RFQ - Dump Body Fabrication and Install (RFQ - Dump Body Fabrication and Install).pdf

DEPARTMENT OF INTERIOR, BUREAU OF LAND MANAGEMENT

Dump Truck Body Fabrication and Installation

Request for Quote

TABLE OF CONTENTS

GENERAL

DESCRIPTION

TRANSPORTATION AND DELIVERY OF EQUIPMENT

SUBMITTALS

DEFINITIONS & APPLICABLE STANDARDS

EQUIPMENT REQUIREMENTS

INSPECTION/ACCEPTANCE

CONTRACT TIME

WARRANTY

INSTRUCTIONS FOR QUOTE

BASIS OF AWARD

POINTS OF CONTACT

APPENDIX A

APPENDIX B

PROVISIONS

CLAUSES

GENERAL

The BLM Western Oregon Districts require the fabrication and installation of dump bodies and related equipment to (6) cab and chassis. Completed Dump Trucks will be used to haul crushed and oversize rock, hot mix asphalt, dirt and mud waste, and woody debris in the performance of road maintenance tasks on timber access roads. They will also be used to tow trailers for hauling rock, hot mix asphalt, and heavy equipment. Cab and chassis are described in the Appendix C.

DESCRIPTION

Contractor shall supply all parts, materials, labor, supplies, fluids, shipping and disposal fees necessary to complete the work, as described below.

TRANSPORTATION AND DELIVERY OF EQUIPMENT

Transport of the trucks to and from the contractor’s facility shall be provided by the BLM up to 250 miles one-way from BLM Roseburg District Office (777 N.W. Garden Valley Boulevard Roseburg, OR 9747).

Transport distances in excess of 250 miles shall be provided by the contractor. For transportation in excess of 250 miles trucks shall not be driven but shall be transported via flatbed truck/trailer or similar transportation method.

SUBMITTALS

Submit the following and receive approval in writing prior to performing the work:

• Shop drawings of the dump box with hoist assembly.

• Make and model of proposed pintle hitch, PTO, hydraulic pump and hydraulic valving.

• Shop drawings of any proposed bolt on appendages to the frame including, but not limited to the hydraulic tank, filters, and tool box.

DEFINITIONS & APPLICABLE STANDARDS

All work and materials shall comply with the following standards:

• All work shall be completed in a workmanlike manner and to all applicable industry standards.

• All work shall comply with Federal Standard 794AM/807AB

• All welding shall comply with the most current American Welding Society (AWS)

Standard Welding Procedures & Specifications (SWPS).

EQUIPMENT REQUIREMENTS

The following shall be performed on (6) trucks.

Fabricate and install a hitch plate, with pintle hitch, capable of pulling 50,000lbs.

• The pintle hitch shall be air cushioned, Premier Model 370A-281B or equivalent.

• Hitch height shall be 24”

• Pintle hitch cushion shall be plumbed to charge when trailer brakes are charged.

• (1) D-ring shall be installed on each side of the hitch, at a level lower than the hitch for the purpose of attaching trailer safety chains. The D-Rings shall be 1” and attached so that they are capable of transferring the working load limit of the ring to the truck frame.

• A removable chip spreader hitch bar shall be attached to the hitch plate to conform to the specifications in Appendix A.

• The hitch shall be covered with a rubber flap to shed rock and dirt.

• Glad hand air connections and female trailer electrical sockets shall be installed near the hitch and recessed to prevent damage.

• Air line shall be plumbed to activate air cushion hitch when OEM (Original Equipment

Manufacturer) tractor protection valve is charged.

Fabricate and install a semi elliptical dump body to the following specifications. Vendor shall ensure that the new beds are compatible with existing BLM owned slip in water tanks.

• Inside dimensions shall be 14’ long by 7’0” wide, with a 35” water level.

• The flat area in the bottom of the dump body shall be a minimum of 44” wide and the length of the box.

• Box corners shall be a 20” radius.

• All interior box surfaces shall be 3/16” Hardox 450 or equivalent

• 2 ½” wide x 5/8” thick rubber frame buffer shall be attached to the length of the long members.

• There shall be no crossmembers between the front and rear of the body.

• Provisions shall be provided on top of the top rails for 4”x8” nominal finished Douglas Fir

Sideboards.

• Sideboards shall be provided with the dump body.

• Cab guard shall be no less than 10 gage with 3/16” support arms

• The cab guard shall be no wider than the truck cab and extend 24” forward of the dump body.

• (4) 5/8” D rings shall be welded to the inside of the box walls, one in each corner of the box.

At the forward end, they shall be attached 6” to 12” from the dash panel, and 2-6” from the top of the top rail. At the back end, they shall be attached 6” to 12” from the tailgate, and 2-

6” from the top of the top rail.

Provide a driver operated tailgate latch. Latch shall hold the tailgate in contact with the back edge of the body floor and sides.

• The latch assembly shall be an over center design.

• The tailgate latch cylinder shall be MGM 5004013, or equivalent, air open, spring lock.

• Trip rod bearing blocks shall not be attached to the dump body floor and shall have a minimum clearance of 1 ¼” from the bottom of the floor.

• Latch hooks shall be no less than ½” thick.

• The latch hook pivot points shall be set inside the rear corner post for protection.

• Each latch hook shall have an adjustable, two clevis linkage.

A high lift tailgate shall be installed to allow for dumping of rip rap and oversize debris. When open, the tailgate shall be parallel to and 34”-36” above the top rails.

• The tailgate plate shall be 3/16” Hardox 450 steel and shall be 44” high.

• One center mounted roll gate shall be installed and shall have open dimensions of 16” wide x 10” high, with (2) handles for operation, one on each side.

• Spreader chains shall be 3/8" high test DOM.

• One D-ring lift eye shall be welded to the outside of the top tube, and shall be rated to lift the tailgate for removal.

• The body installation shall include an attachment point and lighting for a rear license plate, conforming with Federal Motor Vehicle Safety Standard No. 108. The attachment point shall be of sturdy construction and protected from damage during normal use of the dump box.

• The tailgate hinge arms shall be recessed as not to extend above the top of the high lift boxes.

• High lift tailgate shall include self-aligning guides.

• Hoses will be routed in a manner to be enclosed by the body to prevent damage.

The high lift tailgate hydraulic circuit shall have an adjustable needle valve flow control.

The dump body shall have a front mount external hydraulic lift.

• The inside of the dump body shall be free and clear of any hoist mounting obstructions.

• The lift cylinder shall be a single, center mounted, telescoping cylinder, trunnion mount.

Step and grab handles shall be provided on both sides of the truck to allow for three points of contact when climbing in and out of the box.

• Three access steps and one grab handle shall be provided on each side of the dump body near the truck cab.

• One inside dump body step shall be provided at each front corner.

• Steps shall have a textured surface to prevent slipping.

Fenders and mud flaps shall be installed to meet the provisions of SAE J682 and to shed materials spilled on the side of the body to the outside of the wheel tracks.

• Body fenders shall be full length constructed from at least 12 gage steel.

• Mud flaps shall be black in color and shall be installed both in front and behind drive axle tires.

• Mud flaps shall be removable without the use of tools, and shall be mounted to the dump body.

Spray guards shall be 5/16” thick belted rubber mounted on both sides of the dump body.

A hydraulic system shall be installed to allow for the operation of the truck hoist and high lift tailgate simultaneously.

• Hydraulic hoses shall be adequately supported. Supports shall not be greater than 18” apart.

• All tapered, threaded hydraulic fittings shall be installed using an anti-seize thread sealing compound. Teflon tape is not acceptable.

• All hydraulics shall be powered by a PTO driven pump.

• The PTO shall be a Muncie Hot Shift (CS8SU6807A3KX) or equivalent.

• The hydraulic pump shall be Parker # P50A342AL2525 or equivalent.

• The hydraulic control valve shall be Parker # DVA35A880MRV2SV8SV8TR99 or equivalent.

• The valve section that controls the truck hoist shall have an over run limit with an adjustable linkage.

• The hydraulic tank shall be steel.

• The hydraulic tank shall include a site glass or gage visible with the box down, and shall indicate the proper operating range.

• The hydraulic pressure hoses shall have a work rating of 3,000 PSI minimum.

• Hydraulic pressure fittings shall be JIC 37 degree or 0-ring boss.

• The suction line shall have a full flow ball valve shut off.

Dump body controls shall be mounted on a pedestal to the right of the driver’s seat and will allow for safe and controlled operation while driving.

• The hoist controls shall be a single lever, cable type and will allow for variable speed of the hoist without a change in engine speed.

• The control tower shall include switches for PTO, truck tailgate, high lift, and trailer gate.

The trailer gate switch shall be wired to a 4 pole plug, Pollak 11-404 or equivalent, near the hitch.

• The control pedestal shall be constructed and mounted such that movement of the pedestal is limited allowing for fine control of the hoist lever.

The following additional items shall be installed:

• A body Safety Prop shall be mounted on the left side of chassis and shall be capable of holding the body in a near full lift position in the event of a hydraulic system failure.

• Shovel and ax holders shall be mounted on the front panel between the cab and dump body.

• A steel tool box 18” tall x 24” wide x 24” deep shall be mounted on the driver's side frame rail.

• A bolt on apron for dumping into a chip spreader or paver hopper shall be provided.

Apron shall be hinged and have flexible runner slides to allow it to fold up when it contacts the hopper. Apron shall extend 8” from the end of the box floor.

• A Pull Tarp model 8500M semi-automatic tarp or equal shall be mounted at the front of the top rails as shown in Appendix B, Figure 1 (“A” mount, bottom roll). The pull tarp shall be bolted to the body for easy removal.

All wiring shall comply with Federal Motor Carrier Safety Regulations 393.28.

• All electrical circuits installed by body builder shall be isolated from the truck chassis with a continuous duty solenoid and blade type fuses or circuit breakers.

• Wiring harness for lighting shall be Truck Lite 50 or equivalent sealed harness.

• Truck Lite LED 60 series or equivalent stop, tail, tum lights, and LED markers shall be installed in the dump body.

• Two Truck-Lite LED 60 series or equivalent stop, tail, turn lights, one back up light shall be mounted in a removable cover plate below the body hinge.

• A backup alarm shall be provided which provides an audible warning whenever the ignition switch is on and the vehicle transmission control is in reverse. The alarm shall automatically adjust to ambient noise levels and shall conform to SAE (Society of

Automotive Engineers) J994.

• Wiring shall be stranded copper. Aluminum wire is not acceptable.

• Wire insulation shall be cross-linked polyethylene.

• Wire shall be sized so that the voltage drop for the wire run is less than 5 percent.

• Wiring for lighting on body shall be no smaller than 14 gauge.

• Wiring shall be routed to minimize exposure to tire throw-off.

• Wires shall not be routed closer than 6 inches from heat sources.

• Wires shall be installed/routed to prevent contact with moving parts.

• Wires shall be protected from sharp edges.

• Self-stripping wiring connectors (scotch locks) shall not be used.

• Lighting and reflectors shall comply with FMVSS 108.

The following standards of workmanship shall be met:

• The dump body and other fabricated components shall have good welds. A good weld will have proper penetration and be relatively uniform in appearance.

• Excessive distortion of assembled parts in not acceptable.

• All welds shall conform to or exceed American Welding Society Standards and shall provide a metal to metal bond, with adequate penetration using proper flux and or welding materials.

• Down hand welds are not recommended for ten gauge or thicker material. If down hand welds are used they shall have proper penetration.

• Some characteristics of an unacceptable weld are as follows: cracks, undercut, overlap, excessive splatter, slag entrapment, inadequate penetration, excessive distortion, blowholes, and inclusions, excessive porosity, concave or convex.

Air system installation shall conform with the following standards:

• All air hoses shall be DOT approved.

• The bend radius of airlines shall be not less than the manufacturer's recommended minimum.

• Airlines shall be installed/routed to prevent contact with moving parts.

• Airlines shall not be routed through holes or across sharp edges without protection from being chafed or cut.

• Airlines shall be adequately clamped or tied to supporting structures.

• Airlines shall be routed so that low points are minimized.

• Hoses shall be of sufficient length to prevent stretching, distortion, or disconnecting.

Surface treatments shall comply with the following:

• All metal surfaces shall be free of contaminates that may cause loss of adhesion (Grease, oil, etc.).

• The first primer undercoat shall be a metal self-etching primer.

• The second primer undercoat shall be an epoxy base. Primer shall be lead and chromate free.

• Film thickness of second undercoat shall be 2.0 mils or greater dry.

• Topcoat shall be Low VOC high solids acrylic urethane with a film thickness of 3 to 5 mils.

• Substrates must be between 50 and 110 degrees in a controlled environment during the primer and paint application.

• Compressed air supply shall not exceed 20% humidity during the spray process.

An owner’s manual shall be provided with each dump body.

• The manual shall include sufficient information to allow for the safe operation of the dump body.

• The manual shall include sufficient information to identify and order replacement parts.

• The manual shall include electrical and hydraulic schematics.

INSPECTION/ACCEPTANCE

Contractor shall notify the Government in writing when fabrication of the first dump body is

50% is complete. Government shall complete an inspection within (2) business days of receiving notice and either accept the work as performed or furnish the contractor with a punch list of items needing to be performed or re-worked.

Contractor shall notify the Government in writing when fabrication of the first dump body is complete, and before final paint. Government shall complete an inspection within (2) business days of receiving notice and either accept the work as performed or furnish the contractor with a punch list of items needing to be performed or re-worked.

Contractor shall notify the Government in writing when installations have been completed and the dump trucks are ready for inspection. Government shall complete an inspection within two (2) business days of receiving notice and either accept the work as performed or furnish the contractor with a punch list of items needing to be performed or re-worked.

CONTRACT TIME

Completion of the first truck shall be within a maximum of 45 calendar days of delivery of the cab and chassis to the Contractor’s facility, and shall be a maximum of 30 calendar days for each subsequent truck.

WARRANTY

Contractor will provide a one-year warranty on all parts and labor and pass on to the Government any manufacturer extended warranty if beyond one-year for parts. The contractor shall have

Service/Maintenance support within 250 miles of the BLM Roseburg District Office (777 N.W. Garden

Valley Boulevard Roseburg, OR 9747).

INSTRUCTIONS FOR QUOTE

Quote shall include the vendors approach on how it will accomplish this requirement. Quote shall include the vendors facility location and the location, if different, for the Service/Maintenance Support. Quote shall include calendar date for work completion.

All quotes shall arrive by 9/9/2020, 1:00PM Mountain Daylight Time (MDT). Quotes are to be emailed to

Contracting Officer Emmett Larson (elarson@blm.gov) and Contract Specialist, Katherine “Katie” Jang

(kjang@blm.gov).

Questions are due by 9/2/2020 by 4:00 PM MDT to Katie Jang with Contracting Officer Emmett Larson copied.

BASIS OF AWARD

Award will be made based on lowest price technically acceptable. Vendor shall provide a breakdown of the firm fixed quoted price by the following two pricing elements:

1. Dump Truck Body Fabrication/Installation

2. Transportation costs, if applicable, in excess of the 250 miles provided by BLM as outlined in section C.1.2.

POINTS OF CONTACT

BLM Contracting Officer:

Emmett Larson

National Operations Center

(303)236-9473, elarson@blm.gov

BLM Contract Specialist:

Katherine “Katie” Jang

National Operations Center

(303)236-3586, kjang@blm.gov

BLM Contracting Officer Representative (COR):

Perry Coats

Equipment Specialist

(303) 236-0020, pcoats@blm.gov mailto:elarson@blm.gov mailto:kjang@blm.gov mailto:pcoats@blm.gov

APPENDIX A

Chip Spreader Tow Bar Specifications

• 2” diameter solid steel round bar

• Mounting ears to be ½” steel plate

• 15” wide between mounting ears

• 12” minimum clearance above ground surface when sitting on flat level surface

• 7.5” minimum clearance between top of tow bar and lowest point of pintle hitch

APPENDIX B

PROVISIONS

FAR 52.252-1 Solicitation Provisions Incorporated By Reference (FEB 1998)

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

FAR Clauses - https://www.acquisition.gov/far/

DOI Clauses - http://www.doi.gov/pam/programs/acquisition/diapr.cfm

FAR 52.212-3 Offeror Representations and Certifications-Commercial Items (Mar 2020)

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management

(SAM) accessed through https://www.sam.gov. If the Offeror has not completed the annual

NUMBER PROVISION TITLE DATE

DIAR 1452.215-71

Use and Disclosure of Proposal Information – Department of the Interior

Apr 1984

DIAR 1452.233-2 Service of Protest Pursuant to 1433.106 Jul 1996

FAR 52.204-7 System for Award Management Oct 2018

FAR 52.204-16 Commercial and Government Entity Code Reporting Jul 2016

FAR 52.204-22 Alternative Line Item Proposal Jan 2017

FAR 52.212-1 Instructions to Offerors-Commercial Items Mar 2020 https://www.acquisition.gov/far/ http://www.doi.gov/pam/programs/acquisition/diapr.cfm https://www.sam.gov/ representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (v)) of this provision.

(a) Definitions. As used in this provision—

“Covered telecommunications equipment or services” has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video

Surveillance Services or Equipment.

Economically disadvantaged women-owned small business (EDWOSB) concern means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13

CFR part 127. It automatically qualifies as a women-owned small business eligible under the

WOSB Program.

Forced or indentured child labor means all work or service—

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

Highest-level owner means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

Immediate owner means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following:

ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

Inverted domestic corporation, means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

https://www.acquisition.gov/content/part-52-solicitation-provisions-and-contract-clauses#unique_37607080 http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title6-section395&num=0&edition=prelim http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title6-section395&num=0&edition=prelim

Manufactured end product means any end product in product and service codes (PSCs)

1000-9999, except—

(1) PSC 5510, Lumber and Related Basic Wood Materials;

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

(5) PSC 9410, Crude Grades of Plant Materials;

(6) PSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) PSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) PSC 9610, Ores;

(9) PSC 9620, Minerals, Natural and Synthetic; and

(10) PSC 9630, Additive Metal Materials.

Place of manufacture means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

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

Restricted business operations means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets

Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.“Sensitive technology”—

Sensitive technology—

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically—

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the

President does not have the authority to regulate or prohibit pursuant to section 203(b)(3)of the

International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).

Service-disabled veteran-owned small business concern—

(1) Means a small business concern—

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

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

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

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

Small disadvantaged business concern, consistent with13 CFR 124.1002, means a small business concern under the size standard applicable to the acquisition, that—

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

124.105) by—

(i) One or more socially disadvantaged (as defined at13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the

United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding

$750,000 after taking into account the applicable exclusions set forth at 13 CFR124.104(c)(2);

and

(2) The management and daily business operations of which are controlled (as defined at

13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

Subsidiary means an entity in which more than 50 percent of the entity is owned—

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title38-section101&num=0&edition=prelim http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title38-section101&num=0&edition=prelim

Successor means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

Veteran-owned small business concern means a small business concern—

(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38

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

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

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

Women-owned small business concern means a small business concern—

(1) That is at least 51 percent owned by one or more women; or, in the case of any publicly owned business, at least51 percent of the stock of which is owned by one or more women; and

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

(b)

(1) Annual Representations and Certifications. Any changes provided by the Offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications in SAM

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror http://www.sam.gov/ verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications-Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(s) applicable to the NAICS code(s) referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ______________.

[Offeror to identify the applicable paragraphs at (c) through (v) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

(c) Offerors must complete the following representations when the resulting contract will be performed in the United States or its outlying areas. Check all that apply.

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

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

(3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that it □ is, □ is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, that it

□is, □is not a small disadvantaged business concern as defined in 13 CFR124.1002.

https://www.acquisition.gov/content/part-52-solicitation-provisions-and-contract-clauses#i1060550 https://www.acquisition.gov/content/part-4-administrative-and-information-matters#i1121876

(5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it

□ is, □ is not a women-owned small business concern.

