RFQ-050507-009-09 SUBSUSTENCE.pdf

OMB No: 1103-0018

Expiration Date:

D

270. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED.

ADDENDA ~ ARE 0 ARE NOTATTACHED.

27b. CONTRACTIPURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED

ADDENDA 0 ARE 0 ARE NOTATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.212

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITIONNUMBER PAGE OF PAGES

OFFEROR TO COMPLETE BLOCKS 12,17,23,24, & 30 ] 6

2. CONTRACTNO.

3. AWARD/EFF.DATE 14. ORDERNUMBER

5. SOLICITATIONNUMBER 6. SOLICITATION

RFQ-050507-009-09 SUBSISTENCE

ISSUEDATE

11/24/2008

7. FORSOLICITATION a. NAME b. TELEPHONENUMBER(No collectcalls) 8. OFFERDUEDATE!

INFORMATIONCALL: Tammie Johnson Contract Specialist 817-782-4109

LOCALTIME

12/] 5/2008

9. ISSUEDBY CODE 50507 10. THISACQUISITIONIS C.O.B.

Federal Bureau of Prison

@ UNRESTRICTED ORX SETASIDE: 100 % FOR:

Federal Medical Center Carswell

[KI SMALL BUSINESS D EMERGING SMALL BUSINESS

P. O. Box 27066 D HUBZONE SMALL BUSINESS D 8(A)

"J" Street Building3000 o SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS

Fort Worth TX 76127 NAICS: 424410

SIZESTANDARD:

11. DELIVERYFOR FOB 12.DISCOUNTTERMS D 13a. THIS CONTRACT IS A RATED

14. METHOD OF SOLICITATION

DESTINATION UNLESS ORDER UNDER DPAS (15 CFR 700)

BLOCK IS MARKED

13b. RATING RFQ D IFB D RFP

D SEESCHEDULE

15. DELIVERTO CODE I I DELIVERYDATE 16. ADMINISTEREDBY CODE I

FederalBureauof Prisons I Federal Medical Center Carswell

Federal Medical Center Carswell Contracting Department P.O. Box 27066 P.O. Box 27066

"J" Street Building 3000 "J" Street Building 3000

Fort Worth TX 76127 Fort Worth TX 76127

17a. CONTRACTOR/ CODE I I FACILITY I 18a. PAYMENTWILLBE MADEBY CODE

OFFEROR CODE

TIN NO. I

Federal Medical Center Carswell

Accounting Department

P.O. Box 27066

"J" Street Building 3000

PHONE: FAX:

Fort Worth TX 76127

D17b. CHECKIF REMITTANCEIS DIFFERENTAND PUTSUCHADDRESS 18b. SUBMITINVOICESTO ADDRESSSHOWnN BLOCK18aUNLESSIN OFFER. BLOCKBELOWIS CHECKED. SEEADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULEOF SUPPLIES/SERVICES QUANTITY UNIT UNITPRICE AMOUNT

0001 MARGARINE solid bulk all vega table no animal fat 20,000 LB 30 - 1 lb prints per case cid a-a-20044 must be kosher labeled. FS # 02a-087

25. ACCOUNTINGANDAPPROPRIATIONDATA

\26. TOTALAWARDAMOUNT (For Govl Use Only)

D 28. CONTRACTOR IS REQUIREDTO SIGNTHIS DOCUMENTAND D 29. AWARD OFCONTRACT: REF.

OFFER DATED

RETURN _ COPIES TO ISSUING OFFICE. CONTRACTOR . YOUR OFFER ON SOLICITATION (BLOCK 5). INCLUDING

AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO

OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS ITEMS:

SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

3OA. SIGNATURE OF OFFEROR/CONTRACTOR 310. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

SIGNED

Tammie Johnson, CS

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITIONNUMBER

Continuation Sheet

5. SOLICITATIONNUMBER

RFQ-050507-009-09 SUBSISTENCE

21.

QUANTITY

19.

ITEMNO.

0007a

0008a

0009a

2. CONTRACT NO.

20.

SCHEDULEOFSUPPLIES/SERVICES

CEREAL FARINA wheat quick cooking enriched 28 oz bx. cid a-a-20108 type 1 class b style 2 ffs # 03a-175.

CEREAL GRITS HOMINY WHITE QUICK-COOKING enriched unflavored cid a-a-20035c type I style b flavor 1 not to exceed 501bs/cs packes 10/51b per/cs.

