N0040622Q0016 SOLICITATION.pdf

SEE ADDENDUM

(No Collect Calls)

N0040622Q0016 14-Oct-2021

b. TELEPHONE NUMBER

360-476-7587

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 21 Oct 2021

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

FERBIEN O. ENCOMIENDA

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

N6275822RCUS702

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: FERBIEN ENCOMIENDA

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

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

N62758 SRF AND JRMC

GOVT REPRESENTATIVE

SEE PAGE 4 OF ORDER FOR

SHIPMENT REQUEST PROCEDURES

. WA 00000

TEL: FAX:

360-476-1947FAX:

TEL: 360-476-7587 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$8,000,000

NAICS:

811310

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 OF62

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.

Section SF 30 - BLOCK 14 CONTINUATION PAGE

NOTICE TO OFFERORS

1. This solicitation is for the procurement of SERVICE TECH FOR A/C PLANTS in support of SRF YOKOSUKA. It is anticipated that this solicitation will result in an award/order of a Firm, Fixed-Price Service type contract.

2. The entire solicitation shall be filled out, signed, and returned as part of your quote. See block 8 on page 1 of the solicitation for the closing date and time.

3. The deadline for submission of questions regarding the solicitation’s terms, conditions, specifications, and/or the statement of work (SOW) / performance work statement (PWS) is 2 days prior to the solicitation’s closing date.

4. Quotes will be evaluated in accordance with clause 52.212-2.

5. SINGLE AWARD FOR ALL ITEMS: Due to the interrelationship of supplies and/or services to be provided hereunder, the Government reserves the right to make a single award to the quoter whose quote is considered in the best interest of the government, price and other factors considered. Therefore, quoters who quote less than the entire effort specified herein may be determined to be unacceptable.

6. “EXCEPTIONS: All quoters MUST note all exceptions from the solicitation’s terms conditions, specifications, and/or the statement of work / performance work statement, if any. It will be assumed that any quote without mention of any exceptions will take no exception from all specifications, terms and conditions, clauses, or provisions within the solicitation.”

7. All questions in regards to this solicitation shall be submitted, via email, to the Purchasing Agent / Contract

Specialist (listed below):

Name: FERBIEN O. ENCOMIENDA

Email: FERBIEN.ENCOMIENDA@NAVY.MIL

PLEASE PROVIDE:

COMPANY NAME: __________________________________________________________

SAM CAGE CODE NUMBER: ____________________________________________

POC NAME: _______________________________________________

E-MAIL ADDRESS: ________________________________________

PHONE NUMBER: _________________________________________

LIST THE MFG AND COUNTRY OF ORIGIN:_______________________________

LIST YOUR COMPANIES SIZE: LARGE OR SMALL

INTERESTED PARTIES, YOU MUST FILL OUT AND RETURN PROVISIONS: 52.204-24, 52.204-26, AND 52.209-11 WITH YOUR QUOTE!

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

MANAGEMENT** IN ORDER TO RECEIVE A GOVERNMENT AWARD) (SAM REGISTRATION IS

FREE)

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.***

NOTE: In accordance with 52.212-4(f), in part, "The contractor will be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the contractor.." The contractor SHALL notify the Contracting Office and/or customer POC in writing immediately, but NO LATER THAN 2 weeks prior to expiration, for any delays, to include delivery dates and periods of performance specified in the schedule.

LIST MFG. & COUNTRY OF ORIGIN FOR EA LINE THAT IS A SUPPLY.

**************THE FOLLOWING INFORMATION MUST BE PROVIDED******************

CLIN Manufacturer's Name Manufacturer’s Size Part Number Country of Origin

REQUESTED DELIVERY SCHEDULE

All items to be shipped within 30 days after receipt of offer. Special order items with longer lead time will be evaluated on an individual basis taking into consideration customer need

CLIN QUANTITY REQUESTED DELIVERY

0001 1 JOB SEE POP

OFFEROR'S PROPOSED DELIVERY SCHEDULE

CLIN QUANTITY PROPOSED DELIVERY

PAYMENT INFORMATION WILL BE ENTERED IN ANY RESULTING AWARD BY:

WIDE AREA WORK FLOW PAYMENT:

The contractor shall utilize the electronic invoicing upon delivery of supplies indicated herein. Invoices must be submitted electronically using Wide Area Work Flow (WAWF) – Receipt and Acceptance. The contractor shall self-register at the web site: https://wawf.eb.mil . Contractor training is available on the Internet at https://wawftrainingeb.mil . Additional support can be accessed by calling the NAVY WAWF Assistance Line:

1-866-618-5988

SEE DFARS CLAUSE 252.232-7006 IN AWARD

"Base Access Defense Biometric Identification System (DBIDS):

Commander, Navy Installations Command (CNIC), has established the Defense Biometric

Identification System

(DBIDS) to improve management and force protection at Navy installations. The Navy has transitioned from using

The Navy Commercial Access Control System (NCACS) to the DBIDS for contractors and vendors requiring access to an installation. DBIDS is a standardized process for granting unescorted access privileges to vendors, contractors, Suppliers, and service providers not otherwise entitled to the issuance of a Common Access Card (CAC) who seek Access to and can provide justification to enter Navy installations and facilities. Visiting vendors may obtain daily passes directly from the individual Navy Installations by submitting identification credentials for verification and Undergoing a criminal screening/background check.

