OSP_SP0600-12-R-0224.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NO.

SP0600-10-1327

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NO.

SP0600-12-R-0224

6. SOLICITATION ISSUE DATE

21 SEPTEMBER 2012

7. FOR SOLICITATION

INFORMATION CALL

a. NAME REGINA N. GABLE (703) 767-8466 E-MAIL: Regina.Gable@dla.mil Or JAMES THOMPSON (703) 767-9384 E-MAIL: James Thompson@dla.mil

b. TELEPHONE NO. (No collect calls)

703-767-8466

FAX (US) 703-767-8506

8. OFFER DUE DATE/LOCAL TIME

24 OCTOBER 2012

3:00 PM EST

9. ISSUED BY CODE

10. THIS ACQUISITION IS 11. DELIVERY FOR FOB 12. DISCOUNT TERMS

Defense Energy Support Center 8725 John J Kingman Road, Suite 4950 Fort Belvoir, VA 22060-6222 Buyer/Symbol: REGINA N. GABLE/DLA ENERGY-

PCB OR JIM THOMPSON/DLA ENERGY-PCB

UNRESTRICTED

SET ASIDE: % FOR

SMALL BUSINESS

DESTINATION UNLESS

BLOCK IS MARKED

SEE SCHEDULE

NET 30

SMALL DISADV. BUSINESS 13a. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)

8(A)

NAICS:

SIZE STANDARD:

13b. RATING

SIC:

SIZE STD:

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE

16. ADMINISTERED BY CODE

SP0600

SEE SCHEDULE

SEE BLOCK 9

17a. CONTRACTOR/ CODE

OFFEROR

FACILITY

CODE

18a. PAYMENT WILL BE MADE BY CODE

HQ0104

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 OF SUPPLIES TO BE FURNISHED,

(Attached additional Sheets as Necessary)

(Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

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

ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE

TERMS AND CONDITIONS SPECIFIED 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:

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)

AYBIKE S. ARSLAN

31c. DATE SIGNED

32a. QUANTITY IN COLUMN 21 HAS BEEN

ACCEPTED, AND CONFORMS TO THE

33. SHIP NUMBER

34. VOUCHER NUMBER

35. AMOUNT VERIFIED

CORRECT FOR

RECEIVED INSPECTED CONTRACT, EXCEPT AS NOTED 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

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (10-95)

Prescribed by GSAFAR (48 CPR) 53.212 mailto:Regina.Gable@dla.mil

OFFEROR SUBMISSION

PACKAGE

SOLICITATION: SP0600-12-R-0224, TS-1, Diesel Fuel and Unleaded, Automotive Gasoline for Bagram Airbase, FOB Kunduz, FOB Marmel, Afghanistan and DFSP National, DFSP Tryco and DFSP ZWG at Kabul, Afghanistan.

THE ENCLOSED SOLICITATION COVERS THE ORDERING PERIOD: Date of Award THROUGH: 24 months later.

INSTRUCTIONS:

1. Return a copy of the completed Offeror Submission Package (OSP) to: DLA-ENERGY-PCB@dla.mil. All documents to be completed and returned are attachments to this OSP. Package due back no later than DATE, 3:00P.M. United States, Local Ft. Belvoir Time.

X Standard Form 1449 - Complete blocks 12, 17(a), 17(b), 30(a), 30(b), and 30(c)

X Provision B1.05-2 SUPPLIES TO BE FURNISHED (OVERSEAS PC&S) (PORTS INTERNET APPLICATION) (DLA ENERGY JAN 2012) – Provide unit price(s) where indicated.

X Certifications and Representations (Fill-in Clauses)

X Past Performance Questionnaire (Attachment 1)

X Past Performance Data Sheet (Attachment 2)

X Technical Capability Performance Data Sheet (Attachment 3)

X Subcontractor, Owner, and Employee Data Sheet (Attachment 4)

X Letter of Commitment Instructions (Attachment 5)

X Fuel Source Data Sheet (Attachment 6)

2. All documentation shall be sent to the PCB Group Mailbox: DLA-ENERGY-PCB@dla.mil

a. Due to extraordinary volume of interest, offerors are encouraged to attach “Read Receipts Request” on their emails as a way to confirm delivery of their offer.

b. PLEASE NOTE: Offerors should reference FAR Clause 52.212-1(f) LATE SUBMISSIONS, MODIFICATIONS, REVISIONS, AND WITHDRAWAL OF OFFERS.

