Solicitation 75H70620Q00016.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

Aberdeen SD 57401 115 Fourth Ave, SE Federal Building Aberdeen Area Indian Health Servic

CODE 16. ADMINISTERED BYCODE

X

X

X

811219

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR159

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

09/09/2020 1300 CT

09/01/2020

605-226-7572SUSAN DAVIS

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70620Q00016

5. SOLICITATION NUMBER

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

1 40 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Multiple Destinations

15. DELIVER TO

Aberdeen SD 57401 115 Fourth Ave, SE Federal Building

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$22.00

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)

Aberdeen Area Indian Health Servic

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.

***THIS IS A TOTAL SMALL BUSINESS SET ASIDE***

Firm Fixed Price, Base Plus Four Option Year, Non-Personal Services, IDIQ, Contract for an Areawide Service, Support and Maintenance Agreement for Various Types of Optometry Equipment for IHS Health Care Facilities throughout the Great Plains Area in North Dakota and South Dakota;

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

CRAIG J. WELLS

. 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.

1 QNBMHCC/Belcourt IHS Hospital: Base Year: POP:

Date of Award to 12/31/2020; Service, Support &

Maintenance Agreement for Optometry Equipment;

Period of Performance: 09/10/2020 to 12/31/2020

2 Cheyenne River Health Center, Eagle Butte IHS:

Base Year: POP: Date of Award to 12/31/2020;

Service, Support & Maintenance Agreement for

Optometry Equipment:

Period of Performance: 09/10/2020 to 12/31/2020

3 Spirit Lake Health Center/Fort Totten IHS - 638:

Base Year: POP: Date of Award to 12/31/2020;

Service, Support & Maintenance Agreement for

Optometry Equipment:

Period of Performance: 09/10/2020 to 12/31/2020

4 Fort Thompson IHS: Base Year: POP: Date of Award to 12/31/2020; Service, Support & Maintenance

Agreement for Optometry Equipment:

Period of Performance: 09/10/2020 to 12/31/2020

5 Lower Brule Health Center: Base Year: POP: Date of Award to 12/31/2020; Service, Support &

Maintenance Agreement for Optometry Equipment:

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

40 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 40

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70620Q00016

Period of Performance: 09/10/2020 to 12/31/2020

6 Standing Rock Health Center/Fort Yates IHS: Base

Year: POP: Date of Award to 12/31/2020; Service, Support & Maintenance Agreement for Optometry

Equipment:

Period of Performance: 09/10/2020 to 12/31/2020

7 McLaughlin Health Center: Base Year: POP: Date of

Award to 12/31/2020; Service, Support &

Maintenance Agreement for Optometry Equipment:

Period of Performance: 09/10/2020 to 12/31/2020

8 Pine Ridge IHS Hospital: Base Year: POP: Date of

Award to 12/31/2020; Service, Support &

Maintenance Agreement for Optometry Equipment:

Period of Performance: 09/10/2020 to 12/31/2020

9 Kyle Health Center: Base Year: POP: Date of Award to 12/31/2020; Service, Support & Maintenance

Agreement for Optometry Equipment:

Period of Performance: 09/10/2020 to 12/31/2020

10 Wanblee Health Center: Base Year: POP: Date of

Award to 12/31/2020; Service, Support &

Maintenance Agreement for Optometry Equipment:

Period of Performance: 09/10/2020 to 12/31/2020

11 LaCreek Health Center: Base Year: POP: Date of

Award to 12/31/2020; Service, Support &

Maintenance Agreement for Optometry Equipment:

Period of Performance: 09/10/2020 to 12/31/2020

12 Rosebud IHS Hospital: Base Year: POP: Date of

Award to 12/31/2020; Service, Support &

Maintenance Agreement for Optometry Equipment:

Period of Performance: 09/10/2020 to 12/31/2020

13 Rapid City Health Center: Base Year: POP: Date of

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

4 40

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70620Q00016

Award to 12/31/2020; Service, Support &

Maintenance Agreement for Optometry Equipment:

Period of Performance: 09/10/2020 to 12/31/2020

14 WWKMHCC/Sisseton Health Center: Base Year: POP:

Date of Award to 12/31/2020; Service, Support &

Maintenance Agreement for Optometry Equipment:

Period of Performance: 09/10/2020 to 12/31/2020

15 Wagner Health Center: Base Year: POP: Date of

Award to 12/31/2020; Service, Support &

Maintenance Agreement for Optometry Equipment:

Period of Performance: 09/10/2020 to 12/31/2020

16 QNBMHCC/Belcourt IHS Hospital: OY#1: POP:

01/01/2021 to 12/31/2021; Service, Support &

Maintenance Agreement for Optometry Equipment:

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

17 Cheyenne River Health Center, Eagle Butte IHS:

OY#1: POP: 01/01/2021 to 12/31/2021; Service, Support & Maintenance Agreement for Optometry

Equipment:

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

18 Spirit Lake Health Center/Fort Totten IHS - 638:

OY#1: POP: 01/01/2021to 12/31/2021; Service, Support & Maintenance Agreement for Optometry

Equipment:

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

19 Fort Thompson IHS: OY#1: POP: 01/01/2021to

12/31/2021; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

5 40

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70620Q00016

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

20 Lower Brule Health Center: OY#1: POP: 01/01/2021 to 12/31/2021; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

21 Standing Rock Health Center/Fort Yates IHS: OY#1:

POP: 01/01/2021 to 12/31/2021; Service, Support &

Maintenance Agreement for Optometry Equipment:

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

22 McLaughlin Health Center: OY#1: POP: 01/01/2021 to 12/31/2021; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

23 Pine Ridge IHS Hospital: OY#1: POP: 01/01/2021 to

12/31/2021; Service, Support & Maintenance

Agreement for Optometry Equipment;

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

24 Kyle Health Center: OY#1: POP: 01/01/2021 to

12/31/2021; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

25 Wanblee Health Center: OY#1: POP: 01/01/2021 to

12/31/2021; Service, Support & Maintenance

Agreement for Optometry Equipment:

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

6 40

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70620Q00016

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

26 LaCreek Health Center: OY#1: POP: 01/01/2021 to

12/31/2021; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

27 Rosebud IHS Hospital: OY#1: POP: 01/01/2021 to

12/31/2021; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

28 Rapid City Health Center: OY#1: POP: 01/01/2021 to 12/31/2021; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

29 WWKMHCC/Sisseton Health Center: OY#1: POP:

01/01/2021 to 12/31/2021; Service, Support &

Maintenance Agreement for Optometry Equipment:

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

30 Wagner Health Center: OY#1: POP: 01/01/2021 to

12/31/2021; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2020

Period of Performance: 01/01/2021 to 12/31/2021

31 QNBMHCC/Belcourt IHS Hospital: OY#2: POP:

01/01/2022 to 12/31/2022; Service, Support &

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70620Q00016

Maintenance Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

32 Cheyenne River Health Center, Eagle Butte IHS:

OY#2: 01/01/2022 to 12/31/2022; Service, Support

& Maintenance Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

33 Spirit Lake Health Center/Fort Totten IHS - 638:

OY#2: POP: 01/01/2022 to 12/31/2022; Service, Support & Maintenance Agreement for Optometry

Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

34 Fort Thompson IHS: OY#2: POP: 01/01/2022 to

12/31/2022; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

35 Lower Brule Health Center: OY#2: POP: 01/01/2022 to 12/31/2022; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

36 Standing Rock Health Center/Fort Yates IHS: OY#2:

POP: 01/01/2022 to 12/31/2022; Service, Support &

Maintenance Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

8 40

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70620Q00016

37 McLaughlin Health Center: OY#2: POP: 01/01/2022 to 12/31/2022; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

38 Pine Ridge IHS Hospital: OY#2: POP: 01/01/2022 to

12/31/2022; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

39 Kyle Health Center: OY#2: POP: 01/01/2022 to

12/31/2022; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

40 Wanblee Health Center: OY#2: POP: 01/01/2022 to

12/31/2022; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

41 LaCreek Health Center: OY#2: POP: 01/01/2022 to

12/31/2022; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

42 Rosebud IHS Hospital: OY#2: POP: 01/01/2022 to

12/31/2022; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

9 40

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70620Q00016

43 Rapid City Health Center: OY#2: POP: 01/01/2022 to 12/31/2022; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

44 WWKMHCC/Sisseton Health Center: OY#2: POP:

01/01/2022 to 12/31/2022; Service, Support &

Maintenance Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

45 Wagner Health Center: OY#2: POP: 01/01/2022 to

12/31/2022; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2021

Period of Performance: 01/01/2022 to 12/31/2022

46 QNBMHCC/Belcourt IHS Hospital: OY#3: POP:

01/01/2023 to 12/31/2023; Service, Support &

Maintenance Agreement for Optometry Equipment:

