OFFEROR SUBMISSION PACKAGE _11-R-0200_ -COLOMBIA _FY 2011-2014_ Feb 15 2011.pdf

OFFEROR SUBMISSION

PACKAGE

Solicitation: SP0600‐11‐R‐0200 Colombia PC&S

The Referenced Solicitation Covers the Period: 1 August 2011 through 31 July 2014

Instructions

1. A completed offer submission package must be returned to Tonya Sterling/DLA Energy‐PLB/RM 3938/DLA Energy/8725 John J. Kingman Road, Suite 3938/Fort Belvoir, VA 22060‐6222 as your offer. All documents to be filled in or completed are contained in this Offeror Submission Package (OSP):

X Standard Form SF 1449, Solicitation/Contract/Order for Commercial Items

X All applicable fill‐in clauses

X Price Data Sheet‐Attachment A

2. Please review all offer prices prior to submission. All offer prices must be stated in actual dollars per gallon (e.g. $0.0000), not price differentials. Prices should be listed on the price data sheet provided.

3. Please review the Offer Submission Package for accuracy and legibility prior to submission. Initial all changes and sign and date the Standard Form 1449 in ink.

4. Facsimile Proposals may be submitted in accordance with FAR 52.215‐5 Facsimile Proposals.

5. Email Proposals may be submitted in accordance with Internal Instruction INT‐L2.11‐4 Email Proposals.

6. By submitting this package, the offeror accepts the terms and conditions of the entire solicitation, and that these terms and conditions are applicable to their offer, unless exceptions are clearly stated herein.

SOLCITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

SP0600-10-0706

PAGE 1 OF

2. CONTRACT NUMBER

3. AWARD/EFFECTIVE DATE

See Block 31C

4. ORDER NUMBER

5. SOLICITATION NUMBER

SP0600-11-R-0200

6. SOLICITATION ISSUE DATE

7. FOR SOLICITATION

INFORMATION CALL:

Tonya A. Sterling (703) 767-9561 Lisa L. O’Brien (703)767-9534 Gerald R. Tinner (703) 767-9504

a. BUYERS

Tony A. Sterling, Tonya.Sterling@dla.mill Lisa L. O’Brien, Lisa.OBrien@dla.mil Gerald Tinner, Gerald.Tinner@dla.mil

b. TELEPHONE NUMBER (no collect calls) Phone: (703) 767-9534 Fax: (703) 767-8506

8. OFFER DUE DATE/ TIME:

March 18, 2011 3:00 pm Local Time (Fort Belvoir, VA)

9. ISSUED BY CODE SP0600 10. THIS ACQUISITION IS

UNRESTRICTED

SET ASIDE FOR

11. DELIVERY FOR

FOB DESTINATION

UNLESS BLOCK IS

12.DISCOUNT

TERMS

DLA Energy 8725 John J. Kingman Road, Suite 3938

SMALL BUSINESS

SMALL DISADV BUSINESS

MARKED

SEE SCHEDULE

Fort Belvoir, VA 22060-6222 Buyer/Symbol: Tonya A. Sterling /DESC-PLB

8(A) 13a. THIS CONTRACT IS RATED ORDER

UNDER DPAS (15 CFR 700)

Phone: (703)767-9561 NAIS: 324110 Size Standard: 1500

13b. RATING

Email: Tonya.Sterling@dla.mil PP 1.6K RFQ IFB RFP

15. DELIVER TO CODE 16 . ADMINISTERED BY CODE

SEE SCHEDULE SEE BLOCK 9

17a. CONTRACTOR/OFFEROR

BIDDER CODE

FACILITY

CAGE CODE

18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. FAX NO:

See INT G150.03-1 and INT G150.07-2

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 SEE

ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(See Schedule)

25. ACCOUNTING AND APPROPRIATION DATA to be cited on each Delivery Order 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-3. FAR 52.212-4 AND 52.212-5. ADDENDA ARE ARE NOT ATTACHED. *SCHEDULE

OF SUPPLIES AND SOLICITATION CLAUSES ARE ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

1 COPY 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 HEREIN.

[ ]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 . SEE AWARD SHEET

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (Signature of Contracting Officer)

30b. NAME AND TITLE OF SIGNER (Type or Print) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or Print)

31c. DATE SIGNED

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE

CONTRACT, EXCEPT AS NOTED

33. SHIP NUMBER

34. VOUCHER NUMBER 35. AMOUNT

VERIFIED CORRECT

FOR

PARTIAL FINAL

36. PAYMENT 37. CHECK NUMBER

32b. SIGNATURE OF AUTHORIZED GOVT. REPRESENTATIVE 32c. DATE COMPLETE PARTIAL FINAL

38. S/R ACCOUNT NO. 39. S/R VOUCHER NO.

40. PAID BY

42a. RECEIVED BY (Print) 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c . DATE 42b. RECEIVED AT (Location)

42c. DATE REC’D (YY/MM/DD) 42d. TOTAL

CONTAINERS

OSP-2

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, except for items specifically designated as three (3)-year requirements.

