OSP.pdf

SP0600-10-R-0241

Purchase Program 1.6G

OFFEROR SUBMISSION

PACKAGE

SOLICITATION: SP0600-10-R-0241, Iraq PC&S

THE ENCLOSED SOLICITATION COVERS THE PERIOD: DATE OF AWARD d

THROUGH: U31 JULY 2014

UINSTRUCTIONS U:

1. The original and one copy of the completed package must be returned to: Kim Bass/DLA Energy - PCA, Room 3928//DLA Energy//8725 John J. Kingman Road, Suite 4950//Ft. Belvoir, VA 22060- 6222 as your offer. All documents to be completed and returned are contained in this Offeror Submission Package (OSP):

U X U Standard Form 1449

U X U Certifications and Representations (Fill-in Clauses)

U X U Contractor Performance Data Sheet

(i) Be sure to proofread all offered prices submitted. They must be in dollars per US gallon (e.g. $0.0000), NOT price differentials. Offer one price per line item, which will escalate/de-escalate with the named index.

(ii) Be sure to check your offer for accuracy and legibility prior to submission. Initial all changes and, sign and date the Standard Form 1449 in ink.

(iii) If you are submitting your offer by facsimile, please limit your facsimile transmission to the contents of this package as much as possible.

(iv) By submission of this package, you are stating that all the terms and conditions of the entire solicitation are accepted and apply to your offer unless clearly stated herein.

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 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 CODE 17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

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

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

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 Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

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: REF.

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. 3/2005)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITON IS

UNRESTRICTED OR

NAICS:

SIZE STANDARD:

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

OFFER

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS

EMERGING SMALL

BUSINESS

8(A)

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE 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

FPH1429

Typewritten Text 424720

FPH1429

Typewritten Text

INT-B1.05-2 SUPPLIES TO BE FURNISHED (OVERSEAS PC&S) (PORTS INTERNET APPLICATION) (DLA ENERGY

MAY 2001)

(a) The supplies to be furnished during the period specified in the REQUIREMENTS clause, the delivery points, methods of delivery, and estimated quantities are shown below. The quantities shown are best estimates of required quantities only. Unless otherwise specified, the total quantity ordered and required to be delivered may be greater than or less than such quantities. The Government agrees to order from the Contractor and the Contractor shall, if ordered, deliver during the contract period all items awarded under this contract. The prices paid shall be the unit prices specified in subsequent price change modifications issued in accordance with the ECONOMIC PRICE ADJUSTMENT clause.

(b) In an emergency, oral orders may be issued but must be confirmed in writing via a PORTS-generated order within 24 hours or one business day. See the PAPERLESS ORDERING AND RECEIPT TRANSACTION SCREENS (PORTS) INTERNET APPLICATION clause.

(c) Offers shall not be submitted for quantities less than the estimated quantities specified below for each line item. Offers submitted for less than the estimated quantities will not be considered for award.

SUPPLIES, DELIVERY POINTS, THREE (3) YEAR US$/GL

ITEMS AND METHOD OF DELIVERY ESTIMATED QUANTITY OFFER PRICE

120 MOSUL

IZ, ARMY, DIAMONDBACK

IRAQ

DELIVERY DODAAC: W91KVS

BILLING DODAAC : W91KVS

ORDERING OFFICE: 90-322-216-3409/3407

ORDERING DODAAC : SJ0601

DANIEL SCHMIDT, DLA Energy-EA 011-49-631-411-5355 daniel.schmidt@dla.mil

120-77 MTP (TUPRAS 243) TURKISH MUP 840,000 GL $____________________

***PORTS ACTIVE***

TANK TRUCK (TT), INTO UNDETERMINED NUMBER

AND UNDETERMINED CAPACITY OF BLADDERS.

NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY TICKETS

ARE SIGNED BY A U.S. GOV'T REPRESENTATIVE AND

CONTAIN SIGNATORY'S PRINTED NAME, ORGANIZATION AND

THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY

LOCATION. ESCORT REQUIRED WHILE IN IRAQ.

THIS FUEL IS CAPITALIZED

120-84 DIESEL FUEL (TURKEY PC&S) 2,835,000 GL $____________________

TANK TRUCK (TT), INTO UNDETERMINED NUMBER AND

UNDETERMINED CAPACITY OF BLADDERS.

NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY TICKETS

ARE SIGNED BY A U.S. GOV'T REPRESENTATIVE AND

CONTAIN SIGNATORY'S PRINTED NAME, ORGANIZATION AND

THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY

120-LL AVIATION GASOLINE (100LL) DYED 204,120 GL $____________________

AVGAS 130 OR COMMERCIAL EQUIV

DRUMS (DR), ALL DRUMS TO BE NEW 55 GAL, 18 GAUGE

FILLED TO A MAXIMUM OF 53 GAL

NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY TICKETS

ARE SIGNED BY A U.S. GOVERNMENT REPRESENTATIVE AND

CONTAIN SIGNATORY'S PRINTED NAME, ORGANIZATION AND

THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY

SUPPLIES, DELIVERY POINTS, THREE (3) YEAR US$/GL

ITEMS AND METHOD OF DELIVERY ESTIMATED QUANTITY OFFER PRICE

121 BASRAH

IZ, ARMY, 17TH FIRES BRIGADE

COB BASRAH, APO, AE 09364

CPT RONALD SEVAK

DEPUTY LOG OPS

858-4244

IRAQ

DELIVERY DODAAC: W90YDF

BILLING DODAAC : W90YDF

ORDERING OFFICE: 858-4244

ORDERING DODAAC : W90YDF

DANIEL SCHMIDT, DLA Energy-EA 011-49-631-411-5355 daniel.schmidt@dla.mil

121-LL AVIATION GASOLINE (100LL) DYED 180,000 GL $___________________

TANK TRUCK (TT), ISO CONTAINERS TO COB BASRAH

FLIGHT LINE

DELIVERY HOURS: 0800-1700 MONDAY TO FRIDAY

DELIVERY POC: CPT RONALD SEVAK DEPUTY LOG OPS AT

858-4244. NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY

TICKETS ARE SIGNED BY A U.S. GOV’T REPRESENTATIVE

AND CONTAIN SIGNATORY’S PRINTED NAME, ORGANIZATION

AND THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY LOCATION.

MUTLIPLE DELIVERY TICKETS REQUIRED. ESCORT REQUIRED WHILE IN IRAQ.

122 ALI AIR BASE

IZ, USAF, 407TH AEG/ELRS/POL

ALI AIR BASE, IRAQ

POC: SMSgt DAVID G. ELLIS david.ellis@tlab.afcent.af.mil

DSN 318-445-2505

IRAQ

DELIVERY DODAAC: UCTALI

BILLING DODAAC: UCTALI

ORDERING OFFICE: DSN 318-445-2505

ORDERING DODAAC: UCTALI

DANIEL SCHMIDT, DLA Energy-EA 011-49-631-411-5355 daniel.schmidt@dla.mil

122-LL AVIATION GASOLINE (100LL) DYED 402,000 GL $____________________

TANK TRUCK (TT), ISO CONTAINERS TO ALI AIR BASE

DELIVERY HOURS: 0630-1830 MONDAY THRU FRIDAY

DELIVERY POC: SMSgt DAVID G. ELLIS AT DSN

318-445-2505 NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY

TICKETS ARE SIGNED BY A U.S. GOV’T REPRESENTATIVE

AND CONTAIN SIGNATORY’S PRINTED NAME, ORGANIZATION

AND THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY LOCATION.

MULTIPLE DELIVERY TICKETS REQUIRED. ESCORT REQUIRED WHILE IN IRAQ.

130 CAMP ANACONDA

IZ, ARMY

IRAQ

DELIVERY DODAAC: W910M1

BILLING DODAAC: W9117F

ORDERING OFFICE: 90-322-216-9409/3407

ORDERING DODAAC: SJ0601

DANIEL SCHMIDT, DLA Energy -EA 011-49-631-411-5355 daniel.schmidt@dla.mil

SUPPLIES, DELIVERY POINTS, THREE (3) YEAR US$/GL

ITEMS AND METHOD OF DELIVERY ESTIMATED QUANTITY OFFER PRICE

130-77 MTP (TUPRAS 243) TURKISH MUP 375,000 GL $____________________

TANK TRUCK (TT),

INTO UNDETERMINED NUMBER AND UNDETERMINED CAPACITY

OF BLADDERS.

NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY TICKETS

ARE SIGNED BY A U.S. GOV'T REPRESENTATIVE AND

CONTAIN SIGNATORY'S PRINTED NAME, ORGANIZATION AND

THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY

130-84 DIESEL FUEL (TURKEY PC&S) 32,940,000 GL $____________________

NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY TICKETS

ARE SIGNED BY A U.S. GOV'T REPRESENTATIVE AND

CONTAIN SIGNATORY'S PRINTED NAME, ORGANIZATION AND

THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY

140 KIRKUK

IRAQ

DELIVERY DODAAC: UCKIKU

BILLING DODAAC : W9117F

ORDERING OFFICE: DSN 460-0423

ORDERING DODAAC : SJ0601

DANIEL SCHMIDT, DLA Energy-EA

140-LL AVIATION GASOLINE (100LL) DYED 165,000 GL $____________________

****PORTS ACTIVE****

DRUMS (DR), ALL DRUMS TO BE NEW 55 GAL, 18 GAUGE

FILLED TO A MAXIMUM OF 53 GAL .

NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY TICKETS

ARE SIGNED BY A U.S. GOVERNMENT REPRESENTATIVE AND

CONTAIN SIGNATORY'S PRINTED NAME, ORGANIZATION AND

THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY

170 TIKRIT,

IZ, ARMY, CAMP SPIECHER

IRAQ

DELIVERY DODAAC: W9044S

BILLING DODAAC : W9117F

ORDERING OFFICE: 611-380-7818

ORDERING DODAAC : SJ0601

DANIEL SCHMIDT, DLA Energy-EA

170-77 MTP (TUPRAS 243) TURKISH MUP 960,000 GL $____________________

TANK TRUCK (TT), INTO UNDETERMINED NUMBER

AND UNDETERMINED CAPACITY OF BLADDERS.

NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY TICKETS

ARE SIGNED BY A U.S. GOV'T REPRESENTATIVE AND

CONTAIN SIGNATORY'S PRINTED NAME, ORGANIZATION AND

THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY

170-84 DIESEL FUEL (TURKEY PC&S) 9,450,000 GL $____________________

NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY TICKETS

ARE SIGNED BY A U.S. GOV'T REPRESENTATIVE AND

CONTAIN SIGNATORY'S PRINTED NAME, ORGANIZATION AND

THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY

171 CAMP SPEICHER (NEAR TIKRIT)

IRAQ

DELIVERY DODAAC: W9044S

BILLING DODAAC : W9044S

ORDERING OFFICE: 0611-380-7818

ORDERING DODAAC : SJ0601

DANIEL SCHMIDT, DLA Energy-EA

171-LL AVIATION GASOLINE (100LL) DYED 540,000 GL $____________________

AVGAS 130 OR COMMERCIAL EQUIV.

TANK TRUCK (TT), W/4" MALE ADAPTER CAM LOCKS,

MINIMUM 10 FEET OF HOSE AND PUMP AND METER WILL BE

REQUIRED. INTO 3/5,000 GALLON U.S. MILITARY M969 FUEL

DISPENSING SEMI-TRAILERS. TRAILERS WILL BE BOTTOM LOADED.

GROUNDING AND OTHER INDUSTRY PRACTICED SAFETY

MEASURES SHOULD BE TAKEN. SAMPLES WILL BE DRAWN

AT DISCHARGE POINT. DISCHARGE TIME WILL BE

APPROXIMATELY ONE (1) HOUR. NOTE: CONTRACTOR MUST

ENSURE ALL DELIVERY TICKETS ARE SIGNED BY A U.S.

GOVERNMENT REPRESENTATIVE AND CONTAIN

PRINTED NAME, ORGANIZATION AND THE DATE

PRODUCT WAS RECEIVED AT THE DELIVERY

SUPPLIES, DELIVERY POINTS, THREE (3) YEAR US$/GL

ITEMS AND METHOD OF DELIVERY ESTIMATED QUANTITY OFFER PRICE

180 TALL AFAR

IZ, ARMY

IRAQ

DELIVERY DODAAC: W91J6S

BILLING DODAAC : W9117F

ORDERING OFFICE:

ORDERING DODAAC : SJ0601

DANIEL SCHMIDT, DLA Energy-EA

180-LL AVIATION GASOLINE (100LL) DYED 172,800 GL $____________________

****PORTS ACTIVE****

DRUMS (DR), ALL DRUMS TO BE NEW 55 GAL, 18 GAUGE FILLED TO A

MAXIMUM OF 53 GAL

NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY TICKETS

ARE SIGNED BY A U.S. GOVERNMENT REPRESENTATIVE AND

CONTAIN SIGNATORY'S PRINTED NAME, ORGANIZATION AND

THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY

LOCATION.ESCORT REQUIRED WHILE IN IRAQ.

910 BALAD

IZ, USAF

IRAQ

DELIVERY DODAAC: UCBALA

BILLING DODAAC : UCBALA

ORDERING OFFICE: 0611-380-7818

ORDERING DODAAC : UCBALA

DANIEL SCHMIDT, DLA Energy-EA

910-LL AVIATION GASOLINE (100LL) DYED 600,000 GL $____________________

******PORTS ACTIVE*****

TANK TRUCK (TT),

4/10,000 gallon SCAT tanks

NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY TICKETS

ARE SIGNED BY A U.S. GOVERNMENT REPRESENTATIVE AND

CONTAIN SIGNATORY'S PRINTED NAME, ORGANIZATION AND

THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY

910-LL1 AVIATION GASOLINE (100LL) DYED 105,000 GL $____________________

******PORTS ACTIVE*****

TANK TRUCK (TT), ALL DRUMS TO BE NEW 55 GAL, 18

GAUGE FILLED TO A MAXIMUM OF 53 GAL

NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY TICKETS

ARE SIGNED BY A U.S. GOVERNMENT REPRESENTATIVE AND

CONTAIN SIGNATORY'S PRINTED NAME, ORGANIZATION AND

THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY

LOCATION. THIS IS AN ALTERNATE LINE ITEM TO

910-LL. ESCORT REQUIRED WHILE IN IRAQ.

