18QG144.docx

N0018918QG144

Section SF 1449 - CONTINUATION SHEET

WATER JET MAINTENANCE BASE

FFP

Water Jet Maintenance in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Price per Annual Maintenance on the following equipment.

1. Omax Abrasive Waterjet, Model No. 55100-30V, Serial No. H511607

2. Omax Abrasive Waterjet, Model No. 55100-30V, Serial No. B511854

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

MILSTRIP: N6831618RC038GR

PURCHASE REQUEST NUMBER: N6831618RC038GR

ADDITIONAL MARKINGS:

NET AMT

SERVICE LABOR BASE

Service Labor in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Price per Day to cover any Daily Service and billed as needed Not To Exceed.

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

MILSTRIP: N6831618RC038GR

NET AMT

PARTS BASE

Parts in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Not To Exceed and billed as needed. Prior authorization needed from the Government Technical Point of Contact (GTPOC).

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

MILSTRIP: N6831618RC038GR

NET AMT

FFP

Water Jet Maintenance in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Price per Annual Maintenance on the following equipment.

1. Omax Abrasive Waterjet, Model No. 55100-30V, Serial No. H511607

2. Omax Abrasive Waterjet, Model No. 55100-30V, Serial No. B511854

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Service Labor in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Price per Day to cover any Daily Service and billed as needed Not To Exceed.

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Parts in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Not To Exceed and billed as needed. Prior authorization needed from the Government Technical Point of Contact (GTPOC).

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Water Jet Maintenance in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Price per Annual Maintenance on the following equipment.

1. Omax Abrasive Waterjet, Model No. 55100-30V, Serial No. H511607

2. Omax Abrasive Waterjet, Model No. 55100-30V, Serial No. B511854

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Service Labor in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Price per Day to cover any Daily Service and billed as needed Not To Exceed.

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Parts in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Not To Exceed and billed as needed. Prior authorization needed from the Government Technical Point of Contact (GTPOC).

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Water Jet Maintenance in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Price per Annual Maintenance on the following equipment.

1. Omax Abrasive Waterjet, Model No. 55100-30V, Serial No. H511607

2. Omax Abrasive Waterjet, Model No. 55100-30V, Serial No. B511854

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Service Labor in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Price per Day to cover any Daily Service and billed as needed Not To Exceed.

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Parts in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Not To Exceed and billed as needed. Prior authorization needed from the Government Technical Point of Contact (GTPOC).

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Water Jet Maintenance in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Price per Annual Maintenance on the following equipment.

1. Omax Abrasive Waterjet, Model No. 55100-30V, Serial No. H511607

2. Omax Abrasive Waterjet, Model No. 55100-30V, Serial No. B511854

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Service Labor in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Price per Day to cover any Daily Service and billed as needed Not To Exceed.

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Parts in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Not To Exceed and billed as needed. Prior authorization needed from the Government Technical Point of Contact (GTPOC).

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Water Jet Maintenance in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Price per Annual Maintenance on the following equipment.

1. Omax Abrasive Waterjet, Model No. 55100-30V, Serial No. H511607

2. Omax Abrasive Waterjet, Model No. 55100-30V, Serial No. B511854

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Service Labor in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Price per Day to cover any Daily Service and billed as needed Not To Exceed.

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

FFP

Parts in accordance with incorporated Statement of Work (SOW). Work to be performed in Groton, CT 06349. Not To Exceed and billed as needed. Prior authorization needed from the Government Technical Point of Contact (GTPOC).

No bids will be accepted without FAR 52.203-18, 52.209-11, and FAR 52.222-48.

FOB: Destination

NET AMT

STATEMENT OF WORK

NAVAL SUBMARINE SUPPORT FACILITY (NSSF)

ANNUAL MAINTENANCE OMAX BRIDGE WATER JETS

Annual Service Maintenance on two OMAX Bridge Water jets located in building 478 for NSSF located on the Naval Submarine Base NLON, Groton, CT 06349. The models of the machines are 11A 55100 and 17A 60120.

1.0 SCOPE OF WORK

A. Contractor shall perform a 30 point inspection in accordance with Original Equipment Manufacturers manuals of each machine which includes the following:

The Contractor shall

1. Inspect ball screws and traction drives

2. Replace servo belts

3. Replace all filters

4. Grease or oil lubrication points

5. Rebuild the OMAX pump includes one major Rebuild Kit

6. Inspection of plungers

7. Inspect/Rebuild all swivels using Swivel rebuild kits

8. Table inspection and Laser calibration, readjust as necessary

9. Check and reset all pressure settings

10. Install the latest revision of OMAX Software

B. Parts to be provided and installed include as part of the annual maintenance:

1. Pump Major rebuild

2. Swivel Repair Kit

3. X and Y Motor belts

4. Pump and controller air filters

5. Pump water filters

6. Swivel repair kits

7. Technician (certified by OMAX) to be on site for 30 hours per machine

8. Cost of service to include all travel expenses, parts, and labor.

C. Vendor shall ensure that the Water jets are in working order in accordance with original manufacturer’s specifications prior to leaving the site D. Any part not covered by the maintenance contract shall be handled as a separate purchase action via Government Purchase Card.