SUPPLIES, DELIVERY POINTS,

ITEMS AND METHOD OF DELIVERY ESTIMATED QUANTITY

(-03) Jet Fuel, Aviation (JA1) 9,615,121 USG

(-28) Gasoline, Regular Unleaded (MUR) 2,191,600 USG

(-70) Diesel Fuel #2, High Sulfur (HS2) 4,679,300 USG

UNITED STATES ARMY

APIAY

CU, ARMY, GOMEZ NINO COLOMBIAN AIR FORCE BASE

COLOMBIA

DELIVERY DODAAC: W81X8U

BILLING DODAAC : W81X8U

ORDERING OFFICE: 011-578-699-8210

Line Item Description Estimated Quantity

101-03 JET FUEL, AVIATION (JA1) 1,900,000 GL

***PORTS ACTIVE***

TANK TRUCK (TT), INTO

1/130,000 GALLON TANK

2/43,000 GALLON TANK

1/27,000 GALLON TANK

DELIVERY: 121,000 GALLONS PER MONTH

OSP-3

ST JOSE DE GUAVIARE

CU, ARMY

COLOMBIA

DELIVERY DODAAC: WF7LKT

BILLING DODAAC : WF7LKT

ORDERING OFFICE: 011-571-244-2900

103-03 JET FUEL, AVIATION (JA1) 120,000 GL

***PORTS ACTIVE***

TANK TRUCK (TT), INTO

1/3,100 GALLON TANK

2/5,200 GALLON TANKS

3/2,700 GALLON TANKS LOCATED AT SITE 1

2/10,200 GALLON TANKS LOCATED AT SITE 2

ESTIMATED TRUCK DELIVERY TIME IS 3-4 DAYS IN GOOD

WEATHER; 10-14 DAYS DURING RAINY SEASON. NOTE:

ESTIMATED AIR DELIVERY TIME IS 4,000 GALS FROM

BOGOTA ON 24 HR DELIVERY BASES FROM TIME OF

REQUEST IS A STANDBY REQUIREMENT.

103-03A JET FUEL, AVIATION (JA1) 107,000 GL

TANK TRUCK W (TTWP), INTO

1/3,100 GALLON TANK

2/5,200 GALLON TANKS

3/2,700 GALLON TANKS LOCATED AT SITE 1

2/10,200 GALLON TANKS LOCATED AT SITE 2

NOTE 1: ESTIMATED AIR DELIVERY TIME IS 4,000 GALS

FROM BOGOTA ON 24HR DELIVERY BASIS FROM TIME OF

REQUEST IS A STANDBY REQUIREMENT.

NOTE 2: THE ACTUAL MODE OF DELIVERY IS BY

"AIRPLANE" BUT DUE TO ADMINISTRATIVE RESTRICTIONS

IT IS SHOWN AS TT.

UNITED STATES ARMY

TRES ESQUINAS

CU, ARMY

COLOMBIA

DELIVERY DODAAC: WF7LKT

ORDERING OFFICE: 011-571-244-2900

OSP-4

104-03A JET FUEL, AVIATION (JA1) 1,213,400 GL

TANK TRUCK (TT),INTO

1/2,500 GALLON TANK

1/10,000 GALLON TANK

2/5,000 GALLON BLADDER(S)

ESTIMATED MONTHLY USAGE: 18,000 GALLONS/MONTH

NOTE: THE ACTUAL MODE OF DELIVERY IS BY "AIR" BUT

DUE TO ADMINISTRATIVE RESTRICTIONS IT IS

SHOWN AS TT.

TOLEMAIDE

CU, ARMY

COLOMBIA

DELIVERY DODAAC: WF7LKT

ORDERING OFFICE: 911-571-244-2900

106-03 JET FUEL, AVIATION (JA1) 180,000 GL

***PORTS ACTIVE***

TANK TRUCK (TT), INTO

4/10,000 GALLON TANKS AT TERPEL SITE 1

2/10,000 GALLON TANKS AT COLAR/NAS SITE 2

ESTIMATED MONTHLY USAGE: 10,000 GALLONS/MONTH

LARANDIA

CU, ARMY

COLOMBIA

DELIVERY DODAAC: WF7LKT

BILLING DODAAC : WF7LKT

ORDERING OFFICE: 011-571-244-2900

Line Item Description Estimated Quantity

107-03 JET FUEL, AVIATION (JA1) 413,300 GL

***PORTS ACTIVE***

TANK TRUCK (TT), INTO

6/10,000 GALLON TANK(S)

