Attachments_to_RFP_for_FBO.gov_(must_include_in_fbo_posting).pdf

ATTACHMENT 1

eCPS Proposal Delivery Instructions

ATTACHMENT 2

Supplemental Proposal Instructions

Supplemental Proposal Instructions

ALL PROPOSALS MUST BE SUBMITTED THROUGH THE NIH ELECTRONIC CONTRACT PROPOSAL

SUBMISSION (eCPS) WEBSITE. See attachment one (1) from Section J for instructions. Offerors should ensure they are registered with the website prior to submitting the proposals to ensure timely submission.

Proposals must comply with the page limitations and format specified for each volume. Page size shall be 8.5 x 11 inches with 1-inch margins and size 12 font. Paragraphs single spaced. The font must be legible. Information submitted beyond the limitations specified will not be evaluated. The following chart provides the specific information required for each volume:

Volume Format Page Limitation

Technical Proposal See Attachment 1 – Packaging and Delivery of Proposals for Use with the NIH Electronic Contract Proposal Submission (eCPS)

No more than 40 pages, size 12 font, excluding cover pages, resumes, table of contents, and any required attachments from the solicitation.

Business Proposal See Attachment 1 – Packaging and Delivery of Proposals for Use with the NIH Electronic Contract Proposal Submission (eCPS)

No page limit

1. Technical Proposal

Offerors’ Technical Proposal will be evaluated based on the Technical Evaluation Factors specified in

Section M of the RFP.

2. Business Proposal

The Business Proposals shall include the offeror’s proposed cost for each performance period under

Section B of the RFP (i.e. Base Period and Option Periods 1-4).

ATTACHMENT 3

Proposal Intent Response Sheet

PROPOSAL INTENT RESPONSE FORM

RFP No:

RFP Title:

Please review the Request for Proposal (RFP). Furnish the information requested below and return this page to the Contracting Officer/Contract Specialist identified on Section A-Solicitation/Contract Form by

Your expression of intent is not binding but will greatly assist us in planning for proposal evaluation.

Choose one of the following Options:

Do intend to submit a proposal Do Not intend to submit a proposal

If you are not responding to this RFP, please provide your reason(s):

Please provide the following contact information:

Name (First, Middle Initial, Last):

Title:

Organization:

E-mail:

the following date:

ATTACHMENT 4

Statement of Work

Version 11-30-2016-1 FAR Part 11—Describing Agency Needs

STATEMENT OF WORK (SERVICES)

(SOW)

GENERAL INFORMATION

Title of Project: Clinical Support Services for the Research Efforts of the Stroke Branch, Section on Stroke Diagnostics and Therapeutics, NINDS, NIH

Statement of Need and Purpose: The purpose of this acquisition is to acquire the services of up to two acute care hospital(s) (hereafter identified as the Contractor) located within 15 miles of the NIH campus in Bethesda, MD (9000 Rockville Pike, Bethesda, MD 20892) to support the research efforts of the NIH/NINDS Stroke Branch, Section on Stroke Diagnostics and Therapeutics (hereafter identified as NIH Team). The overall program is designed to study the use of Magnetic Resonance Imaging (MRI) in the clinical evaluation of acute stroke and traumatic brain injury (TBI) patients, and to develop acute stroke therapies. Although the Contractor will not be developing or conducting any of the research under this program, they will be providing clinical services and support including but not limited to: 24/7 standard clinical care for stroke and TBI patients, patient identification and referral; MRI and CT support for imaging of prospective patients for referral and research subjects; vascular neurology physician services;

nurse coordinator services; emergency preparation and blinding of study drugs by a hospital pharmacist; chemistry and hematological laboratory tests required by the NIH Team research protocols; general radiological services; neurosurgical and neuroradiological services;

interventional radiology services; neurointensive care and monitoring. This contract will only reimburse the services necessary to support the research initiated and conducted by the NIH Team.

Background Information and Objective: This acquisition will provide acute care hospital setting for NIH Team staff to recruit, enroll, study and treat acute stroke and TBI patients. This project is a continuation of a long-term (15+ years) collaborative effort the NIH Team has had with two local hospitals to provide clinical support services to facilitate research into acute cerebrovascular diseases and TBI. The NIH Team will recruit patients who present to the Contractor’s hospital with symptoms of an acute stroke or TBI and will employ use of non-invasive MRI methodologies to evaluate the disease and help develop new therapies for the treatment of these diseases. The research protocols conducted at these sites are designed and performed by the NIH Team. The services provided by the Contractor to the NIH team are standard clinical services, nothing innovative or unique, and Contractor staff will not be required to analyze or interpret data based on the NINDS research protocol objectives.