FS# 03a-220

CEREAL ROLLED OATS Quick cooking enriched unflavored cid a-a 20090 c type 11 flavor a

12/42 oz case.

SOY BEEF FLAVOR GRANULES soy textured protein beef flavored granules dehydrated consisting of granules .25"- .50" 18.6 Ibs per case.

BEEF FLAVOR STEW dry form veg protein elongated strips ranging .875" to 1.125" & .25" to .50" width. Kosher and Halal certification provided.

SOY CHICKEN CREAMY W/ SAUCE veg protein meal dehydrated chicken like diner entree. Dry form veg protein elongated strips ranging from .875" to 1.125" to .25" - .50" width.

Kosher and Halal certification provided. Yield

100 - 4 oz servings per pack.

SOY ENTREE CHICKEN CURRY W/SAUCE VEG PROTEIN

MEAL DEHYDRATED BARBEQUE STYLE ENTREE. DRY FORM

VEG PROTEIN ELONGATED STRIPS RANGING FROM .875"

TO 1.125" &

.25" -.50" WIDTH. KOSHER HALAL CERTIFICATION

PROVIDED. YIELD 100 40Z SERVING. PER PACK.

SOY ENTREE CHICKEN ITALIAN W/SAUCE SOY TEXTURED

PROTEIN MEAL. ITALIAN CHICKEN DINER VEGETABLE

PROTEIN MEAL DEHYDRATED WITH SEPARATE SEASONING

PACKAGED CHICKEN LIKE DINER ENTREE.

DRY FORM VEGETABLE PROTEIN IN

RANGING FROM 0.875" TO 1.125"

WIDTH. ADD WATER ON LY PKG TO

SERVINGS.

ELONGATED STRIPS

AND .25" - .50"

YIELD 100 4 OZ

SOY ENTREE CHICKEN STEW W/SAUCE dry formed vegetable protein granules .50" - 1.00" Kosher and Halal certification provided.

400 I LB

400 I LB

1,600 I CS

4 I CS

2 I CS

2 I CS

o

2 I CS

o

2 CS

o

2 CS

23.

UNITPRICE

PAGE OF PAGES

2 6

24.

AMOUNT

STANDARD FORM 1449 (Rev. 3/2005)

5. SOLICITATIONNUMBER

RFQ-050507-oo9-09 SUBSISTENCE

21.

QUANTITY

19.

ITEM NO.

OOlla

0012a

2. CONTRACT NO.

20.

SCHEDULEOFSUPPLIES/SERVICES

SOY ENTREE CHICKEN TETRAZZINI soy textured protein meal chicken tetrazzini dinner vegetable protein dehydrated with serparate seasoning pkg chicken like dinner entree. Dry form vegetable protein in elongated strips ranging from .875" to 1.125" and .25" - .50 only. Each pkg yield 100

" width add water

4 oz servings.

SOY ENTREE SO BBQ W/SAUCE. Soy textured protein meal Southern BBQ dinner dehydrated w/separate seasoning pkg chicken like entree dry form veg protein in elongated strips ranging .875" to 1.125" & .25"-.50" width.

Add water only pkg yield 100 40z servving 5 pkg per case.

PASTA EGG NOODLES ribbon-shaped or bow-shaped regular cooking enriched not to exceed 50lb/bg

CID A-A-20063 FS#: 03A-486

PASTA MACARONI ELBOW FORM regular cooking enriched 20 lb box CID A-A- 20062 Type I Style

A NSN 8920-01-419-1081 FS#: 03A-503

PASTA SPAGHETTI long form regular cooking enriched 20 lb/bx CID A-A 2006D Type VI Style A

NSN 8920--01-419-0480

BEANS CANNED KIDNEY in brine. It red ot dk red kidney beans Us Grade a # 10 cn CID A-A-20134 Process I Type 2. FS# 03C-005

BEANS CANNED GARBANZO canned in brine US Grade A CID A-A Process Type Type Style I 6 #10 cn/cs must be Kosher labeled. FS# 03C-011

BEANS DRY KIDNEY DRY It or dk red Us #1 grade 25 lb bg US standards for grade CID A-A-20134 NSN 8915-00-081-0120.

BEANS WHITE dry tpk - item pea (navy) Great

Northern US 31 grade by the lb not to exceed 25 lb/cs. FS#03C-035

BEANS DRY PINTO US #1 GRADE US standards for beans 25 lb/bg cid a-a-20134 fs #03c-038

2 CS

o

2 I CS

o

260 I LB

200 I LB

200 I LB

30 I CS

25 I CS

250 I LB

750 I LB

2,500I LB

23.

