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Various fasteners. Nuts, Bolts, Caps, screws, etc. 37 CLINS.
Solicitation number
N0040619Q0310
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N0040619Q0310

Section SF 30 - BLOCK 14 CONTINUATION PAGE

NOTICE TO OFFERORS

Fleet Logistics Center Puget Sound is soliciting for various fasteners. The package will consist of nuts, bolts, screws, caps, etc. This acquisition will be a single award (must quote all items to be considered)Lowest price technically acceptable with the best delivery will be considered first.

The requirement will be FOB origin using WSS/FACTSP for shipping. No shipping costs will be incurred by the offerors.

This requirement to be solicited on a 100% Small Business Set-Aside, commercial basis, under FAR Parts 12 and 13.5. Award under this procurement will be made to the technically acceptable offeror which provides the best value to the Government, past performance, price and delivery will be considered.Interested persons may identify their interest and capability to respond to the requirement or submit proposals prior to offer due date.<BR><BR><BR>It is anticipated that the solicitation will be posted to the NECO website on or about 15 August 2019 with proposals due by 22 August 2019.

A Firm-Fixed Price type contract will be awarded in accordance with FAR Parts 12 and 13.5, Commercial and Simplified Acquisition Procedures.

All responsible sources may submit a proposal which, if received in a timely manner, shall be considered by NAVSUP FLC PS. This solicitation and any subsequent amendments will be posted to the NECO website: https://www.neco.navy.mil.

Prospective offerors are responsible for downloading their own copy of the solicitation from this website and for frequently monitoring that site for any amendments. The Government is not responsible for any inability of the offeror to access the posted documents.

No telephone requests will be accepted, and no hard-copy solicitation/amendment will be mailed. Emailed or faxed completed solicitations are acceptable. Must notify KO via email if your offer is faxed.

Section SF 1449 - CONTINUATION SHEET

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
200
Each

WASHER

FFP

WASHER,FLAT, SIZE: 0.390ID X 0.625OD X 0.032"THK CRES-316, NAS1149

FOB: Origin (Shipping Point)

MILSTRIP: N6275890736900

MFR PART NR: NAS1149-C0632R 316

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275890736900

PROJECT: NY9

SIGNAL CODE: A

PSC CD: 5310

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
200
Each

NUT, SELF LOCKING

SIZE: 3/8"-16UNC-3B, CRES 316, HEXAGON, 250DEG F ,

NON METALLIC LOCK RING, MIL-N-25027, QQ-S-763 CL 316

FOB: Origin (Shipping Point)

MILSTRIP: N6275890736901

MFR PART NR: MIL-N-25027

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275890736901

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
200
Each

SCREW

1/4"-20UNC-2A X 2"L,CRES 316,MIL-DTL-1222, TYPE I

DWG: 505-8593728, PC.70

FOB: Origin (Shipping Point)

MILSTRIP: N6275890736902

MFR PART NR: M1222RN4C232SDNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275890736902

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
200
Each

NUT, PLAIN, HEX

RIGHT-HAND, 1"-8 UNC-3B, MIL-DTL-1222 TYPE 1

ASTM B21 H02, NAVAL BRASS, ALLOY 464 HARF-HARD

COPPER ALLOY UNS C46400 H02 HARF-HARD

FOB: Origin (Shipping Point)

MILSTRIP: N6275890736903

MFR PART NR: M1222N1N16C30CBNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275890736903

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
200
Each

WASHER FLAT

WASHER FLAT, SIZE: 13/32"ID X 1"OD X 0.56/0.71"THK, NCA, USE FOR 3/8" BOLT,

FF-W-92, TY-A, GR-I, CL-G

FOB: Origin (Shipping Point)

MILSTRIP: N6275890736904

MFR PART NR: FF-W-92 TY A GR 1 CL G

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275890736904

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
200
Each

NUT, HEAVY HEXAGON

SIZE 1/2"-13UNC-2B, ALLOY STEEL, ASTM A194, GRADE 7,

MIL-DTL-1222 TY III, GRADE 7

FOB: Origin (Shipping Point)

