Solicitation - W81K0026QA216.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 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.

calls)

Solicitation/Contract Form Continuation

Microscope and AccessoriesInstrument Name:

Product Service Code : 6530

W81K0026QA216

Continuation of Supplies or Services and Prices/Costs

Additional Information/Notes

Item Supplies/Service Quantity Unit Unit Price

Amount

0001 Product Service Description: BX53MTRF-S- 1-3: Microscope Frame Manufacturer's Part Number:

OLYBX53MTRF

Product Service Code: 6530 North American Industry Classification System (NAICS): 339112 Pricing Arrangement: Firm Fixed Price

1 Each

0002 Product Service Description: OLYUYCP- 11, 3-Prong Power Cord, US Style Manufacturer's Part Number: OLYUYCP- Product Service Code: 6530 North American Industry Classification System (NAICS): 339112 Pricing Arrangement: Firm Fixed Price

1 Each

0003 Product Service Description: OLY3-U137, U-TBI-3-CLI; Tilt Bino Observ Manufacturer's Part Number: OLY3-U137 Product Service Code: 6530 North American Industry Classification System (NAICS): 339112 Pricing Arrangement: Firm Fixed Price

1 Each

0004 Product Service Description: OLYU-SD03- 1-7, Dual Observ Attachment Manufacturer's Part Number: OLYU-SD03- 1-7 Product Service Code: 6530 North American Industry Classification System (NAICS): 339112

1 Each

Pricing Arrangement: Firm Fixed Price

0005 Product Service Description: OLY2- U100H6, WHN10X-H-1-8;10X Eyepiece, Manufacturer's Part Number: OLY2- U100H6 Product Service Code: 6530 North American Industry Classification System (NAICS): 339112 Pricing Arrangement: Firm Fixed Price

1 Each

0006 Product Service Description: TRAINING, Set-up & Training incl/Travel Manufacturer's Part Number: SET-UP Product Service Code: 6530 North American Industry Classification System (NAICS): 339112 Pricing Arrangement: Firm Fixed Price

1 Each

0007 Product Service Description: OLYU-R106, Sextuple Revolving Nosepiece Manufacturer's Part Number: OLYU-R106 Product Service Code: 6530 North American Industry Classification System (NAICS): 339112 Pricing Arrangement: Firm Fixed Price

1 Each

0008 Product Service Description: OLY6-U1212, Swing Condenser, NA 0.9/0.17, Manufacturer's Part Number: OLY6-U1212 Product Service Code: 6530 North American Industry Classification System (NAICS): 339112 Pricing Arrangement: Firm Fixed Price

1 Each

0009 Product Service Description: OLY1- U2B522, U PLAN Fluorite 4X Objectiv Manufacturer's Part Number: OLY1- U2B522

1 Each

Product Service Code: 6530 North American Industry Classification System (NAICS): 339112 Pricing Arrangement: Firm Fixed Price

0010 Product Service Description: OLY4-U130, U-SVRB4; Square Mech Stage, Manufacturer's Part Number: OLY4-U130 Product Service Code: 6530 North American Industry Classification System (NAICS): 339112 Pricing Arrangement: Firm Fixed Price

1 Each

0011 Product Service Description: OLY4-U142, LFT Release Slideholder, Dble Manufacturer's Part Number: OLY4-U142 Product Service Code: 6530 North American Industry Classification System (NAICS): 339112 Pricing Arrangement: Firm Fixed Price

1 Each

0012 Product Service Description: OLY5-UL410, BX3M-LEDT; TL LED Lamp Manufacturer's Part Number: OLY5-UL410 Product Service Code: 6530 North American Industry Classification System (NAICS): 339112 Pricing Arrangement: Firm Fixed Price

1 Each

0013 Product Service Description: OLY2-U1007, WHN10X-1-7;10X Eyepc for BX, Manufacturer's Part Number: OLY2-U1007 Product Service Code: 6530 North American Industry Classification System (NAICS): 339112 Pricing Arrangement: Firm Fixed Price