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

47 Cheyenne River Health Center, Eagle Butte IHS:

OY#3: POP: 01/01/2023 to 12/31/2023; Service, Support & Maintenance Agreement for Optometry

Equipment:

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

48 Spirit Lake Health Center/Fort Totten IHS - 638:

OY#3: POP: 01/01/2023 to 12/31/2023; Service, Support & Maintenance Agreement for Optometry

Equipment:

(Option Line Item)

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

10 40

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70620Q00016

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

49 Fort Thompson IHS: OY#3: POP: 01/01/2023 to

12/31/2023; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

50 Lower Brule Health Center: OY#3: POP: 01/01/2023 to 12/31/2023; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

51 Standing Rock Health Center/Fort Yates IHS: OY#3:

POP: 01/01/2023 to 12/31/2023; Service, Support &

Maintenance Agreement for Optometry Equipment:

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

52 McLaughlin Health Center: OY#3: POP: 01/01/2023 to 12/31/2023; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

53 Pine Ridge IHS Hospital: OY#3: POP: 01/01/2023 to

12/31/2023; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

54 Kyle Health Center: OY#3: POP: 01/01/2023 to

12/31/2023; Service, Support & Maintenance

Agreement for Optometry Equipment:

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

11 40

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70620Q00016

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

55 Wanblee Health Center: OY#3: POP: 01/01/2023 to

12/31/2023; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

56 LaCreek Health Center: OY#3: POP: 01/01/2023 to

12/31/2023; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

57 Rosebud IHS Hospital: OY#3: POP: 01/01/2023 to

12/31/2023; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

58 Rapid City Health Center: OY#3: POP: 01/01/2023 to 12/31/2023; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

59 WWKMHCC/Sisseton Health Center: OY#3: POP:

01/01/2023 to 12/31/2023; Service, Support &

Maintenance Agreement for Optometry Equipment:

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

60 Wagner Health Center: OY#3: POP: 01/01/2023 to

12/31/2023; Service, Support & Maintenance

Continued ...

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70620Q00016

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2022

Period of Performance: 01/01/2023 to 12/31/2023

61 QNBMHCC/Belcourt IHS Hospital: OY#4: POP:

01/01/2024 to 12/31/2024; Service, Support &

Maintenance Agreement for Optometry Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

62 Cheyenne River Health Center, Eagle Butte IHS:

OY#4: POP: 01/01/2024 to 12/31/2024; Service, Support & Maintenance Agreement for Optometry

Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

63 Spirit Lake Health Center/Fort Totten IHS - 638:

OY#4: POP: 01/01/2024 to 12/31/2024; Service, Support & Maintenance Agreement for Optometry

Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

64 Fort Thompson IHS: OY#4: POP: 01/01/2024 to

12/31/2024; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

65 Lower Brule Health Center: OY#4: POP: 01/01/2024 to 12/31/2024; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

Continued ...

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70620Q00016

66 Standing Rock Health Center/Fort Yates IHS: OY#4:

POP: 01/01/2024 to 12/31/2024; Service, Support &

Maintenance Agreement for Optometry Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

67 McLaughlin Health Center: OY#4: POP: 01/01/2024 to 12/31/2024; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

68 Pine Ridge IHS Hospital: OY#4: POP: 01/01/2024 to

12/31/2024; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

69 Kyle Health Center: OY#4: POP: 01/01/2024 to

12/31/2024; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

70 Wanblee Health Center: OY#4: POP: 01/01/2024 to

12/31/2024; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

71 LaCreek Health Center: OY#4: POP: 01/01/2024 to

12/31/2024; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2023

Continued ...

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REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70620Q00016

Period of Performance: 01/01/2024 to 12/31/2024

72 Rosebud IHS Hospital: OY#4: POP: 01/01/2024 to

12/31/2024; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

73 Rapid City Health Center: OY#4: POP: 01/01/2024 to 12/31/2024; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

74 WWKMHCC/Sisseton Health Center: OY#4: POP:

01/01/2024 to 12/31/2024; Service, Support &

Maintenance Agreement for Optometry Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

75 Wagner Health Center: OY#4: POP: 01/01/2024 to

12/31/2024; Service, Support & Maintenance

Agreement for Optometry Equipment:

(Option Line Item)

12/31/2023

Period of Performance: 01/01/2024 to 12/31/2024

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Award - Award Number

These clauses, terms and conditions will be incorporated into Award number (to be determined);

B - Supplies or Services and prices/costs

Unit Price

The "Unit Price" is an all-inclusive cost. "All inclusive cost" is defined to include travel, lodging, per diem, fringe benefits, i.e., life insurance, social security, federal, state, and local taxes, plus all other costs pertinent to the performance of this Contract.

