N0040619Q0278.pdf

SEE ADDENDUM

(No Collect Calls)

N0040619Q0278 07-Aug-2019

b. TELEPHONE NUMBER

360-476-1404

8. OFFER DUE DATE/LOCAL TIME

08:00 AM 19 Aug 2019

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

CHASTITY T. COWANS

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

(TYPE OR PRINT)

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

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

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SEE SCHEDULE

ARE NOT ATTACHED

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

NAVSUP FLC PUGET SOUND

467 W STREET, 2ND FLR

ATTN: CHASTITY COWANS

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 N62758 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

X SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

U S NAVAL SHIP REPAIR FACILITY YOKOSUKA

PSC 473 BOX 9

FPO AP 96349-1400

TEL: FAX:

360-476-1115FAX:

TEL: 360-476-1404 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

332510

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 OF61

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.

N0040619Q0278

Section SF 30 - BLOCK 14 CONTINUATION PAGE

NOTICE TO OFFERORS

1. QUESTIONS: All questions regarding this solicitation shall be submitted in writing (e-mail) to:

NAVSUP FLC Puget Sound Regional Contracting Department 467 W Street, Second Floor Bremerton, WA 98314

Contract Specialist, Chastity Cowans, Code 220 E-Mail: CHASTITY.T.COWANS1@NAVY.MIL Phone#: 360-476-1404

2. EVALUATIONS: Quotations/offers will be evaluated in accordance with paragraph entitled “Evaluations of Quotations/Offers”. Ensure your quote/offer is submitted in accordance with paragraph entitled “Evaluations of Quotations/Offers”.

3. SOLICITATION: The entire completed and signed solicitation shall be returned as part of your offer.

Also, be sure to complete all certifications in this solicitation. Must provide manufacture and country of origin of item.

4. Shipping information will be provided upon award.

PLEASE PROVIDE:

YOUR NAME: __________________________________________________________

SAM CAGE CODE NUMBER: ____________________________________________

E-MAIL ADDRESS: ________________________________________

PHONE NUMBER: _________________________________________

LIST THE MFG AND COUNTRY OF ORIGIN:_______________________________

LIST YOUR COMPANIES SIZE: LARGE OR SMALL

(YOUR COMPANY MUST BE REGISTERED WITH **SAM** (SYSTEM AWARD FOR

MANAGEMENT** IN ORDER TO RECEIVE A GOVERNMENT AWARD)

INTERNET ADDRESS FOR SAM IS: https://www.sam.gov

Government terms and conditions will be followed.

***For large or heavy items: metals, pipe, lumber etc. please ensure the shipment is properly wrapped, strapped, palletized or boxed up for shipment so it can be moved with a forklift.***

