N6264520R0037.pdf

SEE ADDENDUM

(No Collect Calls)

N6264520R0037 26-Aug-2020

b. TELEPHONE NUMBER

301-619-0177

8. OFFER DUE DATE/LOCAL TIME

12:00 AM 04 Sep 2020

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

N626459. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

JAN T. HARDING

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

N6264520RCES050

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

NAVAL MEDICAL LOGISTICS COMMAND

693 NEIMAN STREET

FORT DETRICK MD 21702-9239

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

X SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$22,000,000

NAICS:

811219

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF105

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

N6264520R0037

Section SF 1449 - CONTINUATION SHEET

SECTION A

SECTION A

In response to this solicitation please provide a quote for the line item numbers included below.

Please also provide the following information:

Complete company name and address:

Tax Identification Number (TIN):

Cage Code:

DUNS number:

Point of Contact Name:

Point of Contact Title:

Point of Contact Email:

Point of Contact Phone:

POC for CPARS:

The following options are required to be completed.

52.204-26 52.209-2 52.212-3

If you have any questions, please feel free to contact me.

If you have any questions, please feel free to contact me.

Contact Information: Jan T. Harding Jan.t.harding.civ@mail.mil

EVALUATION

EVALUATION

The Government's determination that the quoted price is fair and reasonable based on price analysis.

Defination of Fair and Reasonable - A fair and reasonable price is the selling price for a service or good that is fair to both the buyer and the seller.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Vision Equipment Service & Support

FFP

Base Year; POP: 9/30/20-9/29/21

MILSTRIP: N6264520RCES050

PURCHASE REQUEST NUMBER: N6264520RCES050

ADDITIONAL MARKINGS: N62645-20RM15

NET AMT

0001AA 12 Months

STAR S4-IR

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 9443 FOB: Destination

PSC CD: J065

0001AB 12 Months Wavefront

FFP

Vision Equipment Service & Support NH Bremerton Serial Number: 77360

0001AC 12 Months

IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NH Bremerton Serial Number: 0814-80005

0001AD 12 Months iDESIGN

FFP

Vision Equipment Service & Support NH Bremerton Serial Number: G301-4041

0001AE 12 Months

STAR S4-IR

FFP

Vision Equipment Service & Support NMC Camp Lejeune Serial Number: 9444

0001AF 12 Months iDESIGN

FFP

Vision Equipment Service & Support NMC Camp Lejeune Serial Number: G301-4060

0001AG 12 Months

IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NMC Camp Lejeune Serial Number: 1014-80009

0001AH 12 Months

STAR S4-IR

FFP

Vision Equipment Service & Support NH Camp Pendleton Serial Number: 9315

0001AJ 12 Months WaveScan

FFP

Vision Equipment Service & Support NH Camp Pendleton Serial Number: 77317

0001AK 12 Months

IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NH Camp Pendleton Serial Number: 121-70317

0001AL 12 Months iDESIGN

FFP

Vision Equipment Service & Support NH Camp Pendleton Serial Number: G300-8024

0001AM 12 Months WaveScan ACV

FFP

Vision Equipment Service & Support BMC Pensacola Serial Number: 7705

0001AN 12 Months

STAR S4-IR

FFP

Vision Equipment Service & Support NH Jacksonville Serial Number: 9451

0001AP 12 Months WaveScan

FFP

Vision Equipment Service & Support NH Jacksonville Serial Number: 77206

0001AQ 12 Months

IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NH Jacksonville Serial Number: 1014-80014

0001AR 12 Months

STAR S4-IR

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 9504

0001AS 12 Months WaveScan

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: 77362

0001AT 12 Months WaveScan

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: 70901

0001AU 12 Months

IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: 1014-80012

0001AV 12 Months iDESIGN

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: G300-3134

0001AW 12 Months iDESIGN

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: G300-4135

0001AX 12 Months

STAR S4-IR

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 9440

0001AY 12 Months iDESIGN

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: G300-3085

0001AZ 12 Months WaveScan

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 77359

0001BA 12 Months

IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 0814-80001

OPTION Vision Equipment Service & Support

FFP

POP: 9/30/21-9/29/22

MILSTRIP: N6264520RCES050

0002AA 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 9443

0002AB 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NH Bremerton Serial Number: 0814-80005

0002AC 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NH Bremerton Serial Number: G301-4041

0002AD 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NMC Camp Lejeune Serial Number: 9444

0002AE 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NMC Camp Lejeune Serial Number: G301-4060

0002AF 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NMC Camp Lejeune Serial Number: 1014-80009

0002AG 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NH Camp Pendleton Serial Number: 9315

0002AH 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NH Camp Pendleton Serial Number: 121-70317

0002AJ 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NH Camp Pendleton Serial Number: G300-8024

0002AK 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NH Jacksonville Serial Number: 9451

0002AL 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NH Jacksonville Serial Number: 1014-80014

0002AM 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 9504

0002AN 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: 1014-80012

0002AP 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: G300-3134

0002AQ 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: G300-4135

0002AR 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 9440

0002AS 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: G300-3085

0002AT 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 0814-80001

OPTION Vision Equipment Service & Support

FFP

POP: 9/30/22-9/29/23

0003AA 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 9443

0003AB 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NH Bremerton Serial Number: 0814-80005

0003AC 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NH Bremerton Serial Number: G301-4041

0003AD 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NMC Camp Lejeune Serial Number: 9444

0003AE 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NMC Camp Lejeune Serial Number: G301-4060

0003AF 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NMC Camp Lejeune Serial Number: 1014-80009

0003AG 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NH Camp Pendleton Serial Number: 9315

0003AH 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NH Camp Pendleton Serial Number: 121-70317

0003AJ 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NH Camp Pendleton Serial Number: G300-8024

0003AK 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NH Jacksonville Serial Number: 9451

0003AL 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NH Jacksonville Serial Number: 1014-80014

0003AM 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 9504

0003AN 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: 1014-80012

0003AP 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: G300-3134

0003AQ 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: G300-4135

0003AR 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 9440

0003AS 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: G300-3085

0003AT 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 0814-80001

OPTION Vision Equipment Service & Support

FFP

POP: 9/30/23-9/29/24

0004AA 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 9443

0004AB 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NH Bremerton Serial Number: 0814-80005

0004AC 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NH Bremerton Serial Number: G301-4041

0004AD 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NMC Camp Lejeune Serial Number: 9444

0004AE 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NMC Camp Lejeune Serial Number: G301-4060

0004AF 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NMC Camp Lejeune Serial Number: 1014-80009

0004AG 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NH Camp Pendleton Serial Number: 9315

0004AH 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NH Camp Pendleton Serial Number: 121-70317

0004AJ 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NH Camp Pendleton Serial Number: G300-8024

0004AK 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NH Jacksonville Serial Number: 9451

0004AL 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NH Jacksonville Serial Number: 1014-80014

0004AM 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 9504

0004AN 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: 1014-80012

0004AP 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: G300-3134

0004AQ 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NMC Portsmouth Serial Number: G300-4135

0004AR 12 Months

OPTION STAR S4-IR

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 9440

0004AS 12 Months OPTION iDESIGN

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: G300-3085

0004AT 12 Months

OPTION IFS FEMTOSECOND LASER

FFP

Vision Equipment Service & Support NMC San Diego Serial Number: 0814-80001

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A N/A 0001AA Destination Government Destination Government 0001AB Destination Government Destination Government 0001AC Destination Government Destination Government 0001AD Destination Government Destination Government 0001AE Destination Government Destination Government 0001AF Destination Government Destination Government 0001AG Destination Government Destination Government 0001AH Destination Government Destination Government 0001AJ Destination Government Destination Government 0001AK Destination Government Destination Government 0001AL Destination Government Destination Government 0001AM Destination Government Destination Government 0001AN Destination Government Destination Government 0001AP Destination Government Destination Government 0001AQ Destination Government Destination Government 0001AR Destination Government Destination Government 0001AS Destination Government Destination Government 0001AT Destination Government Destination Government 0001AU Destination Government Destination Government 0001AV Destination Government Destination Government 0001AW Destination Government Destination Government 0001AX Destination Government Destination Government 0001AY Destination Government Destination Government 0001AZ Destination Government Destination Government 0001BA Destination Government Destination Government 0002 N/A N/A N/A N/A 0002AA Destination Government Destination Government

0002AB Destination Government Destination Government 0002AC Destination Government Destination Government 0002AD Destination Government Destination Government 0002AE Destination Government Destination Government 0002AF Destination Government Destination Government 0002AG Destination Government Destination Government 0002AH Destination Government Destination Government 0002AJ Destination Government Destination Government 0002AK Destination Government Destination Government 0002AL Destination Government Destination Government 0002AM Destination Government Destination Government 0002AN Destination Government Destination Government 0002AP Destination Government Destination Government 0002AQ Destination Government Destination Government 0002AR Destination Government Destination Government 0002AS Destination Government Destination Government 0002AT Destination Government Destination Government 0003 N/A N/A N/A N/A 0003AA Destination Government Destination Government 0003AB Destination Government Destination Government 0003AC Destination Government Destination Government 0003AD Destination Government Destination Government 0003AE Destination Government Destination Government 0003AF Destination Government Destination Government 0003AG Destination Government Destination Government 0003AH Destination Government Destination Government 0003AJ Destination Government Destination Government 0003AK Destination Government Destination Government 0003AL Destination Government Destination Government 0003AM Destination Government Destination Government 0003AN Destination Government Destination Government 0003AP Destination Government Destination Government 0003AQ Destination Government Destination Government 0003AR Destination Government Destination Government 0003AS Destination Government Destination Government 0003AT Destination Government Destination Government 0004 N/A N/A N/A N/A 0004AA Destination Government Destination Government 0004AB Destination Government Destination Government 0004AC Destination Government Destination Government 0004AD Destination Government Destination Government 0004AE Destination Government Destination Government 0004AF Destination Government Destination Government 0004AG Destination Government Destination Government 0004AH Destination Government Destination Government 0004AJ Destination Government Destination Government 0004AK Destination Government Destination Government 0004AL Destination Government Destination Government 0004AM Destination Government Destination Government 0004AN Destination Government Destination Government 0004AP Destination Government Destination Government 0004AQ Destination Government Destination Government 0004AR Destination Government Destination Government 0004AS Destination Government Destination Government 0004AT Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 N/A N/A N/A N/A

0001AA POP 30-SEP-2020 TO

29-SEP-2021

N/A NAVAL MEDICAL CENTER SAN DIEGO

EQUIPMENT MANAGER

OPHTHALMIC SUPPORT UNIT

34425 FARENHOLT AVE. ST 60

SAN DIEGO CA 92134-5000

619-532-6078

N00259

0001AB POP 30-SEP-2020 TO

29-SEP-2021

N/A NAVAL HOSPITAL BREMERTON

AJENE CHAMBERS

1 BOONE ROAD, CODE 075

EQUIPMENT DEPARTMENT

BREMERTON WA 98312-1898

360-475-4359

N68095

0001AC POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AD POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AE POP 30-SEP-2020 TO

N/A NAVAL MEDICAL CENTER CAMP

LEJEUNE

RICHARD PEARSON

100 BREWSTER BLVD

CAMP LEJEUNE NC 28547-2538

910-450-3527

N68093

0001AF POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AG POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AH POP 30-SEP-2020 TO

N/A NAVAL HOSPITAL CAMP PENDLETON

JOSE BAUTISTA

200 MERCY CIRCLE

CAMP PENDLETON CA 92055-5191

760-725-1520

N68094

0001AJ POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AK POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AL POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AM POP 30-SEP-2020 TO

N/A BRANCH MEDICAL CLINIC PENSACOLA

EQUIPMENT MANAGER

450 TURNER STREET

PENSACOLA FL 32508

N32557

0001AN POP 30-SEP-2020 TO

N/A NAVAL HOSPITAL JACKSONVILLE

MARCUS MC EWEN

2080 CHILD STREET

BLDG H-2091

JACKSONVILLE FL 32214

904-542-7715 X 174

N00232

0001AP POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AQ POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AR POP 30-SEP-2020 TO

N/A NAVAL MEDICAL CENTER SAN DIEGO

EQUIPMENT MANAGER

OPHTHALMIC SUPPORT UNIT

34425 FARENHOLT AVE. ST 60

SAN DIEGO CA 92134-5000

619-532-6078

0001AS POP 30-SEP-2020 TO

N/A NAVAL MEDICAL CENTER

PORTSMOUTH

HARRY ACUNA

ATTN SUPPLY OFFICER BLDG 250

54 LEWIS MINOR STREET

PORTSMOUTH VA 23708-2297

(767) 953-7055

N00183

0001AT POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AU POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AV POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AW POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AX POP 30-SEP-2020 TO

N/A NAVAL MEDICAL CENTER SAN DIEGO

EQUIPMENT MANAGER

OPHTHALMIC SUPPORT UNIT

34425 FARENHOLT AVE. ST 60

SAN DIEGO CA 92134-5000

619-532-6078

0001AY POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AZ POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BA POP 30-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

0002 N/A N/A N/A N/A

0002AA POP 30-SEP-2021 TO

29-SEP-2022

N/A NAVAL MEDICAL CENTER SAN DIEGO

EQUIPMENT MANAGER

OPHTHALMIC SUPPORT UNIT

34425 FARENHOLT AVE. ST 60

SAN DIEGO CA 92134-5000

619-532-6078

0002AB POP 30-SEP-2021 TO

29-SEP-2022

N/A NAVAL HOSPITAL BREMERTON

AJENE CHAMBERS

1 BOONE ROAD, CODE 075

EQUIPMENT DEPARTMENT

BREMERTON WA 98312-1898

360-475-4359

0002AC POP 30-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AD POP 30-SEP-2021 TO

N/A NAVAL MEDICAL CENTER CAMP

LEJEUNE

RICHARD PEARSON

100 BREWSTER BLVD

CAMP LEJEUNE NC 28547-2538

910-450-3527

0002AE POP 30-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AF POP 30-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AG POP 30-SEP-2021 TO

N/A NAVAL HOSPITAL CAMP PENDLETON

JOSE BAUTISTA

200 MERCY CIRCLE

CAMP PENDLETON CA 92055-5191

760-725-1520

0002AH POP 30-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AJ POP 30-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AK POP 30-SEP-2021 TO

N/A NAVAL HOSPITAL JACKSONVILLE

MARCUS MC EWEN

2080 CHILD STREET

BLDG H-2091

JACKSONVILLE FL 32214

904-542-7715 X 174

0002AL POP 30-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AM POP 30-SEP-2021 TO

N/A NAVAL MEDICAL CENTER SAN DIEGO

EQUIPMENT MANAGER

OPHTHALMIC SUPPORT UNIT

34425 FARENHOLT AVE. ST 60

SAN DIEGO CA 92134-5000

619-532-6078

0002AN POP 30-SEP-2021 TO

N/A NAVAL MEDICAL CENTER

PORTSMOUTH

HARRY ACUNA

ATTN SUPPLY OFFICER BLDG 250

54 LEWIS MINOR STREET

PORTSMOUTH VA 23708-2297

(767) 953-7055

0002AP POP 30-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AQ POP 30-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AR POP 30-SEP-2021 TO

N/A NAVAL MEDICAL CENTER SAN DIEGO

EQUIPMENT MANAGER

OPHTHALMIC SUPPORT UNIT

34425 FARENHOLT AVE. ST 60

SAN DIEGO CA 92134-5000

619-532-6078

0002AS POP 30-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AT POP 30-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0003 N/A N/A N/A N/A

0003AA POP 30-OCT-2022 TO

29-SEP-2023

N/A NAVAL MEDICAL CENTER SAN DIEGO

EQUIPMENT MANAGER

OPHTHALMIC SUPPORT UNIT

34425 FARENHOLT AVE. ST 60

SAN DIEGO CA 92134-5000

619-532-6078

0003AB POP 30-OCT-2022 TO

29-SEP-2023

N/A NAVAL HOSPITAL BREMERTON

AJENE CHAMBERS

1 BOONE ROAD, CODE 075

EQUIPMENT DEPARTMENT

BREMERTON WA 98312-1898

360-475-4359

0003AC POP 30-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AD POP 30-OCT-2022 TO

N/A NAVAL MEDICAL CENTER CAMP

LEJEUNE

RICHARD PEARSON

100 BREWSTER BLVD

CAMP LEJEUNE NC 28547-2538

910-450-3527

0003AE POP 30-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AF POP 30-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AG POP 30-OCT-2022 TO

N/A NAVAL HOSPITAL CAMP PENDLETON

JOSE BAUTISTA

200 MERCY CIRCLE

CAMP PENDLETON CA 92055-5191

760-725-1520

0003AH POP 30-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AJ POP 30-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AK POP 30-OCT-2022 TO

N/A NAVAL HOSPITAL JACKSONVILLE

MARCUS MC EWEN

2080 CHILD STREET

BLDG H-2091

JACKSONVILLE FL 32214

904-542-7715 X 174

0003AL POP 30-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AM POP 30-OCT-2022 TO

N/A NAVAL MEDICAL CENTER SAN DIEGO

EQUIPMENT MANAGER

OPHTHALMIC SUPPORT UNIT

34425 FARENHOLT AVE. ST 60

SAN DIEGO CA 92134-5000

619-532-6078

0003AN POP 30-OCT-2022 TO

N/A NAVAL MEDICAL CENTER

PORTSMOUTH

HARRY ACUNA

ATTN SUPPLY OFFICER BLDG 250

54 LEWIS MINOR STREET

PORTSMOUTH VA 23708-2297

(767) 953-7055

0003AP POP 30-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AQ POP 30-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AR POP 30-OCT-2022 TO

N/A NAVAL MEDICAL CENTER SAN DIEGO

EQUIPMENT MANAGER

OPHTHALMIC SUPPORT UNIT

34425 FARENHOLT AVE. ST 60

SAN DIEGO CA 92134-5000

619-532-6078

0003AS POP 30-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AT POP 30-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 N/A N/A N/A N/A

0004AA POP 30-SEP-2023 TO

29-SEP-2024

N/A NAVAL MEDICAL CENTER SAN DIEGO

EQUIPMENT MANAGER

OPHTHALMIC SUPPORT UNIT

34425 FARENHOLT AVE. ST 60

SAN DIEGO CA 92134-5000

619-532-6078

0004AB POP 30-SEP-2023 TO

N/A NAVAL HOSPITAL BREMERTON

AJENE CHAMBERS

1 BOONE ROAD, CODE 075

EQUIPMENT DEPARTMENT

BREMERTON WA 98312-1898

360-475-4359

0004AC POP 30-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AD POP 30-SEP-2023 TO

N/A NAVAL MEDICAL CENTER CAMP

LEJEUNE

RICHARD PEARSON

100 BREWSTER BLVD

CAMP LEJEUNE NC 28547-2538

910-450-3527

0004AE POP 30-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AF POP 30-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AG POP 30-SEP-2023 TO

N/A NAVAL HOSPITAL CAMP PENDLETON

JOSE BAUTISTA

200 MERCY CIRCLE

CAMP PENDLETON CA 92055-5191

760-725-1520

0004AH POP 30-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AJ POP 30-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AK POP 30-SEP-2023 TO

N/A NAVAL HOSPITAL JACKSONVILLE

MARCUS MC EWEN

2080 CHILD STREET

BLDG H-2091

JACKSONVILLE FL 32214

904-542-7715 X 174

0004AL POP 30-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AM POP 30-SEP-2023 TO

N/A NAVAL MEDICAL CENTER SAN DIEGO

EQUIPMENT MANAGER

OPHTHALMIC SUPPORT UNIT

34425 FARENHOLT AVE. ST 60

SAN DIEGO CA 92134-5000

619-532-6078

0004AN POP 30-SEP-2023 TO

N/A NAVAL MEDICAL CENTER

PORTSMOUTH

HARRY ACUNA

ATTN SUPPLY OFFICER BLDG 250

54 LEWIS MINOR STREET

PORTSMOUTH VA 23708-2297

(767) 953-7055

0004AP POP 30-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AQ POP 30-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AR POP 30-SEP-2023 TO

N/A NAVAL MEDICAL CENTER SAN DIEGO

EQUIPMENT MANAGER

OPHTHALMIC SUPPORT UNIT

34425 FARENHOLT AVE. ST 60

SAN DIEGO CA 92134-5000

619-532-6078

0004AS POP 30-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AT POP 30-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984 52.204-13 System for Award Management Maintenance OCT 2018 52.204-21 Basic Safeguarding of Covered Contractor Information

Systems

JUN 2016

52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.225-25 Prohibition on Contracting with Entities Engaging in Certain

Activities or Transactions Relating to Iran-- Representation and Certifications.

AUG 2018

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

DEC 2013

52.242-13 Bankruptcy JUL 1995 52.243-1 Alt I Changes--Fixed Price (Aug 1987) - Alternate I APR 1984 252.201-7000 Contracting Officer's Representative DEC 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7003 Agency Office of the Inspector General AUG 2019 252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

DEC 2019

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

MAY 2016

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

DEC 2019

252.219-7003 Small Business Subcontracting Plan (DOD Contracts) DEC 2019 252.223-7008 Prohibition of Hexavalent Chromium JUN 2013 252.226-7001 Utilization of Indian Organizations and Indian-Owned

Economic Enterprises, and Native Hawaiian Small Business Concerns

APR 2019

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

DEC 2018

252.244-7000 Subcontracts for Commercial Items JUN 2013 252.246-7003 Notification of Potential Safety Issues JUN 2013 252.246-7008 Sources of Electronic Parts MAY 2018

CLAUSES INCORPORATED BY FULL TEXT

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (DEC 2019)

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

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

Covered telecommunications equipment or services, critical technology, and substantial or essential component have the meanings provided in clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition. Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Contractors are not prohibited from providing--

(1) A service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

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

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

(d) Representation. The Offeror represents that it [ ] will, [ ] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation.

(e) Disclosures. If the Offeror has represented in paragraph (d) of this provision that it “will'' provide covered telecommunications equipment or services”, the Offeror shall provide the following information as part of the offer-

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

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

(3) For services, the entity providing the covered telecommunications services (include entity name, unique entity identifier, and Commercial and Government Entity (CAGE) code, if known); and

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

(End of provision)

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

2019)

(a) Definitions. As used in this provision, “covered telecommunications equipment or services” has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

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

(c) Representation. The Offeror represents that it [ ___ ] does, [ ___ ] does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

52.209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS--

REPRESENTATION (NOV 2015)

(a) Definitions. Inverted domestic corporation and subsidiary have the meaning given in the clause of this contract entitled Prohibition on Contracting with Inverted Domestic Corporations (52.209-10).

(b) Government agencies are not permitted to use appropriated (or otherwise made available) funds for contracts with either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation, unless the exception at 9.108-2(b) applies or the requirement is waived in accordance with the procedures at 9.108-4.

(c) Representation. The Offeror represents that--

(1) It [ ___ ] is, [ ___ ] is not an inverted domestic corporation; and

(2) It [ ___ ] is, [ ___ ] is not a subsidiary of an inverted domestic corporation.

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (MAR 2020)

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management (SAM) accessed through https://www.sam.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (v) of this provision.

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

“Covered telecommunications equipment or services” has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

“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 in SAM.

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(s) applicable to the NAICS code(s) referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs __.

[Offeror to identify the applicable paragraphs at (c) through (v) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

(c) Offerors must complete the following representations when the resulting contract 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.

(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.

Note: Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold.

(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.