C - Description/specifications/statement of work

SCOPE OF WORK FOR SERVICE & SUPPORT:

Non-automated Optical Equipment - Great Plains Area Indian Health Service

C-1 - PURPOSE:

The purpose of this contract is to provide a comprehensive service and support agreement for various optical equipment located at multiple facilities within the Great Plains Area Indian Health Service (SD & ND).

The awarded contract will be a firm-fixed price IDIQ.

C-2 - SCOPE OF WORK:

Contractor shall provide to the Great Plains Area Indian Health Service, hereafter referred to as the Government, with the services described in this statement of work for the period specified.

Cleaning/Adjustment/ Preventive Maintenance:

The service to be performed by the contractor under this contract and for the bid price shall include ALL parts, labor, tools, equipment, literature, transportation, per diem necessary to provide complete cleaning/adjustment/preventive maintenance as recommended by the original equipment manufacturer (OEM) and required by the Center for Medicare and Medicaid Services and various accrediting bodies.

Only new or original equipment manufacturer (OEM) certified replacement parts will be used for replacement of any component found defective.

Removal:

At no time shall the contractor remove, or cause to be removed, any device, operation option, or accessory from the healthcare clinic, hospital, or health station without express written consent from the Contracting Officer Representative or Clinical Engineering.

Hours of Performance:

Unless otherwise stated, or negotiated, routine scheduled service (PM) work shall be performed Monday through Friday, 8am to 5 pm excluding weekends and holidays.

Corrective Maintenance shall be performed/available on a 24 hour per day/7 day a week basis, including weekends and holidays.

C-3 - EQUIPMENT:

See provided installed equipment listing. Minor variations may be allowed with written agreement by the COR and/or the Contracting Officer due to the nature of the equipment.

PLEASE REFER TO EQUIPMENT LISTING IN ATTACHMENTS

C-4 - EXCLUSIONS:

Contractor is not responsible for damage caused by failure to operate the equipment in accordance with manufacturer's instructions, abuse, misuse, or neglect, or damage by fire, lightning, flood, tornado, windstorm, hail, earthquake, explosion, smoke, aircraft accident, motor vehicle accident, collapse of building, strike, riot, vandalism, power failure or fluctuations, heating or air conditioning failure.

In the event that the Contractor determines that there is probable cause to believe that an operator or equipment user is abusing, neglecting, or mishandling an item of equipment, the Contractor shall notify the COR.

The following are specifically excluded from this contract:

Operating supplies or accessories not furnished by Contractor during the course of normal Preventive Maintenance Inspection and Services, such as expendable items including recording charts, paper, ink, pens, ribbons, pen arms, etc.

Work external to the equipment or maintenance of accessories, alterations, attachments or other devices not specifically covered under this contract unless noted in writing.

Equipment which has been modified, altered, added to, improperly repaired, improperly installed, or used in violation of the manufacturer's instructions or damages resulting from other than ordinary use.

Any questions regarding the applicability of any or all determinations and/or findings that are subject to protest and/or disputes will be adjudicated by the Great Plains Area Indian Health Service Senior Contracting Officer.

C-5 - DOCUMENTATION:

The Contractor shall provide all inspection forms and labels necessary to perform services as specified.

The Contractor is required to present the service records showing the results of the checks and the next date due, along with the P.O. number of the service contract on them for each time a service is performed on the equipment.

These service tickets shall not take the place of the PM checklist. Lack of service tickets being presented will be cause for non-payment by the Government.

One copy of the service ticket shall be provided to the COR within one week of the service.

Service tickets may be submitted via email to abr_oehbiomed@ihs.gov (note there is an underscore between abr and oeh (abr_oeh)).

C-6 - QUALITY CONTROL:

The Government reserves the right to review and verify the contractor's work.

The Contractor shall have a prior successful history in providing services that demonstrates and ability to provide these services to the Government.

C-7 - BASIS OF PAYMENT:

All payments are due and payable upon receipt of complete and accurate invoices and in accordance with the

Prompt Payment Act.

Invoices shall be submitted with all information and supporting documentation as described in C-5 Documentation.

A complete and accurate invoice is substantially correct in that all aspects of the required information are clearly evident on the invoice.

If items such as invoice number, date, dates of service, contract/purchase order number, etc., are not on the invoice, it will be returned to the Contractor for resubmission.

