N0017417R0033-solicitation.pdf

SEE ADDENDUM

(No Collect Calls)

N0017417R0033 19-May-2017

b. TELEPHONE NUMBER 8. OFFER DUE DATE/LOCAL TIME

03:00 PM 20 Jun 2017

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.

N001749. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

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

ARE NOT ATTACHED

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

NSWC IHEODTD N

4081 N. JACKSON RD

BLDG 841

INDIAN HEAD MD 20640-5116

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS AX

13b. RATING

DO-A6

CODE15. DELIVER TO CODE N00174 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

NAVSEA INDIAN HEAD

EXPLOSIVE SCALE FACILITY

ATTN: CAD TEST BLDG 1576

5021 SAFE HAVEN WAY, BLDG 1104

INDIAN HEAD MD 20640

TEL: 301/744-4666 FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

325920

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.

N0017417R0033

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0001 400 Each 1" x 1" Pentolite Pellets - Base Year

FFP

1" x 1" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1 of this RFP.

FOB: Destination

MAX

NET AMT

UNIT UNIT PRICE MAX AMOUNT

0002 1,200 Each 2" x 1" Pentolite Pellets - Base Year

FFP

2" x 1" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0003 300 Each 2" x 2" Pentolite Pellets - Base Year

FFP

2" x 2" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0004 30 Each 2.5" x 2.5" Pentolite Pellets - Base Yr

FFP

2.5" x 2.5" Pentolite Pellets. In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1 of this RFP.

UNIT UNIT PRICE MAX AMOUNT

0005 150 Each 3" x 3" Pentolite Pellets - Base Year

FFP

3" x 3" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0006 30 Each 3.5" x 3.5" Pentolite Pellets - Base Yr

FFP

3.5" x 3.5" Pentolite Pellets - In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, UNIT UNIT PRICE MAX AMOUNT

0007 600 Each 3.75" x 1.875" Pentolite Pellets-Base Yr

FFP

3.75" x 1.875" Pentolite Pellets - In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Contract Data Requirements List

Data for CLINS 0001-0007 in accordance with CDRLs A001 and A002. All data generated under this procurement has been paid for, in full, by the government.

**NOT SEPARATELY PRICED (NSP)**

UNIT UNIT PRICE MAX AMOUNT

0009 400 Each OPTION 1" x 1" Pentolite Pellets - Opt. Year 1

FFP

1" x 1" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0010 1,200 Each OPTION 2" x 1" Pentolite Pellets - Opt Year 1

FFP

2" x 1" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0011 300 Each OPTION 2" x 2" Pentolite Pellets - Opt Year 1

FFP

2" x 2" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0012 30 Each OPTION 2.5" x 2.5" Pentolite Pellets - Opt Yr 1

FFP

2.5" x 2.5" Pentolite Pellets - In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, UNIT UNIT PRICE MAX AMOUNT

0013 150 Each OPTION 3" x 3" Pentolite Pellets - Opt Year 1

FFP

3" x 3" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0014 30 Each OPTION 3.5" x 3.5" Pentolite Pellets - Opt Yr 1

FFP

3.5" x 3.5" Pentolite Pellets - In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, UNIT UNIT PRICE MAX AMOUNT

0015 600 Each OPTION 3.75" x 1.875" Pentolite Pellets-OptYr 1

FFP

3.75" x 1.875" Pentolite Pellets - In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, UNIT UNIT PRICE MAX AMOUNT

0016 400 Each OPTION 1" x 1" Pentolite Pellets - Opt. Year 2

FFP

1" x 1" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0017 1,200 Each OPTION 2" x 1" Pentolite Pellets - Opt Year 2

FFP

2" x 1" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0018 300 Each OPTION 2" x 2" Pentolite Pellets - Opt Year 2

FFP

2" x 2" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0019 30 Each OPTION 2.5" x 2.5" Pentolite Pellets - Opt Yr 2

FFP

2.5" x 2.5" Pentolite Pellets. In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, UNIT UNIT PRICE MAX AMOUNT

0020 150 Each OPTION 3" x 3" Pentolite Pellets - Opt Year 2

FFP

3" x 3" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0021 30 Each OPTION 3.5" x 3.5" Pentolite Pellets - Opt Yr 2

FFP

3.5" x 3.5" Pentolite Pellets - In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, UNIT UNIT PRICE MAX AMOUNT

0022 600 Each OPTION 3.75" x 1.875" Pentolite Pellets-OptYr 2

FFP

3.75" x 1.875" Pentolite Pellets - In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, UNIT UNIT PRICE MAX AMOUNT

0023 400 Each OPTION 1" x 1" Pentolite Pellets - Opt Year 3

FFP

1" x 1" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0024 1,200 Each OPTION 2" x 1" Pentolite Pellets - Opt Year 3

FFP

2" x 1" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0025 300 Each OPTION 2" x 2" Pentolite Pellets - Opt Year 3

FFP

2" x 2" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0026 30 Each OPTION 2.5" x 2.5" Pentolite Pellets - Opt Yr 3

FFP

2.5" x 2.5" Pentolite Pellets - In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, UNIT UNIT PRICE MAX AMOUNT

0027 150 Each OPTION 3" x 3" Pentolite Pellets - Opt Year 3

FFP

3" x 3" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0028 30 Each OPTION 3.5" x 3.5" Pentolite Pellets - Opt Yr 3

FFP

3.5" x 3.5" Pentolite Pellets - In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, UNIT UNIT PRICE MAX AMOUNT

0029 600 Each OPTION 3.75" x 1.875" Pentolite Pellets-OptYr 3

FFP

3.75" x 1.875" Pentolite Pellets - In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, UNIT UNIT PRICE MAX AMOUNT

0030 400 Each OPTION 1" x 1" Pentolite Pellets - Opt Year 4

FFP

1" x 1" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0031 1,200 Each OPTION 2" x 1" Pentolite Pellets - Opt Year 4

FFP

2" x 1" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0032 300 Each OPTION 2" x 2" Pentolite Pellets - Opt Year 4

FFP

2" x 2" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0033 30 Each OPTION 2.5" x 2.5" Pentolite Pellets - Opt Yr 4

FFP

2.5" x 2.5" Pentolite Pellets - In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, UNIT UNIT PRICE MAX AMOUNT

0034 150 Each OPTION 3" x 3" Pentolite Pellets - Opt Year 4

FFP

3" x 3" Pentolite Pellets - In accordance with Statement of Work (SOW) Section

3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, Attachment 1

UNIT UNIT PRICE MAX AMOUNT

0035 30 Each OPTION 3.5" x 3.5" Pentolite Pellets - Opt Yr 4

FFP

3.5" x 3.5" Pentolite Pellets - In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, UNIT UNIT PRICE MAX AMOUNT

0036 600 Each OPTION 3.75" x 1.875" Pentolite Pellets-OptYr 4

FFP

3.75" x 1.875" Pentolite Pellets - In accordance with Statement of Work (SOW)

Section 3.2. Unit price of each includes shipping. Stepladder pricing proposed with instructions provided in Stepladder Pricing Template in Section J, STATEMENT OF WORK

Statement of Work

For

Purchase of Pentolite Pellets

1.0 BACKGROUND / SCOPE.

To support the conduct of US Navy operations worldwide, the US Naval Surface Warfare

Center, Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD) uses a variety of test protocols to characterize energetic materials. Among these protocols are a number of impact tests, including the Naval Ordnance Laboratory (NOL) Card Gap Tests. These tests are widely used in the energetics community to determine shock sensitivity. The test requires the use of pentolite explosive pellets. These pellets are also used in a variety of other test conditions and require a wide range of sizing. The NSWC IHEODTD stockpile of pentolite pellets is low due to the ubiquitous use of these articles.

2.0 APPLICABLE DOCUMENTS.

NAVSEA OP-5 Ammunition and Explosives Safety Ashore 15 January 2013

JAN-P-408 Pentolite 50/50 8 January 2014

STANAG 4488, Ed 2 Explosives, Shock Sensitivity Tests 27 April 2009

3.0 REQUIREMENTS.

During the course of execution of this scope of work, the contractor shall use NAVSEA OP-5 or equivalent as a guide for his operations.

3.1 The pellets shall conform to the applicable requirements of JAN-P-408 and STANAG 4488.

A density of 1.56 +/- 0.01 g/cc is required of all articles.

3.2 The contractor shall manufacture the following Pentolite Pellets over a 5 year period.

Pentolite pellets, size 1 inch by 1 inch, 2000 maximum quantity over 5 year ordering period.

Pentolite pellets, size 2 inches by 1 inch, 6000 maximum quantity over 5 year ordering period.