UNITPRICE

PAGE OF PAGES

3 6

24.

SOLICITATION/CONTRACT/ORDERFOR COMMERCIAL ITEMS 1. REQUISITIONNUMBER

5. SOLICITATIONNUMBER

RFQ-050507-009-09 SUBSISTENCE

21.

QUANTITY

2. CONTRACT NO.

19.

ITEMNO.

20.

SCHEDULEOFSUPPLIES/SERVICES

0021 MUSHROOMS SLICED CANNED white stems and priced U.S grade a or b jumbo size can 16 oz minimum drained weight U.S. standards for grades color type (a) style f nsn 8915-00-935-6629

25 I CS

0022 TOMATOES CANNED whole almost whole Ig peices ot combination US Grade A or B 6- #10 cn/cs

FS# 05C-070

112 I CS

0023 VEG PICKLES dill sliced 4 /1 gal 28 I CS

0029 WORCESTERSHIRE SAUCE 4/1 gal polypropylene container. FS # 07C-706

4 I CS

0030 SHAKER GROUND BLACK PEPPER table 48 disposable non-refillable shakers/case. Fs# 07C-716

25 I CS

0031 SHAKER SALT table iodized fine granulated 48 disposable non-refillable shakers/case. FS#

07C-717

75 I CS

0032 PEANUT BUTTER smooth texture stabilized fortified US grade A 51b resealable container must be labeled as Kosher approved 6/5# cs.

FS# 01C-551

6 I CS

23.

UNITPRICE

PAGE OF PAGES

4 6

24.

AMOUNT

STANDARD FORM 1449 (Rev. 3/2005)

0024 IVEG BEETS sliced canned slices small or medium I 30 I CS size US grade A 6-#10 cans per case US standards for grades NSN 8915-00-286-8060

I SUGAR BROWN LIGHTlight 25 Ib plastic lined bag I 750I LB

CID A-A-20135 Type 11 Style C NSN 8925-01-046- 74906

I SUGAR POWDERED refined confectioners cane or I 1,500 I LB beet 25 Ib/bg CID A-A-20135 Type 1 Style C NSN 8925-01-060-7498

I 'UGAR GRAOULAT'D BULK oane 0' bee' fine ex',a I 5,000 I LB fine or super fine packed no heavier than 100 Ib bags CID A-A-20135Type 1 Style A or B NSN 8925-01-0590-5720.

I BAKING SODA CID A-A-20086 24/1# ct/cs FS# I 101 LB 07c-032

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITIONNUMBER

Continuation Sheet

2. CONTRACTNO. 5. SOLICITATIONNUMBER

RFQ-050507-OO9-09 SUBSISTENCE

19. 20. 21.

ITEMNO. SCHEDULEOFSUPPLIES/SERVICES QUANTITY

PAGE OF PAGES

5 6

23.

UNITPRICE

24.

AMOUNT

JELLY ASST. MIXED FRUIT Type I US grade A in accordance w/CID A-A-20078 must be Kosher labeled 1/2 oz indiv serving in cup or boat type container assorted flavor 200/cs 6#box.

FS#07C-391

203 CS

JELLY GAPE type 1 US grade A 1/2 indiv serving in cup boat type container must be labeled Kosher CID A-A-20078 200/cs 6lb box FS#07C-405.

203 CS

CATSUP TOMATO made from strained obtained from mature tomatoes of varieties must be Kosher labled size 200 pk/cs FS#07C-733

300 CSliquid red reddish indiv. serving

TOMATO CATSUP canned made from strained liquid obtained from mature tomatoes of red or reddish varieties 6- #10 cn/cs ADCOP FS#07C-733

224 I CS

SYRUP PANCAKE BULK imitation maple thick 4 gallons per case must be in plactic containers

NSN 8925-01-374-8858

50 I CS

1591 CSVARIOUS FLAVORS OF POTATO CHIP one individual serving per bag 60/ loz to 1 1/4 oz per bag.

Must have a minimum 21 day shelf life after delivery flavors should include include but not limited to Regular BBQ Corn Chips Nacho chips.

0038a I Please provide a listing oa chips available.

The above chips will be on a will call basis from 01-02-2009 to 03-31-2009. FS# 03B-020

POTATOES FRENCH FRIES frozen white refry color after heating shall be extra light or light crinckle cut suitable for baking or frying NSN# 8915-00-080-5179 Not to exceed 50 lb/cs.