3. Offerors are to submit all documents they feel are necessary to submit a full and complete offer. Offers shall include OSP certifications and representations, pricing, past performance, technical capability, supplements, and any attachments.

OSP Page 2 of 32

a. Supporting documentation must include, but is not limited to the following:

• Proof of necessary business licenses

• All business agreements that support joint ventures with the Prime Offeror

• All necessary firm commitment letters (may be contingent upon award) that support transportation functions, supply functions, and operational functions

4. Offerors must be sure all OSP fill-in spaces are completed as required.

5. Offerors ARE NOT permitted to augment or remove any terms and conditions found in the body of the solicitation or the Offeror Submission Package (OSP)

a. Offeror Exceptions: If offerors would like to take exception to any term or condition, they may do so by submitting a separate document listing the exceptions they wish to take.

6. Be sure to proofread all offered prices submitted. They must be in dollars per U.S. gallon (e.g. $0.000000), NOT price differentials. Offer one price per line item, which will escalate/de-escalate with the named index.

7. All offerors are reminded that every solicitation stands on its own. Every offeror will be evaluated solely on the criteria named in the solicitation M-0003 M72.03-3-100 EVALUATION FACTORS FOR BEST OVERALL VALUE (PC&S) (AFGHANISTAN/IRAQ) (DLA ENERGY JUN 2006). All offerors must submit Past Performance, Technical and Pricing information for evaluation.

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

9. 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.

CONTINUATION TO BLOCKS 15 AND 19-24 OF THE SF 1449:

OSP Page 3 of 32

TABLE OF CONTENTS

CLAUSE

NUMBER

CLAUSE TITLE

PAGE

SF 1449 1

SECTION B – SUPPLIES/SERVICES AND PRICES/COSTS 4

B-0001 B1.05-2 SUPPLIES TO BE FURNISHED (OVERSEAS PC&S) (PORTS APPLICATION) (DLA

ENERGY JAN 2012)

B-0002 B19.02 ECONOMIC PRICE ADJUSTMENT (OVERSEAS) (DLA ENERGY JAN 2012) 10

SECTION G - CONTRACT ADMINISTRATION DATA 12

G-0002 G9.06 ADDRESS TO WHICH REMITTANCE SHOULD BE MAILED (DLA ENERGY DEC 1999) 12

G-0003 G9.07 ELECTRONIC TRANSFER OF FUNDS PAYMENTS - CORPORATE TRADE EXCHANGE

(DLA ENERGY MAR 2003)

G-0004 G9.07-5 ELECTRONIC TRANSFER OF FUNDS PAYMENTS – FEDERAL RESERVE WIRE

TRANSFER SYSTEM (DLA ENERGY JAN 2012)

SECTION K - REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF

OFFERORS OR QUOTERS

FAR 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS-COMMERCIAL ITEMS (APRIL 2012) 16

DFARS 252.212-

OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (JUN 2005) 26

DFARS 252.225-

TRADE AGREEMENTS CERTIFICATE (JAN 2005) 27

K-0002 K45.01 FACSIMILE OR ELECTRONIC INVOICING (DLA ENERGY JAN 2012) 28

K-0003 K86 FOREIGN TAXES (DLA ENERGY JAN 2012) 28

SECTION L – INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERS OR QUOTERS 29

FAR 52.212-1 INSTRUCTIONS TO OFFERORS – COMMERCIAL ITEMS (PC&S) (TAILORED) (DLA ENERGY)

(FEB 2012)

DLAD 52.233-

DISPUTES: AGREEMENT TO USE ALTERNATIVE DISPUTE RESOLUTION (NOV 2011) 31

L-0003 L117 NOTIFICATION OF TRANSPORTATION COMPANY TO BE UTILIZED IN THE DELIVERY

OF PRODUCT (PC&S) (DLA ENERGY JAN 2012)

OSP Page 4 of 32

SECTION B – SUPPLIES/SERVICES AND PRICES/COSTS

B-0001 B1.05-2 SUPPLIES TO BE FURNISHED (OVERSEAS PC&S) (PORTS INTERNET

APPLICATION) (DLA ENERGY JAN 2012)

(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 contract provision.

