Solicitation - HT940626QE099.pdf

WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NUMBER

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

OFFER

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

BELOW IS CHECKED

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

29. AWARD OF CONTRACT: REFERENCE OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

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

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

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

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

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

8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

Solicitation/Contract Form

LAB ANALYSIS SERVICE

Product Service Code: Q301

HT940626QE099

Supplies or Services & Prices or Costs Additional Information/Notes

Item Supplies / Services Quantity Unit Unit Price Amount

The contractor shall provide sample lab analysis services for the Comprehensive Industrial Hygiene Laboratory (CIHL) at the Navy Environmental and Preventive Medicine Unit (NEPMU) Two (2) as shown in the statement of work (SOW). This is a Not to Exceed (NTE requirement).

Pricing Arrangement: Firm Fixed Price

1 Job

Option Line Item

Option Period 1 The contractor shall provide sample lab analysis services for the Comprehensive Industrial Hygiene Laboratory (CIHL) at the Navy Environmental and Preventive Medicine Unit (NEPMU) Two (2) as shown in the statement of work (SOW). This is a Not to Exceed (NTE requirement).

Pricing Arrangement: Firm Fixed Price

1 Job

Option Line Item

Option Period 2 The contractor shall provide sample lab analysis services for the Comprehensive Industrial Hygiene Laboratory (CIHL) at the Navy Environmental and Preventive Medicine Unit (NEPMU) Two (2) as shown in the statement of work (SOW). This is a Not to Exceed (NTE requirement).

Pricing Arrangement: Firm Fixed Price

1 Job

Option Line Item

Option Period 4 The contractor shall provide sample lab analysis services for the Comprehensive Industrial Hygiene Laboratory (CIHL) at the Navy Environmental and Preventive Medicine Unit (NEPMU) Two (2) as shown in the statement of work (SOW). This is a Not to Exceed (NTE requirement).

Pricing Arrangement: Firm Fixed Price

1 Job

Option Line Item

Option Period 3 The contractor shall provide sample lab analysis services for the Comprehensive Industrial Hygiene Laboratory (CIHL) at the Navy Environmental and Preventive Medicine Unit (NEPMU) Two (2) as shown in the statement of work (SOW). This is a Not to Exceed (NTE requirement).

Pricing Arrangement: Firm Fixed Price

1 Job

Description/Specifications/Statement of Work

Statement of Work Scope: The Comprehensive Industrial Hygiene Laboratory (CIHL) at the Navy Environmental and Preventive Medicine Unit Two (NEPMU 2) provides services in the areas of industrial hygiene for the analysis of air, toxic propriety products and performance of toxicological testing to evaluate worker exposure to hazardous materials. CIHL analyzes over 36,000 samples annually for different analytes using a variety of instrumentation such as Ion Chromatography, Atomic Absorption Spectrometry - Graphite Furnace, High Performance Liquid Chromatography, and Gas Chromatography that utilize the noted goods. The CIHL is located at:

Navy Environmental and Preventive Medicine Unit Two (NEMPU2) Norfolk

1285 West D Bldg. U 238

Norfolk, VA 23511

Purpose: The lab uses contract labs to cover sample analysis that is outsourced based on the low sample volume or as a backup for coverage when instrumentation goes down. Without having the backup the lab risks losing the samples due to the delays in fixing instrumentation. Sample holding time varies drastically based on media type and sample type.

Scope: The lab requires the contracted lab to be accredited by the American Industrial Hygiene Association and ISO/IEC 17025:2017 for any test that the contract lab completes. The contracted lab shall have to prove accreditation by providing certificates prior to being awarded the contract. Any changes in the contracts lab certification must be communicated to CIHL in writing within five (5) days of the change.

Requirements:

1. CIHL Norfolk is requesting a not to exceed contract of $30,000 per year, with the understanding that not all the $30,000 may be used during the year.

2. The substances that may need to be analyzed with CAS numbers are listed within Appendix 1. The lab may request a substance not on the list in addition;

pricing should be government pricing and provide to CIHL prior to testing. This is to cover tests not normally requested on a need to basis. The CIHL will check with the contract lab prior to sending testing not specified on the contract.

3. Requesting CIHL will designate samples as "ROUTINE" or "EXPEDITE". Turnaround times are calculated from the date of contractor's receipt of sample to date of receipt of technically acceptable analysis results accepted by the CIHL. Timeframes are identified below:

- Routine: Ten (10) business day

- Expedite: Not to exceed five (5) days. Expedited samples will be coordinated in advance with the contractor.