(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that-

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

(ii) It □ is, ☐ is not a joint venture that complies with the requirements of 13 CFR part

127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: __________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

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

[Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB

Program in (c)(6) of this provision.] The offeror represents that-

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

(ii) It □ is, ☐ is not a joint venture that complies with the requirements of 13 CFR part

127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the

EDWOSB concern and other small businesses that are participating in the joint venture: __________.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

Note: Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold.

(8) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it □ is a women-owned business concern.

(9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price:____________________________________

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

(i) It □is, ☒ is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the

Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with

13 CFR Part 126; and

(ii) It □ is, ☐ is not a HUBZone joint venture that complies with the requirements of

13 CFR Part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the

HUBZone joint venture: __________.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

(d) Representations required to implement provisions of Executive Order11246-

(1) Previous contracts and compliance. The offeror represents that-

(i) It □ has, ☐ has not participated in a previous contract or subcontract subject to the

Equal Opportunity clause of this solicitation; and

(ii) It □ has, □ has not filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that-

(i) It □ has developed and has on file, □ has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the

Secretary of Labor (41 CFR parts 60-1 and 60-2), or

(ii) It □ has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions

(31 http://uscode.house.gov/ U.S.C. 1352). (Applies only if the contract is expected to exceed

$150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying

Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Certificate. (Applies only if the clause at Federal Acquisition Regulation

(FAR) 52.225-1, Buy American-Supplies, is included in this solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products,i.e., an end http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/content/part-52-solicitation-provisions-and-contract-clauses#i1053372 product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.” The terms “commercially available off-the-shelf (COTS) item” “component,” “domestic end product,” “end product,” “foreign end product,” and “United

States” are defined in the clause of this solicitation entitled “Buy American-Supplies.”

(2) Foreign End Products:

Line Item No. Country of Origin

[List as necessary]

(3) The Government will evaluate offers in accordance with the policies and procedures of

FAR part 25.

(g) (1) Buy American-Free Trade Agreements-Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American-Free Trade Agreements-Israeli Trade Act, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph

(g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The terms “Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product,” “commercially available off-the-shelf (COTS) item,”

“component,” “domestic end product,” “end product,” “foreign end product,” “Free Trade

Agreement country,” “Free Trade Agreement country end product,” “Israeli end product,” and https://www.acquisition.gov/content/part-25-foreign-acquisition#i1093771 https://www.acquisition.gov/content/part-52-solicitation-provisions-and-contract-clauses#i1053446

“United States” are defined in the clause of this solicitation entitled “Buy American-Free Trade

Agreements–Israeli Trade Act.”

(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled “Buy American-Free

Trade Agreements-Israeli Trade Act”:

Free Trade Agreement Country End Products (Other than Bahrainian, Moroccan, Omani, Panamanian, or Peruvian End Products) or Israeli End Products:

Line Item No. Country of Origin

[List as necessary]

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) of this provision) as defined in the clause of this solicitation entitled

“Buy American-Free Trade Agreements-Israeli Trade Act.” The offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.”

Other Foreign End Products:

Line Item No. Country of Origin

[List as necessary]

(iv) The Government will evaluate offers in accordance with the policies and procedures of FAR part 25.

(2) Buy American-Free Trade Agreements-Israeli Trade Act Certificate, Alternate I. If

Alternate I to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products as defined in the clause of this solicitation entitled “Buy American-Free Trade Agreements-Israeli

Trade Act”:

Canadian End Products:

Line Item No.

Line Item No.

[List as necessary]

(3) Buy American-Free Trade Agreements-Israeli Trade Act Certificate, Alternate II. If

Alternate II to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products or

Israeli end products as defined in the clause of this solicitation entitled “Buy American-Free

Trade Agreements-Israeli Trade Act”:

Canadian or Israeli End Products:

Line Item No. Country of Origin

[List as necessary]

(4) Buy American-Free Trade Agreements-Israeli Trade Act Certificate, Alternate III. If

Alternate III to the clause at 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Korean, Moroccan, Omani, Panamanian, or

Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled

“Buy American-Free Trade Agreements-Israeli Trade Act”:

Free Trade Agreement Country End Products (Other than Bahrainian, Korean, Moroccan, Omani, Panamanian, or Peruvian End Products) or Israeli End Products:

Line Item No. Country of Origin

[List as necessary]

(5) Trade Agreements Certificate. (Applies only if the clause at FAR 52.225-5, Trade

Agreements, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph

(g)(5)(ii) of this provision, is a U.S.-made or designated country end product, as defined in the clause of this solicitation entitled “Trade Agreements.”