920 KIRKUK,

IZ, USAF

IRAQ

DELIVERY DODAAC: UCKIKU

BILLING DODAAC : UCKIKU

ORDERING OFFICE:

ORDERING DODAAC : UCKIKU

DANIEL SCHMIDT, DLA Energy-EA

920-77 MTP (TUPRAS 243) TURKISH MUP 675,000 GL $____________________

NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY TICKETS

ARE SIGNED BY A U.S. GOV'T REPRESENTATIVE AND

CONTAIN SIGNATORY'S PRINTED NAME, ORGANIZATION AND

THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY

920-84 DIESEL FUEL (TURKEY PC&S) 1,800,000 GL $____________________

NOTE: CONTRACTOR MUST ENSURE ALL DELIVERY TICKETS

ARE SIGNED BY A U.S. GOV'T REPRESENTATIVE AND

CONTAIN SIGNATORY'S PRINTED NAME, ORGANIZATION AND

THE DATE PRODUCT WAS RECEIVED AT THE DELIVERY

INT-B19.02 ECONOMIC PRICE ADJUSTMENT (OVERSEAS) (DLA ENERGY MAY 2007)

(a) WARRANTIES. The Contractor warrants that--

(1) The unit prices set forth in the Schedule do not include allowances for any portion of the contingency covered by this clause; and

(2) The prices to be invoiced hereunder shall be computed in accordance with the provisions of this contract.

(b) DEFINITIONS. As used throughout this clause, the term--

(1) Award price means the unit price offered by the Contractor and set forth opposite the item in the Schedule.

(2) Reference price means the market price, this is either published in an independent publication or supplied by the Contractor, with which the award price is to fluctuate. The reference price should be a market price for the same or similar product(s) as the item being purchased.

(3) Date of delivery means--

(i) FOR TANKER OR BARGE DELIVERIES.

(A) F.O.B. ORIGIN. The date and time vessel commences loading;

(B) F.O.B. DESTINATION. The date and time vessel commences discharging;

(ii) FOR PIPELINE DELIVERIES. The date and time product commences to move past the specified f.o.b.

point; and

(iii) FOR ALL OTHER TYPES OF DELIVERIES. The date product is received.

(c) ADJUSTMENTS. The prices payable under this contract shall be the award price increased or decreased by the amount, determined according to the following formula that the reference price shall have increased or decreased, to and including the date of delivery.

(1) The amount of increase or decrease in the award price shall be based on the same number of cents, or fraction thereof, that the reference price increases or decreases per like unit of measure.

(2) The reference price with which the award price for the listed item is to fluctuate (and which is more fully defined in the Table below) is-- [] (i) The low price published in __________________________________________________________.

(name of publication)

[ X] (ii) The average of the prices published in _______Platts Oilgram_____________________________.

(name of publication)

[ ] (iii) The established price posted by ______________________________________________________ and (name of company) published in _________________________________________________________.

(name of publication)

(3) COMMERCIAL. For price adjustments utilizing commercial publications such as Platts Oilgram, etc., the reference price in effect on the date of delivery shall be that item’s reference price that is in effect for the dates in the Table below. If an effective date is not cited in a publication, then the date of publication shall apply. An increase or decrease in any reference price published in a trade price service or in a commercial journal shall apply only to deliveries made on or after the effective date of such trade price service or commercial journal. In the event of a holiday for which an effective date is not used, the latest effective price(s) prior to the effective date shall be used. NOTE: Platts issues corrections to its published prices on a regular basis. Platts posts corrections to its website (www.platts.com) for its subscribers. If a correction to a reference price is found on the Platts website, all of the items that use that reference price will be corrected. DLA ENERGY will correct any other reference prices, as notice of the correction is received. DLA ENERGY will work with the pricing services to determine the appropriate price, whenever an offeror or contractor can show that the price referenced should be reviewed.

(4) NONCOMMERCIAL (NOTIFICATION). For price adjustments utilizing a reference price indicator other than commercial publications such as Platts Oilgram, the Contractor shall notify the Contracting Officer of any changes in the reference price in writing within 15 calendar days from the date thereof.