4. The contract lab will not blank subtract any analysis completed.

5. The contract lab may be asked to provide media for the tests that will be completed by the contract lab. The contracted lab pricing should include the cost of media and/or shipping.

Period of Performance: The contract agreement will be for a period of one year (12 months) and four (4) subsequent option years from the designated start date:

Base Year: September 23, 2026 - September 22, 2027

Option Year 1: September 23, 2027 - September 22, 2028

Option Year 2: September 23, 2028 - September 22, 2029

Option Year 3: September 23, 2029 - September 22, 2030

Option Year 4: September 23, 2030 - September 22, 2031

Contractor Responsibility's: The contractor shall be responsible for analysis of all samples within the lab's accreditation scope. Any issues or mistakes by the contract lab will be reported in writing within 48 hours of the mistake, when the mistake involves the loss of sample or any change in the results. The following goods shall be provided at the CIHL location identified in the scope. Prices quoted will be based on fair market pricing and will not increase in cost more than 5% annually. All invoices will occur in WAWF and not be billed directly to the laboratory.

Appendix 1: Below are the listed substances that may be requested; additional substances may need to be requested to be tested that are not listed.

SUBSTANCE

CAS

NO

METHOD or EQUIBALENT TO

LISTED METHOD

Price Per Test

ACETIC ACID

64-19-

NIOSH 1603

ACIDS, INORGANIC (H2SO4)

7664- 93-9

NIOSH 7903

OSHA ID-165SG

OSHA-113

ACIDS, INORGANIC (H3PO4)

7664- 38-2

OSHA 113

OSHA ID-165

ACIDS, INORGANIC (HBr) 10035 -10-6

NIOSH 7903

OSHA ID-165SG

ACIDS, INORGANIC (HCl) 7647- 01-0

NIOSH 7903

ACIDS, INORGANIC (HF)

7664- 39-3

NIOSH 7903

ACIDS, INORGANIC (HNO3)

7697- 37-2

NIOSH 7903

ACRYLAMIDE

79-06-

OSHA 21

ACRYLONITRILE

107-1 3-1

NIOSH 1604

AMMONIA

7664- 41-7

OSHA 188

BISPHENOL A

80-05-

NIOSH 333

CARBON BLACK

1333- 86-4

NIOSH 5000

CARBON DISULFIDE

75-15-

NIOSH 1600

CHLORINE

7782- 50-5

NIOSH 6011

CHLORPYRIFOS (Dursban) 2921- 88-2

OSHA 62

CHROMIUM and compounds as total Cr 7440- 47-3

OSHA ID-206

NIOSH 7300

CHROMIUM VI (Hexavalent Chromium, CrO3 ) 18540 -29-9

OSHA ID-215

CYANIDES, as CN 57-12-

NIOSH 6010

CYCLOHEXYLAMINE

108-9 1-8

OSHA PV2016

DDVP (Dichlorovos) 62-73-

OSHA 62

DIAZINON

333-4 1-5

OSHA 62

DIBUTYL PHTHALATE (DBP)

84-74-

OSHA 104

DIESEL EXHAUST Particulate/ORGANIC

CARBON/ELEMENTAL CARBON

NIOSH 5040

DIETHYLENE GLYCOL MONOBUTYL ETHER

(BUTYL CARBITOL)

112-3 4-5

OSHA PV 2095

DI-(2-ETHYL HEXYL) PHTHALATE (DEHP)

117-8 1-7

OSHA 104

DIETHYL PHTHALATE (DEP)

84-66-

OSHA 104

DIMETHYL PHTHALATE (DMP)

131-1 1-3

OSHA 104

DINITROTOLUENE, 2,4-

121-1 4-2

OSHA 44

DIPROPYLENE GLYCOL METHYL ETHER

34590 -94-8

DURSBAN (Chlorpyrifos) 2921- 88-2

OSHA 62

DUST (RESPIRABLE) NIOSH 0600

ELEMENTAL CARBON (Diesel Particulate) See Diesel particulate

EPICHLOROHYDRIN

106-8 9-8

OSHA 7/NIOSH 1010 IN HOUSE

METHOD

ETHANOLAMINE (Aminoethanol) 141-4 3-5

OSHA 60

ETHYL ACRYLATE

140-8 8-5

OSHA 92/NIOSH1450

ETHYL ETHOXY PROPIONATE

763-6 9-9

IN HOUSE

ETHYLENE GLYCOL

107-2 1-1

NIOSH 5523

ETHYLENE GLYCOL DINITRATE (EGDN)

