COMBINED_SYNOPSIS_SOLICITATION_N62645_16_T_0018__20_June_2016.docx

N62645-16-T-0018

This is a combined synopsis/solicitation for commercial items prepared in accordance with FAR 12.6, Streamlined Procedures for Evaluation and Solicitation of Commercial Items as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. The solicitation number is N62645-16-T-0018. The solicitation is issued as a request for quotation (RFQ). Provisions and clauses in effect through Federal Acquisition Circular 05-87 are incorporated. It is the contractor’s responsibility to be familiar with the applicable FAR and DFARS clauses and provisions. The FAR and DFARS clauses may be accessed in full text at this address: http://farsite.hill.af.mil/. All qualified vendors are encouraged to submit a quote.

The NAICS code is 339114 with a business size standard of 500. There are no set-aside restrictions for this requirement.

The Naval Medical Logistics Command is requesting responses from qualified sources capable of providing Digital Dental Imaging (DDI) equipment, accessories and software. With the exception of Apteryx, Inc. brand software and in accordance with FAR 52.211-6 all equipment and accessories are Brand Name or Equal and shall meet the minimum requirements of the Government as described in this solicitation. A justification and approval for the Apteryx, Inc. brand software is attached. This solicitation will result in one firm fixed price contract.

DENTAL DIGITAL IMAGING (DDI)

FFP

DDI SYSTEM UPGRADE INCLUSIVE OF HARDWARE, ACCESSORIES AND SOFTWARE. THE ESSENTIAL CHARACTERISTICS (MINIMUM REQUIREMENTS) OF THE GOVERNMENT ARE INDICATED IN THE STATEMENT OF REQUIREMENTS. ATTACHMENT 1 SCHEDULE B - PRICING WORKSHEET MUST BE COMPLETED WITH A LINE ITEM PRICE AS INDICATED FOR EACH INSTALLATION LOCATION.

SEE ATTACHMENT 2 FOR FEDERAL JOINT TRAVEL REGULATIONS (FJTR).

FOB: Destination

MILSTRIP: N6264516RC9L005

PURCHASE REQUEST NUMBER: N6264516RC9L005

ADDITIONAL MARKINGS: ATTN: JESSE LOFTUS, N00259-5081-L005, TP3, N00259-15DDI01

NET AMT

SCHEDULE B - PRICING WORKSHEET

SEE ATTACHMENT 1 FOR PRICING WORKSHEET

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

N00259

INSTALLATION LOCATIONS

ALL equipment, accessories and software shall be shipped to:

Naval Medical Center (NMC) San Diego Loading Dock 1 34800 Bob Wilson Drive San Diego, CA 92134-5000

The Government will then tag and distribute appropriately to the locations listed below. Upon notice, the vendor shall proceed to the designated location to provide installation and training as required.

NMC San Diego 34800 Bob Wilson Drive San Diego, CA 92134

Naval Base San Diego (NBSD) (Includes 4 Dental Vans) Naval Health Branch Clinic, Dental Department2310 Craven Street San Diego, CA 92136

Marine Corps Recruit Depot (MCRD) Bldg 595 43000 Midway Drive San Diego, CA 92140

Naval Air Facility El Centro Naval Branch Health Clinic El Centro, CA 92243

Naval Air Station North Island 600 McCain Blvd Coronado, CA 92135

Naval Base Coronado (NAB) Bldg 506 3538 Bougainville Road San Diego, CA 92155

Naval Mine and Anti-Submarine Warfare Command (ASW) Bldg 10 32389 Echo Lane San Diego, CA 92147

Submarine Base Annex (SUBBASE) 140 Sylvester Road San Diego, CA 92106

Southwest Regional Maintenance C enter (SWRMC) Naval Base San Diego Bldg 3116 San Diego, CA 92136

STATEMENT OF REQUIREMENTS

The Naval Medical Logistics Command has a requirement to replace the following list of dental equipment associated with the Digital Dental Imaging (DDI) System at Naval Medical Center San Diego, CA and its branch clinics.