FS# 03B-026

2,896 I LB

CORN frozen whole kernel or whole grain US grade A or B US standards for grades of whole corn.

FS# 05B-430.

4,000 I LB

SPINICH frozen chopped US grade A or B US standards for grades type (g) style (b). FS# 05B-590

],000 I LB

VEG MIXED frozen consisting of 20% -30% green or wax beans (round type 1 - 1 1/2" in cuts) 20%- 30% carrots (diced style 3/8" to 1/2" in cubes) 20% -30% corn(sweet golden or yellow whole kernel) and 10% -20% green peas

1,000 I LB

oo42a IVeg. mix cont: (early or sweet type) Optional- 8%-20% lima beans ( any single variable type) US grade a or b US standards fo rgrades 20 # bg FS# 05b-614

5. SOLICITATIONNUMBER

RFQ-050507-009-09 SUBSISTENCE

21.

QUANTITY

19.

ITEM NO.

2. CONTRACT NO.

20.

SCHEDULEOFSUPPLIES/SERVICES

VEG PEAS EARLY frozen 24# ca

VEG BEANS GREEN cut frozen

CORN TORTILLAS 6" preformed rolled baked round shape 24-22 ct flexible bag. CId A-A-2013 slaient characteristics item 1 24-22 ct/cs. FS

# 03A-401.

TACO SHELLS preformed 200 ct/cs FS# 03A-405

FLOUR TORTILLAS B" pre-formed fajita style 240 ct/cs FS# 03A-432

FLOUR TORTILLAS 10" pre- formed 6/24 ct/cs

FS# 03A-440.

0048a I DELIVERY ON TACO SHELLS AND TORTILLAS WILL BE ON

A WILL CALL BASIS DURING THE PERIOD OF 01-02-

2009 TO 03-31-2009. **** TACO SHELLS AND

TORTILLAS ARE TO BE FRESH AND NOT FROZEN****

1,000 I LB

3,000 I LB

40 I CS

200 I CS

75 I CS

80 I CS

23.

UNITPRICE

PAGE OF PAGES

6 6

24.

TABLE OF CONTENTS

Page

CONTRACT CLAUSES

A.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

A.2 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO

IMPLEMENT STATUTES OR EXECUTIVE ORDERS--COMMERCIAL

ITEMS (JUN 2007)

SOLICITATION PROVISIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "

A.3 52.211-16 VARIATION IN QUANTITY (APR 1984)

A.4 52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

A.5 52.212-2 EVALUATION-COMMERCIAL ITEMS (JAN 1999)

A.6 52.212-4 CONTRACT TERMS AND CONDITIONS--COMMERCIAL

ITEMS (FEB 2007)

A.7 52.232-18 AVAILABILITY OF FUNDS (APR 1984)

A.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--

COMMERCIALITEMS(NOV2006)AlternateII (OCT2000)

Page: i

SECTION: A

Page: 1

CONTRACT CLAUSES

A.1 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):

http://www .arnet. gov /far

I. FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES

NUMBER DATE TITLE

A.2 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS--COMMERCIAL ITEMS (JUN 2007)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.233-3, Protest after Award (AUG 1996) (31 U.S.C. 3553).

(2) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Pub. L. 108-77, 108-78).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items: [Contracting Officer check as appropriate.]

_ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (SEP 2006), with Alternate I (OCT 1995) (41 U.S.C. 253g and 10 U.S.C. 2402).

_ (2) 52.219-3, Notice of Total HUBZone Set-Aside (JAN 1999) (15 U.S.C. 657a).

_ (3) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (JUL 2005) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

_ (4) [Reserved]

_ (5) (i) 52.219-6, Notice of Total Small Business Set-Aside (JUN 2003) (15 U.S.C. 644).

(ii) Alternate I (OCT 1995)of 52.219-6

(iii) Alternate II (MAR 2004) of 52.219-6

_ (6) (i) 52.219-7, Notice of Partial Small Business Set-Aside (JUN 2003) (15 U.S.C. 644).

(ii) Alternate I (OCT 1995) of 52.219-7

(iii) Alternate II (MAR 2004) of 52.219-7

_ (7) 52.219-8, Utilization of Small Business Concerns (MAY 2004) (15 U.S.C. 637(d)(2) and (3)).

