Solicitation.doc

Section SF 1449 - CONTINUATION SHEET

TIPPECANOE - BC125 30 140 L and GFL S90F

FFP

TIPPECANOE

BC125 30 140 L and GFL S90F8A Replacement Coupling Port

P/N: 1G5161B

FOB: Destination

NET AMT

TIPPECANOE - ABS Certification

TIPPECANOE

ABS Certification

P/N: ABS Cert

NET AMT

TIPPECANOE - Shoulder Bolts, Bearing Hub

TIPPECANOE

Shoulder Bolts, Bearing Hub to GFL oversized-Need Oversized Bolt and ABS Inspection Required

P/N: 307246-01

NET AMT

KANAHWA - CLOCKWISE STARBOARD BC125/30/1

KANAHWA

CLOCKWISE STARBOARD BC125/30/140/L+ GFLS90F8A

P/N: GA423657A

NET AMT

KANAHWA - ABS CERTIFICATION

KANAHWA

ABS CERTIFICATION

P/N: ABS

NET AMT

KANAHWA - BE72/12.5/420U REPLACEMENT COU

KANAHWA

BE72/12.5/420U REPLACEMENT COUPLING

P/N: 1G5186

NET AMT

KANAHWA - ABS SURVEY

KANAHWA

ABS SURVEY

NET AMT

ERICSSON - 1/2" PLAIN WASHER

ERICSSON

1/2" PLAIN WASHER

P/N: 67X5

NET AMT

ERICSSON - A568-311 VITON O-RING

ERICSSON

A568-311 VITON O-RING

P/N: 73X348V

NET AMT

ERICSSON - A568-262 VITON O-RING

ERICSSON

A568-262 VITON O-RING

P/N: 73X349V

NET AMT

ERICSSON - A568-375 VITON O-RING

ERICSSON

A568-375 VITON O-RING

P/N: 73X350V

NET AMT

ERICSSON - 5/8-11 LOCKNUT, .15/16 X .764

ERICSSON

5/8-11 LOCKNUT, .15/16 X .764 HIGH

P/N: 110X25

NET AMT

ERICSSON - 3/4-10 LOCKNUT, 1.06 X .89 HI

ERICSSON

3/4-10 LOCKNUT, 1.06 X .89 HIGH

P/N: 110X30

NET AMT

ERICSSON - 7/8 -9, 1 7/16 HEX X 7/8 HIGH

ERICSSON

7/8 -9, 1 7/16 HEX X 7/8 HIGH

P/N: 110X38

NET AMT

ERICSSON - OIL SEAL 7.75X8.75X.625WDTH/G

ERICSSON

OIL SEAL 7.75X8.75X.625WDTH/GARLOCK 53-3570

P/N: 113X342

NET AMT

ERICSSON - BEARING 23932CAME4C3

ERICSSON

BEARING 23932CAME4C3

P/N: 136X165

NET AMT

ERICSSON - BEARING 23936CAME4C3

ERICSSON

BEARING 23936CAME4C3

P/N: 136X166

NET AMT

ERICSSON - 28VC1000/ W/ABS

ERICSSON

28VC1000/ W/ABS

P/N: 14674NR

NET AMT

ERICSSON - 1/2" C2 ROTORSEAL

ERICSSON

1/2" C2 ROTORSEAL

P/N: 14510BG

NET AMT

ERICSSON - BE72 PEDESTAL BEARING SECONDA

ERICSSON

BE72 PEDESTAL BEARING SECONDARY SEAL

P/N: 416975-01

NET AMT

ERICSSON - BE72 PEDESTAL BEARING PRIMARY

ERICSSON

BE72 PEDESTAL BEARING PRIMARY SEAL

P/N: 416975-02

NET AMT

ERICSSON - GEARFACE O-RING SMALL -235

ERICSSON

GEARFACE O-RING SMALL -235

P/N: 73X57V

NET AMT

ERICSSON - GEISLINGER ITEM 39

ERICSSON

GEISLINGER ITEM 39

P/N: 307278

NET AMT

ERICSSON - TABLOCK WASHERS

ERICSSON

TABLOCK WASHERS

P/N: 153X896

NET AMT

ERICSSON - GASKET / 414896

ERICSSON

GASKET

P/N: 414896

NET AMT

ERICSSON - BEARING (PEDESTAL BEARING)239

ERICSSON

BEARING (PEDESTAL BEARING)23952CC/C3/W33

P/N:136X167

NET AMT

ERICSSON -3/8 HILOCK WASHER

ERICSSON

3/8 HILOCK WASHER

P/N: 31X6

NET AMT

ERICSSON -3/4" RH ROTOR SEAL

ERICSSON

3/4" RH ROTOR SEAL

P/N:145487AA

NET AMT

ERICSSON -BE 72/12.5/420U REPLACEMENT

ERICSSON

BE 72/12.5/420U REPLACEMENT

P/N:1G5186

NET AMT

ERICSSON -SPACER

ERICSSON

SPACER

P/N:414811

NET AMT

ERICSSON -RUBBER BACKED WASHER

ERICSSON

RUBBER BACKED WASHER

P/N:412324-03

NET AMT

ERICSSON -BELLEVILLE WASHER

ERICSSON

BELLEVILLE WASHER