(i) INCREASES. Any increase in unit price as a result of an increase in reference price shall apply only to deliveries made on or after the date of receipt by the Contracting Officer of a written notification from the Contractor of such increase.

However, the prices payable under this contract shall in no event exceed the Contractor’s posted or established selling price in effect on the date of delivery for the product supplied in the form of delivery made at the point of delivery. Also, no notification incorporating an increase in a contract unit price shall be executed pursuant to this clause until the increase has been verified by the Contracting Officer.

(ii) DECREASES. If the Contractor fails to notify the Contracting Officer of any decrease in the reference price, within the allotted 15 day period, such decrease shall apply to all deliveries made on or after the effective date of such decrease.

However, if any overpayment is made to the Contractor as a result of the Contractor’s failure to give timely notice to the Contracting Officer of any decrease in the established price, the Contractor shall be charged interest on such overpayment from the date of the overpayment to the date of reimbursement by the Contractor for the overpayment in accordance with the Disputes paragraph of the CONTRACT TERMS AND CONDITIONS – COMMERICAL ITEMS clause of this contract.

(5) Where the reference price is the Contractor’s established price (see (c)(2)(iii) above), the Contractor warrants that the product selected is one for which, except for modification required by the specifications of this contract, the Contractor has an established price. Such price is the net price after applying any applicable standard trade discounts offered by the Contractor for its catalog, list, or schedule price. The Contractor further warrants that, as of the current date, any differences between the unit prices of the line items identified in the Schedule and the Contractor's established price for like quantities of the nearest commercial equivalents of such contract items are due to compliance with contract specifications and to compliance with any requirements that this contract may contain for preservation, packaging, and packing beyond standard commercial practice.

(d) MODIFICATIONS. Any resultant price changes shall be provided via notification through contract modifications and/or postings to the DLA ENERGY web page at http://www.energy.dla.mil/ under the heading Vendor Resources and then Product Price Adjustments.

(e) FAILURE TO DELIVER. Notwithstanding any other provisions of this clause, no upward adjustment shall apply to product scheduled under the contract to be delivered before the effective date of the adjustment, unless the Contractor’s failure to deliver according to the delivery schedule results from causes beyond the Contractor’s control and without its fault or negligence, within the meaning of the Excusable Delays and Termination for Cause paragraphs of the CONTRACT TERMS AND CONDITONS – COMMERCIAL ITEMS clause of the this contract in which case the contract shall be amended to make an equitable extension of the delivery schedule.

(f) UPWARD CEILING ON ECONOMIC PRICE ADJUSTMENT. The Contractor agrees that the total increase in any contract unit price pursuant to these economic price adjustment provisions shall not exceed 375 percent of the award price, except as provided hereafter:

(1) If at any time the Contractor has reason to believe that within the near future a price adjustment under the provisions of this clause will be required that will exceed the current contract ceiling price for any item, the Contractor shall promptly notify the Contracting Officer in writing of the expected increase. The notification shall include a revised ceiling the Contractor believes is sufficient to permit completion of remaining contract performance, along with appropriate explanation and documentation as required by the Contracting Officer.

(2) If an actual increase in the reference price would raise a contract unit price for an item above the current ceiling, the Contractor shall have no obligation under this contract to fill pending or future orders for such item, as of the effective date of the increase, unless the Contracting Officer issues a contract modification to raise the ceiling. If the contract ceiling will not be raised, the Contracting Officer shall so promptly notify the Contractor in writing.

(g) REVISION OF REFERENCE PRICE INDICATOR. In the event—

(1) Any applicable reference price is discontinued or its method of derivation is altered substantially;

(2) The reference price is an average of published or posted prices, and any one price ceases to be published or posted;

(3) The reference price is published in a trade price service or commercial journal and such publication ceases to publish said reference price or changes its method of quoting prices; or

(4) The Contracting Officer determines that the reference price consistently and substantially failed to reflect market conditions— the parties shall mutually agree upon an appropriate and comparable substitute for determining the price adjustment described hereunder.

The contract shall be modified to reflect such substitute effective on the date the indicator was discontinued, altered, or began to consistently and substantially fail to reflect market conditions. If the parties fail to agree on an appropriate substitute, the matter shall be resolved in accordance with the Disputes paragraph of the CONTRACT TERMS AND CONDITIONS – COMMERCIAL ITEMS clause of this contract.

(h) CONVERSION FACTORS. If this clause requires quantity conversion for economic price adjustment purposes, the conversion factors for applicable products, as specified in the CONVERSION FACTORS clause, apply unless otherwise specified in the Schedule.

(i) EXAMINATION OF RECORDS. The Contractor agrees that the Contracting Officer or designated representatives shall have the right to examine the Contractor’s books, records, documents, or other data the Contracting Officer deems necessary to verify Contractor adherence to the provisions of this clause.