ESTIMATED MONTHLY USAGE: 14,000 GALLONS/MONTH

OSP-5

ST VICENTE DE CAGUAN

CU, ARMY

COLOMBIA

DELIVERY DODAAC: WF7LKT

BILLING DODAAC : WF7LKT

ORDERING OFFICE: 011-571-244-2900 (SFC RICHARD TRE

Line Item Description Estimated Quantity

109-03 JET FUEL, AVIATION (JA1) 170,000 GL

***PORTS ACTIVE***

TANK TRUCK (TT), INTO

2/3,000 GALLON BLADDER(S)

1/15,000 GALLON BLADDER(S)

ESTIMATED MONTHLY USAGE: 10,000 GALLONS/MONTH

LA MACARENA

CU, ARMY, USMILGP - BOGOTA

COLUMBIA

DELIVERY DODAAC: WF7LKT

BILLING DODAAC: WF7LKT

ORDERING OFFICE: 011-571-266-1228

113-03 JET FUEL, AVIATION (JA1) 633,000 GL

***PORTS ACTIVE***

TANK TRUCK (TT), TO NEVIA THEN VIA AIRPLANE TO LA

MACARENA INTO

3/10,000 GALLON TANKS

113-03A JET FUEL, AVIATION (JA1) 633,000 GL

TANK TRUCK (TT), TO NEVIA THEN VIA AIRPLANE TO LA

MACARENA INTO

3/10,000 GALLON TANKS

NOTE 1: THE ACTUAL MODE OF DELIVERY IS BY "AIR"

BUT DUE TO ADMINISTRATIVE RESTRICTIONS IT IS

SHOWN AT TT.

NOTE 2: THE PRIMARY MODE OF DELIVERY FOR THIS

LOCATION IS VIA TANK TRUCK (TT). THIS IS AN

ALTERNATIVE METHOD OF DELIVERY TO BE USED ONLY

WHEN THE CONTRACTOR AND THE ORDERING ACTIVITY

AGREE THAT A TANK TRUCK DELIVERY IS NOT FEASIBLE.

OSP-6

UNITED STATES ARMY

CARTEGENA DEL CHAIRA

CU, ARMY, USMILGP - BOGOTA

COLUMBIA

DELIVERY DODAAC: WF7LKT

114-03 JET FUEL, AVIATION (JA1) 204,000 GL

***PORTS ACTIVE***

TANK TRUCK (TT), TO FLORENCIA THEN VIA HELICOPTER

TO CARTENGA DEL CHAIRA INTO

1/15,000 GALLON BLADDER(S)

MIRAFLORES

CU, ARMY, USMILGP - BOGOTA

COLUMBIA

DELIVERY DODAAC: WF7LKT

Line Item Description _________ Estimated Quantity

115-03 JET FUEL, AVIATION (JA1) 46,000 GL

***PORTS ACTIVE***

TANK TRUCK (TT), TO NEIVA THEN VIA AIRPLANE TO

MIRAFLORES INTO

1/20,000 GALLON BLADDER(S)

115-03A JET FUEL, AVIATION (JA1) 155,000 GL

***PORTS ACTIVE***

TANK TRUCK (TT), TO NEIVA THEN VIA AIRPLANE TO

MIRAFLORES INTO

1/20,000 GALLON BLADDER(S)

NOTE 1: THE ACTUAL MODE OF DELIVEY IS BY "AIR"

BUT DUE TO ADMINISTRATIVE RESTRICTIONS IT IS

SHOWN AS TT.

NOTE 2: THE PRIMARY MODE OF DELIVERY FOR THIS

LOCATION IS VIA TANK TRUCK (TT). THIS IS AN

ALTERNATIVE METHOD OF DELIVERY TO BE USED ONLY

WHEN THE CONTRACTOR AND THE ORDERING ACTIVITY

OSP-7

PUERTO LEGUIZAMO

CU, ARMY

COLOMBIA

DELIVERY DODAAC: WF7LKT

BILLING DODAAC : WF7LKT

ORDERING OFFICE: 011-571-244-2900

Line Item Description Estimated Quantity

123-03 JET FUEL, AVIATION (JA1) 167,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), INTO

1/10,000 GALLON BLADDER(S)

ESTIMATED MONTHLY USAGE: 2,000 MONTH

UNITED STATES ARMY

MELGAR

CU, ARMY

COLOMBIA

DELIVERY DODAAC: WF7LKT

BILLING DODAAC: WF7LKT

ORDERING OFFICE: 011-571-244-2900

Line Item Description Estimated Quantity

124-03 JET FUEL, AVIATION (JA1) 214,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), INTO

3/10,000 GALLON TANK(S)

1/5,000 GALLON TANK

ESTIMATED MONTHLY USAGE: 25,000 MONTH

124-03A JET FUEL, AVIATION (JA1) 214,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), INTO

3/10,000 GALLON TANK(S)

1/5,000 GALLON TANK

NOTE 1: THE ACTUAL MODE OF DELIVERY IS BY "AIR"

BUT DUE TO ADMINISTRATIVE RESTRICTIONS IT IS

SHOWN AS TT.

NOTE 2: THE PRIMARY MODE OF DELIVERY FOR THIS

LOCATION IS VIA TANK TRUCK (TT). THIS IS AN

ALTERNATIVE METHOD OF DELIVERY TO BE USED ONLY

WHEN THE CONTRACTOR AND THE ORDERING ACTIVITY

OSP-8

UNITED STATES ARMY

BOGOTA

CU, ARMY

COLOMBIA

DELIVERY DODAAC: WF7LKT

BILLING DODAAC : WF7LKT

ORDERING OFFICE: 011-571-244-2900

Line Item Description Estimated Quantity

126-03 JET FUEL, AVIATION (JA1) 339,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), INTO

2/30,000 GALLON TANKS

ESTIMATED MONTHLY USAGE: 25,000 MONTH

CALI

CU, ARMY

COLOMBIA

DELIVERY DODAAC: WF7LKT

BILLING DODAAC: WF7LKT

ORDERING OFFICE: 011-571-244-2900

Line Item Description Estimated Quantity

127-03 JET FUEL, AVIATION (JA1) 160,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), INTO

2/10,000 GALLON TANKS

ESTIMATED MONTHLY USAGE: 5,000 MONTH

BARRANQUILLA

CU, ARMY

COLOMBIA

DELIVERY DODAAC: WF7LKT

BILLING DODAAC: WF7LKT

ORDERING OFFICE: 011-571-244-2900

Line Item Description Estimated Quantity

128-03 JET FUEL, AVIATION (JA1) 200,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), INTO

1/60,000 GALLON TANKS

ESTIMATED MONTHLY USAGE: 25,000 MONTH

OSP-9

BUENAVENTURA

CU, ARMY, PORTURIA AV., EDIFICIO SEGUNDA BRIGADA, BUENAVENTURA, VALLE

DEL CAUCA

COLOMBIA

DELIVERY DODAAC: WF7LKT

BILLING DODAAC : WF7LKT

ORDERING OFFICE: 011-571-266-1228

Line Item Description Estimated Quantity

145-28 GASOLINE, REG UNL (MUR) 353,000 GL

**PORTS ACTIVE**

TANK TRUCK W (TTWP), W/PUMP INTO

1/20,000 GALLON TANK

DELIVERY HOURS: 0700-1600

7 DAYS INCLUDING HOLIDAY

145-70 DIESEL FUEL #2, HIGH SUL (HS2) 204,000 GL

**PORTS ACTIVE**

TANK TRUCK W (TTWP), W/PUMP INTO

1/10,000 GALLON TANK

DELIVERY HOURS: 0700-1600

7 DAYS INCLUDING HOLIDAY

UNITED STATES ARMY

LA MACARENA

CU, ARMY, GRUPOS DE COMBATE FLUVIAL JORDAN, LA MACARENA, META

COLOMBIA

DELIVERY DODAAC: WF7LKT

BILLING DODAAC : WF7LKT

ORDERING OFFICE: 011-571-266-1228

Line Item Description Estimated Quantity

180-28 GASOLINE, REG UNL (MUR) 112,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), W/PUMP INTO

1/10,000 GALLON BARGE

DELIVERY HOURS: 0700-1600

7 DAYS INCLUDING HOLIDAY

NOTE: THE ACTUAL MODE OF DELIVERY IS BY "AIR"

BUT DUE TO ADMINISTRATIVE RESTRICTIONS IT IS SHOWN AS

TT.

180-28A GASOLINE, REG UNL (MUR) 112,00 GL

TANK TRUCK (TT), W/PUMP INTO

1/10,000 GALLON BARGE

DELIVERY HOURS: 0700-1600 7 DAYS INCLUDING

HOLIDAY

NOTE: THE ACTUAL MODE OF DELIVERY IS BY "AIR"

OSP-10

180-70 DIESEL FUEL #2, HIGH SUL (HS2) 433,000 GL

TANK TRUCK (TT), W/PUMP INTO

1/10,000 GALLON BARGE

DELIVERY HOURS: 0700-1600 7 DAYS INCLUDING

HOLIDAY

NOTE: THE ACTUAL MODE OF DELIVERY IS BY "AIR"

Line Item Description Estimated Quantity

180-70A DIESEL FUEL #2, HIGH SUL (HS2) 433,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), W/PUMP INTO

