N00406-18-Q-0240.pdf

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SAFETY FOOTWEAR Federal contract opportunity
Solicitation number
N0040618Q0240
Issued by
Department of the Navy Naval Supply Systems Command

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SEE ADDENDUM

(No Collect Calls)

N0040618Q0240 13-Jun-2018

b. TELEPHONE NUMBER

360-476-4832

8. OFFER DUE DATE/LOCAL TIME

12:00 AM 21 Jun 2018

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

N004069. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

JULIO A. HERNANDEZ

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

1300713519-0001

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

NAVSUP FLC PUGET SOUND

467 W STREET, 2ND FLR

ATTN: JULIO HERNANDEZ

BREMERTON WA 98314

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

X SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

476-4656FAX:

TEL: 360-476-4832

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

1,000

NAICS:

316210

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 OF85

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.

N0040618Q0240

Section SF 30 - BLOCK 14 CONTINUATION PAGE

POC INFORMATION

**** THIS SOLICITATION FOR MUST BE COMPLETED AND RETURNED IN FULL

TO BE CONSIDERED RESPONSIVE****

****CONTACT CONTRACTING OFFICIAL AT EMAIL:

E-MAIL: JULIO.A.HERNANDEZ@NAVY.MIL

FAX: 360-476-4656

MUST PROVIDE:

YOUR CAGE CODE NUMBER: __________________________________________

YOUR E-MAIL ADDRESS: ________________________________________

YOUR PHONE NUMBER: _________________________________________

YOUR FAX NUMBER: __________________________________________

**IF QUOTE IS FOR “AN EQUAL TO” YOU MUST SUBMIT ALL SALIENT

CHARACTERISTICS WITH YOUR QUOTE TO BE CONSIDERED**

Is material being offered exactly as specified? Yes___ No____

Delivery date offered, if different than specified: __________

Name of Manufacturer_______________________________

Country of Origin___________________________________

SIZE OF MANUFACTURE: LARGE OR SMALL (PLEASE CIRCLE)

PAYMENT INFORMATION WILL BE ENTERED IN ANY RESULTING AWARD BY GOVERNMENT

WIDE AREA WORK FLOW SYSTEM, WAWF

INSPECTION LEVEL:

QA 4 7 DAYS INSPECTION

Defense Biometric Identification System (DBIDS):

Base Access

Beginning in April 2017, the Navy will transition all bases and installations in the United States, including Hawaii and Guam, from the Navy Commercial Access Control System (NCACS) to

DBIDS for access to Navy installations and facilities.

mailto:JULIO.A.HERNANDEZ@NAVY.MIL

Please contact your Surveillance Officer for instructions when base access is required.

If a Surveillance Officer is not listed in the contract, please contact your Contracting Officer.

ATTACHMENT 0001

STATEMENT OF WORK

1.0 BACKGROUND

1.1 Per federal Occupational Safety and Health Administration (OSHA) regulations (29 CFR 1910.136), NAVSUP Fleet Logistics Center Puget Sound (FLCPS) is required to provide safety footwear to its civilian personnel engaged in foot-hazardous duties.

1.2 This Performance Work Statement defines the process for FLCPS civilian personnel to obtain safety shoes or boots, and for contractor invoicing and payment.

2.0 OBJECTIVE

2.1 General requirements. 29 CFR 1910.136 requires that employers ensure that their employees wear protective footwear when working in areas where there is a danger of foot injuries due to falling or rolling objects, objects piercing the sole, or electrical hazard, such as a static-discharge or electric-shock hazard.

2.2 Safety Footwear Requirements: Safety footwear must meet American Society of Testing Material (ASTM)

F2412-05 standards for foot protection and F2413-05 specifications for performance requirements.

3.0 SCOPE This contract is for provision of safety footwear to civilian employees of FLCPS, and can only be exercised through use of a NAVSUP FLCPS Safety Shoe Purchase Form.

3.1 Civilian personnel will present the Safety Shoe Purchase Form as authorization to purchase and select safety shoes from the contractor's inventory (except as noted below for unusual styles or sizes).

3.2 The contractor will provide safety shoes to FLCPS civilian employees up to $200.00 the dollar limit listed on the Safety Shoe Purchase Form. If the price exceeds the purchase limit on the form, the contractor will collect any funds exceeding the limit directly from the employee at the time of purchase.

3.3 Contractor will have employee sign and date the Safety Shoe Purchase Form.

4.0 Contractor Inventory. The contractor will stock several shoe/boot styles, colors, in a normal range of sizes, so employees can try on shoes and decide if they meet their needs. The contractor will carry sufficient stock to ensure that most employees can purchase shoes and wear them immediately. If the desired shoes/sizes are not in stock, the contractor will obtain the required items within five calendar days, notify the employee when they are available for pick-up, and include the sale on an invoice only after the sale is finalized.

5.0 Place of Performance. The contractor will maintain a public business establishment located in Kitsap

County, Washington or Bellingham, Washington to allow easy access for personnel who work in NAVSUP FLCPS locations in Bremerton, Bangor, Keyport, Whidbey Island, Everett, and Manchester, Washington.

6.0 Period of Performance: Basic Year, plus four option years, as listed below. NAVSUP FLCPS is under no obligation to exercise the options.

Basic Period of Performance: 1 July 2018 – 30 June 2019

Option One: 1 July 2019 – 30 June 2020

Option Two: 1 July 2020 – 30 June 2021

Option Three: 1 July 2021 – 30 June 2022

Option Four: 1 July 2022 - 30 June 2023

7.0 Contract Line Item Numbers (CLINs)

CLIN TITLE CODE(s) NTE AMOUNT

0001 Direct Funded 400/430 $2,000.00

0002 Code 420 420 $2,400.00

0003 Code 501 501 $10,000.00

0004 Code 502-CANX 502 $0.00

0005 Code 700 700 $3,200.00

0006 Code 502 502 $2,000.00

8.0 INVOICING AND PAYMENT:

8.1 Invoices. The Contractor will submit monthly invoices to NAVSUP FLCPS Code 320 showing total charges by CLIN. Each invoice will be substantiated by copies of the Safety Shoe Purchase Forms, and a list for each CLIN of personnel receiving safety shoes with the following information:

Name, department, date of sale, brand name/size of footwear, price, and signature of employee.

8.2 Payment. The amount due each month will be paid by Government Credit Card (GOVCC), with a separate payment for each CLIN. Point of Contact for payment will be FLCPS Code 320.

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

SAFETY SHOES CODE 400/430

FFP

MILSTRIP: 1300713519

PURCHASE REQUEST NUMBER: 1300713519-0001

SIGNAL CODE: A

NET AMT

0001AA 10 Pair

SAFETY SHOES BASE QTY 10

FFP

CODE 400/430 UP TO 10 PAIRS NTE $2000

BASE YEAR :1 JULY 2018 - 30 JUNE 2019

FOB: Destination

0001AB 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

CODE 400/430 BASE YEAR: 1 JULY 2018 - 30 JUNE 2019

0001AC 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

CODE 400/430 BASE YEAR: 1 JULY 2018 - 30 JUNE 2019

0001AD 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

CODE 400/430

BASE YEAR: 1 JULY 2018 - 30 JUNE 2019

SAFETY SHOES CODE 420

FFP

MILSTRIP: 1300713519

0002AA 12 Pair

SAFETY SHOES BASE QTY 12

FFP

CODE 420 UP TO 12 PAIRS NTE $2400

BASE YEAR 1 JULY 2018 - 30 JUNE 2019

0002AB 6 Pair

SAFETY SHOES OPTION QTY 6

FFP

CODE 420 BASE YEAR: 1 JULY 2018 - 30 JUNE 2019

0002AC 6 Pail

SAFETY SHOES OPTION QTY 6

FFP

0002AD 6 Pair

SAFETY SHOES OPTION QTY 6

FFP

SAFETY SHOE CODE 501

FFP

MILSTRIP: 1300713519

0003AA 50 Pair

SAFETY SHOES BASE QTY 50

FFP

CODE 501 UP TO 50 PAIRS NTE TOTAL: $10,000

0003AB 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

CODE 501 BASE YEAR: 1 JULY 2018 - 30 JUNE 2019

0003AC 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

0003AD 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

DELETED CLIN 0004

FFP

LINE ITEM HAS BEEN REPLACED BY CLIN # 0006

FOB: Destination

MILSTRIP: 1300713519

SAFETY SHOE CODE 700

FFP

MILSTRIP: 1300713519

0005AA 16 Pair

SAFETY SHOES BASE QTY 16

FFP

CODE 700 UP TO 16 PAIRS NTE $3200

0005AB 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

CODE 700 BASE YEAR: 1 JULY 2018 - 30 JUNE 2019

0005AC 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

0005AD 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

SAFETY SHOE CODE 502

FFP

MILSTRIP: 1300713519

0006AA 10 Pair

SAFETY SHOES BASE QTY 10

FFP

CODE 502 BASE YEAR: 1 JULY 2018 - 30 JUNE 2019

0006AB 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

0006AC 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

0006AD 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

OPTION SAFETY SHOES CODE 400/430

FFP

1001AA 10 Pair

SAFETY SHOES BASE QTY 10

FFP

CODE 400/430 OPTION YEAR ONE: 1 JULY 2019 - 30 JUNE 2020

1001AB 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

CODE 400/430 OPTION YR ONE: 1 JULY 2019 - 30 JUNE 2020

1001AC 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

1001AD 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

OPTION SAFETY SHOES CODE 400/430

FFP

1002AA 10 Pair

SAFETY SHOES BASE QTY 10

FFP

CODE 400/430 UP TO 10 PAIRS NTE $2000

OPTION YEAR TWO: 1 JULY 2020 - 30 JUNE 2021

1002AB 5 Pair

SAFETY SHOES OPTION QTY: 5

FFP

CODE 400/430 OPTION YEAR TWO: 1 JULY 2020 - 30 JUNE 2021

1002AC 5 Pair

SAFETY SHOES OPTION QTY: 5

FFP

1002AD 5 Pair

SAFETY SHOE OPTION QTY: 5

FFP

OPTION SAFETY SHOES C 400/430

FFP

1003AA 10 Pair

SAFETY SHOE BASE QTY 10

FFP

CODE 400/430 UP TO 10 PAIRS NTE $2000

OPTION YR THREE: 1 JULY 2021 - 30 JUNE 2022

1003AB 5 Pair

SAFETY SHOES OPTION QTY: 5

FFP

CODE 400/430 OPTION YR THREE: 1 JULY 2021 - 30 JUNE 2022

1003AC 5 Pair

SAFETY SHOES OPTION QTY: 5

FFP

1003AD 5 Pair

SAFETY SHOES OPTION QTY: 5

FFP

OPTION SAFETY SHOES C 400/430

FFP

1004AA 10 Pair

SAFETY SHOES BASE QTY 10

FFP

CODE 400/430 UP TO 10 PAIRS NTE $2000

OPTION YR FOUR: 1 JULY 2022 - 30 JUNE 2023

1004AB 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

CODE 400/430 OPTION YR FOUR: 1 JULY 2022 - 30 JUNE 2023

1004AC 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

1004AD 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

OPTION SAFETY SHOES CODE 420

FFP

2001AA 12 Pair

SAFETY SHOES BASE QTY 12

FFP

CODE 420 UP TO 12 PAIRS NTE $2400

OPTION YEAR ONE: 1 JULY 2019 - 30 JUNE 2020

2001AB 6 Pair

SAFETY SHOES OPTION QTY 6

FFP

CODE 420 OPTION YEAR ONE: 1 JULY 2019 - 30 JUNE 2020

2001AC 6 Pair

SAFETY SHOES OPTION QTY 6

FFP

2001AD 6 Pair

SAFETY SHOES OPTION QTY 6

FFP

OPTION SAFETY SHOES C 420

FFP

2002AA 12 Pair

SAFETY SHOES BASE QTY 12

FFP

CODE 420 UP TO 12 PAIRS NTE $2400

2002AB 6 Pair

SAFETY SHOES OPTION QTY 6

FFP

CODE 420 OPTION YEAR TWO: 1 JULY 2020 - 30 JUNE 2021

2002AC 6 Pair

SAFETY SHOES OPTION QTY 6

FFP

2002AD 6 Pair

SAFETY SHOES OPTION QTY 6

FFP

OPTION SAFETY SHOES CODE 420

FFP

2003AA 12 Pair

SAFETY SHOES BASE QTY 6

FFP

CODE 420 UP TO 12 PAIRS NTE $2400

OPTION YEAR THREE: 1 JULY 2021 - 30 JUNE 2022

2003AB 6 Pair

SAFETY SHOES OPTION QTY 6

FFP

CODE 420 OPTION YEAR THREE: 1 JULY 2021 - 30 JUNE 2022

2003AC 6 Pair

SAFETY SHOES OPTION QTY 6

FFP

2003AD 6 Pair

SAFETY SHOE OPTION QTY 6

FFP

OPTION SAFETY SHOES C 420

FFP

2004AA 12 Pair

SAFETY SHOES BASE QTY 12

FFP

CODE 420 OPTION YEAR FOUR: 1 JULY 2022 - 30 JUNE 2023

2004AB 6 Pair

SAFETY SHOES OPTION QTY 6

FFP

2004AC 6 Pair

SAFETY SHOES OPTION QTY 6

FFP

2004AD 6 Pair

SAFETY SHOES OPTION QTY 6

FFP

OPTION SAFETY SHOE CODE 501

FFP

3001AA 50 Pair

SAFETY SHOES BASE QTY 50

FFP

CODE 501 UP TO 50 PAIRS NTE TOTAL: $10,000

3001AB 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

CODE 501 OPTION YEAR ONE: 1 JULY 2019 - 30 JUNE 2020

3001AC 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

3001AD 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

OPTION SAFETY SHOES C/501

FFP

3002AA 50 Pair

SAFETY SHOES BASE QTY 50

FFP

CODE 501 UP TO 50 PAIRS NTE TOTAL: $10,000

3002AB 25 Pair

SAFETY SHOES OPTION 25

FFP

CODE 501 OPTION YEAR TWO: 1 JULY 2020 - 30 JUNE 2021

3002AC 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

3002AD 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

OPTION SAFETY SHOES C/501

FFP

3003AA 50 Pair

SAFETY SHOES BASE QTY 50

FFP

CODE 501 UP TO 50 PAIRS NTE TOTAL: $10,000

3003AB 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

CODE 501 OPTION YEAR THREE: 1 JULY 2021 - 30 JUNE 2022

3003AC 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

3003AD 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

OPTION SAFETY SHOE C/501

FFP

3004AA 50 Pair

SAFETY SHOES BASE QTY 50

FFP

CODE 501 UP TO 50 PAIRS NTE TOTAL: $10,000

OPTION YEAR FOUR: 1 JULY 2022 - 30 JUNE 2023

3004AB 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

CODE 501 OPTION YEAR FOUR: 1 JULY 2022 - 30 JUNE 2023

3004AC 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

3004AD 25 Pair

SAFETY SHOES OPTION QTY 25

FFP

OPTION SAFETY SHOE C/700

FFP

5001AA 16 Pair

SAFETY SHOES BASE QTY 16

FFP

CODE 700 UP TO 16 PAIRS NTE $3200

5001AB 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

CODE 700 OPTION YEAR ONE: 1 JULY 2019 - 30 JUNE 2020

5001AC 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

5001AD 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

OPTION SAFETY SHOE C/700

FFP

5002AA 16 Pair

SAFETY SHOES BASE QTY 16

FFP

CODE 700 UP TO 16 PAIRS NTE $3200

5002AB 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

CODE 700 OPTION YEAR TWO: 1 JULY 2020 - 30 JUNE 2021

5002AC 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

5002AD 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

OPTION SAFETY SHOE C/700

FFP

5003AA 16 Pair

SAFETY SHOE BASE QTY 16

FFP

CODE/700 UP TO 16 PAIRS NTE $3200

5003AB 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

CODE / 700 OPTION YEAR THREE: 1 JULY 2021 - 30 JUNE 2022

5003AC 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

CODE/700 OPTION YEAR THREE: 1 JULY 2021 - 30 JUNE 2022

5003AD 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

CODE/700 OPTION YEAR THREE: 1 JULY 2021 - 30 JUNE 2022

OPTION SAFETY SHOE C/700

FFP

5004AA 16 Pair

SAFETY SHOES BASE QTY 16

FFP

CODE 700 UP TO 16 PAIRS NTE $3200

5004AB 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

CODE 700 OPTION YEAR FOUR: 1 JULY 2022 - 30 JUNE 2023

5004AC 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

5004AD 8 Pair

SAFETY SHOES OPTION QTY 8

FFP

OPTION SAFETY SHOE C/502

FFP

6001AA 10 Pair

SAFETY SHOES BASE QTY 10

FFP

SAFETY SHOE CODE 502 UP TO 10 PAIRS NTE $2000

6001AB 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

CODE 502 OPTION YEAR ONE: 1 JULY 2019 - 30 JUNE 2020

6001AC 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

6001AD 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

OPTION SAFETY SHOE C/502

FFP

6002AA 10 Pair

SAFETY SHOES BASE QTY 10

FFP

SAFETY SHOE C/502 UP TO 10 PAIRS NTE $2000

6002AB 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

C/502 OPTION YEAR TWO: 1 JULY 2020 - 30 JUNE 2021

6002AC 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

6002AD 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

OPTION SAFETY SHOE C/502

FFP

6003AA 10 Pair

SAFETY SHOES BASE QTY 10

FFP

C/502 UP TO 10 PAIRS NTE $2000

6003AB 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

C/502 OPTION YEAR THREE: 1 JULY 2021 - 30 JUNE 2022

6003AC 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

6003AD 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

OPTION SAFETY SHOE C/502

FFP

6004AA 10 Pair

SAFETY SHOES BASE QTY 10

FFP

C/502 UP TO 10 PAIRS NTE $2000

6004AB 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

C/502 OPTION YEAR FOUR: 1 JULY 2022 - 30 JUNE 2023

6004AC 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

6004AD 5 Pair

SAFETY SHOES OPTION QTY 5

FFP

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A N/A

0001AA N/A N/A N/A Government

0001AB N/A N/A N/A Government

0001AC N/A N/A N/A Government

0001AD N/A N/A N/A Government

0002 N/A N/A N/A N/A

0002AA N/A N/A N/A Government

0002AB N/A N/A N/A Government

0002AC N/A N/A N/A Government

0002AD N/A N/A N/A Government

0003 N/A N/A N/A N/A

0003AA N/A N/A N/A Government

0003AB N/A N/A N/A Government

0003AC N/A N/A N/A Government

0003AD N/A N/A N/A Government

0004 Destination Government Destination Government

0005 N/A N/A N/A N/A

0005AA N/A N/A N/A Government

0005AB N/A N/A N/A Government

0005AC N/A N/A N/A Government

0005AD N/A N/A N/A Government

0006 N/A N/A N/A N/A

0006AA N/A N/A N/A Government

0006AB N/A N/A N/A Government

0006AC N/A N/A N/A Government

0006AD N/A N/A N/A Government

1001 N/A N/A N/A N/A

1001AA N/A N/A N/A Government

1001AB N/A N/A N/A Government

1001AC N/A N/A N/A Government

1001AD N/A N/A N/A Government

1002 N/A N/A N/A N/A

1002AA N/A N/A N/A Government

1002AB N/A N/A N/A Government

1002AC N/A N/A N/A Government

1002AD N/A N/A N/A Government

1003 N/A N/A N/A N/A

1003AA N/A N/A N/A Government

1003AB N/A N/A N/A Government

1003AC N/A N/A N/A Government

1003AD N/A N/A N/A Government

1004 N/A N/A N/A N/A

1004AA N/A N/A N/A Government

1004AB N/A N/A N/A Government

1004AC N/A N/A N/A Government

1004AD N/A N/A N/A Government

2001 N/A N/A N/A N/A

2001AA N/A N/A N/A Government

2001AB N/A N/A N/A Government

2001AC N/A N/A N/A Government

2001AD N/A N/A N/A Government

2002 N/A N/A N/A N/A

2002AA N/A N/A N/A Government

2002AB N/A N/A N/A Government

2002AC N/A N/A N/A Government

2002AD N/A N/A N/A Government

2003 N/A N/A N/A N/A

2003AA N/A N/A N/A Government

2003AB N/A N/A N/A Government

2003AC N/A N/A N/A Government

2003AD N/A N/A N/A Government

2004 N/A N/A N/A N/A

2004AA N/A N/A N/A Government

2004AB N/A N/A N/A Government

2004AC N/A N/A N/A Government

2004AD N/A N/A N/A Government

3001 N/A N/A N/A N/A

3001AA N/A N/A N/A Government

3001AB N/A N/A N/A Government

3001AC N/A N/A N/A Government

3001AD N/A N/A N/A Government

3002 N/A N/A N/A N/A

3002AA N/A N/A N/A Government

3002AB N/A N/A N/A Government

3002AC N/A N/A N/A Government

3002AD N/A N/A N/A Government

3003 N/A N/A N/A N/A

3003AA N/A N/A N/A Government

3003AB N/A N/A N/A Government

3003AC N/A N/A N/A Government

3003AD N/A N/A N/A Government

3004 N/A N/A N/A N/A

3004AA N/A N/A N/A Government

3004AB N/A N/A N/A Government

3004AC N/A N/A N/A Government

3004AD N/A N/A N/A Government

5001 N/A N/A N/A N/A

5001AA N/A N/A N/A Government

5001AB N/A N/A N/A Government

5001AC N/A N/A N/A Government

5001AD N/A N/A N/A Government

5002 N/A N/A N/A N/A

5002AA N/A N/A N/A Government

5002AB N/A N/A N/A Government

5002AC N/A N/A N/A Government

5002AD N/A N/A N/A Government

5003 N/A N/A N/A N/A

5003AA N/A N/A N/A Government

5003AB N/A N/A N/A Government

5003AC N/A N/A N/A Government

5003AD N/A N/A N/A Government

5004 N/A N/A N/A N/A

5004AA N/A N/A N/A Government

5004AB N/A N/A N/A Government

5004AC N/A N/A N/A Government

5004AD N/A N/A N/A Government

6001 N/A N/A N/A N/A

6001AA N/A N/A N/A Government

6001AB N/A N/A N/A Government

6001AC N/A N/A N/A Government

6001AD N/A N/A N/A Government

6002 N/A N/A N/A N/A

6002AA N/A N/A N/A Government

6002AB N/A N/A N/A Government

6002AC N/A N/A N/A Government

6002AD N/A N/A N/A Government

6003 N/A N/A N/A N/A

6003AA N/A N/A N/A Government

6003AB N/A N/A N/A Government

6003AC N/A N/A N/A Government

6003AD N/A N/A N/A Government

6004 N/A N/A N/A N/A

6004AA N/A N/A N/A Government

6004AB N/A N/A N/A Government

6004AC N/A N/A N/A Government

6004AD N/A N/A N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 N/A N/A N/A N/A

0001AA N/A N/A N/A N/A

0001AB N/A N/A N/A N/A

0001AC N/A N/A N/A N/A

0001AD N/A N/A N/A N/A

0002 N/A N/A N/A N/A

0002AA N/A N/A N/A N/A

0002AB N/A N/A N/A N/A

0002AC N/A N/A N/A N/A

0002AD N/A N/A N/A N/A

0003 N/A N/A N/A N/A

0003AA N/A N/A N/A N/A

0003AB N/A N/A N/A N/A

0003AC N/A N/A N/A N/A

0003AD N/A N/A N/A N/A

0004 N/A N/A N/A N/A

0005 N/A N/A N/A N/A

0005AA N/A N/A N/A N/A

0005AB N/A N/A N/A N/A

0005AC N/A N/A N/A N/A

0005AD N/A N/A N/A N/A

0006 N/A N/A N/A N/A

0006AA N/A N/A N/A N/A

0006AB N/A N/A N/A N/A

0006AC N/A N/A N/A N/A

0006AD N/A N/A N/A N/A

1001 N/A N/A N/A N/A

1001AA N/A N/A N/A N/A

1001AB N/A N/A N/A N/A

1001AC N/A N/A N/A N/A

1001AD N/A N/A N/A N/A

1002 N/A N/A N/A N/A

1002AA N/A N/A N/A N/A

1002AB N/A N/A N/A N/A

1002AC N/A N/A N/A N/A

1002AD N/A N/A N/A N/A

1003 N/A N/A N/A N/A

1003AA N/A N/A N/A N/A

1003AB N/A N/A N/A N/A

1003AC N/A N/A N/A N/A

1003AD N/A N/A N/A N/A

1004 N/A N/A N/A N/A

1004AA N/A N/A N/A N/A

1004AB N/A N/A N/A N/A

1004AC N/A N/A N/A N/A

1004AD N/A N/A N/A N/A

2001 N/A N/A N/A N/A

2001AA N/A N/A N/A N/A

2001AB N/A N/A N/A N/A

2001AC N/A N/A N/A N/A

2001AD N/A N/A N/A N/A

2002 N/A N/A N/A N/A

2002AA N/A N/A N/A N/A

2002AB N/A N/A N/A N/A

2002AC N/A N/A N/A N/A

2002AD N/A N/A N/A N/A

2003 N/A N/A N/A N/A

2003AA N/A N/A N/A N/A

2003AB N/A N/A N/A N/A

2003AC N/A N/A N/A N/A

2003AD N/A N/A N/A N/A

2004 N/A N/A N/A N/A

2004AA N/A N/A N/A N/A

2004AB N/A N/A N/A N/A

2004AC N/A N/A N/A N/A

2004AD N/A N/A N/A N/A

3001 N/A N/A N/A N/A

3001AA N/A N/A N/A N/A

3001AB N/A N/A N/A N/A

3001AC N/A N/A N/A N/A

3001AD N/A N/A N/A N/A

3002 N/A N/A N/A N/A

3002AA N/A N/A N/A N/A

3002AB N/A N/A N/A N/A

3002AC N/A N/A N/A N/A

3002AD N/A N/A N/A N/A

3003 N/A N/A N/A N/A

3003AA N/A N/A N/A N/A

3003AB N/A N/A N/A N/A

3003AC N/A N/A N/A N/A

3003AD N/A N/A N/A N/A

3004 N/A N/A N/A N/A

3004AA N/A N/A N/A N/A

3004AB N/A N/A N/A N/A

3004AC N/A N/A N/A N/A

3004AD N/A N/A N/A N/A

5001 N/A N/A N/A N/A

5001AA N/A N/A N/A N/A

5001AB N/A N/A N/A N/A

5001AC N/A N/A N/A N/A

5001AD N/A N/A N/A N/A

5002 N/A N/A N/A N/A

5002AA N/A N/A N/A N/A

5002AB N/A N/A N/A N/A

5002AC N/A N/A N/A N/A

5002AD N/A N/A N/A N/A

5003 N/A N/A N/A N/A

5003AA N/A N/A N/A N/A

5003AB N/A N/A N/A N/A

5003AC N/A N/A N/A N/A

5003AD N/A N/A N/A N/A

5004 N/A N/A N/A N/A

5004AA N/A N/A N/A N/A

5004AB N/A N/A N/A N/A

5004AC N/A N/A N/A N/A

5004AD N/A N/A N/A N/A

6001 N/A N/A N/A N/A

6001AA N/A N/A N/A N/A

6001AB N/A N/A N/A N/A

6001AC N/A N/A N/A N/A

6001AD N/A N/A N/A N/A

6002 N/A N/A N/A N/A

6002AA N/A N/A N/A N/A

6002AB N/A N/A N/A N/A

6002AC N/A N/A N/A N/A

6002AD N/A N/A N/A N/A

6003 N/A N/A N/A N/A

6003AA N/A N/A N/A N/A

6003AB N/A N/A N/A N/A

6003AC N/A N/A N/A N/A

6003AD N/A N/A N/A N/A

6004 N/A N/A N/A N/A

6004AA N/A N/A N/A N/A

6004AB N/A N/A N/A N/A

6004AC N/A N/A N/A N/A

6004AD N/A N/A N/A N/A

CLAUSES INCORPORATED BY REFERENCE

52.204-7 System for Award Management OCT 2016

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.204-13 System for Award Management Maintenance OCT 2016

52.204-16 Commercial and Government Entity Code Reporting JUL 2016

52.204-18 Commercial and Government Entity Code Maintenance JUL 2016

52.209-2 Prohibition on Contracting with Inverted Domestic

Corporations--Representation

NOV 2015

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

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

52.225-25 Prohibition on Contracting with Entities Engaging in Certain

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

OCT 2015

52.232-18 Availability Of Funds APR 1984

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013

52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

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

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 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

252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

OCT 2016

252.204-7015 Notice of Authorized Disclosure of Information for Litigation

Support

MAY 2016

252.225-7036 Alt I Buy American--Free Trade Agreements--Balance of

Payments Program--Alternate I (Dec 2017)

DEC 2017

252.225-7048 Export-Controlled Items JUN 2013

252.232-7010 Levies on Contract Payments DEC 2006

252.243-7001 Pricing Of Contract Modifications DEC 1991

252.244-7000 Subcontracts for Commercial Items JUN 2013

252.246-7003 Notification of Potential Safety Issues JUN 2013

252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

52.204-17 OWNERSHIP OR CONTROL OF OFFEROR (JUL 2016)

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

Commercial and Government Entity (CAGE) code means—

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

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

or

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support and Procurement Agency (NSPA) to entities located outside the United States and its outlying areas that the DLA

Commercial and Government Entity (CAGE) Branch records and maintains in the CAGE master file. This type of code is known as a NATO CAGE (NCAGE) code.