(j) FINAL INVOICE. The Contractor shall include a statement on the final invoice that the amounts invoiced hereunder have applied all decreases required by this clause.

(k) TABLE.

I II III IV V VI VII

Name of If company - Reference Max price company/ name of product; Method of price payable under publication If publication - delivery as of this contract

(identify heading under applicable 01 AUG 2010 (includes any

Item No. by number which reference Location where to the (date) tax included

(listed from (c)(2) price is published reference price reference (exclude in the award items) above) and name of product is applicable price all taxes) price .

ALL-77 PLATTS PREM UNL FOB MED CARGO $1.9313 See Paragraph (f) Above ALL-LL PLATTS AVGAS FOB MED CARGO $1.8569 See Paragraph (f) Above ALL-84 PLATTS ULSD 10 PPM FOB MED CARGO $2.0224 See Paragraph (f) Above

INT-G9.06 ADDRESS TO WHICH REMITTANCE SHOULD BE MAILED (DLA ENERGY DEC 1999)

Remittances shall be mailed only at the Government’s option or where an exception to payment by Electronic Funds Transfer (EFT) applies. (See the PAYMENT BY ELECTRONIC FUNDS TRANSFER - CENTRAL CONTRACTOR REGISTRATION or the PAYMENT BY ELECTRONIC FUNDS TRANSFER - OTHER THAN CENTRAL CONTRACTOR REGISTRATION clause.)

Offeror shall indicate below the complete mailing address (including the nine-digit zip code) to which remittances should be mailed if such address is other than that shown in Block 15a (Standard Form (SF) 33) for noncommercial items or Block 17a (SF 1449) for commercial items. In addition, if offeror did not incorporate its nine-digit zip code in the address shown in Block 15a of the SF 33 or in Block 17a of the SF 1449, the offeror shall enter it below:

(a) Payee Name (Contractor): | | | | | | | | | | | | | | | | | | | | | | | | | |

(DO NOT EXCEED 25 CHARACTERS)

(b) Check Remittance Address:

(DO NOT EXCEED 30 CHARACTERS PER LINE)

(c) Narrative Information (special instructions).

(DO NOT EXCEED 153 CHARACTERS)

INT-G9.07-5 ELECTRONIC TRANSFER OF FUNDS PAYMENTS – FEDERAL RESERVE WIRE TRANSFER SYSTEM

(DLA ENERGY JAN 2007)

(a) The Contractor shall supply the following information to the Contracting Officer no later than 5 days after contract award and before submission of the first request for payment. The bank designated as the receiving bank must be capable of receiving Federal wire transactions via either a SWIFT Code or an IBAN.

(b) Any change by the Contractor in the designation of the bank account to receive electronic transfer of funds in accordance with this clause must be received by the Contracting Officer no later than 30 days prior to the date the change is to become effective.

(c) The electronic transfer of funds does not constitute an assignment of such funds in any form or fashion.

COMPLETE THE FOLLOWING INFORMATION (TYPE WRITTEN OR CLEAR PRINTING)

RECIPIENT’S NAME: | | | | | | | | | | | | | | | | | | | | | | | | | |

(DO NOT EXCEED 25 CHARACTERS)

ORIGINATOR ABA: ____044036205____ (DLA ENERGY fill-in)

CONTRACT NUMBER: ______________________________________________ (DLA ENERGY fill-in)

RECIPIENT’S CAGE CODE: __________________

[ ] CHECKING TYPE 22

[ ] SAVINGS TYPE 32

RECIPIENT’S DUNS NUMBER: ______________________________________

BENEFICIARY’S BANK NAME: | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

(DO NOT EXCEED 29 CHARACTERS)

BENEFICIARY’S BANK ADDRESS: | | | | | | | | | | | | | | | | | | | | | | | | | |

(DO NOT EXCEED 25 CHARACTERS)

(DO NOT EXCEED 25 CHARACTERS)

BENEFICIARY’S BANK ACCOUNT NUMBER: ______________________________________

BENEFICIARY’S BANK SWIFT NUMBER: | | | | | | | | | | | |

(EITHER 8 OR 11 CHARACTERS ONLY)

IBAN NUMBER: ______________________________________

BENEFICIARY’S BANK SORT CODE: | | | | | | | (FOR BANKS IN THE UNITED KINGDOM ONLY)

(6 CHARACTERS ONLY)

(d) CONTRACTOR’S DESIGNATED OFFICIAL SUBMITTING ELECTRONIC FUNDS TRANSFER

INFORMATION.