1 Each

Continuation of Description

Requirements OLYMPUS BX53 MICROSCOPE and ACCESSORIES

Continuation of Inspection and Acceptance

Overall Contract Inspection/Acceptance Locations

0001 Inspection and Acceptance Location

Both Destination Instructions: In accordance with purchase order

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

0002 Inspection and Acceptance Location

Both Destination Instructions: In accordance with purchase order

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

0003 Inspection and Acceptance Location

Both Destination Instructions: In accordance with purchase order

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

0004 Inspection and Acceptance Location

Both Destination Instructions: In accordance with purchase order

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

0005 Inspection and Acceptance Location

Both Destination Instructions: In accordance with purchase order

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

0006 Inspection and Acceptance Location

Both Destination Instructions: In accordance with purchase order

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

0007 Inspection and Acceptance Location

Both Destination Instructions: In accordance with purchase order

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

0008 Inspection and Acceptance Location

Both Destination Instructions: In accordance with purchase order

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

0009 Inspection and Acceptance Location

Both Destination Instructions: In accordance with purchase order

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

0010 Inspection and Acceptance Location

Both Destination Instructions: In accordance with purchase order

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

0011 Inspection and Acceptance Location

Both Destination Instructions: In accordance with purchase order

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

0012 Inspection and Acceptance Location

Both Destination Instructions: In accordance with purchase order

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

0013 Inspection and Acceptance Location

Both Destination Instructions: In accordance with purchase order

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Continuation of Deliveries or Performance

0001 Delivery Schedule Delivery On Or Before Delivery Date 31 Aug 2026

1 EachQuantity

Address and POC Place of Performance DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600 JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0002 Delivery Schedule Delivery On Or Before Delivery Date 31 Aug 2026

1 EachQuantity

Address and POC Place of Performance DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600 JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Special Handling/Notes

FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0003 Delivery Schedule Delivery On Or Before Delivery Date 31 Aug 2026

1 EachQuantity

Address and POC Place of Performance DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600 JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0004 Delivery Schedule Delivery On Or Before Delivery Date 31 Aug 2026

1 EachQuantity

Address and POC Place of Performance DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600 JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0005 Delivery Schedule Delivery On Or Before Delivery Date 31 Aug 2026

1 EachQuantity

Address and POC Place of Performance DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600 JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0006 Delivery Schedule Delivery On Or Before Delivery Date 31 Aug 2026

1 EachQuantity

Address and POC Place of Performance DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600 JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0007 Delivery Schedule Delivery On Or Before Delivery Date 31 Aug 2026

1 EachQuantity

Address and POC Place of Performance DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600 JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0008 Delivery Schedule Delivery On Or Before Delivery Date 31 Aug 2026

1 EachQuantity

Address and POC Place of Performance DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600 JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0009 Delivery Schedule Delivery On Or Before Delivery Date 31 Aug 2026

1 EachQuantity

Address and POC Place of Performance DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600 JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0010 Delivery Schedule Delivery On Or Before Delivery Date 31 Aug 2026

1 EachQuantity

Address and POC Place of Performance DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600 JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0011 Delivery Schedule Delivery On Or Before Delivery Date 31 Aug 2026

1 EachQuantity

Address and POC Place of Performance DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600 JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0012 Delivery Schedule Delivery On Or Before Delivery Date 31 Aug 2026

1 EachQuantity

Address and POC Place of Performance DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600 JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0013 Delivery Schedule Delivery On Or Before Delivery Date 31 Aug 2026

1 EachQuantity

Address and POC Place of Performance

DoDAAC: HT0853 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600 JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

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.

2017-01

52.204-91 Contractor Identification.

(Deviation 2026-O0038)

2026-02

52.212-4 Terms and Conditions- Commercial Products and Commercial Services. (Deviation 2026-O0038)

2026-02

52.222-19 Child Labor-Cooperation with Authorities and Remedies.