(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 contract provision.

(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 _N/A_-year requirements.

SUPPLIES, DELIVERY POINTS, TWO (2) YEAR

ITEMS AND METHOD OF DELIVERY ESTIMATED QUANTITY PRICE

101 BAGRAM AIR BASE

AF, ARMY, BAGRAM AIR BASE

AFGHANISTAN

DELIVERY DODAAC: W91DW4

BILLING DODAAC : W91DW4

ORDERING OFFICE : COMM: 813.827.1307

ALT ORDERING OFFICE: DSN: 312.651.1307

ORDERING DODAAC : SJ0629

JACK L. WHITAKER CIV, DLA ENERGY-ME

(INVENTORY MANAGER)

Jack.whitaker@dla.mil

ATTENTION FUEL RECEIVER: Fuel delivered under this CLIN meets the specification required for U.S. military use for aviation and ground use.

101-TS1 JET FUEL (TS1) 72,000,000 GL $__________

NSN: 9130-01-491-2201

A-1, TANK TRUCK (TT), INTO VARIOUS TANKS / BLADDERS / TRUCKS

TRUCK(S) MUST ARRIVE AT THE FACILITY SEALED BY THE

CONTRACTOR WITH 2.0MM OR EQUIVALENT U.S GOVERNMENT

APPROVED SEAL. TRUCK MUST BE ABLE TO CONNECT TO A

4 INCH CAMLOCK.THIS FUEL IS CAPITALIZED.

RESTRICTION: THIS FUEL SHALL BE SOURCED FROM PAKISTAN.

102 BAGRAM AIR BASE

AF, ARMY, BAGRAM AIR BASE

AFGHANISTAN

DELIVERY DODAAC: W91DW4

BILLING DODAAC : W91DW4

ORDERING OFFICE : COMM: 813.827.1307

ALT ORDERING OFFICE: DSN: 312.827.1307

ORDERING DODAAC : SJ0629

JACK L. WHITAKER CIV, DLA ENERGY-ME

(INVENTORY MANAGER)

Jack.whitaker@dla.mil

102-ST1 MONTHLY INTERMEDIATE RESERVES FEE 3,000,000 GL $__________

JET FUEL (TS1), NSN: 9130-01-491-2201

CONTRACTOR SHALL BE PAID PER GALLON

FOR FUEL PRODUCT HELD IN INTERMEDIATE

RESERVE STORAGE FOR DLA

mailto:Jack.whitaker@dla.mil

OSP Page 5 of 32

SUPPLIES, DELIVERY POINTS, TWO (2) YEAR

ITEMS AND METHOD OF DELIVERY ESTIMATED QUANTITY PRICE

103 DFSP NATIONAL FUELS TANK FARM

AF, ARMY, KABUL

AFGHANISTAN

DELIVERY DODAAC: UY0601

BILLING DODAAC : UY0601

ORDERING OFFICE : COMM: 813.827.1307

ALT ORDERING OFFICE: DSN: 312.651.1307

ORDERING DODAAC : SJ0629

JACK L. WHITAKER CIV, DLA ENERGY-ME

(INVENTORY MANAGER)

Jack.whitaker@dla.mil

103-TS1 JET FUEL (TS1) 3,500,000 GL $__________

TANK TRUCK (TT), INTO THE DFSP STORAGE FACILITY

NATIONAL FUELS TANK FARM. TRUCK(S) MUST ARRIVE

AT THE FACILITY SEALED BY THE CONTRACTOR

WITH 2.0MM OR EQUIVALENT U.S GOVERNMENT

APPROVED SEAL. TRUCK MUST BE ABLE TO CONNECT

TO A 4 INCH CAMLOCK.

THIS FUEL IS CAPITALIZED

UNRESTRICTED: THIS FUEL CAN BE SOURCED FROM THE

NORTHERN DISTRIBUTION NETWORK OR PAKISTAN.