1/10,000 GALLON BARGE

DELIVERY HOURS: 0700-1600 7 DAYS INCLUDING

HOLIDAY

NOTE: THE ACTUAL MODE OF DELIVERY IS BY "AIR"

LA URIBE

CU, ARMY, FUZERZA DE DESPILEGUE REPIDO, MUNICIPIO DE LA URIBE, META

COLOMBIA

DELIVERY DODAAC: WF7LKT

BILLING DODAAC : WF7LKT

ORDERING OFFICE: 011-571-266-1228

Line Item Description Estimated Quantity

182-03 JET FUEL, AVIATION (JA1) 387,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), W/PUMP & METER 150' OF 1/2" & 2"

HOSE. VIA VENDOR PROVIDED AIRPLANE TO LA URIBE

INTO 2/10,000 GALLON TANKS

LOADING RACK METERED DELIVERY TICKET REQUIRED

DELIVERY HOURS: 0700-1600 7 DAYS INCLUDING

HOLIDAY

NOTE: THE ACTUAL MODE OF DELIVERY IS BY

"AIRPLANE", BUT DUE TO ADMINISTRATIVE

RESTRICTIONS IT IS SHOWN AS TT.

OSP-11

Line Item Description Estimated Quantity

182-03A JET FUEL, AVIATION (JA1) 387,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), W/PUMP & METER 150' OF 1/2" & 2"

HOSE. VIA VENDOR PROVIDED AIRPLANE TO LA URIBE

INTO 2/10,000 GALLON TANKS

LOADING RACK METERED DELIVERY TICKET REQUIRED

DELIVERY HOURS: 0700-1600 7 DAYS INCLUDING

HOLIDAY

NOTE: THE ACTUAL MODE OF DELIVERY IS BY

"AIRPLANE", BUT DUE TO ADMINISTRATIVE

RESTRICTIONS IT IS SHOWN AS TT.

UNITED STATES AIR FORCE

MARANDUA

CU, USAF

COLOMBIA

DELIVERY DODAAC: FP4854

BILLING DODAAC : FP4854

ORDERING OFFICE : DSN 575-7625 COMM 757-225-7625

ALT ORDERING OFFICE: FP4854

ORDERING DODAAC : FP4854

Line Item Description Estimated Quantity

700-70 DIESEL FUEL #2, HIGH SUL (HS2) 220,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), W/PUMP & METER INTO

1/4,500 GALLON TANK TRUCK

METERED DELIVERY TICKET REQUIRED

DELIVERY HOURS: 0900-1700 MONDAY THRU SATURDAY

NOTE 1: TO GAIN ACCESS TO COLOMBIA MILITARY

SITES

CONTACT THE BOGOTA AIR FORCE COMMAND AND THE

MARANDUA BASE COMMANDER TO GAIN LANDING RIGHTS TO

THE AIRFIELD AT DSN FROM THE USA: 1-305-293-5900

OR 1-305-293-5935-6-5232/5231; FROM BOGOTA:

226-0551-6-5232/5231, OR 266-0550 (ASK PERSONNEL

ON DUTY TO TRANSFER YOU TO MARANDUA RADAR SITE)

LOCAL CELL: HNT, (011-57)-320-465-3955. TO GAIN

LANDING RIGHTS TO THE AIRFIELD SITE CLEARANCE

REQUEST MUST BE SUBMITTED 7-DAYS BEFORE DELIVERY

DATE TO ACC AMIC AT ACCMIC.PLG2@LANGLEY.AF.MIL

FOR SUBMITTAL TO THE RPO OFFICE IN BOGOTA COLUMBIA.

PROVIDE THE DATE/TIME AND QUANTITY OF ACTUAL

DELIVERY AND THE SITE MANAGER WILL COORDINATE

WITH THE ARMY BASE COMMANDERS FOR THE DELIVERY.

NOTE 2: DO NOT OFFLOAD FUEL IF LIGHTNING WITHIN 5

MILES OF FUEL DELIVERY OPERATION.

NOTE 3: COORDINATE DELIVERY TIME WITH THE SITE

MANAGER AT LEAST 2 DAYS PRIOR TO ACTUAL DELIVERY.

OSP-12

700-70 CONT’D AT . 1-305-293-5900 OR 1-305-293-5935-6-5232/5231;

FROM BOGOTA: 226-0551-6-5232/5231, OR 266-0550

(ASK PERSONNEL ON DUTY TO TRANSFER YOU TO

MARANDUA RADAR SITE) LOCAL CELL: HNT,

(011-57)-320-465-3955.

NOTE 4: THE ACTUAL MODE OF DELIVERY IS BY "AIR"

BUT DUE TO ADMINISTRATIVE RESTRICTIONS IT IS

SHOWN AS TT.