Pentolite pellets, size 2 inches by 2 inches, 1500 maximum quantity over 5 year ordering period. The pellets shall be capable of use in NOL large scale card gap test as specified

STANAG 4488.

Pentolite pellets, size 2.5 inches by 2.5 inches, 150 maximum quantity over 5 year ordering period.

Pentolite pellets, size 3 inches by 3 inches, 750 maximum quantity over 5 year ordering period.

Pentolite pellets, size 3.5 inches by 3.5 inches, 150 maximum quantity over 5 year ordering period.

Pentolite pellets, size 3.75 inches by 1.875 inches, 3000 maximum quantity over 5 year ordering period. The pellets shall be capable of use in NOL large scale card gap test as specified in STANAG 4488.

3.3 The pellets shall conform to the applicable requirements of JAN-P-408 and STANAG 4488.

3.4 A pre-production sample of 10 each pellets of both 2 inches by 1 inch and 3.75 inches by

1.875 inches (a total of 20 pellets) will be required for inspection at the contractor’s production location. The government reserves the right to waive this requirement at its sole option.

3.5 All production pellets shall be delivered FOB Destination to:

Naval Surface Warfare Center Indian Head Explosive Ordnance Disposal Technology Division

(NSWC IHEODTD)

ATTN: Explosives Scales Facility

Building 1104

5021 Safe Haven Way

Indian Head, MD 20640-5173

ATTN: NAME: Jay Classen

CODE: R33JC

PHONE NUMBER: (301)744-1155

The contractor shall deliver the required quantity of pellets within ninety days of delivery order.

3.6 The contractor shall report immediately any major accident/incident (including fire) resulting in any one or more of the following: causing one or more fatalities or one or more disabling injuries; any incident involving government personnel or property; damage of government property exceeding $10,000; affecting program planning or production schedules;

degrading the safety of equipment under contract, such that personal injury or property damage may be involved; identifying a potential hazard requiring corrective action. The contractor shall prepare the report in accordance with CDRL A001 (DI-SAFT-81563) for each incident.

3.7 The contractor shall supply a Certificate of Compliance in accordance with CDRL A002

(DI-MISC-81356A) for all shipments.

4.0 OPSEC Review

4.1 For contracts involving AA or E applicable to Domestic Violence Amendment to the Gun

Control Act of 1968. Requires the addition of: “ Per AR 381-12 Threat Awareness and Reporting

Program (TARP), contractor employees must receive annual TARP training by a CI agent or other trainer as specified in 2-4b. This training shall be completed within 12 months after contract start date or effective date of incorporation of this requirement into the contract, whichever applies, and then annually thereafter. The contractor shall submit documentation of completion for each affected contractor employee and subcontractor employee to the COR (or to the contracting officer, if COR is not assigned) within 14 calendar days after completion of training by all employees and the subcontractor personnel.” Training can be executed by a local

CI agent, online via the Army Learning Management System at https://www.lms.army.mil (and search for TARP), or by contacting the 902 nd military intelligence unit at usarmy, picatinny.902-mi-grp.list.308 th

–picatinny-fo@mail.mil .

https://www.lms.army.mil/ mailto:–picatinny-fo@mail.mil

4.2 Export Control Laws/International Traffic in Arms Regulation. Requires the addition of

“information Subject to Export Control Laws/International Traffic in Arms Regulation (ITAR):

Public Law 90-629, “Arms Export Control Act,” as amended (22 U.S.C 2751 et.Seq.) requires that all unclassified technical data with military application may not be exported lawfully without an approval, authorization, or license under EO 12470 or the Arms Export Control Act.

For purposes of making this determination, the Military Critical Technologies List (MCTL) shall be used general guidance. All documents determined to contain export controlled technical data will be marked with the following notice: WARNING:- This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., App.2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provision of DoD Directive 52.30.25.”

