Solicitation W912K6-21-Q-0028 (2).pdf

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UNITED STATES PROPERTY & FISCAL OFFICE FOR MARYLAND

CONTRACTING DIVISION

301 OLD BAY LANE, STATE MILITARY RESERVATION

HAVRE DE GRACE, MARYLAND 21078-4003

SUBJECT: Request for Quotation (RFQ) W912K6‐21‐Q‐0028 Freedom Readiness Center (location: 6501 Sykesville Road, Eldersburg, Maryland 21784)

Maryland Army National Guard (MDARNG)

NAICS: 423440

PSC: 7320

DATE: 24 JUNE 2021

ISSUED BY: United States Property & Fiscal Office (USPF&O) For Maryland

ATTN: Bill Wittman, Contracting Specialist Contracting Division 301 Old Bay Lane, State Military Reservation Havre De Grace, MD 21078‐4094

RFQ DUE DATE: No Later Than 27 JULY 2021, 10 AM EST

SCHEDULE OF SUPPLIES/SERVICES:

Purpose:

The Maryland Army National Guard is finalizing the construction of the Freedom Readiness Center. The project consists of a 65,000 SF building with office spaces, classroom, an assembly hall, kitchen, work bay and storage areas, as well as physical fitness, bathroom and locker room areas.

The Maryland Army National Guard is soliciting proposals for the supply and installation of kitchen equipment, consisting of worktables, warmers, refrigerators, juicers, mixers and other various commercial grade kitchen equipment and appliances.

Synopsis:

"PLEASE READ THIS NOTICE CAREFULLY AS IT CONSTITUTES THE ONLY NOTICE THAT WILL BE ISSUED." YOU MUST INCLUDE YOUR CAGE CODE, Tax ID Number, & DUNS NUMBER WITHIN

YOUR PROPOSAL.

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format prescribed in the Federal Acquisition Regulations (FAR) subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. Solicitation W912K6-21-Q-0028 is issued as a request for quotation (RFQ). The results of this requirement will be a Firm‐Fixed priced (FFP) contract issued in accordance with FAR 13.5 procedures. The right to make multiple awards or no award is reserved in the event it is advantageous to the Government to do so. The RFQ is being conducted as a total small business set‐aside.

The associated North American Industrial Classification System (NAICS) Code for this procurement is 423440 Other Management Consulting Services with a small business size

pg. 3 standard of 100 employees. This requirement is a Total Set Aside for small business. This RFQ incorporates provisions and clauses in effect through Federal Acquisition Circular 2020‐04. This requirement will be awarded on a commercial item Firm‐Fixed Price contract under procedures of FAR Parts 12 and 13. Offer must be valid for 90 days. FAR Provisions and Clauses applicable to this acquisition can be obtained from the following website, http://Acquisition.gov.

Requirements:

This is a new requirement, there is no incumbent for this position. Furnish, deliver and set in place the following list of kitchen equipment. All items will be unwrapped and set in place in the kitchen. A kitchen drawing will be provided to the successful bidder. All protective covering (plastic wrap, cardboard, crating, and etc) will be removed from the site and is included and is part of this contract. The product specified by manufacturers names and part numbers are used to describe the items and set the quality, size and standard that is required. A ‘same or similar’ product as that specified by manufacturers names and part numbers may be used to satisfy the requirements listed.

Proposal Item #1: Tray and Silverware Dispensers – Cantilever Style, Mobile Adjustable ‐ Piper

ATCA‐ST‐OSW8

Quantity: 3

• Perimeter Bumper

• Polyurethane, heavy duty 5” swivel double ball bearing casters with non‐marking rubber tires

• Two locking casters

• Support 10”x14” compartment trays

• Silverware Cylinder, plastic (each, 8 required)

Proposal Item # 2: Mobile Dish Dispenser – Piper Model 4ATG Quantity: 2

• Unheated tubular frame

• Dispense bowls with 5‐5/8” outside diameter

• Polyurethane 5” casters (set of 4), non‐marking

• Rotating Bumpers

• Stainless Steel Tube Covers

Proposal Item # 3: Tumbler Dispenser – Piper AC‐ST‐2020‐14OZ Quantity: 3

• 26‐1/8"W x 28‐1/8"D x 35‐1/2"H ‐ Mobile Cabinet, 155 lbs.,

• Capacity (425) Plastic tumblers (up to 14 ounce)