Page: 2

_ (8) (i) 52.219-9, Small Business Subcontracting Plan (SEP 2006) (15 U.S.C. 637(d)(4».

(ii) Alternate I (OCT 2001) of 52.219-9

(iii) Alternate II (OCT 2001) of 52.219-9

_ (9) 52.219-14, Limitations on Subcontracting (DEC 1996) (15 U.S.C. 637(a)(14».

_ (10) 52.219-16, Liquidated Damages--Subcontracting Plan (JAN 1999) (15 U.S.C.

637(d)(4)(F)(i».

_ (11) (i) 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns (SEP 2005) (10 U.S.C. 2323) (if the offeror elects to waive the adjustment, it shall so indicate in its offer).

(ii) Alternate I (JUN 2003) of 52.219-23.

_ (12) 52.219-25, Small Disadvantaged Business Participation Program--Disadvantaged Status and Reporting (OCT 1999) (Pub. L. 103-355, section 7102, and 10 U.S.C. 2323).

_ (13) 52.219-26, Small Disadvantaged Business Participation Program--Incentive Subcontracting (OCT 2000) (Pub. L. 103-355, section 7102, and 10 U.S:C. 2323).

_ (14) 52.219-27, Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside (MAY 2004) (15 U.S.C. 657 f).

_ (15) 52.219-28, Post-Award Small Business Program Rerepresentation (JUN 2007) (15 U.S.C.

632(a)(2».

_ (16) 52.222-3, Convict Labor (JUN 2003) (E.O. 11755).

_ (17) 52.222-19, Child Labor--Cooperation with Authorities and Remedies (JAN 2006) (E.O.

13126).

XX (18) 52.222-21, Prohibition of Segregated Facilities (FEB 1999).

XX (19) 52.222-26, Equal Opportunity (MAR 2007) (E.O. 11246).

XX (20) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and Other EligibleVeterans (SEP 2006) (38 U.S.C. 4212).

XX (21) 52.222-36, Affirmative Action for Workers with Disabilities (JUN 1998) (29 U.S.C. 793).

_ (22) 52.222-37, Employment Reports on Special Disabled Veterans, Veterans of the Vietnam Era, and Other EligibleVeterans (SEP 2006) (38 U.S.C. 4212).

_ (23) 52.222-39, Notification of Employee Rights Concerning Payment of Union Dues or Fees

(DEC 2004) (E.O. 13201).

_ (24) (i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA-Designated Products (AUG 2000) (42 U.S.C. 6962(c)(3)(A)(ii».

(ii) Alternate I (AUG 2000) of 52.223-9 (42 U.S.C. 6962(i)(2)(C».

_ (25) 52.225-1, Buy American Act--Supplies (JUN 2003) (41 U.S.C. 10a-10d).

_ (26) (i) 52.225-3, Buy American Act--Free Trade Agreements--Israeli Trade Act (NOV 2006) (41 U.S.C. 10a-10d, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, Pub. L. 108-77, 108-78, 108-286,109-53 and 109-169).

(ii) Alternate I (JAN 2004) of 52.225-3.

Page: 3

(iii) Alternate II (JAN 2004) of 52.225-3.

_ (27) 52.225-5, Trade Agreements (NOV 2006) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

XX (28) 52.225-13, Restrictions on Certain Foreign Purchases (FEB 2006) (E.o.s, proclamations, and statutes administered by the Office of ForeignAssets Control of the Department of the Treasury). .

_ (29) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (42 U.S.C. 5150).

_ (30) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (42 U.S.C.

5150).

_ (31) 52.232-29, Terms of Financing of Purchases of Commercial Items (FEB 2002) (41 U.S.C.

255(f), 10 U.S.C. 2307(f».

_ (32) 52.232-30, Installment Payments for Commercial Items (OCT 1995) (41 U.S.C. 255(f), 10 U.S.C. 2307(f».

XX (33) 52.232-33, Payment by Electronic Funds Transfer--Central Contractor Registration (OCT 2003) (31 U.S.C. 3332).

_ (34) 52.232-34, Payment by Electronic Funds Transfer--Other than Central Contractor Registration (MAY 1999) (31 U.S.C. 3332).

_ (35) 52.232-36, Payment by Third Party (MAY 1999) (31 U.S.C. 3332).

_ (36) 52.239-1, Privacy or Security Safeguards (AUG 1996) (5 U.S.C. 552a).

_ (37) (i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (FEB 2006) (46 U.S.C. Appx. 1241(b) and 10 U.S.C. 2631).