C-8 - LIABILITY:

In no event shall the Government release the Contractor from liability arising from acts of omission, improper repair, negligence, or deliberate or non-deliberate acts that jeopardize the health and safety of patients and/or

Government employees.

The rules of law governing such incidents or actions shall prevail.

C-9 - RELEASES:

No information, findings, or determinations generated in pursuit of this contract may be released outside of the contractors' immediate possession without the concurrence of the Contracting Officer.

C-10 - WARRANTY:

All contractor labor shall be warranted for 30 days from the date the work was performed.

All parts and material sold/provided by the contractor for installation under this contract will be warranted for a minimum of 30 days.

Warranty call back service shall be provided during the warranty period at no additional charge.

G - Contract Administration Data

Period of Performance

Period of Performance will be from Date of Award to December 31, 2020 with four 1-year options with performance dates of:

Option Year One (1): January 1, 2021 to December 31, 2021 Option Year Two (2): January 1, 2022 to December 31, 2022 Option Year Three (3): January 1, 2023 to December 31, 2023 Option Year Four (4): January 1, 2024 to December 31, 2024

COR/Contact Person

COR: Mr. Anthony Stayner, Chief of Clinical Engineering for the Great Plains Area who may be reached at 605- 226-7552 and/or at Anthony.Stayner@ihs.gov;

Invoice Submission & Payment

The Contractor shall bill either monthly or quarterly and shall submit invoices accordingly.

a) The Contractor shall submit invoices electronically. After delivery of goods or services, the Contractor shall email invoices to both Rachel.Olson@ihs.gov and ABR_OEHBiomed@ihs.gov. Any invoice inquiries can be directed to Rachel.Olson@ihs.gov.

mailto:Rachel.Olson@ihs.gov mailto:ABR_OEHBiomed@ihs.gov mailto:Rachel.Olson@ihs.gov

b) The Contractor shall include the following information on each invoice in accordance with the Prompt Payment Act [5 CFR Part 1315.9(b)]:

1. Contractor's Name;

2. Invoice number and date;

3. Entire award number or other authorization number for delivery of goods or services (Task Order No. and

Contract No.);

4. Description (including dates of service), price, and quantity of goods and services rendered;

5. Shipping and payment terms;

6. DUNS number and taxpayer identifying number (TIN); and

7. Contact name (where practicable), title, and telephone number.

Payments shall be made by the Great Plains Area Financial Management Branch, Federal Building, Room 309, Aberdeen, SD 57401-4360.

The Government reserves the right to accept or reject services if the level of work is unsatisfactory.

H - Special Contract Requirements

Contractor's Agreement

Contractor's Agreement is hereby incorporated by reference as a part of this purchase order. In the event of a conflict between any terms of the agreement and the purchase order, applicable federal laws and statutes will prevail.

Service Contract Labor Standards

The Wage Determinations listed below are hereby incorporated by Reference:

1. WD #2015-5385 Revision #10 dated 12/23/2019

2. WD #2015-5379 Revision #9 dated 12/23/2019

3. WD #2015-5373 Revision #12 dated 12/23/2019

4. WD #2015-5377 Revision #12 dated 12/26/2019

5. WD #2015-5375 Revision #9 dated 12/23/2019

6. WD #2015-5367 Revision #12 dated 12/23/2019

The full text of the referenced wage determination can be accessed at http://beta.sam.gov

Contractor's Performance Conditions & Responsibilities

1. Contractor is responsible for reporting all taxes from wages earned under this contract to the appropriate State and Federal Agencies, provided the awardee is an individual.

2. Contractor is responsible for his/her own reliable transportation in the performance of the contract.

3. Contractor is responsible for Fringe Benefits and other benefits such as health, retirement, etc. for his/her employees, if other than self.

4. Contractor is responsible for maintaining satisfactory standards of competence, conduct, appearance and integrity. The quality of work performance of the contractor shall be subject to review.

5. Contractor is responsible for notifying the designated supervisor/director if he/she will be late, ill or unable to work for other reasons.

6. Contractor earns no leave and is compensated only for hours actually worked at the agreed compensatory rate.

7. Contractor is responsible for signing-in and signing-out of immediate work area, utilizing in-house system of accountability.

Other Terms and Conditions

Contractors will provide the facility Clinical Engineering department copies of training certificates and/or a statement of competency for the specific makes/models of equipment their employees will be working on under this purchase order/contract/DO/TO.

