RFQ No. 70FB8026Q0000056 Attachment 2 Terms and Conditions.pdf

Federal Emergency Management Agency (FEMA) Region IX Emergency Medical Membership Access

Attachment 2: Terms and Conditions / 70FB8026Q00000056

A. BLANKET PURCHASE AGREEMENT ORDERING PROCEDURES

Line items consist of Annual Membership Fees and Medical Evacuations Costs. The Contract type is Firm Fixed Price.

Line Item Item Description – Base Year

0001 Base Year: Annual Membership Fee

0002 Base Year: Medical Evacuation Services Line Item Item Description – Option Year 1

1001 Option Year 1: Annual Membership Fee 1002 Option Year 1: Medical Evacuation Services Line Item Item Description – Option Year 2

2001 Option Year 2: Annual Membership Fee 2002 Option Year 2: Medical Evacuation Services Line Item Item Description – Option Year 3

3001 Option Year 3: Annual Membership Fee 3002 Option Year 3: Medical Evacuation Services Line Item Item Description – Option Year 4

4001 Option Year 4: Annual Membership Fee 4002 Option Year 4: Medical Evacuation Services

(A) The supplier will furnish memberships or services, described in general terms, if and when requested by authorized individuals during a specified period and within a stipulated aggregate amount, if any.

(B) The Government is obligated only to the extent of authorized purchases actually made under the BPA.

(C) The dollar limitation for each individual purchase under the BPA, may not exceed the threshold for use of simplified procedures at 12.201-1(a) (including the increased threshold at 12.001(c).

(D) BPA Authorized Users: Federal Emergency Management Agency (FEMA) Region 9 Area of Response.

(E) There are no delivery and shipment documentation requirements. See Attachment 1 – Statement of Work.

(F) Invoicing Instructions are included in Attachment 2 – Terms and Conditions.

(G) Clauses that may be applicable to purchases under the BPA are included in Attachment 2 – Terms and Conditions.

(H) In accordance with FAR Part 12.201-1(v), the Government will review BPAs at least annually to ensure that authorized procedures are being followed. Maintain awareness of changes in market conditions, sources of supply, and other pertinent factors that may warrant making new agreements with different suppliers or modifying existing agreements.

(I) BPA Orders may be issued at any time during the ordering period. The performance period will be specified in the BPA Order and may include option periods which extend beyond the BPA order up to 12-months beyond the expiration date of the BPA.

(J) The order-level Contracting Officer shall award and administer orders in accordance with the ordering procedures and terms and conditions set forth in this BPA.

(K) BPA orders shall be within the scope of the BPA. Only the Contracting Officer for the BPA may modify the BPA.

Attachment 2: Terms and Conditions / 70FB8026Q00000056

B. IDENTIFICATION OF GOVERNMENT OFFICIALS

The Government Officials assigned to this award are as follows:

Contracting Officer (CO) Name: TBD Email:

Phone Number:

Contracting Officer’s Representative (COR) Name: TBD Email:

Phone Number:

C. BILLING INSTRUCTIONS

Invoice Procedures:

The contractor shall submit an invoice(s) upon delivery and acceptance of all supplies or services as specified in the Price/Cost Schedule.

Contractors shall submit vouchers electronically in pdf format to the FEMA Finance Center at FEMA-Finance-Vendor-Payments@fema.dhs.gov, AND

Contractors shall also submit an electronic pdf copy to FEMA COR or program person if a COR is not designated at their email address.

The submission of vouchers electronically will reduce correspondence and other causes for delay to a minimum and will facilitate prompt payment to the Contractor. Paper vouchers mailed to the finance center will not be processed for payment. If the Contractor is unable to submit a payment request in electronic form, the contractor shall submit the payment request using a method mutually agreed to by the Contractor, the Contracting Officer, and the payment office.

Invoices shall be submitted as follows: Contractors shall use Standard Form (SF) 1034 (Public Voucher for Purchases and Services Other Than Personal) and SF 1035 (Continuation Sheet) when requesting payment for supplies or services rendered. Both forms are located at http://www.gsa.gov/portal/forms/type/SF. Suitable self-designed forms (contractor invoice forms) may be submitted instead of the SF 1035 as long as they contain the information required.