(ii) Alternate I (APR 2003) of 52.247-64.

(c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items: [Contracting Officer check as appropriate.]

_ (1) 52.222-41, Service Contract Act of 1965, as Amended (JUL 2005) (41 U.S.C. 351, et seq.).

_ (2) 52.222-42, Statement of Equivalent Rates for Federal Hires (MAY 1989) (29 U.S.C. 206 and 41 V.S.C. 351, et seq.).

_ (3) 52.222-43, Fair Labor Standards Act and Service Contract Act--Price Adjustment (Multiple Year and Option Contracts) (NOV 2006) (29 U.S.C. 206 and 41 U.S.C. 351, et seq.).

_ (4) 52.222-44, Fair Labor Standards Act and Service Contract Act--Price Adjustment (FEB 2002) (29 U.S.C. 206 and 41 U.S.C. 351, et seq.).

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

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

Page: 4

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

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

(e) (1) Notwithstanding the requirements of the clauses in paragraphs (a), (b), (c) or (d) of this clause, the Contractor is not required to flow down any FAR clause, other than those in paragraphs (i) through (vii) of this paragraph in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause--

(i) 52.219-8, Utilization of Small Business Concerns (MAY 2004) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $550,000 ($1,000,000 for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(ii) 52.222-26, Equal Opportunity (MAR 2007) (E.O. 11246).

(iii) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans (SEP 2006) (38 U.S.C. 4212).

(iv) 52.222-36, Affirmative Action for Workers with Disabilities (JUN 1998) (29 U.S.C. 793).

(v) 52.222-39, Notification of Employee Rights Concerning Payment of Union Dues or Fees

(DEC 2004) (E.O. 13201).

(vi) 52.222-41, Service Contract Act of 1965, as Amended (JUL 2005), flow down required for all subcontracts subject to the Service Contract Act of 1965 (41 U.S.C. 351, et seq.).

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

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

[End of Clause]

Page: 5

SOLICITATION PROVISIONS

A.3 52.211-16 VARIATION IN QUANTITY (APR 1984)

(a) A variation in the quantity of any item called for by this contract will not be accepted unless the variation has been caused by conditions of loading, shipping, or packing, or allowances in manufacturing processes, and then only to the extent, if any, specified in paragraph (b) of this clause.

(b) The permissible variation shall be limited to:

10 percent increase

10 percent decrease

This increase or decrease shall apply to all.

[End of Clause]

A.4 52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

The Contractor is responsible for the delivery of each item quantity within allowable variations, if any. If the Contractor delivers and the Government receives quantities of any item in excess of the quantity called for (after considering any allowable variation in quantity), such excess quantities will be treated as beingdeliveredfor theconvenienceof theContractor.TheGovernmentmayretainsuchexcess .

quantities up to $250 in value without compensating the Contractor therefor, and the Contractor waives all right, title, or interests therein. Quantities in excess of $250 will, at the option of the Government, either be returned at the Contractor's expense or retained and paid for by the Government at the contract unit price.

[End of Clause]

A.5 52.212-2 EVALUATION--COMMERCIAL ITEMS (JAN 1999)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government,.price and other factors considered. The following factors shall be used to evaluate offers:

Technical and past performance, when combined, are

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is

Page: 6 unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise 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 withdrawalis received before award.

[End of Provision]

A.6 52.212-4 CONTRACT TERMS AND CONDITIONS--COMMERCIAL ITEMS (FEB 2007)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defeats or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights--

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727).

However, when a third party makes payment (e.g., use of the Gbvernmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to the Contract Disputes Act of 1978, as amended (41 U.S.C.

601-613). Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at FAR 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessa~ionof such occurrence.

Page: 7

(g) Invoice. (1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include--

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, contract line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping numbe~and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer--Central Contractor Registration, or 52.232-34, Payment by Electronic Funds Transfer--Other Than Central Contractor Registration), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.--(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice.. For the purpose of computing the discount earned, payment shall

Page: 8 be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall immediately notify the Contracting Officer and request instructions for disposition of the overpayment.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(I) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor's records. The Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

(n) Title. Unless specified elsewhere in this contract, title to items furnished under this contract shall pass to the Government upon acceptance, regardless of when or where the Government takes physical possession.

(0) Warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract.

(p) Limitation of liability. Except as otherwise provided by an express warranty, the Contractor will not be liable to the Government for consequential damages resulting from any defect or deficiencies in accepted items.

