S02 Exhibit J - FAR 52.204-24 - Westmoreland CBOC.pdf

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Attached to
X1DZ--Westmoreland CBOC Long Term Lease
Solicitation number
36C24423R0144
Issued by

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This document is a representation regarding certain telecommunications and video surveillance services or equipment, as required by FAR 52.204-24. The offeror must complete this representation if they are providing covered telecommunications equipment or services to the government under the resulting contract. The offeror must disclose details about any covered telecommunications equipment or services they will provide, including the entity that produced the equipment, a description of the equipment, and an explanation of the proposed use. The offeror must also represent whether they use any covered telecommunications equipment or services themselves. This representation is required as part of the offer for the Westmoreland CBOC long-term lease solicitation, number 36C24423R0144, issued by the Department of Veterans Affairs. The solicitation is for the lease of up to 45,763 rentable square feet of space for a Community Based Outpatient Clinic in Westmoreland County, PA.

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Other files

File Type Posted
36C24423R0144 0003 - Westmoreland CBOC.pdf PDF
36C24423R0144_4.docx DOCX document
Attachment 2. S02 Exhibit AA Past Performance Questionnaire.pdf PDF
36C24423R0144_3.docx DOCX document
36C24423R0144 0002 Amendment - Westmoreland CBOC.pdf PDF
Attachment 1. Questions and Answers - Westmoreland CBOC.pdf PDF
Attachment 1. Pre-Proposal Meeting - Westmoreland CBOC.pdf PDF
36C24423R0144 0001 Amendment - Westmoreland CBOC.pdf PDF
36C24423R0144_2.docx DOCX document
S02 Exhibit Z - Building Layout PACT - Westmoreland CBOC.pdf PDF
S02 Exhibit I - Security Unit Price List FSL II - Westmoreland CBOC.xlsx XLSX spreadsheet
S02 Exhibit A - Global Lease 36C24423L0024 - Westmoreland CBOC.pdf PDF
S02 Exhibit M - Unit Price List - Westmoreland CBOC.xlsx XLSX spreadsheet
Global Request for Lease Proposal - Westmoreland CBOC.pdf PDF
S02 Exhibit B - Agency Requirement - Westmoreland CBOC.pdf PDF
S02 Exhibit L - DOL Wage Rate - Westmoreland CBOC.pdf PDF
S02 Exhibit P - Space Plan Criteria - Westmoreland CBOC.pdf PDF
S02 Exhibit E - 3517B General Clauses - Westmoreland CBOC.pdf PDF
S02 Exhibit D - 3516 Solicitation Provisions - Westmoreland CBOC.pdf PDF
36C24423R0144_1.docx DOCX document
S02 Exhibit W - SAM Reps and Certs Addendum - Westmoreland CBOC.pdf PDF
S02 Exhibit H - GSA Form 12000 FPLS - Westmoreland CBOC.pdf PDF
S02 Exhibit K - Tenant Improvements Cost Summary TICS Table - Westmoreland CBOC.xlsx XLSX spreadsheet
S02 Exhibit C - VA Lease Security Requirements for FSL II - Westmoreland CBOC.pdf PDF
S02 Exhibit N - Contract Submittal Schedule.pdf PDF
S02 Exhibit O - VA Signage Design Guide.pdf PDF
S02 Exhibit F - Form 1364 Proposal to Lease Space - Wesmoreland CBOC.pdf PDF
S02 Exhibit G - Form 1217 Lessors Annual Cost Statement - Westmoreland CBOC.pdf PDF
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LESSOR: _____ GOVERNMENT:_____ Representation Regarding Certain Telecommunications and Video

Surveillance Services or Equipment

REV (11/21)

Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment

See instructions within the representation regarding whether or not completion of this form is required If required, complete appropriate boxes, sign the form, and return form, along with any other required disclosure information, to LCO or his/her designee.

NOTE: The "Offeror," as used on this form, is the owner of the property offered, not an individual or agent representing the owner.

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (NOV 2021)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications- Commercial Products or Commercial Services. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision—

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

36C24423L0024 Westmoreland CBOC Exhibit J https://www.acquisition.gov/far/part-52#FAR_52_204_26 https://www.acquisition.gov/far/part-52#FAR_52_212_3 https://www.acquisition.gov/far/part-52#FAR_52_204_26 https://www.acquisition.gov/far/part-52#FAR_52_212_3 https://www.acquisition.gov/far/part-52#FAR_52_204_25

Surveillance Services or Equipment

REV (11/21)

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract.

Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) ( https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services".

(d) Representation. The Offeror represents that—

(1) It □ will, □ will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that—

It □ does, □ does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services.

The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

36C24423L0024 Westmoreland CBOC Exhibit J https://www.sam.gov/

Surveillance Services or Equipment

REV (11/21)

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number;

and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number;

and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

36C24423L0024 Westmoreland CBOC

Surveillance Services or Equipment

REV (11/21)

(End of provision)

OFFEROR OR

LEGALLY

AUTHORIZED

REPRESENTATIVE

NAME, ADDRESS (INCLUDING ZIP CODE) TELEPHONE NUMBER

Signature

Date

36C24423L0024 Westmoreland CBOC

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