RFQP04081100016.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER OMB Clearance Control Number:

1103-0018

5. SOLICITATION NUMBER

RFQP04081100016

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

05/27/2011

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Jason Noel

b. TELEPHONE NUMBER (No collect calls)

(913) 578-1303

8. OFFER DUE DATE / LOCAL

TIME

06/10/2011 01:00:00

CODE LVN

Federal Bureau of Prisons United States Penitentiary

1300 METROPOLITAN AVENUE

LEAVENWORTH, KS 66048

9. ISSUED BY

UNRESTRICTED OR X SET ASIDE: 100% FOR

X SMALL BUSINESS

HUBZONE SMALL BUSINESS

SERVICE-DISABLED VETERAN

OWNED SMALL BUSINESS

EMERGING SMALL BUSINESS

8(A)

NAICS: 424410

SIZE STANDARD: E02

10. THE ACQUISITION IS

SEE

SCHEDULE

11. DELIVERY FOR FOB DESTINATION

UNLESS BLOCK IS MARKED

NET 30

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER DPAS

(15 CFR 700)

13b. RATING

X RFQ IFB RFP

14. METHOD OF SOLICITATION

LVNCODE15. DELIVER TO

Federal Bureau of Prisons United States Penitentiary

1300 METROPOLITAN AVENUE

LEAVENWORTH, KS 66048

CODE LVN16. ADMINISTERED BY

Federal Bureau of Prisons United States Penitentiary

1300 METROPOLITAN AVENUE

LEAVENWORTH, KS 66048

FACILITY

CODE

CODE

TELEPHONE NO.

17a. CONTRACTOR/

OFFEROR

LVNCODE18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons USP Leavenworth

1300 METROPOLITAN AVENUE

LEAVENWORTH, KS 66048

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

SEE ADDENDUM

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS

CHECKED

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

0008 BEVERAGE, DRINK MIX, VARIOUS FLAVORS,

1,000 PACKAGES PER CASE (VENDOR MUST

SPECIFY FLAVORS BEING QUOTED AND YIELD

PER PACKAGE)

See Continuation Sheet(s) (Use Reverse and/or Attach Additional Sheets as Necessary)

200.000000 CS $________________ $_________________

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

X 27A. SOLICITATION INCORPORATES BY REFERENCES FAR 52.212-1, 52.212-4, FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE X ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4, 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _____ COPIES TO

ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE

TERMS AND CONDITIONS SPECIFIED HEREIN.

29. AWARD OF CONTRACT: REF. __________ OFFER DATED __________.

YOUR OFFER ON SOLICITATION (BLOCK 5) INCLUDING ANY ADDITIONS OR

CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

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

Jason Noel

31c. DATE SIGNED

05/27/2011

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.21.2

RFQP04081100016 Page 1 of 22

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: _________________________________

32b.SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d.PRINTED NAME AND TITLE OF AUTHORIZED

GOVERNMENT REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

PARTIAL FINAL

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

COMPLETE PARTIAL FINAL

36. PAYMENT 37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 3/2005) BACK

RFQP04081100016 Page 2 of 22

Table of Contents

Section Description Page Number

1 Solicitation/Contract Form 2 Commodity or Services Schedule 3 Contract Clauses

52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items (Jan 2011) LVN-001 Delivery Information LVN-002 Evaluation Factors and Other Award Information

4 List of Attachments 5 Solicitation Provisions

52.212-3 Offeror Representations and Certifications--Commercial Items (Jan 2011)

52.27-103-71 FAITH-BASED AND COMMUNITY-BASED ORGANIZATIONS (AUG 2005). . . 14

52.212-2 Evaluation - Commercial Items (Jan 1999)

RFQP04081100016 Page 3 of 22

Section 2 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0009 BEVERAGE, COFFEE, GROUND (COFFEE MUST BE

PRODUCED IN US)

1,000.000000 LB $____________ $___________________

0017 Cereal, Ready to Eat, Bulk Package Range-12 to 40 lb Case, Corn Flakes, CID A-A-20000C, Type II, Class 1

5,000.000000 LB $____________ $___________________

0032 Cereal, Hominy Grits, White, Quick-Cooking, Enriched, Unflavored, CID A-A-20035C, Type I, Style B, Flavor 1

5,000.000000 LB $____________ $___________________

0033 Cereal, Rolled Oats, Quick-cooking, Enriched, Unflavored, CID A-A-20090C, Type II, Flavor A

4,000.000000 LB $____________ $___________________

0037 CHIPS, POTATO, VARIOUS FLAVORS, 60/1 OZ BAGS PER

CASE

250.000000 CS $____________ $___________________

0039 Cornstarch, Powdered 300.000000 LB $____________ $___________________

0040 Desserts, Assorted, Individual, Fresh or Frozen, Thaw and Serve, 2 oz servings or larger (Specify Item being quoted)