103-TSA JET FUEL (TS1) 720 GL $__________

NSN: 9130-01-491-2201

TANK TRUCK (TT), INTO THE DFSP STORAGE FACILIITY

NATIONAL FUELS TANK FARM. TRUCK(S) MUST ARRIVE

AT THE FACILITY SEALED BY THE CONTRACTOR WITH

2.0MM OR EQUIVALENT U.S GOVERNMENT APPROVED SEAL.

TRUCK MUST BE ABLE TO CONNECT TO A 4 INCH CAMLOCK.

THIS IS AN ALTERNATE DELIVERY LOCATION FOR LINE ITEM 103-TS1.

THIS FUEL IS CAPITALIZED.

UNRESTRICTED: THIS FUEL CAN BE SOURCED FROM THE

NORTHERN DISTRIBUTION NETWORK OR PAKISTAN.

104 DFSP TRYCO INTERNATIONAL TANK FARM

AF, ARMY, KABUL

AFGHANISTAN

DELIVERY DODAAC: UY7355

BILLING DODAAC : UY7355

ORDERING OFFICE : COMM: 813.827.1307

ALT ORDERING OFFICE: DSN: 312.651.1307

ORDERING DODAAC : SJ0629

JACK L. WHITAKER CIV, DLA ENERGY-ME

(INVENTORY MANAGER)

Jack.whitaker@dla.mil

104-TS1 JET FUEL (TS1) 3,500,000 GL $__________

TANK TRUCK (TT), INTO THE DFSP STORAGE FACILITY

OSP Page 6 of 32

TRYCO INTERNATIONAL FUELS TANK FARM

TRUCKS MUST ARRIVE AT THE FACILITY SEALED BY THE

CONTRACTOR WITH ALULOCK 2.0MM OR EQUIVALENT U.S

GOVERNMENT APPROVED SEAL. TRUCK MUST BE ABLE TO

CONNECT TO A 4 INCH CAMLOCK.

THIS FUEL IS CAPITALIZED.

UNRESTRICTED: THIS FUEL CAN BE SOURCED FROM THE

NORTHERN DISTRIBUTION NETWORK OR PAKISTAN.

104-TSA JET FUEL (TS1) 720 GL $__________

NSN: 9130-01-491-2201

TANK TRUCK (TT), INTO THE DFSP STORAGE FACILITY

TRYCO INTERNATIONAL FUELS TANK FARM.

TRUCKS MUST ARRIVE AT THE FACILITY SEALED BY THE

CONTRACTOR WITH ALULOCK 2.0MM OR EQUIVALENT U.S

GOVERNMENT APPROVED SEAL. TRUCK MUST BE ABLE TO

CONNECT TO A 4 INCH CAMLOCK. THIS IS AN ALTERNATE

DELIVERY LOCATION FOR LINE ITEM 104-90T.

THIS FUEL IS CAPITALIZED.

UNRESTRICTED: THIS FUEL CAN BE SOURCED FROM THE

NORTHERN DISTRIBUTION NETWORK OR PAKISTAN.

105 DFSP ZWG (ZAHID WALID GROUP)

AF, ARMY

AFGHANISTAN

DELIVERY DODAAC: UY0655

BILLING DODAAC : UY0655

ORDERING OFFICE:

ORDERING DODAAC : SJ0629

JACK L. WHITAKER CIV, DLA ENERGY-ME

(INVENTORY MANAGER)

Jack.whitaker@dla.mil

105-TS1 JET FUEL (TS1) 3,500,000 GL $__________

TANK TRUCK (TT), INTO THE DFSP STORAGE FACILITY,

ZWG (ZAHID WALID GROUP) FUELS TANK FARM.

TRUCK(S) MUST ARRIVE AT THE FACILITY SEALED BY THE

CONTRACTORWITH 2.0MM OR EQUIVALENT U.S GOVERNMENT

APPROVED SEAL. TRUCK MUST BE ABLE TO CONNECT TO A

4 INCH CAMLOCK. THIS FUEL IS CAPITALIZED.

UNRESTRICTED: THIS FUEL CAN BE SOURCED FROM THE

NORTHERN DISTRIBUTION NETWORK OR PAKISTAN.

