N0025316T0382.pdf

SEE ADDENDUM

(No Collect Calls)

N00253-16-T-0382 20-Jun-2016

b. TELEPHONE NUMBER

360 315-6721

8. OFFER DUE DATE/LOCAL TIME

12:00 AM 29 Jun 2016

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.

N002539. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

DIANA L. LASOTA

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

NAVAL UNDERSEA WARFARE CENTER

ATTN: DIANA L. LASOTA

DIANA.LASOTA@NAVY.MIL

610 DOWELL ST BLDG 206

KEYPORT WA 98345-7610

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS AX

13b. RATING

DO-S1

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: 360 315-6721

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

1,000

NAICS:

334517

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 OF51

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.

N00253-16-T-0382

Section SF 30 - BLOCK 14 CONTINUATION PAGE

SOLICITATION INFORMATION

Solicitation Information

NOTE 1: Government Point of Contact for this Solicitation/Request for Quote (RFQ) is: Diana L. Lasota Purchasing Agent, Phone: 360-315-6721, Fax: 360-396-7036, Email:

diana.lasota@navy.mil

NOTE 2: All questions regarding this solicitation should be submitted in writing as soon as practicable after receipt of solicitation. Email questions to diana.lasota@navy.mil. Questions received after a reasonable time may not be entertained. (DO NOT include government drawings or government protected information in your reply emails unless they are digitally signed and encrypted per Federal Information Processing Standard (FIPS) Publication140-2.)

NOTE 3: Offers shall be FOB Destination in accordance with FAR Clause 52.247-34.

NOTE 4: RAPIDGate Program: For base access information/requirements assure you go to the link located in the C.123 provision of this solicitation.

NOTE 5: Firms interested in submitting quotes must (1) complete the pricing providing unit prices and extended pricing, (2) complete all representations and certifications found within this document and ensure your company’s registration in SAM is current and active.

https://www.sam.gov. Company quote forms may be used, but not substituted for a completed solicitation/amendment pages.

NOTE 6: The government prefers submission of this RFQ by email or fax.

NOTE 7: Performance under this contract requires the contractor to adhere to certain Operations Security (OPSEC) requirements. Explanation of these requirements is detailed SECTION I of the Operations Security Guide for Defense Contractors available online at:

http://www.navsea.navy.mil/Home/WarfareCenters/NUWCKeyport/Resources.aspx; click on OPSEC Guide for Defense Contractors on the right-hand side.

NOTE 8: On-site contractors must comply with NUWC Division, Keyport publication “Safety Requirements for Contractors and Subcontractors” and NUWC Division, Keyport publication

“Contractor’s Guide to Environmental Compliance”. Both documents are incorporated in full by reference and are available at the following links:

http://www.navsea.navy.mil/nuwc/keyport/default.aspx and http://www.navsea.navy.mil/nuwc/keyport/Environmental/Policy.aspx

NOTE 9: Failure to provide all required information from this solicitation and any subsequent amendment(s) may deem your company to be considered non-responsive.

mailto:diana.lasota@navy.mil mailto:diana.lasota@navy.mil https://www.sam.gov/ http://www.navsea.navy.mil/Home/WarfareCenters/NUWCKeyport/Resources.aspx http://www.navsea.navy.mil/nuwc/keyport/default.aspx http://www.navsea.navy.mil/nuwc/keyport/Environmental/Policy.aspx

STATEMENT OF WORK (SOW)

STATEMENT OF WORK

1. DESCRIPTION OF SERVICES:

This statement of work covers periodic maintenance and repair options for two separate real- time X-ray systems used and maintained at Naval Undersea Warfare Center Division, Keyport, 610

Dowell Street, Keyport, WA 98345. The Contractor shall provide all management, labor, tools, parts, supplies, equipment, lodging, transportation and other necessary items to perform full preventative maintenance (PM), service or repair service of two real-time cabinet X-ray systems and all accessories listed below.

The first real- time cabinet X-ray system is located in Building 82 of Naval Base Kitsap (NBK), Keyport. This service contract shall maintain all system specifications and performance benchmarks per the manufacturer’s (Phoenix X-ray) levels and to applicable standards for all systems. The cabinet X-ray system consists of the following items:

Phoenix 225kv X-ray Tube (Serial # XS225D000F-70904) Phoenix X-ray Control Unit (Serial # XS_CUOEM12-70904) High Tension Cable

Trivac 140000 Vacuum Pump (Serial # 30000001139) Turbo Pump (Serial # 20900876040)

Turbotronik NT12 (Serial # 20900582610) Vacuum Measuring Gauge Phoenix Tube Cooling System (Serial # XS_50A00)

Pre-Transformer (Serial # B0205013) 9” Diameter Image Intensifier (I.I.)