Alternatively, if the vendor so chooses, it may voluntarily elect

To obtain long-term credentials through enrollment registration, backing vetting, screening, issuance of credentials through a designated independent contractor DBIDS service provider.

The Government will award on the basis of price unless the contracting officer is aware of past performance information related to the low price quote/offer which indicates that quote/offer may not represent best value. In that case, the Government reserves the right to consider the past performance of other quotes/offers, conduct a price, past performance tradeoff, and award to other than the lowest price quote/offer.

***NOTICE***

The public health considerations occasioned by the Coronavirus Disease 2019 (COVID-2019) continue to evolve. Every contractor should be mindful of current events, travel warnings, and health advisories, and of the potential impacts on personnel safety and contracted supplies and services. Offerors are responsible for understanding any travel restrictions or medical warnings/advisories that may be in effect for the place of performance and should price their proposal accordingly. Relevant information may be obtained from the U.S. Center for Disease Control at https://www.cdc.gov/coronavirus/2019-ncov/index.html, and from the U.S.

Department of State at:

https://travel.state.gov/content/travel/en/traveladvisories/COVID-19 -Country -Specific-Information.html.

1. At the direction of [insert relevant Command or civilian authority], contractor and subcontractor employees meeting any of the four criteria below are restricted from entering any U.S. Navy Instillation:

(a) Employees who have been in the People's Republic of China, South Korea, Italy, or Iran, or any region that the U.S. Center for Disease Control designates as a Warning Level 3 or higher due to COVID-19 [or other locations identified by the Command or civil authority]. These locations are referred to as "relevant locations." Contractor employees are restricted from entering [name installation or location] for 14 days from the latest date of departure from a relevant location.

(b) Employees who have been in close physical contact for an extended period of time with someone who has returned from a relevant location. Contractor employees are restricted from entering [name installation or location] for 14 days from the last day on which the employee had close physical contact with someone who has returned from a relevant location.

(c) Employees who have been in close physical contact with someone identified as having COVID-19. Contractor employees are restricted from entering [name installation or location] for 14 days from the last day on which the employee had close physical contact with someone identified as having COVID-19.

(d) Employees who have been diagnosed with COVID-19. Contractor employees who have been diagnosed with COVID-19 will not be permitted to access [name installation or location] until they have been cleared to do so by military personnel or by cognizant medical experts for those not serviced by military medical services.

2. Contractors will notify the U.S. Navy's contracting officer if they become aware that any of their employees or subcontractors who would otherwise seek to access [name installation or location] as part of performing contract requirements meet one or more of the four criteria above. The notice will provide the name of the contractor or subcontractor employee, identify the applicable criterion or criteria that applies, and explain (for criteria (a), (b), or (c)) when the 14 day period concludes.

FACE MASK INSTRUCTIONS MUST BE FOLLOWED:

Navy is committed to taking every precaution to ensure the health and wellbeing of our people and the nation in response to the coronavirus disease 2019 (covid-19) pandemic. Navy supports, and will continue to implement, all measures necessary to mitigate risks to the force, to our mission and to the spread of the disease. The center for disease control and prevention (CDC) recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain, especially in areas of significant community-based transmission.

Effective immediately, to the extent practical, ALL individuals, “this includes Navy Contractors,” on DOD property, installations, and facilities are required to wear cloth face coverings when they cannot maintain six feet of social distance.

The below CDC guidance is acceptable. Face coverings will:

a. Fit snugly but comfortably against the side of the face

b. Be from nose to chin full face coverings (like ski masks) are not authorized

c. Be secured with ties or ear loops

d. Preferably include multiple layers of fabric if material is cloth

e. Allow for breathing without restriction

f. Medical or construction type masks, or other cloth covering such as bandanas, scarfs, etc. are acceptable. When in doubt, priority will be compliance with the CDC guidance for function over appearance or preferred date of implementation.

Questions pertaining to this memo or requests for copies of the references should be addressed to the Contracting Officer.

CONTRACTOR TRAVEL REQUIREMENTS

The following are the requirements for entry into Japan as of 2 November 2020 that Contractors shall comply with.

See Section 3 for Pre-departure requirements and Section 4 for procedures upon arrival in Japan.