The voucher must provide a description of the supplies or services, by line item (if applicable), quantity, unit price, and total amount. The item description, unit of measure, and unit price must match those specified in the contract. Invoices that do not match the line item pricing in the contract will be considered improper and will be returned to the Contractor. The Contractor shall not be paid more frequently than on a monthly basis.

SF 1034 and 1035 Instructions:

SF 1034 – Public Voucher for Purchases and Services Other than Personal

The information which a Contractor is required to submit in its Standard Form 1034 is set forth as mailto:FEMA-Finance-Vendor-Payments@fema.dhs.gov, http://www.gsa.gov/portal/forms/type/SF follows:

(1) U.S. Department, Bureau, or establishment and location insert the names and address of the servicing finance office unless the contract specifically provides otherwise.

(2) Date Voucher Prepared - insert date on which the public voucher is prepared and submitted.

(3) Contract/Delivery Order Number and Date - insert the number and date of the contract and delivery order, if applicable, under which reimbursement is claimed.

(4) Requisition Number and Date - leave blank.

(5) Voucher Number - insert the appropriate serial number of the voucher. A separate series of consecutive numbers, beginning with Number 1, shall be used by the Contractor for each new contract. When an original voucher was submitted, but not paid in full because of suspended costs, resubmission vouchers should be submitted in a separate invoice showing the original voucher number and designated with the letter "R" as the last character of the number. If there is more than one resubmission, use the appropriate suffix (R2, R3, etc.)

(6) Schedule Number; Paid By; Date Invoice Received - leave blank.

(7) Discount Terms - enter terms of discount, if applicable.

(8) Payee's Account Number - this space may be used by the Contractor to record the account or job number(s) assigned to the contract or may be left blank.

(9) Payee's Name and Address - show the name of the Contractor exactly as it appears in the contract and its correct address, except when an assignment has been made by the Contractor, or the right to receive payment has been restricted, as in the case of an advance account. When the right to receive payment is restricted, the type of information to be shown in this space shall be furnished by the CO.

(10) Shipped From; To; Weight Government B/L Number - insert for supply contracts.

(11) Date of Delivery or Service - show the month, day and year, beginning and ending dates of supplies or services delivered.

(12) Articles and Services - insert the following: "For detail, see Standard Form 1035" OR

“For detail, see contractor invoice form”.

(13) Type the following certification, signed by an authorized official, on the face of the

Standard Form 1034.

"I certify that all payments requested are for appropriate purposes and in accordance with the agreements set forth in the contract."

(Name of Official) (Title)

(14) Amount - insert the amount claimed for the period indicated in (11) above. This amount should be transferred from the total per the SF 1035 Continuation Sheet or contractor invoice form.

SF 1035 – Continuation Sheet The SF 1035 will be used to identify the specific item description, quantities, unit of measure, and prices for each category of deliverable item or service. Suitable self-designed forms (contractor invoice form) may be submitted instead of the SF 1035 as long as they contain the information required.

The information which a contractor is required to submit in its Standard Form 1035 is set forth as follows:

U.S. Department, Bureau, or Establishment - insert the name and address of the servicing finance office.

Voucher Number - insert the voucher number as shown on the Standard Form 1034.

Schedule Number - leave blank.

Sheet Number - insert the sheet number if more than one sheet is used in numerical sequence. Use as many sheets as necessary to show the information required.

Number and Date of Order - insert payee's name and address as in the Standard Form 1034. Articles or Services - insert the contract number as in the Standard Form 1034, and description. Quantity; Unit Price – insert for supply contracts.

Amount - insert the total quantities contract value, and amount and type of fee payable (as applicable).

A summary of claimed current and cumulative goods and services delivered and accepted to date. - Invoices shall include an itemization of all goods and services delivered and accepted for the period by item and by CLIN. Each invoice shall include sufficient detail to identify goods and services as compared.