2.0 ADDITIONAL REPAIRS OUTSIDE OF SCOPE

Under unforeseen circumstances, additional repairs outside of the original scope of this contract could be required from the contractor. The contractor is required to provide a written estimate of the cost (labor & materials) of the additional work (outside of the original scope of the contract) to the Government Technical Point of Contact (GTPOC) prior to the commencement of work. The quote shall include the following as a minimum: Materials Cost, Labor Cost, Any Additional Cost and Total Cost. The GTPOC shall evaluate and provide a recommendation to the Contracting Officer to process a contract modification prior to the commencement of work.

3.0 PERSONAL QUALIFICATIONS

Contractor employees shall possess at least the minimum qualifications required by nationally acceptable industry standards for certification for the work being performed. The contractor shall maintain a qualified workforce to cover scheduled tasks, to include current and valid certifications as assigned.

4.0 CONTRACTOR REQUIREMENTS/SPECIFIC TASKS

The contractor is responsible for providing all the necessary personnel, equipment, labor, parts, and supplies to complete this task. The contractor shall provide all personnel protective equipment and preventative maintenance materials required to perform the specific tasks as defined in section 2.0.

5.0 ADMINISTRATION

5.1 DELIVERY LOCATION

The contractor will receive all materials, supplies, and equipment ordered for this task at the contractor’s facility and transport via their own vehicles to Naval Submarine Support Facility, Naval Submarine Base NLON, Groton, CT 06349. No extra reimbursement will be provided by the government for this transporting of equipment, materials, and supplies.

5.2 HOURS OF OPERATION

The contractor will coordinate all work schedules with GTPOC after contract has been awarded to include the following allowances:

The contractor shall perform all work for this task during normal working hours of the facility to include Monday through Friday 7am to 4pm with no work completed on Saturday or Sunday.

5.3 GOVERNMENT TECHNICAL POINT OF CONTACT (GTPOC)

TBD

6.0 PERIOD OF PERFORMANCE

1. Base period June 01, 2018 through May 31, 2019

2. Option Year One (1) June 01, 2019 through May 31, 2020

3. Option Year Two (2) June 01, 2020 through May 31, 2021

4. Option Year Three (3) June 01, 2021 through May 31, 2022

5. Option Year Four (4) June 01, 2022 through May 31, 2023

6. Six Month Extension Option FAR 52.217-8 June 01, 2023 through November 30, 2023

7.0 METHOD OF PAYMENT

(a) Invoices for goods received or services rendered under this contract shall be submitted electronically through Wide Area Work Flow -- Receipt and Acceptance (WAWF):

(1) The vendor shall have their cage code activated by calling 866-618-5988. Once activated, the vendor shall self-register at the web site https://wawf.eb.mil. Vendor training is available on the Internet at http://www.wawftraining.com. Additional support can be obtained by calling WAWF Customer Support: 866-618-5988.

(2) WAWF Vendor “Quick Reference” Guides is located at the following web site: http://www.acquisition.navy.mil/navyaos/content/view/full/3521.

(3) Select the invoice type within WAWF as specified below. Back up documentation (such as timesheets, receiving reports etc.) can be included and attached to the invoice in WAWF. Attachments created in any Microsoft Office product are attachable to the invoice in WAWF. Total limit for each file is not to exceed 2MB. Multiple attachments are allowed.

8.0 SECURITY

The contractor will not use denial of access to the facilities as a reason not to begin work upon award of contract. Contractor personnel shall comply with all local base/installation security procedures required to gain access to US Government facilities. All contractors are required to be US citizens. All contractor equipment, personnel and vehicles are subject to inspection and search by US government security officials (or designated representatives) upon entry to any government owned and/or operated installations and facilities. The Government reserves the right to visit and inspect, the Contractor’s assets/facilities used in support of this requirement.

9.0 AUTHORIZED CHANGES ONLY BY THE CONTRACTING OFFICER

The Contractor shall not comply with any order, direction or request of Government personnel unless it is issued in writing and signed by the Contracting Officer, or is pursuant to specific authority otherwise included as a part of this contract.