• 5” Polyurethane Caster, heavy duty swivel double ball bearing casters with non‐marking rubber tires

• Two locking casters

• Vertical Bumper, reinforced, non‐marking

Proposal Item # 4: Juice Dispenser – Crathco Classic Bubblers Double Bowl Model D25‐3 Quantity: 1

• Refrigerated, double bowl, 5 gallon capacity

• Stainless steel side panels and drip tray

• Electrical ‐ 120V / 660W / 6A 1Ph

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• Valve Locking Box ‐ Secures the valve from dispensing during off‐hours ‐ not to be used with non‐contact handle

• Liquid Auto Fill ‐ Ensures proper product and mixing consistency, eliminates need for frequent manual mixing

• Condensation Cover ‐ Direct and conceal condensation in high humidity or outdoor locations

Proposal Item #5: Refrigerated Salad/Food Bar – Piper Products/Servolift Eastern Model No. 5‐ BCM Elite Cold Food Serving Counter Quantity: 1

• Overall size 74" Length x 36" High

• 14‐gauge stainless steel top with 1‐1/2” turndown on all sides

• Top secured by four recessed bolts for easy access

• 14‐gauge stainless steel legs fastened to 18‐gauge stainless steel bottom shelf

• 20‐gauge stainless steel end and front panels are attached to legs

• 20‐gauge stainless steel fully welded 5” deep well with drain

• 120 volts single‐phase and eight foot electrical cord with NEMA 5‐15P plug

• Solid 3‐ribbed tray slide, 16‐gauge stainless steel, double side

• Buffet double display two‐sided protector guard; Buffet end guards, right or left

Proposal Item #6: Stainless Steel Insert Pan Full Size Quantity: 12

• Pan size 20” x 12” x 6”

• Stainless Steel Proposal Item #6a: Stainless Steel Insert Pan Half Size Quantity: 12

• Pan size 12” x 10” x 6”

• Stainless Steel

Proposal Item #6b: Stainless Steel Insert Pan Half Long Size Quantity: 12

• Pan size 20” x 6” x 6”

• Stainless Steel

Proposal Item #6c: Stainless Steel Insert Pan 1/4 Size Quantity: 12

• Pan size 10” x 6” x 6”

• Stainless Steel

Proposal Item #6d: Stainless Steel Insert Pan Full Size Quantity: 12

• Pan size 20” x 12” x 4”

• Stainless Steel

Proposal Item #6e: Stainless Steel Insert Pan Half Size Quantity: 6

• Pan size 12” x 10” x 4”

• Stainless Steel

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Proposal Item #6f: Stainless Steel Insert Pan Half Long Size Quantity: 6

• Pan size 20” x 6” x 4”

• Stainless Steel

Proposal Item #6g: Stainless Steel Insert Pan 1/4 Size Quantity: 6

• Pan size 10” x 6” x 4”

• Stainless Steel

Proposal Item #7: Worktable – Advance Tabco – SS302 Quantity – 1

• Overall size 24” L x 30” W

• Stainless Steel Legs and Undershelf

• Top 14 gauge stainless steel

• Shelf 18 Gauge stainless steel

Proposal Item #8: Worktable – Advance Tabco – SS305 Quantity – 1

• Overall size 60” L x 30” W

• Stainless Steel Legs and Undershelf

• Top 14 gauge stainless steel

• Shelf 18 Gauge stainless steel

Proposal Item #9: Worktable – Advance Tabco – SS307 Quantity – 1

• Overall size 84” L x 30” W

• Stainless Steel Legs and Undershelf

• Top 14 gauge stainless steel

• Shelf 18 Gauge stainless steel

Proposal Item #10: Food Mixing Machine – Hobart Legacy HL200 Mixer Quantity – 1

• Heavy‐Duty 1⁄2 H.P. Motor, 120v

• 20‐Quart All Purpose Mixer

• Three Fixed Speeds Plus Stir Speed

• Standard Accessory Package

• 20 Quart Stainless Steel Bowl

• 20 Quart “B” Beater

• 20 Quart “D” Whip

• 20 Quart “ED” Dough Hook

Proposal Item #10a: Mixer Stand and Attachment Post – Advance Tabco MX‐SS‐302 Quantity – 1