MILSTRIP: N6275890736905

MFR PART NR: M1222N3N8C20GGNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275890736905

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
50
Each

CAP, THREAD

SIZE 3/4"NPS, THREAD 14 NPSH HEXY TYPE PLAIN FINISH, BRONZE ASTM B62,

FURNISH WITH GASKET & BRASS CHAIN, USE FOR AIR TEST

FOB: Origin (Shipping Point)

MILSTRIP: N6275890736906

MFR PART NR: 19209-024

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275890736906

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
120
Each

NUT, HEX, 3/8''-16UN

NOMEN: NUT, HEX, SIZE: 3/8"-16UNC-2B

MATERIAL: INCONEL-625

REMARKS: MIL-DTL-1222, TY-1

FOB: Origin (Shipping Point)

MILSTRIP: N6275890736907

MFR PART NR: M1222N1N6C20NDNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275890736907

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
120
Each

SCREW, HEX

SIZE: 3/8"-16UNC-2A X 2-1/2" LG

MATERIAL: INCONEL-625

REMARKS: MIL-DTL-1222, TY-1

FOB: Origin (Shipping Point)

MILSTRIP: N6275890736908

MFR PART NR: M1222RN6C240NDNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275890736908

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
120
Each

SCREW, CAP

FLAT HEXAGON SOCKET HEAD, 82 DEGREE COUNTERSUNK,

FF-S-86 TYPE IV, SIZE 5/8"-11UNC-2A X 3/4"LG, ALLOY STEEL,

MOD: SERMETEL 725 METALLIC-CERAMIC COATING RQRD,

I.A.W. MIL-C-81751B TYPE 1 CLASS 4

FOB: Origin (Shipping Point)

MILSTRIP: N6275890736909

MFR PART NR: FF-S-86 TY IV MOD

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275890736909

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
500
Each

NUT SELF-LOCKING HEX

SIZE: 5/8"-11UNC-3B, MATL: CRES 316

QQ-S-763D CL316, MIL-N-25027D(NASM25027) 250 DEG F MAX TEMP,

NON-MTLC, ANNULAR LKG RING QPL-25027 WAIVED PER CL316

MATERIAL MODIFICATION

FOB: Origin (Shipping Point)

MILSTRIP: N6275891366900

MFR PART NR: NASM25027(BIW#: 53110-045)

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891366900

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
250
Each

NUT HEXAGON JAM

5/*"-11UNC-2B, CRES 316, RIGHT HAND,

MIL-DTL-1222 TY-II

FOB: Origin (Shipping Point)

MILSTRIP: N6275891366901

MFR PART NR: M1222N2N10C20SCNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891366901

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
100
Each

NUT WING

5/8"-11UNC-2B, CRES 316

FOB: Origin (Shipping Point)

MILSTRIP: N6275891366902

MFR PART NR: FIGURE 54 (BIW#: 54511-019)

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891366902

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
250
Each

SCREW HEX HEAD SLF

SLFLKG, SIZE: 3/8"-16UNC-2A X 3/4"LG, CRES 316,

MIL-DTL-1222J SELFLOCKING PER MIL-F-18240E TYPE-P, LOCKING TYPE: PATCH

FOB: Origin (Shipping Point)

MILSTRIP: N6275891366903

MFR PART NR: M1222RN6C212SCLN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891366903

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
150
Each

NUT SELF-LOCKING HEX

3/4"-10UNC-3B, HEXAGON, CRES 316,

QQ-S-763D CL 316, MIL-N-25027D 250DEG F MAX TEMP,

NON-MTLC ANNULAR LKG RING, QPL25027 WAIVED,

PER CL 316 MATL MODIFICATION

FOB: Origin (Shipping Point)

MILSTRIP: N6275891366904

MFR PART NR: 53110-053

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891366904

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
250
Each

SCREW HEX CAP

SCREW, HEX CAP, 3/8"16UNC-2A X 1"LG, CRES 316 MIL-DTL-1222J, TYPE-I

COLD WORKED

FOB: Origin (Shipping Point)

MILSTRIP: N6275891366905

MFR PART NR: M1222RN6C216SDNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891366905

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
400
Each

SCREW, TRUSS HD SEL

SCREW, TRUSS HEAD, SLOTTED, SELF LOCKING, FF-S-92B, TYPE-1, STYLE-7S

MATL: CRES 304, 5/16"-18UNC-2A X 5/8"LG, SELF LOCKING TYPE-P(PATCH)

IAW MIL-DTL-18240F

NSN:

FOB: Origin (Shipping Point)

MILSTRIP: N6275891366906

MFR PART NR: FF-S-92B,TY 1 STY 7S CL304(MOD)

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891366906

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
200
Each

SCREW, HEX CAP

SIZE: 5/8" - 11UNC - 2A X 2-1/4" LG

REMARKS: K-MONEL, GRADE 500,MIL-DTL-1222, TYPE-I HEX CAP

FOB: Origin (Shipping Point)

MILSTRIP: N6275891686910

MFR PART NR: M1222RN10C236NCNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891686910

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
200
Each

NUT

SIZE 1/2"-13UNC-2B, HEXAGON, WASHER FACED, ELECTRO ZINC PLATED

CARBON STEEL GR 2, MIL-DTL-1222 TY I GR 2

NSN:

FOB: Origin (Shipping Point)

MILSTRIP: N6275891686911

MFR PART NR: M1222N1W8C20GCNZE

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891686911

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
100
Each

SCREW, HEX CAP

SIZE: 5/8" -11UNC -2A X 2-3/4" LG

REMARKS: QQ-N-286, K-MONEL, GRADE-500, MIL-DTL-1222, TYPE I.

FOB: Origin (Shipping Point)

MILSTRIP: N6275891686912

MFR PART NR: M1222RN10C244NCNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891686912

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
300
Each

NUT, HEX, 1/2"

SIZE; 1/2"-13UNC-2B

MATERIAL; ALLOY STEEL, GR 2H

REMARKS: NUT, HEX, ZINC COATED, MIL-DTL-1222 TY I

NSN:

FOB: Origin (Shipping Point)

MILSTRIP: N6275891686913

MFR PART NR: M1222N1C8C20GDNZE

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891686913

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
250
Each

SCREW, HEX CAP

5/8"-11UNC-2A X 3-1/4"LG, QQ-N-286, K-MONEL,

GRADE-500, MIL-DTL-1222, TYPE I

FOB: Origin (Shipping Point)

MILSTRIP: N6275891686914

MFR PART NR: M1222RN10C252NCNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891686914

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
250
Each

WASHER

1-3/8"OD X 21/32"ID X 1/16" THK, BOLT SIZE: 5/8" MATL:

CRES 316 FF-W-92 TY A GR I CL B, FOR ACCESS COVER OF PEDESTAL OE-82 ANT AFT

FOB: Origin (Shipping Point)

MILSTRIP: N6275891686915

MFR PART NR: FF-W-92 TY A GR I CL B

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891686915

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
300
Each

SCREW, HEX CAP

SCREW, HEX CAP, SIZE: 5/8"-11UNC-2A X 1-1/2"LG, MATL: CRES GRADE 316,

MIL-DTL-1222 TYPE-I.

FOB: Origin (Shipping Point)

MILSTRIP: N6275891686916

MFR PART NR: M1222RN10C224SDNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891686916

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
200
Each

SCREW, HEX CAP,

SIZE: 5/8"-11UNC-2A X 2" LG, MATERIAL: INCONEL-625,

MIL-DTL-1222, TYPE-1, GR-625

FOB: Origin (Shipping Point)

MILSTRIP: N6275891686917

MFR PART NR: M1222RN10C232NDNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891686917

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
900
Each

NUT

NUT, HVY HEX, FLEXLOC SELF-LOCKING

SIZE: 3/8"-16 UNC-2B

MATERIAL: INCONE-718

REMARKS: SILVER

FOB: Origin (Shipping Point)

MILSTRIP: N6275891806903

MFR PART NR: 0616SLN718SP

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891806903

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
600
Each

SCREW, FLAT HEAD SOC

FF-S-86 TY IV MOD

ACTION THREADED

SCREW CAP FLAT HEX SOCKET HD,SIZE: 5/8"-11UNC-3A X 1-1/2"LG, FF-S-86E,

TYPE IV, 82 DEG INCLUDED ANGLE, COUNTERSUNK SELF-LOCKING,

MATL: NICKEL COPPER ALLOY.

MOD TO MIL-DTL-18240F SELF-LOCK INSERT PATCH TYPE P.

NSN:

FOB: Origin (Shipping Point)

MILSTRIP: N6275891836900

MFR PART NR: FF-S-86 TY IV MOD

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891836900

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1,000
Each

NUT, HEX

NUT, HEX, SIZE: 5/8"-11UNC-3B, MATL : BRASS GRADE 464

MIL-DTL-1222 TYPE I

FOB: Origin (Shipping Point)

MILSTRIP: N6275891836901

MFR PART NR: M1222N1C10C30CBNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891836901

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
100
Each

NUT, HEX

SIZE: 5/8"-11UNC-2B, MATL: MONEL GR 400, MIL-DTL-1222 TYPE-1,

DOUBLE CHAMFERED (BOTH SIDE CHAMFER)

FOB: Origin (Shipping Point)

MILSTRIP: N6275891836902

MFR PART NR: M1222N1C10C20NANN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891836902

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
800
Each

WASHER

WASHER,FLAT, SIZE: 0.390ID X 0.625OD X 0.032"THK CRES-316

NAS1149

FOB: Origin (Shipping Point)

MILSTRIP: N6275891896900

MFR PART NR: NAS1149-C0632R 316

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891896900

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
100
Each

NUT, HEAVY HEX

3/4"-10UNC-2B, ALLOY STEEL, ASTM A194,

GRADE 7.MIL-DTL-1222 TY III, GRADE 7

FOB: Origin (Shipping Point)

MILSTRIP: N6275891896901

MFR PART NR: M1222N3N12C20GGNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891896901

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
400
Each

SCREW, HEX, CAP

CAP, SCREW, HEXAGON HEAD, 5/8" -11UNC -2A, 2-3/4"LG, ALLOY STEEL GRADE 5,

ZINC COATED

FOB: Origin (Shipping Point)

MILSTRIP: N6275891896902

MFR PART NR: M1222RN10C244GFNZE

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891896902

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
500
Each

SCREW, HEX, CAP

ASTM A193 GR B16,

SIZE: 1/2"-13UNC-2A X 1-1/2", MATERIAL: CHROMINUM - MOLYBDENUM - VANADIUM

MIL-DTL-1222 TYPE I

FOB: Origin (Shipping Point)

MILSTRIP: N6275891896903

MFR PART NR: M1222RN8C224GBNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891896903

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
400
Each

SCREW, SELF-LOCKING,

MS24693-C71-PATCH

SCREW, LOCKING, LOCKTIGHT, SIZE: 0.1900"-24UNC-2A X 0.437"LG,

FLAT COUNTERSUNK HEAD, 100 DEG, CROSS RECESSED,

MATL: CRES. NASM 24693

FOB: Origin (Shipping Point)

MILSTRIP: N6275891896904

MFR PART NR: MS24693-C71-PATCH

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891896904

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
400
Each

NUT, SELF LOCKING

SIZE: 3/8"-16UNC-3B, CRES 316, HEXAGON, 250DEG F ,

NON METALLIC LOCK RING, MIL-N-25027, QQ-S-763 CL 316

FOB: Origin (Shipping Point)

MILSTRIP: N6275891896905

MFR PART NR: MIL-N-25027

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891896905

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
600
Each

SCREW, HEX, CAP

SIZE: 1/2"- 13UNC-2A X 2-1/4"L, ASTM A193 GR B16, MATERIAL:

CHROMINUM - MOLYBDENUM - VANADIUM

FOB: Origin (Shipping Point)

MILSTRIP: N6275891896906

MFR PART NR: M1222RN8C236GBNN

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891896906

PROJECT: NY9

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
600
Each

NUT SELF-LOCKING HEX

SIZE: 5/16"-18UNC-3B, MATL: CRES 316, QQ-S-763D CL316,

MIL-N-25027D 250 DEG F MAX TEMP. NON-MTLC.

ANNULAR LKG RING QPL-25027 WAIVED PER CL316 MATERIAL MODIFICATION

FOB: Origin (Shipping Point)

MILSTRIP: N6275891896907

MFR PART NR: 53110-011

PC NR: MWO

SPEC NR: HULLY0MSM

PURCHASE REQUEST NUMBER: N6275891896907

PROJECT: NY9

NET AMT

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN
INSPECT AT
INSPECT BY
ACCEPT AT
ACCEPT BY
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Government
0027
Destination
Government
Destination
Government
0028
Destination
Government
Destination
Government
0029
Destination
Government
Destination
Government
0030
Destination
Government
Destination
Government
0031
Destination
Government
Destination
Government
0032
Destination
Government
Destination
Government
0033
Destination
Government
Destination
Government
0034
Destination
Government
Destination
Government
0035
Destination
Government
Destination
Government
0036
Destination
Government
Destination
Government
0037
Destination
Government
Destination
Government

DELIVERY INFORMATION

CLIN
DELIVERY DATE
QUANTITY
SHIP TO ADDRESS
DODAAC / CAGE
0001
17-MAY-2019
200
U S NAVAL SHIP REPAIR FACILITY YOKOSUKA

PSC 473 BOX 9

FPO AP 96349-1400

FOB: Origin (Shipping Point) N62758

0002
17-MAY-2019
200
(SAME AS PREVIOUS LOCATION)

N62758

0003
17-MAY-2019
200
(SAME AS PREVIOUS LOCATION)

N62758

0004
17-MAY-2019
200
(SAME AS PREVIOUS LOCATION)

N62758

0005
17-MAY-2019
200
(SAME AS PREVIOUS LOCATION)

N62758

0006
17-MAY-2019
200
(SAME AS PREVIOUS LOCATION)

N62758

0007
17-MAY-2019
50
(SAME AS PREVIOUS LOCATION)

N62758

0008
17-MAY-2019
120
(SAME AS PREVIOUS LOCATION)

N62758

0009
17-MAY-2019
120
(SAME AS PREVIOUS LOCATION)

N62758

0010
17-MAY-2019
120
(SAME AS PREVIOUS LOCATION)

N62758

0011
01-JUL-2019
500
(SAME AS PREVIOUS LOCATION)

N62758

0012
01-JUL-2019
250
(SAME AS PREVIOUS LOCATION)

N62758

0013
01-JUL-2019
100
(SAME AS PREVIOUS LOCATION)

N62758

0014
01-JUL-2019
250
(SAME AS PREVIOUS LOCATION)

N62758

0015
01-JUL-2019
150
(SAME AS PREVIOUS LOCATION)

N62758

0016
01-JUL-2019
250
(SAME AS PREVIOUS LOCATION)

N62758

0017
01-JUL-2019
400
(SAME AS PREVIOUS LOCATION)

N62758

0018
31-AUG-2019
200
(SAME AS PREVIOUS LOCATION)

N62758

0019
31-AUG-2019
200
(SAME AS PREVIOUS LOCATION)