Any contractor employees who will be accessing a government owned/rented/leased data system (including medical devices) will be required to complete the IHS Information System Security Awareness Training and provide a copy of the certificate of completion to the facility Clinical Engineering department.

Any contractor employees who will be working on-site in an IHS facility shall pass a security clearance, including fingerprints, prior to working on-site and wear and display at all times contractor issued and (if provided) IHS issued photographic identification badges.

Contractors performing preventive maintenance (PM) on medical equipment shall provide the facility Clinical Engineering department a copy of that checklist prior to the work being performed, and a copy of the completed checklist after work is performed. The PM checklist shall follow the original equipment manufacturer's prescribed checks at the OEMs prescribed intervals.

Any parts replaced during repair or during routine maintenance that result in a separate charge to the IHS, shall be given to the facility Clinical Engineering department for inspection and will not be removed from the facility without express written consent of clinical Engineering.

Security Clearance

Performance of this contract will require routine access by employees of the Contractor or its subcontractors to facilities or systems controlled by the Indian Health Service (I.H.S.). Before starting work requiring routine access to I.H.S. facilities or systems, each person must complete a FBI National Criminal History Check (Fingerprint Check) adjudicated by an I.H.S. employee using the Office of Personnel Management Personnel Investigations Processing System.

Contractors shall allow five business days for I.H.S. processing of fingerprints taken electronically at an I.H.S. site and thirty business days for non-electronic processing of fingerprints using FBI Form FD-258. A list of I.H.S. sites with electronic fingerprint capability is available from the Contracting Officer.

The Indian Health Service utilizes the eQIP (Electronic Questionnaire Investigations Processing) system to process background investigations. Contractors are required to work with the Service Unit Background Coordinator or other designee to properly complete their eQIP entry without error. Proper submission of the eQIP entry to the Office of Personnel Management (OPM) is required prior to the individual being allowed to begin their performance under this contract. Computers have been provided to the service unit for this purpose.

In addition, no Contractor or subcontractor employee shall be permitted to perform work under this contract if listed on the HHS Office of Inspector General List of Excluded Individuals/Entities (LEIE), http://exclusions.oig.hhs.gov.

As soon as practicable, prior to the performance of the work, the Contractor shall provide to the Contracting Officer the names of all individuals to be used in performance of work for screening against the LEIE. During the performance, the Contractor shall provide the Contracting Officer the names of any additional or substitute employees for screening before they begin work.

The Contractor is responsible for conducting security preclearance investigations in sufficient depth to ensure that each Contractor or subcontractor employee referred to I.H.S. is not on the LEIE and can obtain a favorable fingerprint clearance. Each security preclearance shall be conducted sufficiently in advance of the start of performance to avoid delays caused by denial of access.

http://exclusions.oig.hhs.gov/

If this is a Time and Materials, Labor-Hour or Cost Reimbursement contract, the contractor shall not charge for or be reimbursed for labor hours or other costs incurred for employees who are unable to perform due to denial or access or the excess time required to resolve and clear unfavorable security clearance findings.

If this is a Fixed-Price contract, denial of access due to security clearance findings shall not be a basis for excusable delay or an increase to the contract amount.

Government will pay for the cost to process the contractor's suitability clearances. However, multiple investigations for the same position may, at the Contracting Officer's discretion, lead to reduction(s) in the contract price of no more than the cost of the extra investigation(s).

Indian Health Service Circular No. 19-05

Contractors within the Great Plains Area Indian Health Service (GPAIHS) that have access to IHS Facilities are required to complete the Child Sexual Abuse Briefing (IHS June 2019) training.

The PowerPoint presentation is available on-site and will be provided by the Facility where the individual is under contract.

Once the PowerPoint presentation has been reviewed and understood by the contractor, they shall send an e-mail notification to Ms. Sara Syhre, e-mail address: Sara.Syhre@ihs.gov as follows:

Email Subject Line: Child Sexual Abuse Briefing - Vendor Name Email Body: I have reviewed and understand the PowerPoint presentation titled "Child Sexual Abuse

Briefing (IHS June 2019)".

Signature: Full name of sender that has completed the training

Additional Applicable Published Policy & Procedure

These referenced published policies and procedures are applicable to any contractor personnel providing services in accordance with this contract and are hereby incorporated by reference. The contractor is responsible for ensuring that all applicable contractor and subcontractor employees engaged in the direct delivery of services for this contract are aware of the applicable terms and conditions that apply and have read and familiarized themselves with the content.