• Overall size 30”x24” (utensil rack to 54”)

• TOP is 14 gauge stainless steel with galvanized understructure

• UNDERSHELF is 18 gauge stainless steel

• LEGS are 1 5/8” diameter tubular stainless steel with stainless steel bullet feet & gussets

• UTENSIL RACK on MX‐SS Series is 1 5/8” dia. stainless steel tubing with stainless steel hooks

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Proposal Item #11: Electric Can Opener – Edlund Model 270 Quantity – 1

• Heavy duty stainless steel construction

• Two‐speed motor for opening large or small cans, fast

• Removable knife holder and knife require no tools

• Gear and shield prevent splash‐back from entering interior

• Electrical ‐ 115 volt, 1.2 Amp 60 Hz

Proposal Item #12: Slicer ‐ Hobart HS9 Quantity – 1

• Automatic Slicer/Anodized Finish with Removable Knife Feature

• 1⁄2 H.P. Knife Drive Motor

• Electrical ‐ 120/60/1; 5.6 Amps

• Heavy‐Gauge Stainless Steel Knife Cover

• Zero Knife Exposure

• Accessory Kit

• Full Fence

• Food Chute

• Slaw Tray

• Debris Deflector

Proposal Item #13: Bun Pack Rack – Channel Model #AXD1820 Quantity – 1

• 3” Spacing, 20 Pan Capacity

• 70”H x 21 ½”W x 26” D

• Mobile multi‐purpose racks for holding, storing and transporting of both plastic and aluminum. 18 X 26 Bun Pans, 18 X 13 Bun Pans, and 17 X 25 Fryer Screens

• Casters, full swivel, non‐marking polyurethane, heavy duty caster brakes (2)

• Accessories

• Pan Stop

• Perimeter Bumpers

• Solid Aluminum Top

Proposal Item #14: Automatic Coffee Brewer – BUNN Axiom‐15‐3 Quantity – 1

• 3 Lower Warmers

• Electrical ‐ 120 volt, 15 amp models require 2‐wires plus ground service rated 120V, single phase, 60 Hz

• Separate hot water faucet for soups & other hot drinks

• Brews up to 4.2 gallons of coffee per hour

• Furnish and install 10’ of flexible tubing for connection to water supply

Proposal Item #14a: Coffee Maker Decanter Quantity – 6

• 4 each Black handle decanter compatible with coffee maker

• 2 each Orange handle decanter compatible with coffee maker

Proposal Item #15: Shelving Unit (6) Metro Metro‐Max Q Quantity – 14

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• Each shelf unit to be made up of five (5) shelves, four (4) posts, two (2) casters and two

(2) casters with brakes at diagonally opposite corners

• Install bottom shelf at 10” above finished floor, and all others equally spaced above

• Standard Accessories: Frame, mat and wedge connectors.

• Stainless Steel

• Stainless Steel Post at 74UPS

• 12 each – Dimensions 24”x48”

• 2 each ‐ Dimensions 24”x36”

Proposal Item # 16: Heavy Duty Hand Truck – Lakeside Utility Cart Model #744 Quantity – 2

• Heavy duty, 700 lbs capacity

• 18 gauge reinforced stainless steel shelves; stain and rust resistant

• 3 shelves

• Accessories:

• Extended perimeter bumper

• 5” swivel casters

• Set of 2 each 5” brake casters

Proposal Item #17: Refrigerator – GE Profile Series 22.1 Cu Ft. Counter‐Depth Side‐by‐Side Model

PZS22MMK/MSK

Quantity – 1

• Side‐by‐side

• Stainless steel

• 22‐23 Cubic Feet

• Electrical: 120V, 15 amp

• Width – 36”

• Furnish and install 10’ of flexible tubing, with compression “tee” connector, for connection to water supply

Proposal Item #18: Countertop Refrigerator – True Model GDM‐06‐LD Counter‐Top Refrigerator Quantity – 1

• Counter‐top with swing door

• “Low‐E”, double pane thermal insulated glass door assembly with mitered plastic channel frame

• LED Interior Lighting

• Electrical ‐ 115/60/1 phase, 15 amp dedicated outlet

Proposal Item #19: Microwave Oven – GE Model #JES1656SR Quantity – 1

• Countertop

• 1.6 cubic feet capacity

• Control Type – Electric touch

• Dimensions ‐ 21‐3/4W x 12‐13/16H x 17‐11/16D

• Electrical – 120v, 1,150 Watts

Proposal Item #20: Flatware Rack – Vollrath TR2 Traex Full‐Size Beige Flatware Rack Proposal Quantity – 6

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Proposal Item #21: Plate Rack – Vollrath TR3 Traex Beige Full‐Size Plate Rack Quantity – 6

Proposal Item #22: Open End Steam Table Pan Rack – Vollrath TR22 Traex Full‐Size Beige Open End Steam Table Pan Rack Quantity – 6

Proposal Item #23: Heated Holding Cabinet ‐ Metro C5 6 Series Heated Holding Cabinet Quantity – 1

• Full Height Dutch Clear Doors (74.75” height x 29.125" wide x 32.625" deep)

• Capacity: Universal slides hold 18"x26" sheet pans or 12"x20" steam table pans on adjustable 11/2" increments; Wire Shelf interfaces with universal slide system to accommodate small items and pans

• Cabinet Material: Type 304 stainless steel; 20‐gauge polished exterior; 22‐gauge interior, or .063” aluminum, brushed exterior, natural interior

• Hinges: Self‐closing, lift‐off, double hinged, with long‐life nylon bearings

• Gaskets: High temperature, cabinet mounted, Santoprene gaskets

• Latches: Chrome plated, high‐strength magnetic pull latch with lever‐action release

• Handles: Four built‐in polymer handles

• Electrical – 120v, 15 amp

Proposal Item #24: Divider/Adapter Bar for Stainless Steel Food Pans Quantity – 12

• 4 each: 20”

• 4 each: 12”

• 4 each: 10”

• Stainless Steel

Proposal Item #25: Heavy Weight Melamine Right Hand 5 Compartment Tray ‐ Halsey 5XT Quantity – 200

• 10” x 14”

• Tan/Beige

• Scratch and break‐resistant melamine

• Dishwasher safe

Proposal Item #26: Heavy Weight Melamine Bowl ‐ Halsey 17XB Quantity – 200

• 17 oz bowl

• Tan/Beige

• Scratch and break‐resistant melamine

• Dishwasher safe

Proposal Item #27: Heavy Weight Melamine Cup ‐ Halsey 10XC Quantity – 200

• 10 oz cup

• Tan/Beige

• Scratch and break‐resistant melamine

• Dishwasher safe

Proposal Item #27: Heavy Weight Melamine Tumbler ‐ Halsey 10XT

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Quantity – 200

• 10 oz tumbler

• Tan/Beige

• Scratch and break‐resistant melamine

• Dishwasher safe

Proposal Item #28: 24" Undercounter Refrigerator with Stainless Steel Door Quantity – 1

• Cut‐out depth – 24”

• Cut‐out height – 34”

• Number of Shelves – 3

• Stainless Steel

Contract Type and Evaluation Criteria: A single firm fixed price contract will be awarded to the vendor that best meets the criteria set forth of this solicitation. Basis for award is "Lowest Price Technically Acceptable" with the quote that provides the greatest overall benefit to the government with consideration of price(3), past performance(2) and technical capability and acceptability(1). Numbers indicate order of importance from 1‐3.

Delivery Schedule: Within 60 days of contract award.

Period of performance: N/A

Notes:

Interested offerors must be registered in SAM. To register go to:

https://www.sam.gov/portal/public/SAM/ . System for Award Management (SAM) SAM.gov REGISTRATION IS FREE: There is NO FEE to register, or maintain your registration, in the System for Award Management (SAM.gov). If you receive an email from a company claiming to represent SAM.gov, be cautious. If you get an e‐mail from a company offering to help you register in SAM.gov asking you to contact them and pay them money, be cautious. These messages are not from the Federal Government. It is FREE TO REGISTER in SAM.gov for any entity. You will need your DUNS number to register. Instructions for registering are on the web page provided.