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 N/A N/A N/A Government

0009 Destination Government Destination Government

0010 Destination Government Destination Government

0011 Destination Government Destination Government

0012 Destination Government Destination Government

0013 Destination Government Destination Government

0014 Destination Government Destination Government

0015 Destination Government Destination Government

0016 Destination Government Destination Government

0017 Destination Government Destination Government

0018 Destination Government Destination Government

0019 Destination Government Destination Government

0020 Destination Government Destination Government

0021 Destination Government Destination Government

0022 Destination Government Destination Government

0023 Destination Government Destination Government

0024 Destination Government Destination Government

0025 Destination Government Destination Government

0026 Destination Government Destination Government

0027 Destination Government Destination Government

0028 Destination Government Destination Government

0029 Destination Government Destination Government

0030 Destination Government Destination Government

0031 Destination Government Destination Government

0032 Destination Government Destination Government

0033 Destination Government Destination Government

0034 Destination Government Destination Government

0035 Destination Government Destination Government

0036 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 ORDERING PERIOD IS

DATE OF AWARD

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

NAVSEA INDIAN HEAD

EXPLOSIVE SCALE FACILITY

ATTN: CAD TEST BLDG 1576

5021 SAFE HAVEN WAY, BLDG 1104

INDIAN HEAD MD 20640

301/744-4666

N00174

0002 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0003 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0004 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0005 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0006 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0007 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0008 N/A N/A N/A N/A

0009 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

NAVSEA INDIAN HEAD

EXPLOSIVE SCALE FACILITY

ATTN: CAD TEST BLDG 1576

5021 SAFE HAVEN WAY, BLDG 1104

INDIAN HEAD MD 20640

301/744-4666

0010 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0011 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0012 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0013 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0014 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0015 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0016 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0017 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0018 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0019 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0020 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0021 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0022 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0023 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0024 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0025 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0026 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0027 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0028 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0029 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0030 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0031 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0032 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0033 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0034 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0035 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

0036 ORDERING PERIOD IS

THROUGH 365 DAYS

THEREAFTER

TBD PER EACH

DELIVERY

ORDER

(SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984

52.212-1 Instructions to Offerors--Commercial Items JAN 2017

52.212-2 Evaluation - Commercial Items OCT 2014

52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017

52.222-50 Combating Trafficking in Persons MAR 2015

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

252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

OCT 2016

252.222-7007 Representation Regarding Combating Trafficking in Persons JAN 2015

252.225-7001 Buy American And Balance Of Payments Program-- Basic

(Dec 2016)

DEC 2016

252.225-7002 Qualifying Country Sources As Subcontractors DEC 2016

252.225-7012 Preference For Certain Domestic Commodities DEC 2016

252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (JAN 2017)

The Offeror shall complete only paragraph (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 --

“Administrative merits determination” means certain notices or findings of labor law violations issued by an enforcement agency following an investigation. An administrative merits determination may be final or be subject to appeal or further review. To determine whether a particular notice or finding is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.

“Arbitral award or decision” means an arbitrator or arbitral panel determination that a labor law violation occurred, or that enjoined or restrained a violation of labor law. It includes an award or decision that is not final or is subject to being confirmed, modified, or vacated by a court, and includes an award or decision resulting from private or confidential proceedings. To determine whether a particular award or decision is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.

“Civil judgment” means—

(1) In paragraph (h) of this provision: A judgment or finding of a civil offense by any court of competent jurisdiction.

(2) In paragraph (s) of this provision: Any judgment or order entered by any Federal or State court in which the court determined that a labor law violation occurred, or enjoined or restrained a violation of labor law. It includes a judgment or order that is not final or is subject to appeal. To determine whether a particular judgment or order is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.

“DOL Guidance” means the Department of Labor (DOL) Guidance entitled: ``Guidance for Executive Order 13673, `Fair Pay and Safe Workplaces' ''. The DOL Guidance, dated August 25, 2016, can be obtained from www.dol.gov/fairpayandsafeworkplaces.

“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.

“Enforcement agency” means any agency granted authority to enforce the Federal labor laws. It includes the enforcement components of DOL (Wage and Hour Division, Office of Federal Contract Compliance

Programs, and Occupational Safety and Health Administration), the Equal Employment Opportunity Commission, the Occupational Safety and Health Review Commission, and the National Labor Relations Board. It also means a https://www.sam.gov/portal http://www.dol.gov/fairpayandsafeworkplaces

State agency designated to administer an OSHA-approved State Plan, but only to the extent that the State agency is acting in its capacity as administrator of such plan. It does not include other Federal agencies which, in their capacity as contracting agencies, conduct investigations of potential labor law violations. The enforcement agencies associated with each labor law under E.O. 13673 are--

(1) Department of Labor Wage and Hour Division (WHD) for--

(i) The Fair Labor Standards Act;

(ii) The Migrant and Seasonal Agricultural Worker Protection Act;

(iii) 40 U.S.C. chapter 31, subchapter IV, formerly known as the Davis-Bacon Act;

(iv) 41 U.S.C. chapter 67, formerly known as the Service Contract Act;