628-9 6-6

NIOSH 2507

ETHYLENE GLYCOL MONOBUTYL ETHER

ACETATE

112-0 7-2

OSHA 83

ETHYLENE OXIDE (EtO) 75-21-

NIOSH 1614

ETHYLENE OXIDE (3M passive monitor) 75-21-

3M METHOD

Fluoride 7782- 41-4

NIOSH 7906

Freon

IN HOUSE

HEXAMETHYLENE DIISOCYANATE (HDI)

822-0 6-0

OSHA 42/47 PV2034

HEXAMETHYLENE DIISOCYANATE (HDI

Oligomers)

28182 -81-2

OSHA 42/47 PV2034

HEXAMETHYLENE DIISOCYANATE BIURET

(HDIB)

4035- 89-6

OSHA PV 2030

HEXYLENE GLYCOL

107-4 1-5

NIOSH 1403

HYDROGEN CYANIDE, as CN 74-90-

NIOSH 6010

HYDROGEN SULFIDE

7783- 06-4

NIOSH 6013/OSHA ID 1008

HYDROQUINONE

123-3 1-9

NIOSH 5004

ISOPHORONE

78-59-

NIOSH 2508

ISOPHORONE DIISOCYANATE

4098- 71-9

OSHA PV 2092

MALATHION

121-7 5-5

OSHA 62

MERCURY PARTICULATE as Hg 7439- 97-6

OSHA ID 145

MERCURY VAPOR as Hg 7439- 97-6

NIOSH 6009

METHYLENE BIS-CHLOROANILINE, 4,4',2-

(MOCA)

OSHA 71

NIOSH 236

METAL WORKING FLUID NIOSH 0500/NIOSH 5524

METHYLENE BISPHENYL ISOCYANATE, 4,4'-

(MDI)

101-6 8-8

OSHA42/47/PV2034

METHYL ISOBUTYL KETONE

110-1 2-3

NIOSH 2500

OSHA 84

METHYLENE DIANILINE, 4,4'-

101-7 7-9

OSHA 57

METHYL METHACRYLATE

80-62-

OSHA 94

METHYL-2-PYRROLIDINONE

872-5 0-4

NIOSH 1302

NITROGEN DIOXIDE NIOSH6014/OSHAID-182

NITROGEN DIOXIDE / NITRIC OXIDE (NOX )

10102 -43-9

NIOSH 6014

NITROMETHANE

75-52-

NIOSH 2527

OIL MIST, MINERAL

8012- 95-1

NIOSH5026

ORGANIC SCREEN

OZONE

10028 -15-6

OSHAID-214

PARATHION

56-38-

NIOSH 5600 OSHA 62

PERMETHRIN

52645 -53-1

OSHA 70

IN HOUSE

PHENOL 108-9

5-2

OSHA 32

POLYCHLOROBPHENYLS (PCBs, AROCLORS) 1336- 36-3

NIOSH 5503

PROPYLENE GLYCOL ETHYL ETHER

1569- 02-4

NIOSH 1403

PROPYLENE GLYCOL MONOMETHYL ETHER

ACETATE

108-6 5-6

OSHA 99

SILICA (CRYSTALLINE, CRISTOBALITE)

14464 -46-1

NIOSH 7500

SILICA (CRYSTALLINE, QUARTZ)

14808 -60-7

NIOSH 7500

SODIUM HYDROXIDE

1310- 73-2

NIOSH7401

STYRENE (MONOMER)

100-4 2-5

NIOSH 1501

OSHA 89

SULFUR DIOXIDE

7446- 09-5

OSHA 200

TETRACHLOROETHYLENE (Perchloroethylene) 127-1 8-4

NIOSH 1003

OSHA 1001

TETRAHYDROFURAN

109-9 9-9

NIOSH 1609

TOLUENE-2,4-DIISOCYANATE (2,4-TDI)

584-8 4-9

OSHA 42

TOLUENE-2,6-DIISOCYANATE (2,6-TDI)