The solicitation and associated information and the plans and specifications will be available only from the Federal Business Opportunities (BETASAM) website on‐line at https://www.fbo.gov/.

BETASAM is a web‐based dissemination tool designed to safeguard acquisition‐related information for all Federal agencies. Interested bidders/offerors must register with BETASAM before accessing the system. BETASAM registration requires the following information: 1) Central Contractor Registration (CCR) Marketing Partner Identification Number (MPIN), 2) DUNS Number and CAGE Code, 3) Telephone Number, 4) Email address. Registration instructions can be found on the BETASAM website at https://www.fbo.gov/downloads/FBO_Vendor_Guide.pdf

Question Submission: Interested offerors must submit any questions concerning the solicitation at the earliest time possible to enable the Buyer to respond. Questions must be submitted via email to ng.md.mdarng.list.uspfo‐arpc@mail.mil by 13 JULY 2021 Use quote W912K6-21-Q-0028 in Subject line.

Quotes Submission: All quotes should provide their CAGE Code, DUNS number, and Tax ID Number, and Point of Contact email near the beginning of the quote. Quotes should be mailto:ng.md.mdarng.list.uspfo-arpc@mail.mil pg.

submitted by email (preferred method) to the Contracting Office at ng.md.mdarng.list.uspfo‐arpc@mail.mil; no later than 27 JULY 2021. Quotes shall be clearly marked RFQ W912K6-21-Q-0028. Offerors are hereby notified that if their quotes are not received by the date, time, and location specified in this announcement, it will not be considered by the agency. It is the responsibility of the offeror to view the website for any changes or amendments to this RFQ.

CLIN REGION

Unit Price QTY EXT. PRICE

0001 Tray and Silverware Dispensers 3 0002 Mobile Dish Dispenser 2 0003 Tumbler Dispenser 3 0004 Juice Dispenser 1 0005 Refrigerated Salad/Food Bar 1 0006 Stainless Steel Insert Pan Full Size 20” x 12” x 6” 12 0007 Stainless Steel Insert Pan Half Size 12” x 10” x 6” 12 0008 Stainless Steel Insert Pan Half Long Size 20” x 6” x 6” 12 0009 Stainless Steel Insert Pan 1/4 Size 10” x 6” x 6” 12 0010 Stainless Steel Insert Pan Full Size 20” x 12” x 4” 12 0011 Stainless Steel Insert Pan Half Size 12” x 10” x 4” 6 0012 Stainless Steel Insert Pan Half Long Size 20” x 6” x 4” 6 0013 Stainless Steel Insert Pan 1/4 Size 10” x 6” x 4” 6 0014 Worktable 24” L x 30” W 1 0015 Worktable 60” L x 30” W 1 0016 Worktable 84” L x 30” W 1 0017 Food Mixing Machine 1 0018 Mixer Stand and Attachment Post 1 0019 Electric Can Opener 1 0020 Slicer 1 0021 Bun Pack Rack 1 0022 Automatic Coffee Brewer 1 0023 Coffee Maker Decanter 6 0024 Shelving Unit 14 0025 Heavy Duty Hand Truck 2 0026 Refrigerator 1 0027 Countertop Refrigerator 1 0028 Microwave Oven 1 0029 Flatware Rack 6 0030 Plate Rack 6 0031 Open End Steam Table Pan Rack 6 0032 Heated Holding Cabinet 1

0033 Divider/Adapter Bar for Stainless Steel Food Pans 12 0034 Heavy Weight Melamine Right Hand 5 Compartment Tray 200 0035 Heavy Weight Melamine Bowl 200 0036 Heavy Weight Melamine Cup 200 0037 Heavy Weight Melamine Tumbler 200 0038 24" Undercounter Refrigerator with Stainless Steel Door 1 Total Price $

Administrative Information

State Sales Tax Exemption Number is 3000500-4

Contracting Point of Contact is

USPF&O Contracting Division: ng.md.mdarng.list.uspfo‐arpc@mail.mil

All invoices are to contain the Contractor’s Name, Contract Number, Employer Identification Number, Invoice Number, and indicate the CLIN’s that are applicable to that invoice. Invoices should state whether partial or final. Invoices are to be entered into the Wide Area Workflow (WAWF) system with a copy furnished to the Contracting Point of Contact of this contract.