ELECTRONIC FUNDS TRANSFER (EFT) INFORMATION

1. To receive payment, the contractor shall submit their EFT information to the Government. EFT information may be submitted by EFT form, through System for Award Management (SAM), or on invoice. Failure to provide the EFT information or failure to notify the Government of changes to this EFT information may result in delays in payments and/or rejection of the invoice in accordance with the Prompt Payment clause of this contract. EFT forms may be submitted directly the FEMA Finance Center at FEMA-finance-recordsmaintenance@fema.dhs.gov or to the Contracting Office.

2. If submitting EFT information on invoice/voucher, the following EFT information should be submitted:

(a) Routing Transit Number (RTN) – The contractor shall provide the current 9-digit RTN of the payee's bank

(b) Payee's account number

(c) Contractor's Tax Identification Number (TIN)

(The EFT information submitted must be that of the contractor unless there is an official Assignment of Claims on file with the payment office.)

If at any time during the term of this contract, the contractor changes any EFT information, (i.e. financial agent, RTN, account number, etc.) the new EFT information must replace the old EFT information on subsequent invoices submitted under this contract, through SAM, or by submission of a new EFT form.

mailto:FEMA-finance-recordsmaintenance@fema.dhs.gov

D. CONTRACT CLAUSES

FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE. (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): https://www.acquisition.gov/far-overhaul/

NO. TITLE

52.203-3 GRATUTIES. (APR 1984)

52.203-6

RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT.

ALTERATE I. (JUN 2020)

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS. (NOV 2023)

52.203-19

PROHIBITION ON REQUIRING CERTAIN INTERNAL

CONFIDENTIALITY AGREEMENTS OR STATEMENTS. (JAN 2017)

52.204-13

SYSTEM FOR AWARD MANAGEMENT MAINTENANCE. (AUG 2025)

(DEVIATION 25-19)

52.204-9

PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL.

(JAN 2011)

52.204-19

INCORPATION BY REFERENCE OF REPRESENTATIONS AND

CERTIFICATIONS. (DEC 2014)

52.209-6

PROTECTING THE GOVERNMENT'S INTEREST WHEN

SUBCONTRACTING WITH CONTRACTORS

DEBARRED, SUSPENDED, PROPOSED FOR DEBARMENT, OR

VOLUNTARILY EXCLUDED. (NOV 2025) (DEVIATION 25-27)

52.209-9

UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING

RESPONSIBILITY MATTERS. (NOV 2025) (DEVIATION 25-27)

52.209-10

PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC

CORPORATIONS. (NOV 2025) (DEVIATION 25-27)

52.212-4

CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES. (AUG 2025) (DEVIATION 25-21)

52.222-3 CONVICT LABOR. (JUN 2003)

52.222-50 COMBATING HUMAN TRAFFICKING IN PERSONS. (NOV 2021)

52.222-90

ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS.

(APR 2026) (DEVIATION 26-10, REV 2)

52.223-23

SUSTAINABLE PRODUCTS AND SERVICES (OCT 2025) (DEVIATION

26-12)

52.224-1 PRIVACY ACT NOTIFICATION. (APR 1984)

52.224-2 PRIVAY ACT. (APR 1984)

52.224-3 PRIVACY TRAINING. ALT I. (JAN 2017)

52.226-8

ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING

WHILE DRIVING. (MAY 2024)

52.232-18 AVAILABILITY OF FUNDS. (APR 1984)

52.232-33

PAYMENTS BY ELECTRONIC FUNDS TRANSFER – SYSTEM FOR

AWARD MANAGEMENT. (OCT 2018)

52.233-3 PROTEST AFTER AWARD (AUG 2025) (DEVIATION 25-25)

52.233-4

APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM. (AUG 2025)

(DEVIATION 25-25)

52.240-91

SECURITY PROHIBITIONS AND EXCLUSIONS. (AUG 2025)

(DEVIATION 25-23)

52.243-1 CHANGES-FIXED PRICED (JUN 2025) (DEVIATION 25-09)

52.244-6

SUBCONTRACTS FOR COMMERICAL PRODUCTS AND COMMERICAL

SERVICECS. (SEP 2025) (DEVIATION 25-34)

FAR 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 7-days.