The Contracting Officer is the only person authorized to approve changes in any of the requirements of this contract and notwithstanding provisions contained elsewhere in this contract, the said authority remains solely the Contracting Officer's.

10.0 5237.102-90 ECMRA

Enterprise-wide Contractor Manpower Reporting Application (ECMRA) The contractor shall report contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the [NAMED COMPONENT] via a secure data collection site. Contracted services excluded from reporting are based on Product Service Codes (PSCs). The excluded PSCs are:

(1) W, Lease/Rental of Equipment;

(2) X, Lease/Rental of Facilities;

(3) Y, Construction of Structures and Facilities;

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

(5) S, Utilities ONLY;

(6) V, Freight and Shipping ONLY.

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

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

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

31-MAY-2019

SAL CARDELLO

BUILDING 38

ATTN FSG

GROTON CT 06349

FOB: Destination N68316

31-MAY-2019

N68316

31-MAY-2019

N68316

31-MAY-2020

N68316

31-MAY-2020

N68316

31-MAY-2020

N68316

31-MAY-2021

N68316

31-MAY-2021

N68316

31-MAY-2021

N68316

31-MAY-2022

N68316

31-MAY-2022

N68316

31-MAY-2022

N68316

31-MAY-2023

N68316

31-MAY-2023

N68316

31-MAY-2023

N68316

30-NOV-2023

N68316

30-NOV-2023

N68316

30-NOV-2023

N68316

CLAUSES INCORPORATED BY FULL TEXT

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

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

Department of Defense Activity Address Code (DoDAAC) is a six position code that uniquely identifies a unit, activity, or organization.

Document type means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

Local processing office (LPO) is the office responsible for payment certification when payment certification is done external to the entitlement system.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall--

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.acquisition.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this Web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via Web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

2 IN 1

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

TBD

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table* Field Name in WAWF Data to be entered in WAWF

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

TBD

(g) WAWF point of contact. (1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.

TBD

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

(End of clause)

CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

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

(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.

(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 Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American – Supplies, is included in this solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.” The terms “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American—Supplies.”

(2) Foreign End Products:

[List as necessary]

(3) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(g)

(1) Buy American -- Free Trade Agreements -- Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American -- Free Trade Agreements -- Israeli Trade Act, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The terms “Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product,” “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” “Free Trade Agreement country,” “Free Trade Agreement country end product,” “Israeli end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American--Free Trade Agreements--Israeli Trade Act.”

(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements—Israeli Trade Act”:

Free Trade Agreement Country End Products (Other than Bahrainian, Moroccan, Omani, Panamanian, or Peruvian End Products) or Israeli End Products:

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) or this provision) as defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements—Israeli Trade Act.” The offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.”

Other Foreign End Products:

(iv) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(2) Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate I. If Alternate I to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products as defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements—Israeli Trade Act”:

Canadian End Products:

Line Item No.:

[List as necessary]

(3) Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate II. If Alternate II to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products or Israeli end products as defined in the clause of this solicitation entitled “Buy American--Free Trade Agreements--Israeli Trade Act'':

Canadian or Israeli End Products:

(4) Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate III. If Alternate III to the clause at 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Korean, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements—Israeli Trade Act”:

Free Trade Agreement Country End Products (Other than Bahrainian, Korean, Moroccan, Omani, Panamanian, or Peruvian End Products) or Israeli End Products:

(5) Trade Agreements Certificate. (Applies only if the clause at FAR 52.225-5, Trade Agreements, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(5)(ii) of this provision, is a U.S.-made or designated country end product as defined in the clause of this solicitation entitled “Trade Agreements.”

(ii) The offeror shall list as other end products those end products that are not U.S.-made or designated country end products.

Other End Products

(iii) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25. For line items covered by the WTO GPA, the Government will evaluate offers of U.S.-made or designated country end products without regard to the restrictions of the Buy American statute. The Government will consider for award only offers of U.S.-made or designated country end products unless the Contracting Officer determines that there are no offers for such products or that the offers for such products are insufficient to fulfill the requirements of the solicitation.

(h) Certification Regarding Responsibility Matters (Executive Order 12689). (Applies only if the contract value is expected to exceed the simplified acquisition threshold.) The offeror certifies, to the best of its knowledge and belief, that the offeror and/or any of its principals--

(1) [ ___ ] Are, [ ___ ] are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;

(2) [ ___ ] Have, [ ___ ] have not, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property; and

(3) [ ___ ] Are, [ ___ ] are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses enumerated in paragraph (h)(2) of this clause; and

(4) [ ___ ] Have, [ ___ ] have not, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds $3,500 for which the liability remains unsatisfied.

(i) Taxes are considered delinquent if both of the following criteria apply:

(A) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge.