Sol_140F0621Q0041.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

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

OFFEROR

F09

Falls Church VA 22041-3803

MS: BMO

5275 Leesburg Pike

FWS, DIVISION OF CONTRACTING AND FA

0008350480 CODE 16. ADMINISTERED BYCODE

X

X

X

524126

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORF06

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

04/13/2021 1430 ES

03/31/2021

7033582024Tonia Ellen (No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

140F0621Q0041

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 22 0040522488OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Falls Church VA 22041-3803

MS: MB

5275 Leesburg Pike

FWS DIV OF MGRTRY BIRD MGMT

15. DELIVER TO

LAKEWOOD CO 80228-1807

134 UNION BOULEVARD

LAKE PLAZA NORTH

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

1,500

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

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

FWS, DIVISION OF CONTRACTING AND GE

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

The Division of Migratory Bird Management's Branch of Migratory Birds Surveys has a requirement for:Aircraft Liability Insurance for Operations of U.S. Government Aircraft in Canada

In accordance with the terms of FAR 12.603:

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6, as supplemented with

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

Tonia Ellen

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

additional information included in this notice.

This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued.

The solicitation number for this requirement is:

140F0621Q0041 and this is a Request For Quotes

The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2021-03, February 16, 2021

NAICS code is 524113, this is a Small Business

Set aside

Base plus four (4) Option Periods

Aircraft Liability Insurance for Operations of

U.S. Government Aircraft in Canada

The provision at 52.212-1, Instructions to

Offerors Commercial, applies to this acquisition and a statement regarding any addenda to the provision.

The provision at 52.212-2, Evaluation Commercial

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

22 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

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140F0621Q0041

Items, is applicable.

Evaluation Factors: Complete Questionnaire

1) Past Performance includes Flight Experience and Aircraft Accidents

2) Expertise includes Education

3) Personnel Qualifications includes Pilot Info

Award will be based on Other Than Lowest Price

Offerors shall include a completed copy of the provision at 52.212-3, Offeror Representations and Certifications Commercial Items, with its offer, or submit a printout to their Online Reps and Certs.

The clause at 52.212-4, Contract Terms and Conditions Commercial Items, applies to this acquisition.

(xi) The clause at 52.212-5, Contract Terms and Conditions Required To Implement Statutes or

Executive Orders Commercial Items, applies to this acquisition.

Statement of Work: Aircraft Liability Insurance for Operations of U.S. Government Aircraft in

Canada

The Division of Migratory Bird Management's

Branch of Migratory Bird Surveys (BMBS) routinely operates U.S. Government fleet aircraft within

Canada to conduct low-level (<200 ft AGL) wildlife surveys as well as high-altitude remote sensing surveys. All aircraft are U.S.

Department of the Interior (DOI)-owned fleet aircraft which are maintained to Federal Aviation

Administration (FAA) and DOI maintenance standards. Surveys are conducted by U.S.

Government or contract pilots holding, at a minimum, FAA commercial pilot certificates and instrument ratings. All pilots meet Department of the Interior training and experience requirements and are certified for the DOI for

Continued ...

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Sponsored by GSA

FAR (48 CFR) 53.110

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(A) (B) (C) (D) (E) (F)

140F0621Q0041 relevant special-use operations including low-level flight operations. An annual liability insurance policy for Canada operations is required for the aircraft listed below by registration number. Pilot experience and qualifications are summarized in an attachment.

In addition to annual coverage for the specific aircraft listed below, we require a separate quote for the same coverage and limits for infrequent, short-duration (2 days to a week depending on weather) re-positioning flights of other DOI fleet aircraft. Such re-positioning flights are made to relocate aircraft for mission work or maintenance from the lower 48 U.S. States to Alaska or vice versa. All aircraft are general aviation aircraft of similar make/model and value to those listed below. All pilots are similarly qualified to those whose qualifications are provided with this solicitation. Specific aircraft and pilot information could be provided to the insurance broker prior to a re-positioning flight. The response to this solicitation should describe in detail the process that would be used to accommodate such re-positioning flights and acceptable payment methods.

We request a quote for the initial year coverage plus up to 4 option years.

Aircraft:

Model Year Reg# Seats

Liability Limit

1990 Partenavia P-68 N701 1 + 3

$1,000,000

2005 Cessna 182 N865CW 1 + 3

$1,000,000

2009 Quest Kodiak 100 N710 1 + 3

$1,000,000

2009 Quest Kodiak 100 Amphib N769 1 + 3

$1,000,000

2008 Quest Kodiak 100 Amphib N708 1 + 3

$1,000,000

2010 Quest Kodiak 100 Amphib N723 1 + 3

$1,000,000

1985 Cessna 206 Amphib N728 1 + 3

$1,000,000 Continued ...

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140F0621Q0041

1986 Cessna 206 N763 1 + 3 $1,000,000

1981 Cessna 206 N721 1 + 3

$1,000,000

2010 Quest Kodiak 100 N758 1 + 3 $1,000,000

2010 Quest Kodiak 100 N702 1 +

3 $1,000,000

2009 Quest Kodiak 100 Amphib N736 1 + 3 $1,000,000

1985 Cessna 206 Amphib N721NR 1 +

3 $1,000,000

2004 Cessna 182 N142DL 1 +

3 $1,000,000

Coverage Requested:

a) Single limit bodily injury and property damage ($100,000.00 per passenger)

b) Other liability ($1,000,000 per occurrence)

Estimated Annual Fleet Usage in Canada:

Approximately 800 hours fleet-wide

5-Year Loss History:

None

Period of Performance

Base 12 Months with (4) 12 Month Option Periods

Submission of Proposal and Completed

Questionnaire Required

Questions regarding this posting contact, Contract Officer: Tonia Ellen no later than five days prior to posting closing.

Tonia_ellen@fws.gov

Legacy Doc #: FWS

Delivery: 04/25/2022

Period of Performance: 04/26/2021 to 03/25/2026

Continued ...

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00010 AIRCRAFT LIABILITY INSURANCE FOR CANADA

Period of Performance: 04/26/2021 to 04/25/2022

01001 AIRCRAFT LIABILITY INSURANCE FOR CANADA

(Option Line Item)

04/26/2022

02001 AIRCRAFT LIABILITY INSURANCE FOR CANADA

(Option Line Item)

04/26/2023

03001 AIRCRAFT LIABILITY INSURANCE FOR CANADA

(Option Line Item)

04/26/2024

04001 AIRCRAFT LIABILITY INSURANCE FOR CANADA

(Option Line Item)

04/26/2025

Clauses

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):

For FAR clauses:

http://acquisition.gov/far/index.html

For DOI clauses:

https://edit.doi.gov/pam/programs/acquisition/pama reg

(End of clause)

Clauses Incorporated By Reference

Clauses

52.203-17 Contractor Employee Whistleblower

Rights and Requirement To Inform Employees of

Whistleblower Rights. (APR 2014)

52.204-19 Incorporation by Reference of

Representations and Certifications (DEC 2014)

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52.212-4 Contract Terms and Conditions -

Commercial Items. (OCT 2018)

52.225-25 Prohibition on Contracting with

Entities Engaging in Certain Activities or

Transactions Relating to Iran-Representation and

Certifications. (OCT 2015)

Section - II

Clauses

52.212-5 Contract Terms and Conditions Required

To Implement Statutes or Executive

Orders¿Commercial Items. (JAN 2019)

(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) 52.203-19, Prohibition on Requiring Certain

Internal Confidentiality Agreements or Statements

(JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing

Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.209-10, Prohibition on Contracting with

Inverted Domestic Corporations (Nov 2015).

(3) 52.233-3, Protest After Award (AUG 1996) (31

U.S.C. 3553).

(4) 52.233-4, Applicable Law for Breach of

Contract Claim (OCT 2004)(Public Laws 108-77 and

108-78 (19 U.S.C. 3805 note)).

(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:

__ (1) 52.203-6, Restrictions on Subcontractor

Sales to the Government (Sept 2006), with

Alternate I (Oct 1995) (41 U.S.C. 4704 and 10

U.S.C. 2402).

__ (2) 52.203-13, Contractor Code of Business

Ethics and Conduct (Oct 2015) (41 U.S.C. 3509)).

__ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of

2009 (June 2010) (Section 1553 of Pub. L. 111-5).

Continued ...

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140F0621Q0041

(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

(Oct 2016) (Pub. L. 109-282) (31 U.S.C. 6101 note).

__ (5) [Reserved].

__ (6) 52.204-14, Service Contract Reporting

Requirements (Oct 2016) (Pub. L. 111-117, section

743 of Div. C).

__ (7) 52.204-15, Service Contract Reporting

Requirements for Indefinite-Delivery Contracts

(Oct 2016) (Pub. L. 111-117, section 743 of Div.

C).

__ (8) 52.209-6, Protecting the Government¿s

Interest When Subcontracting with Contractors

Debarred, Suspended, or Proposed for Debarment.

(Oct 2015) (31 U.S.C. 6101 note).

__ (9) 52.209-9, Updates of Publicly Available

Information Regarding Responsibility Matters (Jul

2013) (41 U.S.C. 2313).

__ (10) [Reserved].

__ (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Nov 2011) (15 U.S.C. 657a).

__ (ii) Alternate I (Nov 2011) of 52.219-3.

__ (12)(i) 52.219-4, Notice of Price Evaluation

Preference for HUBZone Small Business Concerns

(OCT 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer)

(15 U.S.C. 657a).

__ (ii) Alternate I (JAN 2011) of 52.219-4.

__ (13) [Reserved]

__ (14)(i) 52.219-6, Notice of Total Small

Business Set-Aside (Nov 2011) (15 U.S.C. 644).

__ (ii) Alternate I (Nov 2011).

__ (iii) Alternate II (Nov 2011).

__ (15)(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.

__ (16) 52.219-8, Utilization of Small Business

Concerns (Nov 2016) (15 U.S.C. 637(d)(2) and

(3)).

__ (17)(i) 52.219-9, Small Business

Subcontracting Plan (Jan 2017) (15 U.S.C.

637(d)(4)).

__ (ii) Alternate I (Nov 2016) of 52.219-9.

Continued ...

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__ (iii) Alternate II (Nov 2016) of 52.219-9.

__ (iv) Alternate III (Nov 2016) of 52.219-9.

__ (v) Alternate IV (Nov 2016) of 52.219-9.

__ (18) 52.219-13, Notice of Set-Aside of Orders

(Nov 2011) (15 U.S.C. 644(r)).

__ (19) 52.219-14, Limitations on Subcontracting

(Jan 2017) (15 U.S.C. 637(a)(14)).

__ (20) 52.219-16, Liquidated

Damages¿Subcon-tracting Plan (Jan 1999) (15

U.S.C. 637(d)(4)(F)(i)).

__ (21) 52.219-27, Notice of Service-Disabled

Veteran-Owned Small Business Set-Aside (Nov 2011)

(15

__ (22) 52.219-28, Post Award Small Business

Program Rerepresentation (Jul 2013) (15 U.S.C.

632(a)(2)).

__ (23) 52.219-29, Notice of Set-Aside for, or

Sole Source Award to, Economically Disadvantaged

Women-Owned Small Business Concerns (Dec 2015)

(15 U.S.C. 637(m)).

__ (24) 52.219-30, Notice of Set-Aside for, or

Sole Source Award to, Women-Owned Small Business

Concerns Eligible Under the Women-Owned Small

Business Program (Dec 2015) (15 U.S.C. 637(m)).

_X_ (25) 52.222-3, Convict Labor (June 2003)

(E.O. 11755).

_X_ (26) 52.222-19, Child Labor¿Cooperation with

Authorities and Remedies (Oct 2016) (E.O. 13126).

_X_ (27) 52.222-21, Prohibition of Segregated

Facilities (Apr 2015).

__ (28) 52.222-26, Equal Opportunity (Sept 2016)

(E.O. 11246).

__ (29) 52.222-35, Equal Opportunity for Veterans

(Oct 2015)(38 U.S.C. 4212).

__ (30) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29 U.S.C. 793).

__ (31) 52.222-37, Employment Reports on Veterans

(FEB 2016) (38 U.S.C. 4212).

__ (32) 52.222-40, Notification of Employee

Rights Under the National Labor Relations Act

(Dec 2010) (E.O. 13496).

_X_ (33)(i) 52.222-50, Combating Trafficking in

Persons (Mar 2015) (22 U.S.C. chapter 78 and E.O.

13627).

__ (ii) Alternate I (Mar 2015) of 52.222-50 (22

U.S.C. chapter 78 and E.O. 13627).

_X_ (34) 52.222-54, Employment Eligibility

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Verification (OCT 2015). (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.)

__ (35) 52.222-59, Compliance with Labor Laws

(Executive Order 13673) (OCT 2016). (Applies at

$50 million for solicitations and resultant contracts issued from October 25, 2016 through

April 24, 2017; applies at $500,000 for solicitations and resultant contracts issued after April 24, 2017).

Note to paragraph (b)(35): By a court order issued on October 24, 2016, 52.222-59 is enjoined indefinitely as of the date of the order. The enjoined paragraph will become effective immediately if the court terminates the injunction. At that time, GSA, DoD and NASA will publish a document in the Federal Register advising the public of the termination of the injunction.

__ (36) 52.222-60, Paycheck Transparency

(Executive Order 13673) (OCT 2016).

__ (37)(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.)

__ (38) 52.223-11, Ozone-Depleting Substances and

High Global Warming Potential Hydrofluorocarbons

(JUN 2016) (E.O. 13693).

__ (39) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air

Conditioners (JUN 2016) (E.O. 13693).

__ (40)(i) 52.223-13, Acquisition of

EPEAT®-Registered Imaging Equipment (JUN 2014)

(E.O.s 13423 and 13514).

__ (ii) Alternate I (Oct 2015) of 52.223-13.

__ (41)(i) 52.223-14, Acquisition of

EPEAT®-Registered Televisions (JUN 2014) (E.O.s

13423 and 13514).

__ (ii) Alternate I (Jun 2014) of 52.223-14.

__ (42) 52.223-15, Energy Efficiency in

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Energy-Consuming Products (DEC 2007) (42 U.S.C.

8259b).

__ (43)(i) 52.223-16, Acquisition of

EPEAT®-Registered Personal Computer Products (OCT

2015) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Jun 2014) of 52.223-16.

_X_ (44) 52.223-18, Encouraging Contractor

Policies to Ban Text Messaging While Driving (AUG

2011) (E.O. 13513).

__ (45) 52.223-20, Aerosols (JUN 2016) (E.O.

13693).

__ (46) 52.223-21, Foams (JUN 2016) (E.O. 13693).

__ (47)(i) 52.224-3, Privacy Training (JAN 2017)

(5 U.S.C. 552a).

__ (ii) Alternate I (JAN 2017) of 52.224-3.

__ (48) 52.225-1, Buy American¿Supplies (May

2014) (41 U.S.C. chapter 83).

__ (49)(i) 52.225-3, Buy American¿Free Trade

Agreements¿Israeli Trade Act (May 2014) (41

U.S.C. chapter 83, 19 U.S.C. 3301 note, 19 U.S.C.

2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L. 103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43.

__ (ii) Alternate I (May 2014) of 52.225-3.

__ (iii) Alternate II (May 2014) of 52.225-3.

__ (iv) Alternate III (May 2014) of 52.225-3.

__ (50) 52.225-5, Trade Agreements (OCT 2016) (19

U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

_x_ (51) 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).

__ (52) 52.225-26, Contractors Performing Private

Security Functions Outside the United States (Oct

2016) (Section 862, as amended, of the National

Defense Authorization Act for Fiscal Year 2008;

10 U.S.C. 2302 Note).

__ (53) 52.226-4, Notice of Disaster or Emergency

Area Set-Aside (Nov 2007) (42 U.S.C. 5150).

__ (54) 52.226-5, Restrictions on Subcontracting

Outside Disaster or Emergency Area (Nov 2007) (42

U.S.C. 5150).

__ (55) 52.232-29, Terms for Financing of

Purchases of Commercial Items (Feb 2002) (41

U.S.C. 4505, 10 U.S.C. 2307(f)).

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__ (56) 52.232-30, Installment Payments for

Commercial Items (Jan 2017) (41 U.S.C. 4505, 10

U.S.C. 2307(f)).

_X_ (57) 52.232-33, Payment by Electronic Funds

Transfer¿System for Award Management (Jul 2013)

(31 U.S.C. 3332).

__ (58) 52.232-34, Payment by Electronic Funds

Transfer¿Other than System for Award Management

(Jul 2013) (31 U.S.C. 3332).

__ (59) 52.232-36, Payment by Third Party (May

2014) (31 U.S.C. 3332).

__ (60) 52.239-1, Privacy or Security Safeguards

(Aug 1996) (5 U.S.C. 552a).

__ (61) 52.242-5, Payments to Small Business

Subcontractors (JAN 2017)(15 U.S.C. 637(d)(12)).

__ (62)(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) 52.222-17, Nondisplacement of Qualified

Workers (May 2014)(E.O. 13495).

__ (2) 52.222-41, Service Contract Labor

Standards (May 2014) (41 U.S.C. chapter 67).

__ (3) 52.222-42, Statement of Equivalent Rates for Federal Hires (May 2014) (29 U.S.C. 206 and

41 U.S.C. chapter 67).

__ (4) 52.222-43, Fair Labor Standards Act and

Service Contract Labor Standards-Price Adjustment

(Multiple Year and Option Contracts) (May 2014)

(29 U.S.C. 206 and 41 U.S.C. chapter 67).

__ (5) 52.222-44, Fair Labor Standards Act and

Service Contract Labor Standards¿Price Adjustment

(May 2014) (29 U.S.C. 206 and 41 U.S.C. chapter

67).

__ (6) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of

Certain Equipment¿Requirements (May 2014) (41

U.S.C. chapter 67).

Continued ...

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_X_ (7) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services¿Requirements (May 2014) (41

U.S.C. chapter 67).

__ (8) 52.222-55, Minimum Wages Under Executive

Order 13658 (Dec 2015).

__ (9) 52.222-62, Paid Sick Leave Under Executive

Order 13706 (JAN 2017) (E.O. 13706).

__ (10) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (May 2014) (42 U.S.C.

1792).

__ (11) 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 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 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, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the

Continued ...

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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 indicated 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 (Oct 2015) (41 U.S.C. 3509).

(ii) 52.203-19, Prohibition on Requiring Certain

Internal Confidentiality Agreements or Statements

(Jan 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing

Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(iii) 52.219-8, Utilization of Small Business

Concerns (Nov 2016) (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 $700,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(iv) 52.222-17, Nondisplacement of Qualified

Workers (May 2014) (E.O. 13495). Flow down required in accordance with paragraph (l) of FAR clause 52.222-17.

(v) 52.222-21, Prohibition of Segregated

Facilities (Apr 2015)

(vi) 52.222-26, Equal Opportunity (Sept 2016)

(E.O. 11246).

(vii) 52.222-35, Equal Opportunity for Veterans

(Oct 2015) (38 U.S.C. 4212).

(viii) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29 U.S.C. 793).

(ix) 52.222-37, Employment Reports on Veterans

(Feb 2016) (38 U.S.C. 4212)

(x) 52.222-40, Notification of Employee Rights

Under the National Labor Relations Act (Dec 2010)

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(E.O. 13496). Flow down required in accordance with paragraph (f) of FAR clause 52.222-40.

(xi) 52.222-41, Service Contract Labor Standards

(May 2014) (41 U.S.C. chapter 67).

(xii)

52.222-50, Combating Trafficking in Persons (Mar

2015) (22 U.S.C. chapter 78 and E.O 13627).

Alternate I (Mar 2015) of 52.222-50 (22 U.S.C.

chapter 78 and E.O 13627).

(xiii) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of

Certain Equipment-Requirements (May 2014) (41

U.S.C. chapter 67).

(xiv) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services-Requirements (May 2014) (41

U.S.C. chapter 67).

