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02 - VENDOR RESPONSE DOCUMENT
ALL OFFERORS MUST COMPLETE THIS DOCUMENT.
PLEASE PAY ATTENTION TO THE APPLICABILITY NOTES
PROVIDED IN THE TABLE OF CONTENTS
AND AT THE BEGINNING OF EACH
OF THE FOUR SECTIONS OF THIS DOCUMENT.
PLEASE UTILIZE THE CHECKLIST
04a – Vendor Response Document
RFP-797-FSS-03-0001-R2
AT THE END OF THIS DOCUMENT.
TABLE OF CONTENTS
VENDOR RESPONSE: All offerors must complete this section.
| Signatory Authority Form (Aug 2017) | 4 |
| Agent Authorization | 5 |
| SF-1449 | 6 |
| Continuation of SF-1449 Blocks 19-21, Schedule of Items | 8 |
| Scope of Solicitation (Aug 2017) .. | 9 |
| B-FSS-96 Estimated Sales (Nov 1997) | 10 |
| L-FSS-400 Introduction of New Services/Products (INSP) (Nov 2000) (Tailored) | 10 |
| 11 | |
| Business Size Determination and NAICS Code Designation (Aug 2017) | 12 |
| 552.238-78 Scope of Contract (Eligible Ordering Activities) (Jul 2016, Tailored) | 13 |
| I-FSS-644 Dealers and Suppliers (Oct 1988) | 15 |
| 552.211-78 Commercial Delivery Schedule (Multiple Award Schedule) (Feb 1996) (Tailored) | 16 |
| F-FSS-202-G Delivery Prices (Jan 1994) | 17 |
| F-FSS-244-B Additional Service Charge for Delivery within Consignee’s Premises (May 2000) | 18 |
| 52.216-19 Order Limitations (Oct 1995, Dev. II – Feb 2007) (Tailored) | 19 |
| Minimum Acceptable Order Proposal (Aug 2016) | 19 |
| Utilization of Dealers/Distributors (Aug 2017) | 19 |
| 552.232-82 Contractor’s Remittance (Payment) Address (May 2003) | 20 |
| K-FSS-9 Section 8(a) Representation for the MAS Program (Sep 2000) | 20 |
| 52.223-3 Hazardous Material Identification and Material Safety Data (Jan 1997, Alt. I – July 1995) | 21 |
| C-FSS-411 Fire or Casualty Hazards, or Safety or Health Requirements (Oct 1992) (Tailored) | 22 |
| Medical Devices (Aug 2017) | 23 |
| 52.215-6 Place of Performance (Oct 1997) | 24 |
| K-FSS-1 Authorized Negotiators (Mar 1998) | 24 |
| 25 | |
| Alternate Contact for Contract Administration (Aug 2017) | 26 |
| Contact for Sales Administration (Mar 2011) | 26 |
| 26 | |
| 27 | |
| 28 | |
| Recovery Purchasing Election | 29 |
| Public Health Emergencies Participation Election | 29 |
COMMERCIAL SALES PRACTICES: All offerors must complete this section.
| Proposed Pricing – Required Format | 31 |
| Additional Discounts/Concessions Offered to the Government | 32 |
| Commercial Catalog/Pricelist | 32 |
| CSP-1 | 33 |
PAST PERFORMANCE EVALUATION: Only complete this section if this is a new Federal Supply Schedule (FSS) offer and you do not have a current FSS contract with either General Services Administration (GSA) or Department of Veterans Affairs (VA).
Contractor Past Performance References 38 SMALL BUSINESS SUBCONTRACTING PLAN: Only complete this section if you are classified as an “other than small business” (or are affiliated with an other than small business) and your offer will be valued in excess of $700,000 for the ten year contract period including the base and all option periods.
| Small Business Subcontracting Plan Template (Aug 2017) | 42 |
| PROPOSAL CHECKLIST | 50 |
SIGNATORY AUTHORITY FOR OFFERS AND CONTRACTS / COMPANY INFORMATION
The purpose of this document is to clearly identify who has been delegated the authority to sign your Federal Supply Schedule (FSS) offer or contract on behalf of the named firm as well as identify pertinent company information. Pursuant to our policy, the only person(s) with the ability to delegate authority is an officer of the company. Therefore, please list the officers of the company in block 6 of the form. In block 7, please list those persons to whom authority has been delegated to sign, negotiate and/or administer your Federal Supply Schedule (FSS) offer or contract. Finally, blocks 15, 16, 17 must be signed by an officer of the company (individual listed in block 6) in order for our office to accept the authority. If you require additional space, you may use a properly titled attachment.
NOTE: All items must be completed; insert N/A if information is not applicable. Definitions are provided on the following page.
| 1. TYPE |
| 2. DATE |
| 3. SOLICITATION |
| 4. CONTRACT # |
| |_| INITIAL |_| REVISION |
| RFP-797-655A-03-0001-R6 |
5. COMPANY INFORMATION
A. NAME
B. STREET ADDRESS
C. CITY
D. STATE
E. ZIP CODE
| F. TYPE OF ORGANIZATION (Check one) | ||
| |_| | SOLE PROPRIETORSHIP | |
| |_| | NON-PROFIT ORGANIZATION | |
| |_| | PARTNERSHIP | |
| |_| | CORPORATION - STATE OF INCORPORATION: | |
| |_| | LLC (LIMITED LIABILITY COMPANY) - STATE OF FORMATION: |
6. NAMES OF OFFICERS, OWNERS, OR PARTNERS
A. PRESIDENT
B. VICE PRESIDENT
C. SECRETARY
D. TREASURER
E. OWNERS OR PARTNERS
7. PERSONS AUTHORIZED TO SIGN OFFERS AND CONTRACTS ON BEHALF OF THE COMPANY (Indicate if Agent)
| NAME |
| OFFICIAL CAPACITY |
| TELEPHONE NUMBER |
8. BUSINESS INFORMATION (Refer to FAR 52.212-1(a), 19.101 and 19.102)
| A. SIZE OF BUSINESS | |
| |_| | SMALL BUSINESS (Complete block 9) |
| |_| | OTHER THAN SMALL BUSINESS |
| B. AVERAGE NUMBER OF EMPLOYEES |
(Including affiliates) FOR THE PRECEDING 12 MONTHS C. AVERAGE ANNUAL COMPANY SALES OR RECEIPTS (Including affiliates) FOR PRECEDING THREE (3) FISCAL YRS $
| 9. TYPE OF SMALL BUSINESS (See definitions at FAR 52.219-1) |
| 10. TYPE OF BUSINESS |
|_| DISADVANTAGED
|_| WOMEN-OWNED
|_| HUBZONE
|_| VETERAN-OWNED
|_| SERVICE-DISABLED VETERAN-OWNED
|_| 8(A)
|_| MANUFACTURER / PRODUCER
|_| DEALER
|_| SERVICE ESTABLISHMENT|_| DISTRIBUTOR
| 11. IDENTIFICATION NUMBERS (if applicable): |
| 12. HOW MANY YEARS IN PRESENT BUSINESS |
DUN & BRADSTREET:
TAX IDENTIFICATION NUMBER:
| 13. FLOOR SPACE (In square feet) |
| 14. NET WORTH |
A. MANUFACTURING
B. WAREHOUSE
A. DATE
B. AMOUNT
CERTIFICATION -- I certify that information supplied herein (including all pages attached) is correct and that neither the company nor any person (for concern) in any connection with the company as a principal or officer, so far as it known, is now debarred or otherwise declared ineligible by any agency of the Federal Government from making offers for furnishing materials, supplies, or services to the Government or any agency thereof.
| 15. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN (TYPE/PRINT) |
| 16. SIGNATURE |
| 17. DATE SIGNED |
08/2017
AGENT AUTHORIZATION
This letter is to be used in conjunction with solicitation clause K-FSS-1, Authorized Negotiators, to authorize a third party agent to act on your company’s behalf in matters relating to your VA FSS proposal/contract. The form of this letter permits you to delineate agent roles and to limit those roles as needed. This letter shall only be signed by an officer, owner, or partner of the offeror/contractor who is listed on the offeror/contractor’s Signatory Authority Form.
For solicitation/contract number , the undersigned offeror/contractor hereby authorizes the below agent(s) to act as agent(s) for said offeror/contactor with said specific authority delegated from the contractor to the agent(s). The authority of the agent(s) is limited to exact and specific delegations.
AGENT INFORMATION Pre- Post- AGENT AUTHORITY Award Award
| Agent: | |_| | |_| | Signatory | |
| |_| | |_| | Negotiate Changes | ||
| Phone Number: | |_| | |_| | Contract Administration | |
| |_| | |_| | Other: | ||
| E-mail: | ||||
| AGENT INFORMATION | Pre- | Post- | AGENT AUTHORITY |
Award Award
| Agent: | |_| | |_| | Signatory | |
| |_| | |_| | Negotiate Changes | ||
| Phone Number: | |_| | |_| | Contract Administration | |
| |_| | |_| | Other: | ||
| E-mail: |
DURATION OF AUTHORITY
|_| Agent authority valid until revoked.
|_| Agent authority valid for the following period:
Signature of Offeror/Contractor: ___________________________________
| Printed Name & Title: |
| Date: |
02– Vendor Response Document
RFP-797-655A-03-0001-R6
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 17 & 30
1. REQUISITION NUMBER
N/A PAGE 1 of
2. CONTRACT NO.
| 3. AWARD/EFFECTIVE DATE |
| 4. ORDER NO./MODIFICATION NO. |
N/A
5. SOLICITATION NO.
RFP-797-655A-03-0001-R6
6. SOLICITATION ISSUE
DATE: 12/22/2017
| 7. FOR SOLICITATION NFORMATION CALL: |
| a. NAME: |
FEDERAL SUPPLY SCHEDULE HELPDESK
| b. TELEPHONE NO. (No Collect Calls) (708) 786-7737 |
| 8. OFFER DUE DATE |
/LOCAL TIME: N/A
9. ISSUED BY CODE
10. THIS ACQUISTION IS
VA NATIONAL ACQUISITION CENTER
FEDERAL SUPPLY SCHEDULE SERVICE 003B6B
PO BOX 76, BLDG 37
HINES, IL 60141
OVERNIGHT DELIVERY SHOULD BE MAILED OR HAND DELIVERED TO THE ADDRESS LOCATED IN BLOCK 16
|X| UNRESTRICTED OR |_| SET ASIDE __% FOR:
|_| SMALL BUSINES |_| WOMEN-OWNED SMALL BUSINESS |_| HUBZONE SMALL BUSINESS (WOSB) ELIGIBLE UNDER THE WOMEN-
|_| VETERAN OWNED SMALL BUSINESS OWNED SMALL BUSINESS PROGRAM
|_| SERVICE DISABLED VETERAN OWNED SMALL BUSINESS |_| EDWOSB |_| 8(A)
Size Standards: See page 17 for NAICS codes and size standards under this solicitation.
11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED
|_| SEE SCHEDULE
12. DISCOUNT TERMS
See Summary of Award
| |_| 13a. | THIS CONTRACT IS A |
| RATED ORDER UNDER | |
| DPAS (15 CFR 700) | |
| 13b. RATING |
14. METHOD OF SOLICITATION
|_|RFQ |_|IFB |X|RFP
15. DELIVER TO CODE CODE
16. ADMINISTERED BY CODE
| TO BE SHOWN ON EACH ORDER ISSUED UNDER ANY CONTRACT RESULTING FROM THIS SOLICIATION |
| VA NATIONAL ACQUISITION CENTER, FEDERAL SUPPLY SCHEDULE SERVICE 003B6B |
1ST AVENUE, 1 BLOCK NORTH OF 22ND STREET, BLDG 37 HINES, IL 60141
17a. CONTRACTOR/ OFFEROR CODE
FACILITY
CODE
18a. PAYMENT WILL BE MADE BY CODE
| SEE BLOCK 15 |
DUNS
TELEPHONE NO.
| |_| 17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER |
| 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK |
BELOW IS CHECKED |_| SEE ADDENDUM
| 19. ITEM NO. |
| 20. SCHEDULE OF SUPPLIES/SERVICES |
| 21. QUANTITY |
| 22. UNIT |
| 23. UNIT PRICE |
| 24. AMOUNT |
FSC CLASS
FSC Group 65, Part VA X-Ray Equipment and Supplies
SEE CONTINUATION OF SF-1449 FOR SCHEDULE OF ITEMS
(ATTACH REVERSE AND/OR ATTACH ADDITIONAL SHEETS AS NECESSARY)
25. ACCOUNTING AND APPROPRIATION DATA
7974537B0161441V36122002580
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
ESTIMATED VALUE $
|X| 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA |X| ARE |_| ARE NOT ATTACHED.
|_| 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA |_| ARE |_| ARE NOT ATTACHED.
| |X| 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 COPY TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED. |
| |_| 29. AWARD OF CONTRACT: REFERENCE FPR OFFER DATED______________________________. |
YOUR OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS: See Summary of Award.
30a. SIGNATURE OF OFFEROR/CONTRACTOR
31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)
31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV. 2/2012)
Prescribed by GSA - FAR (48 CFR) 53.212
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
32a. QUANTITY IN COLUMN 21 HAS BEEN
|_|RECEIVED |_|INSPECTED |_| ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:
32b. SIGNATURE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
| 32c. DATE |
| 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT |
REPRESENTATIVE
| 32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE |
| 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE |
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
| 33. SHIP NUMBER | ||
| 34. VOUVHER NUMBER | ||
| 35. AMOUNT VERIFIED CORRECT FOR | ||
| 36. PAYMENT | ||
| |_| COMPLETE | |_| PARTIAL | |_| FINAL |
| 37. NUMBER |
PARTIAL
FINAL
| 38. S/R ACCOUNT NO. |
| 39. S/R VOUCHER NUMBER |
| 40. PAID BY |
| 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT |
| 42a. RECEIVED BY (Print) |
| 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER |
| 41c. DATE |
42b. RECEIVED AT (Location)
| 42c. DATE REC’D (YY/MM/DD) |
| 42d. TOTAL CONTAINERS |
STANDARD FORM 1449 (REV. 2/2012) BACK
CONTINUATION OF SF 1449 – BLOCKS 19-21, SCHEDULE OF ITEMS
| SPECIAL ITEM NUMBER (SIN) |
| NAICS CODE |
| FSC CLASS |
DESCRIPTION
ESTIMATED ANNUAL SALES
CHECK ITEM OFFERED
| V-1 |
| 325992 |
| 6525 |
| Film, X-ray, Medical |
All available types, sizes, and speeds
| $192,999 |
| |_| |
| V-2 |
| 325992 |
| 6525 |
| Film, X-ray, Dental |
All available types, sizes, and speeds
| $44,664 |
| |_| |
V-3
- Reserved -
| V-4 |
| 334517 |
| 6525 |
| Illuminators/Viewers, Film |
Including replacement parts and accessories
| $9,317 |
| |_| |
| V-5 |
| 334517 |
| 6525 |
| Processors, X-ray Film |
Including replacement parts and accessories
| $24,327 |
| |_| |
| V-6 |
| 334517 |
| 6525 |
| Grids and Cassettes |
Intensifying Screens
| $48,220 |
| |_| |
V-7 334517
Cutters/Perforators, Film:
Hangers, Hanger Racks, Special Procedures Eyeglasses, Lead Aprons/Shields, Shield, X-ray portable, Gloves, Markers
| $3,292,933 |
| |_| |
| V-8 |
| 334517 |
| 6525 |
| Injectors, Angiographic |
Including replacement parts, accessories, and consumable supplies
| $261,400 |
| |_| |
| V-9 |
| 334517 |
| 6525 |
| Video Equipment, X-ray, Medical |
Includes TV monitors, recorders, projectors, image enhancement devices including multi-format cameras, laser imagers, interfaces and options, video recorders and enhancers (including replacement parts and accessories)
| $507,031 |
| |_| |
| INP |
| 325992 |
334517
| 6525 |
| Introduction of New Products (INP) |
Note: When a VA National Contract is awarded, items that are the same or similar and appear on the FSS may be unavailable from the FSS for those ordering activities that are mandatory users of the awarded National Contract. Government agencies that participate in a national committed use contract are required to purchase the products awarded on the national contract from the national contractor. Although Government agencies participating in the national contract would not be permitted to purchase the same or similar items from FSS contracts without a waiver issued by the ordering activity, any FSS contractor may maintain these items on its FSS contract for sale to all other authorized users of the schedule.
SCOPE OF SOLICITATION
The Federal Supply Schedule (FSS) program is also known as the GSA Schedules Program or the Multiple Award Schedule (MAS) Program. The FSS program is directed and managed by GSA and provides Federal agencies with a simplified process for obtaining commercial supplies and services at prices associated with volume buying. Indefinite-delivery, indefinite quantity contracts are awarded to provide supplies and services at stated prices for given periods of time. GSA has delegated authority to the VA to manage the Schedules for medical supplies under the VA FSS program.
This solicitation is issued to establish contracts which may be used on a nonmandatory basis by eligible users, as a source of supply for the supplies or services described herein, for domestic and/or overseas delivery. Ata a minimum, contract holders are required to deliver their products within the 48 contiguous states, Alaska, Hawaii, Puerto Rico, Washington, DC, and U.S. territories. Domestic delivery also includes a port or consolidation point, within the aforementioned areas, for orders received from overseas activities. Offerors who cannot provide the required geographic coverage will not be considered for award. This solicitation further requires that offered prices cover delivery to destinations (i.e. F.O.B. destination) located within the 48 contiguous states and the District of Columbia. Offerors can choose whether or not prices cover delivery f.o.b. destination to Alaska, Hawaii, and the Commonwealth of Puerto Rico. Additionally, the solicitation defines the number of calendar days after receipt of order (ARO) within which delivery must be made.
FSS solicitations set forth broad categories of accepted products/services, referred to as Special Item Numbers (SINs), listed in the Continuation of SF1449 in Vendor Response Document 02. Offerors are not required to submit their entire catalog of products/services but are free to choose which items they will offer as long as those items fall within one of the solicitation’s pre-defined SIN categories. Items that do not fall within one of these SINs are considered to be outside of the scope of the solicitation and cannot be awarded. An item’s acceptability under the schedule may be further restricted by the Trade Agreements Act, limitations on certain types of commercial items, FDA regulations, and a determination of fair and reasonable pricing.
New Items vs. Refurbished or “Grey Market Goods” This solicitation is for the award of new items only. The Contractor shall provide only new equipment and new parts for the required products described herein. Absolutely no “grey market goods” or refurbished products shall be provided under any delivery order. Grey market goods are defined as genuine branded goods sold outside of an authorized sales-territory (or by non-authorized dealers in an authorized territory) at prices lower than being charged in authorized sales territories (or by authorized dealers). All equipment must be covered by the manufacturer’s warranty.
Trade Agreements Act The Trade Agreements Act is applicable to all Schedules. Under the terms of this act ONLY US-made or designated country end products shall be awarded to responsible VA FSS contractors. It is the offeror’s responsibility to verify that all offered products are from the US or a designated country listed at FAR 52.225-5. When an item consists of components from various countries and the components are assembled in an additional country, the test to determine country of origin is “substantial transformation” (see FAR 25.001(c)(2)). Offerors requiring a determination on substantial transformation can go to the US Customs and Border Protection Office of Regulations and Rulings.
Commercial Items - Limitations Per GSA regulations at 538.271(a), MAS awards are for commercial items as defined in FAR 2.101. Certain types of “custom” items fall under this definition as modified commercial items. For example, FSS accepts configurable items, such as configurable wheelchairs, and custom count items, such as pharmaceutical tablets packaged in quantities specifically for the Government. FSS, however, has made a business decision not to award contracts for the following:
· Custom Packs
· Non-Configurable Custom Products Made to Individual Specifications, including, but not limited to, such items as custom orthotics, custom dental products, and prescription eyeglasses.
FDA Regulatory Requirements Offerors of products classified as medical devices by the U.S. Food and Drug Administration shall be in compliance with the Federal Food Drug and Cosmetic (FD&C) Act, as amended, and regulations promulgated there under (codified in 21 CFR Parts 800-1299). Offerors of medical devices not in compliance with these regulations shall not be considered for award under this solicitation.
Notice of Additional Requirements - Ordering Level In addition to the terms and conditions set forth in this solicitation, the contractor may, in the performance of orders issued under this contract, be responsible for further requirements at the ordering level. For more information on these potential, additional requirements, please see the note in Solicitation Document 01 after FAR clause 52.216-18 Ordering.
Please note that the VA does not promote the use of any company’s specific Schedule contract. Vendors should be aware that obtaining a VA Schedule contract is not a guarantee of sales. Vendors awarded a VA Schedule contract will need to market their supplies and services to Government customers as they would to commercial customers. A listing of eligible schedule users can be found at on GSA’s website at http://gsa.federalschedules.com/resources/eligible-gsa-schedule-users/.
B-FSS-96 ESTIMATED SALES (NOV 1997)
Note: Estimated sales figures for each SIN are based on annual total sales for domestic and overseas under the FSS program and thus reflect sales to multiple vendors under each SIN.
The "Estimated Sales" column of the Schedule of Items shows (1) a twelve-month reading of purchases in dollars or purchases in units as reported by the previous Contractor(s), or (2) estimates of the anticipated dollar volume where the item is new. The absence of a figure indicates that neither reports of previous purchases nor estimates of sales are available.
| L-FSS-400 | INTRODUCTION OF NEW SERVICES/PRODUCTS (INSP) (NOV 2000. TAILORED) |
| (a) | Definition. |
| Introduction of New Services/Products Special Item Number (INSP/SIN) means a new or improved service or product— within the scope of the Federal Supply Schedule, but not currently available under any Federal Supply Service contract— that provides a new service, function, task, or attribute that may provide a more economical or efficient means for Federal agencies to accomplish their mission. It may significantly improve an existing service or product. It may be a service or product existing in the commercial market, but not yet introduced to the Federal Government. | |
| (b) | Offerors are encouraged to introduce new services or products via the Introduction of New Services/Products Special Item Number (INSP/SIN). A new or improved service or product can be offered at anytime. Offerors are requested to clearly identify the INSP/SIN item in the offer. |
| (c) | The Contracting Officer will evaluate and process the INSP/SIN offer. A technical review may be performed. Offerors may be required to demonstrate that the service or product can provide a more economical or efficient means for Federal agencies to accomplish their mission. The Contracting Officer has the sole discretion to determine whether a product or service will be accepted as an INSP/SIN item. The INSP/SIN provides temporary placement until the new service or product can be formally categorized. |
(d) If the Contractor has an existing Multiple Award Schedule contract, the Government may, at the sole discretion of the Contracting Officer, modify the existing contract to include the INSP/SIN item in accordance with 552.238-81, Modification (Multiple Award Schedule).
ACH VENDOR/MISCELLANEOUS PAYMENT ENROLLMENT FORM OMB No. 15100056 This form is used for Automated Clearing House (ACH) payments with an addendum record that contains payment-related information processed through the Vendor Express Program. Recipients of these payments should bring this information to the attention of their financial institution when presenting this form for completion. See reverse for additional instructions. Note: Completed forms not currently on file must be faxed to the VA Finance Center at (512) 460-5221.
PRIVACY ACT STATEMENT: The following information is provided to comply with the Privacy Act of 1974 (P.L. 93579). All information collected on this form is required under the provisions of 31 U.S.C. 3322 and 31 CFR 210. This information will be used by the Treasury Department to transmit payment data, by electronic means to vendor’s financial institution. Failure to provide the requested information may delay or prevent the receipt of payments through the Automated Clearing House Payment System.
AGENCY INFORMATION
FEDERAL PROGRAM AGENCY: VA FINANCIAL SERVICES CENTER
AGENCY IDENTIFIER:
AGENCY LOCATION CODE (ALC):
ACH FORMAT
|_|CCD + |_| CTX |_| CTP
ADDRESS: P.O. BOX 149971, AUSTIN, TX 78714
CONTACT PERSON NAME: ATTN: VENDORIZING UNIT
TELEPHONE NUMBER: (512) 460-5049
ADDITIONAL INFORMATION: FAX # (512) 460-5221
PAYEE/COMPANY INFORMATION
NAME:
SSN NO. OR TAXPAYER ID NO.
ADDRESS
CONTACT PERSON NAME:
TELEPHONE NUMBER: ( )
FINANCIAL INSTITUTION INFORMATION
NAME:
ADDRESS:
ACH COORDINATOR NAME:
NINE-DIGIT ROUTING TRANSIT NUMBER:
DEPOSITOR ACCOUNT TITLE:
DEPOSITOR ACCOUNT NUMBER:
LOCKBOX NUMBER:
TYPE OF ACCOUNT: |_| CHECKING |_| SAVINGS |_| LOCKBOX
SIGNATURE AND TITLE OF AUTHORIZED OFFICIAL (Could be the same as ACH Coordinator):
| AUTHORIZED FOR LOCAL REPRODUCTION | SF 3881# (Rev 2/2003) | |
| Prescribed by Department of Treasury |
31 U S C 3322; 31 CFR 210
INSTRUCTIONS FOR COMPLETING SF 3881 FORM
1. Agency Information Section Federal agency prints or types the name and address of the Federal program agency originating the vendor/miscellaneous payment, agency identifier, agency location code, contact person name and telephone number of the agency. Also, the appropriate box for ACH format is checked.
2. Payee/Company Information Section Payee prints or types the name of the payee/company and address that will receive ACH vendor/miscellaneous payments, social security or taxpayer ID number, and contact person name and telephone number of the payee/company. Payee also verifies depositor account number, account title, and type of account entered by your financial institution in the Financial Institution Information Section.
3. Financial Institution Information Section Financial institution prints or types the name and address of the payee/company’s financial institution who will receive the ACH payment, ACH coordinator name and telephone number, nine-digit routing transit number, depositor (payee/company) account title and account number. Also, the box for type of account is checked, and the signature, title, and telephone number of the appropriate financial institution official are included.
Burden Estimate Statement The estimated average burden associated with this collection of information is 15 minutes per respondent or record keeper, depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to the Financial Management Service, Facilities Management Division, Property and Supply Branch, Room B-101, 3700 East West Highway, Hyattsville, MD 20782 and the Office of Management and Budget, Paperwork Reduction Project (1510-0056), Washington, DC 20503.
BUSINESS SIZE DETERMINATION & NAICS CODE DESIGNATION (AUG 2017)
The Small Business Administration (SBA) has established numerical definitions, or “size standards,” for all for-profit industries based upon NAICS codes. Size standards represent the largest size that a business (including its subsidiaries and affiliates, both foreign and domestic) may be in order to be classified as a small business concern.
The NAICS codes that have been identified as being applicable to this solicitation are listed below along with their corresponding size standards (effective as of 2/26/2016). Due to regulatory restrictions, wholesaler NAICS codes are not used for Government procurement purposes. For the procurement of supplies, only manufacturer NAICS codes are used. This does not preclude a dealer or distributor from submitting a proposal under the solicitation. If you are a nonmanufacturer (e.g. wholesalers, dealers, distributors, and resellers), then the applicable size standard is 500 employees as specified in FAR 52.212-1(a).
A business may qualify as a small business under some NAICS codes and as an “other than small” business under other NAICS codes. However, in order to be recognized as a small business at the base FSS contract level, you must qualify as a small business under each NAICS code representing your product/service offerings. You may be required to represent your size status at the delivery or task order level based upon the NAICS code(s) applying to the items/service specific to that order. For the purposes of this solicitation proposal, please complete the following two designation sections.
Select the NAICS code(s) representing each category of your product offerings, and select from the dropdown menu if you are a manufacturer, non-manufacturer, or both for applicable NAICS code(s).
|_| 325992 Photographic Film, Paper, Plate, and Chemical Manufactng / 1,500 employees |_| 334517 Irradiation Apparatus Manufacturing / 1,000 employees Select the primary NAICS code which represents the greatest percentage of line items for your offered product(s).
|_| 325992 Photographic Film, Paper, Plate, and Chemical Manufactng / 1,500 employees |_| 334517 Irradiation Apparatus Manufacturing / 1,000 employees The Federal Supply Code (FSC) for your offered products under this solicitation is as follows:
6525 X-Ray Equipment and Supplies, Medical, Dental, Veterinary
552.238-78 SCOPE OF CONTRACT (ELIGIBLE ORDERING ACTIVITIES) (JUL 2016, TAILORED)
Note: State Vet Homes with sharing agreements are also included as eligible ordering activities.
(a) This solicitation is issued to establish contracts which may be used on a nonmandatory basis by the agencies and activities named below, as a source of supply for the supplies or services described herein, for domestic and/or overseas delivery.
(1) Executive agencies (as defined in FAR Subpart 2.1) including nonappropriated fund activities as prescribed in 41 CFR 101-26.000;
(2) Government contractors authorized in writing by a Federal agency pursuant to FAR 51.1;
(3) Mixed ownership Government corporations (as defined in the Government Corporation Control Act);
(4) Federal Agencies, including establishments in the legislative or judicial branch of government (except the Senate, the House of Representatives and the Architect of the Capitol and any activities under the direction of the Architect of the Capitol).
(5) The District of Columbia;
(6) Tribal governments when authorized under 25 USC 450j(k);
(7) Tribes or tribally designated housing entities pursuant to 25 U.S.C. 4111(j);
(8) Qualified Nonprofit Agencies as authorized under 40 USC 502(b); and
(9) Organizations, other than those identified in paragraph (d) of this clause, authorized by GSA pursuant to statute or regulation to use GSA as a source of supply.
(b) Definitions. Domestic delivery is delivery within the 48 contiguous states, Alaska, Hawaii, Puerto Rico, Washington, DC, and U.S. territories. Domestic delivery also includes a port or consolidation point, within the aforementioned areas, for orders received from overseas activities.
Overseas delivery is delivery to points outside of the 48 contiguous states, Washington, DC, Alaska, Hawaii, Puerto Rico, and U.S. territories.
(c) Offerors are requested to check one of the following boxes:
|_| Contractor will provide domestic and overseas delivery.
|_| Contractor will provide overseas delivery only.
|_| Contractor will provide domestic delivery only.
(d) The following activities may place orders against Schedule contracts:
(1) State and local government may place orders against Schedule 70 contracts, and Consolidated Schedule contracts containing information technology Special Item Numbers, and Schedule 84 contracts, on an optional basis; PROVIDED, the Contractor accepts order(s) from such activities;
(2) The American National Red Cross may place orders against Federal Supply Schedules for products and services in furtherance of the purposes set forth in its Federal charter (36 U.S.C. § 300102); PROVIDED, the Contractor accepts order(s) from the American National Red Cross; and
(3) Other qualified organizations, as defined in section 309 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. § 5152), may place orders against Federal Supply Schedules for products and services determined to be appropriate to facilitate emergency preparedness and disaster relief and set forth in guidance by the Administrator of General Services, in consultation with the Administrator of the Federal Emergency Management Agency; PROVIDED, the Contractor accepts order(s) from such activities.
(4) State and local governments may place orders against Federal Supply Schedules for good or services determined by the Secretary of Homeland Security to facilitate recovery from a major disaster declared by the President under the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121, et seq.) to facilitate disaster preparedness or response, or to facilitate recovery from terrorism or nuclear, biological, chemical, or radiological attack; PROVIDED, the Contractor accepts order(s) from such activities.
(e) Articles or services may be ordered from time to time in such quantities as may be needed to fill any requirement, subject to the Order Limitations thresholds which will be specified in resultant contracts. Overseas activities may place orders directly with schedule contractors for delivery to CONUS port or consolidation point.
(f) (1) The Contractor is obligated to accept orders received from activities within the Executive branch of the Federal Government.
(2) The Contractor is not obligated to accept orders received from activities outside the Executive branch; however, the Contractor is encouraged to accept such orders. If the Contractor elects to accept such orders, all provisions of the contract shall apply, including clause 552.232-79 , Payment by Credit Card. If the Contractor is unwilling to accept such orders, and the proposed method of payment is not through the Credit Card, the Contractor shall return the order by mail or other means of delivery within 5 workdays from receipt. If the Contractor is unwilling to accept such orders, and the proposed method of payment is through the Credit Card, the Contractor must so advise the ordering activity within 24 hours of receipt of order. (Reference clause 552.232-79, Payment by Credit Card.) Failure to return an order or advise the ordering activity within the time frames of this paragraph shall constitute acceptance whereupon all provisions of the contract shall apply.
(g) The Government is obligated to purchase under each resultant contract a guaranteed minimum of $2,500 (two thousand, five hundred dollars) during the contract term.
(h) All users of GSA’s and VA’s Federal Supply Schedules, including non-Federal users, shall use the schedules in accordance with the ordering guidance provided by the Administrator of General Services. GSA encourages non-Federal users to follow the Schedule Ordering Procedures set forth in the Federal Acquisition Regulation (FAR) 8.4, but they may use different established competitive ordering procedures if such procedures are needed to satisfy their state and local acquisition regulations and/or organizational policies.
I-FSS-644 DEALERS AND SUPPLIERS (OCT 1988)
When requested by the Contracting Officer, if other than the manufacturer, the offeror must submit prior to award of a contract, either (1) a letter of commitment from the manufacturer which will assure the offeror of a source of supply sufficient to satisfy the Government's requirements for the contract period, OR (2) evidence that the offeror will have an uninterrupted source of supply from which to satisfy the Government's requirements for the contract period.
NOTE: The following are the required components of an acceptable letter of supply/commitment:
1. Must be on manufacturer’s letterhead and addressed to the offeror.
2. Must be dated within 90 days of the date the SF1449 was signed by the company (for offers) or the date of the modification request (for product additions under existing FSS contracts).
3. Must not have an expiration date.
4. Must be signed by an officer of the company.
5. Must reference the solicitation number (new offers) or contract number (for existing contracts).
6. Must contain the phrase that the manufacturer is willing to provide “a source of supply sufficient to satisfy the Government’s requirements for the contract period”.
7. Must contain the statement that end products are Trade Agreements Act (TAA) compliant.
8. Must specifically list each category of product and/or brand name(s) to which the letter applies.
NOTE: The following is a sample letter of supply/commitment:
[Date} [Offeror Name] [Offeror Point of Contact (POC)] [Address] [City, State, Zip code] Re: Letter of Supply Dear [Offeror POC]:
This Letter of Supply is in reference to the offer that [Offeror Name] submitted in response to Federal Supply Schedule [enter Solicitation Number if a new offer or contract number of an existing contract In the event that [Offeror Name] is awarded a Multiple Award Schedule (MAS) contract under the aforementioned solicitation number, [Manufacturer Name] can assure an uninterrupted source of supply, with sufficient quantities of product, for the duration of the base contract period (or option period). Attached is a list of each product category and/or brand name(s) to which this letter applies.
[Manufacturer Name] understands that all products and services that are offered on MAS contracts must be compliant with the Trade Agreements Act (TAA) (19 U.S.C. 2501, et seq.) As such, all products supplied by [[Manufacturer Name] to [Offeror Name] will be TAA compliant. You will be notified immediately upon discovery of any changes in the Country of Origin of supplied products.
The person whose signature appears below is authorized to make the commitments noted above.
Sincerely, [Name and title of Authorized Signatory] Must be an Officer of the company Telephone Number of Authorized Signatory
552.211-78 COMMERCIAL DELIVERY SCHEDULE (MULTIPLE AWARD SCHEDULE) (FEB 1996) (TAILORED) NOTE: This clause does not apply to orders placed through a Government Prime Vendor Program.
| (a) | Time of Delivery. The Contractor shall deliver to destination within the number of calendar days after receipt of order (ARO) in the case of F.O.B. Destination prices; or to place of shipment in transit in the case of F.O.B. Origin prices, as set forth below. Offerors shall insert in the “Time of Delivery (days ARO)” column in the schedule of Items a definite number of calendar days within which delivery will be made. In no case shall the offered delivery time exceed the Contractor's normal commercial practice. The Government requires the Contractor's normal commercial delivery time, as long as it is less than the “stated” delivery time(s) shown below. If the Offeror does not insert a delivery time in the schedule of items, the Offeror will be deemed to offer delivery in accordance with the Government's stated delivery time, as stated below: |
| ITEM OR GROUP OF ITEMS |
(SPECIAL Item Numbers or Nomenclature) Government’s Stated Delivery Time (Days ARO)
| Offeror’s Normal Commercial Delivery Time |
| Proposed Delivery Time to the Government |
| V-1 thru V-9 |
| 45 |
| V-INP |
| 45 |
| (b) | Expedited Delivery Times. For those items that can be delivered quicker than the delivery times in paragraph (a), above, the Offeror is requested to insert below, a time (hours/days ARO) that delivery can be made when expedited delivery is requested. Note: Indicate “None Offered” in the section below if expedited delivery is not being offered. |
| ITEM OR GROUP OF ITEMS |
(SPECIAL Item No. of nomenclature) Offeror’s Commercial Expedited Delivery Time (Hours/Days ARO) Proposed Government Expedited Delivery Time (Hours/Days ARO)
Note: If offering expedited delivery to your commercial customers or to the Government, indicate the terms (e.g. “no charge”, “All charges”, “Responsible for difference between normal and expedited delivery”, “Flat additional fee of $15”, etc.):
Commercial Terms:
Proposed Government Terms:
(c) Overnight and 2-Day Delivery Times. Ordering activities may require overnight or 2—day delivery. The Offeror is requested to annotate its price list or by separate attachment identify the items that can be delivered overnight or within 2 days. Contractors offering such delivery services will be required to state in the cover sheet to its FSS price list details concerning this service.
F-FSS-202-G DELIVERY PRICES (JAN 1994)
Note: If the contractor has agreed to participate in a Government Prime Vendor program, then prices offered must cover delivery of items to all authorized Government PV locations.
| (a) | Prices offered must cover delivery as provided below to destinations located within the 48 contiguous States and the District of Columbia. | ||
| (1) | Delivery to the door of the specified Government activity by freight or express common carriers on articles for which store-door delivery is provided, free or subject to a charge, pursuant to regularly published tariffs duly filed with the Federal and/or State regulatory bodies governing such carrier; or, at the option of the Contractor, by parcel post on mailable articles, or by the Contractor's vehicle. Where store-door delivery is subject to a charge, the Contractor shall (a) place the notation "Delivery Service Requested" on bills of lading covering such shipments, and (b) pay such charge and add the actual cost thereof as a separate item to his invoice. | ||
| (2) | Delivery to siding at destinations when specified by the ordering office, if delivery is not covered under paragraph (a)(1), above. | ||
| (3) | Delivery to the freight station nearest destination when delivery is not covered under paragraph (a)(1) or (a)(2), above. | ||
| (b) | The offeror is requested to indicate below whether or not prices submitted cover delivery f.o.b. destination in Alaska, Hawaii, and the Commonwealth of Puerto Rico. | ||
| (Yes) | (No) | ||
| Alaska | |_| | |_| | |
| Hawaii | |_| | |_| | |
| Puerto Rico | |_| | |_| |
Note: Please indicate below whether or not your firm’s commercial prices cover delivery f.o.b. destination to Alaska, Hawaii, and the Commonwealth of Puerto Rico.
| (Yes) | (No) | ||
| Alaska | |_| | |_| | |
| Hawaii | |_| | |_| | |
| Puerto Rico | |_| | |_| | |
| (c) | When deliveries are made to destinations outside the contiguous 48 States; i.e., Alaska, Hawaii, and the Commonwealth of Puerto Rico, and are not covered by paragraph (b), above, the following conditions will apply: | ||
| (1) | Delivery will be f.o.b. inland carrier, point of exportation (FAR 52.247-38), with the transportation charges to be paid by the Government from point of exportation to destination in Alaska, Hawaii, or the Commonwealth of Puerto Rico, as designated by the ordering office. The Contractor shall add the actual cost of transportation to destination from the point of exportation in the 48 contiguous States nearest to the designated destination. Such costs will, in all cases, be based upon the lowest regularly established rates on file with the Interstate Commerce Commission, the U.S. Maritime Commission (if shipped by water), or any State regulatory body, or those published by the U.S. Postal Service; and must be supported by paid freight or express receipt or by a statement of parcel post charges including weight of shipment. | ||
| (2) | The right is reserved to ordering agencies to furnish Government bills of lading. | ||
| (d) | Ordering offices will be required to pay differential between freight charges and express charges where express deliveries are desired by the Government. |
F-FSS-244-B ADDITIONAL SERVICE CHARGE FOR DELIVERY WITHIN CONSIGNEE'S PREMISES (MAY 2000)
| (a) | Offerors are requested to insert, in the spaces provided below or by attachment hereto, a separate charge for "Delivery within Consignee's Premises" applicable to each shipping container to be shipped. (Articles which are comparable in size and weight, and for which the same charge is applicable, should be grouped under an appropriate item description.) These additional charges will be accepted as part of the award, if considered reasonable, and shall be included in the Contractor's published catalog and/or pricelist. |
| (b) | Ordering activities are not obligated to issue orders on the basis of "Delivery Within Consignee's Premises," and Contractors may refuse delivery on that basis provided such refusal is communicated in writing to the ordering activity issuing such orders within 5 days of the receipt of such order by the Contractor and provided further, that delivery is made in accordance with the other delivery requirements of the contract. Failure of the Contractor to submit this notification within the time specified shall constitute acceptance to furnish "Delivery Within Consignee's Premises" at the additional charge awarded. When an ordering activity issues an order on the basis of "Delivery Within Consignee's Premises" at the accepted additional charge awarded and the Contractor accepts such orders on that basis, the Contractor will be obligated to provide delivery "F.o.b. Destination, Within Consignee's Premises" in accordance with FAR 52.247-35, which is then incorporated by reference, with the exception that an additional charge as provided herein is allowed for such services. Unless otherwise stipulated by the offeror, the additional charges awarded hereunder may be applied to any delivery within the 48 contiguous States and the District of Columbia. |
| (c) | When exercising their option to issue orders on the basis of delivery service as provided herein, ordering activities will specify "Delivery Within Consignee's Premises" on the order, and will indicate the exact location to which delivery is to be made. The Contractor's delivery price and the additional charge(s) for "Delivery Within Consignee's Premises" will be shown as separate entries on the order. |
Note: Indicate “No Additional Charge” in the section below if an additional charge is not proposed.
| ITEMS (NSN’s or Special Item Numbers or Descriptive Name of Articles) |
| ADDITIONAL CHARGE (Per shipping container) FOR "DELIVERY WITHIN CONSIGNEE'S PREMISES" |
52.216-19 ORDER LIMITATIONS (OCT 1995) (DEVIATION II — FEB 2007) (TAILORED)
NOTE: This clause does not apply to orders placed through a Government Prime Vendor Program.NOTE: This clause is applicable to direct orders only16.506(b)
(a) Minimum order. When the ordering activity requires supplies or services covered by this contract in an amount of less than $100, the ordering activity is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.
| (b) | Maximum order. The Contractor is not obligated to honor any single order or series of orders from the same ordering office within 5 days that exceeds the maximum order amount shown below. |
| Special Item Number (SIN) | |
| Maximum Order |
| All SINs |
| $100,000 |
| (c) | If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the ordering activity is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section. |
| (d) | Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 72 hours after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the ordering activity may acquire the supplies or services from another source. |
MINIMUM ACCEPTABLE ORDER PROPOSAL (AUG 2016)
In accordance with 52.216-19 Order Limitations (Oct 1995) (Deviation II-Feb 2007), the ordering activity is not obligated to purchase, nor is the Contractor obligated to furnish supplies or services covered by this contract in an amount of less than $100. However, offerors may, if willing to accept smaller orders, specify a smaller amount in their offers. If a smaller amount is offered, it is mutually agreed that the Contractor will accept such orders and specify the smaller minimum order limitation in the applicable catalog/pricelist. Provide your commercial minimum order terms and your proposed terms for the Government below, selecting the appropriate option(s).
Proposed Government Minimum Order: |_| No minimum or $ or Units Commercial Minimum Order: |_| No minimum or $ or Units
UTILIZATION OF DEALERS/DISTRIBUTORS (AUG 2017)
Offerors marketing through dealers/distributors, including specialty distributors, shall indicate below whether those dealers/distributors will be participating in the proposed contract. YES |_| NO |_| If "yes" is checked, then a list of participating dealers/distributors, including addresses and points of contact, shall accompany this offer and shall also be included in Contractor's Federal Supply Schedule pricelist. Please be aware that participating dealers/distributors acting on behalf of an awarded contractor are responsible for adhering to all terms and conditions of the FSS contract, and the ultimate responsibility for adherence to these terms and conditions lies with the FSS contract holder.
| 552.232-82 | CONTRACTOR'S REMITTANCE (PAYMENT) ADDRESS (MAY 2003) |
| (a) | Payment by electronic funds transfer (EFT) is the preferred method of payment. However, under certain conditions, the ordering activity may elect to make payment by check. The offeror shall indicate below the payment address to which checks should be mailed for payment of proper invoices submitted under a resultant contract. |
PAYMENT ADDRESS:
| (b) | Offeror shall furnish by attachment to this solicitation, the remittance (payment) addresses of all authorized participating dealers receiving orders and accepting payment by check in the name of the Contractor in care of the dealer, if different from their ordering address(es) specified elsewhere in this solicitation. If a dealer’s ordering and remittance address differ, both must be furnished and identified as such. |
| (c) | All offerors are cautioned that if the remittance (payment) address shown on an actual invoice differs from that shown in paragraph (b) of this provision or on the attachment, the remittance address(es) in paragraph (b) of this provision or attached will govern. Payment to any other address, except as provided for through EFT payment methods, will require an administrative change to the contract. |
| Note: | All orders placed against a Federal Supply Schedule contract are to be paid by the individual ordering activity placing the order. Each order will cite the appropriate ordering activity payment address, and proper invoices should be sent to that address. Proper invoices should be sent to GSA only for orders placed by GSA. Any other ordering activity’s invoices sent to GSA will only delay your payment. |
K-FSS-9 SECTION 8(a) REPRESENTATION FOR THE MULTIPLE AWARD SCHEDULE PROGRAM (SEP 2000) Note: Only provide the company name and date below if you check that your firm “is” a current 8(a) Business Development Program participant.FSS A/L FC-00-6 The Offeror represents that it is |_| is not |_| a current 8(a) Business Development Program participant, and that it wishes to be designated as such on the FSS Schedules E-Library and GSA Advantage!™ as well as the Federal Procurement Data System (FPDS).
CONTRACTOR NAME & SIGNATURE:
DATE:
| 52.223-3 | HAZARDOUS MATERIAL IDENTIFICATION AND MATERIAL SAFETY DATA (JAN 1997) (ALTERNATE I—JUL 1995) |
| (a) | Hazardous material, as used in this clause, includes any material defined as hazardous under the latest version of Federal Standard No. 313 (including revisions adopted during the term of the contract). |
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