SECURITY CLEARANCE REQUIRED

UNITED STATES AIR FORCE

MARANDUA

CU, USAF

COLOMBIA

DELIVERY DODAAC: FP4854

BILLING DODAAC : FP4854

ORDERING OFFICE : DSN 575-7625 COMM 757-225-7625

ALT ORDERING OFFICE: FP4854

ORDERING DODAAC : FP4854

Line Item Description Estimated Quantity

700-70A DIESEL FUEL #2, HIGH SUL (HS2) 220,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), W/PUMP & METER INTO

1/4,500 GALLON TANK TRUCK

METERED DELIVERY TICKET REQUIRED

DELIVERY HOURS: 0900-1700 MONDAY THRU SATURDAY

NOTE 1: TO GAIN ACCESS TO COLOMBIA MILITARY

SITES

CONTACT THE BOGOTA AIR FORCE COMMAND AND THE

MARANDUA BASE COMMANDER TO GAIN LANDING RIGHTS TO

THE AIRFIELD AT 1-305-293-5900 OR

1-305-293-5935-6-5232/5231; FROM BOGOTA:

226-0551-6-5232/5231, OR 266-0550 (ASK PERSONNEL

ON DUTY TO TRANSFER YOU TO MARANDUA RADAR SITE)

LOCAL CELL: HNT, (011-57)-320-465-3955. TO GAIN

LANDING RIGHTS TO THE AIRFIELD SITE CLEARANCE

REQUEST MUST BE SUBMITTED 7-DAYS BEFORE DELIVERY

DATE TO ACC AMIC AT ACCMIC.PLG2@LANGLEY.AF.MIL

FOR SUBMITTAL TO THE RPO OFFICE IN BOGOTA COLUMBIA.

PROVIDE THE DATE/TIME AND QUANTITY OF ACTUAL

DELIVERY AND THE SITE MANAGER WILL COORDINATE

WITH THE ARMY BASE COMMANDERS FOR THE DELIVERY.

NOTE 2: DO NOT OFFLOAD FUEL IF LIGHTNING WITHIN

5 MILES OF FUEL DELIVERY OPERATION.

NOTE 3: COORDINATE DELIVERY TIME WITH THE SITE

MANAGER AT LEAST 2 DAYS PRIOR TO DATE OF DELIVERY

AT 1-305-293-5900 OR 1-305-293-5935-6-5232/5231;

FROM BOGOTA: 226-0551-6-5232/5231, OR 266-0550

(ASK PERSONNEL ON DUTY TO TRANSFER YOU TO

MARANDUA RADAR SITE) LOCAL CELL: HNT,

(011-57)-320-465-3955. .

NOTE 4: THE ACTUAL MODE OF DELIVERY IS BY "AIR"

BUT DUE TO ADMINISTRATIVE RESTRICTIONS IT IS

SHOWN AS TT.

SECURITY CLEARANCE REQUIRED

OSP-13

SAN JOSE DE GUAVIAVE

CU, USAF

COLOMBIA

DELIVERY DODAAC: FP4854

BILLING DODAAC : FP4854

ORDERING OFFICE: DSN 575-7625 COMM 757-225-7625

Line Item Description Estimated Quantity

705-70 DIESEL FUEL #2, HIGH SUL (HS2) 217,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), W/PUMP & METER INTO

1/8,000 GALLON ABOVE GROUND TANK(S)

METERED DELIVERY TICKET REQUIRED

NOTE 1: TO GAIN ACCESS TO COLOMBIA MILITARY

SITES NOTIFY THE SITE MANAGER AT LEAST 2 DAYS PRIOR TO

DATE OF DELIVERY AT DSN FROM THE USA :

1-305-293-5900 OR 1-305-293-5934-6-5220/5222 FROM

BOGOTA: 266-0551-6-5220/5222 OR 266-0550 (ASK

PERSONNEL ON DUTY TO TRANSFER YOU TO SAN JOSE DE

GUAVIAVE RADAR SITE) LOCAL CELL: HNT,

(011-57)-320-405-0366. PROVIDE THE DATE/TIME AND

QUANTITY OF ACTUAL DELIVERY AND THE SITE MANAGER

WILL COORDINATE WITH THE ARMY BASE COMMANDERS FOR

THE DELIVERY.

NOTE 2: DO NOT DELIVER IF LIGHTNING IS WITHIN 3

MILES OF DELIVERY VEHICLE.

NOTE 3: THE PRIMARY MODE OF DELIVERY FOR THIS

LOCATION WILL BE TANK TRUCK.

