N66604-15-T-2223.pdf

NAVAL UNDERSEA WARFARE CTR. DIV., NPT.

STEPHANIE A. SMYTH, CODE 0221

CONTRACTS DEPARTMENT

1176 HOWELL STREET, BLDG. 1258

NEWPORT RI 02841

401-832-6964

401-832-4820

UNDER DPAS (15 CFR 700)

11. DELIVERY FOR FOB

RFQ

SEE SCHEDULE

14. METHOD OF SOLICITATION

IFB RFP

CODE

SEE ADDENDUM

BLOCK IS MARKED

DESTINATION UNLESS

12. DISCOUNT TERMS

(No Collect Calls)

$7M

13b. RATING

13a. THIS CONTRACT IS A RATED ORDER

X

CODE

N66604-15-T-2223 27-Aug-2015

b. TELEPHONE NUMBER 8. OFFER DUE DATE/LOCAL TIME

02:00 PM 17 Sep 2015

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV 3/2005)

Prescribed by GSA

FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER) 31c. DATE SIGNED

ADDENDA ARE

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

22. UNIT 23. UNIT PRICE 24. AMOUNT21. QUANTITY

CODE 10. THIS ACQUISITION IS

UNRESTRICTED

FAX: NAICS:

TEL:

CODE 18a. PAYMENT WILL BE MADE BYOFFEROR

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TEL.

N66604

SIZE STD:

9. ISSUED BY

FACILITY

CODE

17a.CONTRACTOR/

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

15. DELIVER TO CODE N66604 16. ADMINISTERED BY

NAVAL STATION NEWPORT, RECEIVING OFFICER

RECEIVING OFFICER

SEE CLAUSE D3

--- RI

TEL: 401-841-3827 FAX:

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

STEPHANIE A. SMYTH

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

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

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES

SEE SCHEDULE

713940

TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS

SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS

SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

SB

HUBZONE SB

SET ASIDE: 100 % FOR

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

1300493380

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

TEL: EMAIL:

2 COPIES

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

.OFFER DATED YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

X

8(A)

SVC-DISABLED VET-OWNED SB

EMERGING SB

X

X

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

SEE SCHEDULE

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES 21. QUANTITY 22. UNIT 24. AMOUNT

PAGE 2 OF

23. UNIT PRICE

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 3/2005) BACK

Prescribed by GSA

FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

N66604-15-T-2223

Section SF 30 - BLOCK 14 CONTINUATION PAGE

CLAUSES INCORPORATED BY FULL TEXT

GENERAL INFORMATION

GENERAL INFORMATION

FSC: R499

NAICS Code: 713940; Size Standard: $7M

NUWCDIVNPT Control Number: 152223

NUWCDIVNPT Requisition Number(s): 1300493380

NUWCDIVNPT POC: Negotiator Name: Stephanie Smyth (Phone: (401) 832-6964; Fax: (401) 832-4820; Email:

stephanie.a.smyth@navy.mil)

Type of Contract: Firm Fixed Price

This is solicited as: 100% Small Business Set-Aside

For pricing purposes, the anticipated award date of this contract is: 1 October 2015

Questions and Answers

Q: Will there be a site visit?

A: Site visits can be requested through Michelle Camara at 401-832-8501 or michelle.camara@navy.mil

Q: How many personnel are required?

A: It is up to the contractor to determine how many personnael are needed bsed upon the information contained in the Statement of Work.

Q: Can you provide a copy of the current group exercise schedule?

A: Please see the Statement of Work as that provides what is required of the fitness programs. An exerciese schedule will not be provided.

Q: Is there a regulation regarding the minimum and maximum for incentive prizes?

A: There is no regulation regarding minimum and maximum. However, they do need to be fitness/health related.

Q: Can you provide the current schedule of events ( wellness, fitness incentive, and health promotion)?

A: The Statemenw of Work clearly defines the minimum requirement.

Q: Is there a requirement for towel service?

A: The Statement of Work does not mention this requirement.

Q: The SOW 4.3.1, states the contractor is responsible to developing a member database. What are the system CIO requirements for this member management system?

A: A member database will have to be supplied by the vendor utilizing their own system.

mailto:stephanie.a.smyth@navy.mil

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Lot On-site Fitness Center Services

FFP

On-site Fitness Center Services in accordance with the Statement of Work (SOW) in Clause C11.

FOB: Destination

PURCHASE REQUEST NUMBER: 1300493380

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Data

FFP

Data in accordance with the Contract Data Requirements List (CDRLs), DD Form

1423.

NET AMT

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government

0002 N/A N/A N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 POP 01-OCT-2015 TO

30-SEP-2016

N/A NAVAL STATION NEWPORT, RECEIVING

OFFICER

RECEIVING OFFICER

SEE CLAUSE D3

--- RI

401-841-3827

N66604

0002 POP 01-OCT-2015 TO

30-SEP-2016

N/A (SAME AS PREVIOUS LOCATION)

N66604

C11 STATEMENT OF WORK (JAN 2012)

Services are to be performed in accordance with the Statement of Work, see below:

1.0 BACKGROUND. The Naval Undersea Warfare Center Division, Newport

(NUWCDIVNPT) has approximately 2,728 civilian employees and ~73 military personnel. A majority of the work performed is sedentary in nature. In order to promote a healthy working environment, a Wellness Program was developed to increase morale and productivity as well as to decrease work-related injuries, accidents and time off due to illness.

The Wellness Program consists of offering NUWCDIVNPT employees and military personnel a fitness center, group exercise classes and educational seminars. These employees must complete a Wellness Clearance Form in order to use the Fitness Center, which includes the equipment and group exercise classes. To date, approximately, 1,580 employees are cleared to use the Fitness

Center with an average of 64 users per day.

2.0 SCOPE. The contractor shall staff and operate a Fitness Center and group exercise room in Building 80 at NUWCDIVNPT. The contractor shall provide physical fitness and health education for the Wellness Program as well as provide personal training services and develop individual fitness routines and group exercise classes to Wellness members. The contractor shall work with occupational health services and the employee assistance program to provide a well-rounded, comprehensive Wellness Program.

3.0 APPLICABLE DOCUMENTS

3.1 NUWCDIVNPT Fitness Center Rules

3.2 American College of Sports Medicine (ACSM) Fitness Testing Procedures/Guidelines

3.3 NUWC DIVISION NEWPORT INSTRUCTION 5090.3D – Hazardous Material Control

Program

4.0 FITNESS CENTER SERVICES

4.1 PHYSICAL OPERATION

4.1.1 Staffing. The contractor shall provide certified fitness trainers to operate the fitness center Monday-Friday 1000-1800 (closed for the 10 Federal Holidays). All contractor personnel shall maintain current personal trainer and CPR/First Aid certification. Fitness Trainers shall wear suitable fitness attire to identify them as contractor personnel. The contractor shall ensure the fitness center remains staffed while group exercise classes are in session. At no time during the hours of 1000-1800 shall the fitness center remain unmanned.

Occasionally the fitness trainer(s) may determine he/she needs to be available for personnel early in the morning. With approval from the COR, the fitness trainer may adjust his/her hours accordingly. However, the Fitness Center must remain open, as contracted, and staffed from

1000 to 1800. Hours in addition to the 8 hours per day must stay within the total hours allocated in the contract.

4.1.2 Wellness Member Checks. The contractor shall conduct weekly badge checks in the

Fitness Center and Group Exercise Rooms to ensure those using the facility are NUWCDIVNPT wellness members. The Contracting Officer’s Representative (COR) shall be notified of any non-wellness users.

4.1.3 Maintenance of Equipment. The contractor shall inspect daily the operability of the

Fitness Center equipment provided as Government Furnished Equipment and act as troubleshooter when problems arise. Maintenance of the equipment shall include the lubrication of equipment on a weekly basis. Cleaners, lubricants and rags necessary for the preservation of the fitness center equipment are provided by the Government.

In accordance with Applicable Document 3.3, all chemical products must meet and follow all

NUWCDIVNPT safety policies and regulations (MSDS requirements, labeling, etc.). The contractor is responsible for maintaining an up-to-date MSDS binder documenting all MSDS data for inspection purposes. The contractor shall notify the COR of any necessary maintenance or repairs. The deliverables for this work shall be Maintenance and Repair Report (CDRL A002).

4.1.4 Cleanliness. The contractor shall clean the fitness center equipment on a daily basis.

Daily cleaning includes wiping equipment with a cleaner to remove sweat, scuff marks, grime, dust, etc. The contractor shall also inspect daily the Fitness Center and Group Exercise Room for cleanliness and any health/safety hazards. The contractor shall perform daily superficial cleaning of the Fitness Center and the Group Exercise Room and equipment including picking up paper cups, cans, trash, towels, and putting away weights. Cleaning solution and paper towels are provided by the Government.

4.1.5 Rules. Per Applicable Document 3.1, the contractor shall ensure internal Fitness Center rules are posted and followed. If members are not adhering to the rules the contractor shall notify the COR of repeated offenders.

4.1.6 Development and Display of Posters and Motivational Material. The contractor shall provide and ensure the display of appropriate posters and motivational material on the walls of

Fitness Center and Group Exercise Room. Posters and motivational material shall be changed quarterly at a minimum. The contractor shall develop flyers, schedules and notices for use on bulletin boards and in Division publications to advertise events and encourage participation in wellness activities. The COR shall approved all publications prior to posting. The deliverables for this work shall be Quarterly Newsletter and Posting Report (CDRL A004).

4.1.7 First Aid/Responder. In the event an injury occurs in the fitness center or group exercise room, the contractor is responsible for providing first aid and following emergency procedures posted by the Government in the fitness center and aerobics room. The contractor shall notify the COR immediately by phone and confirm with an e-mail. The contractor shall provide details in the monthly Management Report. All contractor personnel shall maintain current First Aid, CPR and AED certification. All first aid supplies are the responsibility of the contractor.

4.2 FITNESS PROGRAMS

4.2.1 Assessments. The contractor shall offer each new participant (and provide regular users) an introduction/orientation to the fitness center, equipment, and group exercise class information.

Upon request from Wellness Program participants with the proper wellness clearance form, using

Applicable Document 3.2, the contractor shall conduct individual fitness assessments including cardiovascular function, body composition, flexibility, and muscular strength and endurance and interpret the results of the fitness assessment. The contractor shall prescribe individualized fitness programs based on the results of the assessments.

The contractor shall monitor the prescribed fitness programs and modify the programs as required. The contractor shall maintain charts on each of these individuals.

4.2.2 Group Exercise Classes. The contractor shall provide a minimum of 10, one-hour group exercise classes per week. Classes shall be suitable for all fitness levels including beginners, intermediate and advanced participants. The contractor shall provide a one-hour program between 1100 – 1300 and a one-hour program between 1600 - 1800, Monday through Friday. All group exercise instructors shall maintain current group exercise certifications and specialty certification to instruct specialty classes such as yoga, pilates, zumba, etc. All costs incurred for tangible group exercise props such as resistance bands are the responsibility of the contractor.

The contractor shall provide the monthly Group Exercise Schedule to the COR for review and approval. The deliverables for this work shall be a Monthly Group Exercise Schedule (CDRL

A005).

4.2.3 Incentive Programs. The contractor shall provide a minimum of four incentive programs per year. Incentive programs shall be designed to reward people for good health/exercise habits through structured competitions with self or others. Reward prizes are the responsibility of the contractor and shall be health related items such as water bottles, sweat bands, towels.

4.2.4 Lecture/Educational Seminars. The contractor shall provide a minimum of eight lecture/educational seminars per year. Presentations shall be conducted by qualified individuals between 1100-1300 and/or 1600-1800 or another time approved by the COR. Topics should be on a wide variety of wellness topics such as stress reduction, nutrition, weight control, smoke cessation, back fitness, etc. The contractor shall also participate in various NUWCDIVNPT events. Possible events are Bring Your Child to Work Day, Revitalization Fair and International

Day. If handouts are provided, the contractor shall provide them to the COR for review and approval 30 days prior to the event (CDRL A006).

4.2.5 Quarterly Newsletter. The contractor shall develop a quarterly newsletter containing fitness center news, results of competitions and appropriate articles related to wellness. The newsletter shall be a minimum of two pages. The contractor shall provide the newsletter to the

COR for review and approval. The deliverables for this work shall be a Quarterly Newsletter

(CDRL A004).

4.2.6 Annual Health Fair. The contractor shall organize the annual NUWCDIVNPT Health

Fair with exhibits and demonstrations, hands-on activities designed to provide information to employees about various aspects of wellness. This event shall include decorations, such as balloons, banners, etc. to enhance its appeal. At a minimum the health fair shall offer glaucoma, glucose and cholesterol screenings. All costs incurred are the responsibility of the contractor.

4.2.7 Annual Open House. The contractor shall organize the annual Fitness Center Open

House. This event shall provide orientation to all NUWCDIVNPT employees who are interested in the Wellness Program and what programs are offered through the Wellness Program. This event shall include push up, sit up and pull up contests, blood pressure screenings (conducted by

NUWCDIVNPT Occupational Health Nurses), body composition evaluations, and promotion of any current incentive programs being offered through the Wellness Program, raffles, food and refreshments. The contractor shall recommend ideas on improving the event and implement with the approval of the COR 30 days prior to the event. The deliverables for this work shall be

Management Report (CDRL A003). All costs incurred are the responsibility of the contractor.

4.3 PROGRAM MANAGEMENT

4.3.1 Wellness Member Forms & Process. Upon request from NUWCDIVNPT employees, the contractor will issue Wellness Program Forms provided as GFI, for participation in the wellness program. The contractor shall review forms for completion. The contractor shall retain the original and maintain an active file of all registered wellness program participants. Wellness forms must be updated every six (6) years. The contractor shall develop and maintain an electronic data base of all wellness members with enrollment date. The contractor shall notify wellness members 3 months prior to their wellness form expiring for renewal purposes. The contractor shall provide the COR with an updated member list. This data base is the property of the Government. The deliverables for this work shall be Usage and Comparison Reports (CDRL

A001).

4.3.2 Reports. Using GFI 6.3, the contractor shall provide a monthly report detailing usage, new/rejoin members, a comparison of usage by new customers with usage by rejoined members from previous years, and the number of employees taking the aerobics/exercise classes per week and per month. The deliverables for this work shall be Usage and Comparison Reports (CDRL

A001).

The contractor shall provide a monthly report detailing all equipment repair and maintenance issues. The deliverables for this work shall be Maintenance and Repair Report (CDRL A002).

The contractor shall provide a monthly report detailing and reporting any management issues regarding the fitness center. The deliverables for this work shall be Management Report (CDRL

A003).

The contractor shall provide a quarterly newsletter containing fitness center news, results of competitions and appropriate articles related to wellness. The deliverables for this work shall be a Quarterly Newsletter and Posting Report (CDRL A004).

The contractor shall provide a monthly Group Exercise Schedule of classes held at the fitness center. The deliverables for this work shall be a Monthly Group Exercise Schedule (CDRL

A005).

4.3.3 Customer Feedback Survey. Using GFI, the contractor shall distribute customer feedback surveys in March and September. All survey results shall be provided to the COR

(CDRL A0006).

5.0 MONTHLY REPORTS

The contractor shall submit Monthly Progress and Financial Reports in accordance with Clause

C16, COST AND PERFORMANCE REPORTING.

6.0 GOVERNMENT FURNISHED INFORMATION (GFI)

6.1 Customer Feedback Survey

6.2 Wellness Program Forms

6.3 6.3 Card Reader Access Reports

All GFI shall be returned to the Government upon completion of the work.

7.0 QUALITY SURVEILLANCE & PERFORMANCE STANDARDS

The Government will conduct quality surveillance via various methods including periodic formal and informal meetings, review of technical reports, review of monthly progress reports, review of deliverables and a Quality Assurance Surveillance Plan (QASP). (Attachment #19 of this solicitation). The QASP sets forth the procedures and guidelines that the NUWCDIVNPT

Quality Assurance Team will use to monitor and document contractor performance, identify any performance issues, communicate such issues to the contractor, document the contractor’s response, and develop data to support periodic evaluations of the contractor’s performance.

Contractor performance will also be evaluated in the areas of technical quality, responsiveness, timeliness and cost. Technical quality will be evaluated against the performance standards defined in Performance Requirements Summary Table below.

Responsiveness will be evaluated based upon the Government’s experience interacting with the contractor during performance.

Timeliness will be evaluated based on the contractor’s ability to meet CDRL schedules with minimal variance.

Cost will be evaluated based upon the contractor’s ability to manage to the negotiated cost.

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information

Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project

(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP TM OTHER X

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1300493380

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 TECHNICAL REPORTS - STUDY/SERVICES USAGE and COMPARISON REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B SOW 4.3.1, 4.3.2 NUWCDIVNPT Code 10 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED MTHLY See Block 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A 0 See Block 16 Reg Repr o

16. REMARKS COR 0 1 0

Block 9: See Block 16 Addendum

Blocks 10/11/12/13: Estimated 12 submissions.

Submit report 5 days after the end of each month.

15. TOTAL 0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A002 TECHNICAL REPORTS – Study/Services MAINTENANCE AND REPAIR REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B SOW 4.1.3, 4.3.2 NUWCDIVNPT Code 10 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED MTHLY See Block 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

Blocks 10/11/12/13: Estimated 12 submissions. Submit report 5 days after the end of each month.

5 days after the end of each month.

after end of each month

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DESIREE GILLILAND Martha Merriwether 8/7/2015

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 3 Pages

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information

Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project

(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

1300493380

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 TECHNICAL REPORTS - STUDY/SERVICES MMANAGEMENT REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B SOW 4.1.7, 4.2.7, 4.3.2 NUWCDIVNPT Code 10 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED See Block 16 See Block 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

Block 9: See Block 16 Addendum

Blocks 10/11/12/13: Estimated 12 submissions. Submit report 5 days after the end of each month.

5 days after the end of each month.

A004 TECHNICAL REPORTS - STUDY/SERVICES See Block 16

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B 4.1.6,4.2.4, 4.2.5, 4.3.2 NUWCDIVNPT Code 10 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED See Block 16 See Block 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A N/A See Block 16 Reg Repr

COR 0 1 0

Block 10/12/13

Block 3 –SOW task 4.1.6 Posters and motivational materials

SOW 4.2.4 Lecture/Educational Seminars

SOW 4.2.5 Quarterly Newsletter

Contractor shall submit draft of each document 15 days

Prior to the end of each quarter. The Government

Will review and comment within 10 days. Contractor shall

Submit final documents within 5 days after Government comments. 15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DESIREE GILLILAND Martha Merriwether 8/7/2015

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 2 of 3 Pages

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information

Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project

(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

A005 TECHNICAL REPORTS - STUDY/SERVICES GROUP EXERCISE SCHEDULE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B SOW 4.2.2, 4.3.2 NUWCDIVNPT Code 10 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED See Block 16 See Block 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A See Block 16 See Block 16 Reg Repr

16. REMARKS COR 1 1 0

Blocks 10/11/12/13: Estimated 12 submissions

Blocks 10/11/12/13: Estimated 12 submissions. Submit schedule 5 days after the end of each month.

Contractor shall submit draft of Schedule 15 days

Prior to the end of each month. The Government

Will review and comment within 5 days. Contractor shall

Submit final schedule within 5 days after Government comments.

15. TOTAL 1 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A006 TECHNICAL REPORTS - STUDY/SERVICES Customer Feedback Surveys

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B SOW 4.3.3 NUWCDIVNPT Code 10 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED See Block 16 See Block 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repr

COR

Block 10/12 Submit Surveys end of March and end of

September.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DESIREE GILLILAND Martha Merriwether 8/7/2015

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 3 of 3 Pages

DD FORM 1423

PR 1300493380

BLOCK 16 ADDENDUM

BLOCK 9: The following information is specifically included in amplification of the Block 9

Distribution Statement selected:

Distribution Statement paragraphs are in addition to CLASSIFICATION markings of the data.

CDRL A001 to A006

BLOCK 9:

Distribution Statement B: Distribution to US Government agencies only; Administrative Use ;

(date data generated). Other requests for this document shall be referred to NUWCDIVNPT

Code 10

The following "EXPORT CONTROL WARNING NOTICE" must be used in conjunction with

DISTRIBUTION STATEMENTS identified in all CDRL Items.

WARNING - This document contains technical data whose export is restricted by the Arms

Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of

1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.

GOVERNMENT PROPERTY MADE AVAILABLE

1. The following are located at a NUWC facility or other

Government Site as may be noted herein. Unless specified otherwise, access is on a non-interference and rent-free basis as scheduled with the COR.

(1) LABORATORY FACILITIES (include Bldg # and Room #)

None

(2) LABORATORY EQUIPMENT

(3) OFFICE FACILITIES (include Bldg # and Room #)

Building 80, Fitness Center Office

(4) OFFICE EQUIPMENT

(2) desks, (2) chairs, (2) telephones, (1) television, (1) stereo system, (1) boom box

(5) COMPUTER FACILITIES

(6) COMPUTER EQUIPMENT

(1) NMCI computer

(7) SOFTWARE

(8) OTHER

2. The following GFE will be provided for contractor possession

(use, not title):

See TABLE 1 and TABLE 2 below

3. The following GFM will be provided for incorporation into end products:

N/A

TABLE 1

Aerobics Room Equipment Quantity Condition

Yoga Mats 10 Good

Yoga Blocks 6 Good

Agility Ladder 1 Good

Yoga Straps (Fabric) 15 Good

Cones 18 Good

Foam Rollers 2 Good

Mat Step 2 Good

Ankle Bands 16 Excellent

Mats (Red and Blue) 18 Good

Stability Balls 10 Good

Steps 13 Excellent/Goo d

Risers 127 Good

Bands 23 Good

Bosus 12 Good

Bosu Rack 1 Good

Stability Rack 1 Good

Tall Dumbbell Rack 1 Good

Short Dumbbell Rack (Black) 1 Good

Short Dumbbell Rack (White) 1 Good

Long Dumbbell Rack 1 Good

Medicine Ball Rack 1 Good

Body Bars

6 lbs 2 Good

9 lbs 3 Good

12 lbs 2 Good

15 lbs 3 Good

18 lbs 2 Good

24 lbs 2 Good

Medicine Balls

2 lbs 1 Good

4 lbs 1 Good

6 lbs 3 Good

8 lbs 4 Good

10 lbs 4 Good

12 lbs 2 Good

15 lbs 2 Good

Medicine Balls (with handles)

6 lbs 2 Good

8 lbs 2 Good

10 lbs 1 Good

Stereo System

Receiver 1 Good

CD Player 1 Good

Tape Deck 1 Good

Speakers 4 Good

Dumbbells

5 lbs (Metal) 6 pairs Good

5 lbs (Rubber) 5 pairs Good

8 lbs (Metal) 6 pairs Good

8 lbs (Rubber) 4 pairs Good

10 lbs (Metal) 5 pairs +

1 Good

10 lbs (Rubber) 3 pairs Good

12 lbs 6 pairs Good

15 lbs 7 pairs Good

20 lbs 6 pairs +

1 Good

25 lbs 5 pairs Good

30 lbs 3 pairs Good

35 lbs 4 pairs Good

40 lbs 2 pairs Good

45 lbs 1 pair Good

TABLE 2

Fitness Center Equipment Quantity Model Number Conditio n

Cybex Upright 750C 2 1211750C Excellent

1214750C Excellent

Cybex Recumbent 750R 2 D1215750R Excellent

E0108750R Excellent

Precore EFX 546 Elliptical 1 ILH06Q0014 Fair

Life Fitness CLSX Elliptical 2 CXX108107 Excellent

CXX108106 Excellent

Cybex Pro3 Treadmills 550T 4 C08-20550T9514NN078 Excellent

C08-20550T9514NN077 Excellent

C08-20550T9514NN062 Excellent

C08-20550T9514NN061 Excellent

Cybex Arc Trainer 630A 4 C05-12630A9504N9930 Excellent

C04-30630A9504N9812 Excellent

C07-1430A9504N10948 Excellent

C07-1430A9504N10954

Free Climber 4400CL 1 130000800026 Good

Smith Machine 1 0129727 Excellent

Olympic Bench 1 0129728 Good

Incline Bench 1 0129729 Good

Decline Bench 1 0129730 Good

Multi Bench 1 BWHTE29080059 Excellent

Upright Bench 1 0129732 Good

Long Dumbbell Rack 1 0129733 Good

Vertical Dumbbell tower 1 2603511416 Good

Leg Press 1 0129735 Good

Leg Curl 1 0123736 Good

Leg Extension 1 0129737 Good

Bicep Curl 1 0129738 Good

Tricep Txtension (Cable) 1 0129739 Good

Pec Dec 1 0129740 Good

Chest Press 1 0129741 Good

Shoulder Press 1 0129742 Good

Lat Pull Down 1 0129743 Good

Low Row 1 0129744 Good

Seated Preacher Curl 1 030226456 Good

Back Extension 1 0129731 Good

Captains Chair 1 03028298 Good

Calf Raise 1 03028297 Good

Dumbbells

5 lbs 2 sets Good

8 lbs 1 set Good

10 lbs 2 sets Good

12 lbs 2 sets Good

15 lbs 2 sets Good

20 lbs 1 set Good

25 lbs 1 set Good

30 lbs 1 set Good

35 lbs 1 set Good

40 lbs 2 sets Good

45 lbs 1 set Good

50 lbs 1 set Good

55 lbs 1 set Good

60 lbs 1 set +

1 Good

65 lbs 1 set Good

70 lbs 1 set Good

75 lbs 1 set Good

80 lbs 1 set Good

85 lbs 1 set Fair

90 lbs 1 set Good

Plates

2.5 lbs 8 plates Good

5 lbs 8 plates Good

10 lbs plates Good

25 lbs plates Good

35 lbs 6 plates Good

45 lbs plates Good

Miscellaneous Equipment

Mats 5 Good

Bosu 1 Good

Blocks 2 Good

6 lb Ball 1 Good

Step Bench 1 Good

Risers 4 Good

C25 ACCESS TO GOVERNMENT SITE (APR 2015)

(a) Contractor personnel shall comply with all current badging and security procedures required to gain access to any

Government site. Access to Naval Undersea Warfare Center Division, Newport sites may only be gained by obtaining a badge (either permanent or temporary) from the security office. If the company cannot complete a background investigation, compliance with SECNAV M-5510.30, Section 9-20, FACILITY ACCESS

DETERMINATION (FAD) PROGRAM is specifically required. Badges shall be issued only after completion of a background investigation completed using the electronic Questionnaire for Investigation Processing (eQIP).

Contractor personnel requiring a Common Access Card, access to controlled unclassified information (CUI) and/or user level access to DoN or DoD networks and information systems, system security and network defense systems, or to system resources providing visual access and/or ability to input, delete or otherwise manipulate sensitive information without control to identify and deny sensitive information, are required to have a favorably adjudicated

NACLC.

The Contractor shall ensure that Contractor personnel employed on any Government site become familiar with and obey Activity regulations. Contractor personnel shall not enter restricted areas unless required to do so and until cleared for such entry. The Contractor shall request permission to interrupt any activity roads or utility services in writing a minimum of 15 calendar days prior to the date of interruption. Contractor personnel shall wear personal protective equipment in designated areas. All contractor equipment shall be conspicuously marked for identification.

The contractor shall strictly adhere to Federal Occupational Safety and Health Agency (OSHA) Regulations, Environmental Protection Agency (EPA) Regulations, and all applicable state and local requirements.

(b) The contractor shall ensure that each contractor employee reads the pamphlet entitled, “Occupational Safety and

Health Information for Contractors” prior to commencing performance at any NUWCDIVNPT site. This document is available under “Contractor Info” at: http://www.navsea.navy.mil/nuwc/newport/docs/Forms/AllItems.aspx

(c) The contractor shall ensure that each contractor employee reads the document entitled, “NUWC Environmental

Policy” prior to commencing performance at any NUWCDIVNPT site. This document is available at:

http://www.navsea.navy.mil/nuwc/newport/docs/EMS_EnvPolicy1.pdf .

(d) The contractor shall ensure that each contractor employee who is resident at any NUWCDIVNPT site completes

Environmental Awareness training within 30 days of commencing performance at that site. This training is available on the ISO 14001 webpage on the NUWCDIVNPT Intranet and is also available on the NUWC Division Newport

Internet site. This document is available at:

http://www.navsea.navy.mil/nuwc/newport/docs/External%20ISO14001_2009%20Training.pdf .

(e) The Contractor shall report compliance with paragraphs (c) and (d) of this clause no later than thirty days after award and monthly thereafter via e-mail to the Contracting Officer's Representative (COR) with a copy to NWPT.NUWC_NPT_1023_Training@navy.mil . Compliance reports shall include a list of all employees with access to any NUWCDIVNPT site with the date each employee reviewed the Environmental Policy document and the date each employee completed the Environmental Awareness Training.

(f) The contractor shall remove from the Government site any individual whose presence is deemed by the

Commander, NUWCDIVNPT, to be contrary to the public interest or inconsistent with the best interests of national security.

C26 INFORMATION ASSURANCE – UNCLASSIFIED DOD INFORMATION ON NON-DOD

INFORMATION SYSTEMS (JUL 2012)

(a) The Contractor shall ensure that unclassified DoD information it receives or produces in support of DoD activities is protected according to the information safeguards described in Attachment 2 to Directive-Type Memorandum (DTM) 08.027 – Security of Unclassified DoD Information on Non-DoD Information Systems, which is available at the following web address:

http://www.dtic.mil/whs/directives/corres/pdf/858201p.pdf

(b) Upon request by the Government, the Contractor shall provide documentation demonstrating the safeguards the contractor has implemented to ensure the security of unclassified DoD Information.

(c) Contractor personnel that have not been briefed on Attachment 2 to Directive-Type memorandum (DTM) 08-027

– Security of Unclassified DoD Information on Non-DoD Information Systems shall be denied access to contractor systems that contain unclassified DoD information.

(d) Subcontracts. If the Contractor issues any subcontracts in which the subcontractor will have access to unclassified DoD information, the Contractor shall include this clause.

http://www.navsea.navy.mil/nuwc/newport/docs/EMS_EnvPolicy1.pdf http://www.navsea.navy.mil/nuwc/newport/docs/External%20ISO14001_2009%20Training.pdf http://www.dtic.mil/whs/directives/corres/pdf/858201p.pdf

C57 EXCEPTION FROM ELECTRONIC AND INFORMATION TECHNOLOGY ACCESSIBILITY

REQUIREMENTS (JUN 2001)

(a) The Government has determined that this procurement is an exception to the Electronic and Information

Technology (EIT) Accessibility Standards (36 C.F.R. § 1194).

(b) Notwithstanding that an exception exists, the Contractor may furnish items or services provided under this contract that comply with the EIT Accessibility Standards (36 C.F.R. § 1194).

HQ C-1-0001 ITEM(S) - DATA REQUIREMENTS (NAVSEA) (SEP 1992)

The data to be furnished hereunder shall be prepared in accordance with the Contract Data

Requirements List, DD Form 1423, in clause C11.

D3 DELIVER TO ADDRESS (AUG 2006)

All deliveries will be made to the following address and annotated with the “Mark For” information:

Receiving Officer, Naval Station Newport

47 Chandler Street

Newport, RI 02841-1716

Mark For: NUWC Division, Newport –

P.O.#: N66604- TBD

HQ D-1-0001 DATA PACKAGING LANGUAGE

Data to be delivered by Integrated Digital Environment (IDE) or other electronic media shall be as specified in the contract.

All unclassified data to be shipped shall be prepared for shipment in accordance with best commercial practice.

Classified reports, data, and documentation shall be prepared for shipment in accordance with National Industrial Security Program Operating Manual (NISPOM), DOD 5220.22-M dated 28 February 2006.

HQ E-1-0001 INSPECTION AND ACCEPTANCE LANGUAGE FOR DATA

Inspection and acceptance of all data shall be as specified on the attached Contract Data

Requirements List(s), DD Form 1423.

F30 PLACE OF PERFORMANCE (SEP 2001)

Work will be performed at the Naval Undersea Warfare Center Division Newport, RI (NUWCDIVNPT).

CLAUSES INCORPORATED BY REFERENCE

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

Content Paper

MAY 2011

52.204-7 System for Award Management JUL 2013

52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.209-10 Prohibition on Contracting With Inverted Domestic

Corporations

DEC 2014

52.222-26 Equal Opportunity APR 2015

52.222-35 Equal Opportunity for Veterans JUL 2014

52.222-36 Equal Opportunity for Workers with Disabilities JUL 2014

52.222-37 Employment Reports on Veterans JUL 2014

52.222-50 Combating Trafficking in Persons MAR 2015

52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.227-1 Authorization and Consent DEC 2007

52.232-1 Payments APR 1984

52.232-8 Discounts For Prompt Payment FEB 2002

52.232-9 Limitation On Withholding Of Payments APR 1984

52.233-1 Disputes MAY 2014

52.242-15 Stop-Work Order AUG 1989

52.245-1 Government Property APR 2012

52.245-9 Use And Charges APR 2012

52.249-1 Termination For Convenience Of The Government (Fixed

Price) (Short Form)

APR 1984

52.253-1 Computer Generated Forms JAN 1991

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013

252.204-7003 Control Of Government Personnel Work Product APR 1992

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

252.204-7012 Safeguarding of Unclassified Controlled Technical

Information

NOV 2013

252.209-7004 Subcontracting With Firms That Are Owned or Controlled By

The Government of a Country that is a State Sponsor of

Terrorism

DEC 2014

252.211-7007 Reporting of Government-Furnished Property AUG 2012

252.227-7013 Rights in Technical Data--Noncommercial Items FEB 2014

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006

252.243-7001 Pricing Of Contract Modifications DEC 1991

252.245-7001 Tagging, Labeling, and Marking of Government-Furnished

Property

APR 2012

252.245-7002 Reporting Loss of Government Property APR 2012

252.245-7003 Contractor Property Management System Administration APR 2012

252.245-7004 Reporting, Reutilization, and Disposal MAR 2015

252.247-7023 Transportation of Supplies by Sea APR 2014

52.211-14 NOTICE OF PRIORITY RATING FOR NATIONAL DEFENSE, EMERGENCY PREPAREDNESS, AND ENERGY PROGRAM USE (APR 2008)

Any contract awarded as a result of this solicitation will be DX rated order; (X) DO rated order certified for national defense, emergency preparedness, and energy program use under the Defense Priorities and Allocations System

(DPAS) (15 CFR 700), and the Contractor will be required to follow all of the requirements of this regulation.

[Contracting Officer check appropriate box.]

(End of provision)

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

EXECUTIVE ORDERS--COMMERCIAL ITEMS (MAY 2015)

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

(1) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Dec 2014)

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

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

U.S.C. 3805 note)).

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

X (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41

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

X (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Apr 2010) (41 U.S.C. 3509).

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

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

Act of 2009.)

X (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (July 2013) (Pub. L. 109-

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

___ (5) [Reserved]

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

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

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

X (8) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Aug, 2013) (31 U.S.C. 6101 note).

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

U.S.C. 2313).

____ (10) [Reserved]

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

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

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

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

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

____ (13) [Reserved]

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

____ (ii) Alternate I (NOV 2011).

____ (iii) Alternate II (NOV 2011).

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

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

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

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

____ (17)(i) 52.219-9, Small Business Subcontracting Plan (OCT 2014) (15 U.S.C. 637(d)(4)).

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

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

____ (iv) Alternate III (OCT 2014) of 52.219-9.

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

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

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

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

657f).

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

____ (23) 52.219-29, Notice of Set-Aside for Economically Disadvantaged Women-Owned Small Business

(EDWOSB) Concerns (July 2013) (15 U.S.C. 637(m)).

____ (24) 52.219-30, Notice of Set-Aside for Women-Owned Small Business (WOSB) Concerns Eligible Under the

WOSB Program (July 2013) (15 U.S.C. 637(m)).

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

X (26) 52.222-19, Child Labor—Cooperation with Authorities and Remedies (JAN 2014) (E.O. 3126).

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

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

X (29) 52.222-35, Equal Opportunity for Veterans (Jul 2014)(38 U.S.C. 4212).

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

X (31) 52.222-37, Employment Reports on Veterans (July 2014) (38 U.S.C. 4212).

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

13496).

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

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

X (34) 52.222-54, Employment Eligibility Verification (Aug 2013). (Executive Order 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

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

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

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

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

13514).

____ (ii) Alternate I (Jun 2014) of 52.223-13.

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

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

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

X (39)(i) (i) 52.223-16, Acquisition of EPEAT® -Registered Personal Computer Products (Jun 2014) (E.O.s 13423 and 13514).

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

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

13513).

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

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

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

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

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

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

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

____ (43) 52.225-5, Trade Agreements (Nov 2013) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

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

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

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

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

____ (47) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007) (42 U.S.C.

5150).

____ (48) 52.232-29, Terms for Financing of Purchases of Commercial Items (Feb 2002) (41 U.S.C. 4505, 10

U.S.C. 2307(f)).

____ (49) 52.232-30, Installment Payments for Commercial Items (Oct 1995) (41 U.S.C. 4505, 10 U.S.C. 2307(f)).

X (50) 52.232-33, Payment by Electronic Funds Transfer—System for Award Management (July 2013) (31 U.S.C.

3332).

____ (51) 52.232-34, Payment by Electronic…