(xv) 52.222-54, Employment Eligibility

Verification (OCT 2015) (E.O. 12989).

(xvi) 52.222-55, Minimum Wages Under Executive

Order 13658 (Dec 2015).

(xvii) 52.222-59, Compliance with Labor Laws

(Executive Order 13673) (OCT 2016) (Applies at

$50 million for solicitations and resultant contracts issued from October 25, 2016 through

April 24, 2017; applies at $500,000 for solicitations and resultant contracts issued after April 24, 2017).

Note to paragraph (e)(1)(xvii): By a court order issued on October 24, 2016, 52.222-59 is enjoined indefinitely as of the date of the order. The enjoined paragraph will become effective immediately if the court terminates the injunction. At that time, GSA, DoD and NASA will publish a document in the Federal Register advising the public of the termination of the injunction.

(xviii) 52.222-60, Paycheck Transparency

(Executive Order 13673) (OCT 2016)).

(xix) 52.222-62, Paid Sick Leave Under Executive

Order 13706 (JAN 2017) (E.O. 13706).

(xx)(A) 52.224-3, Privacy Training (JAN 2017) (5

U.S.C. 552a).

(B) Alternate I (JAN 2017) of 52.224-3.

(xxi) 52.225-26, Contractors Performing Private

Security Functions Outside the United States (Oct

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2016) (Section 862, as amended, of the National

Defense Authorization Act for Fiscal Year 2008;

10 U.S.C. 2302 Note).

(xxii) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (May 2014) (42 U.S.C.

1792). Flow down required in accordance with paragraph (e) of FAR clause 52.226-6.

(xxiii) 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)

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

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

77 The Contracting Officer may exercise the option by written notice to the Contractor within

10 days for the current completion date. (End of clause)

52.217-9 OPTION TO EXTEND THE TERM OF THE

CONTRACT (MAR 2000) (a) The Government may extend the term of this contract by written notice to the Contractor within 15 days; provided that the

Government gives the Contractor a preliminary written notice of its intent to extend at least

60 days before the contract expires. The preliminary notice does not commit the Government to an extension. (b) If the Government exercises this option, the extended contract shall be considered to include this option clause. (c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed five years. (End of clause)

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PILOT INFO RESPONSE HERE

Name of Pilot Date of Birth Address Present Employer Date Employed Position Held Address Previous Employer 1 Previous Employer 1 Dates Employed Previous Employer 1 Position Held Previous Employer 2 Previous Employer 2 Dates Employed Previous Employer 2 Position Held Previous Employer 3 Previous Employer 3 Dates Employed Previous Employer 3 Position Held Have you ever been discharged or asked to resign?

PILOT CERTIFICATE AND RATINIGS CURRENTLY HELD

Student [S], Private [P], Commercial [C], ATP [A], Instructor [I], SEL, SES, MEL, MES, Helo, Instrument [IR] FAA Certificate Number Date first Certificated Medical certificate number Medical certificate type Medical certificate date Physical Impairments Waivers and Limitations Date of last biennial flight review Make and Model of primary aircraft Have you attended manufacturers ground and flight training course?

If yes above, Date, Facility and Location

MAKE AND MODEL YRS FLOWN PIC SIC DUAL TOTAL TIME LAST 90 DAYS LAST 12 MONTHS

C172 C182

Single KODI Engine PA28

C206

BE30

BE58

Multi BE20 Engine & PA44 Jet

C172L

TH67

Seaplanes UH-60A/L & Helos OH58C

GRAND TOTALS 0 0 0

Highest Year Completed? Level and # Years Code as a) High School 1-4 yrs, b) College 1-4 yrs, c ) Graduate School 1-4 yrs

Name of College(s) Years Attended Did you graduate?

Have you ever been involved in an accident? If yes, explain below

NO

Accident Location Date Make/Model Registration Number

Explain circumstances if you have any:

a) Physical impairments

b) waivers or limitations on your medical

c) An FAA, Transport Canada, or Military pilot certificate held by you has been revoked or suspended

d) you have been cited for violation of an aviation regulation in any country

e) you have ever been convicted or pleaded guilty to a felony or DUI

Probable Cause

Explanation