N62758

0020
31-AUG-2019
100
(SAME AS PREVIOUS LOCATION)

N62758

0021
31-AUG-2019
300
(SAME AS PREVIOUS LOCATION)

N62758

0022
31-AUG-2019
250
(SAME AS PREVIOUS LOCATION)

N62758

0023
31-AUG-2019
250
(SAME AS PREVIOUS LOCATION)

N62758

0024
30-AUG-2019
300
(SAME AS PREVIOUS LOCATION)

N62758

0025
30-AUG-2019
200
(SAME AS PREVIOUS LOCATION)

N62758

0026
09-SEP-2019
900
(SAME AS PREVIOUS LOCATION)

N62758

0027
13-SEP-2019
600
(SAME AS PREVIOUS LOCATION)

N62758

0028
13-SEP-2019
1,000
(SAME AS PREVIOUS LOCATION)

N62758

0029
13-SEP-2019
100
(SAME AS PREVIOUS LOCATION)

N62758

0030
13-SEP-2019
800
(SAME AS PREVIOUS LOCATION)

N62758

0031
13-SEP-2019
100
(SAME AS PREVIOUS LOCATION)

N62758

0032
13-SEP-2019
400
(SAME AS PREVIOUS LOCATION)

N62758

0033
13-SEP-2019
500
(SAME AS PREVIOUS LOCATION)

N62758

0034
13-SEP-2019
400
(SAME AS PREVIOUS LOCATION)

N62758

0035
13-SEP-2019
400
(SAME AS PREVIOUS LOCATION)

N62758

0036
13-SEP-2019
600
(SAME AS PREVIOUS LOCATION)

N62758

0037
13-SEP-2019
600
(SAME AS PREVIOUS LOCATION)

N62758

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
52.225-25
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
SUPTXT203.1106-1(3-18)
Navy Use of Ability One Support Contractor-Release of Offeror Information
MAY 2018

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)

52.211-8 TIME OF DELIVERY (JUN 1997)

(a) The Government requires delivery to be made according to the following schedule:

REQUIRED DELIVERY SCHEDULE

(Contracting Officer insert specific details)

PLEASE PROVIDE BEST POSSBILE DELIVERY. WE PREFER…

Within Days 30 DAYS

After Date ARO

Item No. Quantity of Contract 37 CLINS

The Government will evaluate equally, as regards time of delivery, offers that propose delivery of each quantity within the applicable delivery period specified above. Offers that propose delivery that will not clearly fall within the applicable required delivery period specified above, will be considered nonresponsive and rejected. The Government reserves the right to award under either the required delivery schedule or the proposed delivery schedule, when an offeror offers an earlier delivery schedule than required above. If the offeror proposes no other delivery schedule, the required delivery schedule above will apply.

OFFEROR'S PROPOSED DELIVERY SCHEDULE

Within Days

After Date

Item No. Quantity of Contract

(b) Attention is directed to the Contract Award provision of the solicitation that provides that a written award or acceptance of offer mailed, or otherwise furnished to the successful offeror, results in a binding contract. The Government will mail or otherwise furnish to the offeror an award or notice of award not later than the day award is dated. Therefore, the offeror should compute the time available for performance beginning with the actual date of award, rather than the date the written notice of award is received from the Contracting Officer through the ordinary mails. However, the Government will evaluate an offer that proposes delivery based on the Contractor's date of receipt of the contract or notice of award by adding (1) five calendar days for delivery of the award through the ordinary mails, or (2) one working day if the solicitation states that the contract or notice of award will be transmitted electronically. (The term "working day" excludes weekends and U.S. Federal holidays.) If, as so computed, the offered delivery date is later than the required delivery date, the offer will be considered nonresponsive and rejected.

(End of clause)

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
___
___
___
___
___
___

(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
___
___
___
___
___
___

(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:
___
___
___
___
___
___

(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:
___
___
___
___
___
___

(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:
___
___
___
___
___
___

(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, […

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