High Tension Generator Gulmay LTD England UC225/10 (Serial # 2480-0404) National X-ray Cabinet Model NX522W-225M (Serial # 091804) 5-axis Sample Manipulator System

Controller Computer with Phoenix xs/control software version 1.6

The second real-time cabinet X-ray system is located at Building 5000 of NBK, Bangor. This service contract shall maintain all system specifications and performance benchmarks per the manufacturer’s (YXLON) levels and to applicable standards for all systems. The cabinet X-ray system consists of the following items:

YXLON 225kV X-ray Tube (Model # FXT-225.48-3 Ver. FXE, Serial # 11077573) YXLON X-ray Control Unit (Serial #11041557) High Tension Cable

PFEIFFER Vacuum Roughing Pump (Serial # 2736526610) PFEIFFER Turbo Pump (Model # HiPace 80)

Vacuum Measuring Gauge YXLON Tube Cooling System Pre-Transformer

SIEMENS Image Intensifier (I.I.) 9" Diameter (Model # HIDEQ 23-3 ISX)

SONY CCD Black/White Video Camera Module

Gulmay LTD High Tension Generator (Model # UC225/6, Serial # 4033-0612) National X-ray Cabinet Model NX522W-225M (Serial # 021513)

5-axis Sample Manipulator System Controller Computer with YXLON control software version 2.0

Subject: Periodic maintenance service contract for the real-time cabinet X-ray systems located at NBK Keyport Building 82 and NBK Bangor Building 5000.

Background: Both real-time X-ray systems operate using the same basic components and mechanisms. The real-time X-ray cabinet system facilitates the X-ray inspection of components in live (real) time. The sample can be manipulated in 5 different axes including X, Y and Z plus 30o tilt and 360o sample rotation. The real-time X-ray system can be used to examine a wide array of samples ranging from integrated circuits to welds in steel. The X-ray head is housed in an enclosed large lead cabinet. The Image Intensifier (I.I.), which is used in place of film, and attached camera allows for sample inspection in real-time. The tube head power level is controlled via computer; however, the overall system power is key-controlled. The tube head power is activated using the control software, which is also used to record error messages and troubleshoot system issues. Both cabinet X-ray systems area part of the station radiation safety program and are compliant with the requirements of NAVSEA S0420-AA-RAD-010, Radiological Affairs Support Program Manual and 21 CFR 1020.40. They both have the same oversight by the Radiation Safety Officer and the Assistant Radiation Safety Officer.

2. PLACE OF PERFORMANCE:

Maintenance and any repairs shall be accomplished onsite Building 82, NBK Keyport and Undersea Warfare Center, Building 5000, NBK Bangor (approximately 5 miles apart).

3. GENERAL INFORMATION:

The Contractor shall provide trained personnel familiar with both the hardware and software;

furnish all labor, tools, parts, materials, consumable items, equipment, lodging, transportation, and other necessary items to perform maintenance and/or any repair required on both cabinet X-ray system and accessories.

4. REQUIREMENTS:

This document specifies the minimum and/or nominal requirements for the full service maintenance and/or optional repair visits of the two cabinet X-ray systems and the accessories listed in section 1 above. The contractor shall follow procedures outlined by the original manufacturer when applicable, for these services of the above pieces of equipment, including requirements for the Phoenix (now GE Inspection Technologies) and YXLON tube heads and accessories. The contractor shall use only new or refurbished like-new parts for any part of the system. Original Equipment Manufacturer (OEM) new parts shall be used when available for any part of the system that activates, controls, monitors, or electrically powers the radiation X-ray tube head source. Refurbished like-new parts will be acceptable for any part of the system that activates, controls, monitors, or electrically powers the radiation X-ray tube head only when new parts are not available.

5. CONTRACTOR TASKS:

5.1 Preventative Maintenance, Service and Repair:

5.1.1 The Contractor shall perform preventative maintenance service for each of the X-ray cabinet system and all accessories identified in section 1 to keep both the systems in good working order. Preventative maintenance shall include at a minimum the following tasks:

Grease the high tension cable

Clean and polish target or replace if necessary

Clean and polish inside of tube head

Replace all O-rings in tube head

Replace vacuum pump oil if needed

Clean PT vacuum gauge cathode plate or replace as needed

Service cooling pump and refresh/refill coolant levels

Grease the drive screws of the sample manipulator system

Clean and lubricate manipulator stainless linear rails (3- in-1 oil for Building

5000)

Adjust manipulator belts and pulleys if needed

Clean tube head window

Repair or replace any components that are worn or unreliable

Clean, adjust, and verify X-Ray tube circuitry

Clean and verify Vacuum System Operation

Clean, adjust, and verify HT Generator Operation

Verify Manipulator operation

Verify Image Chain

Verify Control Unit

Test and verify safety components such as interlock circuits, lamps, control circuits, and the emergency stop button

Notify FA or Environmental test lab personnel of any components that will need to be replaced in the near future or that are showing wear so arrangements can be made to procure/order the components for delivery prior to next visit when exercised.

