Jungle

FFP

Two Stack Adjustable Crossover: Brand Name Equivalent: ProMaxima P-122C One Stack Row Station: Brand Name Equivalent: ProMaxima CM-725 One Stack Lateral Pulldown: Brand Name Equivalent: ProMaxima CM-720 One Stack Adjustable Pulley: Brand Name Equivalent: ProMaxima CM-730 One Stack Triceps Press: Brand Name Equivalent: ProMaxima CM-745

FOB: Destination

MILSTRIP: M7790218RC01035

PURCHASE REQUEST NUMBER: M7790218RC01035

NET AMT

0002 3 Each 8' Olympic Heavy Duty Half Rack

FFP

Half Rack: Brand Name Equivalent: ProMaxima SP-640 FOB: Destination

0003 3 Each 8' Olympic Heavy Duty Power Rack

FFP

Power Rack: Brand Name Equivalent: ProMaxima PL-360 FOB: Destination

0004 9 Each 7' Olympic Bar

FFP

7’ Olympic Bar: Brand Name Equivalent: ProMaxima Olympic Weight Bar (1500 lb) FOB: Destination

0005 9 Each Heavy Duty Adjustable Bench

FFP

Heavy Duty Adjustable Bench: Brand Name Equivalent: ProMaxima FL-585 Bench FOB: Destination

0006 3 Each Seated Arm Curl Bench

FFP

Seated Arm Curl Bench: Brand Name Equivalent: ProMaxima PLR-450 FOB: Destination

0007 3 Each 5' EZ Curl Bar

FFP

5’ EZ Curl Bar: Brand Name Equivalent: ProMaxima Olympic Power Curl Bar FOB: Destination

0008 24 Each 5 Pound Olympic Weight Plate

FFP

Olympic Weights: Brand Name Equivalent: Iron Grip Handgrip Weights

WPIG25U

0009 24 Each 10 Pound Olympic Weight Plate

FFP

Olympic Weights: Brand Name Equivalent: Iron Grip Handgrip Weights

0010 24 Each 25 Pound Olympic Weight Plate

FFP

Olympic Weights: Brand Name Equivalent: Iron Grip Handgrip Weights

0011 24 Each 35 Pound Olympic Weight Plate

FFP

Olympic Weights: Brand Name Equivalent: Iron Grip Handgrip Weights

0012 36 Each 45 Pound Olympic Weight Plate

FFP

Olympic Weights: Brand Name Equivalent: Iron Grip Handgrip Weights

0013 6 Each 10 Pound Bumper Plate

FFP

Olympic Bumper Plates: Brand Name Equivalent: ProMaxima Rubber Bumper Plate

0014 6 Each 25 Pound Bumper Plate

FFP

Olympic Bumper Plates: Brand Name Equivalent: ProMaxima Rubber Bumper

0015 6 Each 35 Pound Bumper Plate

FFP

Olympic Bumper Plates: Brand Name Equivalent: ProMaxima Rubber Bumper

0016 12 Each 45 Pound Bumper Plate

FFP

Olympic Bumper Plates: Brand Name Equivalent: ProMaxima Rubber Bumper

0017 3 Set 5-50 lbs. Dumbbell Set

FFP

Dumbbell Set 5-50: Brand Name Equivalent: ProMaxima Hexagon Rubber Dumbbells

0018 3 Set 55-100 lbs. Dumbbell Set

FFP

Dumbbell Set 55-100: Brand Name Equivalent: ProMaxima Hexagon Rubber Dumbbells

0019 6 Each Dumbbell Rack-Double Tier

FFP

Dumbbell Rack-Double Tier: Brand Name Equivalent: ProMaxima FW-234L Two Tier Shelf Dumbbell Rack

0020 3 Set EZ Curl Bar Set, 20-110lbs

FFP

EZ Curl Bars 20/110: Brand Name Equivalent: IronCompany UBBT-EZ 020/110

0021 3 Each Barbell Rack

FFP

Barbell Rack: Brand Name Equivalent: Troy Barbell BB-10

0022 12 Pair Collar for Olympic Bars

FFP

-Shall fit all standard olympic style bars

0023 1 Gross Shipping

FFP

Shipping and handeling charges.