NAME | | | | | | | | | | | | | | | | | | | | | | | | | |

(DO NOT EXCEED 25 CHARACTERS)

TITLE | | | | | | | | | | | | | | | | | | | | | | | | | |

(DO NOT EXCEED 25 CHARACTERS)

TELEPHONE NUMBER | | | | | | | | | | | | | | | | | | | | | | | | | |

(DO NOT EXCEED 25 CHARACTERS)

SIGNATURE _______________________________________________________

(e) Notwithstanding any other provision of the contract, the requirements of this clause shall control.

FAR 52.212-3 -- Offeror Representations and Certifications -- Commercial Items.

Offeror Representations and Certifications -- Commercial Items (Aug 2009)

An offeror shall complete only paragraphs (b) of this provision if the offeror has completed the annual representations and certificates electronically at http://orca.bpn.gov . If an offeror has not completed the annual representations and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (c) through (m) of this provision.

(a) Definitions. As used in this provision-- “Emerging small business” means a small business concern whose size is no greater than 50 percent of the numerical size standard for the NAICS code designated.

“Forced or indentured child labor” means all work or service—

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

“Inverted domestic corporation” means a foreign incorporated entity which is treated as an inverted domestic corporation under 6 U.S.C. 395(b), i.e., a corporation that used to be incorporated in the United States, or used to be a partnership in the United States, but now is incorporated in a foreign country, or is a subsidiary whose parent corporation is incorporated in a foreign country, that meets the criteria specified in 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C.

395(c).

“Manufactured end product” means any end product in Federal Supply Classes (FSC) 1000-9999, except—

(1) FSC 5510, Lumber and Related Basic Wood Materials;

(2) Federal Supply Group (FSG) 87, Agricultural Supplies;

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

(5) FSC 9410, Crude Grades of Plant Materials;

(6) FSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) FSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) FSC 9610, Ores;

(9) FSC 9620, Minerals, Natural and Synthetic; and

(10) FSC 9630, Additive Metal Materials.

“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174).

Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

“Service-disabled veteran-owned small business concern”—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

“Small business concern” means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.

“Veteran-owned small business concern” means a small business concern—

(1) Not less than 51 percent of which is owned by one or more veterans(as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

“Women-owned business concern” means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

“Women-owned small business concern” means a small business concern --

(1) That is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and

(2) Whose management and daily business operations are controlled by one or more women.

(b)

(1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the Online Representations and Certifications Application (ORCA) website.

(2) The offeror has completed the annual representations and certifications electronically via the ORCA website at http://orca.bpn.gov .After reviewing the ORCA database information, the offeror verifies by submission of this offer that the representation and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ____________. [Offeror to identify the applicable paragraphs at (c) through (n) of this provision that the offeror has completed for the purposes of this solicitation only, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on ORCA.]

(c) Offerors must complete the following representations when the resulting contract is to be performed in the United States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it [_] is, [_] is not a small business concern.

(2) Veteran-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it [_] is, [_] is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that it [_] is, [_] is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, for general statistical purposes, that it [_] is, [_] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [_] is, [_] is not a women-owned small business concern.

Note: Complete paragraphs (c)(6) and (c)(7) only if this solicitation is expected to exceed the simplified acquisition threshold.

(6) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.]. The offeror represents that it [_] is, a women-owned business concern.

(7) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price:

(8) Small Business Size for the Small Business Competitiveness Demonstration Program and for the Targeted Industry Categories under the Small Business Competitiveness Demonstration Program. [Complete only if the offeror has represented itself to be a small business concern under the size standards for this solicitation.]

(i) [Complete only for solicitations indicated in an addendum as being set-aside for emerging small businesses in one of the designated industry groups (DIGs).] The offeror represents as part of its offer that it [_] is, [_] is not an emerging small business.

(ii) [Complete only for solicitations indicated in an addendum as being for one of the targeted industry categories (TICs) or designated industry groups (DIGs).] Offeror represents as follows:

(A) Offeror’s number of employees for the past 12 months (check the Employees column if size standard stated in the solicitation is expressed in terms of number of employees); or

(B) Offeror’s average annual gross revenue for the last 3 fiscal years (check the Average Annual Gross Number of Revenues column if size standard stated in the solicitation is expressed in terms of annual receipts).

(Check one of the following):

Number of Employees Average Annual Gross Revenues

50 or fewer $1 million or less

51-100 $1,000,001-$2 million

101-250 $2,000,001-$3.5 million

251-500 $3,500,001-$5 million

501-750 $5,000,001-$10 million

751-1,000 $10,000,001-$17 million

Over 1,000 Over $17 million

(9) [Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns, or FAR 52.219-25, Small Disadvantaged Business Participation Program—Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.]