(Deviation 2026-O0038)

2026-03

52.222-50 Combating Trafficking in Persons. (Deviation 2026-O0038)

2026-02

52.222-90 Addressing DEI Discrimination by Federal Contractors.

(Deviation 2026-O0040, Revision 1)

2026-04

52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving.

2024-05

52.232-40 Providing Accelerated Payments to Small Business Subcontractors.

2023-03

52.233-3 Protest after Award. (Deviation 2026-O0038)

2026-02

52.233-4 Applicable Law for Breach of Contract Claim. (Deviation 2026- O0038)

2026-02

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.

2011-09

252.203-7002 Requirement to Inform Employees of Whistleblower Rights.

2022-12

252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services.

2023-01

252.223-7008 Prohibition of Hexavalent Chromium.

2023-01

252.225-7001 Buy American and Balance of Payments Program.

2024-02

252.225-7056 Prohibition Regarding Business Operations with the Maduro Regime.

2023-01

252.225-7060 Prohibition on Certain Procurements from the Xinjiang

2023-06

Uyghur Autonomous Region.

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

2018-12

252.232-7010 Levies on Contract Payments. 2006-12

252.247-7023 Transportation of Supplies by Sea.

2024-10

FAR Clauses Incorporated by Full Text

Date

Alternate Deviation

Variation Effective Date

52.219-4 Notice of Price Evaluation Preference for HUBZone Small Business Concerns. (Deviation

Notice of Price Evaluation preference for HUBZone Small Business Concerns (Feb 2026) (Deviation 2026-O0038)

(a) Evaluation preference.

(1) Offers will be evaluated by adding a factor of 10 percent to the price of all offers, except-

(i) Offers from HUBZone small business concerns that have not waived the evaluation preference; and

(ii) Otherwise successful offers from small business concerns.

(b) Waiver of evaluation preference. A HUBZone small business concern may choose to waive the evaluation preference. If the concern waives the preference, the factor will be added to its offer for evaluation purposes.

[ ] Offeror chooses to waive the evaluation preference.

(c) Joint venture. A HUBZone joint venture agrees that, in the performance of the contract, at least 40 percent of the aggregate work performed by the joint venture shall be completed by the HUBZone small business parties to the joint venture. Work performed by the HUBZone small business parties to the joint venture must be more than administrative functions.

(End of provision)

DFARS Clauses Incorporated by Full Text

Date

Alternate Deviation

Variation Effective Date

252.232-7006 Wide Area WorkFlow Payment Instructions. (Tailored)

2023-01

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 Electronic invoicing.

vendor payment requests and receiving reports, as authorized by 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 WAWF training.

Web-Based Training Course and use the Practice Training Site 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 WAWF methods of document submission.

entry, Electronic Data Interchange, or File Transfer Protocol.

(f) The Contractor shall use the following information when WAWF payment instructions.

submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

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

document type(s):

(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.

Invoice and Receiving Report (COMBO)

(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.

N/A

(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.

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating 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 W81K00

Admin DoDAAC W81K00

Inspect By DoDAAC

HT0853

Ship To Code

HT0853

Ship From Code

Mark For Code

Service Approver (DoDAAC)

Service Acceptor (DoDAAC)

Accept at Other DoDAAC

LPO DoDAAC

DCAA Auditor DoDAAC

Other DoDAAC(s)

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

requirements of DFARS Appendix F.

(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.

Toribio E. Gomez, or TORIBIO.E.GOMEZ.CIV@HEALTH.MIL

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

(End of clause)

Addendum to 52.212-4, Contract Terms and Conditions - Commercial Products and Commercial Services

52.212-4 ADDENDUM

Paragraph 52.212-4(w) is hereby added:

(w) The non-FAR Part 12 discretionary FAR and DFARS clauses included herein are incorporated into this contract either by reference or in full text. If incorporated by reference, see clause 52.252- 2 herein for locations where full text can be found.