Indian Health Service Circular 2016-04, Mandatory Seasonal Influenza Immunizations for the Civilian Health Care Personnel https://www.ihs.gov/ihm/circulars/2016/mandatory-seasonal-influenza-immunizations-for-civilian-health-care-personnel/.

IHS Special General Memorandum No. 95-04, Workplace Violence https://www.ihs.gov/ihm/sgm/1995/sgm-9504/.

HHS Residual Standards of Conduct https://ethics.od.nih.gov/lawreg/hhs-resid-std.htm

CFR Title 5, Chapter XLV-DHHS, Part 5501, Supplemental Standards of Ethical Conduct for Employees of the Department of Health and Human Services https://ethics.od.nih.gov/lawreg/5-CFR-5501-Unofficial-Compilation.pdf

CFR Title 5, Part 2635.101, Basic Obligation of Public Service https://www.govinfo.gov/app/details/CFR-2019-title5-vol3/CFR-2019-title5-vol3-sec2635-101 mailto:Sara.Syhre@ihs.gov https://www.ihs.gov/ihm/circulars/2016/mandatory-seasonal-influenza-immunizations-for-civilian-health-care-personnel/ https://www.ihs.gov/ihm/circulars/2016/mandatory-seasonal-influenza-immunizations-for-civilian-health-care-personnel/ https://www.ihs.gov/ihm/sgm/1995/sgm-9504/ https://ethics.od.nih.gov/lawreg/hhs-resid-std.htm https://ethics.od.nih.gov/lawreg/5-CFR-5501-Unofficial-Compilation.pdf https://www.govinfo.gov/app/details/CFR-2019-title5-vol3/CFR-2019-title5-vol3-sec2635-101

I - FAR Clauses Incorporated by Reference & In Full Text

52.204-6 Unique Entity Identifier. (OCT 2016)

52.204-13 System for Award Management Maintenance. (OCT 2018)

52.204-16 Commercial and Government Entity Code Reporting. (AUG 2020)

52.204-18 Commercial and Government Entity Code Maintenance. (AUG 2020)

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (NOV 2015)

52.212-4 Contract Terms and Conditions - Commercial Items. (OCT 2018)

52.232-40 Providing Accelerated Payments to Small Business Subcontractors. (DEC 2013)

52.233-3 Protest After Award. (AUG 1996)

52.233-4 Applicable Law for Breach of Contract Claim. (OCT 2004)

352.203-70 Anti-Lobbying. (DEC 2015)

352.222-70 Contractor Cooperation in Equal Employment Opportunity Investigations. (DEC 2015)

352.223-70 Safety and Health. (DEC 2015)

352.226-1 Indian Preference. (DEC 2015)

52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders - Commercial Items.

(AUG 2020)

(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) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (JUL 2018) (Section 1634 of Pub. L. 115-91).

(3) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(AUG 2020) (Section 889(a)(1)(A) of Pub. L. 115-232).

(4) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (NOV 2015).

(5) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(6) 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: (Contracting Officer check as appropriate.)

[X] (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (JUN 2020), 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 (JUN 2020) (41 U.S.C. 3509).

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

[X] (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (JUN 2020) (Pub. L. 109-282) (31 U.S.C. 6101 note).

(5) (Reserved)

[X] (6) 52.204-14, Service Contract Reporting Requirements (OCT 2016) (Pub. L. 111-117, section 743 of Div. C).

[X] (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (OCT 2016) (Pub. L. 111- 117, section 743 of Div. C).

[X] (8) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (JUN 2020) (31 U.S.C. 6101 note).

[X] (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (OCT 2018) (41 U.S.C.

2313).

[ ] (10) (Reserved)

[ ] (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole Source Award (MAR 2020) (15 U.S.C. 657a).

[ ] (ii) Alternate I (MAR 2020) of 52.219-3.

[ ] (12)(i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (MAR 2020) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

[ ] (ii) Alternate I (MAR 2020) of 52.219-4.

[ ] (13) (Reserved)

[X] (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (MAR 2020) (15 U.S.C. 644).

[ ] (ii) Alternate I (MAR 2020) of 52.219-6.

[ ] (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (MAR 2020) (15 U.S.C. 644).

[ ] (ii) Alternate I (MAR 2020) of 52.219-7.

[X] (16) 52.219-8, Utilization of Small Business Concerns (OCT 2018) (15 U.S.C. 637(d)(2) and (3)).

[ ] (17)(i) 52.219-9, Small Business Subcontracting Plan (JUN 2020) (15 U.S.C. 637(d)(4)).