(i) General. The offeror represents that either—

(A) It [_] is, [_] is not certified by the Small Business Administration as a small disadvantaged business concern and identified, on the date of this representation, as a certified small disadvantaged business concern in the database maintained by the Small Business Administration (PRO-Net), and that no material change in disadvantaged ownership and control has occurred since its certification, and, where the concern is owned by one or more individuals claiming disadvantaged status, the net worth of each individual upon whom the certification is based does not exceed $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); or

(B) It [_] has, [_] has not submitted a completed application to the Small Business Administration or a Private Certifier to be certified as a small disadvantaged business concern in accordance with 13 CFR 124, Subpart B, and a decision on that application is pending, and that no material change in disadvantaged ownership and control has occurred since its application was submitted.

(ii) Joint Ventures under the Price Evaluation Adjustment for Small Disadvantaged Business Concerns. The offeror represents, as part of its offer, that it is a joint venture that complies with the requirements in 13 CFR

124.1002(f) and that the representation in paragraph (c)(9)(i) of this provision is accurate for the small disadvantaged business concern that is participating in the joint venture. [The offeror shall enter the name of the small disadvantaged business concern that is participating in the joint venture: ________________.]

(10) HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that--

(i) It [_] is, [_] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material change in ownership and control, principal office, or HUBZone employee percentage has occurred since it was certified by the Small Business Administration in accordance with 13 CFR part 126; and

(ii) It [_] is, [_] not a joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for the HUBZone small business concern or concerns that are participating in the joint venture. [The offeror shall enter the name or names of the HUBZone small business concern or concerns that are participating in the joint venture: __________.] Each HUBZone small business concern participating in the joint venture shall submit a separate signed copy of the HUBZone representation.

(d) Representations required to implement provisions of Executive Order 11246 --

(1) Previous contracts and compliance. The offeror represents that --

(i) It [_] has, [_] has not, participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and

(ii) It [_] has, [_] has not, filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that --

(i) It [_] has developed and has on file, [_] has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR parts 60-1 and 60-2), or

(ii) It [_] has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $100,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Act Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American Act – Supplies, is included in this solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.” The terms “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American Act—Supplies.”

(2) Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

(3) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(g)

(1) Buy American Act -- Free Trade Agreements -- Israeli Trade Act Certificate.

(Applies only if the clause at FAR 52.225-3, Buy American Act -- Free Trade Agreements -- Israeli Trade Act, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States.

The terms “Bahrainian, Moroccan, Omani, or Peruvian end product,” “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” “Free Trade Agreement country,” “Free Trade Agreement country end product,” “Israeli end product,” and ‘United States’ are defined in the clause of this solicitation entitled “Buy American Act--Free Trade Agreements--Israeli Trade Act.”

(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Moroccan, Omani, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled “Buy American Act—Free Trade Agreements—Israeli Trade Act”:

Free Trade Agreement Country End Products (Other than Bahrainian or Moroccan End Products) or Israeli End Products:

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) or this provision) as defined in the clause of this solicitation entitled “Buy American Act—Free Trade Agreements—Israeli Trade Act.” The offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.”

Other Foreign End Products:

(iv) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(2) Buy American Act—Free Trade Agreements—Israeli Trade Act Certificate, Alternate I. If Alternate I to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products as defined in the clause of this solicitation entitled “Buy American Act—Free Trade Agreements—Israeli Trade Act”:

Canadian End Products:

Line Item No.:

[List as necessary]

(3) Buy American Act—Free Trade Agreements—Israeli Trade Act Certificate, Alternate II. If Alternate II to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products or Israeli end products as defined in the clause of this solicitation entitled ``Buy American Act--Free Trade Agreements--Israeli Trade Act'':

Canadian or Israeli End Products:

Line Item No.: Country of Origin:

(4) Trade Agreements Certificate. (Applies only if the clause at FAR 52.225-5, Trade Agreements, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(4)(ii) of this provision, is a U.S.-made or designated country end product as defined in the clause of this solicitation entitled “Trade Agreements.”

(ii) The offeror shall list as other end products those end products that are not U.S.-made or designated country end products.

Other End Products

Line Item No.: Country of Origin:

(iii) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25. For line items covered by the WTO GPA, the Government will evaluate offers of U.S.-made or designated country end products without regard to the restrictions of the Buy American Act. The Government will consider for award only offers of U.S.-made or designated country end products unless the Contracting Officer determines that there are no offers for such products or that the offers for such products are insufficient to fulfill the requirements of the solicitation.

(h) Certification Regarding Responsibility Matters (Executive Order 12689). (Applies only if the contract value is expected to exceed the simplified acquisition threshold.) The offeror certifies, to the best of its knowledge and belief, that the offeror and/or any of its principals--

(1) [_] Are, [_] are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;

(2) [_] Have, [_] have not, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property; and

(3) [_] Are, [_] are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses enumerated in…