(ii) The offeror shall list as other end products those end products that are not U.S.-made or designated country end products.

Other End Products:

https://www.acquisition.gov/content/part-52-solicitation-provisions-and-contract-clauses#i1053648

Line Item No. Country of Origin

[List as necessary]

(iii) The Government will evaluate offers in accordance with the policies and procedures of FAR part 25. For line items covered by the WTO GPA, the Government will evaluate offers of U.S.-made or designated country end products without regard to the restrictions of the Buy American statute. The Government will consider for award only offers of

U.S.-made or designated country end products unless the Contracting Officer determines that there are no offers for such products or that the offers for such products are insufficient to fulfill the requirements of the solicitation.

(h) Certification Regarding Responsibility Matters (Executive Order 12689). (Applies only if the contract value is expected to exceed the simplified acquisition threshold.) The offeror certifies, to the best of its knowledge and belief, that the offeror and/or any of its principals–

(1) □ Are, ☐ are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;

(2) □ Have, ☐ have not, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property;

(3) □ Are, ☐ are not presently indicted for, or otherwise criminally or civilly charged by a

Government entity with, commission of any of these offenses enumerated in paragraph (h)(2) of this clause; and

(4) □ Have ☐ have not, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds $3,500 for which the liability remains unsatisfied.

(i) Taxes are considered delinquent if both of the following criteria apply:

(A) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.

(B) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.

(ii) Examples.

(A) The taxpayer has received a statutory notice of deficiency, under I.R.C. §6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.

(B) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. §6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. In the course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.

(C) The taxpayer has entered into an installment agreement pursuant to I.R.C.

§6159. The taxpayer is making timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the taxpayer is not currently required to make full payment.

(D) The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. §362 (the Bankruptcy Code).

(i) Certification Regarding Knowledge of Child Labor for Listed End Products (Executive

Order 13126). [The Contracting Officer must list in paragraph (i)(1) any end products being acquired under this solicitation that are included in the List of Products Requiring Contractor

Certification as to Forced or Indentured Child Labor, unless excluded at 22.1503(b).]

(1) Listed end products.

Listed End Product Listed Countries of Origin

(2) Certification. [If the Contracting Officer has identified end products and countries of origin in paragraph (i)(1) of this provision, then the offeror must certify to either (i)(2)(i) or

(i)(2)(ii) by checking the appropriate block.]

(i) The offeror will not supply any end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product.

https://www.acquisition.gov/content/part-22-application-labor-laws-government-acquisitions#i1095815

(ii) The offeror may supply an end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product. The offeror certifies that it has made a good faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture any such end product furnished under this contract. On the basis of those efforts, the offeror certifies that it is not aware of any such use of child labor.

(j) Place of manufacture. (Does not apply unless the solicitation is predominantly for the acquisition of manufactured end products.) For statistical purposes only, the offeror shall indicate whether the place of manufacture of the end products it expects to provide in response to this solicitation is predominantly-

(1) ☒ In the United States (Check this box if the total anticipated price of offered end products manufactured in the United States exceeds the total anticipated price of offered end products manufactured outside the United States); or

(2) □ Outside the United States.

(k) Certificates regarding exemptions from the application of the Service Contract Labor

Standards (Certification by the offeror as to its compliance with respect to the contract also constitutes its certification as to compliance by its subcontractor if it subcontracts out the exempt services.) [The contracting officer is to check a box to indicate if paragraph (k)(1) or (k)(2) applies.]

(1) Maintenance, calibration, or repair of certain equipment as described in FAR 22.1003-

4(c)(1). The offeror ☒ does □ does not certify that–

(i) The items of equipment to be serviced under this contract are used regularly for other than Governmental purposes and are sold or traded by the offeror (or subcontractor in the case of an exempt subcontract) in substantial quantities to the general public in the course of normal business operations;

(ii) The services will be furnished at prices which are, or are based on,…