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

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 30 dys. ADC 3 MARINE FORCES NORTH

CRISTHIAN BAILON CUEVA

2000 OPELOUSAS AVENUE

NEW ORLEANS LA 70114

M77902

0002 30 dys. ADC 3 (SAME AS PREVIOUS LOCATION)

0003 30 dys. ADC 3 (SAME AS PREVIOUS LOCATION)

0004 30 dys. ADC 9 (SAME AS PREVIOUS LOCATION)

0005 30 dys. ADC 9 (SAME AS PREVIOUS LOCATION)

0006 30 dys. ADC 3 (SAME AS PREVIOUS LOCATION)

0007 30 dys. ADC 3 (SAME AS PREVIOUS LOCATION)

0008 30 dys. ADC 24 (SAME AS PREVIOUS LOCATION)

0009 30 dys. ADC 24 (SAME AS PREVIOUS LOCATION)

0010 30 dys. ADC 24 (SAME AS PREVIOUS LOCATION)

0011 30 dys. ADC 24 (SAME AS PREVIOUS LOCATION)

0012 30 dys. ADC 36 (SAME AS PREVIOUS LOCATION)

0013 30 dys. ADC 6 MARINE FORCES NORTH

CRISTHIAN STEVEN. BAILON CUEVA

2000 OPELOUSAS AVENUE

NEW ORLEANS LA 70114

0014 30 dys. ADC 6 MARINE FORCES NORTH

CRISTHIAN BAILON CUEVA

2000 OPELOUSAS AVENUE

NEW ORLEANS LA 70114

0015 30 dys. ADC 6 (SAME AS PREVIOUS LOCATION)

0016 30 dys. ADC 12 (SAME AS PREVIOUS LOCATION)

0017 30 dys. ADC 3 (SAME AS PREVIOUS LOCATION)

0018 30 dys. ADC 3 MARINE FORCES NORTH

CRISTHIAN STEVEN. BAILON CUEVA

2000 OPELOUSAS AVENUE

NEW ORLEANS LA 70114

0019 30 dys. ADC 6 MARINE FORCES NORTH

CRISTHIAN BAILON CUEVA

2000 OPELOUSAS AVENUE

NEW ORLEANS LA 70114

0020 30 dys. ADC 3 (SAME AS PREVIOUS LOCATION)

0021 30 dys. ADC 3 (SAME AS PREVIOUS LOCATION)

0022 30 dys. ADC 12 (SAME AS PREVIOUS LOCATION)

0023 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

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

Certifications.

DEC 2014

52.204-22 Alternative Line Item Proposal JAN 2017 52.204-23 Prohibition on Contracting for Hardware, Software, and

Services Developed or Provided by Kaspersky Lab and Other Covered Entities.

JUL 2018

52.212-1 Instructions to Offerors--Commercial Items AUG 2018 52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017 52.225-25 Prohibition on Contracting with Entities Engaging in Certain

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

AUG 2018

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

DEC 2013

52.247-34 F.O.B. Destination NOV 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7005 Representation Relating to Compensation of Former DoD Officials

NOV 2011

252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7015 Notice of Authorized Disclosure of Information for Litigation

Support

MAY 2016

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

MAR 2018

252.223-7008 Prohibition of Hexavalent Chromium JUN 2013 252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 252.244-7000 Subcontracts for Commercial Items JUN 2013 252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

52.204-20 Predecessor of Offeror (JUL 2016)

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

Commercial and Government Entity (CAGE) code means--

(1) An identifier assigned to entities located in the United States or its outlying areas by the Defense Logistics Agency (DLA) Commercial and Government Entity (CAGE) Branch to identify a commercial or government entity;

or

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support and Procurement Agency (NSPA) to entities located outside the United States and its outlying areas that the DLA Commercial and Government Entity (CAGE) Branch records and maintains in the CAGE master file. This type of code is known as a NATO CAGE (NCAGE) code.

Predecessor means an entity that is replaced by a successor and includes any predecessors of the predecessor.

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.

(b) The Offeror represents that it [____] is or [____] is not a successor to a predecessor that held a Federal contract or grant within the last three years.

(c) If the Offeror has indicated “is” in paragraph (b) of this provision, enter the following information for all predecessors that held a Federal contract or grant within the last three years (if more than one predecessor, list in reverse chronological order):

Predecessor CAGE code: ____ (or mark “Unknown”).

Predecessor legal name: ____.

(Do not use a “doing business as” name).

(End of provision)

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

REPRESENTATION (NOV 2015)

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

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

(c) Representation. The Offeror represents that--

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

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

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

FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

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

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

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

(b) The Offeror represents that--

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

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

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Lowest Price Technically Acceptable - Offers will be ranked lowest to highest according to price. The lowest price offer will be forwarded to the requiring activity for technical evaluation (offer will be deemed either technically acceptable or technically unacceptable). If the lowest price offer is found technically acceptable and its price is determined fair and reasonable by the Contracting Officer, evaluation will be deemed complete and award will be made based on the lowest price offer. If the lowest price offer is determined technically unacceptable, the next lowest price offer will be sent for technical evaluation and price analysis. This process is repeated in order of price until an offer is deemed technically acceptable and price is determined fair and reasonable. The government will utilize the attached Evaluation Worksheet for Lowest Price Technically Acceptable Determination to evaluate proposals.

Purchase Request Nomenclature: GYM EQUIPMENT Solicitation #: M67861-18-Q-0099

Salient Characteristics Technically Acceptable

Not Technically Acceptable

Explain in Detail Why Not Technically Acceptable

CLIN:0001 - Six Stack Multi Jungle Two Stack Adjustable Crossover: Brand Name Equivalent: ProMaxima P-122C Shall have weight stacks consistent with industry standards.

Shall have pin selector for each weight stack.

Shall have adjustable positions for various exercises.

Shall have quick connect that allow for various cable attachments.

Shall have cooresponding cable attachment to perform exercise.

Shall have rubber feet to prevent machine from slipping.

One Stack Row Station: Brand Name Equivalent: ProMaxima CM-725 Shall have weight stacks consistent with industry standards.

Shall have pin selector for each weight stack.

Shall have adjustable positions for various exercises.

Shall have quick connect that allow for various cable attachments.

Shall have cooresponding cable attachment to perform exercise.

Shall have rubber feet to prevent machine from slipping.

Shall have seat and feet platform to perform rowing exercise.

Shall have black upholstery.

One Stack Lateral Pulldown: Brand Name Equivalent: ProMaxima CM-720 Shall have weight stacks consistent with industry standards Shall have pin selector for each weight stack Shall have quick connect that allow for various cable attachments Shall have cooresponding cable attachment to perform exercise Shall have rubber feet to prevent machine from slipping One Stack Adjustable Pulley: Brand Name Equivalent: ProMaxima CM-730 Shall have weight stacks consistent with industry standards Shall have pin selector for each weight stack Shall have adjustable positions for various exercises Shall have quick connect that allow for various cable attachments Shall have cooresponding cable attachment to perform exercise Shall have rubber feet to prevent machine from slipping One Stack Triceps Press: Brand Name Equivalent: ProMaxima CM-745 Shall have weight stacks consistent with industry standards Shall have pin selector for each weight stack Shall have quick connect that allow for various cable attachments.

Shall have cooresponding cable attachment to perform exercise.

Shall have rubber feet to prevent machine from slipping.

CLIN:0002 Half Rack: Brand Name Equivalent: ProMaxima SP-640 Shall have adjustable bar catches consistent with industry standards Shall have adjustable j-hooks consistent with industry standards.

Shall have horns that are capable of holding olympic weights: (4) 5 lbs, (4) 10 lbs, (4) 25 lbs, (4) 35 lbs, (6) 45 lbs.

CLIN:0003 Power Rack: Brand Name Equivalent: ProMaxima PL-360 Shall have heavy duty lock-on weight bar catches consistent with industry standards Shall have heavy duty lock-on adjustable safety catch arms Shall have horns that are capable of holding olympic weights: (4) 5 lbs, (4) 10 lbs, (4) 25 lbs, (4) 35 lbs, (6) 45 lbs.

CLIN: 0004 7’ Olympic Bar: Brand Name Equivalent: ProMaxima Olympic Weight Bar (1500 lb) Shall have revolving sleeves.

Shall have sleeve that are 2” to be consistent with industry standards Shall have a length of seven feet.

Shall have a weight of 20kg Shall be capable of holding a minimum of 1200 lbs.

CLIN:0005 Heavy Duty Adjustable Bench: Brand Name Equivalent: ProMaxima FL-585 Bench Shall have adjustable back with locking mechanism.

Shall have adjustable seat with locking mechanism.

Shall have black upholstery.

CLIN:0006 Seated Arm Curl Bench: Brand Name Equivalent: ProMaxima PLR-450 Shall have adjustable arm support.

Shall have seat to conduct exercise.

Shall have arms to hold curl bar while at rest.

Shall have black upholstery.