In order to continue to advance this field of research the NIH Team needs their research program to be located in local acute care hospitals that receive and triage large volumes of patients with acute stroke and TBI on an emergency basis. Because the NIH Clinical Center (CC) does not receive patients with these medical conditions on an emergency basis the NIH Team research objectives cannot be met by utilizing the NIH CC. Thus this internal research effort has been supported and conducted at off-site acute care hospitals for 15+ years.

Period of Performance: We will award one or more cost-reimbursement type contracts. Each contract will include a twelve month base period, and also include four (4) additional one-year options. The performance start date will be on or about September 1, 2019.

SCOPE OF WORK

General Requirements: Independently and not as an agent of the Government, the Contractor shall furnish all the necessary services, qualified personnel, material, equipment, and facilities, not otherwise provided by the Government as needed to perform the Statement of Work below:

Specific Performance Requirements and Commitments All elements of the performance requirements and commitments shall be in place and operational at the time of the initiation of the contract.

1. Elements of Stroke Unit: The Contractor shall provide beds for patients on the Stroke Service with ICU level and ICU-step with appropriate levels of neuroscience nursing staffing and beds equipped with standard cardiovascular and neurointensive monitoring equipment.

2. Designation as Research Team: The Contractor shall recognize the NIH Team as the designated research team. It is understood that the research activities of the NIH Team may not involve all patients with acute cerebrovascular and/or TBI disease.

Upon approval of the NIH Team, Contractor staff may participate as associate investigators of the NIH Team’s research protocols. Interdepartmental collaboration will be essential to the goals of this contract and enhance the research. The Contractor shall foster and facilitate an adequate and acceptable collaboration between the NIH Team and the other hospital departments, and between the NIH Team and private practice physicians. For conflicts over research issues, priority shall be given to the specifics of protocols approved by NIH and the Contractor's IRB committees. Except for emergency or life-threatening situations, no deviation in the care specified by an approved research protocol shall be instituted (i.e., no orders written) by a physician without prior discussion and agreement by the NIH Team’s research protocol medically responsible investigator.

3. Patient Referral: The Contractor’s Emergency Department and/or Contractor’s Stroke Team shall facilitate the referral of acute stroke and/or TBI patients for possible enrollment into the NIH Team’s research protocols. Upon identification of appropriate patients specified in the NIH Team’s research protocols, the Contractor’s staff shall promptly notify the NIH Team for possible recruitment into a research protocol. The ability of the hospital to meet the patient referral will be reviewed quarterly. The NIH Team shall be provided with access to patient demographic and admission information to determine whether compliance with the referral rate is being met. Inadequate referral activity that jeopardizes the success of the NIH research protocols may preclude the Government from exercising any future options under the contract.

4. Support Staff and Ancillary Services: Other hospital-based services shall be provided to support standard stroke care and are essential elements of Joint Commission certified Primary or Comprehensive Stroke Centers. These include, but are not limited to, nursing, neurosurgery, interventional neuroradiology, speech therapy, occupational therapy, and physical therapy. The cost associated with such support is the responsibility of the Contractor.

5. MRI Facility and Equipment: A major research focus of this program is the use of MRI in the evaluation and investigation of stroke and traumatic brain injury patients. Thus, a state-of-the-art MRI scanner (3T) and facility is critical for the program’s needs.

a. Patient Preparation Area - This area shall be used to prepare, examine, and interview patients. The room shall be capable of patient exams, minor procedures and general patient preparation.

b. Patient Treatment Area - This area shall be used to monitor or treat patients with standard or experimental therapies while within the MRI facility. Cardiovascular monitoring equipment and emergency resuscitation equipment (‘crash cart’) will be available in this area.

This area will be stocked with sufficient supplies of medications required by the NIH Team. A nurse will be available whenever needed to assist in monitoring patients undergoing studies in the MRI facility.

c. MRI Facility Location - The state-of-the art MRI scanner shall be located near the Emergency Department such that patient transport from the Emergency Department to the MRI facility can readily and routinely be accomplished in less than 5 minutes. The scanner shall be available 24/7 for use in the evaluation of acute stroke and TBI patients. Access to the state-of-the art MRI scanner by NIH Team shall include scheduled research time during normal operating hours (M-F 8a-7p), and additional hours may be scheduled for other times. The MRI scanner shall be immediately accessible for emergency evaluation of stroke patients (no greater than 15-minute delay between notification of technologist of emergency stroke case and scanner readiness for the patient). Access to the MRI scanner by the NIH Team for emergency, clinical follow-up, or research scans, will not require approval by the Contractor’s radiologist or other staff. Outside of normal operating hours, the scanner shall be available for NIH Team stroke research studies. Use of the MRI scanner by the NIH Team may not be limited in any manner by the Contractor.

d. Scanner Upgrades - Contractor shall be responsible for coordinating and implementing required scanner upgrades as necessary. The NIH Team shall be kept informed of any contemplated maintenance, changes, or upgrades to the MRI system. No changes shall take place without the input and agreement of the NIH Team. Payment of upgrade and maintenance costs with the use of contract funds will be determined on a case-by-case basis.

6. Radiology Services: In addition to MRI unit, the Contractor shall provide 24 hour access for clinical scanning of stroke patients in a state-of-the-art CT scanner for stroke patients including capacity for CT angiography and CT perfusion.

Clinical stroke imaging protocols will be determined through collaboration and agreement between the NIH Team and the Contractor’s radiologists.

The Contractor shall make available 24-hour interventional neuroradiologist coverage with emergency on-call neuroradiological services for image interpretation or interventional procedures. The requirement for interventional procedures will always be available for emergency diagnostic angiography and intra-arterial thrombolysis of cerebral arteries and other endovascular therapies and research collaborations. Contractor’s neuroradiologists shall provide stat reads of emergency CT scans and MRI scans. The neuroradiological services may also, at the NIH Team's designation, be provided by NIH personnel in addition to the Contractor’s personnel, and the contractor would not limit granting of clinical privileges or access to required hospital resources to such designees without just cause.

7. Medical Staff Privileges and Billing: Upon request and following standard application and review, the Contractor shall grant clinical privileges to NIH personnel to perform clinical services and procedures for which they have adequate training and experience in support of the clinical and research needs of the NIH Team. Such privileges and/or access to required hospital resources shall not be denied for reasons of competition with other Contractor’s staff or clinical services for any reasons other than professional competency. NIH employed physicians will not charge or bill for their clinical services and the Contractor may not bill for NIH employed physicians either directly or indirectly. The Contractor shall not hire for employment any member of the NIH Team while that member is an NIH employee or within 1 year of termination of NIH employment, without prior permission of the NIH team.

8. Training: The NIH Stroke Program has an Accreditation Council for Graduate Medical Education (ACGME) vascular neurology residency program. The Contractor shall agree to enter into a Program Letter of Agreement with NIH to allow the NIH vascular neurology residents to do inpatient and outpatient rotations at the Contractor’s site. The Contractor shall provide vascular neurologist(s), at least one of whom shall be American Board of Psychiatry and Neurology (ABPN) Board Certified in Vascular Neurology, to serve as faculty for this training program and to assist with the education and training of the NIH vascular neurology residents during their inpatient and outpatient rotations. Contractor shall provide sufficient resources (faculty, space and other ancillary support) to ensure the outpatient rotation provides valuable teaching experience for the NIH vascular neurology residents.

9. Community Outreach: The hospital shall provide, at no cost to the Government, community outreach services to educate the potential patient population in the Contractor’s community about stroke prevention and treatment, about the NIH clinical care and research programs and to foster a receptive attitude toward participation in NIH research studies.

10. In-service Training: The NIH Team shall be responsible for training Contractor's clinical staff members in the NIH Team’s research protocol requirements. Sufficient time and access to the Contractor’s clinical staff to provide education and training regarding research protocols shall be provided.

11. Non-transfer of Acute Patients: The Contractor shall seek designation with the various HMO plans to be recognized as an acute stroke center for that provider. This will help reduce the number of patients who are transferred from the Contractor's emergency room or within 24 hours of admission to another hospital because of insurance membership constraints.

12. Patient follow-up after hospital discharge: Patients seen by the NIH Team will be referred to an appropriate physician for follow-up (non-research related) care. The NIH Team will need to maintain contact with the patient once they are enrolled in a research protocol and will contact or see patients in follow-up for the purpose and according to the requirements of the research protocols.

13. Research Pharmacist Availability: It is anticipated that drug treatment research protocols will require emergency preparation and blinding of study material (drug or placebo) by a pharmacist. Thus, during the activity of such protocols, a pharmacist must be available always in hospital (24/7) to perform the functions required by the protocol on an emergency basis. Only actual effort associated with preparing study materials or providing research pharmacy services as related to implementation of research protocols shall be an allowable cost to the contract.

14. Diagnostic Tests/Supplies/Services: The majority of diagnostic tests shall be performed as part of clinical services and thus not reimbursable cost under this contract. It is anticipated that research protocols may require chemistry or hematological laboratory tests to be performed and reported urgently (stat) that may not typically be considered stat. Thus, the laboratory shall make available the resources to perform the tests required by the research protocols and in a manner required by the protocols. The Contractor shall provide these tests as required by the research protocols. The costs for any diagnostic tests related to the research protocols shall be allowable costs under this contract. The NIH Stroke Team may elect to send their research laboratory tests to an outside facility for processing.

15. Costs of patient transfer from another facility: The cost of transferring a patient by air or land from another facility to the Contractor’s hospital may not be passed on to the Government unless the primary reason for the transfer is participation in an approved research protocol of the NIH Team and the research participation was initiated (e.g., inform consent obtained) prior to the transfer.

16. Division of Cost Responsibility: The cost requirements of the program that are of clinical necessity (e.g., routine clinical care, maintenance of stroke center certification) shall be the responsibility of the Contractor.

Any cost to establish and maintain emergency and inpatient clinical, laboratory, and radiological services as required to maintain stroke center certification shall be the responsibility of the Contractor. This will include any costs of upgrading or expanding human or equipment resources not currently available or sufficient to meet the needs of the care of stroke patients.

The cost of those elements required by the research protocols of the program shall be the responsibility of the Government and shall be allowable costs under this contract.

Note, if a patient’s insurance company declines to pay for a clinical service the cost of that service will not be reimbursed under this contract.

17. Research Costs: Research patient care costs shall be reimbursed by this contract in accordance with, if applicable, the Contractor’s HHS negotiated research patient care rate agreement. In absence of such agreement the research patient care costs will be reimbursed by this contract at the Medicare reimbursement rate.

18. IRB Approval: All research performed by the NIH Team shall be reviewed and approved according to IRB requirements for NIH and the Contractor.

19. Computer Networks: The Contractor shall allow and facilitate the NIH network to be installed at their hospital site. The Contractor’s CT scanners and MRI scanners shall be made accessible to NIH computer network. All NIH Team office facilities at the Contractor’s Hospital shall require high speed computer links with the NIH’s and Contractor’s computer networks.

20. Proprietary Research Data: The resulting research data collected shall be proprietary to NIH Team except for medical necessity. Any use of the research data collected by the NIH Team cannot be used by non-NIH personnel for scientific, academic, educational, commercial or other purposes without the permission of the NIH Team and in accordance with NIH policy.

21. Space Requirements: Adequate office space and office furnishings for 8-10 members of the NIH Team shall be provided on hospital premises by the Contractor. This space shall be in proximity to the MRI facility and the Stroke Unit. During the contract period the clinical and research activities and staffing of the program may grow. If space requirements of the NIH Team increase, sufficient and acceptable space and furnishings shall be made available to the NIH Team. If the Contractor requires relocation of the NIH Team offices, the costs of relocation and renovation to a comparable space shall be the responsibility of Contractor. This office space shall be computer network accessible to both the Contractor’s and NIH’s computer networks.

22. Clinical Research Infrastructure: The Contractor shall provide the clinical infrastructure to support the research protocols of the NIH Team as discussed in the general and specific requirements of this statement of work. In addition, the Contractor shall provide medical records support to ensure that copies of consents generated by the NIH Team are incorporated into the appropriate hospital medical records.

23. Reporting Requirements: The Contractor shall prepare and deliver written quarterly reports on the numbers and types of patients referred to NIH Team. These reports shall be electronically delivered to the Contracting Officer (CO) and Contracting Officer Representative

(COR).

24. Publicizing Relationship: The Contractor shall get prior written approval from Contracting Officer to publicize, or to use for marketing purposes, their relationship or association with NIH/NINDS.

25. Program Management and Control Requirements: The Contractor shall appoint either a senior administrator or Stroke Center Medical Director as Principal Investigator (PI) to serve as a liaison between the NIH Team, Contractor’s corporate management and clinical support staff.

In addition, if NIH Team deems necessary, monthly meetings shall occur between the PI and NIH staff to assure referral of patients, contract compliance and support of the NIH clinical and research protocols.

Clinical Support – Roles and Responsibilities:

1. Stroke Center Medical Director: The Contractor shall have a Stroke Center Medical Director. The Director shall help facilitate the research activities of the NIH Team (Local ite PI for NIH research support) and assist with the education and training of NIH vascular neurology residents. This position will serve as a liaison between the NINDS COR and the Contractor’s staff. Support of this position based on level of effort will be an allowable cost under this contract.

2. Clinical Support Services:

a. At least one member of the hospital’s stroke center medical staff shall be ABPN board certified in vascular neurology.

b. The contractor shall provide contract dedicated, full-time nurse coordinator to work with the NIH Team in support of the NIH research activities. Support of this position will be an allowable cost under this contract. Offeror must address timeline and methods to recruit staff for this position if not already existing.

c. The contractor shall provide 24/7 MRI technologist support for the MRI scanner facility.

The Contractor and the NIH Team shall jointly designate one MRI technologist to serve as liaison between the NIH Team and the Contractor’s MRI technologist staff to optimize communication and compliance with the technical requirements of scanning protocols. The MRI technologists may be utilized to scan routine clinical (i.e., non-research, non-NIH Team) patients when not required for NIH Team scans. The NIH Team shall be given a daily MRI schedule of patients and the technologists on duty if required. The Contractor shall maintain standard procedures for training and documenting the competency of MRI technicians in stroke imaging protocols, changes in imaging protocols or addition of new imaging protocols. NIH reserves the right to provide input regarding the performance of each technologist. The Contractor shall propose how they will provide this support

The following mandatory requirements are applicable to this effort:

1. Location of Contractor: Contractor must be located within 15 miles of the NIH Campus (9000 Rockville Pike, Bethesda, MD 20892). Since the goal of this program is to study acutely ill patients, the proximity of the hospital to NIH is critical to permit scientific staff the ability to travel quickly from NIH to Contractor’s site.

2. Certification: Contractor shall have achieved Primary Stroke Center Certification or Comprehensive Stroke Center Certification by The Joint Commission and, for hospitals in Maryland, the additional certification as Primary Stroke Center by the Maryland Institute for Emergency Medicine Services Systems Stroke (MIEMSS) Designation.

3. 24/7 Stroke Coverage: Contractor shall demonstrate their ability to provide 24/7 acute stroke coverage independently of any clinical resources provided by the NIH Team.

LEVEL OF EFFORT:

• Local Site PI for NIH research support - (Stroke Medical Director - physician) – 50%

• Research Nurse (RN) for NIH research support – 100%

• Research Coordinator for NIH research support – 100%

• MRI Technologist Support – Contractor shall propose how they will provide this support based on percent of of scanner utilization

GOVERNMENT RESPONSIBILITIES

No access to government facilities will be required as the work will take place at the Contractor’s site. The Contractor will not be entering or transmitting data into NINDS research databases.

DELIVERY OR DELIVERABLES

The Contractor shall refer a minimum of 90% of appropriate stroke and/or TBI admissions to the NIH Team for possible enrollment into NIH Team’s research protocols. The Contractor shall report their referral rates on a quarterly basis to the COR and CO.

REPORTING REQUIREMENTS

The contractor shall be required to submit written quarterly performance reports detailing the number of patients they have referred to the NIH Team. The reports shall be sent electrontically to the COR and to the CO. In addition, the contractor will submit monthly invoices detailing the costs charged to the contract which will be reviewed by the COR for accuracy.

OTHER CONSIDERATIONS

Travel: No travel will be required with this contract.

Key Personnel: Local Site PI for NIH Research Support (Stroke Program Medical Director)

Information System Security Plan: All research data collected by the NIH Team will be stored on NIH servers located on the NIH campus.

Data Rights: The Contractor will be providing facility and support services for NIH Team to conduct their research. The resulting research data collected collected at hospitals shall be proprietary to NIH Team.

Section 508—Electronic and Information Technology Standards: The only Electronic and Information Technology (EIT) product or service required under this contract is the submission of electronic report deliverables. The contract will require that electronically submitted reports be in a 508 compliant format and the appropriate 508 Standards will be identified in the contract.

Publications and Publicity: Any use of the research data collected by the NIH Team cannot be used by non-NIH personnel for scientific, academic, educational, commercial or other purposes without the permission of the NIH Team and in accordance with NIH policy. The Contractor shall get prior written approval from Contracting Officer to publicize, or to use for marketing purposes, their relationship or association with NIH/NINDS.

Confidentiality of Information: The resulting research data collected shall be proprietary to NIH Team except for medical necessity. Any use of the research data collected by the NIH Team cannot be used by non-NIH personnel for scientific, academic, educational, commercial or other purposes without the permission of the NIH Team and in accordance with NIH policy.

ATTACHMENT 5

Section K – Reps, Certs, and Other Statements of Offerors

Attachment 8

SECTION K - REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS

Updated through FAC 2005-95 Last updated: 01/2017

This SECTION is made up of nine parts as follows:

1. Annual Representations and Certifications, FAR 52.204-8

2. Commercial and Government Entity Code Reporting, FAR 52.204-16

3. Predecessor of Offeror, FAR 52.204-20

4. Information Regarding Responsibility Matters, FAR 52.209-7

5. Cost Accounting Standards

6. Certification Regarding Trafficking in Persons Compliance Plan

7. Certification Regarding Environmental Tobacco Smoke

8. Certification of Institutional on Financial Conflicts of Interest

9. Disaster or Emergency Area Representation

To Be Completed by the Offeror: This document must be completed and included as part of your Business Proposal. By submission of its signed offer, the offeror makes the following Representations and Certifications:

1. ANNUAL REPRESENTATIONS AND CERTIFICATIONS (JAN 2017), FAR Provision 52.204-8

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is ____________ [insert NAICS code].

(2) The small business size standard is ____________ [insert size standard].

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)(1) If the provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the provision at 52.204-7 is not included in this solicitation, and the offeror is currently registered in the System for Award Management (SAM), and has completed the Representations and Certifications section of SAM electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certification in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

[_] (i) Paragraph (d) applies.

[_] (ii) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c)(1) The following representations or certifications in SAM are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $150,000.

(iii) 52.203-18, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements—Representation. This provision applies to all solicitations.

(iv) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.

(v) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(vi) 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations—Representation.

(vii) 52.209-5; Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(viii) 52.209-11, Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law. This provision applies to all solicitations.

(ix) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(x) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(xi) 52.219-1, Small Business Program Representations (Basic & Alternate I). This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(xii) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(xiii) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xiv) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xv) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xvi) 52.222-57, Representation Regarding Compliance with Labor Laws (Executive Order 13673).

This provision applies to solicitations expected to exceed $50 million which are issued from October 25, 2016 through April 24, 2017, and solicitations expected to exceed $500,000, which are issued after April 24, 2017.

Note to paragraph (c)(1)(xvi): By a court order issued on October 24, 2016, 52.222-57 is enjoined indefinitely as of the date of the order. The enjoined paragraph will become effective immediately if the court terminates the injunction. At that time, DoD, GSA, and NASA will publish a document in the Federal Register advising the public of the termination of the injunction.

(xvii) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA-designated items; or include the clause at 52.223-2, Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

(xviii) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA- designated items.

(xix) 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals— Representation. This provision applies to solicitations that include the clause at 52.204-7.

(xx) 52.225-2, Buy American Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xxi) 52.225-4, Buy American--Free Trade Agreements--Israeli Trade Act Certificate. (Basic, Alternates I, II, and III.) This provision applies to solicitations containing the clause at 52.225- 3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $77,533, the provision with its Alternate II applies.

(D) If the acquisition value is $79,507 or more but is less than $100,000, the provision with its Alternate III applies.

(xxii) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xxiii) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan--Certification.

This provision applies to all solicitations.

(xxiv) 52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran—Representation and Certification. This provision applies to all solicitations.

(xxv) 52.226-2, Historically Black College or University and Minority Institution Representation. This provision applies to solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions.

(2) The following representations or certifications are applicable as indicated by the Contracting Officer:

[Contracting Officer check as appropriate.] ___ (i) 52.204-17, Ownership or Control of Offeror.

___ (ii) 52.204-20, Predecessor of Offeror.

___ (iii) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.

___ (iv) 52.222-48, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Certification.

___ (v) 52.222-52 Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services--Certification.

___ (vi) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material Content for EPA-Designated Products (Alternate I only).

___ (vii) 52.227-6, Royalty Information.

___ (A) Basic.

___ (B) Alternate I.

___ (viii) 52.227-15, Representation of Limited Rights Data and Restricted Computer Software.

(d) The offeror has completed the annual representations and certifications electronically via the SAM Web site accessed through https://www.acquisition.gov . After reviewing the SAM database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in paragraph

(c) of this provision have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201); except for the changes identified below [offeror to insert changes, identifying change by clause number, title, date]. 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.

FAR Clause Title Date Change

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 on SAM.

(End of Provision)

2. COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING, (JUL 2016) FAR Provision 52.204-16

Note to Offeror: This provision is incorporated by reference and is applicable when the resultant contract will contain FAR Provision 52.204-6 and/or FAR Provision 52.204-7.

3. PREDECESSOR OF OFFEROR, (JULY 2016) FAR Provision 52.204-20

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

“Commercial and Government Entity (CAGE) code” means--

(1) An identifier assigned to entities located in the United States and its outlying areas by the Defense Logistics Agency (DLA) Contractor and Government Entity (CAGE) Branch to identify a commercial or government entity, or

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support and Procurement Agency (NSPA) to entities located outside the United States and its outlying areas that DLA Commercial and Government Entity (CAGE) Branch records and maintains in the CAGE master file. This type of code is known as a NATO CAGE (NCAGE) code.

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

“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 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.

(b) The Offeror represents that it [ ] is or [ ] is not a successor to a predecessor that held a Federal contract or grant within the last three years.

(c) If the Offeror has indicated “is” in paragraph (b) of this provision, enter the following information for all predecessors that held a Federal contract or grant within the last three years (if more than one predecessor, list in reverse chronological order):

Predecessor CAGE code: ________ (or mark “Unknown”).

Predecessor legal name: ______________________________.

(Do not use a “doing business as” name).

(End of provision)

4. INFORMATION REGARDING RESPONSIBILITY MATTERS, (JUL 2013) FAR Provision 52.209-7

Note to Offeror: This provision is applicable when the resultant contract is expected to exceed $500,000.

(a) Definitions. As used in this provision—

“Administrative proceeding” means a non-judicial process that is adjudicatory in nature in order to make a determination of fault or liability (e.g., Securities and Exchange Commission Administrative Proceedings, Civilian Board of Contract Appeals Proceedings, and Armed Services Board of Contract Appeals Proceedings). This includes administrative proceeding at the Federal and State level but only in connection with performance of a Federal contract or grant. It does not include agency actions such as contract audits, site visits, corrective plans, or inspection of deliverables.

“Federal contracts and grants with total value greater than $10,000,000” means—

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

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

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

(b) The offeror [_] has [_] does not have current active Federal contracts and grants with total value greater than $10,000,000.

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

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

(i) In a criminal proceeding, a conviction.

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

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

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

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

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

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

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

(End of provision)

5.COST ACCOUNTING STANDARDS

(1) Cost Accounting Standards Notices and Certification (October 2015), FAR Provision 52.230-1

Note: This notice does not apply to small businesses or foreign governments. This notice is in three parts, identified by Roman numerals I through III.

Offerors shall examine each part and provide the requested information in order to determine Cost Accounting Standards (CAS) requirements applicable to any resultant contract.

If the offeror is an educational institution, Part II does not apply unless the contemplated contract will be subject to full or modified CAS-coverage pursuant to 48 CFR 9903.201- 2(C)(5) or 9903.201-2(c)(6), respectively.

I. Disclosure Statement -- Cost Accounting Practices and Certification

(a) Any contract in excess of $750,000 resulting from this solicitation will be subject to the requirements of the Cost Accounting Standards Board (48 CFR Chapter 99), except for those contracts which are exempt as specified in 9903.201-1.

(b) Any offeror submitting a proposal which, if accepted, will result in a contract subject to the requirements of 48 CFR Chapter 99 must, as a condition of contracting, submit a Disclosure Statement as required by 9903.202. When required, the Disclosure Statement must be submitted as a part of the offeror's proposal under this solicitation unless the offeror has already submitted a Disclosure Statement disclosing the practices used in connection with the pricing of this proposal. If an applicable Disclosure Statement has already been submitted, the offeror may satisfy the requirement for submission by providing the information requested in paragraph (c) of Part I of this provision.

CAUTION: In the absence of specific regulations or agreement, a practice disclosed in a Disclosure Statement shall not, by virtue of such disclosure, be deemed to be a proper, approved, or agreed-to practice for pricing proposals or accumulating and reporting contract performance cost data.

(c) Check the appropriate box below:

(1) Certificate of Concurrent Submission of Disclosure Statement.

The offeror hereby certifies that, as a part of the offer, copies of the Disclosure Statement have been submitted as follows:

(i) Original and one copy to the cognizant Administrative Contracting Officer (ACO) or cognizant Federal agency official authorized to act in that capacity (Federal official), as applicable; and

(ii) One copy to the cognizant Federal auditor.

(Disclosure must be on Form No. CASB DS-1 or CASB DS-2, as applicable. Forms may be obtained from the cognizant ACO or Federal official and/or from the loose-leaf version of the Federal Acquisition Regulation.)

Date of Disclosure Statement: __________________ Name and Address of Cognizant ACO or Federal Official Where Filed: _________________________

The offeror further certifies that the practices used in estimating costs in pricing this proposal are consistent with the cost accounting practices disclosed in the Disclosure Statement.

(2) Certificate of Previously Submitted Disclosure Statement.

The offeror hereby certifies that the required Disclosure Statement was filed as follows:

Date of Disclosure Statement: __________________ Name and Address of Cognizant ACO or Federal Official Where Filed: ________________________

The offeror further certifies that the practices used in estimating costs in pricing this proposal are consistent with the cost accounting practices disclosed in the applicable Disclosure Statement.

(3) Certificate of Monetary Exemption.

The offeror hereby certifies that the offeror, together with all divisions, subsidiaries, and affiliates under common control, did not receive net awards of negotiated prime contracts and subcontracts subject to CAS totaling $50 million or more in the cost accounting period immediately preceding the period in which this proposal was submitted. The offeror further certifies that if such status changes before an award resulting from this proposal, the offeror will advise the Contracting Officer immediately.

(4) Certificate of Interim Exemption.

The offeror hereby certifies that

(i) the offeror first exceeded the monetary exemption for disclosure, as defined in (3) of this subsection, in the cost accounting period immediately preceding the period in which this offer was submitted and

(ii) in accordance with 48 CFR 9903.202-1, the offeror is not yet required to submit a Disclosure Statement. The offeror further certifies that if an award resulting from this proposal has not been made within 90 days after the end of that period, the offeror will immediately submit a revised certificate to the Contracting Officer, in the form specified under subparagraph (c)(1) or (c)(2) of Part I of this provision, as appropriate, to verify submission of a completed Disclosure Statement.

Caution: Offerors currently required to disclose because they were awarded a CAS-covered prime contract or subcontract of $50 million or more in the current cost accounting period may not claim this exemption (4). Further, the exemption applies only in connection with proposals submitted before expiration of the 90-day period following the cost accounting period in which the monetary exemption was exceeded.

(5) Certificate of Disclosure Statement Due Date by Educational Institution.

(ALTERNATE I - April 1996)

If the offeror is an educational institution that, under the transition provisions of 48 CFR 9903- 202-1(f), is or will be required to submit a Disclosure Statement after receipt of this award, the offeror hereby certifies that (check one and complete):

(i) A Disclosure Statement filing Due Date of ______________ has been established with the cognizant Federal agency.

(ii) The Disclosure Statement will be submitted within the 6-month period ending______ months after receipt of this award.

Name and Address of Cognizant ACO or Federal Official Where Filed:

II. Cost Accounting Standards -- Eligibility for Modified Contract Coverage

If the offeror is eligible to use the modified provisions of 48 CFR 9903.201-2(b) and elects to do so, the offeror shall indicate by checking the box below.