120,000.000000 EA $____________ $___________________

0042 Dressing, Salad, Mayo Style, 4 -1 Gallon Plastic Containers per case, CID A-A-20140C, Type II, Style A

200.000000 CS $____________ $___________________

0045 Fish, Tuna, Light Meat, Chunk, Packed in Water, 6 -66.5 Oz Cans per case, CID A-A-20155C, Type A or B, Form 1, Color A, Packing Media 1, Salt/sodium Level A,

250.000000 CS $____________ $___________________

0054 Margarine, Bulk, All Vegetable, must Conform to USDA Specifications for Vegetable Oil Margarine

1,500.000000 LB $____________ $___________________

0062 Pasta, Macaroni, Elbow Form,, Packaging: 5 lb to 40 lb sealed bags, Enriched, Regular, CID A-A-20062D, Style A

1,000.000000 LB $____________ $___________________

0063 Pasta, Macaroni, Ziti Form, Packaging: 5 lb to 40 lb sealed bags, Enriched, Regular, CID A-A-20062D, Type XII

1,000.000000 LB $____________ $___________________

0067 Pasta, Noodles, Egg, Packaging: 5 lb to 40 lb sealed bags, Enriched, Ribbon Shaped Noodles, Enriched, CID A-A-20063C Type I

1,000.000000 LB $____________ $___________________

0068 Pastries, Assorted, Individual, Fresh or Frozen, Thaw and Serve, Breakfast Cakes, Muffins, Bagels, 2.5 OZ OR LARGER

(VENDORS MUST SPECIFY ITEMS AND SIZE BEING QUOTED)

(Please specify Item being quoted)

350,000.000000 EA $____________ $___________________

0069 Peanut Butter, Packaging: 5 lb to 40 lb Containers, Regular, Stabilized, Non-fortified, CID A-A-20328A, Style I, Class A, Texture 1, Type A

15,000.000000 LB $____________ $___________________

0072 Relish, Pickle, Sweet, Bulk, Cured, 4 -1 Gallon Plastic containers per case

50.000000 CS $____________ $___________________

0074 Rice, Parboiled Light, Long Grain, U. S. No. 1 or 2 -U. S.

Standards for Grades

20,000.000000 LB $____________ $___________________

0081 Shortening, 50 lb Block, General Purpose, All Vegetable, Solid, CID A-A-20100C, Type I

5,000.000000 LB $____________ $___________________

0086 Soy, Textured Protein, Patties, Frozen, 3.5 to 4 oz Portion, Fully Cooked, May Not Exceed 400 Mg of Sodium per Portion

1,500.000000 LB $____________ $___________________

RFQP04081100016 Page 4 of 22

0089 Spice, Baking Powder, Single Action 200.000000 LB $____________ $___________________

0090 Spice, Soup Base, Beef Flavor, No Animal Products, Packaging: 1 lb to 25 lb sealed containers, Low Sodium, (maximum of 140 mg of sodium per 8oz of finished product)

The finished product must be completely soluble in boiling water when prepared according to the label instructions. Single yield: The one (1) lb. of powdered finished product must dilute to a final volume of not less than five (5) gallons.(5.67 grams makes an 8 oz cup serving size) (Double yield -1 lb = 10> gal) (triple yield -1 lb = 15> gallon). Yield must be marked on container. All delivered product must be labeled with ingredients. NOTICE: Quote must include cost for finished 10 gallons of broth.

200.000000 LB $____________ $___________________

0091 Spice, Soup Base, Chicken Flavor, No Animal Products, Packaging: 1 lb to 25 lb sealed containers, Low Sodium, (maximum of 140 mg of sodium per 8oz of finished product)

The finished product must be completely soluble in boiling water when prepared according to the label instructions. Single yield: The one (1) lb. of powdered finished product must dilute to a final volume of not less than five (5) gallons.(5.67 grams makes an 8 oz cup serving size).(Double yield -1 lb = 10> gal) (triple yield -1 lb = 15> gallon). Yield must be marked on container. All delivered product must be labeled with ingredients. NOTICE: Quote must include cost for finished 10 gallons of broth.

1,000.000000 LB $____________ $___________________

0092 Spice, Soup Base, Vegetable, No Animal Products, Packaging: 1 lb to 25 lb sealed containers, Low Sodium, (maximum of 140 mg of sodium per 8oz of finished product)

The finished product must be completely soluble in boiling water when prepared according to the label instructions. Single yield: The one (1) lb. of powdered finished product must dilute to a final volume of not less than five (5) gallons.(5.67 grams makes an 8 oz cup serving size).(Double yield -1 lb = 10> gal) (triple yield -1 lb = 15> gallon). Yield must be marked on container. All delivered product must be labeled with ingredients. NOTICE: Quote must include cost for finished 10 gallons of broth.

500.000000 LB $____________ $___________________

0098 Spice, Chili Powder, Ground, Packaging: 1/2 oz to 50 lb sealed containers, Packaging must indicate actual delivered weight of product, Pure Spice -no additives or extenders

500.000000 LB $____________ $___________________

0099 Spice, Cinnamon, Ground, Packaging: 1/2 oz to 50 lb sealed containers, Packaging must indicate actual delivered weight of product, Pure spice-no additives or extenders

10.000000 LB $____________ $___________________

0100 Spice, Cumin, Ground, Packaging: 1/2 oz to 50 lb sealed containers, Packaging must indicate actual delivered weight of product, Pure Spice - no additives or extenders

250.000000 LB $____________ $___________________

0102 Spice, Ginger, Ground

Packaging: 1/2 oz to 50 lb sealed containers, Packaging Must be Labeled With Ingredients and Actual Delivered Weight of Product, Pure, Shall be Derived From Dried Root and Shall Possess an Aromatic Odor, Pungent Flavor, and a Tan to Pale Brown Color, Free From Foreign Matter. Pure Spice - no additives or extenders

20.000000 LB $____________ $___________________

0103 Spice, Oregano, Ground, Packaging: 1/2 oz to 50 lb sealed containers, Packaging must indicate actual delivered weight of product, Pure Spice - no additives or extenders

50.000000 LB $____________ $___________________

0104 Spice, Paprika, Ground, Packaging: 1/2 oz to 50 lb sealed containers, Packaging must indicate actual delivered weight of product, Pure Spice - no additives or extenders

250.000000 LB $____________ $___________________

0105 Parsley Flakes, Packaging: 1/2 oz to 5 lb sealed containers, Packaging must indicate actual delivered weight of product, Pure Spice - no additives or extenders

250.000000 LB $____________ $___________________

0121 Sugar, Granulated, White, Individual Packet, Cane or Beet, Fine, 2000 -1/10 Oz Packages per Case

125.000000 CS $____________ $___________________

0126 Taco Shells, Corn, 200 count per case, Fresh, Deep Fried, U Shaped, Corn, CID A-A-20143A, Type III, Style A, Size 3 or 4.

Shape B, Enrichment Type I

80.000000 CS $____________ $___________________

0128 Tomato Catsup, 6 -#10 Cans per Case, US Grade A, U. S.

Standards for Grades

150.000000 CS $____________ $___________________

0132 Tomato, Crushed, Peeled, Tomato Soluble Solids (TSS) 12% or Greater; Color, Flavor, Odor to be equivalent to Grade A for Tomato Puree; 6 -#10 Cans per Case, Minimum Drain Weight 63.5 oz., Grade Standard Reference Title 7 CFR 52.5168

400.000000 CS $____________ $___________________

RFQP04081100016 Page 5 of 22

0133 Tomato, Paste, 6 -#10 Cans per Case, U. S. Grade A, U. S.

Standards for Grades

100.000000 CS $____________ $___________________

0135 Tortillas, Flour, Minimum 8 Inch in Diameter, Packaging: Shelf Stable or Frozen

150.000000 DZ $____________ $___________________

0136 Tortillas, Corn, Minimum 6 Inch in Diameter, Packaging: Shelf Stable or Frozen

80.000000 DZ $____________ $___________________

0138 Vegetable, Beans, Green, Canned, Blue Lake Variety, Cut

6 -#10 Cans per Case, Packed to standard of U. S. Grade B or Better, Originated from crops that have been 100 percent grown, processed, and packed in the United States, Minimum Drain Weight 60 oz, Grade Standard Reference Title 7 CFR 52.449