(End of clause)

FAR 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2020)

a) The Government may extend the term of this contract by written notice to the Contractor within five (5) day before the period of performance of the contract expires; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least five (5) days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 60-months.

FAR 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES. (NOV 2020)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this solicitation or contract of any Homeland Security Acquisition Regulation (48 CFR 30) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

AI LANGUAGE

The Contractor will not use or deploy the use of Artificial Intelligence, as defined by 15 U.S.C. 9401(3), unless expressly authorized by the Contracting Officer.

The term ‘‘artificial intelligence’’ means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations or decisions influencing real or virtual environments. Artificial intelligence systems use machine and human-based inputs to –

(A) perceive real and virtual environments;

.240-71

CONTRACTOR EMPLOYEE ACCESS. ALT II. (JULY 2023) (HSAR

DEVIATION 25-12)

3052.240-72

SAFEGUARDING OF CONTROLLED UNCLASSIFIED INFORMATION.

(HSAR CLASS DEVIATION 25-12)

3052.240-73

NOTIFICATION AND CREDIT MONITORING REQUIREMENTS FOR

PERSONALLY IDENTIFIABLE INFORMATION INCIDENTS.

(HSAR CLASS DEVIATION 25-12)

3052.242-72 CONTRACTING OFFICER’S REPRESENTATIVE. (DEC 2003)

INFORMATION TECHNOLOGY SECURITY AWARENESS TRAINING.

(JULY 2023) (HSAR CD 15-01, REVISION 1)

(B) abstract such perceptions into models through analysis in an automated manner; and

(C) use model inference to formulate options for information or action.

(End)

E. SOLICITATION PROVISIONS

FAR 52.525-1 SOLICTIATION PROVISIONS INCORPORATED BY REFERENCE. (FEB 1998)

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

FAR 52.209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

REPRESENTATION. (NOV 2025) (DEVIATION 25-27)

(a) Definitions. As used in this clause—

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).

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.

(b) Government agencies are not permitted to use appropriated (or otherwise made available) funds for contracts with either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation, unless the exception at 9.108- 3(b) applies or the requirement is waived in accordance with the procedures at 9.108-5.

(c) Representation. The Offeror represents that-

(1) It □ is, □ is not an inverted domestic corporation; and

(2) It □ is, □ is not a subsidiary of an inverted domestic corporation.

(End of provision)

FAR 52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS. (NOV 2025) (DEVIATION 25-27)

(a)(1) The Offeror certifies, to the best of its knowledge and belief, that—

NO. TITLE

52.203-11

CERTIFICATION AND DISCLOSURE REGARIDNG PAYMENTS TO

INFLUENCE CERTAIN FEDERAL TRANSACTIONS. (SEP 2024)

52.204-7 SYSTEM FOR AWARD MANAGEMENT. (AUG 2025) (DEVIATION 25-19)

52.217-5 EVALUATION OF OPTIONS. (SEP 2025) (DEVATION 25-36)

52.233-2 SERVICE OF PROTEST (AUG 2025) (DEVIATION 252-25)

(i) The Offeror and/or any of its Principals—

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

(B) 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 public (Federal, State, or local) 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 (if offeror checks "have", the offeror shall also see 52.209- 7, if included in this solicitation);

(C) Are □ are not □ presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision; and

(D) Have □, have not □, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds the threshold at 9.104-5(a)(2) for which the liability remains unsatisfied. Federal taxes are considered delinquent if both of the following criteria apply:

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

(2) 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) The Offeror has □ has not □, within a 3-year period preceding this offer, had one or more contracts terminated for default by any Federal agency.

(2) "Principal," for the purposes of this certification, means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

(b) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

(c) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the Government will consider the certification in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible.

(d) This provision does not require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a). The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

(e) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If the Government later determines that the Offeror knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default.

(End of provision)

FAR 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS. (NOV 2025) (DEVIATION

25-27)

(a) Definitions. As used in this provision—

Administrative proceeding means a non-judicial process that is adjudicatory in nature in order to make a determination of fault or liability (e.g., Securities and Exchange Commission Administrative Proceedings, Civilian Board of Contract Appeals Proceedings, and Armed Services Board of Contract Appeals Proceedings). This includes administrative proceedings at the Federal and State level but only in connection with performance of a Federal contract or grant. It does not include agency actions such as contract audits, site visits, corrective plans, or inspection of deliverables.

Federal contracts and grants with total value greater than $10,000,000 means—

(1) The total value of all current, active contracts and grants, including all priced options; and

(2) The total value of all current, active orders including all priced options under indefinite-delivery, indefinite-quantity, 8(a), or requirements contracts (including task and delivery and multiple-award Schedules). Principal means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

Principal means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment;

and similar positions).

(b) The offeror □ has □ does not have current active Federal contracts and grants with total value greater than $10,000,000.

(c) If the offeror checked "has" in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information:

(1) Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the Federal or State level that resulted in any of the following dispositions:

(i) In a criminal proceeding, a conviction.

(ii) In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more.

(iii) In an administrative proceeding, a finding of fault and liability that results in– (A) The payment of a monetary fine or penalty of $5,000 or more; or (B) The payment of a reimbursement, restitution, or damages in excess of $100,000.

(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision.

(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence.

(d) The offeror shall post the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in FAPIIS as required through maintaining an active registration in the System for Award Management, which can be accessed via https://www.sam.gov (see 52.204-7).

(End of provision)

FAR 52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELIQUENT TAX LIABILTY

OR A FELONY CONVICTION UNDER ANY FEDERAL LAW. (NOV 2025) (DEVIATION 25-27)

(a) The Government will not enter into a contract with any corporation that—

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that–

(1) It is □ is not □ a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is □ is not □ a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

(End of provision)

Note: Quoters shall provide sufficient information for the Government to determine its level of confidence in the ability of the Quoter to perform the requirements of the RFQ based on an assessment of relevant experience from the contractor.

FAR 52.212-1 INSTRUCTIONS TO OFFERORS – COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES. (AUG 2025) (DEVIATION 25-21)

(a) Submission of offers. Submit signed and dated offers to the office specified in this solicitation at or before the exact time specified in this solicitation. As a minimum, offers shall include—

(1) The solicitation number;

(2) The name, address, telephone number of the Offeror;

(3) The Offeror’s Unique Entity Identifier (UEI) and, if applicable, Electronic Funds Transfer (EFT) indicator;

(4) Information necessary to evaluate the factors contained in the provision at 52.212-2 or as described in the solicitation;

(5) Responses to provisions that require Offeror completion of information, representations, and certifications (other than those collected via the System for Award Management (SAM)); and

(6) A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation and any solicitation amendments.

(7) Acknowledgement of all amendments issued to the solicitation shall be included in the offeror response.

(8) All documents shall be submitted electronically in .pdf, .doc/.docx, and/or .xls/.xlsx format, searchable format via email. Pages shall be numbered. The typewritten or printed letters shall be no smaller than Courier 12 point, Times New Roman 12 point, or equivalent as the minimum size standard, with no reduction permitted except organization charts or other graphic illustrations; in those instances where reduction is allowable (no smaller than 10 points recommended). Offerors shall ensure that the print is easily readable. Each page shall have no less than one-inch margins on each side of the page. Header/footer information (which does not include any information to be evaluated) may be included in the 1” margin space. Each 8 and 1/2 by 11 inch “sheet” shall count as one page.

(9) All submissions shall be submitted electronically via email on or before the RFQ closing date as stated in the solicitation.

(10) Offerors shall submit their quotes in accordance with the solicitation. Failure to follow the solicitation instructions may result in the quote to be determined non-complaint and removed from further consideration.