1. IN UPDATE TO REF F, THE PURPOSE OF THIS MESSAGE IS TO

PROVIDE UPDATED POINT OF CONTACT INFORMATION TO SYSCOMS, WARFARE

CENTERS AND CONTRACTING ACTIVITIES RESPONSIBLE FOR THE COORDINATION

OF SHIP REPAIR AND MODERNIZATION EFFORTS IN JAPAN.

2. GUIDANCE ISO DOD AND INTERNATIONAL RESTRICTIONS AS A RESULT OF

COVID-19 MITIGATION ACTIONS. SRF-JRMC IS UTILIZING THE FUNCTIONALITY

OF THE REGIONAL MAINTENANCE AND MODERNIZATION COORDINATION OFFICE

(RMMCO) IDENTIFIED IN REFS (A) AND (B) TO MANAGE THESE UNIQUE TRAVEL

REQUIREMENTS.

3. ANY PERSONNEL SUPPORTING SRF-JRMC MAINTENANCE AND MODERNIZATION

SHALL COMPLY WITH THE GUIDANCE PROVIDED OR RISK DENIAL OF ENTRY TO

JAPAN AND/OR COMMANDER FLEET ACTIVITIES YOKOSUKA (CFAY) OR

COMMANDER FLEET ACTIVITIES SASEBO (CFAS). DUE TO COVID-19

RESTRICTIONS, ENTRY REQUIREMENTS TO JAPAN IN SUPPORT OF MISSION

ESSENTIAL MAINTENANCE/MODERNIZATION IN WHICH SRF-JRMC SERVES AS

THE NAVAL SUPERVISORY AUTHORITY (NSA) ARE AS FOLLOWS (PRE-DEPARTURE):

A. PERSONNEL MUST HAVE A VALID PASSPORT FOR THE INTENDED PERIOD

OF STAY IN JAPAN.

B. APPROVAL MUST BE OBTAINED THROUGH TRAVEL TRACKER INDIVIDUAL

ANTI-TERRORIST PLAN (TT/IATP) VIA THE IATP.PACOM.MIL WEBSITE. THIS

REQUIRES LEVEL 1 ANTI-TERRORIST AND SURVIVAL, EVASION, RESISTANCE,

AND ESCAPE (SERE) TRAINING BE ACCOMPLISHED VIA

JKODIRECT.JTEN.MIL/ATLAS2/PAGE/LOGIN/LOGIN.JSF WEBSITE; AND A

PERSONNEL RECOVERY MISSION SOFTWARE (PRMS) SUBMISSION THROUGH

PRMSGLOBAL.PRMS.AF.MIL.

C. APPROVAL MUST BE OBTAINED THROUGH AIRCRAFT AND PERSONNEL

AUTOMATED CLEARANCE SYSTEM (APACS) FOR ENTRY TO INDOPACOM AOR. (FOR

SRF-JRMC SPONSORED WORK, SEA21 WILL PROVIDE O7 APPROVAL. ALL OTHER

SPONSORS WILL OBTAIN O7 LEVEL APPROVAL VIA THEIR COC).

HTTPS:APACS.MILCLOUD.MIL

D. PERSONNEL MUST CONTACT THE SRF-JRMC YOKOSUKA, SASEBO AND CVN

RMMCO OFFICES AT DIST-RMMCO-YOKOSUKA(AT)SRF.NAVY.MIL,

DIST-RMMCO-SASEBO(AT)SRF.NAVY.MIL, OR

DIST-CVN76-RMMCO(AT)SRF.NAVY.MIL RESPECTIVELY, FOR ARRIVAL

PREPARATIONS AND VERIFICATION OF REQUIREMENTS.

E. FOR THOSE WITHOUT A COMMAND ACCESS CARD (CAC), BASE ACCESS

REQUESTS MUST BE THROUGH THE YOKOSUKA SECURITY OFFICER

MR. SEAEN DANYIS AT SEAEN.DANYUS(AT)SRF.NAVY.MIL OR THE SASEBO

SECURITY OFFICER MR. ANTONIO QUIJANO AT

ANTONIO.QUIJANO(AT)SRF.NAVY.MIL CONSISTING OF:

1. VISIT REQUEST LETTER ON COMPANY LETTERHEAD

2. INSTALLATION ACCESS REQUEST FORM

3. LETTER OF AUTHORIZATION (LOA) OR ORDERS

4. SECNAV 5512-1

5. COLOR COPY OF TRAVELERS PASSPORT

6. USFJ FORM 27

F. A PRE-DEPARTURE HEALTH SCREENING OF ALL TRAVELERS WILL BE

ACCOMPLISHED ICW RMMCO PRIOR TO BEING PERMITTED TO COMMENCE

TRAVEL.