Minimum requirements for Brand name or equal items:

The following are the minimum requirements for an item to be considered equal to the brand name:

Digital Imaging and Communications in Medicine (DICOM) based dental imaging suite that is scalable to any size organization. The system shall provide a standardized way to capture, store, retrieve, and view dental images across an entire organization. The system shall support imaging devices commonly used in dentistry, including: Intra-oral sensors, specifically Carestream/Kodak 6100 sensors, Phosphor Plate Scanners, Planmeca Panoramic/Cephalometric units, Carestream 3D/CAT scan, Tomography, Intra-oral Cameras, Extra-oral Cameras, Endoscopes, and Flatbed Scanners. The system shall be DICOM and HIPAA compliant with the ability to control who can access the software and what they are able to perform within the application. The system shall seamlessly integrate with the existing Apteryx DICOM Viewer (DCV) Data Manager and Clients at each Dental Clinic. The system shall have full audit trail capabilities that can record the actions of all users. The system shall be capable of acting as a standalone enterprise dental imaging PACS solution or as an acquisition modality with auto submission to a preexisting PACS.

Detailed Description of Requirements:

These DDI refreshes shall utilize Commercial Off the shelf (COTS) hardware (server, computers, etc.) consistent with NMC San Diego’s existing network and x-ray capturing equipment. The government requires retention of any failed hard drive(s) for all servers, storage arrays, computers, and laptops. The system shall provide a redundant system configuration for data integrity and minimize system down time.

The offeror shall provide full warranty support of all new hardware and software, supplies and services for a period of not less than 1 year. Offerors shall acknowledge that there shall be no charge for services or software support during the warranty period (for normal warranty support).

Installation and setup of the DDI equipment requires the replacement of similar equipment already installed at each facility. The vendor will work with each site to setup and install the server, computer workstations, CD publishers, barcode scanners at each Dental Clinic and data center in the NMC San Diego catchment area. The regional server will be located in the NMC San Diego data center. The local servers will go in either a data center or communication closet at the various Branch Clinics. The laptop computer workstations will be replacing the existing workstations located in each mobile dental unit. The server shall be loaded with the latest release of the Apteryx DCV version 3.4 software package, which includes transfer of the existing DCV Data Manager licenses. The servers and workstations shall be hardened according local site specifications. When setting up each of the Apteryx servers, the vendor will work with NMC San Diego and Naval Medical Logistics Command (NMLC) to incorporate and adhere to the federal social security number (SSN) reduction act numbering scheme. The patient identifier will be changed from the sponsor’s SSN to the new Electronic Data Interchange Person Numbers (EDIPN) also known as the DoD ID number. A data conversion crosswalk table will be provided by NMLC before installation. The new DDI system shall include migration of all existing data on the current servers to new the servers at each facility. The DCV Primary application and DCV Additional licenses shall be loaded on the computers designated by the NMC San Diego DDI project coordinator. The new DDI equipment shall be thoroughly tested to ensure the proper operation.

The offeror shall provide the required DDI hardware, software, project plan, installation plan, installation documentation to include a Bill of Materials (BOM) with line item pricing and services, training plan and services.

The DDI installation shall include a complete project plan of action and milestones including a schedule, listing of all tasks and an anticipated timeline for equipment installation and acceptance testing. The proposal will identify a project manager and a site project team to work pre-installation activities and hold regular planning and status update teleconferences with the government project team. It’s highly desired that the vendor’s site project management lead will be onsite full time during installation, integration and acceptance testing. The vendor’s project manager(s) will fully participate in regular status update briefings to the government’s representatives. The vendor’s project team will engage Naval Medical Logistics Command Program Office, NMC San Diego’s Project Coordinator, Dental Clinical, Information Management Department (IMD), Materials Management and Facilities leads to ensure that all devices are properly accounted for, as needed

Training Requirements: During the installation at each site, the vendor shall offer refresh training that highlights the functional updates within the computer hardware, software application, and supporting DDI equipment to help users become familiar with the system. Initial training after installation of the system is not adequate, therefore follow on training shall be provided. Computer-based training programs/manuals should be included as a mechanism that addresses recurring/refresher training to help the staff's understanding of platform updates and maintaining system competency levels.

Training shall incorporate the perspectives of the Dentist, Dental Technician (DT) and the general clinical/administrative user. These perspectives shall consider the varying levels of detail and application interaction that may be required by the dynamic groups of users that will typically utilize an enterprise DDI solution. System administration training shall be provided to at least two command personnel. These individuals should be from the IT department and or Biomedical Repair.