Quotes shall be submitted in volumes as follows:

Volume I – Technical Quote (Factor 1) ___________

The technical quote submission shall be in a separate document/file from the pricing volume. The technical quote is limited to 30 pages. Pages beyond this limit will not be reviewed. Table of contents and cover pages are not included in this page count.

1. Past Performance (Subfactor 1): The Quoters shall provide past performance information demonstrating performing relevant work similar to the requirements described in the Statement of Work (SOW). The Quoter shall submit up to three (3) references performed within the past three

(3) years prior to the solicitation closing date. Projects should be of similar size, scope, and complexity to the effort required by this solicitation. Contracts listed may include those entered into with the Federal, state, or local government, or commercial customers. The past performance information shall include the following:

• Project title/description

• Role (Prime/Subcontractor)

• Contract number

• Dollar value & contract type

• Period of performance

• Agency or company for which the work was performed

• Summary of the work products/services

• Name/contact information of client point of contact

The Government may also consider past performance information obtained from Contractor Performance Assessment Reporting System (CPARS); Federal Awardee Performance and Integrity Information System (FAPIS) and other sources. If a Quoter does not have relevant past performance, the quoter shall receive a Neutral rating for this factor.

2. Corporate Experience in the Pacific Islands (Subfactor 2): The Quoters shall provide a listing of a maximum of six (6) events in the last 12-months which they have supported in the Pacific Islands. The information shall include the following:

• Description of Events

• Timeline of Events

• Cost of Events

• Resolution of Events

3. Technical Approach and Understanding of Requirements (Subfactor 3): The Quoter shall describe how they will accomplish the requirements described in Attachment 1 – Statement of Work. Including the following deliverables:

• Determination of patient’s medical condition

• Determine best course of action

• Contact AP to obtain financial authorization

• Arrange all 3rd party services

• Continue to update AP on employee status and any changes in accrued costs

The quoter shall address how they will accomplish deliverables within the period of performance. The quote shall address all services included in the membership (insurance), the air ambulance available for use, and a description of best practices utilized to make medical recommendations and air medivac services.

Volume II – Price No Page Limit The Price Quote shall be submitted in accordance with the excel Attachment 4 Pricing Table. The Government is requesting discounts. The quoter shall provide a firm-fixed price for each item under the Base and four (4) Option Periods. The quoter must also provide a Total Evaluated Price for the overall performance period.

(b) Period for acceptance of offers. The Offeror agrees to hold the prices in its offer firm for 60 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

(c) Late submissions, modifications, revisions, and withdrawals of offers.

(1) Offerors are responsible for submitting offers and any modifications or revisions to the Government office designated in the solicitation by the time specified in the solicitation.

(2) Any offer, modification, or revision received after the time specified for receipt of offers is “late” and will not be considered unless it is received before award is made and the Contracting Officer determines that accepting the late offer would not unduly delay the acquisition. However, a late modification of an otherwise successful offer that makes its terms more favorable to the Government will be considered at any time it is received and may be accepted.

(3) If an emergency or unanticipated event interrupts normal Government processes so that offers cannot be received at the Government office designated for receipt of offers by the exact time specified in the solicitation, and urgent Government requirements preclude amendment of the solicitation or other notice of an extension of the closing date, the time specified for receipt of offers will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal Government processes resume.

(4) Offerors may withdraw their offers by written notice to the Government received at any time before award.

(d) Contract award (not applicable to Invitation for Bids). The Government intends to evaluate offers and award a contract without discussions with Offerors. Therefore, the Offeror’s initial offer should contain the Offeror’s best terms.

However, the Government reserves the right to conduct discussions, if necessary. The Government may reject any or all offers if such action is in the public interest, accept other than the lowest offer, and waive informalities and minor irregularities in offers received.

(e) Debriefings. If a postaward debriefing is given to requesting Offerors, the Government will disclose the following information, if applicable:

(1) The agency’s evaluation of the significant weak or deficient factors in the debriefed Offeror’s offer.