CLIN:0007 5’ EZ Curl Bar: Brand Name Equivalent: ProMaxima Olympic Power Curl Bar Shall have revolving sleeves.

Shall have sleeve that are 2” to be consistent with industry standards.

Shall have a length of five feet.

CLIN:0008 - 0012 Olympic Weights: Brand Name Equivalent: Iron Grip Handgrip Weights WPIG25U Shall fit all standard olympic size bars.

Shall have grips on all plates 10lbs and over to reduce hand injuries.

CLIN:0013 - 0016 Olympic Bumper Plates: Brand Name Equivalent: ProMaxima Rubber Bumper Plates Shall fit all standard olympic size bars.

Shall be constructed of rubber.

CLIN:0017 Dumbbell Set 5-50: Brand Name Equivalent: ProMaxima Hexagon Rubber Dumbbells Shall have 10 pairs of dumbbells from 5-50lbs in 5lb increments.

Shall have rubber or urethane coating to protect gym floor.

CLIN:0018 Dumbbell Set 55-100: Brand Name Equivalent: ProMaxima Hexagon Rubber Dumbbells Shall have 10 pairs of dumbbells from 55-100lbs in 5lb increments.

Shall have rubber or urethane coating to protect gym floor.

CLIN:0019 Dumbbell Rack-Double Tier: Brand Name Equivalent: ProMaxima FW-234L Two Tier Shelf Dumbbell Rack Shall be capable of storing 10 pairs of dumbbells from 5-50lbs.

Shall be capable of storing 10 pairs of dumbbells from 55-100lbs.

CLIN:0020 EZ Curl Bars 20/110: Brand Name Equivalent: IronCompany UBBT-EZ 020/110 Shall have (10) EZ Curl Bars in (1) each of: 20, 30, 40, 50, 60, 70, 80, 90, 100, and 110.

Shall be compatible with all commercially available barbell racks.

CLIN: 0021 Barbell Rack: Brand Name Equivalent: Troy Barbell BB-10 Shall be capable of holding (10) EZ Curl Bars

Technical Acceptability Section 1:

Purchase Request #: M77902-

18-RC-01035

Technical Evaluation Worksheet For Lowest Price Technically Acceptable Determination (v8.19.2015)

(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.

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (AUG 2018)

ALTERNATE I (OCT 2014)

The offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site located at https://www.sam.gov/portal . If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (u) of this provision.

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

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

“Forced or indentured child labor” means all work or service—

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

“Highest-level owner” means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

“Immediate owner” means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: Ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

“Inverted domestic corporation,” means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

“Manufactured end product” means any end product in product and service codes (PSCs) 1000-9999, except—

(1) PSC 5510, Lumber and Related Basic Wood Materials;

https://www.sam.gov/portal

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

(5) PSC 9410, Crude Grades of Plant Materials;

(6) PSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) PSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) PSC 9610, Ores;

(9) PSC 9620, Minerals, Natural and Synthetic; and

(10) PSC 9630, Additive Metal Materials.

“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

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

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

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

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

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

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

(6) Have been voluntarily suspended.

“Sensitive technology”—

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

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

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

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

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

(1) Means a small business concern—

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

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

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

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

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

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

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

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

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

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

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

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

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

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

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

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

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

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

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

(b)

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

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representation and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ___ . [Offeror to identify the applicable paragraphs at (c) through (u) of this provision that the offeror has completed for the purposes of this solicitation only, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

(c) Offerors must complete the following representations when the resulting contract is to be performed in the United States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a small business concern.

(2) Veteran-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.]The offeror represents that it [ ___ ] is, [ ___ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

https://www.acquisition.gov/

(5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.]The offeror represents that it [ ___ ] is, [ ___ ] is not a women-owned small business concern.

Note: Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold.

(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that—

(i) It [ ___ ] is, [ ___ ] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ___ .] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(7) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.] The offeror represents that—

(i) It [ ___ ] is, [ ___ ] is not an EDWOSB concern, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ___ .] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

(8) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [ ___ ] is, a women-owned business concern.

(9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price:

(10) HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that--

(i) It [ ___ ] is, [ ___ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [ ___ ] is, [ ___ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: ___ .] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

(11) (Complete if the offeror has represented itself as disadvantaged in paragraph (c)(4) of this provision.)

[The offeror shall check the category in which its ownership falls]:

___ 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) 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. The offeror represents that --

(i) It [ ___ ] has developed and has on file, [ ___ ] has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR parts 60-1 and 60-2), or

(ii) It [ ___ ] has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of…

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