Invoice inquiries are to be directed to Commercial Accounts ng.md.mdarng.mbx.mdcomaccts@mail.mil. The Contractor must be System for Award Management (SAM) Registered (previously was Central Contractor Registration, CCR) and remain SAM registered through the duration of this project.

DELIVERY OF SUPPLIES:

REFER TO ATTACHMENTS (SOW)

Applicable Clauses/Regulations:

12.301 Solicitation provisions and contract clauses for the acquisition of commercial items

12.602 Streamlined evaluation of offers

52.204‐7 System for Award Management.

52.204‐10 Reporting Executive Compensation and First‐Tier Subcontract Awards 52.204‐13 System for Award Management Maintenance.

52.204‐14 Service Contract Reporting Requirements 52.204‐16 Commercial and Government Entity Code Maintenance 52.204‐23 Prohibition on Contracting for Hardware, Software and Services Developed or Provided by Kaspersky Lab and other Covered Entities 52.204‐25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services of Equipment 52.204‐26 Covered Telecommunications Equipment or Services‐Representation.

52.209‐6 Protecting the Government's Interests when Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment 52.209‐9 Updates of Publicly Available Information Regarding Responsibility Matters mailto:ng.md.mdarng.mbx.mdcomaccts@mail.mil

52.212‐1(g) Instructions to Offerors 52.212‐2 Evaluation ‐‐ Commercial Items applies to this acquisition. Quotes will be evaluated on technical acceptability and price.

52.212‐3 Alt I, Offeror Representations and Certifications ‐‐ Commercial Items with its offer or have an Online Representations and Certification Application which is current.

52.212‐4 Contract Terms and Conditions ‐‐ Commercial Items

52.212‐5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders‐Commercial Items 52.219‐6 Notice of Total Small Business Set‐Aside 52.219‐8 Utilization of Small Business Concerns 52.219‐9 Small Business Subcontracting Plan 52.219‐28 Post Award Small Business Program Representation.

52.222‐3 Convict Labor.

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

52.222‐21 Prohibition of Segregated Facilities.

52.222‐26 Equal Opportunity.

52.222‐36 Affirmative Action for Workers with Disabilities 52.222‐42 Statement of Equivalent Rates for Federal Hires 52.222‐50 Combating Trafficking in Persons 52.222‐55 Minimum Wages Under Executive Order 13658 52.223‐5 Pollution Prevention and Right‐to‐Know Information 52.223‐18 Encouraging Contractor Policies to Ban Text Messaging while driving.

52.225‐13 Restrictions on Certain Foreign Purchases.

52.225‐25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran‐Representations 52.232‐39 Unenforceability of Unauthorized Obligation 52.232‐40 Providing Accelerated Payments to Small Business Subcontractors 52.233‐3 Protest after Award.

52.233‐4 Applicable law for Breach of Contract Claim.

52.223‐5 Pollution Prevention and Right‐to‐Know Information 52.237‐1 Site Visit 52.237‐2, Protection of Government Buildings, Equipment, and Vegetation.

52.237‐7 Indemnification and Medical Liability Insurance 52.246‐16 Responsibility for Supplies 52.247‐34, F.O.B. Destination 252.203‐7000, Requirements Relating to Compensation of Former DoD Officials 252.203‐7002, Requirement to Inform Employees of Whistleblower Rights 252.203‐7005, Representation Relating to Compensation of Former DoD Official 252.203‐7996, Prohibition on Contracting with Entities that Required Certain Internal Confidentiality Agreements – Representation.

252.203‐7997, Prohibition on Contracting with Entities that Required Certain Internal Confidentiality Agreements 252.204‐7000 Disclosure of Information 252.204‐7003 Control of government personnel work product 252.204‐7004 Alt A, System for Award Management applies to this acquisition.