(v) The Family and Medical Leave Act; and

(vi) E.O. 13658 of February 12, 2014 (Establishing a Minimum Wage for Contractors);

(2) Department of Labor Occupational Safety and Health Administration (OSHA) for--

(i) The Occupational Safety and Health Act of 1970; and

(ii) OSHA-approved State Plans;

(3) Department of Labor Office of Federal Contract Compliance Programs (OFCCP) for--

(i) Section 503 of the Rehabilitation Act of 1973;

(ii) The Vietnam Era Veterans' Readjustment Assistance Act of 1972 and the Vietnam Era Veterans' Readjustment

Assistance Act of 1974; and

(iii) E.O. 11246 of September 24, 1965 (Equal Employment Opportunity);

(4) National Labor Relations Board (NLRB) for the National Labor Relations Act; and

(5) Equal Employment Opportunity Commission (EEOC) for--

(i) Title VII of the Civil Rights Act of 1964;

(ii) The Americans with Disabilities Act of 1990;

(iii) The Age Discrimination in Employment Act of 1967; and

(iv) Section 6(d) of the Fair Labor Standards Act (Equal Pay Act).

"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).

“Labor compliance agreement” means an agreement entered into between a contractor or subcontractor and an enforcement agency to address appropriate remedial measures, compliance assistance, steps to resolve issues to increase compliance with the labor laws, or other related matters.

“Labor laws” means the following labor laws and E.O.s:

(1) The Fair Labor Standards Act.

(2) The Occupational Safety and Health Act (OSHA) of 1970.

(3) The Migrant and Seasonal Agricultural Worker Protection Act.

(4) The National Labor Relations Act.

(5) 40 U.S.C. chapter 31, subchapter IV, formerly known as the Davis-Bacon Act.

(6) 41 U.S.C. chapter 67, formerly known as the Service Contract Act.

(7) E.O. 11246 of September 24, 1965 (Equal Employment Opportunity).

(8) Section 503 of the Rehabilitation Act of 1973.

(9) The Vietnam Era Veterans' Readjustment Assistance Act of 1972 and the Vietnam Era Veterans' Readjustment

Assistance Act of 1974.

(10) The Family and Medical Leave Act.

(11) Title VII of the Civil Rights Act of 1964.

(12) The Americans with Disabilities Act of 1990.

(13) The Age Discrimination in Employment Act of 1967.

(14) E.O. 13658 of February 12, 2014 (Establishing a Minimum Wage for Contractors).

(15) Equivalent State laws as defined in the DOL Guidance. (The only equivalent State laws implemented in the

FAR are OSHA-approved State Plans, which can be found at www.osha.gov/dcsp/osp/approved_state_plans.html).

“Labor law decision” means an administrative merits determination, arbitral award or decision, or civil judgment, which resulted from a violation of one or more of the laws listed in the definition of

``labor laws''.

“Manufactured end product” means any end product in product and service codes (PSCs) 1000-9999, except--http://www.osha.gov/dcsp/osp/approved_state_plans.html

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

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

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

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

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

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

(8) PSC 9610, Ores;

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

(10) PSC 9630, Additive Metal Materials.

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

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

“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.

“Successor” means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term

“successor” does not include new offices/divisions of the same company or a company that only changes its name.

The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

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

(1) Not less than 51 percent of which is owned 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 stock of which 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 its stock is owned by one or more women; or

(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.

Note to paragraph (a): By a court order issued on October 24, 2016, the following definitions in this paragraph (a) are enjoined indefinitely as of the date of the order: ``Administrative merits determination'', ``Arbitral award or decision'', paragraph (2) of ``Civil judgment'', ``DOL Guidance'', ``Enforcement agency'', ``Labor compliance agreement'', ``Labor laws'', and ``Labor law decision''. The enjoined definitions will become effective immediately if the court terminates the injunction. At that time, DoD, GSA, and NASA will publish a document in the Federal

Register advising the public of the termination of the injunction.

(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 electronically on the SAM website.

(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 representations and certifications currently posted electronically at FAR 52.212-

3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard 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 ORCA.]

(c) Offerors must complete the following representations when the resulting contract will 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.

https://www.acquisition.gov/

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

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

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

Note to paragraphs (c)(8) and (9): 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.

(d) Certifications and representations required to implement provisions of Executive Order 11246--

(1) Previous Contracts and Compliance. The offeror represents that--

(i) It ( ___ ) has, ( ___ )…