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 12 Each

WASHER

FFP

WASHER, PLAIN 3-1 OVER 2 INCH OD X 1-9 OVER 16 INCH

ID X 3 OVER 8 INCH THICK, STEEL, ASTM A29 GRADE 41L50

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747412

MFR PART NR: 076-39020A

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747412

PROJECT: 561

SIGNAL CODE: A

PSC CD: 5340

NET AMT

0002 12 Each

RING

FFP

RING, 2-1 OVER 2 INCH OD X 1-9 OVER 16 INCH

ID X 2-1 OVER 4 INCH THICK, STEEL, ASTM A575 GRADE M1020

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747413

MFR PART NR: 076-39019A

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747413

PROJECT: 561

0003 12 Each

PIPE

FFP

PIPE, FERRULE

SIZE 1-1 OVER 2 INCH IPS X SCHEDULE 40 X 4-5 OVER 32 INCH LENGTH

STEEL, ASME SA53

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747414

MFR PART NR: 066-53122A

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747414

PROJECT: 561

PSC CD: 4710

0004 12 Each

SHIM

FFP

SHIM

SIZE 2-1 OVER 2 INCH X 2-1 OVER 2 INCH X 1 OVER 4 INCH THINK,

STEEL

ASME SA283 GRADE C

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747415

MFR PART NR: 076-39021A001

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747415

PROJECT: 561

PSC CD: 5365

0005 24 Each

SHIM

FFP

SHIM

SIZE 2-1 OVER 2 INCH X 2-1- OVER 2 INCH X 0.123 INCH MINIMUM

THICK, STEEL, ASTM A569

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747416

MFR PART NR: 076-39021A002

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747416

PROJECT: 561

0006 24 Each

SHIM

FFP

SHIM

SIZE 2-1 OVER 2 INCH X 2-1- OVER 2 INCH X 0.067 INCH MINIMUM

THICK, STEEL, ASTM A569

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747417

MFR PART NR: 076-39021A003

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747417

PROJECT: 561

0007 24 Each

SHIM

FFP

SHIM

SIZE 2-1 OVER 2 INCH X 2-1- OVER 2 INCH X 0.032 INCH MINIMUM

THICK, STEEL, ASTM A366

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747418

MFR PART NR: 076-39021A004

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747418

PROJECT: 561

0008 8 Each

SNUBBER

FFP

SNUBBER, AUXILLARY

MFR: YORK INTERNATIONAL PN: 026-16924

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747419

MFR PART NR: 026-16924

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747419

PROJECT: 561

0009 8 Each

BOLT

FFP

BOLT, HEXAGON HEAD

SIZE 1-1 OVER 2 INCH-12UNF-3A X 3-1 OVER 2 INCH LENGTH, SAE J429

GRADE 5

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747420

MFR PART NR: 026-15615

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747420

PROJECT: 561

PSC CD: 5306

0010 12 Each

RING

FFP

RING

SIZE 2-1 OVER 2 INCH OD X 1-9 OVER 16 INCH ID X 2.1 OVER 4 INCH

THICK, STEEL, ASTM A575 GRADE M1020

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747431

MFR PART NR: 076-39019A

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747431

PROJECT: 561

0011 12 Each

SCREW

FFP

SCREW CAP, HEXAGON HEAD

SIZE 1-1 OVER 2 INCH-6UNC-3A X 13 INCH LENGTH, SAE J429 GRADE 5

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747421

MFR PART NR: 021-16666

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747421

PROJECT: 561

PSC CD: 5305

0012 12 Each

WASHER

FFP

WASHER, PLAIN 3-1 OVER 2 INCH OD X 1-9 OVER 16 INCH

ID X 3 OVER 8 INCH THICK, STEEL, ASTM A29 GRADE 41L50

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747430

MFR PART NR: 076-39020A

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747430

PROJECT: 561

0013 12 Each

PIPE

FFP

PIPE, FERRULE

SIZE 1-1 OVER 2 INCH IPS X SCHEDULE 40 X 4-5 OVER 32 INCH LENGTH

STEEL, ASME SA53

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747432

MFR PART NR: 066-53122A

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747432

PROJECT: 561

0014 12 Each

SHIM

FFP

SHIM

SIZE 2-1 OVER 2 INCH X 2-1 OVER 2 INCH X 1 OVER 4 INCH THINK,

STEEL

ASME SA283 GRADE C

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747433

MFR PART NR: 076-39021A001

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747433

PROJECT: 561

0015 24 Each

SHIM

FFP

SHIM

SIZE 2-1 OVER 2 INCH X 2-1- OVER 2 INCH X 0.123 INCH MINIMUM

THICK, STEEL, ASTM A569

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747434

MFR PART NR: 076-39021A002

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747434

PROJECT: 561

0016 24 Each

SHIM

FFP

SHIM

SIZE 2-1 OVER 2 INCH X 2-1 OVER 2 INCH X 0.067 INCH MINIMUM

THICK, STEEL, ASTM A569

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747435

MFR PART NR: 076-39021A003

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747435

PROJECT: 561

0017 24 Each

SHIM

FFP

SHIM

SIZE 2-1 OVER 2 INCH X 2-1- OVER 2 INCH X 0.032 INCH MINIMUM

THICK, STEEL, ASTM A366

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747436

MFR PART NR: 076-39021A004

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747436

PROJECT: 561

0018 8 Each

SNUBBER

FFP

SNUBBER, AUXILLARY

MFR: YORK INTERNATIONAL PN: 026-16924

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747437