(End of Addendum)

*** END OF NARRATIVE ***

Addendum to Contract Clauses

FAR Clauses Incorporated by Reference

Number Title Effective Date

Alternate Deviation

Variation Effective Date

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations.

(Deviation 2026-O0038)

2026-02

52.213-4 Terms and Conditions-Simplified Acquisitions (Noncommercial).

(Deviation 2026-O0038)

2026-02

52.240-91 Security Prohibitions and Exclusions. (Deviation 2026- O0038)

2026-02

52.244-6 Subcontracts for Commercial Products and Commercial Services. (Deviation 2026-O0038)

2026-04

DFARS Clauses Incorporated by Reference

Date

Alternate Deviation

Variation Effective Date

252.225-7002 Qualifying Country Sources as Subcontractors.

2022-03

252.233-7001 Choice of Law (Overseas). 1997-06

FAR Clauses Incorporated by Full Text

Date

Alternate Deviation

Variation Effective Date

52.252-2 Clauses Incorporated by Reference. (Tailored)

1998-02

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://www.acquisition.gov/

(End of clause)

52.252-6 Authorized Deviations in Clauses. (Tailored)

2020-11

Authorized Deviations in Clauses (Nov 2020)

The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR (a) Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

The use in this solicitation or contract of any (48 CFR Chapter ) (b) DoD FAR Supplement 2 clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

(End of clause)

Solicitation Provisions

FAR Provisions Incorporated by Reference

Number Title Effective Date

Alternate Deviation

Variation Effective Date

52.212-1 Instructions to Offerors- Commercial Products and Commercial Services. (Deviation

DFARS Provisions Incorporated by Reference

Date

Alternate Deviation

Variation Effective Date

252.203-7005 Representation Relating to Compensation of Former DoD Officials.

2022-09

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

2023-03

252.225-7055 Representation Regarding Business Operations with the Maduro Regime.

2022-05

252.225-7059 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region- Representation.

2023-06

DFARS Provisions Incorporated by Full Text

Date

Alternate Deviation

Variation Effective Date

252.204-7016 Covered Defense Telecommunications Equipment or Services-Representation.

2019-12

COVERED DEFENSE TELECOMMUNICATIONS EQUIPMENT OR SERVICES-

REPRESENTATION (DEC 2019)

(a) Definitions. As used in this provision, "covered defense telecommunications equipment or services" has the meaning provided in the clause 252.204-7018, Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services.

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

(c) Representation. The Offeror represents that it [ ] does, [ ] 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.

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

2021-05

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) Definitions. "Covered defense telecommunications equipment or services," "covered mission," "critical technology," and "substantial or essential 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) Prohibition. Section 1656 of the National Defense Authorization Act for Fiscal Year 2018 (Pub. L. 115-91) prohibits agencies from procuring or obtaining, 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) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) at https://www.sam.gov for entities that are 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) Representation. If in its annual representations and certifications in SAM the Offeror has represented in paragraph (c) of the provision at 252.204-7016, 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) Disclosures. If the Offeror has represented in paragraph (d) of this provision that it "will provide covered defense telecommunications equipment or 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).

252.225-7000 Buy American--Balance of Payments Program Certificate.

2024-02

BUY AMERICAN-BALANCE OF PAYMENTS PROGRAM CERTIFICATE-BASIC (FEB 2024)

(a) Definitions. "Commercially available off-the-shelf (COTS) item," "component," "critical component," "critical item," "domestic end product," "foreign end product," "qualifying country," "qualifying country end product," and "United States," as used in this provision, have the meanings given in the 252.225-7001, Buy American and Balance of Payments Program-Basic clause of this solicitation.

(b) Evaluation. The Government-

(1) Will evaluate offers in accordance with the policies and procedures of Part 225 of the

Defense Federal Acquisition Regulation Supplement; and

(2) Will evaluate offers of qualifying country end products without regard to the restrictions of the Buy American statute or the Balance of Payments Program.

(c) Certifications and identification of country of origin.