G. UPON RMMCO VERIFICATION THAT ALL TRAVEL REQUIREMENTS ARE

MET, SRF-JRMC WILL ISSUE A SERIALIZED GOVERNMENT OF JAPAN (GOJ)

APPROVAL LETTER TO ACCOMPANY ALL OTHER REQUIRED DOCUMENTS, TO

INCLUDE; LETTER OF AUTHORIZATION (LOA) OR ORDERS AS PROOF OF SOFA

STATUS AND VALID PASSPORT. THESE DOCUMENTS WILL BE PRESENTED TO

JAPANESE IMMIGRATION OFFICIALS UPON ARRIVAL AT PORT OF ENTRY.

CURRENT AUTHORIZED PORT OF ENTRIES INCLUDE COMMERCIAL AIRPORTS AT

TOKYO (NRT OR HND) AND MILAIR VIA YOKOTA AND OTHER LOCATIONS

APPROVED BY C7F OR CPF.

4. UPON COMMENCING TRAVEL, THE FOLLOWING POST-DEPARTURE

REQUIREMENTS ARE IN EFFECT:

A. TRANSPORTATION FROM THE PORT OF ENTRY TO CFAY OR CFAS WILL

BE COORDINATED THROUGH THE RMMCO OFFICE. RMMCO OFFICE WILL PROVIDE

GOVERNMENT TRANSPORTATION INFORMATION ONLY. TRANSPORTATION WILL

BE VIA GOVERNMENT TRANSPORTATION AND SHALL NOT INCLUDE USE OF PUBLIC

TRANSPORTATION BETWEEN PORT OF ENTRY AND LOCAL RESTRICTION OF

MOVEMENT (ROM) BASE (CFAY OR CFAS). IT IS THE TRAVELERS

RESPONSIBILITY TO UTILIZE GOVERNMENT TRANSPORTATION FROM PORT OF

ENTRY TO CFAY OR CFAS.

B. TRAVELERS WILL BE TESTED FOR COVID-19 UPON ENTERING JAPAN

AND ARE HIGHLY RECOMMENDED TO BE TESTED FOR COVID VIRUS WITHIN

72 HOURS PRIOR TO TRAVELING. TRAVELERS WHO ARE FOUND POSITIVE FOR

COVID-19 MUST BE PREPARED FOR:

1. ISOLATION FOR A MINIMUM OF 14 DAYS WITHIN CFAY

BARRACKS OR DESIGNATED QUARANTINE FACILITY.

2. ROOM CLEANING CHARGE UP TO $1000.

3. CASH OR ELECTRONIC FUNDS TRANSFER TO ALLOW FOR

PURCHASING OF FOOD AND INCIDENTALS.

C. TRAVELERS WILL ENTER A 14 DAY ROM PERIOD ON BASE

(CFAY OR CFAS) AND WILL NOT BE ALLOWED TO UTILIZE PUBLIC

TRANSPORTATION. DAILY SELF HEALTH CHECKS WILL COMMENCE UPON

ENTRY INTO JAPAN. TRAVELERS SHOULD INCLUDE A PERSONAL THERMOMETER

FOR TAKING DAILY TEMPERATURE READINGS. THE DAILY HEALTH CHECKS WILL

BE REPORTED TO THE APPROPRIATE RMMCO OFFICE OR ON-SITE SPONSOR. IN

THE EVENT A TRAVELER SHOWS INDICATION OF INFLUENZA LIKE ILLNESS

(ILI), SRF-JRMC RMMCO OFFICE WILL COORDINATE FURTHER HEALTH

ASSESSMENT REQUIREMENTS WITH THE LOCAL MILITARY TREATMENT FACILITY

(MTF).

D. UPON COMPLETION OF THE 14-DAY ROM PERIOD, THE RMMCO OFFICE

WILL COORDINATE THE BASE CHECK IN PROCESS. ENTRY ON TO

COMMANDER FLEET ACTIVITIES YOKOSUKA OR SASEBO WILL REQUIRE:

1. CAC (IF GOVERNMENT EMPLOYEE)

2. REGISTRATION IN DBIDS IS CRITICAL TO ENSURE BASE ACCESS

PRIORITY ISO MISSION ESSENTIAL TASKING IN CASE BASE HPCON LEVEL

CHANGES.

3. VISIT REQUEST VIA JPAS FOR SHIPBOARD ENTRY.

4. GOVERNMENT ORDERS (IF GOVERNMENT EMPLOYEE) OR LETTER

OF AUTHORIZATION (IF CONTRACTOR EMPLOYEE). THESE DOCUMENTS SHOULD

INDICATE MISSION ESSENTIAL NATURE OF WORK.