P/N:000153X0770

NET AMT

ERICSSON -BELLEVILLE WASHER

ERICSSON

BELLEVILLE WASHER

P/N:000153X0771

NET AMT

ERICSSON -BELLEVILLE WASHER

ERICSSON

BELLEVILLE WASHER

P/N: 000153X0815

NET AMT

ERICSSON -BELLEVILLE WASHER

ERICSSON

BELLEVILLE WASHER

P/N: 000153X0897

NET AMT

ERICSSON -SPHERICAL BEARINGS

ERICSSON

SPHERICAL BEARINGS

P/N: 000153X0905

NET AMT

ERICSSON -SOCKET HEAD SCREW

ERICSSON

SOCKET HEAD SCREW

P/N: 000153X0968

NET AMT

ERICSSON -O-RING / 307277

ERICSSON

O-RING

P/N:307277

NET AMT

ERICSSON -O-RING / 307279

ERICSSON

O-RING

P/N: 307279

NET AMT

ERICSSON -O-RING / 307282

ERICSSON

O-RING

P/N: 307282

NET AMT

ERICSSON -O-RING / 307283

ERICSSON

O-RING

P/N:307283

NET AMT

ERICSSON -O-RING / 307284

ERICSSON

O-RING

P/N:307284

NET AMT

ERICSSON -O-RING / 307288

ERICSSON

O-RING

P/N: 307288

NET AMT

ERICSSON -O-RING / 307300

ERICSSON

O-RING

P/N: 307300

NET AMT

ERICSSON -END PLATE / 307547

ERICSSON

END PLATE

P/N:307547

NET AMT

ERICSSON - SERATED SAFETY WASHERS

ERICSSON

SERATED SAFETY WASHERS

P/N: 000153X0906

NET AMT

ERICSSON -HOSE / 000318X004

ERICSSON

HOSE

P/N: 000318X004

NET AMT

ERICSSON -HEX HEAD SCREW / 000197X0107

ERICSSON

HEX HEAD SCREW

P/N: 000197X0107

NET AMT

ERICSSON -HEX HEAD SCREW / 000197X0612

ERICSSON

HEX HEAD SCREW

P/N: 000197X0612

NET AMT

ERICSSON -ABS SURVEY

ERICSSON

ABS SURVEY

NET AMT

GRUMMAN -BE72/12.5/420U PTO CPLG COMPLET

GRUMMAN

BE72/12.5/420U PTO CPLG COMPLETE

P/N:1G5186

NET AMT

GRUMMAN -FLAT WASHER

GRUMMAN

FLAT WASHER

P/N:67X5

NET AMT

GRUMMAN -O-RING, VITON 75

GRUMMAN

O-RING, VITON 75

P/N: 73X348

NET AMT

GRUMMAN -O-RING, VITON 75

GRUMMAN

O-RING, VITON 75

P/N: 73X349

NET AMT

GRUMMAN -O-RING, VITON 75

GRUMMAN

O-RING, VITON 75

P/N:73X350

NET AMT

GRUMMAN -STOP NUT / 110X25

GRUMMAN

STOP NUT

P/N:110X25

NET AMT

GRUMMAN -STOP NUT / 110X30

GRUMMAN

STOP NUT

P/N:110X30

NET AMT

GRUMMAN -STOP NUT / 110X38

GRUMMAN

STOP NUT

P/N: 110X38

NET AMT

GRUMMAN -OIL SEAL / 113X342

GRUMMAN

OIL SEAL

P/N: 113X342

NET AMT

GRUMMAN - BEARING / 136X165

GRUMMAN

BEARING

P/N:136X165

NET AMT

GRUMMAN -BEARING / 136X166

GRUMMAN

BEARING

P/N: 136X166

NET AMT

GRUMMAN -RUBBER BACKED WASHER

GRUMMAN

RUBBER BACKED WASHER

P/N:412324-03

NET AMT

GRUMMAN -WASHER / 307312-01

GRUMMAN

WASHER

P/N: 307312-01

NET AMT

GRUMMAN -ROTOR SEAL / 145107BG

GRUMMAN

ROTOR SEAL

P/N:145107BG

NET AMT

GRUMMAN -FRICTION SHOE KIT / 146500CP

GRUMMAN

FRICTION SHOE KIT

P/N:146500CP

NET AMT

GRUMMAN -AIR CONNECTION KIT / 146500C

GRUMMAN

AIR CONNECTION KIT

P/N:146500C

NET AMT

GRUMMAN -28VC1000 TUBE / 403745

GRUMMAN

28VC1000 TUBE

P/N:403745

NET AMT

GRUMMAN -CUTCH ELEMENT / 142674NR*

GRUMMAN

CUTCH ELEMENT

P/N:142674NR*

NET AMT

GRUMMAN -ROTORSEAL / 145107BG

GRUMMAN

ROTORSEAL

P/N:145107BG

NET AMT

GRUMMAN -SPACER / 414811

GRUMMAN

SPACER

P/N:414811

NET AMT

GRUMMAN -SCREW / 412274-14

GRUMMAN

SCREW

P/N:412274-14

NET AMT

GRUMMAN -SCREW / 2412273-10

GRUMMAN

SCREW

P/N:2412273-10

NET AMT

GRUMMAN -HUB (W/ ABS DOCUMENTS)

