BRAND OR MULTI-BRAND RESTAURANT.doc

MARINE CORPS COMMUNITY SERVICES

CONTRACT NUMBER

BRAND OR MULTI-BRAND FAST FOOD RESTAURANT CONTRACT

1. THIS CONTRACT IS ENTERED INTO AS OF

, BY AND BETWEEN

MARINE CORPS COMMUNITY SERVICES (MCCS), a nonappropriated fund instrumentality of the United States Government, located at MCAS NEW

RIVER, JACKSONVILLE, NORTH CAROLINA 28540-0128, HEREINAFTER CALLED

“MCCS" AND (NAME AND ADDRESS OF CONTRACTOR) doing business as

(SELECT AND CIRCLE AS APPLICABLE)

I. A CORPORATION ORGANIZED AND EXISTING UNDER THE LAWS OF THE STATE OF____________

ii. A PARTNERSHIP CONSISTING OF FOLLOWING NAMED PARTNERS: (INSERT NAME OF PARTNERS)

iii. AN INDIVIDUAL TRADING AS hEREINAFTER CALLED THE CONTRACTOR.

2. ATTACHMENTS. IN ADDITION TO THE TERMS SET FORTH HEREIN, THIS CONTRACT CONSISTS OF THE FOLLOWING ATTACHMENTS, WHICH ARE ADOPTED AND INCORPORATED AS PART OF THE PARTIES AGREEMENT:

(1) ATTACHMENT "A"

GENERAL PROVISIONS

(2) ATTACHMENT "B"

CONTRACTOR’S LISTING OF EQUIPMENT

SPECIFICATIONS

(3) ATTACHMENT "C"

U.S. DEPARTMENT OF LABOR WAGE

DETERMINATION/SERVICES CONTRACT ACT

(4) ATTACHMENT "D"

PRICE SCHEDULE

(5) ATTACHMENT "E"

COMMISSION SCHEDULE

(6) ATTACHMENT “F”

Plans for Décor modifications/Improvements and equipment Specifications, if applicable

3. OBJECTIVE. The Contractor agrees to PROVIDE THE U.S. MARINE CORPS COMMUNITY SERVICES WITH THE OPERATION OF A BRAND OR MULTI-BRAND FAST FOOD RESTAURANT. THE CONTRACTOR MAY RENOVATE THE EXISTING FACILITIES, WITH THE CONCURRENCE OF THE CONTRACTING OFFICER.

4. ITEMS AND SERVICES TO BE PERFORMED BY THE CONTRACTOR:

A. PROVIDE A BRAND OR MULTI-BRAND FAST FOOD RESTAURANT AT BLDG. AS4038, AS APPROVED BY THE CONTRACTING OFFICER, ABOARD MCAS NEW RIVER, JACKSONVILLE, NORTH CAROLINA. At a minimum, this concession shall conform to the quality standards set forth herein and throughout the commercial industry. STANDARDS INCLUDE, BUT ARE NOT LIMITED TO EQUIPMENT, MENU SERVICE, TECHNIQUE AND OPERATING PROCEDURES THAT ARE ESSENTIAL TO THE SUCCESS OF THE OPERATION. Food offerings may be either National brands or the CONTRACTOR’s proprietary brands, but must be mutually agreed upon in advance and in writing, by both parties.

NRM08-C-****

B. Provide, install, operate and maintain, at CONTRACTOR’s own expense, the necessary equipment, supplies, personnel and décor package for the successful operation of a BRAND OR MULTI-BRAND FAST FOOD RESTAURANT. ALL EQUIPMENT PROVIDED MUST MEET THE CONTRACTOR’S CURRENT EQUIPMENT SPECIFICATIONS FOR THE CONTRACTOR’S COMMERCIALLY OPERATED ESTABLISHMENT AND BE UL APPROVED. THE INTERIOR DÉCOR OF THE FACILITY SHALL BE THE DÉCOR UTILIZED IN THE CONTRACTOR’S COMMERCIALLY OPERATED ESTABLISHMENT. THE CONTRACTOR SHALL BE RESPONSIBLE TO MAINTAIN THE EQUIPMENT IN GOOD WORKING ORDER. ALL REPAIRS TO THE CONTRACTOR’S EQUIPMENT SHALL BE MADE AT THE CONTRACTOR’S EXPENSE. THE CONTRACTOR shall provide a listing of equipment specifications for all equipment, furniture and fixtures required for this operation prior to the effective date of this agreement, and it will become part of this agreement as Attachment “b”.

C. provide, at contractor’s own expense, minor modifications to concept adaptations when necessary. The Contracting Officer must approve all modifications and alterations including wall décor, painting and signage. the CONTRACTOR is not authorized to make any structural changes to any U.S. Government building. Modifications and alterations (excluding CONTRACTOR equipment) becomes property of the U.S. Government upon Expiration of agreement or in the event the agreement is terminated for any reason. the CONTRACTOR shall submit drawings, specifications, color sketches, or renderings with sufficient detail to permit evaluation by MCCS of the type and scope of service to be offered, and to permit evaluation of modifications and/or adaptations by the MCCS Contracting Officer and Public Works Department. the CONTRACTOR shall not act as Architect, Engineer or General Contractor for the necessary work to prepare the facility for operation.

D. Furnish exterior and interior signs, which must be approved by the Contracting Officer’s Representative (COR) before posting.

E. the CONTRACTOR WILL BE RESPONSIBLE FOR ALL MAINTENANCE ASSOCIATED WITH THE USE OF THE PREMISES, INCLUDING DINING AREA AND RESTROOMS (IF APPLICABLE), CONCESSIONAIRE-INSTALLED EQUIPMENT, FIXTURES OR MODIFICATIONS AND CONCEPT ADAPTATIONS TO THE BUILDING. THE CONTRACTOR SHALL KEEP THE PREMISES AND THE SURROUNDING AREA CLEAN AND ORDERLY AND SHALL PERFORM REGULAR HOUSEKEEPING TO THE SATISFACTION OF THE COR. ALL FACILITIES, INCLUDING EQUIPMENT AND CONTRACTOR’S PROPERTY SHALL BE SUBJECT TO INSPECTION BY THE BASE SAFETY OFFICER AND FIRE MARSHAL FOR FIRE AND SAFETY HAZARDS; AND DEPARTMENT OF NAVY PREVENTATIVE MEDICINE FOR SANITATION REQUIREMENTS. THE CONTRACTOR SHALL COMPLY WITH ALL FIRE, SAFETY AND SANITATION REGULATIONS.