5. SATISFACTORY DAILY SELF HEALTH CHECK.

E. COMMENCE WORK THROUGH WORK COMPLETION PERIOD. DAILY HEALTH

SCREENINGS WILL BE REQUIRED TO BE CONDUCTED BY EACH TRAVELER AND

REPORTED TO THEIR RESPECTIVE ONSITE LEAD OR SPONSOR, AND REPORTED TO

THE RMMCO OFFICE. ADDITIONAL SCREENINGS BY BASE OR SHIP PERSONNEL

ARE LIKELY AND MAY INCLUDE TEMPERATURE CHECKS. FACE MASKS ARE

MANDATORY TO BE WORN AT ALL TIMES WHILE ON BASE (CFAY OR CFAS), AND

HIGHLY ENCOURAGED TO BE WORN OFF BASE. IF AT ANY TIME A TRAVELER

SHOWS INDICATIONS OF ILI, THEY SHOULD RETURN OR REMAIN AT THEIR

TEMPORARY LODGING AND REPORT STATUS TO THEIR RESPECTIVE ONSITE

LEAD OR SPONSOR, TO BE REPORTED TO THE RMMCO OFFICE.

F. UPON COMPLETION OF WORK, TRAVELERS SHALL REPORT AND CHECKOUT

WITH THE RMMCO OFFICE TO VERIFY ANY ADDITIONAL PERMISSIONS REQUIRED

FOR EXITING JAPAN.

5. ADDITIONAL REQUIREMENTS:

A. IAW REF A, ALTERATION INSTALL TEAM (AIT)S ARE REQUIRED TO

START RMMCO CHECK-IN PROCESS PRIOR TO ARRIVAL IN JAPAN. RMMCO

YOKOSUKA POCS ARE MR. STEVEN FARRIS AND MR. RICHARD PETERS,

DSN (315)243-0994, EMAIL: DIST-RMMCO-YOKOSUKA(AT)SRF.NAVY.MIL.

RMMCO SASEBO POCS ARE MR. THOMAS BUCK AND MR. LEONARDERIC MANALO,

DSN (315)252-6602/2805, EMAIL: DIST-RMMCO-SASEBO(AT)SRF.NAVY.MIL.

RMMCO CVN POCS ARE MR. RENATO DACUMOS,

RENATO.DACUMOS(AT)SRF.NAVY.MIL, DSN (315)243-2282, AND

MS. SARAH BROWN, SARAH.BROWN.CTR(AT)SRF.NAVY.MIL, DSN (315)243-2290,

OR DIST-CVN76-RMMCO(AT)SRF.NAVY.MIL.

B. IAW REF C, COUNTRY CLEARANCE REQUESTS ARE TO BE SUBMITTED A

MINIMUM OF 30 DAYS PRIOR TO TRAVEL.

C. ANY TRAVELER ENTERING CFAY OR CFAS IS SUBJECT TO DEBARMENT

FROM BASE AND REVOCATION OF VISIT CLEARANCE IF FOUND IN VIOLATION

OF ROM AND OR LIBERTY REQUIREMENTS.

PERFORMANCE WORK STATEMENT

1. GENERAL SCOPE OF WORK:

This performance work statement (PWS) defines the scope of the contract; identifies technical reference documents applicable to performance of this contract; and describes the general tasks that the Government will require under this contract onboard and in support of the USS BLUERIDGE (LCC-19) ship in SRF-JRMC Yokosuka, Japan.

In support of the USS Blue Ridge LCC-19 availability, Technical Representative(s) and materials are requested to perform overhaul of the (6ea) 250-ton York Marinepak A/C plants.

Overhaul includes verify, adjust, calibrate, repair, op test, and provide condition reports for the ships (6ea) A/C plants #1 through #6. Technical Representative to provide training for ships force personnel while onsite.

2. REFERENCES:

2.1 Local Standard Items (FY21)

2.2 NAVSEA Standard items (FY21)

2.3 Technical Work Documents (TWDs)

2.3.1 3819L51403_A01

2.3.2 3819L51403_A02

2.3.3 3819L51403_A03

2.3.4 3819L51403_A04

2.3.5 3819L51403_A05

2.3.6 3819L51403_A06

2.3.7 3819L51403_T01

2.3.8 3819L51403_T02

2.3.9 3819L51403_T03

2.3.10 3819L51403_T04

2.3.11 3819L51403_T05

2.3.12 3819L51403_T06

2.3.13 TP_3819L51403T01

2.3.14 TP_3819L51403T02

2.3.15 TP_3819L51403T03

2.3.16 TP_3819L51403T04

2.3.17 TP_3819L51403T05

2.3.18 TP_3819L51403T06

3. WORK STATEMENT ITEM:

3.1. Accomplish the requirements of Category I Standard Items of 2.1 and 2.2.

• Accomplish the requirements of 2.3.

• Contact the designated project team member and/or C245 project engineer regarding any questions, recommendations, and concerns. Recommendations must be submitted in writing.

• Do NOT provide direction to the SRF shop mechanics. Direction to the SRF shop mechanics must be via the designated SRF-JRMC project team member and/or C245 project engineer.

• Submit one legible copy, in approved transferrable media, of a report specifying the overall condition of each A/C Unit to the SUPERVISOR within 5 days of completion of the requirements of 2.3.