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Line Item Description Estimated Quantity

705-70A DIESEL FUEL #2, HIGH SUL (HS2) 217,000 GL

**PORTS ACTIVE**

TANK TRUCK (TT), W/PUMP & METER INTO

1/8,000 GALLON ABOVE GROUND TANK(S)

METERED DELIVERY TICKET REQUIRED

NOTE 1:TO GAIN ACCESS TO COLOMBIA MILITARY SITES

NOTIFY THE SITE MANAGER AT LEAST 2 DAYS PRIOR TO

DATE OF DELIVERY DATE AT DSN FROM THE USA :

1-305-293-5900 OR 1-305-293-5934-6-5220/5222 FROM

BOGOTA: 266-0551-6-5220/5222 OR 266-0550 (ASK

PERSONNEL ON DUTY TO TRANSFER YOU TO SAN JOSE DE

GUAVIAVE RADAR SITE) LOCAL CELL: HNT,

(011-57)-320-405-0366. PROVIDE THE DATE/TIME AND

QUANTITY OF ACTUAL DELIVERY AND THE SITE MANAGER

WILL COORDINATE WITH THE ARMY BASE COMMANDERS FOR

THE DELIVERY.

NOTE 2: THIS CLIN IS AN ALTERNATIVE DELIVERY

METHOD TO BE USED WHEN THE ACTIVITY AND THE

VENDOR AGREES THAT THE TT MODE OF DELIVERY IS NOT

FEASIBLE. IF DELIVERED BY "AIR" THE FUEL WILL BE

DELIVERED INTO 1/2500 GAL TRUCK

NOTE 3: DO NOT DELIVER IF LIGHTNING IS WITHIN 3

MILES OF DELIVERY VEHICLE.

OSP-15

TRES ESQUINAS

CU, USAF

COLOMBIA

DELIVERY DODAAC: FP4854

BILLING DODAAC : FP4854

ORDERING OFFICE: DSN 575-7625 COMM 757-225-7625

Line Item Description Estimated Quantity

710-70 DIESEL FUEL #2, HIGH SUL (HS2) 220,000 GL

TANK TRUCK (TT), W/PUMP & METER INTO

1/3,500 GALLON TANK TRUCK

METERED DELIVERY TICKET REQUIRED

DELIVERY HOURS: 0900-1700 MONDAY THRU SATURDAY

NOTE 1: TO GAIN ACCESS TO COLOMBIA MILITARY

SITES CONTACT THE BOGOTA AIR FORCE COMMAND AND THE TRES

ESQUINAS BASE COMMANDER AT LEASE 2 DAYS PRIOR TO

THE DATE OF DELIVERY TO GAIN LANDING RIGHTS TO

THE AIRFIELD AT DSN FORM THE USA : 1-305-293-5900 OR

1-305-293-5934-6-5232/5231; FROM BOGOTA:

266-0551-6-5232/5231, OR 266-0550 (ASK PERSONNEL

ON DUTY TO TRANSFER YOU TO THE TRES ESQUINAS

RADAR SITE) LOCAL CELL: HNT, (011-57)-320-465-3955. TO

GAIN LANDING RIGHTS TO THE AIRFIELD SITE

CLEARANCE REQUEST MUST BE SUBMITTED 7-DAYS BEFORE DATE

DELIVERY DATE TO ACC AMIC AT ACCCMIC.PLG2@LANGLEY.AF.MIL

FOR SUBMITTAL TO THE RPO OFFICE IN BOGOTA COLUMBIA.

PROVIDE THE

DATE/TIME AND QUANTITY OF ACTUAL DELIVERY AND THE

SITE MANAGER WILL COORDINATE WITH THE ARMY BASE

COMMANDERS FOR THE DELIVERY.

NOTE 2: DO NOT DELIVER FUEL IF LIGHTNING IS

WITHIN 5 MILES OF DELIVERY LOCATION.

NOTE 3: THE PRIMARY MODE OF DELIVERY FOR THIS

LOCATION WILL BE TANK TRUCK

OSP-16

RIOHACHA

CU, USAF

COLOMBIA

DELIVERY DODAAC: FP4854

BILLING DODAAC : FP4854

ORDERING OFFICE: DSN 574-9471, COMM 757-764-9471

Line Item Description Estimated Quantity

715-70 DIESEL FUEL #2, HIGH SUL (HS2) 144,000 GL

TANK TRUCK W (TTWP), W/PUMP & METER INTO

1/8,000 GALLON TANK

METERED DELIVERY TICKET REQUIRED

DELIVERY HOURS: 0900-1700 MONDAY THRU SATURDAY

TO GAIN ACCESS TO COLOMBIA MILITARY SITES CONTACT

THE SITE MANAGER AT LEAST 2 DAYS PRIOR TO THE

DELIVERY DATE AT DSN FORM THE USA; 1-305-293-5900

OR 1-305-293-5934-6-5200/5203 FROM BOGOTA:

266-0551-6-5200/5203 OR 266-0550 (ASK PERSONNEL

ON DUTY TO TRANSFER YOU TO RIOHACHA RADAR SITE)

LOCAL CELL/; HNT,(011-57)-320-404-9147. PROVIDE THE

DATE/TIME AND QUANTITY OF ACTUAL DELIVERY AND THE

SITE MANAGER WILL COORDINATE WITH THE BASE

COMMANDERS FOR THE DELIVERY.