After contract award, the vendor may conduct a conference call with the principals to clarify their responses and validate specific requirements. Upon request, a site survey maybe coordinated, at no additional cost to the government, to better understand the environment and document the detailed requirements. The vendor shall provide a Pre-Implementation (Survey) Report to NMLC and the responsible site personnel soon after it is published to allow time for any facility, network, or other modifications. The offeror shall, at the completion of the computer refresh, ensure that the DDI network:

Seamlessly acquires, views, prints, stores, and transfers images and data throughout NMC San Diego.

Vendors shall adhere to Military Health System (MHS) Privacy and Security of Personally Identifiable Information (PII), Protected Health Information (PHI) and HIPAA-Compliant Business Associate Agreement (BAA) for the MHS as found at the following two websites:

1. http://www.tricare.mil/tma/ams/downloads/atch/DHAPGI2241-90Atch2.pdf

2. http://www.tricare.mil/tma/privacy/downloads/BAA%20standard%20contract%20language%20-%2018%20Nov%202013.pdf

EQUIPMENT AND ACCESSORIES (Minimum Requirements of the Government for Brand name or equal items)

Laptop (Dental Vans) - Total Quantity = 8 each

Regional (rack mounted) Server - Total Quantity = 1 each (to be installed at NMC San Diego)

SAN/NAS/DAS (Regional storage backup): 8TB = 12 hard disk drives (RAID configurable)

Server (rack mounted) - Total Quantity = 2 each (to be installed at NBSD and MCRD, 1 at each location)

Server - Total Quantity = 7 each (to be installed at NMC San Diego, El Centro, North Island, NAB, ASW, SUBBASE, SWRMC - 1 at each location) ASW, SUBBASE, SWRMC locations require tower servers (All others are rack mounted)

Uninterruptible Power Supply (UPS) units – Total Quantity = 8 each 1 UPS for Each Server (except Regional)

Shall be able to provide at least 45 minutes of sustainable power

Monitors – Total Quantity = 7 each

Medical grade clinical review monitors with the capability to produce 3D images.

Placement of Medical Grade Monitors:

CD Publishing Station – Total Quantity = 9 each (must include user training)

Windows 10 Compatible CD/DVD publishing capability, must be able to print color labels Minimum of 100 disk input tray

Placement of CD Publishing Stations:

CD Publisher Starter Kit – Total Quantity = 9 each

500 each blank CD’s Ink/Toner for labels (sufficient to label 500 CDs) 500 each plastic CD holders/sleeves with 2 holes (for placement in dental records)

Placement of CD Publisher Starter Kits:

Barcode Scanner- Total Quantity = 55 each

Handheld Laser Barcode Scanner with USB computer interface cable Barcode Scanner Stand

Must be able to read Patient ID Card and GS1 DataBar symbols

Placement of Barcode Scanners:

APTERYX SOFTWARE REQUIREMENTS (Brand Name Only)

DCV Client (Apteryx) – Total Quantity = 25 each

Placement of Apteryx software:

Apteryx software training – Total initial Quantity = 33 days

Onsite training:

Apteryx software training – Total follow-on Quantity = 16 days

Onsite training:

INSTRUCTIONS TO OFFERORS

**ADDENDUM to 52.212-1 Instructions to Offerors – Commercial Items**

This section specifies the format and content that Quoters shall use in this Request for Quote (RFQ). Offerors shall submit a quote that is legible and comprehensive enough to provide the basis for a sound evaluation by the Government. Any quote which does not provide, as a minimum, that which is required in the solicitation may be determined to be substantially incomplete and not warrant any further consideration.

All questions must be addressed to Deborah.L.Hagan.civ@mail.mil by email only no later than 12 July 2016 at 1:00 p.m. local time. No phone calls accepted.

Quotes may be submitted as MS Word, Excel or Adobe PDF attachments to Deborah.L.Hagan.civ@mail.mil no later 22 July 2016 12:00 p.m. local time.

All Quoters shall provide the following company details:

1. Complete company name and address

1. Company Point of Contact (POC)

1. Email

1. Phone Number

1. CAGE Code

1. DUNS number

1. Place of Manufacture

Technical: The information for each of the general and functional requirements shall be submitted and clearly indicate compliance with sufficient details to demonstrate the offeror’s capability to meet the requirements of the solicitation. Quotes shall include a description of how the offeror proposes to meet the requirements of the government, including what equipment will be provided, how it will be installed, and the time required for installation. Pertinent technical specifications shall be included. The offeror shall provide the required DDI hardware, software, project plan, installation plan, installation documentation to include a Bill of Materials (BOM) with line item pricing and services. Any explanation of how this feature provides a benefit to the government shall be included in this section.

