Combined_Synopsis_-_024711.pdf

Combined Synopsis/Solicitation

PANMCC-19-P-0000 024711

Decommission of Leased Buildings 12-16 August 2019

This is a combined synopsis/solicitation for commercial service prepared in accordance with the format in FAR Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. The solicitation number is PANMCC-19-P-0000 024711. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2019-02 and DFARS Defense Publication Notice 20190628.

Fort Carson intends to award a Firm-Fixed-Price Purchase Order for Medical Department Activity (MEDDAC) to provide decommissioning of Mountain Post Medical Home (MPMH) and Premier Medical Home. The North American Industrial Classification System (NAICS) code for this procurement is 484210 – Used Household and Office Goods Moving, size standard $27,500,000.00. This solicitation will close at 1600 hrs MST on 31 July 2019.

The point of contact for this requirement is MSG Kevin Propes, Contract Specialist, kevin.w.propes.mil@mail.mil.

All questions MUST be submitted no later than 0900 hrs MST on 29 July 2019 to the Contracting Officer, Edna Hakenson, edna.t.hakenson.civ@mail.mil.

Site Visit

A site visit will be conducted on Friday, July 26 at 10:00 am MST. All parties are to meet at the first move location:

Premier Medical Home 3920 N. Union Blvd, Building 3920 Colorado Springs, CO.

The site visit will then move to the second location:

Mountain Post Medical Home 565 Space Center Drive Colorado Springs, CO.

The Contractor shall submit pertinent information for the following Contract Line Item Numbers (CLINS). Include sufficient detail to evaluate compliance with the requirements in the solicitation, any discount terms, cage code, DUNS number, and size of business.

Period of Performance (POP): 12 – 16 August 2019.

CLIN Description QTY Unit Price Total

Price 0001 Decommission/Relocation of

Mountain Post Medical Home (MPMH) facility in accordance with the Performance Work Statement

1 Job

0002 Decommission /Relocation of Premier Medical Facility in accordance with the Performance Work Statement

1 Job

0003 Contract Manpower Report (CMR) 1 each

GRAND

TOTAL

STATEMENT OF WORK (SOW)

Decommissioning MEDDAC Leased Buildings

1. GENERAL. This is a non-personal services contract to provide decommissioning of Mountain Post Medical Home and Premier Medical Home. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.1. Description of Services/Introduction. The Contractor shall provide all labor, planning and material necessary to move the room contents of Mountain Post Medical Home, 565 Space Center Drive, Colorado Springs, CO and Premier Medical Home, 3920 N. Union Blvd, building 3920, Colorado Springs, CO as defined in this Performance Work Statement. All items shall be moved from two origin facilities and delivered to five external locations (including a disposal site): EACH = 1650 Cochrane Circle, Building 7500, Fort Carson, CO; Bldg 9622 = 3524 Airfield Road, Building 9622, Fort Carson, CO; OPW = 2525 Aviation Way, Colorado Springs, CO; and OPW-Janitell = 3075 Janitell Road, Colorado Springs, CO. The Contractor is responsible for disposing items identified as dispose and shall not stage a dumpster on site. For those items identified as being delivered to OPW-Janitell, the Contractor shall sort by like product and incorporate to current storage with push from OPW—Janitell’s loading dock to within 100 feet. For those items identified as OPW, the Contractor shall deliverer and push from the dock to the staging area within 100 feet. The items identified as EACH/Pharm and/or EACH/SFCC Pharm, the push is approximately 650 feet from the loading dock to final destination. The items identified as EACH, the push is within 50 feet. The Contractor shall remove electrical whips and provide/install blank cover plates. The Contractor shall perform to the standards in this contract.

1.2. Background. Evans Army Community Hospital will not be renewing the lease at Mountain Post Medical Home or at Premier Medical Home. As such, both buildings need to be decommissioned.

1.3. Objectives:

- The Contractor shall supply all equipment and manpower necessary to safely move the contents.

- The Contractor will be responsible for moving all furniture. Some systems furniture may require partial disassembly for move and then reassembly after the move.

- The Contractor shall take care in moving items to prevent damage to items moved and to the building finishes. Recommend contractor utilizes floor protection and corner guards.

- The Contractor will be responsible for any damage to buildings and contents moved.

The contractor shall safely protect all items as necessary to prevent damage.

1.4. Scope: Services include:

1.4.1. At Mountain Post Medical Home:

1) De-install 9 keyboard trays; transport to OPW

2) De-install 4 cyber lock; package all parts/pieces in one bag; transport to EACH

3) Remove and dispose modular furniture (marked dispose); see attached inventory

4) Transport cabinets and chairs (marked OPW); see attached inventory

5) Remove and dispose lab and pharmacy furniture (marked dispose); see attached inventory

6) Disassemble 4 Co/Struck pharmacy filling counters; reassemble at EACH/SFCC Pharmacy

7) Dispose cabinets and chairs (marked dispose); see attached inventory

8) Scrap name sticker off front door

9) De-install 1 metal shield/crest; transport to EACH

10) De-install 44 vital medal rails; transport to OPW

11) Transport medical equipment to OPW; see attached inventory

12) De-install 34 wall art; package and transport to OPW

13) De-install 8 white boards; dispose

14) Remove pharmacy safe (1200 lbs); transport to EACH/SFCC Pharmacy

15) Remove pharmacy safe (950 lbs); transport to Bldg 9622, Fort Carson, CO

16) Remove 28 electrical whips; replace with blank cover plate

1.4.2. At Premier Medical Home:

1) De-install 9 cyber locks; package all parts/pieces in one bag; transport to EACH

2) Disassemble Herman Miller modular furniture (marked OPW-Janitell); transport to OPW-Janitell; sort by like product; see attached inventory

3) Remove and dispose modular furniture (marked dispose); see attached inventory

4) Remove and dispose lab and pharmacy furniture (marked dispose); see attached inventory

5) Transport cabinets and chairs to OPW (marked OPW); see attached inventory

6) Remove and dispose cabinets and chairs (marked dispose); see attached inventory

7) De-install 3 vital metal rails; transport to OPW

8) Remove 2 front desk clinic sign; dispose

9) Transport medical equipment to OPW; see attached inventory

10) De-install 25 wall art; package and transport to OPW

11) De-install 23 white/cork boards; dispose

12) De-install 5 file trays; dispose

13) De-install 2 TV brackets; transport to OPW

14) De-install 2 spill control station; transport to EACH

15) De-install treatment light; transport to EACH

16) Remove pharmacy safe (1020 lbs); transport to EACH/SFCC Pharmacy

17) Remove 11 electrical whips; replace with blank cover plate

1.5. General Information:

1.5.1. Quality Assurance. The Government shall evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.5.2. Hours of Operation. The Contractor is responsible for providing services, between the hours of 0730 and 1630, Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons.

1.5.3. Place of Performance. The work to be performed under this contract will be performed at Mountain Post Medical Home, 565 Space Center Drive, Colorado Springs, CO and Premier Medical Home, 3920 N. Union Blvd, building 3920, Colorado Springs, CO.

1.5.4. Physical Security. The Contractor shall be responsible for safeguarding all Government equipment, information and property provided for Contractor use.

1.5.5. Special Qualifications. The Contractor is responsible for ensuring all employees possess current identification cards and pass background checks to be allowed on post.

The Contractor is responsible for ensuring all vehicles have current registration to be allowed on post.

1.5.6. Post Award Conference/Periodic Progress Meetings. The Contractor shall attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the Contractor to review the Contractor's performance. At these meetings the contracting officer will apprise the Contractor of how the Government views the Contractor's performance and the Contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the Government.

1.5.7 Key Personnel. The follow personnel are considered key personnel by the Government. The Contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the Contractor when the manager is absent shall be designated in writing to the contracting officer. The contract manager or alternate shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between 0700-1600, Monday thru Friday except Federal holidays or when the Government facility is closed for administrative reasons.

1.5.8. Identification of Contractor Employees. All contract personnel attending meetings, answering Government telephones, and working in other situations where their Contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by Contractors are suitably marked as Contractor products or that Contractor participation is appropriately disclosed.

2. DEFINITIONS AND ACRONYMS:

2.1. DEFINITIONS:

2.1.1. CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

2.1.2. CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the Government. Note: The only individual who can legally bind the Government.

2.1.3. CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4. DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.5. DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.6. KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.7. PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.8. QUALITY ASSURANCE. The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.9. QUALITY ASSURANCE Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of Contractor performance.

2.1.10. QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.11. SUBCONTRACTOR. One that enters into a contract with a prime Contractor.

The Government does not have privity of contract with the subContractor.

2.1.12. WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.12. WORK WEEK. Monday through Friday, unless specified otherwise.

2.2. ACCRONYMS:

ACOR Alternate Contracting Officer's Representative

AFARS Army Federal Acquisition Regulation Supplement

AR Army Regulation

CCE Contracting Center of Excellence

CFR Code of Federal Regulations

COR Contracting Officer Representative

COTR Contracting Officer's Technical Representative

DA Department of the Army

DFARS Defense Federal Acquisition Regulation Supplement

DMDC Defense Manpower Data Center

DOD Department of Defense

EACH Evans Army Community Hospital

FAR Federal Acquisition Regulation

HIPAA Health Insurance Portability and Accountability Act of 1996

KO Contracting Officer

OCI Organizational Conflict of Interest

ODC Other Direct Costs

OPW Off-Post Warehouse

PIPO Phase In/Phase Out

POC Point of Contact

PRS Performance Requirements Summary

PWS Performance Work Statement

QA Quality Assurance

QAP Quality Assurance Program

QASP Quality Assurance Surveillance Plan

QC Quality Control

QCP Quality Control Program

Clear Leased Buildings

Description QTY From To

Bldg Room Bldg

MPMH

Wall art (dismount and package) 15 MPMH Hallways OPW

Medical carts 12 MPMH Waiting Rm Dispose

Side chairs 12 MPMH Waiting Rm Dispose

Stools 6 MPMH Waiting Rm Dispose

Toy box (wooden) 1 MPMH Waiting Rm Dispose

15Wx2H Lateral Files 16 MPMH Waiting Rm Dispose

2.5x2 workstation 1 MPMH Waiting Rm Dispose

Crest/shield (dismount) 1 MPMH Waiting Rm EACH

Wheelchair 1 MPMH Waiting Rm EACH

BLS box 1 MPMH Waiting Rm EACH

Kiosk 1 MPMH Waiting Rm EACH

Box of computer bags 1 MPMH Waiting Rm EACH

Whips (remove and cover) 1 MPMH Waiting Rm N/A

White board (dismount) 1 MPMH Reception area Dispose

6x2 workstation 2 MPMH Reception area Dispose

42Wx3H lateral file 2 MPMH Reception area Dispose

30Wx3H lateral file 2 MPMH Reception area Dispose

15Wx2H Lateral Files 1 MPMH Reception area Dispose

Cyber lock (dismount and package) 1 MPMH Reception area

EACH

Document printer station 1 MPMH Reception area

EACH

Keyboard trays (dismount) 4 MPMH Reception area

OPW

Whips (remove and cover) 2 MPMH Reception area N/A

Wall art (dismount and package) 1 MPMH 101 OPW

Vital metal rail(s) (dismount) 1 MPMH 101 OPW

Wall art (dismount and package) 1 MPMH 102 OPW

Exam bed(s) 1 MPMH 102 OPW

Vital metal rail(s) (dismount) 2 MPMH 102 OPW

Wall art (dismount and package) 1 MPMH 103 OPW

Exam bed(s) 1 MPMH 103 OPW

Vital metal rail(s) (dismount) 2 MPMH 103 OPW

Wall art (dismount and package) 1 MPMH 104 OPW

Exam bed(s) 1 MPMH 104 OPW

Vital metal rail(s) (dismount) 2 MPMH 104 OPW

Excess furniture 1 MPMH 105 Dispose

Whips (remove and cover) 1 MPMH 105 N/A

"L" workstation 2 MPMH 106 Dispose

Keyboard trays (dismount) 2 MPMH 106 OPW

Vital metal rail(s) (dismount) 2 MPMH 106 OPW

Whips (remove and cover) 2 MPMH 106 N/A

Wall art (dismount and package) 1 MPMH 107 OPW

Exam bed(s) 1 MPMH 107 OPW

Vital metal rail(s) (dismount) 2 MPMH 107 OPW

Wall art (dismount and package) 1 MPMH 110 OPW

Exam bed(s) 1 MPMH 110 OPW

Vital metal rail(s) (dismount) 2 MPMH 110 OPW

Wall art (dismount and package) 1 MPMH 111 OPW

Vital metal rail(s) (dismount) 2 MPMH 111 OPW

Wall art (dismount and package) 1 MPMH 112 OPW

Vital metal rail(s) (dismount) 2 MPMH 112 OPW

Cyber lock (dismount and package) 1 MPMH 113 EACH

Workstations + excess 9 MPMH 115 Dispose

TV (dismount) 1 MPMH 115 OPW

Keyboard trays (dismount) 1 MPMH 115 OPW

Whips (remove and cover) 5 MPMH 115 N/A

Cyber lock (dismount and package) 1 MPMH 115 EACH

Wall art (dismount and package) 1 MPMH 116 OPW

Exam bed(s) 1 MPMH 116 OPW

Vital metal rail(s) (dismount) 2 MPMH 116 OPW

Wall art (dismount and package) 1 MPMH 118 OPW

Exam bed(s) 1 MPMH 118 OPW

Vital metal rail(s) (dismount) 2 MPMH 118 OPW

Cyber lock (dismount and package) 1 MPMH 124 EACH

Vital metal rail(s) (dismount) 7 MPMH 127 OPW

Workstations + excess 5 MPMH 128 Dispose

Keyboard trays (dismount) 2 MPMH 128 OPW

Whips (remove and cover) 5 MPMH 128 N/A

White board (dismount) 2 MPMH 130A Dispose

VTC TV 1 MPMH 130A EACH

TV stand 1 MPMH 130A EACH

Video camera 1 MPMH 130A EACH

Box of VTC accessaries 1 MPMH 130A EACH

Side chairs 2 MPMH 130A OPW

Stools 6 MPMH 130A OPW

Metal racks 4 MPMH 130A OPW

15Wx2H Lateral Files 2 MPMH 130A OPW

Box of lights 2 MPMH 130A OPW

Nesting tables 4 MPMH 130A OPW

Waiting room chairs 3 MPMH 130A OPW

Waiting room tables 2 MPMH 130A OPW

Kidney tables w/wheels 1 MPMH 130A OPW

Round table 1 MPMH 130A OPW

Wall art (dismount and package) 1 MPMH 131 OPW

Vital metal rail(s) (dismount) 2 MPMH 131 OPW

Exam lights on wheels 17 MPMH 131 OPW

Vital sign monitor poles on wheels 21 MPMH 131 OPW

Wall art (dismount and package) 1 MPMH 133 OPW

Vital metal rail(s) (dismount) 2 MPMH 133 OPW

Wall art (dismount and package) 1 MPMH 134 OPW

Vital metal rail(s) (dismount) 2 MPMH 134 OPW

Weight scales 10 MPMH 134 OPW

Monitor 1 MPMH 134 OPW

Colpscope 1 MPMH 134 OPW

Box of otoscopes 2 MPMH 134 OPW

Box of lab equipment 1 MPMH 134 OPW

Box of rail brackets 1 MPMH 134 OPW

Vital metal rail(s) 1 MPMH 134 OPW

Wall art (dismount and package) 1 MPMH 135 OPW

Exam bed(s) 5 MPMH 135 OPW

Vital metal rail(s) (dismount) 2 MPMH 135 OPW

Wall art (dismount and package) 1 MPMH 136 OPW

Exam bed(s) 3 MPMH 136 OPW

Vital metal rail(s) (dismount) 2 MPMH 136 OPW

Exam bed(s) 1 MPMH 137 OPW

Safe (950 lbs) 1 MPMH 138 Bldg 9622

6W pharmacy shelving 5 MPMH 138 Dispose

Jack wheels 1 MPMH 138 Dispose

Bins of shelves 2 MPMH 138 Dispose

Tall wooden cabinet 1 MPMH 138 EACH

UPS (large) 1 MPMH 138 EACH

Safe (1200 lbs) 1 MPMH 138 EACH/Pharm

Co/Struck filling counters (disassemble/reassemble)

4 MPMH 138

EACH/SFCC

Pharm

Whips (remove and cover) 4 MPMH 138 N/A

Wall art (dismount and package) 1 MPMH 146 OPW

Exam bed(s) 1 MPMH 146 OPW

Vital metal rail(s) (dismount) 2 MPMH 146 OPW

Wall art (dismount and package) 1 MPMH 147 OPW

Weight scales 10 MPMH 147 OPW

Exam lights on wheels 2 MPMH 147 OPW

PT exam table 1 MPMH 147 OPW

Treatment light (dismount) 1 MPMH 147 OPW

Computer table/cart 3 MPMH 147 OPW

Peds scale 1 MPMH 147 OPW

AED box 2 MPMH 147 OPW

AED 2 MPMH 147 OPW

White board (dismount) 1 MPMH 150 Dispose

"L" workstation 1 MPMH 150 Dispose

Whips (remove and cover) 1 MPMH 150 N/A

White board (dismount) 2 MPMH 151 Dispose

"L" workstation 2 MPMH 151 Dispose

Whips (remove and cover) 2 MPMH 151 N/A

Wall art (dismount and package) 1 MPMH 152 OPW

Exam bed(s) 1 MPMH 152 OPW

Vital metal rail(s) (dismount) 2 MPMH 152 OPW

Wall art (dismount and package) 1 MPMH 154 OPW

Exam bed(s) 1 MPMH 154 OPW

Vital metal rail(s) (dismount) 2 MPMH 154 OPW

White board (dismount) 1 MPMH 155 Dispose

"L" workstation 1 MPMH 155 Dispose

Tower cabinet 1 MPMH 155 OPW

15Wx2H Lateral Files 2 MPMH 155 OPW

Whips (remove and cover) 1 MPMH 155 N/A

4W lab workstation 5 MPMH 158 Dispose

8W lab workstation 1 MPMH 158 Dispose

Cork boards 3 MPMH 158 Dispose

Printer 8 MPMH 158 EACH

Scanner 1 MPMH 158 EACH

Computer stands 2 MPMH 158 OPW

Whips (remove and cover) 3 MPMH 158 N/A

White board (dismount) 2 MPMH 160 Dispose

"L" workstation 2 MPMH 160 Dispose

15Wx2H Lateral Files 2 MPMH 160 Dispose

Printer 1 MPMH 160 EACH

Whips (remove and cover) 1 MPMH 160 N/A

Premier

Metal file (dismount) 1 Premier 101 Dispose

Waiting room chairs 4 sets Premier 101 Dispose

15Wx2H Lateral Files 7 Premier 101 Dispose

Cyber lock (dismount and package) 5 Premier 101 EACH

TV brackets (dismount) 2 Premier 101 OPW

Wall art (dismount and package) 1 Premier 102 OPW

Kidney tables w/wheels 8 Premier 102 OPW

30" workstation 1 Premier 102 OPW

Desk on wheels 1 Premier 102 OPW

Loveseat 1 Premier 102 OPW

Sm desk on wheels 1 Premier 104 OPW

Wall art (dismount and package) 1 Premier 105 OPW

Waiting room chairs 2 Premier 105 OPW

Wall art (dismount and package) 1 Premier 106 OPW

Vital metal rail(s) (dismount) 1 Premier 106 OPW

Wall art (dismount and package) 1 Premier 107 OPW

Exam bed(s) 1 Premier 107 OPW

Exam bed(s) 1 Premier 108 OPW

Wall art (dismount and package) 1 Premier 109 OPW

Exam bed(s) 1 Premier 109 OPW

Exam bed(s) 1 Premier 110 OPW

Exam bed(s) 1 Premier 111 OPW

Workstations 3 Premier 113 Dispose

Whips (remove and cover) 1 Premier 113 N/A

Vital metal rail(s) (dismount) 1 Premier 115 OPW

Wall art (dismount and package) 1 Premier 116 OPW

Exam bed(s) 1 Premier 116 OPW

Aeron chairs 11 Premier 118 Dispose

Side chairs 6 Premier 118 Dispose

White board 1 Premier 118 Dispose

Exam bed(s) 1 Premier 118 OPW

Aeron chairs 10 Premier 119 Dispose

Side chairs 1 Premier 119 Dispose

White board 1 Premier 119 Dispose

Cork boards 13 Premier 119 Dispose

Exam bed(s) 1 Premier 119 OPW

Vital metal rail(s) (dismount) 1 Premier 119 OPW

48" workstation 1 Premier 120 Dispose

Document holders 12 Premier 120 Dispose

Box of clocks 1 Premier 120 OPW

File holders 2 Premier 120 Dispose

Wall art (dismount and package) 1 Premier 121 OPW

Baby scale 1 Premier 121 OPW

"C" Aeron chair 1 Premier 121 OPW

Wheelchair 1 Premier 122 Dispose

Workstations 12 Premier 122 Dispose

15Wx2H Lateral Files 5 Premier 122 Dispose

Kidney tables w/wheels 4 Premier 122 Dispose

Whips (remove and cover) 5 Premier 122 N/A

Rail shelving 3 Premier 125 OPW

Bookcase (5 shelves) 1 Premier 125 OPW

Excess furniture 1 Premier 125 Dispose

2-drawer lateral 1 Premier 125 OPW

Cyber lock (dismount and package) 1 Premier 125 EACH

Spill control station (dismount) 1 Premier 128 EACH

2-drawer lateral 1 Premier 128 OPW

Workstations 10 Premier 133 Dispose

15Wx2H Lateral Files 11 Premier 133 Dispose

Whips (remove and cover) 4 Premier 133 N/A

Side chairs 14 Premier 136 Dispose

Aeron chairs 15 Premier 136 Dispose

IV pole 2 Premier 136 Dispose

Bedside tables 2 Premier 136 Dispose

Exam bed(s) 1 Premier 136 OPW

Treatment light (dismount) 1 Premier 136 OPW

"L" workstation 2 Premier 137 Dispose

Whips (remove and cover) 1 Premier 137 N/A

Wall art (dismount and package) 1 Premier 145 OPW

Vital sign plates, arms, instruments, & baskets

9 sets Premier 145 OPW

Linen carts 6 Premier 146 Dispose

Medical carts 1 Premier 146 Dispose

Wall art (dismount and package) 1 Premier 146 OPW

"L" workstation 1 Premier 147 Dispose

Wall art (dismount and package) 1 Premier 147 OPW

Wall art (dismount and package) 1 Premier 148 OPW

"L" workstation 1 Premier 148 OPW

15Wx2H Lateral Files 2 Premier 148 OPW

Cabinet 1 Premier 148 OPW

Metal file (dismount) 1 Premier 201 Dispose

Disease Mgmt Clinic sign (dismount) 1 Premier 201 Dispose

Waiting room chairs 3 sets Premier 201 Dispose

Aeron chairs 6 Premier 201 Dispose

Side chairs 14 Premier 201 Dispose

Aeron stool 1 Premier 201 Dispose

Kidney tables w/wheels 1 Premier 201 Dispose

15Wx2H Lateral Files 9 Premier 201 Dispose

File cabinet, tall 1 Premier 201 Dispose

Cork boards 2 Premier 201 Dispose

Sm desk 1 Premier 201 Dispose

Recycle container 2 Premier 201 Dispose

Hazardard bin 1 Premier 201 Dispose

Cyber lock (dismount and package) 2 Premier 201 EACH

Safe (1020 lbs) 1 Premier 202 EACH

Pharmacy shelving 3 Premier 202 Dispose

Large metal shelving 2 Premier 202 Dispose

Pharmacy workstations 2 Premier 202 Dispose

48" workstation 2 Premier 202 OPW-Janitell

Sit-to-stand table 1 Premier 202 OPW

Shelf/2-drawer lateral 1 Premier 202 OPW

Glove box holder (dismount) 1 Premier 205 Dispose

Spill control station (dismount) 1 Premier 205 EACH

Cyber lock (dismount and package) 1 Premier 205 EACH

30" workstation 2 Premier 207 OPW-Janitell

Pamphet holder (dismount) 1 Premier 208 Dispose

30" workstation 1 Premier 208 OPW-Janitell

Metal cabinets 3 Premier 209 Dispose

AED box (dismount) 1 Premier 209 OPW

"L" workstation 1 Premier 210 OPW-Janitell

White/cork boards (dismount) 1 Premier 212 Dispose

"L" workstation 1 Premier 212 Dispose

Tower cabinet 2 Premier 212 OPW

White/cork boards (dismount) 2 Premier 213 Dispose

White/cork boards (dismount from door) 1 Premier 213 Dispose

"L" workstation 1 Premier 213 OPW-Janitell

2-drawer lateral 1 Premier 213 OPW

"L" workstation 1 Premier 214 OPW-Janitell

15Wx2H Lateral Files 1 Premier 214 OPW

White/cork boards (dismount) 1 Premier 214 Dispose

"L" workstation 1 Premier 216 OPW-Janitell

Kidney tables w/wheels 1 Premier 216 OPW

"L" workstation 1 Premier 217 OPW-Janitell

White/cork boards (dismount) 2 Premier 218 Dispose

30" workstation 1 Premier 218 OPW-Janitell

"L" workstation 1 Premier 219 OPW-Janitell

"L" workstation 2 Premier 220 OPW-Janitell

48" + 30" workstation 1 Premier 221 OPW-Janitell

White/cork boards (dismount) 1 Premier 222 Dispose

"L" workstation 1 Premier 222 OPW-Janitell

White/cork boards (dismount) 2 Premier 223 Dispose

"L" workstation 1 Premier 223 OPW-Janitell

15Wx2H Lateral Files 3 Premier 223 OPW

"L" workstation 1 Premier 224 OPW-Janitell

White/cork boards (dismount) 1 Premier 224 Dispose

White/cork boards (dismount) 1 Premier 225 Dispose

30" workstation 1 Premier 225 OPW-Janitell

Cabinet 2 Premier 225 OPW

Glove box holder (dismount) 1 Premier 225 Dispose

Exam bed(s) 1 Premier 225 OPW

White/cork boards (dismount) 1 Premier 226 Dispose

Exam bed(s) 1 Premier 226 OPW

Pamphet holder (dismount) 1 Premier 226 Dispose

White/cork boards (dismount) 2 Premier 227 Dispose

30" workstation 1 Premier 227 OPW-Janitell

Exam bed(s) 1 Premier 227 OPW

White/cork boards (dismount) 2 Premier 228 Dispose

30" workstation 1 Premier 228 OPW-Janitell

Aeron chairs 5 Premier 231 Dispose

Side chairs 13 Premier 231 Dispose

File holders 2 Premier 231 Dispose

48" workstation 1 Premier 231 OPW-Janitell

White/cork boards (dismount) 2 Premier 232 Dispose

Pamphet holder (dismount) 1 Premier 232 Dispose

30" workstation 1 Premier 232 OPW-Janitell

White/cork boards (dismount) 1 Premier 233 Dispose

Pamphet holder (dismount) 1 Premier 233 Dispose

30" workstation 1 Premier 233 OPW-Janitell

Exam bed(s) 1 Premier 233 OPW

Glove box holder (dismount) 1 Premier 233 Dispose

Glove box holder (dismount) 2 Premier 234 Dispose

Mirror (dismount) 1 Premier 234 Dispose

48" workstation 1 Premier 234 OPW-Janitell

White/cork boards (dismount) 1 Premier 235 Dispose

Coat rack (dismount) 1 Premier 235 Dispose

"U" workstations 1 Premier 235 OPW-Janitell

White/cork boards (dismount) 4 Premier 236 Dispose

Aeron chairs 4 Premier 236 OPW

Stools 1 Premier 236 OPW

Kidney tables w/wheels 3 Premier 236 OPW

15Wx2H Lateral Files 2 Premier 236 OPW

Caper chair 1 Premier 236 OPW

Glove box holder (dismount) 1 Premier 238 Dispose

Spill control station (dismount) 1 Premier 238 EACH

3-drawer lateral 3 Premier 201A OPW

36" workstation 1 Premier 201A OPW-Janitell

2-drawer lateral 3 Premier 201A OPW

Metal file (dismount) 4 Premier Hallways (1st floor) Dispose

Wall art (dismount and package) 7 Premier Hallways (1st floor) OPW

Wall art (dismount and package) 7 Premier Hallways (2nd floor) OPW

Premier = 3920 N. Union Blvd, Colorado Springs, CO

MPMH = 565 Space Center Drive, Colorado Springs, CO

EACH = 1650 Cochrane Circle, Bldg 7500, Fort Carson, CO

OPW = 2525 Aviation Way, Colorado Springs, CO

OPW-Janitell = 3075 Janitell Rd, Colorado Springs, CO

Bldg 9622 = 3524 Airfield Road, Bldg 9622, Fort Carson, CO

Provisions/Clauses by Reference:

52.252-1 Solicitation Provisions Incorporated by Reference (Feb 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):

https://www.acquisition.gov/far/ http://farsite.hill.af.mil http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html (End of Provision)

*52.204-7 System for Award Management 52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards 52.204-16 Commercial and Government Entity Code Reporting 52.204-17 Ownership or Control of Offeror 52.204-18 Commercial and Government Entity Code Maintenance *52.204-22 Alternative Line Item Proposal 52.204-13 System for Award Management Maintenance 52.209-2 Prohibiting Inverted Domestic Corporations 52.209-6 Protecting the Government’s Interest when Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment 52.209-10 Prohibition on Contracting with Inverted Domestic Corporations 52.212-4 Contract Terms and Conditions – Commercial Items 52.219-6 Notice of Total Small Business Set-Aside 52.222-3 Convict Labor JUN 2003 52.222-55 Minimum Wages Under Executive Order 13658 52.223-18 Encouraging Contractor Policies to Ban Text Messaging While Driving 52.232-33 Payment by Electronic Funds Transfer – System for Award Management July 52.232-39 Unforceability of Unauthorized Obligations

52.232-40 Providing Accelerated Payments to Small Business Subcontractors 52.233-1 Disputes 52.233-3 Protest After Award 52.233-4 Applicable Law for Breach of Contract Claim 252.203-7000 Requirements Relating to Compensation of Former DoD Officials 252.203-7002 Requirements to Inform Employees of Whistleblower Rights *252.203-7005 Representation Relating to Compensation of Former DoD Officials 252.204-7003 Control of Government Personnel Work Product *252.204-7008 Compliance with Safeguarding Covered Defense Information Controls 252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting 252.204-7015 Notice of Authorized Disclosure of Information of Litigation Support 252.225-7048 Export Controlled Items 252.232-7003 Electronics Submission of Payment Requests and Receiving Reports 252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing of Contract Modifications DEC 1991 252.244-7000 Subcontracts for Commercial Items

* Signifies a Solicitation Provision

Provisions/Clauses by Full Text:

52.252-2 Clauses Incorporated by Reference (Feb 1998) This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

https://www.acquisition.gov/far/ http://farsite.hill.af.mil http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html

(End of Clause)

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (DEVIATION 2018-

O0021) (SEP 2018)

(a) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph (a) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215- 2, Audit and Records—Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor’s directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(b)(1) Notwithstanding the requirements of any other clauses of this contract, the Contractor is not required to flow down any FAR clause, other than those in this paragraph

(b) (1) in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause—

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C.

3509).

(ii) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (Jan 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(iii) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (Jul 2018) (Section 1634 of Pub. L. 115-91).

(iv) 52.219-8, Utilization of Small Business Concerns (Nov 2016) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $700,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(v) 52.222-17, Non-displacement of Qualified Workers (May 2014) (E.O. 13495). Flow down required in accordance with paragraph (l) of FAR clause 52.222-17.

(vi) 52.222-21, Prohibition of Segregated Facilities (APR 2015).

(vii) 52.222-26, Equal Opportunity (Sept 2016) (E.O. 11246).

(viii) 52.222-35, Equal Opportunity for Veterans (Oct 2015) (38 U.S.C. 4212).

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

(x) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212).

(xi) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496). Flow down required in accordance with paragraph (f) of FAR clause 52.222-40.

(xii) 52.222-41, Service Contract Labor Standards (Aug 2018) (41 U.S.C. chapter 67).

(xiii)(A) 52.222-50, Combating Trafficking in Persons (Mar 2015) (22 U.S.C. chapter 78 and E.O. 13627).

(B) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

(xiv) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment-Requirements (May 2014) (41 U.S.C. chapter 67).

(xv) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services-Requirements (May 2014) (41 U.S.C. chapter 67).

(xvi) 52.222-54, Employment Eligibility Verification (Oct 2015) (E.O. 12989).

(xvii) 52.222-55, Minimum Wages Under Executive Order 13658 (Dec 2015).

(xviii) 52.222-62 Paid Sick Leave Under Executive Order 13706 (Jan 2017) (E.O. 13706).

(xix)(A) 52.224-3, Privacy Training (JAN 2017) (5 U.S.C. 552a).

(B) Alternate I (JAN 2017) of 52.224-3.

(xx) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Oct 2016) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

(xxi) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (May 2014) (42 U.S.C. 1792). Flow down required in accordance with paragraph (e) of FAR clause 52.226-6.

(xxii) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx. 1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the contractor may include in its subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligations.

(End of clause)

52.222-41 Service Contract Labor Standards (Aug 2018) (41 U.S.C. chapter 67.).

ADDENDUM

Department of Labor Wage Determination #15-5417 (Rev 11) dated 1 January 2019 is incorporated into the award and is available at http://www.wdol.gov.

52.222-42 -- Statement of Equivalent Rates for Federal Hires.

In compliance with the Service Contract Labor Standards statute and the regulations of the Secretary of Labor (29 CFR part 4), this clause identifies the classes of service employees expected to be employed under the contract and states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the provisions of 5 U.S.C. 5341 or 5332.

This Statement is for Information Only:

It is not a Wage Determination

Employee Class Monetary Wage -- Fringe Benefits

01531 Travel Clerk I $13.17

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(a) Definitions. As used in this clause—

“Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.2327003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall—

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.acquisition.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

2 in 1 (Service Only)

Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (stand-alone) and “Receiving Report” (stand-alone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

MEDDAC, Fort Carson CO 80913

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC HQ0490

Issue By DoDAAC W911RZ

Admin DoDAAC W911RZ

Inspect By DoDAAC W51HQT

Ship To Code N/A

Ship From Code N/A

Mark For Code N/A

Service Approver (DoDAAC) W51HQT

Service Acceptor (DoDAAC) W51HQT

Accept at Other DoDAAC N/A

LPO DoDAAC N/A

DCAA Auditor DoDAAC N/A

Other DoDAAC(s) N/A

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the e-mail address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

TBD

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

N/A

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

52.219-1 Small Business Program Representations (Oct 2014)

(a) Definitions. As used in this provision-- “Economically disadvantaged women-owned small business (EDWOSB) concern” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business concern eligible under the WOSB Program.

“Service-disabled veteran-owned small business concern”--

(1) Means a small business concern--

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) “Service-disabled veteran” means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

“Small business concern” means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and the size standard in paragraph (b) of this provision.

“Small disadvantaged business concern, consistent with 13 CFR 124.1002,” means a small business concern under the size standard applicable to the acquisition, that--

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by--

(i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States, and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13 CFR 124.106) by individuals who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

“Veteran-owned small business concern” means a small business concern--

(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

“Women-owned small business concern” means a small business concern--

(1) That is at least 51 percent owned by one or more women; or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and

(2) Whose management and daily business operations are controlled by one or more women.

“Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127),” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States.

(b)

(1) The North American Industry Classification System (NAICS) code for this acquisition is 561920 – event and meeting planning services.

(2) The small business size standard is $11,000,000.

(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.

(c) Representations.

(1) The offeror represents as part of its offer that it [_] is, [_] is not a small business concern.

(2) [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [_] is, [_] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(3) [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it [_] is, [_] is not a women-owned small business concern.

(4) Women-owned small business (WOSB) concern eligible under the WOSB Program.

[Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(3) of this provision.] The offeror represents as part of its offer that—

(i) It [_] is, [_] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [_] is, [_] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(4)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture:

_________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(5) Economically disadvantaged women-owned small business (EDWOSB) concern.

[Complete only if the offeror represented itself as a women-owned small business concern eligible under the WOSB Program in (c)(4) of this provision.] The offeror represents as part of its offer that--

(i) It [_] is, [_] is not an EDWOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [_] is, [_] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(5)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: _____________.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

(6) [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it [_] is, [_] is not a veteran-owned small business concern.

(7) [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(6) of this provision.] The offeror represents as part of its offer that is [_] is, [_] is not a service-disabled veteran-owned small business concern.

(8) [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that –

(i) It [_] is, [_] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [_] is, [_] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(8)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture.

[The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: ___________.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

(d) Notice.

(1) If this solicitation is for supplies and has been set aside, in whole or in part, for small business concerns, then the clause in this solicitation providing notice of the set-aside contains restrictions on the source of the end items to be furnished.

(2) Under 15 U.S.C. 645(d), any person who misrepresents a firm’s status as a business concern that…