F. Provide a price list and menu for approval prior to award of this AGREEMENT. The menu and price list shall be conspicuously posted at the place of business. The final approved listing will be considered part of this agreement. Under no circumstances shall the selling price of an individual item exceed the lowest price posted for

THE SAME ITEM in a food concession in the same market area bearing the same national name. THE Menu may be modified from time to time by mutual agreement between the CONTRACTOR and the Contracting Officer.

G. OPERATE IN ACCORDANCE WITH THE CONTRACTOR’S STANDARD MENU AND OPERATING PROCEDURES AND IN ACCORDANCE WITH THE TERMS AND CONDITIONS

SET FORTH HEREIN AND ANY ATTACHMENTS TO THIS AGREEMENT.

H. Purchase all food products and supplies from U.S. Department of Agriculture; veterinarian corps or medical department approved sources.

I. Prepare or compound ingredients and mixes, and shall produce the finished products in accordance with formulas or recipes which are customary and standard in the CONTRACTOR’s commercial activities.

J. Open the facility on days and during hours mutually agreed upon by the CONTRACTOR and the Contracting Officer. THE HOURS OF OPERATION WILL BE CONSPICOUSLY POSTED FOR THE PATRONS.

K. ESTABLISH EFFECTIVE FINANCIAL MANAGEMENT CONTROLS IN THE PERFORMANCE OF THIS AGREEMENT. MAINTAIN ACCURATE AND CURRENT BOOKS OF ACCOUNT OF ALL FINANCIAL TRANSACTIONS OF THE BRAND OR MULTI-BRAND FAST FOOD RESTAURANT. RECORDS SHALL BE MADE AVAILABLE TO THE CONTRACTING OFFICER, COR, OR HIS DESIGNATED REPRESENTATIVE AND THE MCCS INTERNAL AUDITORS, UPON REQUEST.

L. Establish procedures for a complete and accurate accounting of all transactions. Each sale (cash, check or credit card) will be recorded on a cash register at time of transaction. An over ring/refund slip will be used to record necessary refunds and will be signed by the customer and CONTRACTOR. Any failure by the CONTRACTOR, its employees, or agents to record all monies received on a cash register system will be cause for immediate cancellation of this agreement and the basis for criminal action against the CONTRACTOR.

M. Issue cash register receipts for all sales, and collect and account for all monies due for services provided.

N. ALL SALES MADE BY THE CONTRACTOR SHALL BE RECORDED ON NON-RESETTABLE CASH REGISTERS PROVIDED BY THE CONTRACTOR. CASH REGISTERS USED SHALL BE OF A TYPE WHICH PROVIDE AUTOMATIC COMPUTATION OF APPLICABLE SALES TAXES AND RECORD THE AMOUNT OF THE SALE AND THE AMOUNT OF TAX AS SEPARATE SUMMARY TOTALS. DAILY CASH REGISTER READINGS MAY BE VERIFIED BY DESIGNATED MCCS PERSONNEL. ON A DAILY BASIS, THE CONTRACTOR SHALL FORWARD A COMPLETED CASH REGISTER READING REPORT, AS PRESCRIBED BY THE MCCS CONTRACTING OFFICER, TO THE AUTHORIZED ACCOUNTING DEPARTMENT. PAYMENTS TO MCCS SHALL BE BASED ON AUDITED CASH REGISTER READINGS OF SALES (NOT TO INCLUDE SALES TAXES). CASH OVERAGES AND SHORTAGES SHALL NOT BE INCLUDED IN SALES FOR THE COMPUTATION OF COMMISSION DUE.

O. THE CONTRACTOR SHALL PROVIDE ALL FORMS NECESSARY FOR RECORDING SALES AND OTHER REPORTS THAT MAY BECOME NECESSARY IN THE OPERATION OF THE CONCESSION REFERENCED HEREIN. IN THE EVENT OF ANY INCONSISTENCY BETWEEN THE TERMS OR PROVISIONS APPEARING ON THE CONTRACTOR’S FORMS AND THE TERMS, CONDITIONS OR PROVISIONS OF THIS CONTRACT, THE

PROVISIONS OF THIS CONTRACT SHALL APPLY.

P. CONTRACTOR IS AUTHORIZED TO PERMIT AUTHORIZED PATRONS TO USE NATIONAL CREDIT CARDS CUSTOMARILY RECOGNIZED IN COMMERCIAL TRADE IN THE SALE OF PRODUCTS TO THE SAME EXTENT AS IS AUTHORIZED BY THE CONTRACTOR FOR SALES THROUGH THE HOME OR PARENT BUSINESS.

Q. PAYMENT CARD INDUSTRY DATA SECURITY STANDARD.

1. The Payment Card Industry (PCI) Data Security Standard (DSS) is a common set of data security requirements designed to protect cardholder data and compliance is required of members, merchants, and service providers that store, process, or transmit cardholder data, to include all payment channels (including “brick and mortar, mail/telephone order, and e-commerce), and all “system components”. “System components” is defined as any network component, server, or application included in, or connected to, the cardholder data environment; including, but not limited to, firewalls, switches, routers, wireless access points, network appliances, and other security appliances; Web, database, authentication, Domain Name Service (DNS), mail, proxy, and Network Time Protocol (NTP); and all purchased and custom applications, including internal and external (Web) applications.

2. Accordingly, if the Contractor, any subcontractor, and/or any third party involved with this Contract have access to any payment card data at any time, the Contractor shall adhere to the then current version of the PCI DSS available at www.pcisecuritystandards.org <http://www.pcisecuritystandards.org>.

R. CONTRACTOR SHALL FURNISH TRAINED, WELL QUALIFIED SUPERVISORY AND FOOD SERVICE EMPLOYEES TO ACCOMPLISH THE REQUIRED WORK. CONTRACTOR EMPLOYEES SHALL PRESENT A NEAT, CLEAN APPEARANCE. EMPLOYEES SHOULD BE EASILY RECOGNIZABLE WHICH MAY BE ACCOMPLISHED BY EITHER WEARING ACCEPTABLE CLOTHING BEARING THE NAME OF THE COMPANY OR NAMETAGS BEARING COMPANY AND EMPLOYEE NAME. THE CONTRACTOR IS RESPONSIBLE FOR ACQUIRING THE UNIFORMS AND/OR NAME BADGES AT CONTRACTOR’S OWN EXPENSE.

S. PROVIDE ON-SITE MANAGER AND ALTERNATES WHO SHALL BE AVAILABLE DURING ALL OPERATING HOURS. THE MANAGER OR ALTERNATE SHALL BE RESPONSIBLE FOR THE OVERALL MANAGEMENT AND COORDINATION OF THIS AGREEMENT AND SHALL BE THE CENTRAL POINT OF CONTACT WITH THE MCCS THROUGHOUT THE PERFORMANCE OF THIS AGREEMENT. AT NO TIME DURING THE PERIOD OF THE AGREEMENT SHALL THE FOOD SERVICE OPERATION BE WITHOUT A RESPONSIBLE MANAGER.

T. When on the military installation, the employees of the CONTRACTOR shall at all times conduct themselves in an orderly and proper manner and shall be subject to all applicable installation laws and regulations to include drug detection procedures. The MCCS reserves the right to request that CONTRACTOR remove from the installation, employees who are identified as a potential threat to the health, safety, security, general well-being or operational mission of the installation and its population or violates federal regulations while aboard the military installation. Removal from the job site of such persons shall not relieve CONTRACTOR of the requirements to provide sufficient personnel to adequately perform the services described herein.

U. Assume full responsibility for all losses occurring within the CONTRACTOR’s facility due to theft, break-in or any other cause AND FOR LOSS, DAMAGE OR DESTRUCTION TO PROPERTY OF THE U.S. GOVERNMENT. It is the CONTRACTOR’s responsibility to obtain insurance for all property and merchandise used by the CONTRACTOR.

V. PROVIDE PROMOTIONAL MATERIAL. PROMOTIONAL MATERIAL SHALL NOT BE USED WITHOUT PRIOR APPROVAL OF THE COR. IT SHALL BE THE responsibility OF THE CONTRACTOR TO PROVIDE SUCH MATERIAL REQUIRED, AT THE EXPENSE OF THE CONTRACTOR.

W. CONTRACTOR WILL NOT, UNDER ANY CIRCUMSTANCES, RECOMMEND OR REFER ANY PATRON TO ANY INDIVIDUAL OR FIRM BY NAME OR OTHERWISE FOR THE PURCHASE OF ANY SERVICE OFFERED UNDER THIS CONTRACT. THE CONTRACTOR IS ALSO PROHIBITED FROM REFERRING CUSTOMERS TO THE CONTRACTOR'S BUSINESS LOCATED OFF BASE.

5. ITEMS AND SERVICES PROVIDED BY MCCS.

A. Grant the CONTRACTOR authorization to operate a Food & Beverage concession in a government-owned building, and provide an adequate space for the operation. The assignment of space is a revocable license and is not a tenancy. In the event the space is destroyed, either in whole or in part, so as to significantly hinder or prevent normal operations by the CONTRACTOR, by an act of God, such as, but not limited to, fire, flood, hurricane, unusually severe weather conditions, or as a result of any other unusual occurrence not caused by MCCS negligence, MCCS will not be obligated to repair or restore the premises in order to continue this agreement, nor will MCCS be responsible for loss of profits, damage to the CONTRACTOR’s property or any consequential cost incurred.

B. The MCCS will repair or replace, if necessary, the HVAC system, unless CONTRACTOR negligence or employees of CONTRACTOR caused damage.

C. Make available to the CONTRACTOR, from existing outlets and supplies, all reasonably required amounts of utilities. Each utility shall be charged to and paid for by the CONTRACTOR at prevailing rates in accordance with applicable Federal Laws and Regulations. CONTRACTOR will be responsible for all utilities including telephone SERVICE AND TRASH REMOVAL SERVICES.

6. CONTRACTING OFFICER’S REPRESENTATIVE (COR). The Contracting Officer’s Representative for this agreement is:

ROBERT ARMEL, FOOD AND HOSPITALITY DIRECTOR

910-449-5613

Under the terms of this agreement, the COR will perform the following functions:

A. Oversee daily performance.

B. Act as liaison between CONTRACTOR and Contracting Officer.

C. Handle routine complaints.

D. Perform other tasks as designated by the Contracting Officer.

The COR cannot change terms or conditions of this agreement, cannot interpret it, nor execute or agree to any contract modifications thereto. Only the Contracting Officer has authority to modify terms or conditions of this agreement.

7. contractor expenses. unless otherwise noted in this contract, the contractor is liable and responsible for all costs of transportation, travel, materials, supplies, insurance, etc., that may be necessary in the performance of this contract.

8. CONTRACTOR PERSONNEL REQUIREMENTS.

A. CONTRACTOR CERTIFIES THAT IT POSSESSES THE NECESSARY KNOWLEDGE, SKILLS, EDUCATION, EXPERIENCE, ETC., TO PERFORM THE SERVICES REQUESTED TO THE DEGREE OF PROFESSIONALISM THAT WOULD BE EXPECTED FROM AN INDIVIDUAL OR FIRM COMPENSATING THE CONTRACTOR FOR THE SAME SERVICES.

B. THE CURRENT WAGES APPLICABLE TO THE CONTRACT ARE IDENTIFIED AT ATTACHMENT “C”, WAGE DETERMINATIONS.

C. KEY PERSONNEL. INFORM POINT OF CONTACT FOR AFTER HOURS.

9. Sanitation/HEALTH Requirements A. Food Handler Physical Examination. Prior to employment and annually thereafter, CONTRACTOR personnel shall be determined to be free from communicable disease in accordance with the CURRENT Naval Manual of Preventative Medicine. Certification of food handler’s physical examination SHALL BE OBTAINED THROUGH THE PREVENTATIVE

MEDICINE DEPARTMENT, NAVAL HOSPITAL, CAMP LEJEUNE, NORTH CAROLINA. EXAMINATIONS SHALL BE PROVIDED AT NO EXPENSE TO THE CONTRACTOR.

B. Food Service Sanitation Training. Prior to employment and annually thereafter, CONTRACTOR personnel shall receive training in food service sanitation in accordance with the CURRENT Naval Manual of Preventative Medicine. Training and certification SHALL be obtained through the Preventative Medicine Department, Naval Hospital, CAMP LEJEUNE, NORTH CAROLINA.

C. Sanitation Inspection. Services to be performed by THE CONTRACTOR during the CONTRACT period shall, at all times and places, be subject to inspection, by the Medical Officer or his/her designated representative to determine strict compliance with, and as set forth by, the CURRENT Naval Manual of Preventative Medicine.

D. POINT OF CONTACT. INFORMATION RELATIVE TO PHYSICAL EXAMINATIONS, SANITATION TRAINING AND SANITATION INSPECTIONS MAY BE OBTAINED FROM THE CHIEF, OCCUPATIONAL AND PREVENTIVE MEDICINE DEPARTMENT, CAMP LEJEUNE, NORTH CAROLINA. PHONE (910) 451-5707.

10. ClaimS by Patrons. The CONTRACTOR shall settle claims by patrons with the patron. If a patron is not satisfied with the product they have purchased or the service provided, the patron will be given a full refund. Claims that cannot be amicably settled between the patron and the CONTRACTOR will be referred to the COR who will investigate and settle such claims. Such settlement shall be binding upon the CONTRACTOR. If the MCCS issues a refund to a patron, the CONTRACTOR is responsible for reimbursing the MCCS. THE CONTRACTOR AGREES TO ADHERE TO MCCS POLICY OF CUSTOMER SATISFACTION GUARANTEED OR MONEY CHEERFULLY REFUNDED.

11. INSURANCE REQUIREMENTS

a. THE CONTRACTOR SHALL PROCURE AND MAINTAIN, AT ITS OWN EXPENSE, AND WITH A COMPANY OR COMPANIES ACCEPTABLE TO THE CONTRACTING OFFICER, THE MINIMUM INSURANCE COVERAGE SET FORTH BELOW AND IN PARAGRAPH I-17 OF THE GENERAL PROVISIONS. PRIOR TO AWARD OF ANY CONTRACT, THE OFFEROR SHALL PROVIDE CERTIFICATES OF INSURANCE TO THE CONTRACTING OFFICER. SUCH CERTIFICATES OF INSURANCE SHALL EVIDENCE THAT THE BELOW LISTED INSURANCE IS IN EFFECT, AND THAT NOT LESS THAN 30 DAYS PRIOR WRITTEN NOTICE WILL BE GIVEN TO THE CONTRACTING OFFICER IN THE EVENT OF MODIFICATION, CANCELLATION, OR NONRENEWAL OF ANY SUCH INSURANCE COVERAGE. IN ADDITION, THE UNITED STATES GOVERNMENT, HQMC, AND MCCS, MCAS NEW RIVER AND MCCS SUPPORT ACTIVITY SHALL BE NAMED IN SUCH CERTIFICATES, AS ADDITIONAL NAMED INSUREDS.

b. Comprehensive General Liability Insurance. Contractor shall maintain the following types and minimum amounts of insurance:

$1,000,000 Per Occurrence / $2,000,000 Total Policy Aggregate

$1,000,000 Personal Injury/Advertising Injury

$2,000,000 Products and Completed Operations Aggregate

C. Workers’ Compensation and Employer’s Liability Insurance. The Contractor shall carry a workers’ compensation and employer’s liability policy which provides statutory benefits covering all their employees in those states where they are located and working at MCCS facilities, or in support of MCCS. Contractor shall maintain the following types and minimum amounts of insurance:

$1,000,000 per employee / per claim / per occurrence

$1,000,000 per claim / per occurrence for occupational illness or disease

D. Automobile Bodily Injury and Property Damage Liability Insurance. The Contractor shall maintain business auto insurance covering all owned, non-owned, and leased vehicles with a combined single limit of $1,000,000 and a $2,000,000 aggregate policy limit.

E. PROPERTY INSURANCE COVERAGE. THE CONTRACTOR SHALL MAINTAIN INSURANCE FOR ALL CONTRACTOR OWNED OR LEASED EQUIPMENT AND SUPPLIES USED IN THE PERFORMANCE OF THIS CONTRACT.

F. PROPERTY INSURANCE COVERAGE FOR FOOD CONCESSION OPERATIONS. (PLEASE NOTE: THIS INSURANCE PROVISION IS APPLICABLE ONLY TO REVENUE-GENERATING FOOD CONCESSION CONTRACTS (INCLUDING PPVS) THAT GENERATE OVER $100,000 ANNUALLY IN COMMISSIONS PAYABLE TO THE MCCS PER

LOCATION. THE CONTRACTOR SHALL OBTAIN AND MAINTAIN, AT THEIR EXPENSE, DURING THE TERM OF THIS CONTRACT, INSURANCE SERVICES OFFICE, INC. (ISO) SPECIAL FORM (SPECIAL CAUSES OF LOSS-COMMONLY KNOWN AS “ALL RISK”) PROPERTY INSURANCE COVERAGE IN AN AMOUNT NOT LESS THAN $100,000 FOR ALL RISKS INCLUDING AND WITHOUT LIMITATION, FIRE, FLOOD, WINDSTORM, VANDALISM, MALICIOUS MISCHIEF, AND EXTENDED COVERAGE, THAT INSURES ALL LOCATIONS, FIXTURES, AND OTHER PROPERTY LEASED, LICENSED, OCCUPIED OR OTHERWISE AUTHORIZED FOR USE BY MCCS TO THE CONTRACTOR PURSUANT TO THIS CONTRACT, FOR THE FULL REPLACEMENT VALUE THEREOF, WITHOUT DEDUCTION FOR DEPRECIATION. THE FORM OF THE POLICY SHALL NOT REQUIRE ANY CO-INSURANCE PAYMENT ON THE PART OF MCCS. THE CONTRACTOR AGREES TO WAIVE SUBROGATION AGAINST THE UNITED STATES AND THE MCCS.

G. BUSINESS INTERRUPTION INSURANCE COVERAGE FOR FOOD CONCESSION OPERATIONS. (PLEASE NOTE: THIS INSURANCE PROVISION IS APPLICABLE ONLY TO REVENUE-GENERATING FOOD CONCESSION CONTRACTS (INCLUDING PPVS) THAT GENERATE OVER $100,000 ANNUALLY IN COMMISSIONS PAYABLE TO THE MCCS PER LOCATION).

1. THE CONTRACTOR SHALL OBTAIN BUSINESS INTERRUPTION (B.I.) INSURANCE THAT PROVIDES PROTECTION FOR THE LOSS OF THEIR EARNINGS DURING THE TIME REQUIRED TO REBUILD OR REPAIR PROPERTY REGARDLESS OF OWNERSHIP AND RESUME OPERATIONS. CALCULATION OF LOST EARNINGS

SHALL INCLUDE COMMISSIONS OR ROYALTIES OWED TO MCCS AS A CONTINUING EXPENSE OF THE CONTRACTOR’S OPERATIONS. THE CONTRACTOR’S COMMERCIAL B.I. INSURANCE COVERAGE SHALL COVER THE ACTUAL LOSS OF COMMISSIONS OR ROYALTIES DUE AND PAYABLE TO MCCS, AS A RESULT OF DAMAGE TO OR DESTRUCTION OF APPLICABLE CONTRACTOR OWNED AND NON-OWNED PROPERTY OR EQUIPMENT OPERATED BY THE CONTRACTOR. THE AGGREGATE POLICY LIMIT FOR SUCH B.I. COVERAGE WILL NOT BE LESS THAN $2,000,000.

2. THE MCCS CONTRACTING OFFICER AND/OR CONTRACTING OFFICER’S REPRESENTATIVE MUST BE CONTACTED IN THE EVENT OF A LOSS THAT RESULTS IN EITHER A B.I. CLAIM, OR A CLAIM PAYMENT FROM THE CONTRACTOR’S INSURANCE CARRIER, WHICH IS PAID ON BEHALF OF A CONTRACTOR PURSUANT TO THIS CONTRACT.

12. CONTRACT CHANGE-OVER. THE CONTRACTOR AGREES TO COOPERATE WITH MCCS IN MINIMIZING THE DISRUPTION OF SERVICE DURING THE CHANGEOVER OF OPERATIONS. THE CONTRACTOR, IF NOT THE SUCCESSFUL BIDDER FOR A FUTURE CONTRACT FOR THE SERVICES SPECIFIED HEREIN, AGREES TO COOPERATE WITH THE INCOMING CONTRACTOR IN MINIMIZING DISRUPTION OF SERVICE DURING THE CHANGE‑OVER OF OPERATIONS. THE TWO PARTIES INVOLVED WILL DETERMINE THE PERIOD OF TIME, IF ANY, NECESSARY FOR INSTALLATION OF EQUIPMENT. THE CHANGE‑OVER WILL BE PLANNED SO THAT THE PERIOD OF TIME DETERMINED

CAN BE FAIRLY DIVIDED. IN THE EVENT THE PARTIES CANNOT AGREE, THE CONTRACTING OFFICER MAY UNILATERALLY ESTABLISH CHANGE‑OVER DATES AND PROCEDURES TO BE FOLLOWED.

13. TAXES. The CONTRACTOR assumes complete liability for all taxes applicable to its property, income, and all of its transactions arising out of or in conjunction with the performance of this agreement. The CONTRACTOR will not be reimbursed by the MCCS for any direct or indirect tax imposed on it by any reason of this agreement or otherwise. Where a state law imposes a sales tax on the sale of the service by the CONTRACTOR to the authorized customer, the sales tax shall be included in the posted sale price. However, it will be collected from the customer as a separate item.

14. PAYMENT TO MCCS. At the conclusion of each calendar month in which business is conducted, a statement of sales and a check in the amount of the agreed commission will be forwarded to: MCCS, P.O. BOX 4128, MCAS NEW RIVER, JACKSONVILLE, NC 28540-0128 ATTn: FINANCE. The statement will illustrate the amount of sales by date, total amount of sales during the calendar month, and amount of the commission due. This statement and check are to be provided to the MCCS Accounting Office no later than the 20th calendar day of the following month in which the sales were recorded. Payments not received by the 20th calendar day of the following month will be considered past due and subject to a late payment fee of .05% daily or 18% per annum based on the previous month’s reported gross sales. If payments become more than 45 days delinquent, MCCS reserves the right to collect all receipts from the CONTRACTOR’s business on a daily basis until commission fees, utilities, interest or any funds due the MCCS are fully paid. The MCCS may charge the CONTRACTOR for a dishonored check received from the CONTRACTOR, except when the bank acknowledges the return to be the result of bank error or the return is the result of a MCCS error. The amount charged by the MCCS will not exceed the administrative amount normally charged MCCS customers for dishonored checks. The Contracting Officer may require payment to be made in cash, certified check, or cashier’s check.

15. TRANSFER, ASSIGNMENT, CHANGE IN OWNERSHIP, SUBCONTRACTING PROHIBITED. NEITHER THE CONTRACT NOR ANY INTEREST THEREIN NOR ANY CLAIM ARISING THEREUNDER, EXCEPT AS MAY OTHERWISE BE PROVIDED IN THE CONTRACT, SHALL BE TRANSFERRED BY THE CONTRACTOR TO ANY PARTY OR PARTIES. CONTRACTOR IS PROHIBITED FOR THE DURATION OF THE CONTRACT TO EFFECT ANY LEGAL CHANGE IN FIRM NAME, FIRM OWNERSHIP, FIRM PARTNERSHIP, OR CORPORATION STATUS WITHOUT 30 DAYS PRIOR WRITTEN NOTIFICATION TO THE CONTRACTING OFFICER FOR APPROVAL OF CONTINUATION THEREUNDER AND FOR EFFECTING APPROPRIATE CHANGES TO THE CONTRACT. IT IS EXPRESSLY AGREED THAT THE CONTRACTOR SHALL NOT, FOR THE DURATION OF THE CONTRACT, SUBCONTRACT TO ANY FIRM, PARTY, OR PARTIES FOR ANY PORTION OF THE SERVICE REQUIRED TO BE PERFORMED THEREUNDER WITHOUT FIRST OBTAINING PERMISSION FROM THE CONTRACTING OFFICER TO DO SO. IN THE EVENT THE CONTRACTOR SHOULD VIOLATE ANY OF THE PROVISIONS OF THIS PARAGRAPH, MCCS RESERVES THE RIGHT TO TERMINATE THE CONTRACT IMMEDIATELY WITHOUT GIVING NOTICE TO THE CONTRACTOR. The MCCS agrees not to unreasonably withhold approval of reassignment within corporation structure.

16. COMMISSIONS. COMMISSION PAYMENTS TO MCCS WILL BE BASED ON THE PERCENTAGE DECLARED BY THE CONTRACTOR IN ATTACHMENT "E".

17. NOTICE TO CONTRACTOR OF CERTAIN DRUG DETECTION PROCEDURES

A. PURSUANT TO MARINE CORPS POLICY APPLICABLE TO BOTH GOVERNMENT AND CONTRACTOR PERSONNEL, MEASURES WILL BE TAKEN TO PREVENT THE INTRODUCTION AND UTILIZATION OF ILLEGAL DRUGS AND RELATED PARAPHERNALIA INTO GOVERNMENT WORK AREAS.

B. IN FURTHERANCE OF THE MARINE CORPS DRUG CONTROL PROGRAM, UNANNOUNCED PERIODIC INSPECTIONS OF THE FOLLOWING NATURE MAY BE CONDUCTED BY MARINE CORPS BASE PROVOST MARSHAL PERSONNEL:

1. ROUTINE INSPECTION OF CONTRACTOR OCCUPIED WORK SPACES.

2. RANDOM INSPECTIONS OF VEHICLES ON ENTRY OR EXIT, WITH DRUG DETECTION DOG TEAMS, AS AVAILABLE, TO ELIMINATE THEM AS A SAFE HAVEN FOR STORAGE OF OR TRAFFICKING IN ILLEGAL DRUGS.

3. RANDOM INSPECTIONS OF PERSONAL POSSESSIONS ON ENTRY OR EXIT FROM THE INSTALLATION.

4. WHEN THERE IS PROBABLE CAUSE TO BELIEVE THAT A CONTRACTOR EMPLOYEE ON BOARD THE BASE HAS BEEN ENGAGED IN USE, POSSESSION OR TRAFFICKING OF DRUGS, THE BASE AUTHORITIES MAY DETAIN SAID EMPLOYEE UNTIL THE EMPLOYEE CAN BE REMOVED FROM THE INSTALLATION, OR CAN BE RELEASED TO THE LOCAL AUTHORITIES HAVING JURISDICTION.

5. TRAFFICKING IN ILLEGAL DRUGS AND DRUG PARAPHERNALIA BY CONTRACTOR EMPLOYEES WHILE ON THE BASE MAY LEAD TO REFERRAL FOR PROSECUTION BY APPROPRIATE LAW ENFORCEMENT AUTHORITIES.

6. THE CONTRACTOR IS RESPONSIBLE FOR THE CONDUCT OF EMPLOYEES PERFORMING WORK UNDER THIS CONTRACT AND IS, THEREFORE, RESPONSIBLE TO ASSURE THAT EMPLOYEES ARE NOTIFIED OF THESE PROVISIONS PRIOR TO ASSIGNMENT.

7. THE REMOVAL OF CONTRACTOR PERSONNEL FROM THE BASE AS A RESULT OF DRUG OFFENSES WILL NOT BE CAUSE FOR EXCUSABLE DELAY, NOR SHALL SUCH ACTION BE DEEMED A BASIS FOR AN EQUITABLE ADJUSTMENT TO PRICE, DELIVERY, OR OTHER PROVISIONS OF THIS CONTRACT.

18. NOTICE TO CONTRACTOR OF CERTAIN ANTI-TERRORISM REQUIREMENTS.

A. Pursuant to Marine Corps policy, contractors and contractor’s employees may be subject to anti-terrorism force protection (ATFP) measures. These measures could include, but are not limited to, the following:

1. Contract employees will be issued access to the installation on an individual-by-individual basis.

2. Commercial and contract employees must possess a picture ID issued by a state or federal agency.

3. Contractor employees must provide their full name, ssn, dob and current mailing address.

a. Contractor must provide criminal records check for each employee from state or county level covering previous two (2) years. Criminal records check may be obtained from sources such as the County Clerk of Court, Defense Security Service and other approved sources which may be provided.

4. Provide proof of employee citizenship/immigration Status.

5. Proof of employment (contractor must provide the names of all employed).

19. PERMITS/PASSES. THE CONTRACTOR AND ITS EMPLOYEES MUST COMPLY WITH BASE REGULATIONS, AND MUST OBTAIN PASSES AND PERMITS AS REQUIRED BY BASE REGULATIONS. THE UNITED STATES GOVERNMENT RESERVES THE RIGHT TO BAR FROM THE BASE ANY EMPLOYEE WHO VIOLATED FEDERAL REGULATIONS PERTAINING TO SECURITY, SAFETY, HEALTH, SOLICITATIONS OF FUNDS, COMMERCE OR CONDUCT.

20. EFFECTIVE DATE OF CONTRACT. CONTRACT WILL BECOME EFFECTIVE ON

, AND WILL REMAIN IN EFFECT FOR A PERIOD OF TWO YEARS UNLESS SOONER TERMINATED BY THE PARTIES HEREIN.

21. RENEWAL OPTION

A. MCCS MAY EXTEND THE TERMS OF THIS CONTRACT FOR THREE ADDITIONAL ONE YEAR PERIODS BY WRITTEN NOTICE TO THE CONTRACTOR WITHIN

SEVEN DAYS OF EXPIRATION, PROVIDED THAT MCCS SHALL GIVE THE CONTRACTOR

A PRELIMINARY WRITTEN NOTICE OF ITS INTENT TO EXTEND AT LEAST 60 DAYS BEFORE THE CONTRACT EXPIRES. THE PRELIMINARY NOTICE DOES NOT COMMIT

MCCS TO AN EXTENSION.

B. IF MCCS EXERCISES THIS OPTION, THE EXTENDED CONTRACT SHALL BE CONSIDERED TO INCLUDE THIS OPTION PROVISION.

C. THE TOTAL DURATION OF THIS CONTRACT, INCLUDING THE EXERCISE OF ANY OPTION UNDER THIS CLAUSE, SHALL NOT EXCEED A FIVE YEAR PERFORMANCE

PERIOD.

D. ADDITIONAL LOCATIONS MAY BE ESTABLISHED AT AUTHORIZED MILITARY INSTALLATIONS, WHEN MUTUALLY AGREED UPON, IN WRITING, BY THE CONTRACTOR AND THE CONTRACTING OFFICER. SHOULD ADDITIONAL LOCATIONS BE ESTABLISHED, THE CONTRACT PERFORMANCE DATE FOR ALL SUCH LOCATIONS

SHALL BE THE SAME AS THE EXPIRATION DATE OF THIS CONTRACT.

22. MODIFICATION. THE PROVISIONS HEREIN, TOGETHER WITH THE ATTACHMENTS NOTED IN PARAGRAPH 2, CONSTITUTE THE ENTIRE AGREEMENT BETWEEN MCCS AND THE CONTRACTOR. NO ALTERATION, MODIFICATION, WAIVER, OR DISCHARGE OF THE CONTRACT, OR ANY OF ITS TERMS, SHALL BE BINDING, UNLESS IN WRITING AND EXECUTED WITH THE SAME FORMALITIES AS ARE REQUIRED FOR THE EXECUTION OF THIS CONTRACT.

23. TERMINATION. UPON TERMINATION, THE CONTRACTOR SHALL PROMPTLY REMOVE ALL PERSONAL PROPERTY, TRADE FIXTURES AND EQUIPMENT FROM THE BASE, AT HIS OWN EXPENSE. SHOULD THE CONTRACTOR FAIL TO REMOVE ALL PERSONAL PROPERTY, TRADE FIXTURES OR EQUIPMENT FROM THE BASE WITHIN THIRTY (30) DAYS OF TERMINATION, MCCS MAY DISPOSE OF THE PROPERTY AND

THE CONTRACTOR AGREES TO PAY THE COST OF ANY SUCH DISPOSAL. IN THE

EVENT OF TERMINATION, THE CONTRACTOR SHALL BE GIVEN 30 DAYS TO CLOSE OUT ALL EXISTING ACCOUNTS AND TO SUBMIT THE REQUIRED REPORTS AND PAYMENT OF ALL SUMS DUE AND UNPAID AT THE TIME OF TERMINATION OF THIS CONTRACT.

24. GENERAL PROVISIONS. THE GENERAL PROVISIONS APPENDED HERETO AS ATTACHMENT "A" IS HEREBY INCORPORATED AS PART OF THIS CONTRACT. IN THE EVENT OF ANY CONFLICTS BETWEEN THIS BASIC CONTRACT AND THE GENERAL PROVISIONS, THE TERMS OF THIS BASIC CONTRACT SHALL PREVAIL.

FOR THE CONTRACTOR FOR MCCS

MARINE CORPS COMMUNITY SERVICES (ATTN PURCHASING/CONTRACTING)

P.O. BOX 4128, MCAS NEW RIVER

JACKSONVILLE, NC 28540-0128

BY:______________________________ BY:__________________________

DEBBIE HORN

TITLE:___________________________ TITLE: CONTRACTING OFFICER

DATE SIGNED:_____________________ DATE SIGNED:_________________

DATE EFFECTIVE:

ATTACHMENT "B"

TO

BRAND OR MULTI-BRAND FAST FOOD RESTAURANT CONTRACT

CONTRACTOR’S LISTING OF EQUIPMENT SPECIFICATIONS

FOR EQUIPMENT, FURNITURE AND FIXTURES REQUIRED

FOR THE OPERATION OF THE CONCESSION

CONSISTING OF ONE PAGE ANNEXED TO AND FORMING A PART OF THE CONTRACT DATED

, BY AND BETWEEN MARINE CORPS COMMUNITY SERVICES (MCCS), MCAS NEW RIVER, JACKSONVILLE, NORTH CAROLINA 28540-0128, HEREINAFTER CALLED "MCCS" AND

, HEREINAFTER CALLED THE “CONTRACTOR”.

FOR THE CONTRACTOR

BY:______________________________

TITLE:___________________________

DATE SIGNED:_____________________

1 OF 1 ATTACHMENT "B"

ATTACHMENT "C"

TO

BRAND OR MULTI-BRAND FAST FOOD RESTAURANT CONTRACT

U.S. DEPARTMENT OF LABOR WAGE DETERMINATION

SERVICES CONTRACT ACT

, BY AND BETWEEN MARINE CORPS COMMUNITY SERVICES (MCCS), MCAS NEW RIVER, JACKSONVILLE, NORTH CAROLINA 28540-0128, HEREINAFTER CALLED "MCCS" AND

WITNESSETH

1. THE ATTACHED U.S. DEPARTMENT OF LABOR WAGE DETERMINATION APPLIES TO THE OPERATION OF A CONCESSION ACTIVITY AT THE FOLLOWING LOCATION:

LOCATION

WAGE DETERMINATION NO.

AS-4038

2002-0091 REVISION NO. 3

2. ANY CONTRACT AWARDED AS A RESULT OF THIS SOLICITATION WILL BE SUBJECT TO THE SERVICE CONTRACT ACT OF 1965. IF APPLICABLE, CONTRACTOR MUST COMPLY WITH ALL REQUIREMENTS OF THE ACT AND MUST PAY WAGES AND FRINGE BENEFITS NOT LESS THAN THOSE SPECIFIED IN A WAGE DETERMINATION ISSUED BY THE DEPARTMENT OF LABOR. ANY OFFEROR PARTICIPATING IN THE SOLICITATION DOES SO WITH THE UNDERSTANDING THAT A WAGE DETERMINATION NOT YET RECEIVED FROM THE DEPARTMENT OF LABOR WILL, UPON RECEIPT, BE APPLICABLE TO ANY CONTRACT AWARDED AS A RESULT OF THIS SOLICITATION. UPON RECEIPT OF A REPLY FROM THE DEPARTMENT OF LABOR, THE SOLICITATION WILL BE AMENDED TO ADD THE WAGE DETERMINATION.

1 OF 1 ATTACHMENT "C"

ATTACHMENT "D"

TO

BRAND OR MULTI-BRAND FAST FOOD RESTAURANT CONTRACT

PRICE SCHEDULE

, BY AND BETWEEN MARINE CORPS COMMUNITY SERVICES (MCCS), MCAS NEW RIVER, JACKSONVILLE, NORTH CAROLINA 28540-0128, HEREINAFTER CALLED "MCCS" AND

1. ATTACHED HERETO IS THE MENU AND PRICE LISTING OF THOSE ITEMS PROPOSED TO BE SOLD DURING THE TIME OF THIS CONTRACT.

B. SALES TAX. PRICE SCHEDULE WILL INCLUDE ALL APPLICABLE STATE SALES TAX. STATE SALES TAXES WILL BE IDENTIFIED SEPARATELY TO MCCS.

C. CHANGES. PRICES LISTED IN THIS PRICE SCHEDULE MAY BE ADJUSTED ONLY UPON PRIOR APPROVAL OF THE COR.

FOR THE CONTRACTOR:

1 OF 1 ATTACHMENT "D"

ATTACHMENT "E"

TO

BRAND OR MULTI-BRAND FAST FOOD RESTAURANT CONTRACT

COMMISSION SCHEDULE

, BY AND BETWEEN MARINE CORPS COMMUNITY SERVICES (MCCS), MCAS NEW RIVER, JACKSONVILLE, NORTH CAROLINA 28540-0128, HEREINAFTER CALLED "MCCS" AND

1. GENERAL. THE CONTRACTOR AGREES TO PAY TO MCCS A PERCENTAGE OF GROSS SALES AND SERVICES RECEIVED IN THE PERFORMANCE OF THIS CONTRACT. THE CONTRACTOR WILL FURNISH WITH THE REMITTANCE, A "CONTRACTOR SETTLEMENT REPORT" FORMAT SUITABLE TO THE MCCS FINANCE DIVISION TO SHOW RECEIPTS FOR THE PERIOD. THIS FORM IS TO BE TOTALED AT THE END OF EACH MONTH AND THE COMMISSIONS COMPUTED THEREON. THE CURRENT NORTH CAROLINA STATE SALES TAX WILL BE EXCLUDED FROM THE COMPUTATION OF GROSS RECEIPTS AND THE AMOUNT EXCLUDED WILL BE SHOWN ON THE REPORT.

REPORT FORMS MAY BE OBTAINED FROM THE COR. THE CONTRACTOR AGREES TO SUBMIT TO THE COR ANY ADDITIONAL REPORTS CONCERNING ITS OPERATIONS HEREUNDER AS MAY BE REQUESTED.

A. OFFERORS SHALL ENTER BELOW THE COMMISSION PERCENTAGE OFFERED TO MCCS. THIS COMMISSION FEE SHALL BE BASED ON THE TOTAL VOLUME OF GROSS SALES. (PLEASE NOTE MCCS WILL NOT ACCEPT LESS THAN 12.5% OF THE GROSS SALES).

COMMISSION FEE

% PERCENT

B. THE TERM GROSS SALES AND SERVICES MEANS: THE GROSS RECEIPTS FROM SALES LESS THE AMOUNT OF REFUNDS, OVERRINGS, NORTH CAROLINA STATE SALES TAX, PLUS ANY ADDITIONAL AGREED UPON CHARGES.

1 OF 1 ATTACHMENT "E"

ATTACHMENT "F"

TO

BRAND OR MULTI-BRAND FAST FOOD RESTAURANT CONTRACT

PLANS FOR DECOR

MODIFICATIONS/IMPROVEMENTS AND

EQUIPMENT SPECIFICATIONS, IF APPLICABLE

CONSISTING OF TWO PAGES ANNEXED TO AND FORMING A PART OF THE CONTRACT DATED

, BY AND BETWEEN MARINE CORPS COMMUNITY SERVICES (MCCS) MARINE CORPS AIR STATION NEW RIVER, JACKSONVILLE, NORTH CAROLINA 28540-0128, HEREINAFTER CALLED “MCCS” AND

HEREINAFTER CALLED “CONTRACTOR”.

1. LOCATION. THE BRAND OR MULTI-BRAND FAST FOOD RESTAURANT SHALL BE LOCATED IN BUILDING AS4038, MARINE CORPS AIR STATION NEW RIVER, JACKSONVILLE, NORTH CAROLINA.

2. HOURS OF OPERATION. THE BRAND OR MULTI-BRAND FAST FOOD RESTAURANT SHALL BE OPEN DURING DAYS AND HOURS MUTUALLY AGREED UPON BY THE CONTRACTOR AND THE COR. THE RESTAURANT SHALL BE CLOSED FOR CHRISTMAS AND THANKSGIVING AND ANY OTHER DAYS MUTUALLY AGREED BY BOTH PARTIES.

3. MODIFICATION/IMPROVEMENTS. THE CONTRACTOR SHALL RENOVATE THE EXISTING FACILITY LOCATED IN BUILDING AS4038 TO MEET THE COMPANY’S CURRENT STANDARDS. PLANS FOR MODIFICATION/IMPROVEMENTS TO THE BUILDING, GROUNDS AND EQUIPMENT MUST BE SUBMITTED TO THE COR FOR APPROVAL. IF THE COR FAILS TO RESPOND TO THE CONTRACTOR WITHIN 30 DAYS OF THE CONTRACTOR’S REQUEST FOR APPROVAL, THEN THE REQUEST SHALL BE DEEMED APPROVED.

4. DEFINITION AND TITLE TO IMPROVEMENTS

A. CONTRACTOR IMPROVEMENTS MEANS BUILDINGS, STRUCTURES, FIXTURES, EQUIPMENT, AND OTHER IMPROVEMENTS MADE BY THE CONTRACTOR WHICH ARE CONSTRUCTED ON, OR AFFIXED TO, OR RESTING ON GOVERNMENT PROPERTY ASSIGNED TO THE CONTRACTOR FOR ITS USE AS A BRAND OR MULTI-BRAND FAST FOOD RESTAURANT FOR THE PURPOSES OF THIS CONTRACT.

B. TITLE TO ANY AND ALL CONTRACTOR IMPROVEMENTS SHALL REMAIN WITH THE CONTRACTOR DURING THE TERM OF THIS CONTRACT. CONTRACTOR IMPROVEMENTS SHALL NOT GIVE THE CONTRACTOR ANY INTEREST IN GOVERNMENT PROPERTY. THE RIGHT TO OPERATE THE BRAND OR MULTI-BRAND FAST FOOD RESTAURANT ON THE PROPERTY OF THE GOVERNMENT SHALL BE A REVOCABLE LICENSE AND IS NOT A TENANCY.

C. AT THE TIME OF EXPIRATION OR EARLIER TERMINATION OF THIS CONTRACT IN WHOLE OR IN PART THE GOVERNMENT HAS THE OPTION TO REQUIRE THE CONTRACTOR TO REMOVE THE SPECIFIED IMPROVEMENTS AND RESTORE THE PREMISES TO GOOD CONDITION, NORMAL WEAR AND TEAR ACCEPTED, AND THAT THE CONTRACTOR SHALL NOT BE REQUIRED TO DEMOLISH THE FACILITY.

BY:____________________________

TITLE:_________________________

DATE SIGNED:___________________

DATE EFFECTIVE:________________

ATTACHMENT “F”

(COMPLETE, SIGN AND RETURN WITH PROPOSAL)

QUESTIONNAIRE

To be completed and submitted with and as a part of proposal

Type of Business

Firm Name

Primary Business Address

Business Telephone Number

Type of Business Organization:

(Complete applicable portion)

SOLE ENTERPRISE

Name and Social Security Number of Owner

Address

PARTNERSHIP

Names, Social Security Numbers and Addresses of Partners:

State of Incorporation

Principal Place of Business

Names, Social Security Numbers and Addresses of Officers:

ENCLOSURE (1)

Names, Social Security Numbers and Addresses of Board Members:

Are you or any of the above named members of your firm at present engaged in this or similar type business?

What is your primary business?

How long has your primary business been in operation?

What is your approximate yearly volume?

How long have you, or your firm, been engaged in the subject service?

What type of machines/equipment?

Do you or any of the above named members of your firm operate a business on or adjacent to the Marine Corps Air Station New River, Jacksonville, North Carolina, at the present time?

If yes, where?

Have you, or any of the people named above, previously operated an activity or business on a military installation?

If yes, where, when and what type?

Are you, or any of the people named above, presently indebted to any non-appropriated fund activity?

If so, explain

Has your firm ever been suspended or debarred from doing business with the government?

Are you, or any of the people named above, a federal employee or on active duty or an immediate family member of such person and lives in their household?

Are you prepared to furnish all equipment necessary for operation as outlined in the invitation?

Is the equipment you will supply owned outright by you, or your firm?

If not owned outright, is there, or will there be a balance owed on the purchase price?

To whom?

Assuming award of a contract, are you prepared to begin operations on the effective date of the contract?

If no, state your abilities in this respect.

Assuming award of a contract, what are your intended sources for obtaining personnel to perform the work on Marine Corps Air Station New River?

Are you, or any of the people named above, related by affinity or consanguinity to any employees of this MCCS or to a military person assigned to this base?

If yes, state name of employee or military person and degree or nature of this relationship.

Attach a statement showing three banking or trade references, listing addresses and telephone numbers.

It is understood and agreed that the foregoing answers are considered necessary for proper evaluation of quotations.

Signature and Title of Authorized

Representative and Quoter

Date signed