Past Performance: The vendor shall provide recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information) for up to 5 data points within the last three years. Past performance older than three years will be considered not recent. The data shall include, but is not limited to: Organization/Location, POC/Number and email, Contract Reference Number, Contract Date, Value of the Contract, and a description of the requirement. The Government reserves the right to consider other past performance information at its disposal, in addition to any information obtained from the references provided above.

Price: Quotes shall specify individual item pricing (Schedule B - Pricing Worksheet ) and a total price per CLIN. Adequate competition is anticipated for this acquisition. The government anticipates award of a Firm Fixed Price contract. Offerors shall submit firm-fixed pricing for all above requirements.

Offeror must provide lead time for installation after receipt of order.

Other Administrative Instructions:

ALL equipment, accessories and software shall be shipped to the Naval Medical Center (NMC) San Diego, CA.

The Government will then tag and distribute appropriately to the locations listed under Installation Locations as indicated in this solicitation. Upon notice, the vendor shall proceed to the designated location to provide installation and training as required.

The Quoter shall complete and submit DFARS Provision 52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (Feb 2016).

1. Contractors must be registered in the System for Award Management (SAM) database at time of award. Registration is free and can be completed on-line at https://www.sam.gov/portal/public/SAM/.

BASIS OF AWARD

**ADDENDUM to 52.212-2 Evaluation – Commercial Items**

The Government intends to award a contract resulting from this solicitation to the responsible offeror whose quote represents the best value, price and other factors considered. Factors 1 through 2 below are more important than price. However, price may become a critical factor in the event that two or more offerors are determined to be essentially equal following the evaluation of technical and past performance factors. Evaluation of price will be based on the offeror’s total price for all line items.

1. Technical Factors - The government will evaluate each offer to determine the ability to meet the requirements of the solicitation to acquire, view, print, store, and transfer images and data. The Government will evaluate quotes based on conformance to the minimum requirements as indicated in this solicitation. Notes: Apteryx, Inc. software is brand-name only. Alternatives to this software will not be accepted. All other items specified in this solicitation are brand-name or equal. If travel is required, the costs shall only be reimbursed in accordance with the Federal Acquisition Regulations 31.205-46 and the Federal Joint Travel Regulations (FJTR) prescribed by the General Services Administration.

2. Past Performance Factor - Contractors will be evaluated based on their past performance, (see ADDENDUM to 52.212-1 Instructions to Offerors – Commercial Items). Past Performance will be evaluated based on the information received from the respondents. The Government may also obtain and utilize information from other sources and part of the evaluation. This shall include adherence to contract requirements, quality of products and service.

3. Price – Quotes received will be evaluated for reasonableness and completeness. Evaluation of completeness will include the following: all amendments are acknowledged, all pricing worksheets (Schedule B) and CLINs are priced, System for Award Management (SAM) registration information is provided and provisions as listed in the solicitation are completed and submitted.

The offeror’s initial proposal shall contain the offeror’s best terms from a price and technical standpoint. The Government intends to evaluate offers and award a contract without discussions, but reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government reserves the right to make no award as a result of this solicitation.

CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY OR A

FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that--

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that--

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

(End of provision)

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (APR 2016)

The Offeror shall complete only paragraph (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 (r) 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.

Predecessor means an entity that is replaced by a successor and includes any predecessors of the predecessor.

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.

Successor means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

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 stock of which 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 its stock is owned by one or more women; or

(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 electronically on the SAM website.

(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 representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), 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 (r) 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 ORCA.]

(c) Offerors must complete the following representations when the resulting contract will 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 to paragraphs (c)(8) and (9): 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.

(d) Certifications and 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 either to the Equal Opportunity clause of this solicitation, the 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 Subparts 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:

[List as necessary]

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) of 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 Act-Free Trade Agreements-Israeli Trade Act Certificate, Alternate I (Jan 2004). 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.

(3) Buy American-Free Trade Agreements-Israeli Trade Act Certificate, Alternate II (Jan 2004). 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 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 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.