91-08-

OSHA 42

TRIBROMOMETHANE

75-25-

NIOSH 1003/ OSHA 7

TRICHLOROETHANE, 1,1,2-

79-00-

TRICHLOROETHANE, 1,1,1- (Methylchloroform) 71-55-

NIOSH 1003

TRICHLOROETHYLENE

79-01-

NIOSH 1022

TRIETHANOLAMINE

102-7 1-6

OSHA PV2060

TRIGLYCIDYL ISOCYANURATE, 1,3,5

2451- 62-9

OSHA 2055

TRIMETHYLAMINE

75-50-

OSHA 2060

TRIORTHOCRESYL PHOSPHATE (TOCP)

78-30-

NIOSH 5037

TRIPHENYL PHOSPHATE

115-8 6-6

NIOSH 5038

TUNGSTAN

7440- 33-7

OSHA ID213

VINYL CHLORIDE (MONOMER)

75-01-

NIOSH 1007

VINYL ACETATE

108-0 5-4

NIOSH 1453

VINYLIDENE CHLORIDE

75-35-

NIOSH 1007

VM & P NAPHTHA

8032- 32-4

OSHA 48

Requirements The Comprehensive Industrial Hygiene Laboratory (CIHL) at the Navy Environmental and Preventive Medicine Unit (NEPMU) Two (2) service in the areas of industrial hygiene for the analysis of air, toxic propriety products and performance of toxicological testing to evaluate worker exposure to hazardous materials

Product Service Code: Q301

Option Line Item

Product Service Code: Q301

Option Line Item

Product Service Code: Q301

Option Line Item

Product Service Code: Q301

Option Line Item

Product Service Code: Q301

Packaging and Marking

Inspection and Acceptance Overall Contract Inspection/Acceptance Locations

Acceptance Location

Acceptance Destination Instructions: See Statement of Work (SOW) for Acceptance/inspection criteria.

DoDAAC: HT0466 CountryCode: USA

NAV-MARI CORP PUB HLTH CTR - MM

620 JOHN PAUL JONES CIRCLE STE 1100, PORTSMOUTH VA 23708-2103

PORTSMOUTH, VA 23708-2103

UNITED STATES

Option Line Item

Acceptance Location

Acceptance Destination Instructions: See Statement of Work (SOW) for Acceptance/inspection criteria.

DoDAAC: HT0466 CountryCode: USA

NAV-MARI CORP PUB HLTH CTR - MM

620 JOHN PAUL JONES CIRCLE STE 1100, PORTSMOUTH VA 23708-2103

PORTSMOUTH, VA 23708-2103

UNITED STATES

Option Line Item

Acceptance Location

Acceptance Destination Instructions: See Statement of Work (SOW) for Acceptance/inspection criteria.

DoDAAC: HT0466 CountryCode: USA

NAV-MARI CORP PUB HLTH CTR - MM

620 JOHN PAUL JONES CIRCLE STE 1100, PORTSMOUTH VA 23708-2103

PORTSMOUTH, VA 23708-2103

UNITED STATES

Option Line Item

Acceptance Location

Acceptance Destination Instructions: See Statement of Work (SOW) for Acceptance/inspection criteria.

DoDAAC: HT0466 CountryCode: USA

NAV-MARI CORP PUB HLTH CTR - MM

620 JOHN PAUL JONES CIRCLE STE 1100, PORTSMOUTH VA 23708-2103

PORTSMOUTH, VA 23708-2103

UNITED STATES

Option Line Item

Acceptance Location

Acceptance Destination Instructions: See Statement of Work (SOW) for Acceptance/inspection criteria.

DoDAAC: HT0466 CountryCode: USA

NAV-MARI CORP PUB HLTH CTR - MM

620 JOHN PAUL JONES CIRCLE STE 1100, PORTSMOUTH VA 23708-2103

PORTSMOUTH, VA 23708-2103

UNITED STATES

Deliveries or Performance

Line Item Delivery Schedule Quantity Address and POC

Delivery Period From 23 Sep 2026 to 22 Sep 2027

1 Job Service Performance Site DoDAAC: HT0466 CountryCode: USA

NAV-MARI CORP PUB HLTH CTR - MM

620 JOHN PAUL JONES CIRCLE STE 1100, PORTSMOUTH VA 23708-2103

PORTSMOUTH, VA 23708-2103

UNITED STATES

Period of Performance From 23 Sep 2026 To 22 Sep 2027

Option Line Item

Delivery Period From 23 Sep 2027 to 22 Sep 2028

1 Job Service Performance Site DoDAAC: HT0466 CountryCode: USA

NAV-MARI CORP PUB HLTH CTR - MM

620 JOHN PAUL JONES CIRCLE STE 1100, PORTSMOUTH VA 23708-2103

PORTSMOUTH, VA 23708-2103

UNITED STATES

Period of Performance From 23 Sep 2027 To 22 Sep 2028

Option Line Item

Delivery Period From 23 Sep 2028 to 22 Sep 2029

1 Job Service Performance Site DoDAAC: HT0466 CountryCode: USA

NAV-MARI CORP PUB HLTH CTR - MM

620 JOHN PAUL JONES CIRCLE STE 1100, PORTSMOUTH VA 23708-2103

PORTSMOUTH, VA 23708-2103

UNITED STATES

Period of Performance From 23 Sep 2028 To 22 Sep 2029

Option Line Item

Delivery Period From 23 Sep 2029 to 22 Sep 2030

1 Job Service Performance Site DoDAAC: HT0466 CountryCode: USA

NAV-MARI CORP PUB HLTH CTR - MM

620 JOHN PAUL JONES CIRCLE STE 1100, PORTSMOUTH VA 23708-2103

PORTSMOUTH, VA 23708-2103

UNITED STATES

Period of Performance From 23 Sep 2029 To 22 Sep 2030

Option Line Item

Delivery Period From 23 Sep 2030 to 22 Sep 2031

1 Job Service Performance Site DoDAAC: HT0466 CountryCode: USA

NAV-MARI CORP PUB HLTH CTR - MM

620 JOHN PAUL JONES CIRCLE STE 1100, PORTSMOUTH VA 23708-2103

PORTSMOUTH, VA 23708-2103

UNITED STATES

Period of Performance From 23 Sep 2030

To 22 Sep 2031

Contract Administration Data

CAGE: _____________________

UEI: _____________________

Vendor POC: _____________________

Vendor Phone: ____________________

Vendor E-mail: ____________________

Notes to Vendor:

-At a minimum, the SF1449 must be completed to be considered for this opportunity. Please respond to blocks 17a and 30a-c on page 1, provide the required vendor information, as well as provide your price(s) on the Contract Line Item Number(s) (CLINs) and within the appendix 1 table listed within the Statement of Work (SOW). Cursive font signatures will not be accepted.

In addition, the below is required:

a. Certificates showing the vendor is accredited by the American Industrial Hygiene Association and ISO/ IEC17025:2017. Responses without the proper certificates will not be considered conforming and will not be considered for this opportunity.

b. Confirm that all testing needs can be met, specifically the organic testing.

-Vendor to reference request for quotes number (RFQ#) HT940626QE099 on all inquiries.

-All proposals should be inclusive of all costs (e.g. Shipping and Handling). Shipping should be included in the quote total, but NOT separately priced; shipping costs are always considered in the evaluation process.

- Award will be made on the basis of the lowest evaluated price and the capability to meet the requirements detailed in the Statement of Work.

PROMPT PAYMENT

For Prompt Payment Act purposes, this contract is subject to the 7 calendar day constructive acceptance period.

Billing / Payment in arrears

For all questions, POC:

Carol E. Uebelacker

Contracting Officer, Branch5

Healthcare Contracting Division (HCD - Southeast)

Defense Health Agency Contracting Activity (DHACA)

Carol.e.uebelacker.civ@health.mil

DFARS Clauses Incorporated by Reference

Number Title Effective Date

Alternate/ Deviation

Variation Effective Date

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports. Dec 2018

DFARS Clauses Incorporated by Full Text

252.232-7006 Wide Area WorkFlow Payment Instructions. (Jan 2023)

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

(a) As used in this clause- Definitions.

"Department of Defense Activity Address Code (DoDAAC)" is a six position code that uniquely identifies a unit, activity, or organization.

"Document type" means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

"Local processing office (LPO)" is the office responsible for payment certification when payment certification is done external to the entitlement system.

"Payment request" and "receiving report" are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Electronic invoicing.

Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) To access WAWF, the Contractor shall- WAWF access.