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.

(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 joint venture.

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

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)

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

FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

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

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

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

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

(b) The Offeror represents that--

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

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

(End of provision)

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

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

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

“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.

https://www.sam.gov/portal

“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.

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

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

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

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

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

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

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

(6) Have been voluntarily suspended.

“Sensitive technology”--

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

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

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

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

(50 U.S.C. 1702(b)(3)).

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

(1) Means a small business concern--

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

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

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

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

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

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

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

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

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

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

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

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

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

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

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

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

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

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

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

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

51 percent of its stock is owned by one or more women; or

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

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

United States.

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

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-

3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ___ .

[Offeror to identify the applicable paragraphs at (c) through (u) of this provision that the offeror has completed for the purposes of this solicitation only, if any.) These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

(c) Offerors must complete the following representations when the resulting contract will be performed in the United

States or its outlying areas. Check all that apply.

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

https://www.acquisition.gov/

(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.

(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.

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

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

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

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

(i) It [ ___ ] is, [ ___ ] is not a HUBZone small business concern listed, on the date of this representation, on the

List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR Part 126; and

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

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

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

(i) It ( ___ ) has, ( ___ ) has not, participated in a previous contract or subcontract subject either to the Equal

Opportunity clause of this solicitation, the 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

Subparts 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:

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 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:

[List as necessary]

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) of 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…

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