GRUMMAN

HUB (W/ ABS DOCUMENTS)

P/N:512041-01

NET AMT

GRUMMAN -DRUM (W/ ABS DOCUMENTS)

GRUMMAN

DRUM (W/ ABS DOCUMENTS)

P/N:511473-01

NET AMT

GRUMMAN -BEARING, RETAINER (SEALCARRIER)

GRUMMAN

BEARING, RETAINER (SEALCARRIER)

P/N:414822

NET AMT

GRUMMAN -3/8" HILOCK WASHERS

GRUMMAN

3/8" HILOCK WASHERSP/N:31X6

NET AMT

GRUMMAN -3/4" RH ROTOR SEAL

GRUMMAN

3/4" RH ROTOR SEAL

P/N:145487AA

NET AMT

GRUMMAN -BEARING, PEDESTAL 23952CC/C3W33

GRUMMAN

BEARING, PEDESTAL 23952CC/C3W33/

P/N:136X167

NET AMT

GRUMMAN -GASKET / 414896

GRUMMAN

GASKET

P/N: 414896

NET AMT

GRUMMAN -ABS SURVEYS

GRUMMAN

ABS SURVEYS

NET AMT

MSC TERMS AND CONDITIONS

Offers/quotes submitted in response to this solicitation shall not contain nor be subject to the offeror's/vendor's standard commercial terms and conditions. Any offer/quote submitted in response to this solicitation which includes the offeror's/vendor's standard commercial terms and conditions may be considered a material defect and may be rejected as being non-responsive to the solicitation.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

WAREHOUSE

9284 BALBOA AVE.

SAN DIEGO CA 92123

619-553-6053

N32205 MSC W143

WAREHOUSE

1968 GILBERT STREET DWY 10

NORFOLK VA 23511

757-692-9548

N32205

N32205

N32205

N32205

WAREHOUSE

9284 BALBOA AVE.

SAN DIEGO CA 92123

619-553-6053

N32205 MSC W143

WAREHOUSE

1968 GILBERT STREET DWY 10

NORFOLK VA 23511

757-692-9548

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

N32205

CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

52.212-1 (ADDENDUM) ADDITIONAL INSTRUCTIONS TO OFFERORS--COMMERCIAL ITEMS

In addition to the quote submission requirements stated in FAR provision 52.212-1, quoters shall provide the following, as part of the quote submisison package, no later than the time and date for quote submission stated in the SF 1449 block 8:

1. Signed and completed SF 1449

2. Company information including name, address, DUNS number, CAGE code, and TAX ID.

3. Price related information: Completed Price Abstract to include unit pricing and total CLIN pricing.

4. A description including part number and title for each item listed in the solicitation to allow the Government to verify that the quotes parts match the requirements listed in the requirements schedule.

5. Verification of compliance with FAR and DFARS Part 25 terms and conditions. Includes submission of the place of manufacture for each part in the requirements schedule.

6. Completed DFARS Provisions 252.209-7991

7. The Contract states various delivery dates. The vendor shall indicate if these dates can be met or if different ones are requested:___________________________________________.

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

Award will be made in accordance with FAR Subpart 13.5 to a responsible quoter who provides a technically acceptable solution at a fair market price and who has acceptable past performance. The Government will evaluate quoted pricing for reasonableness utilizing techniques described in FAR 13.106-3. To be considered a technically acceptable solution, the quoted parts shall meet the solicitation requirements including required parts, delivery dates, and terms and conditions stated in the draft contract. A past performance evaluation will be conducted in accordance with FAR 13.106-2(b)(3). The Government intends to utilize the Governmentwide Past Performance Information Retrieval System (PPIRS) for the past performance evaluation as a basis for anticipating successful/unsuccessful performance on this required effort. To be considered acceptable for past performance, a search of the PPIRS shall reveal no negative past performance information for the recent and relevant records or in the event that there are no recent and/or relevant PPIRS records, the quoter’s past performance record shall be considered “unknown.” In the context of acceptable or unacceptable, “unknown” past performance shall be considered “acceptable.” To be considered recent, the effort must have been completed within the previous three (3) years from date of this draft award notice. To be considered relevant the record should be similar in terms of scope, complexity, and magnitude. At the quoter’s discretion, additional past performance may be submitted with the quote as a supplement to PPIRS. If furnished, this submission will be evaluated in accordance with the procedures described above.

(End of provision)

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (NOV 2015) ALTERNATE I (OCT 2014)

The offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site accessed through http://www.acquisition.gov . If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (p) 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 posted on the SAMwebsite.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representation and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ___ . [Offeror to identify the applicable paragraphs at (c) through (p) 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:

[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:

(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:

(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:

(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:

(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

(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.