(1) For all line items subject to the Buy American and Balance of Payments Program-Basic clause of this solicitation, the Offeror certifies that-

(i) Each end product, except those listed in paragraphs (c)(2) or (3) of this provision, is a domestic end product and that each domestic end product listed in paragraph (c)(4) of this provision contains a critical component or a critical item; and

(ii) For end products other than COTS items, components of unknown origin are considered to have been mined, produced, or manufactured outside the United States or a qualifying country. For those end products that do not consist wholly or predominantly of iron or steel or a combination of both, the Offeror shall also indicate whether these foreign end products exceed 55 percent domestic content, except for those that are COTS items. If the percentage of the domestic content is unknown, select "no".

(2) The Offeror certifies that the following end products are qualifying country end products:

Line Item Number Country of Origin

(3) The following end products are other foreign end products, including end products manufactured in the United States that do not qualify as domestic end products. For those foreign end products that do not consist wholly or predominantly of iron or steel or a combination of both, the Offeror shall also indicate whether these foreign end products exceed 55 percent domestic content, except for those that are COTS items. If the percentage of the domestic content is unknown, select "no".

Line Item Number Country of Origin (If known) Exceeds 55% Domestic Content (yes/no)

(4) The Offeror shall separately list the line item numbers of domestic end products that contain a critical component or a critical item (see Federal Acquisition Regulation 25.105).

Domestic end products containing a critical component or a critical item:

Line Item Number ____

[List as necessary]

Addendum to 52.212-1, Instructions to Offerors - Commercial Products and Commercial Services

Addendum to 52.212-1, Instructions to Offerors - Commercial Products and Commercial Services

ELECTRONIC SUBMISSION: Offerors shall submit electronic quotes in response to this solicitation to Mr. Derrick J. Johnson at derrick.j.johnson2.civ@health.mil The quotation must arrive by the time specified in block 8 of the solicitation. Offerors shall ensure that the SF 1449, Blocks 17a and 30a - c, are completed in their entirety, and a copy of your Certifications and Representation is submitted. The quotation shall also have a title page identifying the offeror, the full address, phone and facsimile numbers, points of contact (POCs) of the offeror, the solicitation number, and the quotation contents. Offerors must send an e-mail to Mr. Derrick J. Johnson at derrick.j.johnson2.civ@health.mil to verify receipt of quote. Please note that large files can be stripped from emails based on the amount of data transmission. Files, larger than 20MB, may need to be transmitted in separate emails. All emails, regardless of size, need to be received by the government server, by the stated date and time. The Government will not be responsible for any failure of transmission or receipt of the quotation, or any failure of the offeror to verify receipt of the emailed quotation. All quotes submitted after the deadline will be considered untimely and ineligible for award.

2. OFFEROR QUESTIONS AND CLARIFICATIONS: Any questions, comments or clarifications concerning any aspect of the solicitation shall be submitted in writing via email to Mr. Derrick J.

Johnson at derrick.j.johnson2.civ@health.mil NLT 9 Jul 2026 at 10:00 am CST. Questions or clarifications submitted should identify the topic and must reference the applicable section(s) of the solicitation (e.g., Section, paragraph, and subparagraph) and RFQ number. Answers to all questions will be posted no later than 4:00 pm CST on 13 Jul 2026.

3. QUOTATION CONTENT REQUIREMENTS: Offeror shall submit a quotation in accordance with the following format:

a. PRICING: Offeror shall complete the pricing for each of the contract line items in the Bid schedule. Offeror shall be registered and current in the System for Award Management (SAM) and shall not have any Active Exclusions listed within SAM to be eligible for award. The SAM internet web site is https://sam.gov.

Quotes are due by 16 July 2026 @ 2:00 PM, Central Standard Time.