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site WAWF training.

before submitting payment requests through WAWF. Both can be accessed by selecting the "Web Based Training" link on the WAWF home page at https:// wawf.eb.mil/

(e) Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol. WAWF methods of document submission.

(f) The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for WAWF payment instructions.

this contract or task or delivery order:

(1) The Contractor shall submit payment requests using the following document type(s): Document type.

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items-

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

(Contracting Officer: Insert applicable invoice and receiving report document type(s) for fixed price line items that require shipment of a deliverable.)

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

2 in 1 services only

(Contracting Officer: Insert either "Invoice 2in1" or the applicable invoice and receiving report document type(s) for fixed price line items for services.)

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial financing, submit a commercial financing request.

(2) ) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

[Note: The Contractor may use a WAWF "combo" document type to create some combinations of invoice and receiving report in one step.]

(3) The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating Document routing.

payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC HQ0490

Issue By DoDAAC HT9406

Admin DoDAAC HT9406

Inspect By DoDAAC HT0466

Ship To Code HT0466

Ship From Code N/A

Mark For Code N/A

Service Approver (DoDAAC) HT0466

Service Acceptor (DoDAAC) HT0466

Accept at Other DoDAAC N/A

LPO DoDAAC N/A

DCAA Auditor DoDAAC N/A

Other DoDAAC(s) N/A

(*Contracting Officer: Insert applicable DoDAAC information. If multiple ship to/acceptance locations apply, insert "See Schedule" or "Not applicable.")

(**Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)

(4) The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in Payment request.

accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F. Receiving report.

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.

Jeffrey Weddle, jeffrey.a.weddle.civ@health.mil

(Contracting Officer: Insert applicable information or "Not applicable.")

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.

(End of clause)

Special Contract Requirements

Contract Clauses

FAR Clauses Incorporated by Reference

Number Title Effective Date

Alternate/ Deviation

Variation Effective Date

52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements. Jan 2017 52.204-13 System for Award Management-Maintenance. (Deviation 2026-O0038) Feb 2026

52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded. (Deviation 2026-O0038)

Feb 2026

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (Deviation 2026-O0038) Feb 2026 52.212-4 Terms and Conditions-Commercial Products and Commercial Services. (Deviation 2026-O0038) Feb 2026 52.222-3 Convict Labor. (Deviation 2026-O0038) Feb 2026 52.222-36 Equal Opportunity for Workers with Disabilities. (Deviation 2026-O0038) Feb 2026 52.222-50 Combating Trafficking in Persons. (Deviation 2026-O0038) Feb 2026 52.222-90 Addressing DEI Discrimination by Federal Contractors. (Deviation 2026-O0040, Revision 1) Apr 2026 52.223-23 Sustainable Products. (Deviation 2026-O0038) Feb 2026 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving. May 2024 52.229-12 Tax on Certain Foreign Procurements. (Deviation 2026-O0038) Feb 2026 52.232-18 Availability of Funds. Apr 1984 52.232-33 Payment by Electronic Funds Transfer-System for Award Management. Oct 2018 52.232-40 Providing Accelerated Payments to Small Business Subcontractors. Mar 2023 52.233-3 Protest after Award. (Deviation 2026-O0038) Feb 2026 52.233-4 Applicable Law for Breach of Contract Claim. (Deviation 2026-O0038) Feb 2026 52.240-91 Security Prohibitions and Exclusions. (Deviation 2026-O0038) Feb 2026 52.244-6 Subcontracts for Commercial Products and Commercial Services. (Deviation 2026-O0038) Apr 2026 52.249-4 Termination for Convenience of the Government (Services) (Short Form). Apr 1984

DFARS Clauses Incorporated by Reference

Number Title Effective Date

Alternate/ Deviation

Variation Effective Date

252.203-7000 Requirements Relating to Compensation of Former DoD Officials. Sep 2011 252.203-7002 Requirement to Inform Employees of Whistleblower Rights. Dec 2022 252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting. May 2024 252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services. Jan 2023 252.204-7022 Expediting Contract Closeout. May 2021 252.225-7056 Prohibition Regarding Business Operations with the Maduro Regime. Jan 2023 252.225-7060 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region. Jun 2023 252.232-7010 Levies on Contract Payments. Dec 2006 252.237-7010 Prohibition on Interrogation of Detainees by Contractor Personnel. Jan 2023 252.247-7023 Transportation of Supplies by Sea. Oct 2024

FAR Clauses Incorporated by Full Text

52.217-8 Option to Extend Services. (Nov 1999)

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. The Contracting Officer may exercise the option by written notice to the Contractor within [insert the period 30 of time within which the Contracting Officer may exercise the option].