(q) Other compliances. The Contractor shall comply with all applicable Federal, State and local laws, executive orders, rules and regulations applicable to its performance under this contract.

(r) Compliance with laws unique to Government contracts. The Contractor agrees to comply with 31 U.S.C. 1352 relating to limitations on the use of appropriated funds to influence certain Federal contracts; 18 U.S.C. 431 relating to officials not to benefit; 40 U.S.C 3701, et seq., Contract Work

Page: 9

Hours and Safety Standards Act; 41 U.S.C. 51-58, Anti-Kickback Act of 1986; 41 U.S.C. 265 and 10 U.S.C. 2409 relating to whistleblower protections; 49 U.S.C 40118, Fly American; and 41 U.S.C. 423 relating to procurement integrity.

(s) Order of precedence. Any inconsistencies in this solicitation or contract shall be resolved by giving precedence in the following order:

(1) The schedule of supplies/services.

(2) The Assignments, Disputes, Payments, Invoice, Other Compliances, and Compliance with Laws. Unique to Government Contracts paragraphs of this clause.

(3) The clause at 52.212-5.

(4) Addenda to this solicitation or contract, including any license agreements for computer software.

(5) Solicitation provisions if this is a solicitation.

(6)

(7)

(8)

Other paragraphs of this clause.

The Standard Form 1449.

Other documents, exhibits, and attachments.

(9) The specification.

(t) Central Contractor Registration (CCR).

(1) Unless exempted by an addendum to this contract, the Contractor is responsible during performance and through final payment of any contract for the accuracy and completeness of the data within the CCR database, and for any liability resulting from the Government's reliance on inaccurate or incomplete data. To remain registered in the CCR database after the initial registration, the Contractor is required to review and update on an annual basis from the date of initial registration or subsequent updates its information in the CCR database to ensure it is current, accurate and complete. Updating information in the CCR does not alter the terms and conditions of this contract and is not a substitute for a properly executed contractual document.

(2) (i) If a Contractor has legally changed its business name, "doing business as" name, or division name (whichever is shown on the contract), or has transferred the assets used in performing the contract, but has not completed the necessary requirements regarding novation and change-of-name agreements in FAR Subpart 42.12, the Contractor shall provide the responsible Contracting Officer a minimum of one business day's written notification of its intention to (A) change the name in the CCR database; (B) comply with the requirements of Subpart 42.12; and (C) agree in writing to the timeline and procedures specified by the responsible Contracting Officer. The Contractor must provide with the notification sufficient documentation to support the legally changed name.

(ii) If the Contractor fails to comply with the requirements of paragraph (t)(2)(i) of this clause, or fails to perform the agreement at paragraph (t)(2)(i)(C) of this clause, and, in the absence of a properly executed novation or change-of-name agreement, the CCR information that shows the Contractor to be other than the Contractor indicated in the contract will be considered to be incorrect information within the meaning of the "Suspension of Payment" paragraph of the electronic funds transfer (EFT) clause of this contract.

(3) The Contractor shall not change the name or address for EFT payments or manual payments, as appropriate, in the CCR record to reflect an assignee for the purpose of assignment of claims (see Subpart 32.8, Assignment of Claims). Assignees shall be separately registered in

Page: 10 the CCR database. Information provided to the Contractor's CCR record that indicates payments, including those made by EFT, to an ultimate recipient other than that Contractor will be considered to be incorrect information within the meaning of the "Suspension of payment" paragraph of the EFT clause of this contract.

(4) Offerors and Contractors may obtain information on registration and annual confirmation requirements via the internet at http://www.ccr.gov or by calling 1-888-227-2423 or 269-961-5757.

[End of Clause]

A.7 52.232-18 AVAILABILITY OF FUNDS (APR 1984)

Funds are not presently available for this contract. The Government's obligation under this contract is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise until funds are made available to the Contracting Officer for this contract and until the Contractor receives notice of such availability, to be confirmed in writing by the Contracting Officer.

[End of Clause]

A.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS-- COMMERCIAL ITEMS (NOV

2006) Alternate II (OCT 2000)

An offeror shall complete only paragraph (k) of this provision if the offeror has completed the annual representations and certifications electronically at http://orca.bpn.gov. If an offeror has not completed the annual representations and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (b) through U)of this provision.

(a) Definitions. As used in this provision-

"Emerging small business" means a small business concern whose size is no greater than 50 percent of the numerical.size standard for the NAICS code designated.

"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.

"Manufactured end product" means any end product in Federal Supply Classes (FSC) 1000-9999, except--

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

(2) Federal Supply Group (FSG) 87, Agricultural Supplies;

(3) FSG 88, Live Animals;

Page: 11

(4) FSG 89, Food and Related Consumables;

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

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

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

(8) FSC 9610, Ores;

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

(10)FSC 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.

"Service-disabled veteran-owned small business concern"--

(1) Means a small business concern-

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

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

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

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

"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 business concern" means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of its stock is owned

Page: 12 by one or more women; and whose management and daily business operations are controlled by one or more women.

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

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

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

(b) Taxpayer Identification Number (TIN) (26 U.S.C. 6109, 31 U.S.C. 7701). (Not applicable if the offeror is required to provide this information to a central contractor registration database to be eligible for award.)

(1) All offerors must submit the information required in paragraphs (b)(3) through (b)(5) of this provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by the Internal Revenue Service (IRS).

(2) The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the resulting contract is subject to the payment reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror's TIN.

(3) Taxpayer Identification Number (TIN).

UTIN:

U TIN has been applied for.

U TIN is not required because:

U Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States;

U Offeror is an agency or instrumentality of a foreign government;

U Offeror is an agency or instrumentality of the Federal Government.

(4) Type of organization.

U Sole proprietorship;

U Partnership;

U Corporate entity (not tax-exempt);

U Corporate entity (tax-exempt);

U Government entity (Federal, State, or local);

U Foreign government;

U International organization per 26 CFR 1.6049-4;

Page: 13

U Other

(5) Common parent.

U Offeror is not owned or controlled by a common parent;

U Name and TIN of common parent:

Name

TIN

(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 U is, U 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, for general statistical purposes, that it U is, U is not a small disadvantaged business concern as defined in 13 CFR 124.1002.

(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 U is, U is not a women-owned small business concern.

Note: Complete paragraphs (c)(6) and (c)(7) only if this solicitation is expected to exceed the simplified acquisition threshold.

(6) 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 U is a women-owned business concern.

(7) 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:

(8) Small Business Size for the Small Business Competitiveness Demonstration Program and for the Targeted Industry Categories under the Small Business Competitiveness Demonstration

Page: 14

Program. [Complete only if the offeror has represented itself to be a small business concern under the size standards for this solicitation.]

(i) [Complete only for solicitations indicated in an addendum as being set-aside for emerging small businesses in one of the designated industry groups (DIGs).] The offeror represents as part of its offer that it U is, U is not an emerging small business.

(ii) [Complete only for solicitations indicated in an addendum as being for one of the targeted industry categories (TICs) or designated industry groups (DIGs).] Offeror represents as follows:

(A) Offeror's number of employees for the past 12 months (check the Employees column if size standard stated in the solicitation is expressed in terms of number of employees); or

(B) Offeror's average annual gross revenue for the last 3 fiscal years (check the Average Annual Gross Number of Revenues column if size standard stated in the solicitation is expressed in terms of annual receipts).

(Check one of the following):

Number of Employees Average Annual Gross Revenues

_ 50 or fewer _ 51-100 _ 101-250 _ 251-500 _ 501-750 _ 751-1,000 _ Over 1,000

_ $1 million or less _ $1,000,001-$2 million _ $2,000,001-$3.5 million _ $3,500,001-$5 million _ $5,000,001-$10 million _ $10,000,001-$17 million _ Over $17 million

(9) [Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns, or FAR 52.219-25, Small Disadvantaged Business Participation Program--Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.]

(i) General. The offeror represents that either--

(A) It U is, U is not certified by the Small Business Administration as a small disadvantaged business concern and identified,on the date of this representation, as a certified small disadvantaged business concern in the database maintainedby the Small Business Administration (PRO-Net), and that no material change in disadvantaged ownership and control has occurred since its certification, and, where the concern is owned by one or more individuals claiming disadvantaged status, the net worth of each individual upon whom the certification is based does not exceed $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); or

Page: 15

(B) It U has, U has not submitted a completed application to the Small Business Administration or a Private Certifier to be certified as a small disadvantaged business concern in accordance with 13 CFR 124, Subpart B, and a decision on that application is pending, and that no material change in disadvantaged ownership and control has occurred since its application was submitted.

(ii) U Joint Ventures under the Price EvaluationAdjustment for Small Disadvantaged Business Concerns.