MFR PART NR: 026-16924

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747437

PROJECT: 561

0019 8 Each

BOLT

FFP

BOLT, HEXAGON HEAD

SIZE 1-1 OVER 2 INCH-12UNF-3A X 3-1 OVER 2 INCH LENGTH, SAE J429

GRADE 5

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747438

MFR PART NR: 026-15615

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747438

PROJECT: 561

0020 12 Each

SCREW

FFP

SCREW CAP, HEXAGON HEAD

SIZE 1-1 OVER 2 INCH-6UNC-3A X 13 INCH LENGTH, SAE J429 GRADE 5

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747439

MFR PART NR: 021-16666

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747439

PROJECT: 561

0021 12 Each

WASHER

FFP

WASHER, PLAIN 3-1 OVER 2 INCH OD X 1-9 OVER 16 INCH

ID X 3 OVER 8 INCH THICK, STEEL, ASTM A29 GRADE 41L50

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747440

MFR PART NR: 076-39020A

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747440

PROJECT: 561

0022 12 Each

RING

FFP

RING, 2-1 OVER 2 INCH OD X 1-9 OVER 16 INCH

ID X 2-1 OVER 4 INCH THICK, STEEL, ASTM A575 GRADE M1020

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747442

MFR PART NR: 076-39019A

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747442

PROJECT: 561

0023 12 Each

PIPE

FFP

PIPE, FERRULE

SIZE 1-1 OVER 2 INCH IPS X SCHEDULE 40 X 4-5 OVER 32 INCH LENGTH

STEEL, ASME SA53

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747444

MFR PART NR: 066-53122A

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747444

PROJECT: 561

0024 12 Each

SHIM

FFP

SHIM

SIZE 2-1 OVER 2 INCH X 2-1 OVER 2 INCH X 1 OVER 4 INCH THINK,

STEEL

ASME SA283 GRADE C

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747445

MFR PART NR: 076-39021A001

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747445

PROJECT: 561

0025 24 Each

SHIM

FFP

SHIM

SIZE 2-1 OVER 2 INCH X 2-1- OVER 2 INCH X 0.123 INCH MINIMUM

THICK, STEEL, ASTM A569

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747447

MFR PART NR: 076-39021A002

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747447

PROJECT: 561

0026 24 Each

SHIM

FFP

SHIM

SIZE 2-1 OVER 2 INCH X 2-1- OVER 2 INCH X 0.067 INCH MINIMUM

THICK, STEEL, ASTM A569

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747448

MFR PART NR: 076-39021A003

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747448

PROJECT: 561

0027 24 Each

SHIM

FFP

SHIM

SIZE 2-1 OVER 2 INCH X 2-1- OVER 2 INCH X 0.032 INCH MINIMUM

THICK, STEEL, ASTM A366

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747449

MFR PART NR: 076-39021A004

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747449

PROJECT: 561

0028 8 Each

SNUBBER

FFP

SNUBBER, AUXILLARY

MFR: YORK INTERNATIONAL PN: 026-16924

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747450

MFR PART NR: 026-16924

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747450

PROJECT: 561

0029 8 Each

BOLT

FFP

BOLT, HEXAGON HEAD

SIZE 1-1 OVER 2 INCH-12UNF-3A X 3-1 OVER 2 INCH LENGTH, SAE J429

GRADE 5

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747451

MFR PART NR: 026-15615

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747451

PROJECT: 561

0030 12 Each

SCREW

FFP

SCREW CAP, HEXAGON HEAD

SIZE 1-1 OVER 2 INCH-6UNC-3A X 13 INCH LENGTH, SAE J429 GRADE 5

MFR: YORK INTERNATIONAL

FOB: Origin (Shipping Point)

BRAND NAME/SOLE SOURCE: SS

MILSTRIP: N6275890747452

MFR PART NR: 021-16666

PC NR: MWO

SPEC NR: HULLCG062

PURCHASE REQUEST NUMBER: N6275890747452

PROJECT: 561

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 0008 Destination Government Destination Government 0009 Destination Government Destination Government 0010 Destination Government Destination Government 0011 Destination Government Destination Government 0012 Destination Government Destination Government 0013 Destination Government Destination Government 0014 Destination Government Destination Government 0015 Destination Government Destination Government 0016 Destination Government Destination Government 0017 Destination Government Destination Government 0018 Destination Government Destination Government 0019 Destination Government Destination Government

0020 Destination Government Destination Government 0021 Destination Government Destination Government 0022 Destination Government Destination Government 0023 Destination Government Destination Government 0024 Destination Government Destination Government 0025 Destination Government Destination Government 0026 Destination Government Destination Government 0027 Destination Government Destination Government 0028 Destination Government Destination Government 0029 Destination Government Destination Government 0030 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 09-SEP-2019 12 U S NAVAL SHIP REPAIR FACILITY

YOKOSUKA

PSC 473 BOX 9

FPO AP 96349-1400

FOB: Origin (Shipping Point)

N62758

0002 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

0003 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

0004 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

0005 09-SEP-2019 24 (SAME AS PREVIOUS LOCATION)