(End of clause)

52.217-9 Option to Extend the Term of the Contract. (Mar 2000)

OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

The Government may extend the term of this contract by written notice to the Contractor within [insert the period of time within which the Contracting (a) 30 Officer may exercise the option]; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least days[30 60days

] before the contract expires. The preliminary notice does not commit the Government to an extension.unless a different number of days is inserted

If the Government exercises this option, the extended contract shall be considered to include this option clause.(b)

The total duration of this contract, including the exercise of any options under this clause, shall not exceed (months) (years).(c) 60

(End of clause)

52.252-2 Clauses Incorporated by Reference. (Feb 1998)

CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://acquisition.gov/far [Insert one or more Internet addresses]http://www.acq.osd.mil/dpap/dars/dfars/index.htm ____

(End of clause)

List of Attachments

Representations, Certification, & Other Statements

FAR Clauses Incorporated by Reference

Number Title Effective Date

Alternate/ Deviation

Variation Effective Date

52.240-90 Security Prohibitions and Exclusions Representations and Certifications. (Deviation 2026-O0038) Feb 2026

DFARS Clauses Incorporated by Reference

Number Title Effective Date

Alternate/ Deviation

Variation Effective Date

252.203-7005 Representation Relating to Compensation of Former DoD Officials. Sep 2022 252.204-7008 Compliance with Safeguarding Covered Defense Information Controls. Oct 2016 252.225-7055 Representation Regarding Business Operations with the Maduro Regime. May 2022 252.225-7059 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region-Representation. Jun 2023

FAR Clauses Incorporated by Full Text

52.229-11 Tax on Certain Foreign Procurements-Notice and Representation. (Deviation 2026-O0038) (Feb 2026)

TAX ON CERTAIN FOREIGN PROCUREMENTS-NOTICE AND REPRESENTATION (FEB 2026) (DEVIATION 2026-O0038)

(a) . As used in this provision-Definitions

Foreign person means any person other than a United States person.

Specified Federal procurement payment means any payment made pursuant to a contract with a foreign contracting party that is for goods, manufactured or produced, or services provided in a foreign country that is not a party to an international procurement agreement with the United States. For purposes of the prior sentence, a foreign country does not include an outlying area of the United States.

United States person as defined in 26 U.S.C. 7701(a)(30) means

(1) A citizen or resident of the United States;

(2) A domestic partnership;

(3) A domestic corporation;

(4) Any estate (other than a foreign estate, within the meaning of 26 U.S.C. 701(a)(31)); and

(5) Any trust if-

(i) A court within the United States is able to exercise primary supervision over the administration of the trust; and

(ii) One or more United States persons have the authority to control all substantial decisions of the trust.

(b) Unless exempted, there is a 2 percent tax of the amount of a specified Federal procurement payment on any foreign person receiving such payment. See 26 U.S.C. 5000C and its implementing regulations at 26 CFR 1.5000C-1 through 1.5000C-7.

(c) Exemptions from withholding under this provision are described at 26 CFR 1.5000C-1(d)(5) through (7). The Offeror may claim an exemption from the withholding by using the Department of the Treasury Internal Revenue Service (IRS) Form W-14, Certificate of Foreign Contracting Party Receiving Federal Procurement Payments, available at www.irs.gov/w14. Any exemption claimed and self-certified on the IRS Form W-14 is subject to audit by the IRS. Any disputes regarding the imposition and collection of the 26 U.S.C. 5000C tax are adjudicated by the IRS as the 26 U.S.C. 5000C tax is a tax matter, not a contract issue. The IRS Form W-14 is provided to the acquiring agency rather than to the IRS.

(d) For purposes of withholding under 26 U.S.C. 5000C, the Offeror represents that

(1) It is is not a foreign person; and

(2) If the Offeror indicates "is" in paragraph (d)(1) of this provision, then the Offeror represents that-I am claiming on the IRS Form W-14 a full exemption, or partial or no exemption [ ] from the excise tax.Offeror must select one

(e) If the Offeror represents it is a foreign person in paragraph (d)(1) of this provision, then-

(1) The clause at FAR 52.229-12, Tax on Certain Foreign Procurements, will be included in any resulting contract; and

(2) The Offeror shall submit with its offer the IRS Form W-14. If the IRS Form W-14 is not submitted with the offer, exemptions will not be applied to any resulting contract and the Government will withhold a full 2 percent of each payment.