5.1.2 The Contractor shall follow all service and repair procedures recommended by the manufacturer using OEM (Phoenix/GE Inspection Technologies and YXLON) approved techniques when available when handling components of the X-ray source. The cabinet X-ray system shall be checked for malfunctions, then cleaned and serviced following a service checklist to ensure that the above listed equipment is performing within specifications. All malfunctions shall be repaired to OEM specifications when applicable. The X-ray cabinet system shall be fully operational and serviceable after completion of PM, service and/or repair. The Contractor shall demonstrate to the lab personnel or designated alternate that the systems are fully functional/operational after completion of PM/service.

5.1.3 PM service calls shall be scheduled Monday through Friday, 0700 to 1600 hours PST. After every PM/service call the system shall be operated and images captured to ensure that the system is functioning properly and accurately.

5.1.4 The Contractor shall provide all consumable parts and components for completion of the preventative maintenance, including all items and fluids for regular pump care, O-rings for the tube head, high tension cable grease, and any other specialty materials or parts.

5.2 Replacement Parts :

Large or non-field repairable components that must be returned to the manufacturer for repair will be shipped to the manufacturer’s site prepaid by contractor, to include packaging, insurance (required), and FOB shipping costs. After completion of repairs, the contractor shall ship or otherwise deliver repaired item(s), prepaid and insured, FOB Destination. Original and/or duplicate copy of paid freight bill or commercial bill of lading marked “paid” must be attached to invoice.

5.3 Point of Contact: The contractor shall provide the using activity with a phone number for coordination of service calls. This phone number should have a low frequency of use and should be monitored from 0700 to 1600 hours a day, local time, as per the business hours.

6 REPORTS:

The following information shall be required at the completion of each preventative maintenance or service visit:

6.1. Nomenclature, model and serial number of equipment.

6.2. Status of equipment prior to and after maintenance.

6.3. Problems detected and corrected.

6.4. Time spent for repair.

6.5. List of parts replaced including part name, number, and cost.

6.6. Listing of any components that will need to be replaced in the near future or that are showing wear so the parts can be procured prior to the next exercised option service visit.

6.7. All of the above data must be verified, attested to, and signed by NUWC Keyport personnel at the equipment location at the time of the visit. A copy of the report shall be presented to the Governments Technical Point of Contact (POC) upon completion of the visit.

7 SPECIAL CONSIDERATIONS:

7.1 Contractor Relationships: In performing the tasks required by the Statement of Work the contractor shall be required to efficiently and effectively interface with other contractors and Government personnel.

7.2 There are no electrical drawings for the system onsite. There are some electrical schematics for the system that were provided at the time of delivery, but no documentation of the actual physical configuration.

8 RESPONSIBILITIES OF THE GOVERNMENT:

8.1 Working Space: The Government will provide necessary working space including heat, light, ventilation and electric power outlets for use of contractor personnel.

8.2 Recognized Federal Holidays: The contractor is not required to provide service on the following days: Saturdays, Sundays, New Year's Day, Martin Luther King Jr's Birthday, George Washington's Birthday, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, day after Thanksgiving Day, and Christmas Day.

9 SECURITY:

9.1 United States of America Citizenship: All contractor personnel entering the premise of the Naval Undersea Warfare Center shall be citizens of the United States of America.

Contractor personnel will be required to provide proof of identification of citizenship in the form of a birth certificate, a passport, or an enhanced driver’s license (Washington) to gain entry to the facilities.

9.1.1 The contractor shall provide a list of contractor owned electronic devices on business letterhead in advance of the arrival of service personnel. Personally owned electronic devices with the ability to record and transmit, including cell phones, Blackberries, laptops, etc. carried by the service personnel may not be permitted in the labs.

10 LABORATORY POINTS OF CONTACT:

10.1 Any technical correspondence regarding scheduling shall be coordinated through the

Governments Technical POC.

11 INSPECTION/CERTIFICATION:

11.1 The X-ray cabinet systems shall be fully operational and serviceable after completion of preventative maintenance/ repair visits. The Contractor shall demonstrate to lab personnel that the equipment is operational and has met all original manufacturer specifications.

