RFP SC-23-571 Elevator Upgrade Project with all Attachments.pdf

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12/08/2022

APPENDIX F - SAFETY REQUIREMENTS AND DELIVERABLES

1. All documentation must be available to Ames Laboratory upon request including but not limited to: training records, medical clearance, SOPs, and SDSs shall be provided in conjunction with the hazard evaluation and hazard management statements.

2. Per DOE policy 851 Worker Protection Plan, Ames Laboratory contractors and subcontractors must demonstrate compliance with ACGIH TLVs, typically by industrial hygiene monitoring or objective third-party data.

3. Crystalline Silica Exposures- Note that the Department of Energy requires that their contractors comply with the ACGIH TLV-TWA for respirable crystalline silica (RCS) as the exposure limit. This is a more stringent standard than the OSHA PEL (TLV=0.025 mg/m3 RCS; PEL=0.050 mg/m3 RCS).

Therefore, any work associated with respirable crystalline silica, such as the cutting of concrete or mortar, requires the use of the engineering control methods found in OSHA Table 1 AND personal breathing zone monitoring. There is no exception to the monitoring requirement based on compliance with Table 1 engineering controls. If your firm does not have a qualified person to conduct this monitoring, we encourage you to seek out a qualified industrial hygiene consultant.

In addition, respirators with at least the Table 1-dictated protection factor must be used, and a copy of the respirator training and documentation from a Licensed Health Care Professional (LHCP) stating each employee on site has been medically cleared to wear the specified respirator must be presented.

4. Testing for legacy contamination of radiation and beryllium will be conducted by Ames Laboratory. Additional PPE and monitoring may be required.

5. Copies of SDS for all chemicals, compounds, paints, solvents, etc… which will be brought on site must be submitted in conjunction with the hazard evaluation documentation, or as soon as it is determined it will be used.

6. Ergonomic concerns including lifting, pushing, pulling, hand and full body vibration shall be addressed in the hazard management statements along with the SOPs describing any equipment, equipment modifications, or PPE (Personal Protective Equipment) that may be used to mitigate such hazards.

7. Additional engineering controls such as portable ventilation units, the use of critical barriers between the outdoor work area and adjacent indoor spaces, or HEPA vacuums may be requested by Ames Laboratory personnel to mitigate any additional hazards or safety concerns that develop as the project progresses.

12/08/2022

8. Before performing hot work (torch use, grinding, cutting, etc) coordination must be conducted with Ames Laboratory Guardroom. A designated fire watch must be in place during work and 60 minutes after the hot work has been completed.

9. Scaffolding – must be erected by a trained competent person. That competent person is to be on-site any time scaffolding is in use. Certification must be made available when requested. All scaffolding usage will comply with 29 CFR part 1926, subpart L.

10. PPE - Standard PPE must be worn by the contractors. This includes but is not limited to safety glasses with side shields/safety goggles and hard hats where overhead hazards exist. Additional PPE may be required depending on hazard and mitigation requirements.

11. Hazardous Energy – Contractors will utilize Lockout Tagout per 29 CFR 1910.147 to control all hazardous energies. This includes but is not limited to: mechanical, hydraulic, pneumatic, chemical, thermal, electrical, and stored energy.

12. All ladder usage will comply with 29 CFR 1910.23. All ladders will be visually inspected daily before use.

13. Usage of portable manlifts will comply with 29 CFR 1910 Subpart F.

14. All power tools and extension cords must be inspected each day before use.

15. Confined spaces may not be entered without prior approval from Ames Laboratory. All confined space entrants must be trained and knowledgeable of the hazards faced with confined space entry. An attendant must be posted for the entirety of a permit required confined space entry.

All permit confined space entries will comply with 29 CFR 1910.146.

16. The following electrical standards shall apply to this Agreement:

a. All electrical work performed at the Laboratory shall be executed per the 2017 National Electrical Code (NFPA 70) and 2015 Standard for Electrical Safety in the Workplace

(NFPA 70E).

b. The contractor shall ensure each contractor worker exposed to voltages greater than 50 volts has received 2017 NFPA 70 and 2015 NFPA 70E code update training before any working performing work under this Agreement and maintain appropriate written documentation evidencing the training. The subcontractor shall provide copies of this documentation to the Laboratory Technical Representative and Laboratory Procurement Official immediately upon request. Such appropriate documentation may include a copy of the card issued to the worker or certification issued to the worker from the authorized certification agency.

This appendix is not intended to be a comprehensive list. Additional documentation and requirements may arise as the project progresses.

Form 48300.000 Procurement Revision 0, 12-8-2022 Page 1 of 6

REPRESENTATIONS AND CERTIFICATIONS SUPPLEMENTAL

Iowa State University (ISU) manages and operates Ames National Laboratory (referred to as the “Laboratory” or “Ames Laboratory”) for the Department of Energy (DOE) as a prime contractor under DOE Contract # DE-AC02-07CH11358 (Prime Contract), as amended. Therefore, all suppliers and subcontractors performing work or supplying goods to the Laboratory will be paid with government funds. To that end, ALL suppliers and subcontractors that desire to be considered for a purchase order or subcontract award valued at $10,000 or more are required to register their company in the Official U.S. Government System for Award Management (SAM) and complete annual representations and certifications electronically in SAM accessed through www.sam.gov.

INSTRUCTIONS

A. If proposed cost for work is less than $10,000, and your firm IS registered in SAM, then you are only required to provide the information in

SECTION I (a) Entity Information, below. If your firm is NOT registered in SAM, then you are required to complete both SECTIONS I (a) Entity Information and I (b) Business Size. HOWEVER, IF PROPOSED PRODUCTS ARE EXPORT CONTROLLED, THEN ALSO COMPLETE SECTION II (1).