252.204‐7006 Billing instructions 252.204‐7008 Compliance with Safeguarding Covered Defense Information Controls 252.204‐7009 Limitations on the Use or Disclosure of Third Party 252.204‐ 7011, Alternative Line Item Structure

252.204‐7012 Safeguarding Covered Defense Information and Cyber Incident Reporting 252.204‐7015, Notice of Authorized Disclosure of Information for Litigation Support 252.211‐7003 Item unique identification and valuation 252.225‐7001 Buy American and Balance of Payments 252.225‐7021 Trade Agreements 252.232‐7003 Electronic submission of payment requests and receiving reports 252.232‐7006 Wide Area Workflow Payment Instructions 252.239‐7001 Information Assurance Contractor Training and Certification 252.232‐7010, Levies on Contract Payment 252.244‐7000, Subcontracts for Commercial Items (JUN 2013) 252.247‐7023, Transportation of Supplies by Sea

52.204‐24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment. As prescribed in 4.2105(a), insert the following provision:

Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Aug 2020) The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it “does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument” in the provision at 52.204‐26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v) of the provision at 52.212‐3, Offeror Representations and Certifications‐Commercial Items.

(a) Definitions. As used in this provision— Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204‐25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115‐232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to— (i)Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third‐party, such as backhaul, roaming, or interconnection arrangements; or (ii)Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

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

This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to— (i)Prohibit the head of an executive agency from procuring with an entity to provide a https://acquisition.gov/content/42105-solicitation-provisions-and-contract-clause#id1989H0G40RF https://acquisition.gov/content/52204-26-covered-telecommunications-equipment-or-services-representation#id19CAC0P0ESS https://acquisition.gov/content/52212-3-offeror-representations-and-certifications-commercial-items#i1060550 https://acquisition.gov/content/52204-25-prohibition-contracting-certain-telecommunications-and-video-surveillance-services-or-equipment#id1989I600I4C service that connects to the facilities of a third‐party, such as backhaul, roaming, or interconnection arrangements; or (ii)Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

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

(d) Representation. The Offeror represents that— (1)It □ will, □ will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds “will” in paragraph (d)(1) of this section; and (2)After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that— It □ does, □ does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds “does” in paragraph (d)(2) of this section.

(e) Disclosures.

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

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

(B)A description of all covered telecommunications equipment offered (include brand;

model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and (C)Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii)For covered services— (A)If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or (B)If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

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

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

https://www.betasam.gov/

(B)A description of all covered telecommunications equipment offered (include brand;

model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and (C)Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii)For covered services— (A)If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or (B)If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of provision)

52.204‐26 Covered Telecommunications Equipment or Services‐Representation.

As prescribed in 4.2105(c), insert the following provision:

Covered Telecommunications Equipment or Services‐Representation (Oct 2020)

(a) Definitions. As used in this provision, "covered telecommunications equipment or services" and "reasonable inquiry" have the meaning provided in the clause 52.204‐25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(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 telecommunications equipment or services".

(c) (1) Representation. The Offeror represents that it □ does, □ does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

(2) After conducting a reasonable inquiry for purposes of this representation, the offeror represents that it □ does, □ does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services.

(End of provision)

52.252‐1, 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://acquisition.gov/ 52.252‐2, Clauses Incorporated by Reference 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/

A. The contractor must be SAM registered. Invoicing will be submitted electronically through

WAWF. Department of Defense FAR contract clause 252.232‐7006 Wide Area Workflow (WAWF) Payment applies.

http://acquisition.gov/

AUTHORITY: 5 U.S.C., Section 301; 10 U.S.C., Section 3013 PURPOSE: This form is used to store patient information in an automated computer system; retrieval of information is by the patient's SSN and is required to properly record Occupational Worksite Hazard Exposure Sampling Data.

DISCLOSURE: Personal information on this form is given on a voluntary basis. Failure to provide this information, however, may result in failure to obtain proper medical surveillance healthcare.

DA 4700 FORM

1 MAY 78

HSXR‐APG‐Z OP 32 1 Jan 90

UNITED STATES PROPERTY & FISCAL OFFICE FOR MARYLAND CONTRACTING DIVISION