[ ] (ii) Alternate I (NOV 2016) of 52.219-9.

[ ] (iii) Alternate II (NOV 2016) of 52.219-9.

[ ] (iv) Alternate III (JUN 2020) of 52.219-9.

[ ] (v) Alternate IV (JUN 2020) of 52.219-9.

[X] (18)(i) 52.219-13, Notice of Set-Aside of Orders (MAR 2020) (15 U.S.C. 644(r)).

[ ] (ii) Alternate I (MAR 2020) of 52.219-13.

[X] (19) 52.219-14, Limitations on Subcontracting (MAR 2020) (15 U.S.C. 637(a)(14)).

[ ] (20) 52.219-16, Liquidated Damages-Subcontracting 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 (MAR 2020) (15 U.S.C. 657f).

[X] (22)(i) 52.219-28, Post-Award Small Business Program Rerepresentation (MAY 2020) (15 U.S.C. 632(a)(2)).

[ ] (ii) Alternate I (MAR 2020) of 52.219-28.

[ ] (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women-Owned Small Business (EDWOSB) Concerns (MAR 2020) (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 (MAR 2020) (15 U.S.C. 637(m)).

[ ] (25) 52.219-32, Orders Issued Directly Under Small Business Reserves (MAR 2020) (15 U.S.C. 644(r)).

[X] (26) 52.219-33, Nonmanufacturer Rule (MAR 2020) (15 U.S.C. 637(a)(17)).

[X] (27) 52.222-3, Convict Labor (JUN 2003) (E.O. 11755).

[X] (28) 52.222-19, Child Labor-Cooperation with Authorities and Remedies (JAN 2020) (E.O. 13126).

[X] (29) 52.222-21, Prohibition of Segregated Facilities (APR 2015).

[ ] (30)(i) 52.222-26, Equal Opportunity (SEP 2016) (E.O. 11246).

[X] (ii) Alternate I (FEB 1999) of 52.222-26.

[X] (31)(i) 52.222-35, Equal Opportunity for Veterans (JUN 2020) (38 U.S.C. 4212).

[ ] (ii) Alternate I (JUL 2014) of 52.222-35.

[X] (32)(i) 52.222-36, Equal Opportunity for Workers with Disabilities (JUN 2020) (29 U.S.C. 793).

[ ] (ii) Alternate I (JUL 2014) of 52.222-36.

[X] (33) 52.222-37, Employment Reports on Veterans (JUN 2020) (38 U.S.C. 4212).

[X] (34) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (DEC 2010) (E.O. 13496).

[X] (35)(i) 52.222-50, Combating Trafficking in Persons (JAN 2019) (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).

[ ] (36) 52.222-54, Employment Eligibility Verification (OCT 2015). (E. O. 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.)

[ ] (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 Energy-Consuming Products (MAY 2020) (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 (JUN 2020) (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 2019) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

[ ] (51) 52.225-13, Restrictions on Certain Foreign Purchases (JUN 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) 52.229-12, Tax on Certain Foreign Procurements (JUN 2020).

[ ] (56) 52.232-29, Terms for Financing of Purchases of Commercial Items (FEB 2002) (41 U.S.C. 4505, 10 U.S.C.

2307(f)).

[ ] (57) 52.232-30, Installment Payments for Commercial Items (JAN 2017) (41 U.S.C. 4505, 10 U.S.C. 2307(f)).

[X] (58) 52.232-33, Payment by Electronic Funds Transfer-System for Award Management (OCT 2018) (31 U.S.C. 3332).

[ ] (59) 52.232-34, Payment by Electronic Funds Transfer - Other than System for Award Management (JUL 2013) (31 U.S.C. 3332).

[ ] (60) 52.232-36, Payment by Third Party (MAY 2014) (31 U.S.C. 3332).

[ ] (61) 52.239-1, Privacy or Security Safeguards (AUG 1996) (5 U.S.C. 552a).

[X] (62) 52.242-5, Payments to Small Business Subcontractors (JAN 2017)(15 U.S.C. 637(d)(13)).

[ ] (63)(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.

[ ] (iii) Alternate II (FEB 2006) 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.)

[X] (1) 52.222-41, Service Contract Labor Standards (AUG 2018) (41 U.S.C. chapter 67).

[X] (2) 52.222-42, Statement of Equivalent Rates for Federal Hires (MAY 2014) (29 U.S.C. 206 and 41 U.S.C. chapter 67).

[X] (3) 52.222-43, Fair Labor…