(2) The overall evaluated cost or price and technical rating of the successful Offeror and the debriefed Offeror and past performance information on the debriefed Offeror.

(3) The overall ranking of all Offerors when any ranking was developed by the agency during source selection.

(4) A summary of the rationale for award.

(5) For acquisitions of commercial products, the make and model of the product to be delivered by the successful Offeror.

(6) Reasonable responses to relevant questions posed by the debriefed Offeror as to whether the agency followed source-selection procedures set forth in the solicitation, applicable regulations, and other applicable authorities.

(End of provision)

52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (AUG 2025)

(DEVIATION 25-21)

The following evaluation factors and subfactors are listed in descending order. The non-price factors combined are more important than price.

Factor 1. Technical Quote

Subfactor 1: Past Performance The Government will assess its level of confidence that the Quoter’s will successfully perform the requirements by evaluating the past performance information obtained in relation to similar complexity and magnitude of this procurement, considering such factors as similar size, scope, and complexity completed by the firm. If a vendor has no past performance, it will be rated neutral. The government may evaluate other sources of information such as CPARS or other databases.

Subfactor 2: Corporate Experience in The Pacific Islands The Government will assess its level of confidence that the Quoter will successfully perform the requirements by evaluating the Quoter’s prior corporate experience in The Pacific Islands based on the extent the vendor demonstrates relevant corporate experience for similar work from current and previous customers of similar scope, size and complexity of the requirements with regard to the SOW. The Government will evaluate the relevance of the cited demonstrated prior experience information to the requirements stated in this solicitation and determine each Quoter’s probability of success on the proposed purchase based upon this record of demonstrated prior experience.

Subfactor 3: Technical Approach The Government will assess its level of confidence that the quoter understands the requirement, proposes a sound approach, and will be successful in performing the requirements of the Statement of Work (SOW).

Subfactor 4: Scenario Response The Government will assess its level of confidence that the quoter scenario responses demonstrate an understanding of the requirement and ability to apply its proposed approach to realistic performance situations.

Scenario responses should be specific, concise, and directly responsive to the facts presented in the solicitation.

Factor 2. Price

(a) Price will be evaluated to determine whether the proposed price is fair and reasonable to the Government and in alignment with the requirements. Price reasonableness will be established by comparing the quoted prices received in response to the solicitation, comparing quotes to the Independent Government Estimate (IGCE), or using other accepted techniques.

(b) Options. The Government will evaluate offers or quotations for award purposes by adding the total price for all options to the total price for the basic requirement to determine the total evaluated price. This includes options under FAR 52.217-8, Option to Extend Services, which applies to this solicitation. Evaluation of options will not obligate the Government to exercise the option(s).

(c) The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. To account for the option periods possible under FAR 52.217-8 (maximum of six months), the Government will evaluate the option to extend services by adding six months of the offeror’s final option period price to the offeror’s total price. This amount will be the total evaluated price. The Government may choose to exercise the Option to Extend Services at the end of any performance period (base or option periods). Prices for the base and option periods, including the 6-month option available under FAR 52.217-8, will be evaluated to ensure that they are fair and reasonable for performance of the requirements established in the solicitation and as proposed in the technical submission. The price for the effort associated with FAR 52.217-8 will not be included in the total awarded value at contract award. If, at the end of the contract’s/order’s period of performance (the end of the base period or any option period) and within the time period established in the clause, the Government chooses to exercise this option, the pricing will be pursuant to the rates specified in the contract for the preceding performance period.

(d) Notice of award. A written notice of award or acceptance of an offer furnished to the successful Offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

BASIS OF AWARD

The Government will award a single purchase order resulting from this solicitation to the responsible Quoter whose quote conforming to the solicitation will be the best value to the Government, price and other factors considered. In making a best value determination for award, the Government is more concerned with obtaining a superior solution rather than making an award to the Offeror with the lowest evaluated price. This acquisition is being conducted strictly under RFO Part 12 simplified procedures for commercial products and commercial services. The evaluation procedures are not subject to RFO Part 15.

(End of provision)