100.000000 CS $____________ $___________________

0145 Vegetable, Greens, Collard, 6 -#10 Cans per Case, Packed to standard US Grade B or Better, Originated from crops that have been 100 percent grown, processed, and packed in the United States. Standard Reference Title CFR 52

150.000000 CS $____________ $___________________

0147 Vegetables, Mixed, 6 -#10 Cans per Case, Packed to standard of CID A-A-20120D, Minimum Drain Weight 65 oz. Originated from crops that have been 100 percent grown, processed, and packed in the United States

200.000000 CS $____________ $___________________

0152 Vegetable, Peas, Green, Sweet, Canned

Packed to standard US Grade B or Better, Originated from crops that have been 100 percent grown, processed, and packed in the United States, 6 -#10 Cans per Case, Minimum Drain Weight 70 oz., Grade Standard Reference Title 7 CFR 52.228

200.000000 CS $____________ $___________________

0155 Vegetable, Pickles, Dill, Hamburger Slice, Small, 4 -1 Gallon Plastic Containers per Case

250.000000 CS $____________ $___________________

0165 Vegetable, Spinach, Cut, 6 -#10 Cans per Case, U. S. Grade A, Originated from crops that have been 100 percent grown, processed, and packed in the United States

350.000000 CS $____________ $___________________

0167 Vinegar, Cider or Distilled, 50 Grain Strength, 4 -1 Gallon Containers per Case

50.000000 CS $____________ $___________________

0171 Beef for Stewing, Raw

IMPS 135A, diced pieces shall be sized -not less than a 3/4 " cube or not more than a 1-1/2 "cube and no individual surface shall be more than 2.5 inches in length, the fat thickness of the surface and or seam fat shall not exceed 1/4 inch at any point. Packed in cases no smaller than 10lbs and no larger than to 40 lbs, Delivered Frozen.

5,000.000000 LB $____________ $___________________

0172 Beef, Ground, Regular Grind, 80% Lean, USDA Standard for ground beef per 9 CFR 319.15, delivered Frozen, (NO ORGAN OR TONGUE MEAT) Delivered cases must be labeled 80/20, PRODUCT MUST BE IN SEALED BAGS, NO OPEN BAGS OR

PACKAGING.

40,000.000000 LB $____________ $___________________

0173 Beef, Ground, Patties, 4 Oz, IMPS 1136, Frozen, 80% Lean, Frozen, Round in Shape, with Paper Separation or Individually Quick Frozen, Delivered cases must be labeled 80/20.

15,000.000000 LB $____________ $___________________

0174 Raw Beef Roast, Beef Round, Top or Bottom (Gooseneck), IMPS 168, 170, 170A, 171, 171A, 171B Frozen, weight range 28 lb and down.

Quote MUST indicate actual IMPS & average roast weight of quoted item.

5,000.000000 LB $____________ $___________________

0182 Chicken Patty, Breaded, All White Meat, (no mechanically separated, Comminuted meat)

Breading set in vegetable oil, Weight Range: 3.5 to 4.2 Oz, Individually Quick Frozen, Uniform in shape, CID A-A-20276A, Style A & B, Meat Type b, Combined breading and added ingredients may not exceed 30% by weight, The finished meat product may not contain more than 3.5% non-meat binders and extenders (such as nonfat dry milk, cereal, or dried whole milk) or 2% isolated soy protein may be used, but must be shown in the ingredients statement on the product's label by its common name.

All ingredients in the product must be listed in the ingredients statement in order of predominance, from highest to lowest amounts in accordance with the USDA Food Safety Inspection Service (FSIS) Food Standards and Labeling Policy.

8,000.000000 LB $____________ $___________________

RFQP04081100016 Page 6 of 22

0183 Fish, Fillets (Practically Boneless), 4 to 6 Oz Solid Fillet, White meat fish such as: Pollack, Whiting, Flounder, Cod, Tilapia

Individually Quick Frozen or Shatter Pack, 100% net weight, No water added or glaze weight, Fish portion must meet weight requirements when thawed and drained, Delivered cases must be labeled 100% net weight, (Skin on) or (Skin off-Skinless), Grade A or B Based on the United States Standards for Grades of Fish Fillets, 100% fish, Quote MUST indicate if quoted item is (skin-on) or (skin-off)

10,000.000000 LB $____________ $___________________

0184 Fish, 4 Oz Portions, Oven Ready, Breaded, Frozen, Cut from :

Pollack, Whiting, Flounder, Cod, or Tilapia ... (Not Minced)

Oven Ready Portion Weight 4 Oz, Rectangle Shape, Meets the Requirements of Grade A (65% by Weight of Fish Flesh) US Standards for Grades Frozen Fried Fish Portions, Crumb Coated Breading, CID A-A-20325, Fish Species III, Style A, Form B, Type 2, Oven Ready Weight C, Shape (1), Fried Fish Type B, Composition A, Coating (1), . All ingredients in the product must be listed in the ingredients statement in order of predominance, from highest to lowest amounts in accordance with the USDA Food Safety Inspection Service (FSIS) Food Standards and Labeling Policy.

5,000.000000 LB $____________ $___________________

0186 Hotdogs, Turkey, Skinless, Cooked, 10 Hotdogs per lb

The finished products may not contain more than 30% fat or no more than 10% water, or a combination of 40% fat and added water, The finished product may not contain more than 3.5% non-meat binders and extenders (such as nonfat dry milk, cereal, or dried whole milk) or 2% isolated soy protein may be used, but must be shown in the ingredients statement on the product's label by its common name. All ingredients in the product must be listed in the ingredients statement in order of predominance, from highest to lowest amounts in accordance with the USDA Food Safety Inspection Service (FSIS) Food Standards and Labeling Policy.

4,000.000000 LB $____________ $___________________

0187 Meatball, Beef, 1 oz, Fully Cooked, Frozen

No More than 20% Added Ingredients, No Organ Meat, The finished product may not contain more than 3.5% non-meat binders and extenders (such as nonfat dry milk, cereal, or dried whole milk) or 2% isolated soy protein may be used, but must be shown in the ingredients statement on the product's label by its common name, All ingredients in the product must be listed in the ingredients statement in order of predominance, from highest to lowest amounts.

2,500.000000 LB $____________ $___________________

0189 Polish Sausage, Beef, 4 Oz Link, Artificial or non pork collagen casing, Fully Cooked, Frozen

The finished products may not contain more than 3.5% non-meat binders and extenders (such as nonfat dry milk, cereal, or dried whole milk) or 2% isolated soy protein may be used, but must be shown in the ingredients statement on the product's label by its common name. All ingredients in the product must be listed in the ingredients statement in order of predominance, from highest to lowest amounts in accordance with the USDA Food Safety Inspection Service (FSIS) Food Standards and Labeling Policy.

5,000.000000 LB $____________ $___________________

SIZE STANDARD = 100 EMPLOYEES

DELIVERY PERIOD: June 27, 2011 - July 15, 2011

RFQP04081100016 Page 7 of 22

Section 3 - Contract Clauses

A.1 ADDENDUM TO FAR 52.212-4, Contract Terms and Conditions--Commercial Items (June 2010)

The terms and conditions for the following clauses are hereby incorporated into this solicitation and resulting contract as an addendum to FAR clause 52.212-4.

Clauses By Reference

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): www.arnet.gov/far

Clause Title

52.212-4 Contract Terms and Conditions--Commercial Items (June 2010)

52.204-7 Central Contractor Registration (Apr 2008)

Clauses by Full Text

LVN-001 Delivery Information

Delivery will be made to the following address:

United States Penitentiary

Food Service Warehouse

1300 Metropolitan Avenue

Leavenworth, KS 66048

Deliveries will be accepted from 7:30 a.m. to 11:00 a.m. and 12:00 p.m. to 2:30 p.m. Monday through Fridays, excluding Federal Holidays. Calls regarding delivery should be made to the Food Service Warehouse Foreman,

913.682.8700 x 1318.

DELIVERY IS REQUIRED ON OR AFTER JUNE 27, 2011, AND NO LATER THAN JULY 15, 2011.

ALL ORDERS ARE FILL OR KILL. Orders that are shipped incomplete or partially will be refused at no cost to the Government. Contractors must make their best effort to ship complete. If not delivered within the spe-cified delivery period, the Government will cancel any and all undelivered items.

No items will be accepted after the final delivery date without prior approval of the Contracting Office. To re-quest approval, Contractors must submit written notice to the Contracting Officer in accordance with FAR

RFQP04081100016 Page 8 of 22 clause 52.212-4, specifically paragraph (f) Excusable Delays, prior to the final delivery date.

(End of Clause)

LVN-002 Evaluation Factors and Other Award Information

The Government intends to make a single award to the responsive, responsible quoter who conforms to this so-licitation and submits the overall lowest-priced technically acceptable quote using price and price-related factors. Past performance will be considered. Some line items may not be awarded. The contracting officer will NOT contact the offeror for clarifications or for documentation not provided with the quote. Non-re-sponsive quotes will not be considered for award. Quotes will NOT be considered if the following documenta-tion is not included with your quote:

1) A completed copy of FAR Provision 52.212-3 Offeror Representations and Certifications-Commercial Items or verification that current annual representations and certifications are available through ORCA [FAR 52.212-3(b)(1) and FAR 52.212-3(b)(2)]; and

2) Dun & Bradstreet Data Universal Numbering System (DUNS) number.

Quotes will be considered non-responsive for the affected line item(s) under any of the following conditions:

1) Changes in item specifications. All potential quoters shall ensure they quote the specifications provided for each individual line item. USP Leavenworth will not accept any substitutions or any products that do not meet 100 percent of the specifications. Should a quoter submit pricing for products that do not meet the specifica-tions, the pricing submitted will be considered non-responsive;

2) Conditional offers (i.e., offering two or more line items on an all-or-none basis);

3) Quotes that include shipping/freight charges in addition to the unit pricing;

4) Failure to have a current and valid registration in the Central Contractor Registration (CCR) database.

Multiple awards may be made at the discretion of the government. Some line items may not be awarded.

(End of Clause)

[END OF ADDENDUM TO FAR 52.212-4]

52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items (Jan 2011)

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

(1) 52.222-50, Combating Trafficking in Persons (Feb 2009) (22 U.S.C. 7104(g)).

__Alternate I (Aug 2007) of 52.222-50 (22 U.S.C.7104(g)).

RFQP04081100016 Page 9 of 22

(2) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

(3) 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 incor-porated 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 (Sept 2006), with Alternate I (Oct 1995)(41 U.S.C. 253g and 10 U.S.C. 2402).

____(2) 52.203-13, Contractor Code of Business Ethics and Conduct (Apr 2010) (Pub. L. 110-252, Title VI, Chapter 1 (41 U.S.C. 251 note)).

____(3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (June 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

____(4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Jul 2010) (Pub. L. 109-282) (31 U.S.C.

6101 note).

____(5) 52.204-11, American Recovery and Reinvestment Act—Reporting Requirements (Jul 2010)(Pub. L. 111-5).

XX(6) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (Dec 2010) (31 U.S.C. 6101 note). (Applies to contracts over $30,000). (Not applicable to subcontracts for the acquisition of commercially available off-the-shelf items).

____(7) 52.219-3, Notice of Total HUBZone Set-Aside (Jan 2011) (15 U.S.C. 657a).

____(8) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (Jan 2011) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

____(9) [Reserved]

XX(10)(i) 52.219-6, Notice of Total Small Business Set-Aside (June 2003) (15 U.S.C. 644).

____(ii) Alternate I (Oct 1995) of 52.219-6.

____(iii) Alternate II (Mar 2004) of 52.219-6.

____(11)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).

____(ii) Alternate I (Oct 1995) of 52.219-7.

____(iii) Alternate II (Mar 2004) of 52.219-7.

____(12) 52.219-8, Utilization of Small Business Concerns (Jan 2010) (15 U.S.C. 637(d)(2) and (3)).

____(13)(i) 52.219-9, Small Business Subcontracting Plan (Jan 2010) (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.

____(iv) Alternate III (Jul 2010) of 52.219-9.

____(14) 52.219-14, Limitations on Subcontracting (Dec 1996) (15 U.S.C. 637(a)(14)).

____(15) 52.219-16, Liquidated Damages—Subcontracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

____(16)(i) 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns (Oct 2008) (10 U.S.C.

2323) (if the offeror elects to waive the adjustment, it shall so indicate in its offer).

____(ii) Alternate I (June 2003) of 52.219-23.

____(17) 52.219-25, Small Disadvantaged Business articipation Program—Disadvantaged Status and Reporting (Apr 2008) (Pub. L.

103-355, section 7102, and 10 U.S.C. 2323).

____(18) 52.219-26, Small Disadvantaged Business Participation Program— Incentive Subcontracting (Oct 2000) (Pub. L. 103-355, section 7102, and 10 U.S.C. 2323).

____(19) 52.219-27, Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside (May 2004)(15 U.S.C. 657 f).

XX(20) 52.219-28, Post Award Small BusinessProgram Rerepresentation (Apr 2009) (15 U.S.C. 632(a)(2)).

XX(21) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

XX(22) 52.222-19, Child Labor—Cooperation with Authorities and Remedies (Jul 2010) (E.O. 13126).

XX(23) 52.222-21, Prohibition of Segregated Facilities (Feb 1999).

XX(24) 52.222-26, Equal Opportunity (Mar 2007)(E.O. 11246).

____(25) 52.222-35, Equal Opportunity for Veterans (Sep 2010) (38 U.S.C. 4212).

XX(26) 52.222-36, Affirmative Action for Workers with Disabilities (Oct 2010) (29 U.S.C. 793).

RFQP04081100016 Page 10 of 22

____(27) 52.222-37, Employment Reports on Veterans, (Sep 2010) (38 U.S.C. 4212).

____(28)52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496).

__(29)52.222-54, Employment Eligibility Verification (Jan 2009). (Executive Order 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

____(30)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA–Designated Items (May 2008) (42 U.S.C.

6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

____(ii) Alternate I (May 2008) of 52.223-9(42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

____(31) 52.223-15, Energy Efficiency in Energy Consuming Products (Dec 2007) (42 U.S.C. 8259b).

____(32)(i) 52.223-16, IEEE 1680 Standard for the Environmental Assessment of Personal Computer Products (Dec 2007) (E.O.

13423).

____(ii) Alternate I (Dec 2007) of 52.223-16.

XX(33) 52.223-18, Contractor Policy to Ban Text Messaging While Driving (Sep 2010) (E.O. 13513).

XX(34) 52.225-1, Buy American Act—Supplies(Feb 2009) (41 U.S.C. 10a-10d).

____(35)(i) 52.225-3, Buy American Act—Free Trade Agreements—Israeli Trade Act (June 2009) (41 U.S.C. 10a- 10d, 19 U.S.C.

3301 note, 19 U.S.C. 2112 note, 19 U.S.C.3805 note, Pub. L. 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, and 110-138).

____(ii) Alternate I (Jan 2004) of 52.225-3.

____(iii) Alternate II (Jan 2004) of 52.225-3.

____(36) 52.225-5, Trade Agreements (Aug 2009)(19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

____(37) 52.225-13, Restrictions on Certain Foreign Purchases (June 2008) (E.O.’s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

____(38) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) (42 U.S.C. 5150).

____(39) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007) (42 U.S.C.5150).

XX(40) 52.232-29, Terms for Financing of Purchases of Commercial Items (Feb 2002) (41 U.S.C. 255(f),10 U.S.C. 2307(f)).

____(41) 52.232-30, Installment Payments for Commercial Items (Oct 1995) (41 U.S.C. 255(f),10 U.S.C. 2307(f)).

XX(42) 52.232-33, Payment by Electronic Funds Transfer—Central Contractor Registration (Oct 2003)(31 U.S.C. 3332).

____(43) 52.232-34, Payment by Electronic Funds Transfer—Other than Central Contractor Registration (May 1999) (31 U.S.C.

3332).

XX(44) 52.232-36, Payment by Third Party (Feb 2010)(31 U.S.C. 3332).

____(45) 52.239-1, Privacy or Security Safeguards (Aug 1996) (5 U.S.C. 552a).

____(46)(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 (Nov 2007) (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 U.S.C. 351, et seq.).

__ (3) 52.222-43, Fair Labor Standards Act and Service Contract Act -- Price Adjustment (Multiple Year and Option Contracts) (Sep 2009) (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 (Sep 2009) (29 U.S.C. 206 and 41 U.S.C.

351, et seq.).

__(5) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment -- Requirements (Nov 2007) (41 U.S.C. 351, et seq.).

__(6) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services -- Requirements (Feb 2009) (41 U.S.C. 351, et seq.).

XX (7) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (Mar 2009) (Pub. L. 110-247).

__(8) 52.237-11, Accepting and Dispensing of $1 Coin (Sept 2008) (31 U.S.C. 5112(p)(1)).

(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

RFQP04081100016 Page 11 of 22

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.

(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 re-lating 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, accounting procedures 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), and (d) of this clause, the Contractor is not required to flow down any FAR clause, other than those in this paragraph (e)(1) in a subcontract for commercial items. Unless otherwise indic-ated below, the extent of the flow down shall be as required by the clause--

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (Apr 2010) (Pub. L. 110-252, Title VI, Chapter 1 (41 U.S.C. 251 note)).

(ii) 52.219-8, Utilization of Small Business Concerns (Dec 2010) (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 $650,000 ($1.5 millionfor construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting oppor-tunities.

(iii) [Reserved]

(iv) 52.222-26, Equal Opportunity (Mar 2007) (E.O. 11246).

(v) 52.222-35, Equal Opportunity for Veterans (Sep 2010) (38 U.S.C. 4212).

(vi) 52.222-36, Affirmative Action for Workers with Disabilities (Oct 2010) (29 U.S.C. 793).

(vii) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496). Flow down re-quired in accordance with paragraph (f) of FAR clause 52.222-40.

(viii) 52.222-41, Service Contract Act of 1965 (Nov 2007) (41 U.S.C. 351, et seq.).

(ix) 52.222-50, Combating Trafficking in Persons (Feb 2009) (22 U.S.C. 7104(g)).

__Alternate I (Aug 2007) of 52.222-50 (22 U.S.C.7104(g)).

(x) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Cer-tain Equipment-Requirements (Nov 2007) (41 U.S.C. 351, et seq.).

(xi) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services-Requirements (Feb 2009)(41 U.S.C. 351, et seq.).

(xii) 52.222-54, Employment Eligibility Verification (Jan 2009).

(xiii) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (Mar 2009) (Pub. L. 110-247). Flow down required in accordance with paragraph (e) of FAR clause 52.226-6.

(xiv) 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)

RFQP04081100016 Page 12 of 22

Section 4 - List of Attachments

Exhibits and Attachments

This Section Is Intentionally Left Blank

RFQP04081100016 Page 13 of 22

Section 5 - Solicitation Provisions

A.2 ADDENDUM TO FAR 52.212-1, Instructions to Offerors--Commercial Items (June 2008)

The terms and conditions for the following provisions are hereby incorporated into this solicitation as an addendum to FAR provision 52.212-1.

Provisions By Reference

52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

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

Clause Title

52.212-1 Instructions to Offerors--Commercial Items (June 2008)

Provisions by Full Text

52.27-103-71 FAITH-BASED AND COMMUNITY-BASED ORGANIZATIONS (AUG 2005)

Faith-based and Community-based organizations can submit offers/bids/quotations equally with other organizations for contracts for which they are eligible.

[End of Provision]

[END OF ADDENDUM TO FAR 52.212-1]

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 soli-citation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to eval-uate offers:

Technical and past performance, when combined, are factored at 10% when combined, when compared to price., in accordance with

FAR 15.304.

(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 unacceptable if the option prices are significantly unbalanced.

Evaluation of options shall not obligate the Government to exercise the option(s).

RFQP04081100016 Page 14 of 22

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for ac-ceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified ex-piration 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.

(End of provision)

52.212-3 Offeror Representations and Certifications--Commercial Items (Jan 2011)

An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual representations and certifica-tions 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 (c) through (o) of this provision.

(a) Definitions. As used in this provision--

"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.

“Inverted domestic corporation” means a foreign incorporated entity which is treated as an inverted domestic corporation under 6 U.S.C. 395(b), i.e., a corporation that used to beincorporated in the United States, or used to be a partnership in the United States, but now is incorporated in a foreign country, or is a subsidiary whose parent corporation is incorporated in a foreign country, that meets the criteria specified in 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

"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;

(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.

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

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

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conductedunder such authorization;

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

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

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

(6) Have been voluntarily suspended.

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

(1) Means a small business concern--

RFQP04081100016 Page 15 of 22

(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 busi-ness, 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 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 its stock is owned by one or more women; and

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

(b)(1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the Online Representations and Certifications Application (ORCA) website.

(2) The offeror has completed the annual representations and certifications electronically via the ORCA website athttp://orca.bpn.gov.

After reviewing the ORCA database information, the offeror verifies by submission of this offer that the representations and certifica-tions currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (See FAR 4.1201), except for paragraphs _______________.

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

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

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

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

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

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

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

RFQP04081100016 Page 16 of 22

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 __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 sur-plus 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) [Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment for Small Disad-vantaged 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 __is, __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 maintained by the Small Business Ad-ministration (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…