0006 09-SEP-2019 24 (SAME AS PREVIOUS LOCATION)

0007 09-SEP-2019 24 (SAME AS PREVIOUS LOCATION)

0008 09-SEP-2019 8 (SAME AS PREVIOUS LOCATION)

0009 09-SEP-2019 8 (SAME AS PREVIOUS LOCATION)

0010 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

0011 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

0012 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

0013 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

0014 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

0015 09-SEP-2019 24 (SAME AS PREVIOUS LOCATION)

0016 09-SEP-2019 24 (SAME AS PREVIOUS LOCATION)

0017 09-SEP-2019 24 (SAME AS PREVIOUS LOCATION)

0018 09-SEP-2019 8 (SAME AS PREVIOUS LOCATION)

0019 09-SEP-2019 8 (SAME AS PREVIOUS LOCATION)

0020 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

0021 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

0022 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

0023 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

0024 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

0025 09-SEP-2019 24 (SAME AS PREVIOUS LOCATION)

0026 09-SEP-2019 24 (SAME AS PREVIOUS LOCATION)

0027 09-SEP-2019 24 (SAME AS PREVIOUS LOCATION)

0028 09-SEP-2019 8 (SAME AS PREVIOUS LOCATION)

0029 09-SEP-2019 8 (SAME AS PREVIOUS LOCATION)

0030 09-SEP-2019 12 (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.203-18 Prohibition on Contracting With Entities That Require Certain

Internal Confidentiality Agreements or Statements-- Representation

JAN 2017

52.204-7 System for Award Management OCT 2018 52.204-13 System for Award Management Maintenance OCT 2018 52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.204-17 Ownership or Control of Offeror 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 OCT 2018 52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.213-1 Fast Payment Procedure MAY 2006 52.225-25 Prohibition on Contracting with Entities Engaging in Certain

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

AUG 2018

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.247-29 F.O.B. Origin FEB 2006 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

252.204-7003 Control Of Government Personnel Work Product APR 1992 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

252.211-7003 Item Unique Identification and Valuation MAR 2016 252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

DEC 2018

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 FEB 2019

CLAUSES INCORPORATED BY FULL TEXT

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)

52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

The Contractor is responsible for the delivery of each item quantity within allowable variations, if any. If the Contractor delivers and the Government receives quantities of any item in excess of the quantity called for (after considering any allowable variation in quantity), such excess quantities will be treated as being delivered for the convenience of the Contractor. The Government may retain such excess quantities up to $250 in value without compensating the Contractor therefor, and the Contractor waives all right, title, or interests therein. Quantities in excess of $250 will, at the option of the Government, either be returned at the Contractor's expense or retained and paid for by the Government at the contract unit price.

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

ALTERNATE I (OCT 2014)

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

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

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

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

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

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

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

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

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

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

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

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

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

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

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

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

(8) PSC 9610, Ores;

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

(10) PSC 9630, Additive Metal Materials.

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

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

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

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

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

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

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

(6) Have been voluntarily suspended.

“Sensitive technology”—

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

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

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

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

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

(1) Means a small business concern—

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

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

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

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

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

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

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

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

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

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

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

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

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

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

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

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

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

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

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

(b)

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

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM 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), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs __.

[Offeror to identify the applicable paragraphs at (c) through (u) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

___ Black American.

___ Hispanic American.

___ Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians).

___ Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, Republic of Palau, Republic of the Marshall Islands, Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).

___ Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal).

___ Individual/concern, other than one of the preceding.

(d) Representations required to implement provisions of Executive Order 11246 --

(1) Previous contracts and compliance. The offeror represents that --

(i) It [ ___ ] has, [ ___ ] has not, participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and

(ii) It [ ___ ] has, [ ___ ] has not, filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that --

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

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

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

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

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

(2) Foreign End Products:

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:

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

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

Canadian End Products:

Line Item No.:

[List as necessary]

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

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

Canadian or Israeli End Products:

Line Item No.: Country of Origin:

[List as necessary]

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

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

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

Line Item No.: Country of Origin:

[List as necessary]

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

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

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

Other End Products

Line Item No.: Country of Origin:

[List as necessary]

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

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

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

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

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

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

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

(A) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.

(B) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.

(ii) Examples.

(A) The taxpayer has received a statutory notice of deficiency, under I.R.C. §6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax liability.

Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appear rights.

(B) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. §6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals Contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing.