Lead_Shielding_N4523A.16.T.0017.Solicitation.pdf

SEE SCHEDULE

REQUEST FOR QUOTATIONS

(THIS IS NOT AN ORDER) 1

PAGE OF PAGES

1. REQUEST NO. 2. DATE ISSUED RATING

DO-C9N4523A-16-T-0017 29-Apr-2016

5a. ISSUED BY

8. TO: NAME AND ADDRESS, INCLUDING ZIP CODE

SEE SCHEDULE

IMPO RTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this

Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State, and local taxes)

ITEM NO.

(a)

SUPPLIES/ SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e) (f)

SEE SCHEDULE

AMOUNT

% No. %

NO TE: Additional provisions and representations [ ] are [ ] are not attached.

13. NAME AND ADDRESS OF QUOTER (Street, City, County, State, and ZIP Code)

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF

QUOTATION

16. NAME AND TITLE OF SIGNER (Type or print) ( Include area code)

TELEPHONE NO.

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (REV. 6-95)

PREVIOUS EDITION NOT USABLE Prescribed by GSA

FAR (48 CFR) 53.215-1(a)

THIS RFQ X[ ] IS [ ] IS NOT A SMALL BUSINESS SET-ASIDE

6. DELIVER BY (Date)

SEE SCHEDULE

AND/OR DMS REG. 1

UNDER BDSA REG. 2

4. CERT. FOR NAT. DEF.3. REQUISITION/PURCHASE

REQUEST NO.

PUGET SOUND NAVAL SHIPYARD CODE 400

1400 FARRAGUT

CONTRACTING CODE 440

BREMERTON WA 98314-5001

9. DESTINATION (Consignee and address, including ZIP Code)

7. DELIVERY

[ ]X FOB

DESTINATION

[ ] OTHER

(See Schedule)

16-May-2016(Date)

PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS:10.

360-535-2976MARTY L. SAMPSON

(Name and Telephone no.) (No collect calls)5b. FOR INFORMATION CALL:

d. CALENDAR DAYSc. 30 CALENDAR DAYSb. 20 CALENDAR DAYS12. DISCOUNT FOR PROMPT PAYMENT a. 10 CALENDAR DAYS

N4523A-16-T-0017

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

CLIN

Number

SHEET, LEAD

FFP

520 Each

SEE ATTACHMENT : QQ-L-201f

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 101

REV: B

IDN: 6089-V604

IDN REV: --

PAGE: 2 OF 30

PROJECT: 5Z3

SIGNAL CODE: A

FOB: Destination

MILSTRIP: N4523A6089V604

PURCHASE REQUEST NUMBER: N4523A6089V604

SIGNAL CODE: A

NET AMT

000101

CERTIFICATE OF COMPLIANCE

ENCLOSURE

Packet

PLEASE SEE ATTACHMENT: CERTIFICATE OF COMPLIANCE

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 101

REV: B

IDN: 6089-V604

IDN REV: --

PAGES: 25 OF 30; 26 OF 30; 27 OF 30; 28 OF 30; 29 OF 30

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V604

FOB: Destination

MILSTRIP: N4523A6089V604

300 Each

PLEASE SEE ATTACHMENT: QQ-L-201f

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 102

REV: B

IDN: 6089-V605

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V605

000201

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 102

REV: B

IDN: 6089-V605

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V604

FOB: Destination

MILSTRIP: N4523A6089V605

STRIP, LEAD

200 Each

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 103

REV: B

IDN: 6089-V606

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V606

000301

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 103

REV: B

IDN: 6089-V606

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V604

MILSTRIP: N4523A6089V606

135 Each

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 104

REV: B

IDN: 6089-V607

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V607

000401

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 104

REV: B

IDN: 6089-V607

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V604

MILSTRIP: N4523A6089V607

GORE STRIP, LEAD

250 Each

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 105

REV: B

IDN: 6089-V608

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V608

000501

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 105

REV: B

IDN: 6089-V608

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V604

MILSTRIP: N4523A6089V608

LEAD WOOL

PLEASE SEE ATTACHMENT: QQ-C-40

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 106

REV: B

IDN: 6089-V609

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V609

000601

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 106

REV: B

IDN: 6089-V609

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V604

MILSTRIP: N4523A6089V609

400 Each

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 107

REV: B

IDN: 6089-V610

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V610

000701

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 107

REV: B

IDN: 6089-V610

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V604

MILSTRIP: N4523A6089V610

500 Each

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 108

REV: B

IDN: 6089-V611

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V611

000801

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I05-86028

KEY OP: S04

KO ITEM: 108

REV: B

IDN: 6089-V611

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V604

MILSTRIP: N4523A6089V611

520 Each

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 101

REV: B

IDN: 6089-V517

IDN REV: --

PAGE: 2 OF 30

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V517

PURCHASE REQUEST NUMBER: N4523A6089V517

000901

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 101

REV: B

IDN: 6089-V517

IDN REV: --

PAGES: 25 OF 30; 26 OF 30; 27 OF 30; 28 OF 30; 29 OF 30

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V517

MILSTRIP: N4523A6089V517

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 102

REV: B

IDN: 6089-V518

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V518

001001

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 102

REV: B

IDN: 6089-V518

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V517

MILSTRIP: N4523A6089V518

STRIP, LEAD

200 Each

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 103

REV: B

IDN: 6089-V518

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V519

001101

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 103

REV: B

IDN: 6089-V519

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V517

MILSTRIP: N4523A6089V519

135 Each

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 104

REV: B

IDN: 6089-V520

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V520

001201

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 104

REV: B

IDN: 6089-V520

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V517

MILSTRIP: N4523A6089V520

GORE STRIP, LEAD

250 Each

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 105

REV: B

IDN: 6089-V521

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V521

001301

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 105

REV: B

IDN: 6089-V521

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V517

MILSTRIP: N4523A6089V521

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 106

REV: B

IDN: 6089-V522

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V522

001401

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 106

REV: B

IDN: 6089-V522

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V517

MILSTRIP: N4523A6089V522

400 Each

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 107

REV: B

IDN: 6089-V523

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V523

001501

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 107

REV: B

IDN: 6089-V523

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V517

MILSTRIP: N4523A6089V523

500 Each

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 108

REV: B

IDN: 6089-V524

IDN REV: --

PAGE: 2 OF 8

SIG CODE: A

PROJECT: 5Z3

FOB: Destination

MILSTRIP: N4523A6089V524

001601

ENCLOSURE(TOTAL OF 5 PAGES) SEE DESCRIPTION BELOW:

JOB ORDER: 36I13-86028

KEY OP: S03

KO ITEM: 108

REV: B

IDN: 6089-V524

IDN REV: --

PAGES: 3 OF 8; 4 OF 8; 5 OF 8; 6 OF 8; 7 OF 8

SIG CODE: A

PROJECT: 5Z3

PURCHASE REQUEST: N4523A6089V517

MILSTRIP: N4523A6089V524

POC INFORMATION

**** THIS SOLICITATION MUST BE COMPLETED AND RETURNED IN FULL TO BE CONSIDERED

RESPONSIVE****

****CONTACT CONTRACTING OFFICIAL AT EMAIL:****

E-MAIL: MARTY.SAMPSON@NAVY.MIL

(a) PLEASE PROVIDE:

YOUR CAGE CODE NUMBER:___________________________________________

YOUR E-MAIL ADDRESS:______________________________________________

YOUR PHONE NUMBER:______________________________________________

YOUR FAX NUMBER:________________________________________________

YOUR BUSINESS SIZE: LARGE OR SMALL (PLEASE CIRCLE)

RETURN QUOTE FILLED OUT AND SIGNED TO THE E-MAIL LISTED ABOVE.

(b) Is material being offered exactly as specified? Yes____ No____

Delivery date offered, if different than specified: _________________________

Name of Manufacturer ______________________________________________

Country of Origin ___________________________________________________

SIZE OF MANUFACTURE: LARGE OR SMALL (PLEASE CIRCLE)

PAYMENT INFORMATION WILL BE ENTERED IN ANY RESULTING AWARD BY GOVERNMENT WIDE

AREA WORK FLOW SYSTEM, WAWF OR GOVERNMENT CREDIT CARD:

****CREDIT CARD INFORMATION IS GIVEN AFTER MATERIAL HAS BEEN DELIVERED AND THE QA

INSPECTION DATE HAS PASSED*****IF THIS IS UN-EXCEPTABLE PAYMENT WILL HAVE TO BE THE

WAWF SYSTEM****

PURSUANT TO THE CONTRACT CLAUSE ENTITLED “AVAILABILITY OF FUNDS” AND IN

ACCORDANCE WITH THE FISCAL YEAR 2016 CONTINUING RESOLUTION, THESE FUNDS ARE

mailto:marty.sampson@navy.mil

CONTINGENT UPON THE ENACTMENT OF THE FY16 DoD APPROPRIATION ACT OR ENACTMENT OF

ANOTHER FY16 CONTINUING RESOLUTION BEYOND DECEMBER 11, 2015, AND ARE SUBJECT TO

ALL PROVISIONS OF WHICHEVER ACT BECOMES APPLICABLE.

INSPECTION LEVEL: (SEE CODE IN BOX 75 OF JML)

QA: G 7 DAY INSPECTION

Navy Commercial Access Control System (NCACS):

Commander, Navy Installations Command (CNIC), has established the Navy Commercial Access Control System

(NCACS), 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 venders 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, background vetting, screening issuance of credentials through a designated independent contractor NCACS service provider. Credentials will be issued every five years and access privileges will be reviewed/renewed on an annual basis.

Further information regarding NCACS can be found at www.eidpassport.com/support/fags/rapidgate-premier (copy and paste to connect)

Questions about the NCACS Program for Naval Base Kitsap are Judith Barratt; Ms. Barratt can be reached at 360-

476-4884.

http://www.eidpassport.com/support/fags/rapidgate-premier

Section C - Descriptions and Specifications

SPECIFICATIONS

C528 Specification Changes No changes to specifications or other contract technical requirements are allowed without Contracting Officer approval.

EFFECTIVE DATES FOR SPECIFICATIONS AND STANDARDS

Unless otherwise specified, the revision level and date for each specification or standard cited within this solicitation/contract (including any specifications or standards cited in any drawing, handbook, or referenced specification or standard contained within this solicitation/contract) shall be the latest revision in the ASSIST database on the Internet at http://assist.daps.dla.mil/online/start/ as of DATE OF SOLICITATION.

G505 Vendor Disposition of Nonconforming Material

Material not in compliance with all contract requirements shall be deemed as nonconforming. Nonconforming material shall either be scrapped and remade to meet all contract requirements, reworked/repaired to meet all requirements, or the vendor may submit a request to the shipyard to allow the nonconforming material be tendered for acceptance. A request for authority to submit nonconforming material shall include a complete description of the nonconformance and an assessment of the impact of the nonconformance on the technical adequacy of the material.

In no instance shall nonconforming material be tendered to the shipyard for acceptance without specific shipyard approval.

C500 Mercury Control

Mercury or mercury containing compounds shall not be intentionally added or come in direct contact with hardware or supplies furnished under this contract.

CONTROL OF DETRIMENTAL MATERIALS; MIL-STD-2041

1. All supplies on this contract are required to be provided in accordance with the edition of MIL-STD-2041;

Control of Detrimental Materials, in effect on the date of this contract.

2. The Contractor is required to certify (with a signed statement) that all supplies supplied under this contract are in accordance with MIL-STD-2041 (latest revision in effect). This certification shall be included with the supplies unless otherwise directed in the contract. The certification shall then be handled as designated.

S4 Security Requirements During the performance of this contract, Unclassified Naval Nuclear Propulsion Information (U-NNPI) may be developed or utilized. Documents provided that contain this sensitive information are considered NOFORN (not releasable to foreign nationals) and will have the word NOFORN on each page. Appropriate safeguards must be proposed by the contractor and approved by the Contracting Officer for the safeguarding from actual, potential or inadvertent release by the contractor, or any subcontractor, of any U-NNPI in any form. Such safeguards shall ensure that only governmental and contractor parties, including subcontractors that have an established need to know to have access in order to perform work under this contract, and are not foreign nationals (including immigrant aliens), will have such access and then only under conditions which assure that the information is properly protected.

A foreign national or immigrant alien is defined as a person not a United States citizen or a United States national.

United States citizens representing a foreign government, foreign private interests or other foreign nationals, are considered to be a foreign national for industrial security purposes and the purpose of this restriction. In addition, any and all issue or release of such information beyond such necessary parties, whether or not ordered through an administrative or judicial tribunal, shall be brought to the attention of the Contracting Officer for his/her prior review and concurrence.

The Contracting Officer shall be immediately notified of any litigation, subpoenas, or requests which either seek or may result in the release of U-NNPI information.

In the event that a court or administrative order makes immediate review by the Contracting Officer impractical, the contractor agrees to take all necessary steps to notify the court or such administrative body of the Navy's interest in controlling the release of such information through review and concurrence in any release.

The Contracting Agency reserves the right to audit contractor facilities for compliance with the above restrictions.

Exceptions to these requirements may only be obtained with prior approval from the Commander, Naval Sea

Systems Command (08B) http://assist.daps.dla.mil/online/start/

Access to DWG 2301-3537 REV A

To obtain access and information for access to DWG 2301-3537 Rev A, please contact the following Government

POCs:

Jacob Lloyd C/2310 - 360-627-3637 jacob.lloyd@navy.mil

James Huang C/2310 - 360-627-3634 shuo-yu.huang@navy.mil

STANDARD WARRANTY

The Contractor shall extend to the Government the full coverage of any standard warranty normally offered in a similar sale, provided such warranty is available at no additional cost to the Government. Acceptance of the standard warranty does not waive the Government’s rights under any “Inspection” clause that may be in the contract nor does it limit the Government’s rights with regard to the other terms and conditions of this contract. In the event of a conflict, the terms and conditions of the contract shall take precedence over the standard warranty. The standard warranty period shall begin upon final acceptance of the applicable material and/or services listed in the Schedule.

The Contractor shall provide a copy of its standard warranty (if applicable) with its offer. The warranty covers a period of ______________ months (offeror is to insert number).

Section D - Packaging and Marking

PACKAGING AND MARKING

MARKING OF SHIPMENTS (COMMERCIALLY PACKAGED ITEMS)

(i) Marking shall be in accordance with ASTM-D-3951 (most current edition) and with the information set forth in paragraph (ii) below. Unless specified elsewhere in this contract/order, bar coding is not required.

(ii) All unit and exterior containers/packs shall, as a minimum, be marked as follows:

1. National stock number (NSN), when available, or

Federal stock number (FSN), when NSN is not available, or

Part number when neither NSN or FSN are available.

2. Noun nomenclature cited on contract or order.

3. Quantity and unit of issue.

4. Contract, or order number.

5. From: _________________________________________

(Contractor’s Name)

(Address)

6. To: (See delivery Address on page 1 or in Section F)

(iii) Markings may be applied by any means which provide legibility.

CONTAINER MARKING FOR SHIPPING/RECEIVING DOCUMENTS

1. In accordance with Military Standard 129, a packing list shall be included inside and attached outside each box or container packed with unlike items where full description of the contents is not authorized or cannot be shown on the container. No packing list is required for containers having like items. The packing list will contain the following information:

a. Package number and set number (if any) of the container;

b. A list of contents including quantity by item, item description, stock number or part number, type and size, condition of material, unit of issue if other than each, and reference publications and dates of issue when applicable; and

c. Other information in sufficient detail so that article can be replaced.

2. The Contractor’s prepared Material Inspection and Receiving Report (DD Form 250) and the Contractor’s

Packing List, identifying material shipped is to be placed inside the shipping container, or if attached outside on the container, shall be adequately protected from shipping damage. The container shall be prominently marked “PACKING LIST AND DD FORM 250 ENCLOSED.”

Section E - Inspection and Acceptance

E2 INSPECTION AND ACCEPTANCE

Inspection and acceptance of the supplies or services to be furnished hereunder shall be made at destination by the receiving activity. Receiving activity shall execute acceptance certificate on the applicable inspection and receiving report form (DD Form 1155, Standard Form 44, DD form 250 or WAWF) and the executed payment copy shall be forwarded to the paying office within four (4) workdays thereafter.

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

000101 Destination Government Destination Government

0002 Destination Government Destination Government

000201 Destination Government Destination Government

0003 Destination Government Destination Government

000301 Destination Government Destination Government

0004 Destination Government Destination Government

000401 Destination Government Destination Government

0005 Destination Government Destination Government

000501 Destination Government Destination Government

0006 Destination Government Destination Government

000601 Destination Government Destination Government

0007 Destination Government Destination Government

000701 Destination Government Destination Government

0008 Destination Government Destination Government

000801 Destination Government Destination Government

0009 Destination Government Destination Government

000901 Destination Government Destination Government

0010 Destination Government Destination Government

001001 Destination Government Destination Government

0011 Destination Government Destination Government

001101 Destination Government Destination Government

0012 Destination Government Destination Government

001201 Destination Government Destination Government

0013 Destination Government Destination Government

001301 Destination Government Destination Government

0014 Destination Government Destination Government

001401 Destination Government Destination Government

0015 Destination Government Destination Government

001501 Destination Government Destination Government

0016 Destination Government Destination Government

001601 Destination Government Destination Government

CLAUSES INCORPORATED BY FULL TEXT

52.209-4 FIRST ARTICLE APPROVAL--GOVERNMENT TESTING (SEP 1989) - ALTERNATE I (JAN

1997)

(a) The Contractor shall deliver 2 unit(s) of Lot/Item Approval of two first article samle pieces per note #15 of

DWG.2301-3537 REVA are required prior to full production run. This check ensures proper manufacture, fit and finish, material usage, correct weight, and acceptable tolerances. The first article samples must include one of the

Detrimental material control qualification options provided in general note#6 of DWG.2301-3537 REV A for

ITEM#’s 1,2,5,6,7,9 & 10. within 7 calendar days from the date of this contract to the Government at NAVSUP

FLC PSNS & IMF RECEIVING OFFICER BLDG. 514, PUGET SOUND NAVAL SHIPYARD 1400

FARRAGUT AVE., BREMERTON WA 98314 for first article tests. The shipping documentation shall contain this contract number and the Lot/Item identification. The characteristics that the first article must meet and the testing requirements are specified elsewhere in this contract.

(b) Within 5 calendar days after the Government receives the first article, the Contracting Officer shall notify the

Contractor, in writing, of the conditional approval, approval, or disapproval of the first article. The notice of conditional approval or approval shall not relieve the Contractor from complying with all requirements of the specifications and all other terms and conditions of this contract. A notice of conditional approval shall state any further action required of the Contractor. A notice of disapproval shall cite reasons for the disapproval.

(c) If the first article is disapproved, the Contractor, upon Government request, shall submit an additional first article for testing. After each request, the Contractor shall make any necessary changes, modifications, or repairs to the first article or select another first article for testing. All costs related to these tests are to be borne by the Contractor, including any and all costs for additional tests following a disapproval. The Contractor shall furnish any additional first article to the Government under the terms and conditions and within the time specified by the Government. The

Government shall act on this first article within the time limit specified in paragraph (b) of this clause. The

Government reserves the right to require an equitable adjustment of the contract price for any extension of the delivery schedule or for any additional costs to the Government related to these tests.

(d) If the Contractor fails to deliver any first article on time, or the Contracting Officer disapproves any first article, the Contractor shall be deemed to have failed to make delivery within the meaning of the Default clause of this contract.

(e) Unless otherwise provided in the contract, the Contractor--

(1) May deliver the approved first article as a part of the contract quantity, provided it meets all contract requirements for acceptance and was not consumed or destroyed in testing; and

(2) Shall remove and dispose of any first article from the Government test facility at the Contractor's expense.

(f) If the Government does not act within the time specified in paragraphs (b) or (c) of this clause, the Contracting

Officer shall, upon timely written request from the Contractor, equitably adjust under the Changes clause of this contract the delivery or performance dates and/or the contract price, and any other contractual term affected by the delay.

(g) The Contractor is responsible for providing operating and maintenance instructions, spare parts support, and repair of the first article during any first article test.

(h) Before first article approval, the acquisition of materials or components for, or the commencement of production of, the balance of the contract quantity is at the sole risk of the Contractor. Before first article approval, the costs thereof shall not be allocable to this contract for (1) progress payments, or (2) termination settlements if the contract is terminated for the convenience of the Government.

(i) The Government may waive the requirement for first article approval test where supplies identical or similar to those called for in the schedule have been previously furnished by the Offeror/Contractor and have been accepted by the Government. The Offeror/Contractor may request a waiver.

(j) The Contractor shall produce both the first article and the production quantity at the same facility.

(End of clause)

Section F - Deliveries or Performance

DELIVERY INFO.

PROOF OF DELIVERY

If United Parcel Service (UPS) or Federal Express services are used for transportation, each package must have a unique package identification number. The Government will not consider the manifest as proof of delivery unless each package can be uniquely identified. Acceptance will occur only after the Government can verify actual receipt of the contact items- - packaged, marked and labeled as required elsewhere in this contract.

PREPARATION FOR DELIVERY (COMMERCIALLY PACKAGED ITEMS)

(a) Preservation, packaging, and packing shall be in accordance with ASTM-D-3951 (most current edition), “Standard for Commercial Packing.” The unity pack quantity that applies to items under this contract is

“Industry Standard.”

(b) Prohibited Packing Materials. The use of asbestos, excelsior, loose fill polystyrene, newspaper or shredded paper (all types including waxed paper, computer paper and similar hydroscopic or non-neutral material) is prohibited.

Non-Manufactured Wood Packing. All non-manufactured wood utilized in wood pallets and wood containers shall be heat treated to a minimum core temperature of 56 degrees centigrade for 30 minutes and certified by an accredited agency recognized by the American Lumber Standards Committee (ALSC). Refer to www.aphis.uda.gov/ppq/swp/eunmwp.html for wood packing policy, enforcement regulations and accredited agencies. Non-coniferous (hardwood) and manufactured wood, such as particleboard and plywood, are exempt from this requirement

DELIVERY NOTIFICATION REQUIREMENTS

a) The contractor shall notify the designated point of contact (POC) listed below 24 hours prior to delivery of supplies to Commander Navy Region Northwest (CNRNW) commands listed below. This notification shall include the following information:

1) Name of vendor supplying the material

2) Item(s) to be delivered

3) Name of delivery/drayage contractor delivering item(s)

4) Expected time of delivery

5) Name of driver(s), if known

6) Type of delivery vehicle, if known

b) Notice shall be provided by FAX to the applicable POC listed below:

Commands POC PHONE FAX

Puget Sound Naval Shipyard Central Dispatching 360-476-7346 360-476-8414

c) Prior notification is not required for regularly scheduled deliveries with badged drivers in trucks with DOD decals.

d) All deliveries to CNRNW commands must pass through the base Truck Inspection Station. All delivery vehicles and any weight handling equipment are subject to inspection. Drivers should expect delays due to heightened security.

e) Drivers entering the Controlled Industrial Area (CIA) within Puget Sound Naval Shipyard and the

Operations Area of Naval Base Kitsap-Bangor Annex MUST be United States citizens and should be prepared to provide appropriate proof of U.S. citizenship to security personnel.

http://www.aphis.uda.gov/ppq/swp/eunmwp.html

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

0001 20-JUN-2016 520 NAVSUP FLC PSNS & IMF

RECEIVING OFFICER BLDG. 514

PUGET SOUND NAVAL SHIPYARD

1400 FARRAGUT AVE.

BREMERTON WA 98314

N4523A

000101 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0002 20-JUN-2016 300 (SAME AS PREVIOUS LOCATION)

000201 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0003 20-JUN-2016 200 (SAME AS PREVIOUS LOCATION)

000301 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0004 20-JUN-2016 135 (SAME AS PREVIOUS LOCATION)

000401 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0005 20-JUN-2016 250 (SAME AS PREVIOUS LOCATION)

000501 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0006 20-JUN-2016 300 (SAME AS PREVIOUS LOCATION)

000601 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0007 20-JUN-2016 400 (SAME AS PREVIOUS LOCATION)

000701 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0008 20-JUN-2016 500 (SAME AS PREVIOUS LOCATION)

000801 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0009 20-JUN-2016 520 (SAME AS PREVIOUS LOCATION)

000901 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0010 20-JUN-2016 300 (SAME AS PREVIOUS LOCATION)

001001 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0011 20-JUN-2016 200 (SAME AS PREVIOUS LOCATION)

001101 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0012 20-JUN-2016 135 (SAME AS PREVIOUS LOCATION)

001201 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0013 20-JUN-2016 250 (SAME AS PREVIOUS LOCATION)

001301 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0014 20-JUN-2016 300 (SAME AS PREVIOUS LOCATION)

001401 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0015 20-JUN-2016 400 (SAME AS PREVIOUS LOCATION)

001501 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

0016 20-JUN-2016 500 (SAME AS PREVIOUS LOCATION)

001601 20-JUN-2016 (SAME AS PREVIOUS LOCATION)

Section G - Contract Administration Data

CLAUSES INCORPORATED BY REFERENCE

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

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

Department of Defense Activity Address Code (DoDAAC) is a six position code that uniquely identifies a unit, activity, or organization.

Document type means the type of payment request or receiving report available for creation in Wide Area

WorkFlow (WAWF).

Local processing office (LPO) is the office responsible for payment certification when payment certification is done external to the entitlement system.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall--

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.acquisition.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this Web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training

Course and use the Practice Training Site before submitting payment requests through

WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via Web entry, Electronic Data

Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

Combo Document Type

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in

WAWF, as specified by the contracting officer.

INSPECTION – N4523A

ACCEPTANCE – N4523A

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC N68732

Issue By DoDAAC N4523A

Admin DoDAAC N4523A

Inspect By DoDAAC N4523A

Ship To Code ____

Ship From Code ____

Mark For Code ____

Service Approver (DoDAAC) ____

Service Acceptor (DoDAAC) N4523A

Accept at Other DoDAAC ____

LPO DoDAAC N4523A

DCAA Auditor DoDAAC ____

Other DoDAAC(s) ____

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send

Additional Email Notifications” field of WAWF once a document is submitted in the system.

Erin Malinski – Phone (360) 340-5348 erin.malinski@navy.mil

Marty Sampson – Phone (360)535-2976 marty.sampson@navy.mil

(g) WAWF point of contact. (1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.

Hermie Delrosario – Phone (360)476-0647 hermie.delrosario@navy.mil

Camilla Smith - Phone (360)476-6064 camilla.smith@navy.mil

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

mailto:erin.malinski@navy.mil mailto:marty.sampson@navy.mil mailto:hermie.delrosario@navy.mil mailto:camilla.smith@navy.mil

Section I - Contract Clauses

CLAUSES INCORPORATED BY REFERENCE

52.203-17 Contractor Employee Whistleblower Rights and Requirement

To Inform Employees of Whistleblower Rights

APR 2014

52.204-2 Security Requirements AUG 1996

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber

Content Paper

MAY 2011

52.204-7 System for Award Management JUL 2013

52.204-13 System for Award Management Maintenance JUL 2013

52.204-16 Commercial and Government Entity Code Reporting JUL 2015

52.204-18 Commercial and Government Entity Code Maintenance JUL 2015

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

52.209-10 Prohibition on Contracting With Inverted Domestic

Corporations

NOV 2015

52.212-1 Instructions to Offerors--Commercial Items OCT 2015

52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013

52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.246-2 Inspection Of Supplies--Fixed Price AUG 1996

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

252.204-7004 Alt A System for Award Management Alternate A FEB 2014

252.204-7005 Oral Attestation of Security Responsibilities NOV 2001

252.204-7009 Limitations on the Use or Disclosure of Third-Party

Contractor Reported Cyber Incident Information

DEC 2015

252.204-7015 Disclosure of Information to Litigation Support Contractors FEB 2014

252.213-7000 Notice to Prospective Suppliers on Use of Past Performance

Information Retrieval System--Statistical Reporting in Past

Performance Evaluations

JUN 2015

252.222-7007 Representation Regarding Combating Trafficking in Persons JAN 2015

252.225-7048 Export-Controlled Items JUN 2013

252.232-7010 Levies on Contract Payments DEC 2006

252.243-7001 Pricing Of Contract Modifications DEC 1991

252.243-7002 Requests for Equitable Adjustment DEC 2012

252.247-7023 Transportation of Supplies by Sea APR 2014

52.204-17 OWNERSHIP OF CONTROL OF OFFEROR (NOV 2014)

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

Commercial and Government Entity (CAGE) code means—

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

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

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support

Agency (NSPA) to entities located outside the United States and its outlying areas that the DLA Contractor and

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

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

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

(b) The Offeror represents that it [ ___ ] has or [ ___ ] does not have an immediate owner. If the Offeror has more than one immediate owner (such as a joint venture), then the Offeror shall respond to paragraph (c) and if applicable, paragraph (d) of this provision for each participant in the joint venture.

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

Immediate owner CAGE code:

Immediate owner legal name: ___

(Do not use a ``doing business as'' name)

Is the immediate owner owned or controlled by another entity?:

[ ___ ] Yes or [ ___ ] No.

(d) If the Offeror indicates ``yes'' in paragraph (c) of this provision, indicating that the immediate owner is owned or controlled by another entity, then enter the following information:

Highest-level owner CAGE code:

Highest-level owner legal name:

(Do not use a ``doing business as'' name)

(End of provision)

52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (JULY 2013)

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

Administrative proceeding means a non-judicial process that is adjudicatory in nature in order to make a determination of fault or liability (e.g., Securities and Exchange Commission Administrative Proceedings, Civilian

Board of Contract Appeals Proceedings, and Armed Services Board of Contract Appeals Proceedings). This includes administrative proceedings at the Federal and State level but only in connection with performance of a

Federal contract or grant. It does not include agency actions such as contract audits, site visits, corrective plans, or inspection of deliverables.

Federal contracts and grants with total value greater than $10,000,000 means--

(1) The total value of all current, active contracts and grants, including all priced options; and

(2) The total value of all current, active orders including all priced options under indefinite-delivery, indefinite-quantity, 8(a), or requirements contracts (including task and delivery and multiple-award Schedules).

Principal means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

(b) The offeror ( ) has ( ) does not have current active Federal contracts and grants with total value greater than

$10,000,000.

(c) If the offeror checked “has” in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information:

(1) Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the

Federal or State level that resulted in any of the following dispositions:

(i) In a criminal proceeding, a conviction.

(ii) In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more.

(iii) In an administrative proceeding, a finding of fault and liability that results in--

(A) The payment of a monetary fine or penalty of $5,000 or more; or

(B) The payment of a reimbursement, restitution, or damages in excess of $100,000.

(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision.

(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence.

(d) The offeror shall post the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in FAPIIS as required through maintaining an active registration in the System for Award Management database via https://www.acquisition.gov (see 52.204-7).

https://www.acquisition.gov/

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS--COMMERCIAL ITEMS (MAR 2016)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015).

(2) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(3) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Public Laws 108-77 and 108-78 (19

U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items: (Contracting Officer check as appropriate.)

XX (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995)

(41 U.S.C. 4704 and 10 U.S.C. 2402).

____ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509).

____ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (June

2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment

Act of 2009.)

___ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2015) (Pub. L. 109-

282) (31 U.S.C. 6101 note).

___ (5) [Reserved]

___ (6) 52.204-14, Service Contract Reporting Requirements (JAN 2014) (Pub. L. 111-117, section 743 of Div. C).

___ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (JAN 2014) (Pub. L.

111-117, section 743 of Div. C).

___ (8) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Oct 2015) (31 U.S.C. 6101 note).

____ (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (July 2013) (41

U.S.C. 2313).

____ (10) [Reserved]

____ (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (NOV 2011) (15 U.S.C. 657a).

____ (ii) Alternate I (NOV 2011) of 52.219-3.

____ (12) (i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (OCT 2014)

(if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

____ (ii) Alternate I (JAN 2011) of 52.219-4.

____ (13) [Reserved]

____ (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2011) (15 U.S.C. 644).

____ (ii) Alternate I (NOV 2011).

____ (iii) Alternate II (NOV 2011).

____ (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).

____ (ii) Alternate I (Oct 1995) of 52.219-7.

____ (iii) Alternate II (Mar 2004) of 52.219-7.

XX (16) 52.219-8, Utilization of Small Business Concerns (OCT 2014) (15 U.S.C. 637(d)(2) and (3)).

____ (17)(i) 52.219-9, Small Business Subcontracting Plan (Oct 2015) (15 U.S.C. 637(d)(4)).

____ (ii) Alternate I (Oct 2001) of 52.219-9.

____ (iii) Alternate II (Oct 2001) of 52.219-9.

____ (iv) Alternate III (Oct 2015) of 52.219-9.

____ (18) 52.219-13, Notice of Set-Aside of Orders (NOV 2011) (15 U.S.C. 644(r)).

____ (19) 52.219-14, Limitations on Subcontracting (NOV 2011) (15 U.S.C. 637(a)(14)).

____ (20) 52.219-16, Liquidated Damages—Subcon-tracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

____ (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (NOV 2011) (15 U.S.C.

657f).

____ (22) 52.219-28, Post Award Small Business Program Rerepresentation (July 2013) (15 U.S.C. 632(a)(2)).

____ (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women-

Owned Small Business Concerns (Dec 2015) (15 U.S.C. 637(m)).

____(24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business Concerns

Eligible Under the Women-Owned Small Business Program (Dec 2015) (15 U.S.C. 637(m)).

____ (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

XX (26) 52.222-19, Child Labor--Cooperation with Authorities and Remedies (FEB 2016) (E.O. 13126).

XX (27) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

XX (28) 52.222-26, Equal Opportunity (Apr 2015) (E.O. 11246).

XX (29) 52.222-35, Equal Opportunity for Veterans (Oct 2015) (38 U.S.C. 4212).

XX (30) 52.222-36, Equal Opportunity for Workers with Disabilities (July 2014) (29 U.S.C. 793).

XX (31) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212).

____ (32) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O.

13496).

XX (33)(i) 52.222-50, Combating Trafficking in Persons (March 2, 2015) (22 U.S.C. chapter 78 and E.O. 13627).

____ (ii) Alternate I (March 2, 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

____ (34) 52.222-54, Employment Eligibility Verification (Oct 2015). (E. O. 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in

22.1803.)

____ (35)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA–Designated Items (May

2008) (42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

____ (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

____ (36) (i) 52.223-13, Acquisition of EPEAT® Registered Imaging Equipment (Jun 2014) (E.O.s 13423 and

13514).

____ (ii) Alternate I (OCT 2015) of 52.223-13.

____ (37)(i) 52.223-14, Acquisition of EPEAT® Registered Televisions (Jun 2014) (E.O.s 13423 and 13514).

____ (ii) Alternate I (Jun 2014) of 52.223-14.

____ (38) 52.223-15, Energy Efficiency in Energy-Consuming Products (Dec 2007) (42 U.S.C. 8259b).

____ (39)(i) 52.223-16, Acquisition of EPEAT[supreg]-Registered Personal Computer Products (OCT 2015) (E.O.s

13423 and 13514).

____ (ii) Alternate I (Jun 2014) of 52.223-16.

XX (40) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (Aug 2011) (E.O.

13513).

____ (41) 52.225-1, Buy American--Supplies (May 2014) (41 U.S.C. chapter 83).

____(42) (i) 52.225-3, Buy American--Free Trade Agreements--Israeli Trade Act (May 2014) (41 U.S.C. chapter

83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L.

103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43.

____ (ii) Alternate I (May 2014) of 52.225-3.

____ (iii) Alternate II (May 2014) of 52.225-3.

____ (iv) Alternate III (May 2014) of 52.225-3.

____ (43) 52.225-5, Trade Agreements (FEB 2016) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

XX (44) 52.225-13, Restrictions on Certain Foreign Purchases (June 2008) (E.O.’s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

____ (45) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Jul 2013)

(Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

____ (46) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) (42 U.S.C. 5150

____…