End of 52.212-1 Addendum

*** END OF NARRATIVE ***

Addendum to Evaluation - Commercial Product and Commercial Services

ADDENDUM TO 52.212-2

Paragraph (a) is hereby replaced with the following:

1. Evaluation Process.

a. The Government will award a single contract resulting from this solicitation to the responsible contractor whose quote, conforms to the solicitation based on Price. Award will be made on an all or-none basis.

Factor 1: Price

b. Award will be on an all or none basis. The following adjectival ratings will be used in evaluating the offerors quote:

Factor 1 - Price: Quotations must include a proposed price for each Contract Line Item Number (CLIN). Offerors' price quotes will be evaluated to determine if the price is fair and reasonable.

Offeror's pricing must be determined to be fair and reasonable in order to be eligible for an award.

Options: N/A.

c. To be eligible for award, offerors must be properly registered in the System for Award Management (SAM). Offerors may obtain information on SAM and annual confirmation requirements by viewing www.sam.gov.

d. Written notice of award or acceptance of a mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding order without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

Evaluation Process: The quotes will be evaluated based on price. The award decision will be based on a fair and reasonable pricing. Offerors quote must be acceptable in order to be considered for award.

Note Section C of 52.204-26 must be returned or verify 52.204-26 has been completed with online Reps and Certs to be eligible for award.

(End of provision)

*** END OF NARRATIVE ***

Addendum to Solicitation Provisions

FAR Provisions 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.

2017-01

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

FAR Provisions Incorporated by Full Text

Date

Alternate Deviation

Variation Effective Date

52.204-90 Offeror Identification. (Deviation

Offeror Identification (Feb 2026) (Deviation 2026-O0038)

If the Offeror will not have an active Federal Government contracts registration in the System for Award Management (https://www.sam.gov) when submitting its offer, it shall complete paragraphs (c) and (d) of this provision and include its responses with its offer.

(a) Definitions. As used in this provision-

Commercial and Government Entity (CAGE) code has the meaning provided in the clause at FAR 52.204-91, Contractor Identification, of this solicitation.

Common parent means that corporate entity that owns or controls an affiliated group of corporations that files its Federal income tax returns on a consolidated basis, and of which the offeror is a member.

Electronic Funds Transfer (EFT) indicator means a bank account identifier to establish additional System for Award Management records for identifying alternative EFT accounts (see part 32) for the same entity.

Highest-level owner means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest-level owner.

Immediate owner means an entity, other than the offeror, that has direct control of the offeror.

Indicators of control include, but are not limited to, one or more of the following: ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees. There may be more than one immediate owner (e.g., joint ventures).

Predecessor means an entity whose assets were acquired by the offeror or another entity (most often through merger or acquisition) and whose affairs are now carried out by the offeror or the other entity under a new name.

Taxpayer Identification Number means the number required by the Internal Revenue Service (IRS) to be used by the offeror to report income tax and other returns. It may be either a Social Security Number or an Employer Identification Number.

Unique entity identifier (UEI) has the meaning provided in the clause at FAR 52.204-91, Contractor Identification, of this solicitation.

(b) Unique entity identifier (UEI).

(1) The Offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation "Unique Entity Identifier" followed by the UEI that identifies the Offeror's name and address exactly as stated in the offer. The Offeror shall also enter its EFT indicator, if applicable.

(2) If the Offeror does not have a UEI, it shall go to https://www.sam.gov to obtain one. The Government will independently validate the existence and uniqueness of the Offeror before assigning a UEI.

(c) Taxpayer identification. The Offeror shall provide with its offer the following information that is necessary to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d);

reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M; and the implementing IRS regulations:

(1) Taxpayer identification number (TIN)

[ ] TIN: ____;

[ ] TIN has been applied for; or

[ ] TIN is not required because:

[ ] Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States;

[ ] Offeror is an agency or instrumentality of a foreign government; or

[ ] Offeror is an agency or instrumentality of the Federal Government.

(2) Type of organization.

[ ] Sole proprietorship;

[ ] Partnership;

[ ] Corporate entity (not tax-exempt);

[ ] Corporate entity (tax-exempt);

[ ] Government entity (Federal, State, or local);

[ ] Foreign government;

[ ] International organization per 26 CFR 1.6049-4; or

[ ] Other.