B. If your proposed cost for work is $10,000 or more, your firm MUST be registered in SAM, and you are required to complete SECTION I(a) only, & ALL Parts of SECTION II.

C. SUBMIT your Representations and Certifications Supplemental to: Andrew Saxton via email at saxton@ameslab.gov.

AS USED HEREIN, THE TERM “CONTRACT” SHALL MEAN THE AMES NATIONAL LABORATORY AWARD “AGREEMENT” (ALSO REFERRED TO AS “PURCHASE ORDER” / “SUBCONTRACT”) RESULTING FROM THE OFFEROR’S PROPOSAL; “OFFER” INCLUDES “BID”, “PROPOSAL” AND “QUOTATION”;

AND “OFFEROR” INCLUDES “BIDDER”, “PROPOSER”, “QUOTER”, “SUPPLIER”, “SUBCONTRACTOR”, OR “VENDOR” AS MAY BE APPLICABLE.

SECTION I

1. (a) ENTITY INFORMATION (complete and check all that applies) 1. (b) BUSINESS SIZE Business Name: Click or tap here to enter text. In addition to 1(a), complete the section below if your proposed offer is less than $10,000 and your firm is NOT registered in SAM.

The North American Industry Classification System (NAICS) code that your firm falls under for this purchase is: (Offeror fills in) Click or tap here to enter text.

Your Firm’s Business Size (per FAR 52.219-1) (Select all that apply) ☐ Small Business (SB) ☐ Disadvantaged SB ☐ Women-Owned SB ☐ Veteran-Owned (VO) SB ☐ Service-Disabled VOSB ☐ Educational Institution ☐ Other Non-Profit ☐ HUBZone SB ☐ Foreign-Owned Business ☐ Large Business

Unique Entity ID: (from SAM) Click or tap here to enter text.

CAGE Code: (if known) Click or tap here to enter text.

Taxpayer Identification Number (TIN): Click or tap here to enter text.

(((( IMPORTANT ))))

NEW DOMESTIC OR FOREIGN SUPPLIERS MUST ATTACH A COPY OF YOUR CURRENT IRS FORM W-9, OR W-8 BEN, ACCORDINGLY, TO THIS REPRESENTATIONS & CERTIFICATIONS SUPPLMENTAL DOCUMENT.

FOR AN EXISTING SUPPLIER THAT HAS PREVIOUSLY SUBMITTED TO THE LABORATORY A W-9 OR W-8 BEN AND NOW ITS COMPANY NAME OR ADDRESS HAS CHANGED, YOU MUST PROVIDE SUCH NOTICES ON YOUR COMPANY LETTERHEAD. A CURRENT W-9 OR W-8 BEN IS REQUIRED FOR COMPANY NAME

CHANGES.

Physical Address: Click or tap here to enter text.

Mailing Address: Click or tap here to enter text.

(If different from physical address) Identify below the Place of Performance (principal plant or place of business where the items will be produced, supplied from stock, or where the service will be performed):

Zip+4: Click or tap here to enter text. Country: Click or tap here to enter text.

# of employees (if known & not a government entity):

Click or tap here to enter text.

Company Point of Contact:

Email: Click or tap here to enter text.

http://www.sam.gov/

Revision 0, 12-8-2022 Page 2 of 6

SECTION II

1. COMPLIANCE WITH EXPORT CONTROL LAWS AND REGULATIONS (Per DEAR 970.5225-1)(NOV 2015)

(a) Offeror’s Export Compliance Point of Contact Information:

Name Email Phone Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

(b) The Offeror represents that items furnished under any resultant award agreement are ☐, are not ☐, items that are specially designed, fabricated, and configured for military or space applications as listed on the United States Munitions List (22 CFR 120-130).

(c) The Offeror represents that items furnished under any resultant award agreement are ☐, are not ☐, items that are dual-use military or space items listed on the Commerce Control List 15 CFR 730-774 (CCL) as 500 or 600 series items.

(d) The Offeror represents that items furnished under any resultant award agreement are ☐, are not ☐, items that are listed on the CCL, other than 500 or 600 series items. If the items are listed on the CCL, provide the following information:

Manufacturer’s Name

Description Export Classification Control Number (ECCN) or

EAR99

Harmonized Tariff Schedule (HTS) / Schedule B Number, if applicable

Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

[List as necessary]

2. BUY AMERICAN-SUPPLIES CERTIFICATE (Per FAR 52.225-2)(OCT 2022)

(a) Definitions, see FAR 52.225-1(a).

(b) (1) The Offeror certifies that each end product, except those listed in paragraph (b) of this provision, is a domestic end product and that each domestic end product listed in paragraph (c) of this provision contains a critical component.

(2) The Offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products. For those foreign end products that do not consist wholly or predominantly of iron or steel or a combination of both, the Offeror shall also indicate whether these foreign end products exceed 55 percent domestic content, except for those that are COTS items. If the percentage of the domestic content is unknown, select “no”.

(3) The Offeror shall separately list the line item numbers of domestic end products that contain a critical component (see

FAR 25.105).

(c) Foreign End Products: [List as necessary] Line Item No.

Country of Origin

Exceeds 55% domestic content

(yes/no) Click or tap here to enter text. ☐ Yes ☐ No

(d) Domestic end products containing a critical component:

Line Item No. Click or tap here to enter text.

[List as necessary]

(e) The Laboratory will evaluate offers in accordance with the policies and procedures of FAR 25.

3. BUY AMERICAN-CONSTRUCTION MATERIALS CERTIFICATE (Per FAR 52.225-2)(OCT 2022)

(Applicable for construction services that are performed in the United States)

(a) Definitions, see FAR 52.225-9(a).

(b) Domestic preference.

(1) This clause implements 41 U.S.C. Chapter 83, Buy American, by providing a preference for domestic construction material.

In accordance with 41 U.S.C. 1907, the domestic content test of the Buy American statute is waived for construction material that is a COTS item, except that for construction material that consists wholly or predominantly of iron or steel or a combination of both, the domestic content test is applied only to the iron and steel content of the construction materials, excluding COTS fasteners. (See FAR 12.505(a)(2)). The Contractor shall use only domestic construction material in performing this contract, except as provided in paragraphs (b)(2) and (b)(3) of this clause.

(2) This requirement does not apply to information technology that is a commercial product or to the construction materials or components listed by the Government as follows: NONE.

(3) The Contracting Officer may add other foreign construction material to the list in paragraph ©(2) of this clause of the Government determines that—

(i) The cost of domestic material would be unreasonable.

https://www.acquisition.gov/far/part-25#FAR_25_105 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/far/part-12#FAR_12_505

Revision 0, 12-8-2022 Page 3 of 6

(A) For domestic construction material that is not a critical item or does not contain critical components.

(1) The cost of a particular domestic construction material subject to the requirements of the Buy

American statute is unreasonable when the cost of such material exceeds the cost of foreign material by more than 20 percent;

(2) For construction material that is not a COTS item and does not consist wholly or predominantly of iron or steel or a combination of both, if the cost of a particular domestic construction material is determined to be unreasonable or there is no domestic offer received, and the low offer is for foreign construction material that is manufactured in the United States and does not exceed 55 percent domestic content, the Contracting Officer will treat the lowest offer of foreign construction material that exceeds 55 percent domestic content as a domestic offer and determine whether the cost of that offer is unreasonable by applying the evaluation factor listed in paragraph (b)(3)(i)(A)(1) of this clause.

(3) The procedures in paragraph (b)(3)(i)(B)(2) of this clause will no longer apply as of January 1, 2030.

(ii) The application of the restriction of the Buy American statute to a particular construction material would be impracticable or inconsistent with the public interest; or

(iii) The construction material is not mined, produced, or manufactured in the United States in sufficient and reasonably available commercial quantities of a satisfactory quality.

(c) Request for determination of inapplicability of the Buy American statute.

(1) (i) Any Contractor request to use foreign construction material in accordance with paragraph

(b)(3) of this clause shall include adequate information for Government evaluation of the request, including—

(A) A description of the foreign and domestic construction materials;

(B) Unit of measure;

(C) Quantity;

(D) Price;

(E) Time of delivery or availability;

(F) Location of the construction project;

(G) Name and address of the proposed supplier; and

(H) A detailed justification of the reason for use of foreign construction materials cited in accordance with paragraph (b)(3) of this clause.

(ii) A request based on unreasonable cost shall include a reasonable survey of the market and a completed price comparison table in the format in paragraph (d) of this clause.

(iii) The price of construction material shall include all delivery costs to the construction site and any applicable duty

(whether or not a duty-free certificate may be issued).

(iv) Any Contractor request for a determination submitted after contract award shall explain why the Contractor could not reasonably foresee the need for such determination and could not have requested the determination before contract award. If the Contractor does not submit a satisfactory explanation, the Contracting Officer need not make a determination.

(2) If the Government determines after contract award that an exception to the Buy American statute applies and the Contracting Officer and the Contractor negotiate adequate consideration, the Contracting Officer will modify the contract to allow use of the foreign construction material. However, when the basis for the exception is the unreasonable price of a domestic construction material, adequate consideration is not less than the differential established in paragraph (b)(3)(i) of this clause.

(3) Unless the Government determines that an exception to the Buy American statute applies, use of foreign construction material is noncompliant with the Buy American statute.

(d) Data. To permit evaluation of requests under paragraph (c) of this clause based on unreasonable cost, the Contractor shall include the following information and any applicable supporting data based on the survey of suppliers:

Construction Material Description

Unit of Measure

Quantity Price (dollars)*

Item 1 Foreign Click or tap here to enter text. $

Domestic Click or tap here to enter text. $ Item 2

Foreign Click or tap here to enter text. $ Domestic Click or tap here to enter text. $

[* Include all delivery costs to the construction site and any applicable duty (whether or not a duty-free entry certificate is issued)].

[List name, address, telephone number, and contact for suppliers surveyed. Attach copy of response; if oral, attach summary.] [Include other applicable supporting information.]

Revision 0, 12-8-2022 Page 4 of 6

4. RIGHTS TO PROPOSAL DATA (Technical) (Applicable when Offeror’s technical proposal is being considered as part of the award decision.)

☐ Not Applicable Or, the data contained in pages Click or tap here to enter text. of this proposal have been submitted in confidence and contain trade secrets or proprietary information, and such data shall be used or disclosed only for evaluation purposes; provided that if a contract is awarded to the offeror as a result of or in connection with the submission of this proposal, the Government and the Laboratory shall have the right to use or disclose the data herein to the extent provided in the contract. This restriction does not limit the Government's or the Laboratory's right to use or disclose data obtained without restriction from any source, including the offeror.

Reference to this notice on the cover sheet should be placed on each page to which the notice applies. Data or abstracts of data, marked with this notice will be retained in confidence and used by the Laboratory, DOE or its designated representative(s), including Laboratory or Government contractors and consultants, solely for the purpose of evaluating the proposal. The data so marked will not otherwise be disclosed or used without the offeror's prior written permission except to the extent provided in any resulting contract, or to the extent required by law. The restriction contained in the notice does not limit the Laboratory's nor the Government's right to use or disclose any data contained in the proposal if it is obtainable from any source, including the offeror, without restriction. Although it is our policy to treat all proposals as confidential, neither the Laboratory nor the Government assumes any liability for disclosure or use of unmarked data and both may use or disclose such data for any purpose.

5. RIGHTS IN DATA-GENERAL

(Generally, does not apply to Commercial Items or Commercial Services. However, applies when a technical proposal is being considered as part of the award decision (data will be produced, furnished or acquired.)

It is Laboratory policy for a contract award based on a proposal that, in consideration of the award, the Government shall obtain unlimited rights in the technical data (data which are of a scientific or technical nature) contained in the proposal unless the contractor marks those portions of the technical information which he asserts as "proprietary data" or specifies those portions of such technical data which are not directly related to or will not be utilized in the work to be funded under the contract. Accordingly, please indicate:

☐ No restriction on Government rights in the proposal technical data; or ☐ The following identified technical data is proprietary or is not directly related to or will not be utilized in the work to be funded under the contract: DATA: Click or tap here to enter text.

☐ Not Applicable

6. REPRESENTATION OF LIMITED RIGHTS DATA AND RESTRICTED COMPUTER SOFTWARE

(NOTE: “Limited rights data” & “Restricted computer software” are defined in the contract clause “Rights in Data – General.” (48 CFR 52.227-14).)

(a) This solicitation sets forth the work to be performed if a contract award results, and the Government's and the Laboratory's known delivery requirements for data (as defined in 48 CFR 52.227-14). Any resulting contract may also provide the Government and the Laboratory the option to order additional data under the Additional Data Requirements clause at 48 CFR 52.227-16 of the FAR, if included in the contract. Any data delivered under the resulting contract will be subject to the Rights in Data--General clause at 48 CFR 52.227-14 that is to be included in this contract. Under the latter clause, a Contractor may withhold from delivery data that qualify as limited rights data or restricted computer software, and deliver form, fit, and function data in lieu thereof. The latter clause also may be used with it Alternates II and/or III to obtain delivery of limited rights or restricted computer software, marked with limited rights or restricted rights notices, as appropriate. In addition, use of Alternate V with this latter clause provides the Government the right to inspect such data at the Contractor's facility.

(b) As an aid in determining the Government's and the Laboratory's need to include any of the aforementioned Alternates in the clause at 48 CFR 52.227-14, Rights in Data--General, the offeror's response to this solicitation shall, to the extent feasible, complete the representation in paragraph (b) of this provision to either state that none of the data qualify as limited rights data or restricted computer software, or identify which of the data qualifies as limited rights data or restricted computer software. Any identification of limited rights data or restricted computer software in the offeror's response is not determinative of the status of such data should a contract be awarded to the offeror.

REPRESENTATION CONCERNING DATA RIGHTS

Offeror has reviewed the requirements for the delivery of data or software and states (offeror must check appropriate block)— ☐ None of the data proposed for fulfilling such requirements qualifies as limited rights data or restricted computer software.

☐ Data proposed for fulfilling such requirements qualify as limited rights data or restricted computer software and are identified as follows: Click or tap here to enter text.

☐ Not Applicable

Revision 0, 12-8-2022 Page 5 of 6

7. CERTIFICATION AS TO SMALL BUSINESS OR NONPROFIT STATUS UNDER PUBLIC LAW 96-517, AS AMENDED BY PUBLIC LAW 98-620

PATENT TERMS AND NOTICE OF RIGHT TO REQUEST PATENT WAIVER

(a) Under the provisions of Public Law 96-517 as amended by Public Law 68-620, the patent terms required for contracts with offerors in certain categories are as set forth in DOE Acquisition Regulations. In order to determine the Patent Provisions applicable to this contract, please check the applicable box. Offeror is:

☐ A small business firm as defined at Section 3 of Public Law 85-536 (15 U.S.C. 632) and implementing regulations of the

Administrator of Small Business Administration.

☐ A university or other institution of higher education or an organization of the type described in Section 501(c)(3) of the Internal

Revenue Code of 1954 (26 U.S.C. 501(c)) and exempt from taxation under Section 501(a) of the Internal Revenue Code (26 U.S.C.

501(a)); or

☐ A nonprofit scientific or educational organization qualified under a State nonprofit organization statute. Name of the statute:

☐ None of the above.

(b) Offerors who fall within any of the above categories have the right to request in advance of or within thirty (30) days after execution of the contract, in accordance with applicable statutes and DOE Patent Waiver Regulation 10 CFR 784, a waiver of all or any part of the rights of the United States in subject inventions. If the offeror intends to request a waiver to such invention rights pursuant to DOE Patent Waiver Regulation 10 CFR 784, please indicate:

☐ I intend to request an advance waiver in accordance with DOE Patent Waiver Regulation 10 CFR 784.

☐ I do not intend to request an advance waiver.

This is submitted with the intention that the Department of Energy rely on my representation that the offeror is a member of the category indicated.

8. COVENANT AGAINST CONTINGENT FEES (Per FAR 52.203-5)(MAY 2014)

(Applicable if offer exceeds Simplified Acquisition Threshold (SAT). Does not apply if requirements are for commercial products or commercial services.)

By submission of this Representations and Certifications Supplemental—

(a) The Contractor warrants that no person or agency has been employed or retained to solicit or obtain this contract upon an agreement or understanding for a contingent fee, except a bona fide employee or agency. For breach or violation of this warranty, the Government shall have the right to annul this contract without liability or, to deduct from the contract price or consideration, or otherwise recover, the full amount of the contingent fee.

(b) "Bona fide agency," as used in this clause, means an established commercial or selling agency, maintained by a contractor for the purpose of securing business, that neither exerts nor proposes to exert improper influence to solicit or obtain Government contracts nor holds itself out as being able to obtain any Government contract or contracts through improper influence.

Bona fide employee, as used in this clause, means a person, employed by a contractor and subject to the contractor’s supervision and control as to time, place, and manner of performance, who neither exerts nor proposes to exert improper influence to solicit or obtain Government contracts nor holds out as being able to obtain any Government contract or contracts through improper influence.

Contingent fee, as used in this clause, means any commission, percentage, brokerage, or other fee that is contingent upon the success that a person or concern has in securing a Government contract.

Improper influence, as used in this clause, means any influence that induces or tends to induce a Government employee or officer to give consideration or to act regarding a Government contract on any basis other than the merits of the matter.

9. CERTIFICATION OF NONSEGREGATED FACILITIES

By submission of this Representations and Certifications Supplemental—

(a) “Segregated facilities,” as used in this provision, means any waiting rooms, work areas, rest rooms and wash rooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dress areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees, that are segregated by explicit directive or are in fact segregated on the basis of race, color, religion, or national origin because of habit, local custom, or otherwise.

(b) By the submission of this offer, the offeror certifies that it does not and will not maintain or provide for its employees any segregated facilities at any of its establishments, and that it does not and will not permit its employees to perform their services at any location under its control where segregated facilities are maintained. The offeror agrees that a breach of this certification is a violation of the Equal Opportunity clause in the contract.

(c) The offeror further agrees that (except where it has obtained identical certifications from proposed subcontractors for specific time periods) it will –

(1) Obtain identical certifications from proposed subcontractors before the award of subcontracts under which the subcontractor

Revision 0, 12-8-2022 Page 6 of 6 will be subject to the Equal Opportunity clause;

(2) Retain the certifications in the files; and

(3) Forward the following notice to the proposed subcontractors (except if the proposed subcontractors have submitted identical certifications for specific time periods):

NOTICE TO PROSPECTIVE SUBCONTRACTORS OF REQUIREMENT FOR CERTIFICATIONS OF NON SEGREGATED FACILITIES

A Certification of Nonsegregated Facilities must be submitted before the ward of a subcontract under which the subcontractor will be subject to the Equal Opportunity clause. The certification may be submitted either for each subcontract or for all subcontracts during a period (i.e., quarterly, semiannually, or annually).

NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.

10. RADIOACTIVE MATERIALS

For purposes of this question, “radiation” includes particles with energies in the range of KeV or higher. It does not include laser, IR, UV or microwave radiation.

(a) Is there any planned or potential use of radioactive material under the proposed subcontract?

☐ YES ☐ NO

(b) Is there any planned or potential use of a radiation-producing device, e.g., accelerator, reactor, x-ray machine, fusion device?

☐ YES ☐ NO

If a. or b. above is answered “YES”, then provide the following information:

Principal Investigator Name: Click or tap here to enter text.

Phone No.: Click or tap here to enter text.

Email: Click or tap here to enter text.

Health Physicist/Radiation Safety Officer Name: Click or tap here to enter text.

Phone No.: Click or tap here to enter text.

Email: Click or tap here to enter text.

(c) Will subcontractor’s personnel perform any part of the work at Ames National Laboratory? ☐ YES ☐ NO

11. SUSPECT/COUNTERFEIT PARTS CERTIFICATION

Suspect/counterfeit parts shall not be used in the performance of any work resulting from this offer, whether on or off the Laboratory site, nor shall suspect/counterfeit parts be included in any supplies furnished as a result of this offer.

12. AMES NATIONAL LABORTORY TERMS AND CONDITIONS

By submission of its offer, the offeror represents that, unless otherwise noted in the offeror’s proposal, the Laboratory’s terms and conditions (included in the Laboratory’s solicitation) will be included in and govern any subsequent subcontract.

CERTIFICATION

A PERSON AUTHORIZED TO MAKE LEGALLY BINDING COMMITMENTS ON BEHALF OF THE OFFEROR MUST SIGN BELOW. BY SIGNING BELOW, THE OFFEROR CERTIFIES, UNDER PERJURY OF LAW, THAT THESE REPRESENTATIONS AND CERTIFICATIONS SUPPLEMENTAL ARE

ACCURATE, CURRENT, AND COMPLETE.

Company/Organization Name: Click or tap here to enter text.

Signature:

Signer’s Name (Printed): Click or tap here to enter text.

Title: Click or tap here to enter text.

Date: Click or tap to enter a date.

Telephone Number: Click or tap here to enter text.

Email Address: Click or tap here to enter text.

STATEMENT AND ACKNOWLEDGMENT OMB Control Number: 9000-0014 Expiration Date: 1/31/2021

PART I - STATEMENT OF PRIME CONTRACTOR

1. PRIME CONTRACT NUMBER 2. DATE SUBCONTRACT

AWARDED

3. SUBCONTRACT NUMBER

15b. TITLE OF PERSON SIGNING

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1413 (REV. 4/2013)

Prescribed by GSA/FAR (48 CFR) 53.222(e)

4. PRIME CONTRACTOR 5. SUBCONTRACTOR

a. NAME a. NAME

b. STREET ADDRESS b. STREET ADDRESS

c. CITY d. STATE e. ZIP CODE c. CITY d. STATE e. ZIP CODE

6. The prime contract does, does not contain the clause entitled "Contract Work Hours and Safety Standards Act -- Overtime Compensation."

7. The prime contractor states that under the contract shown in Item 1, a subcontract was awarded on the date shown in Item 2 to the subcontractor identified in item 5 by the following firm:

a. NAME OF AWARDING FIRM

b. DESCRIPTION OF WORK BY SUBCONTRACTOR

8. PROJECT 9. LOCATION

10a. NAME OF PERSON SIGNING 11. BY (Signature) 12. DATE SIGNED

10b. TITLE OF PERSON SIGNING

PART II - ACKNOWLEDGMENT OF SUBCONTRACTOR

13. The subcontractor acknowledges that the following clauses of the contract shown in Item 1 are included in this subcontract:

Contract Work Hours and Safety Standards Act - Overtime Compensation (If included in prime contract see Block 6) Payrolls and Basic Records Withholding of Funds Disputes Concerning Labor Standards Compliance with Construction Wage Rate Requirements and Related Regulations

Construction Wage Rate Requirements Apprentices and Trainees Compliance with Copeland Act Requirements Subcontracts (Labor Standards) Contract Termination - Debarment Certification of Eligibility

14. NAME(S) OF ANY INTERMEDIATE SUBCONTRACTORS, IF ANY

A C

B D

15a. NAME OF PERSON SIGNING 16. BY (Signature) 17. DATE SIGNED

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number.

The OMB control number for this collection is 9000-0014. We estimate that it will take .05 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

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STATEMENT AND ACKNOWLEDGMENT

OMB Control Number: 9000-0014

Expiration Date: 1/31/2021

PART I - STATEMENT OF PRIME CONTRACTOR

1. PRIME CONTRACT NUMBER

2. DATE SUBCONTRACT AWARDED

3. SUBCONTRACT NUMBER

15b. TITLE OF PERSON SIGNING

AUTHORIZED FOR LOCAL REPRODUCTION PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1413 (REV. 4/2013)

Prescribed by GSA/FAR (48 CFR) 53.222(e)

4. PRIME CONTRACTOR

5. SUBCONTRACTOR

a. NAME

a. NAME

b. STREET ADDRESS

b. STREET ADDRESS

c. CITY

d. STATE

e. ZIP CODE

c. CITY

d. STATE

e. ZIP CODE

6. The prime contract does, does not contain the clause entitled "Contract Work Hours and Safety Standards Act -- Overtime Compensation."

7. The prime contractor states that under the contract shown in Item 1, a subcontract was awarded on the date shown in Item 2 to the subcontractor identified in item 5 by the following firm:

a. NAME OF AWARDING FIRM

b. DESCRIPTION OF WORK BY SUBCONTRACTOR

8. PROJECT

9. LOCATION

10a. NAME OF PERSON SIGNING

11. BY (Signature)

12. DATE SIGNED

10b. TITLE OF PERSON SIGNING

PART II - ACKNOWLEDGMENT OF SUBCONTRACTOR

13. The subcontractor acknowledges that the following clauses of the contract shown in Item 1 are included in this subcontract:

Contract Work Hours and Safety Standards Act - Overtime Compensation

(If included in prime contract see Block 6)

Payrolls and Basic RecordsWithholding of FundsDisputes Concerning Labor StandardsCompliance with Construction Wage Rate Requirements and Related Regulations

Construction Wage Rate Requirements Apprentices and Trainees Compliance with Copeland Act Requirements Subcontracts (Labor Standards) Contract Termination - Debarment Certification of Eligibility

14. NAME(S) OF ANY INTERMEDIATE SUBCONTRACTORS, IF ANY

A

C

B

D

15a. NAME OF PERSON SIGNING

16. BY (Signature)

17. DATE SIGNED

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork

Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0014. We estimate that it will take .05 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

1. PRIME CONTRACT NUMBER: DE-AC02-07CH11358

4A. NAME: Ames Laboratory

4B. STREET ADDRESS: 2408 Pammel Drive, 231 TASF

4C. CITY: Ames

7A. NAME OF AWARDING FIRM: Ames Laboratory

10A. NAME OF PERSON SIGNING: Andrew Saxton

15A. NAME OF PERSON SIGNING:

15B. TITLE OF PERSON SIGNING:

10B. TITLE OF PERSON SIGNING: Contract Manager

14. NAME(S) OF ANY INTERMEDIATE SUBCONTRACTORS, IF ANY. Line A.:

14. NAME(S) OF ANY INTERMEDIATE SUBCONTRACTORS, IF ANY. Line D.:

14. NAME(S) OF ANY INTERMEDIATE SUBCONTRACTORS, IF ANY. Line C.:

14. NAME(S) OF ANY INTERMEDIATE SUBCONTRACTORS, IF ANY. Line B.:

8. PROJECT: SC-23-571 Elevator Upgrade Project

9. LOCATION: Ames Laboratory, Ames, IA/Iowa State University

7B. DESCRIPTION OF WORK BY SUBCONTRACTOR: Upgrades to controllers, door equipment, cab interiors, hydraulic equipment, machine room and pit updates, phone and phone lines and load testing.

5C. CITY:

4E. ZIP CODE: 50011-1015

5E. ZIP CODE:

4D. STATE: IA

5D. STATE:

3. SUBCONTRACT NUMBER:

5A. NAME:

5B. STREET ADDRESS:

2. DATE SUBCONTRACT AWARDED. Enter 2 digit month, 2 digit day and 4 digit year.:

12. DATE SIGNED. Enter 2 digit month, 2 digit day and 4 digit year.:

17. DATE SIGNED. Enter 2 digit month, 2 digit day and 4 digit year.:

6. The prime contract does contain the clause entitled "Contract Work Hours and Safety Standards Act -- Overtime Compensation.": 1

6. The prime contract does not contain the clause entitled "Contract Work Hours and Safety Standards Act -- Overtime Compensation.": 0

11. BY. SIGNATURE. This is a protected field.:

16. BY. SIGNATURE. This is a protected field.:

Appendix I - Ames National Laboratory Elevator Equipment Identification

BUILDING

ELEVATOR

NO.

MANUFACTURER

SERIAL

NUMBER

NO. STOPS

SPEED

(F.P.M.)

CAPACITY (LBS.) TYPE

EQUIPMENT

AGE (YEARS)

Metals Development

6521 Schumacher 665 2 125 4,000 Passenger Hydraulic

Development

1205 Rotary E15639 3 40 10,000 Freight

Hydraulic 63 1

Wilhelm 7275 Dover EFB4289 5 135 10,000 Passenger/Freight

Spedding

11491 2 Motion Control

Engineering (MCE) 3126701 5

5,000 10,000

Passenger/Freight O.H. Traction

16 2

TASF 8092 Montgomery CP-75358 5 125 3,500 Passenger

NOTES: 1) 2021 - Updated with new electronic control and safety features by Schumacher Elevator Co.

2) 2006 - Upgraded and load tested by Schumacher Elevator Co.

Sheet1

Ames National Laboratory is operated by Iowa State University for the U.S. Department of Energy.

DATE: January 5, 2023 Sent via email

TO:

ALL OFFERORS

SUBJECT: Request for Proposal (RFP) No. SC-23-571 for “Elevator Upgrade Project”

RESTRICTIVE NOTICE

THE DRAWINGS AND SPECIFICATIONS INCLUDED IN THIS SOLICITATION ARE THE PROPERTY OF

AMES NATIONAL LABORATORY AND MAY ONLY BE FOR THE EXPRESS PURPOSE OF PREPARING A

RESPONSE TO THIS SOLICITATION. FURTHER DISSEMINATION OF DRAWINGS AND

SPECIFICATIONS OTHER THAN TO POTENTIAL INDIVIDUAL SUBCONTRACTORS AND/OR

SUPPLIERS IS PROHIBITED, AND MAY SUBJECT THE DISSEMINATOR TO CIVIL PENALTIES. THIS

NOTICE SHALL BE MADE KNOWN TO AND BE APPLICABLE TO ALL POTENTIAL INDIVIDUAL

SUBCONTRACTORS AND/OR SUPPLIERS. DRAWINGS AND SPECIFICATIONS MAY NOT BE PLACED ON

THE INTERNET WITHOUT THE PRIOR WRITTEN PERMISSION OF AMES NATIONAL LABORATORY.

Ames National Laboratory (also referred to herein as the “Laboratory”) is seeking, through this Request for Proposal (RFP), to acquire the services described in Appendix B – Scope of Work titled, “Elevator Updates Ames National Laboratory”, dated 12/14/2022, in support of Ames National Laboratory located in Ames, Iowa.

https://www.ameslab.gov/about-ames-laboratory.

The Laboratory intends to award one subcontract resulting from this solicitation to that offeror whose offer conforming to the solicitation will be most advantageous to the Laboratory, the best value, price and other factors as specified, considered. Therefore, your firm is invited to submit a proposal for these requirements.

Below is pertinent information regarding this RFP:

Procurement Event

Due date & time

(ALL TIME LISTED ARE

CENTRAL TIME ZONE)

Mandatory Pre-Proposal Meeting and Site Tour: Location of event is 2408 Pammel Drive, Ames Iowa 50011. Room 205 TASF

1/20/2023 at 10:00 am CST

Explanation or Interpretation of Documents: Questions regarding the solicitation shall be submitted via email to the Procurement Agent no later than:

1/30/2023 by 4:00 pm CST

Proposal Submission Due Date. Proposals shall be submitted via email to the Procurement Agent no later than:

2/13/2023 by 4:00 pm CST

Anticipated award date of subcontract is: 2/24/2023

UNDER NO CIRCUMSTANCES SHOULD OFFERORS DIRECTLY CONTACT ANYONE OTHER THAN THE

PROCUREMENT AGENT OR HIS/HER DESIGNEE REGARDING THIS SOLICITATION.

Please review all attachments to this RFP and follow the proposal instructions before you submit your offer.

Sincerely, Andrew Saxton Contract Manager https://www.ameslab.gov/about-ames-laboratory

RFP No. SC-23-571

Please review all attachments to this solicitation and follow the proposal instructions before you submit your offer.

A. GENERAL INFORMATION

1. Educational Discounts.

Iowa State University (ISU) manages and operates Ames National Laboratory for the Department of Energy (DOE) as a prime contractor under DOE Contract# DE- AC02-07CH11358 (Prime Contract). Ames National Laboratory is not a separate legal entity from ISU. ISU manages and operates Ames National Laboratory as a single, integrated, autonomous entity. The relationship between ISU and the Laboratory is not a contractor – affiliated source relationship. Therefore, offerors are advised that Ames National Laboratory is eligible to receive educational discounted pricing.

2. Authorization to utilize Government Sources.

Offerors are advised that Ames National Laboratory is authorized by the Government (DOE) to purchase from GSA Multiple Award Schedule, and NASA SEWP contract holders. Therefore, offerors may propose discounted pricing off their contracts held with these agencies.

Additionally, the Laboratory may place orders against DOE Integrated Contractor Purchasing Team (ICPT) agreements and agreements awarded by the Supply Chain Management Center (SCMC). If your firm has an active ICPT Basic Ordering Agreement (BOA) or SCMC BOA for the supplies or services under this solicitation, please provide the Agreement No., and pricing information in your submission of offer.

3. Open Competition.

This RFP is conducted using full and open competition. Ames National Laboratory offerors are expected to use small businesses and all classifications of small minority businesses including Alaska Native Corporations (ANCs) and Indian Tribes , veteran-owned small business (VOB), service-disabled veteran-owned small business (SDVOB), HUBZone small business (HUB), small disadvantaged business including ANCs and Indian Tribes (SDB), women-owned small business (WOSB), as sub-subcontractors to the maximum extent consistent with effective contract performance.

4. North American Industrial Classification System (NAICS) Code.

The NAICS code for this acquisition is 238290: Other Building Equipment Contractors.

The small business size standard is $22 million.

The table of size standards can also be found online in the small business size regulations set forth in the Electronic Code of Federal Regulations. Offerors can also check whether your business is small using the size standards tool.

PLEASE NOTE: The small business size standard for a concern which submits an offer in its own name, but which proposes to furnish an item which it did not itself manufacture, is 500 employees.

5. Type of Contract.

The Laboratory plans to award a Firm Fixed Price subcontract under this solicitation, and all proposals must be submitted on this basis.

6. Alternate Contract Type.

Alternate proposals based on other contract types will ☐ will not ☒ be considered.

7. Solicitation Provisions.

a. Acceptance of Terms and Conditions.

Offerors MUST agree to the Laboratory's terms and conditions, and intellectual property provisions or state any exceptions within your proposal response. No further objections to the Laboratory's terms and conditions, and intellectual provisions may be made after a proposal is submitted. Offerors understand and agree that by submitting a proposal, they are indicating acceptance of all Ames National Laboratory Terms and Conditions, as identified as attachments to this RFP, unless such a declaration is made in advance.

The Laboratory cautions Offerors that taking exceptions to any term or condition of this RFP (including submitting any alternate proposals that requires relaxation of a requirement) may make an offer unacceptable. The Laboratory reserves the sole discretion to consider exceptions to terms and conditions or to reject any exceptions. All exceptions must be submitted with the Offeror’s proposal.

b. Construction Wage Rate Requirements (CWRR).

The minimum wages paid laborers and mechanics engaged in construction work within the scope of this request shall be in accordance with the Department of https://www.ecfr.gov/cgi-bin/text-idx?SID=b919ec8f32159d9edaaa36a7eaf6b695&mc=true&node=pt13.1.121&rgn=div5#se13.1.121_1201 https://www.sba.gov/size-standards

Labor (DOL) minimum wage determination (see the applicable Labor Standards clauses in the enclosed Appendix A). The appropriate determination will be attached to the proposal as Appendix C. It is incumbent upon the contractor to notice that one or more job categories is/are not listed on the Wage Determinations attachment provided in the RFP and notify the Laboratory. The Laboratory will request a conformance from the DOL for an approved wage in that category. It is not guaranteed that the wage will be determined before the proposal from offeror is due. The successful offeror will be required to submit weekly certified payrolls to the Laboratory.

c. Buy American Act.

The Buy American Act (41 U.S.C.10) generally requires that only domestic construction material be used in the performance of this subcontract (see the “Buy American Act – Construction Materials” clause in the enclosed Appendix A, and the “Buy American- Construction Materials Certificate” provision in the enclosed Appendix G).

d. Representations and Certifications Supplemental.

ALL subcontractors that desire to be considered for a subcontract award valued at $10,000 or more are required to register their company in the Official U.S. Government System for Award Management (SAM) and complete annual representations and certifications electronically in SAM accessed through www.sam.gov. Additionally, offerors shall complete the attached Representations and Certifications Supplemental document under Appendix G and submit with proposal response to this RFP.

8. Offer Acceptance Period.

“Acceptance period,” as used in this provision, means the number of calendar days available to the Laboratory for awarding a subcontract from the date specified in this solicitation for receipt of offers.

The Laboratory requires a minimum acceptance period 45 calendar days from due date of RFP. An offer allowing less than the Laboratory’s minimum acceptance period may be rejected.

9. Availability of Funds.

Funds are available up to the Laboratory’s approved budget amount. In the event offerors’ pricing exceeds the Laboratory’s funding limitation, this solicitation may be cancelled.

10. Proposal Preparation Cost.

This solicitation does not commit the Laboratory to pay any cost for the preparation and submission of a response to this RFP.

http://www.sam.gov/

11. Firm’s Authorized Official.

The offeror’s proposal must be signed by an official authorized to bind your organization and must stipulate that it is predicated upon all the terms and conditions of this RFP. Offeror shall appoint and list a single point of contact for negotiations and Purchase Order administration once the agreement is awarded.

12. Discussions.

The Laboratory reserves the right to reject any and all proposals and to waive informalities and minor irregularities in proposals received and to accept any portion of a proposal if deemed in the best interest of the Laboratory. Award may be made without discussion; and hence, your proposal should be submitted initially on the most favorable terms.

13. Mandatory Pre-Proposal Conference.

a. A mandatory pre-proposal meeting and site tour are scheduled for 1/20/2023 during which potential offerors may obtain a better understanding of the work required. The conference provides an opportunity to discuss and clarify this RFP.

However, nothing said or represented in the meeting shall be deemed to modify RFP requirements unless followed by a written amendment to this RFP.

b. Offerors are encouraged to submit all questions in writing at least 5 days before the conference. Questions will be considered at any time prior to or during the conference. Subsequent to the conference, the Laboratory will distribute to all conference participants and all other prospective offerors a record of the conference containing an abstract of the questions and answers, and a list of attendees. If warranted, an amendment will be issued to reflect changes to the solicitation.

c. Offerors are cautioned that, notwithstanding any remarks or clarifications given at the conference or in the post-conference abstract, all terms and conditions of the solicitation remain unchanged unless changed by amendment.

14. Preparation of Proposals.

a. Offerors are expected to examine the drawings, specifications, and all provisions and instructions. Failure to do so will be at the offeror’s risk.

b. Each offeror must furnish the information required by the solicitation. The offeror must sign the proposal and print or type its name on the proposal and each continuation sheet on which it makes an entry. Erasures or other changes must be initialed by the person signing the proposal.

c. Time, if stated as a number of days, will include Saturdays, Sundays, and federal holidays.

d.…