(f) If the Offeror selects "is" in paragraph (d)(1) and "partial or no exemption" in paragraph (d)(2) of this provision, the Offeror will be subject to withholding in accordance with the clause at FAR 52.229-12, Tax on Certain Foreign Procurements, in any resulting contract.

(g) A taxpayer may, for a fee, seek advice from the IRS as to the proper tax treatment of a transaction. This is called a private letter ruling. Also, the IRS may publish a revenue ruling, which is an official interpretation by the IRS of the Internal Revenue Code, related statutes, tax treaties, and regulations. A revenue ruling is the conclusion of the IRS on how the law is applied to a specific set of facts. For questions relating to the interpretation of the IRS regulations go to https:// www.irs.gov/help/tax-law-questions.

(End of provision)

DFARS Clauses Incorporated by Full Text

252.204-7017 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services- Representation. (May 2021)

PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE TELECOMMUNICATIONS EQUIPMENT OR SERVICES-REPRESENTATION (MAY 2021)

The Offeror is not required to complete the representation in this provision if the Offeror has represented in the provision at 252.204-7016, Covered Defense Telecommunications Equipment or Services-Representation, that it "does not provide covered defense 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."

(a) . "Covered defense telecommunications equipment or services," "covered mission," "critical technology," and "substantial or essential Definitions component," as used in this provision, have the meanings given in the 252.204-7018 clause, Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services, of this solicitation.

(b) . Section 1656 of the National Defense Authorization Act for Fiscal Year 2018 (Pub. L. 115-91) prohibits agencies from procuring or obtaining, Prohibition or extending or renewing a contract to procure or obtain, any equipment, system, or service to carry out covered missions that uses covered defense telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system.

(c) . The Offeror shall review the list of excluded parties in the System for Award Management (SAM) at for entities that are Procedures https://www.sam.gov excluded when providing any equipment, system, or service to carry out covered missions that uses covered defense telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system, unless a waiver is granted.

(d) . If in its annual representations and certifications in SAM the Offeror has represented in paragraph (c) of the provision at 252.204-7016, Representation Covered Defense Telecommunications Equipment or Services-Representation, that it "does" provide covered defense 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, then the Offeror shall complete the following additional representation:

The Offeror represents that it will will not provide covered defense telecommunications equipment or services as a part of its offered products or services to DoD in the performance of any award resulting from this solicitation.

(e) . If the Offeror has represented in paragraph (d) of this provision that it "will provide covered defense telecommunications equipment or Disclosures services," the Offeror shall provide the following information as part of the offer:

(1) A description of all covered defense telecommunications equipment and services offered (include brand or manufacturer; product, such as model number, original equipment manufacturer (OEM) number, manufacturer part number, or wholesaler number; and item description, as applicable).

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

(3) For services, the entity providing the covered defense telecommunications services (include entity name, unique entity identifier, and Commercial and Government Entity (CAGE) code, if known).

(4) For equipment, the entity that produced or provided the covered defense telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known).

(End of provision)

Instructions, Conditions, & Notices to Offerors or Quoters

FAR Clauses Incorporated by Reference

Number Title Effective Date

Alternate/ Deviation

Variation Effective Date

52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements-Representation.

Jan 2017

52.204-7 System for Award Management-Registration. (Deviation 2026-O0038) Feb 2026 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services. (Deviation 2026-O0038) Feb 2026 52.214-12 Preparation of Bids. Apr 1984

DFARS Clauses Incorporated by Reference

Number Title Effective Date

Alternate/ Deviation

Variation Effective Date

252.204-7024 Notice on the Use of the Supplier Performance Risk System. Mar 2023

Evaluation Factors for Award

FAR Clauses Incorporated by Reference

Number Title Effective Date

Alternate/ Deviation

Variation Effective Date

52.217-3 Evaluation Exclusive of Options. Apr 1984

HCD SOUTHEAST, 808 SCHREIDER STREET

FREDERICK, MD 21702

UNITED STATES

Carol Uebelacker, Email: carol.e.uebelacker.civ@health.mil Telephone: 2109528111