(3) Common parent.

[ ] Offeror is not owned or controlled by a common parent as defined in paragraph (a) of this provision; or

[ ] Name and TIN of common parent:

Name: ____

TIN: ____

(4) The TIN provided in paragraph (c)(1) of this provision may be matched with IRS records to verify the accuracy of the Offeror's TIN. The Government may use the TIN to collect and report on any delinquent amounts arising out of the Offeror's relationship with the Government (31 U.S.

C. 7701(c)(3)).

(d) Commercial and Government Entity (CAGE) code.

(1) The Offeror shall provide its CAGE code with its offer with its name and location address or otherwise include it prominently in its offer. The CAGE code shall be for that name and location address. Insert the word "CAGE" before the code. The Offeror may obtain a CAGE code as indicated in the following table.

If the Offeror is… Then… Located in the United States or its outlying areas Submit a request to the DLA CAGE Branch via https://cage.dla.mil Located outside the United States and its outlying areas and its country is a member of the North Atlantic Treaty Organization (NATO) or a sponsored nation Contact the appropriate National Codification Bureau ( https://www.nato.int/structur/ac/135/about/contacts) Located outside the United States and its outlying areas and its country is not a member of NATO or a sponsored nation Contact the NATO Support and Procurement Agency (NSPA) ( https://eportal.nspa.nato.int/AC135Public/scage/CageList.aspx)

(2) The Offeror shall provide the CAGE code and legal business name (Do not use a "doing business as" name) for-

(i) Its immediate owner(s), if any;

(ii) Its highest-level owner, if any; and

(iii) Any predecessor(s), or predecessor of an Offeror's predecessor, that held a Federal contract or grant within the last three years.

Owner Type CAGE Code Legal Business Name Immediate owner ____ ____ Highest-level owner ____ ____ Predecessor* ____ ____

* Predecessor CAGE code may be marked "Unknown."

(3) If the Offeror has more than one immediate owner (such as a joint venture), give the information for each owner (or joint venture participant). If the Offeror has more than one predecessor, provide information for each predecessor in reverse chronological order.

52.209-2 Prohibition on Contracting With Inverted Domestic Corporations- Representation. (Deviation 2026-

Prohibition on Contracting with Inverted Domestic Corporations-Representation (Feb 2026) (Deviation 2026-O0038)

(a) Definitions. As used in this clause-

Inverted domestic corporation means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

Subsidiary means an entity in which more than 50 percent of the entity is owned-

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

(b) Government agencies are not permitted to use appropriated (or otherwise made available) funds for contracts with either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation, unless the exception at 9.108-3(b) applies or the requirement is waived in accordance with the procedures at 9.108-5.

(c) Representation. The Offeror represents that-

(1) It [ ] is, [ ] is not an inverted domestic corporation; and

(2) It [ ] is, [ ] is not a subsidiary of an inverted domestic corporation.

52.252-1 Solicitation Provisions Incorporated by Reference.

(Tailored)

1998-02

Solicitation Provisions Incorporated by Reference (Feb 1998)

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

http://www.acquisition.gov/

(End of provision)

52.252-5 Authorized Deviations in Provisions. (Tailored)

2020-11

Authorized Deviations in Provisions (Nov 2020)

The use in this solicitation of any Federal Acquisition Regulation (48 CFR Chapter 1) (a) provision with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the provision.

The use in this solicitation of any (48 CFR Chapter ) provision with an (b) DoD FAR Supplement 2 authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

MEDICAL READINESS CONTR OFFICE WEST, 3160 MCINDOE BLDG1103

JBSA FT SAM HOUSTON, TX 78234-4504

UNITED STATES

DERRICK JOHNSON, EMAIL: DERRICK.J.JOHNSON2.CIV@HEALTH.MIL TELEPHONE: 210-221-4811