11.2 Final inspection and acceptance will be performed by FA lab and environmental test personnel.

11.3 Contractor offers a Quality Repair Guarantee under the SOW for full service maintenance and repair of two Cabinet X-ray Systems.

12 OPTION FOR ADDITIONAL SERVICE VISITS:

12.1 Options for up to four (4) individual PM Service visits may be available in addition to the base contract service visit. Options are planned to be exercised yearly however a shorter duration than once per year may occur.

12.2 The SOW requirements shall be in effect for each option PM Service visit when exercised. Each contract option shall include one PM service visit.

13 OPTION FOR ADDITIONAL REPAIRS

These (4) Repair options may be exercised in the case of the need for additional emergency visits or during the performance of a PM Service visit, it is discovered that parts require repair, replacement, or are damaged through abuse, misuse and/or external causes (flooding, explosions, etc.) that are required in addition to periodic maintenance.

13.1 Should the need for a repair be identified, the Contractor is to stop work and provide the

Governments Technical POC with a breakdown of all repair costs to include labor, travel, and any necessary replacement parts. Only after review and concurrence by the Government’s Technical POC and the issuance of a contract modification from the

Contracting Officer may the vendor proceed with the repair.

Section SF 1449 - CONTINUATION SHEET

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

CLAUSES INCORPORATED BY REFERENCE

52.204-2 Security Requirements AUG 1996

52.204-7 System for Award Management JUL 2013

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.204-13 System for Award Management Maintenance JUL 2013

52.204-16 Commercial and Government Entity Code Reporting JUL 2015

52.204-18 Commercial and Government Entity Code Maintenance JUL 2015

52.204-19 Incorporation by Reference of Representations and

Cert ifications.

DEC 2014

52.209-2 Prohibit ion on Contracting with Inverted Domestic

Corporations--Representation

NOV 2015

52.211-15 Defense Priority And Allocation Requirements APR 2008

52.212-1 Instructions to Offerors--Commercial Items OCT 2015

52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013

52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.242-17 Government Delay Of Work APR 1984

52.247-34 F.O.B. Destination NOV 1991

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013

252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-0002 Line Item Specific: Sequential ACRN Order SEP 2009

252.204-7000 Disclosure Of Information AUG 2013

252.204-7003 Control Of Government Personnel Work Product APR 1992

252.204-7004 Alt A System for Award Management Alternate A FEB 2014

252.204-7005 Oral Attestation of Security Responsibilities NOV 2001

252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

DEC 2015

252.204-7009 Limitations on the Use or Disclosure of Third -Party

Contractor Reported Cyber Incident Information

DEC 2015

252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting.

DEC 2015

252.204-7015 Notice of Authorized Disclosure of Informat ion for Lit igation

Support

MAY 2016

252.211-7003 Item Unique Identification and Valuation MAR 2016

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

(Nov 2014)

NOV 2014

252.225-7048 Export-Controlled Items JUN 2013

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006

252.237-7010 Prohibit ion on Interrogation of Detainees by Contractor

Personnel

JUN 2013

252.243-7001 Pricing Of Contract Modifications DEC 1991

252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

52.204-17 OWNERSHIP OF CONTROL OF OFFEROR (NOV 2014)

(a) Definit ions. As used in this provision--

Commercial and Government Entity (CAGE) code means —

(1) An identifier assigned to entities located in the United States or its outlying areas by the Defense Logistics

Agency (DLA) Contractor and Government Entity (CAGE) Branch to identify a commercial or government entity, or

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support

Agency (NSPA) to entities located outside the United States and its outlying areas that the DLA Contractor and

Government Entity (CAGE) Branch records and maintains in the CAGE master file . Th is type of code is known as an NCAGE code.

Highest-level owner means the entity that owns or controls an immediate owner o f the offeror, or that owns or controls one or more entit ies 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.

(b) The Offeror represents that it [ ___ ] has or [ ___ ] does not have an immediate owner. If the Offeror has more than one immediate owner (such as a joint venture), then the Offeror shall respond to paragraph (c) and if applicable, paragraph (d) of this provision for each participant in the jo int venture.

(c) If the Offeror indicates ``has'' in paragraph (b) of this provision, enter the following informat ion:

Immediate owner CAGE code:

Immediate owner legal name: ___

(Do not use a ``doing business as'' name)

Is the immediate owner owned or controlled by another entity?:

[ ___ ] Yes or [ ___ ] No.