NOTE 2: DO NOT DELIVER FUEL IF LIGHTING IS

WITHIN 5 MILES OF DELIVERY OPERATIONS.

NOTE 3: THE PRIMARY MODE OF DELIVERY FOR THIS

LOCATION WILL BE TANK TRUCK.

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SAN ANDRES

CU, USAF

COLOMBIA

DELIVERY DODAAC: FP4854

BILLING DODAAC : FP4854

ORDERING OFFICE: DSN 575-7625, COMM 757-225-7625

Line Item Description Estimated Quantity

720-70 DIESEL FUEL #2, HIGH SUL (HS2) 180,000 GL

1/8,000 GALLON ABOVE GROUND TANK(S)

METERED DELIVERY TICKET REQUIRED

DELIVERY HOURS: 0900-1700 MONDAY THRU SATURDAY

NOTE 1: TO GAIN ACCESS TO COLOMBIA MILITARY

SITES CONTACT THE SITE MANAGER AT LEAST TWO DAYS

BEFORE DELIVERY DATE AT DSN FROM USA AT 1-305-293-5900

OR 1-305-293-5934-6-5210/5212/5211 FROM BOGOTA:

266-0551-6-5210/5212/5211 OR 266-0550. (ASK

PERSONNEL ON DUTY TO TRANSFER YOU TO SAN ANDRES

RADAR SITE) LOCAL CELL: HNT,

(011-57)-320-404-9105. PROVIDE THE DATE/TIME AND

QUANTITY OF ACTUAL DELIVERY AND THE SITE MANAGER

WILL COORDINATE WITH THE BASE COMMANDERS FOR THE

DELIVERY.

NOTE 2: DO NOT DELIVER FUEL IF LIGHTNING WITHIN 5

MILES OF FUEL DELIVERY OPERATION.

NOTE 3: THE PRIMARY MODE OF DELIVERY FOR THIS

LOCATION WILL BE TANK TRUCK

U.S. EMBASSY

BOGOTA

CU, US EMBASSY, (POST 2), CAR. 45 NO. 24B-27

COLOMBIA

DELIVERY FEDAAC: 19F706

BILLING FEDAAC : 19F706

ORDERING OFFICE: 571-383-2291

A01-28 GASOLINE, REG UNL (MUR) 350,000 GL

1/6,000 GALLON BELOW GROUND TANK

LOADING RACK METERED DELIVERY TICKET REQUIRED

DELIVERY HOURS: 0600-2000 7 DAYS INCLUDING

HOLIDAY

NOTE: RECEIVING TANK AND OFF LOADING HEADERS ARE

APPROXIMATELY 75 METERS APART

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FAR 52.212-3 I/II-- OFFEROR REPRESENTATIONS AND CERTIFICATIONS -- COMMERCIAL ITEMS

(OCT 2010)

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 (o) 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.

OSP-19

FAR 52.212-3 CONT’D

(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 (o) 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.

OSP-20

(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 three (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--

OSP-21

(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 $150,000.) 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.)

OSP-22

(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:

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(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 paragraph (h)(2) of this clause; and

(4) [_] Have, [_] have not, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds $3,000 for which the liability remains unsatisfied.

(i) Taxes are considered delinquent if both of the following criteria apply:

(A) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.

OSP-24

(B) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.

(ii) Examples.

(A) The taxpayer has received a statutory notice of deficiency, under I.R.C. §6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appear rights.

(B) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. §6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals Contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. In the course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.

(C) The taxpayer has entered into an installment agreement pursuant to I.R.C. §6159. The taxpayer is making timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the taxpayer is not currently required to make full payment.

(D) The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. §362 (the Bankruptcy Code).

(i) Certification Regarding Knowledge of Child Labor for Listed End Products (Executive Order 13126). [The Contracting Officer must list in paragraph (i)(1) any end products being acquired under this solicitation that are included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, unless excluded at 22.1503(b).]

(1) Listed End Product

Listed End Product: Listed Countries of Origin:

(2) Certification. [If the Contracting Officer has identified end products and countries of origin in paragraph (i)(1) of this provision, then the offeror must certify to either (i)(2)(i) or (i)(2)(ii) by checking the appropriate block.] [_] (i) The offeror will not supply any end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product.

[_] (ii) The offeror may supply an end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product.