8. GOVERNMENT FURNISHED PROPERTY/SERVICES:

The government will provide workspace as required in the performance of the work and in making any necessary repairs to the ships A/C plants during the overhaul and overall assessment. General consumable supplies will also be provided as necessary.

9. CONTRACTOR FURNISHED PROPERTY:

The contractor shall provide all necessary expertise, tools, and materials in support of the A/C overhaul and training. All materials are required to be on site on or prior to POP work start date.

10. PLACE OF PERFORMANCE:

The worksite is onboard the USS BLUERIDGE (LCC-19) at U.S. Naval Ship Repair Facility SRF-JRMC, Yokosuka, Japan.

11. CONTRACTING OFFICER REPRESENTATIVE: The

Activity Point of Contact for this task is:

Business Agent: Eric Tadaki Office (from U.S.): 011-81-04-6816-9441 Email: Address: Eric.Tadaki@srf.navy.mil U.S. Naval Ship Repair Facility and JRMC, Yokosuka, Japan

8. PERIOD OF PERFORMANCE:

Contractor required to be in-country for assistance with repairs from 10JAN2022 thru 30APR2022 to include Restriction of Movement (ROM) period in accordance with Japan Travel Regulations and attached Japan country requirements. Shipboard/site work performance period 10JAN2022 thru 30APR2022 to include testing and certification.

9. ESTIMATED WORK HOURS:

Normal work is scheduled for accomplishment between the hours of 8:00AM to 4:45PM, with a 45-minute lunch break, Monday through Friday. Unless the offeror states otherwise in his proposal, the Contractor shall observe the same holidays as the Government and shall be open for business at all other times. The contractor may be required to perform work outside the normal working hours, as requested by the project team.

10. TRAVEL REQUIREMENTS:

Travel is required and shall be the responsibility of the contractor. All travel entry requirements into Japan must be completed prior to departure from CONUS.

11. GENERAL INFORMATION:

11.1. Nothing contained in the performance work statement shall relieve the Contractor from complying with applicable Federal, state, and local laws, codes, ordinances, and regulations, including the obtaining of licenses and permits that may be required for the Contractor or Subcontractor(s) to perform a particular function, such as hazardous waste handling or disposal, or example.

11.2. Medical treatment. Government emergency vehicles and medical personnel shall only be used in emergency situations affecting contractor personnel whose life may be in danger or who are seriously injured. Government facilities may be used in these instances as the first point of treatment. Transfer to a non-Government medical treatment facility shall be made as soon as possible and as determined by attending medical authorities.

12. CONTRACTOR IN THE WORKPLACE:

12.1. Identification. All Contractor spaces/desks shall be clearly marked as contractor spaces only.

12.2. All e-mail addresses used by contractor personnel shall identify the company name.

12.3. All contractor correspondence shall be clearly marked with company name or letterhead.

12.4. Contractor personnel shall insure that when answering telephones that they identify themselves as contractor personnel.

12.5. Contractor personnel are not to handle/operate any lifting and handling equipment or other shop and ship equipment, machines or tools without written consent from project superintendent prior to accomplishment of the task.

13. RESTRICTIONS:

13.1. Parking - Vehicles and equipment required by the Contractor to complete this contract must be registered with Security. Forms for obtaining vehicle passes and permits may be obtained from the Receiving Activity Point of Contact. Parking is available at or near the work site or at other authorized areas on the station. Contractor vehicles must be marked on the outside with the company name or logo or both.

Failure not to comply may result in ticketing and/or loss of vehicle privileges.

13.2. Restricted Colors - Naval activities use the colors magenta and yellow to identify specially controlled materials. The contractor is specifically prohibited from using magenta and yellow colored plastic wrapping materials or bags, tape, or other covering materials.

13.3. Radio Restrictions - Operation of privately owned citizens band or amateur radio equipment (receive and transmit) within the geographic limits of the activity is prohibited. All radio equipment installed in privately owned motor vehicles must be turned off upon entering the premises.

13.4. Privately Owned Personal Computers and Cellular Telephones - The used of privately owned personal computers and cellular telephones by contractor personnel while on Naval Installations is restricted.

Contractors requiring such devices in the performance of this contract shall obtain a copy of the applicable parts of Naval Instruction from the Contracting Officer.

13.5. Photography/Recording - Contractor personnel are prohibited from having photographic equipment, tape recorders, or other recording devices in their possession while inside the Operations Area (OA).

14. SAFETY AND ENVIRONMENTAL

14.1. Safety Requirements. The contractor shall establish, administer, and enforce safety rules that will meet the current requirements of the Occupational Safety and Health Administration (OSHA), and all applicable work item references. Work to be performed under this contract shall be accomplished using the guidelines identified Contractors and Subcontractors. When necessary, work shall be coordinated with the Safety Department to ensure all safety and health requirements are considered.

14.2. Safety Equipment. The contractor shall provide their employees with all necessary safety equipment during the performance of work on this contract. All contractor personnel shall have in their possession and shall properly wear OSHA approved personnel protective safety equipment (i.e. hard-hats, steel-toe safety shoes, safety glasses and hearing protection). If required, the Contractor shall provide all appropriate safety barricades, signs, and signal lights required to properly isolate the area of work.

14.3. Prior to commencing work, the Contractor representative(s) shall arrange with the Receiving Activity

Point of Contact, to meet in conference with the customer, shop supervision, and other necessary personnel to discuss and develop mutual understandings relative to the administration of the Safety Program.

14.4. Environmental Requirements. Work performed under this contract shall be in compliance with all

Japanese, Navy, Federal, State and local regulations, and all work items references, pertaining to the environment at all times. When necessary, work shall be coordinated with the Environmental Department to ensure that regulations are considered.

14.5. Responsibilities. The contractor bears sole responsibility for the safety of his her employees and compliance with environmental regulations. Naval safety personnel will monitor the safety of procedures, conduct inspections of the workplace, and perform safety related investigations, evaluations. The contractor shall conduct routine inspections of work and storage areas under his cognizance to maintain compliance with the cleanliness, material and waste management, air and water pollution controls, and provides general oversight on the environmental issues associated with this contract.

14.6. Situations that warrant corrective action will be brought to the attention of the contractor through the

Contracting Officer Representative (COR). If violations could cause major damage or loss of life, Safety or Environmental personnel may contact contractor supervisory personnel on site and request corrective action or work stoppage. The COR will be notified immediately. The Commanding Officer has final authority for Station safety and environmental matters. He has delegated the Safety and Occupational Health Manager the authority to represent the Command in all safety matters and to resolve any disputes which may arise, and he has delegated the Environmental Manager the authority to represent the Command in all safety matters and to resolve any disputes, which may arise. Any interpretation of the various environmental regulations will be made by the Safety or Environmental Manager.

14.7. Accident Reporting. All accidents occurring on Station are reported to the Station Safety Department. If accidents occur after regular working hours the Command Duty Officer, shall be notified. Motor vehicle accidents occurring on Station are reported to both the Safety Department and Security Manager. In all cases, the accident scene must be preserved until the Government investigator has authorized movement of the materials and vehicles involved. Materials and equipment may be moved only as necessary to facilitate the removal of injured persons. The contractor shall forward a copy of all accident reports involving contractor employees to the COR. If Government property is involved, a copy of the accident report shall also be forwarded to the Government Property Administrator (GPA).

N0040622Q0016

15. SECURITY

15.1. Admittance to The Work: Upon contract award, employees or representatives of the Contractor may require access to the Receiving Activities Operations Area (OA) or Industrial Area (IA) and shall be admitted to the work site only after they have been issued a Security Pass/ID Badge.

15.2. Notice: Persons who are currently on probation or parole from a felony conviction cannot qualify for security clearances, and will be denied access to the activity.

15.3. It shall be the Contractor's responsibility to collect and account for all identification passes issued to their personnel at the expiration of the contract or when access is no longer required.

15.4. Foreign Nationals or Affiliations - Foreign Nationals (non U.S. Citizens) or persons affiliated with, or employed by, a foreign owned company will not be granted access to a Naval Activity's OA/IA, without prior written approval from Commander, Naval Sea Systems Command.

16. PERFORMANCE REQUIREMENT STATEMENT SUMMARY

Primary Performance Objectives Performance Standard/AQL Performance Assessment

Method Contractor met the performance requirements of each individual task order

Services performed per task requirements 98% of the time

The Contracting Officer’s Representative (COR) will evaluate this on an order by based and assessed for compliance through review of the PWS

The Contractor completed required services in a timely manner

Services performed in a timely manner 98% of the time

The COR will track timely completion of the order based on date of the order issuance

The Contractor maintained close liaison and good communications with the Government

Any problems or questions encountered by either party are addressed within 2 business days

Gov't will evaluate this on a task order by the order based and assessed compliance through coordination between the customer and the administrating contracting officer

The Contractor followed the Joint Travel Regulations ( JTR) Volume II

Submitted correctly 95% of the time

Gov't will check for conformity during invoice review.

Contractor Compliance with FAR Clause 52.222-50 Combat Trafficking in Persons

100% Compliance and immediate notification of any violation

Gov’t inspection of contractor’s compliance by Gov’t Representative.

AQL = Acceptable Quality Level

17. CONTRACTOR MANPOWER REPORTING

The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for CFAO via a secure data collection site.

The contractor is required to completely fill in all required data fields using the following web address:

http://www.ecmra.mil/

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Job

SERVICE TECH REP OVERHAUL

FFP

Overhaul includes verify, adjust, calibrate, repair, op test, and provide condition reports for the ships (6ea) A/C plants #1 through #6. Technical Representative to provide training for ships force personnel while onsite.