(d) If the Offeror indicates ``yes'' in paragraph (c) of this provision, indicating that the immediate owner is owned or controlled by another entity, then enter the following information:

Highest-level owner CAGE code:

Highest-level owner legal name:

(Do not use a ``doing business as'' name)

(End of provision)

52.204-20 Predecessor of Offeror (APR 2016)

(a) Definit ions. As used in this provision--

Commercial and Government Entity (CAGE) code means--

(1) An identifier assigned to entities located in the United States and its outlying areas by the Defense Logistics

Agency (DLA) Contractor and Government Entity (CAGE) Branch to identify a commercial or government entity, or

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by NATO's Support

Agency (NSPA) to entities located outside the United States and its outlying areas that DLA Contractor and

Government Entity (CAGE) Branch records and maintains in the CAGE master file . Th is type of code is known as an NCAGE code.

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

Successor means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company or a company that only changes its name. Th e extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

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

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

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

Predecessor legal name: ____.

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

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

FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

(a) As required by sections 744 and 745 of Div ision E of the Consolidated and Further Continuing Appropriations

Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that--

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

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

(b) The Offeror represents that--

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

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

52.211-14 NOTICE OF PRIORITY RATING FOR NATIONAL DEFENSE, EMERGENCY PREPAREDNESS, AND ENERGY PROGRAM USE (APR 2008)

Any contract awarded as a result of this solicitation will be DX rated order; X DO rated order cert ified for national defense, emergency preparedness, and energy program use under the Defense Priorit ies and Allocations

System (DPAS) (15 CFR 700), and the Contractor will be required to fo llow all of the requirements of this regulation. [Contracting Officer check appropriate box.]

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS --COMMERCIAL ITEMS (APR 2016)

ALTERNATE I (OCT 2014)

The offeror shall complete only paragraphs (b) of th is provision if the Offeror has completed the annual representations and certification electronically v ia the System for Award Management (SAM) Web site accessed through http://www.acquisition.gov . If the Offeror has not completed the annual representations and certificat ions electronically, the Offeror shall complete only paragraphs (c) through (r) of this provision.

(a) Definitions. As used in this provision--http://www.acquisition.gov/

“Economically d isadvantaged women-owned small business (EDWOSB) concern” means a small business concern that is at least 51 percent direct ly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are cit izens 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 elig ible 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 entit ies 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 o f the following: Ownership or interlocking management, identity of interests among family members, shared facilit ies and equipment, and the common use of employees.

“Inverted domestic corporation,” means a foreign incorporated entity that meets the definition o f 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 p roduct 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 ext raction activit ies, oil-related activit ies, 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 reg ional 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 marg inalized 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, telecommunicat ions equipment, or any other technology that is to be used specifically—

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

(ii) To disrupt, monitor, o r 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-d isabled 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-d isabled 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 -d isabled veterans or, in the case of a service-d isabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-d isabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a d isability 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 d isadvantaged 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 direct ly owned (as defined at 13 CFR 124.105) by --

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

(ii) Each indiv idual claiming economic d isadvantage 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 defin ition.

“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 eligib le 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 certificat ions electronically v ia the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database informat ion, the offeror verifies by submission of this offer that the representation and certifications currently posted electronically at FAR 52.212 -3, Offeror Representations and Certificat ions—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 th is offer by reference (see FAR 4.1201), except fo r paragraphs ___ . [Offeror to identify the applicable paragraphs at (c) through (q) 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 fo llowing 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-d isabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of th is provision.] The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a service-disabled veteran-owned small business concern.

(4) Small d isadvantaged 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) on ly if this solicitation is expected to exceed the simplified acquisit ion 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 eligib le 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 elig ibility; 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 part icipating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligib le under the WOSB Program and other small businesses that are participating in the jo int venture: ___ .] Each https://www.acquisition.gov/

WOSB concern eligib le under the WOSB Program part icipating in the joint venture shall submit a separate signed copy of the WOSB representation.

(7) Economically d isadvantaged women-owned small business (EDWOSB) concern. [Complete only if the offeror represented itself as a WOSB concern elig ible 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 eligib ility; 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 EDW OSB concern and other small businesses that are participating in the jo int venture: ___ .] Each EDW OSB 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 b id, s mall business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or p roduction (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 cert ified 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) o f this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The o fferor 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 Nat ive Hawaiians).

___ Asian-Pacific American (persons with orig ins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, Republic o f Palau, Republic o f 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 orig ins 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 p revious 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, affirmat ive action programs required by ru les 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 affirmat ive 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 o fficer 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 definit ion of

“domestic end product.” The terms “commercially available o ff-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:

LINE ITEM NO. COUNTRY OF ORIGIN

[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 availab le 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 cert ifies 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:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

(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 defin ition of “domestic end product.”

Other Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

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

(2) Buy American—Free Trade…