SEE ATTACHED PERFORMANCE WORK STATEMENT FOR FULL

SERVICE REQUIREMENT.

Prior to departing for Japan, each traveler is required to obtain a negative test resultfor COVID-19. The test shall be coordinated by the contractor with local testing facilities and the test shall be performed to ensure that the results are provided within 72 hours of departure. A written confirmation of a negative test result shallbe provided to the Contracting Officer within 72 hours of departure.

When the technician arrives in Japan, there will be a 14 day Restriction of Movement (ROM) prior to starting any work.

FOB: Destination

MILSTRIP: N6275822RCUS702

PURCHASE REQUEST NUMBER: N6275822RCUS702

PSC CD: J020

NET AMT

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

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 10-JAN-2022 TO

30-APR-2022

N/A N62758 SRF AND JRMC

GOVT REPRESENTATIVE

SEE PAGE 4 OF ORDER FOR

SHIPMENT REQUEST PROCEDURES

. WA 00000

FOB: Destination

N62758

CLAUSES INCORPORATED BY REFERENCE

52.204-2 Security Requirements MAR 2021 52.204-7 System for Award Management OCT 2018 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-13 System for Award Management Maintenance OCT 2018 52.204-16 Commercial and Government Entity Code Reporting AUG 2020 52.204-17 Ownership or Control of Offeror AUG 2020 52.204-18 Commercial and Government Entity Code Maintenance AUG 2020 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.209-2 Prohibition on Contracting with Inverted Domestic Corporations--Representation

NOV 2015

52.212-1 Instructions to Offerors--Commercial Items JUL 2021 52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.222-22 Previous Contracts And Compliance Reports FEB 1999 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011 52.223-5 Alt I Pollution Prevention and Right-to-Know Information (May

2011) Alternate I

MAY 2011

52.223-5 Alt II Pollution Prevention and Right-to-Know Information (May 2011) Alt II

MAY 2011

52.225-25 Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran-- Representation and Certifications.

JUN 2020

52.228-3 Worker's Compensation Insurance (Defense Base Act) JUL 2014 52.232-18 Availability Of Funds APR 1984 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.237-2 Protection Of Government Buildings, Equipment, And Vegetation

APR 1984

52.242-17 Government Delay Of Work APR 1984 52.247-34 F.O.B. Destination NOV 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7003 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

DEC 2019

252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support

MAY 2016

252.204-7016 Covered Defense Telecommunications Equipment or Services -- Representation

DEC 2019

252.204-7017 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services -- Representation

MAY 2021

252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services

JAN 2021

252.211-7003 Item Unique Identification and Valuation MAR 2016 252.222-7002 Compliance With Local Labor Laws (Overseas) JUN 1997 252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or

Hazardous Materials

SEP 2014

252.225-7041 Correspondence in English JUN 1997 252.225-7042 Authorization to Perform APR 2003 252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

DEC 2018

252.232-7008 Assignment of Claims (Overseas) JUN 1997 252.232-7010 Levies on Contract Payments DEC 2006 252.232-7017 Accelerating Payments to Small Business Subcontractors--

Prohibition on Fees and Consideration

APR 2020

252.233-7001 Choice of Law (Overseas) JUN 1997 252.239-7098 (Dev) Prohibition on Contracting to Maintain or Establish a

Computer Network Unless Such Network is Designed to Block Access to Certain Websites - Representation.

(Deviation 2021-O0003)

APR 2021

252.243-7001 Pricing Of Contract Modifications DEC 1991 252.244-7000 Subcontracts for Commercial Items JAN 2021 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

52.203-18 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN INTERNAL

CONFIDENTIALITY AGREEMENTS OR STATEMENTS--REPRESENTATION (JAN 2017)

(a) Definition. As used in this provision-- Internal confidentiality agreement or statement, subcontract, and subcontractor, are defined in the clause at 52.203- 19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements.

(b) In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions), Government agencies are not permitted to use funds appropriated (or otherwise made available) for contracts with an entity that requires employees or subcontractors of such entity seeking to report waste, fraud, or abuse to sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information.

(c) The prohibition in paragraph (b) of this provision does not contravene requirements applicable to Standard Form 312, (Classified Information Nondisclosure Agreement), Form 4414 (Sensitive Compartmented Information Nondisclosure Agreement), or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(d) Representation. By submission of its offer, the Offeror represents that it will not require its employees or subcontractors to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting waste, fraud, or abuse related to the performance of a Government contract to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information (e.g., agency Office of the Inspector General).

(End of provision)

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services-- Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications- Commercial Items. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision-

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services."

(d) Representations. The Offeror represents that--

(1) It [] will, [] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that--

It [] does, [] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES--REPRESENTATION (OCT

2020)

(a) Definitions. As used in this provision, “covered telecommunications equipment or services” and "reasonable inquiry" have the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and…