105-TSA JET FUEL (TS1) 720 GL $__________

TANK TRUCK (TT), INTO THE DFSP STORAGE FACILITY,

ZWG (ZAHID WALID GROUP) FUELS TANK FARM TRUCK(S)

MUST ARRIVE AT THE FACILITY SEALED BY THE CONTRACTOR

WITH 2.0MM OR EQUIVALENT U.S GOVERNMENT

APPROVED SEAL. TRUCK MUST BE ABLE TO CONNECT TO A 4 INCH

CAMLOCK. THIS IS AN ALTERNATE DELIVERY

LOCATION FOR LINE ITEM 105-90. THIS FUEL IS CAPITALIZED.

UNRESTRICTED: THIS FUEL CAN BE SOURCED FROM THE

NORTHERN DISTRIBUTION NETWORK OR PAKISTAN.

101-KDN DIESEL FUEL (SPEC GOST 305-82) 3,600,000 GL $__________

DIESEL FUEL (SPEC GOST 305-82) OR PAD DIESEL

FUEL. PRODUCT SHALL CONFORM TO THE WINTER DIESEL

SPECIFICATION AS STATED IN CLAUSE C16.26-14.

TANK TRUCK (TT), INTO VARIOUS TANKS / BLADDERS / TRUCKS

TRUCKS MUST ARRIVE AT THE FACILITY SEALED BY

CONTRACTOR WITH ALULOCK 2.0MM CABLE SEAL

OSP Page 7 of 32

OR EQUIVALENT U.S. GOVERNEMENT APPROVED SEAL.

THIS FUEL IS CAPITALIZED.

RESTRICTION: THIS FUEL SHALL BE SOURCED FROM THE

NORTHERN DISTRIBUTION NETWORK.

101-KDP DIESEL FUEL (SPEC GOST 305-82) 3,600,000 GL $__________

DIESEL FUEL (SPEC GOST 305-82) OR PAD DIESEL

FUEL. PRODUCT SHALL CONFORM TO THE WINTER DIESEL

SPECIFICATION AS STATED IN CLAUSE C16.26-14.

TANK TRUCK (TT), INTO VARIOUS TANKS / BLADDERS / TRUCKS

TRUCKS MUST ARRIVE AT THE FACILITY SEALED BY

CONTRACTOR WITH ALULOCK 2.0MM CABLE SEAL

OR EQUIVALENT U.S. GOVERNEMENT APPROVED SEAL.

THIS FUEL IS CAPITALIZED.

RESTRICTION: THIS FUEL SHALL BE SOURCED FROM PAKISTAN.

SUPPLIES, DELIVERY POINTS, TWO (2) YEAR

ITEMS AND METHOD OF DELIVERY ESTIMATED QUANTITY PRICE

101-PGN UNLEADED, AUTOMOTIVE GASOLINE 2,520,000 GL $__________

NSN 9130-01-526-4844, OR (GOST R 51105-97, GRADE

REGULAR WITH MINIMUM RESEARCH OCTANE NUMBER OF 92

OR GOST R 51866-2002). TANK TRUCK (TT),

INTO VARIOUS TANKS / BLADDERS / TRUCKS

TRUCKS MUST ARRIVE AT THE FACILITY SEALED BY

CONTRACTOR WITH ALULOCK 2.0MM CABLE SEAL

OR EQUIVALENT U.S. GOVERNEMENT APPROVED SEAL.

THIS FUEL IS CAPITALIZED.

RESTRICTION: THIS FUEL SHALL BE SOURCED FROM THE

NORTHERN DISTRIBUTION NETWORK.

101-PGP UNLEADED, AUTOMOTIVE GASOLINE 2,520,000 GL $__________

NSN 9130-01-526-4844, OR (GOST R 51105-97, GRADE

REGULAR WITH MINIMUM RESEARCH OCTANE NUMBER OF 92

OR GOST R 51866-2002). TANK TRUCK (TT),

INTO VARIOUS TANKS / BLADDERS / TRUCKS

TRUCKS MUST ARRIVE AT THE FACILITY SEALED BY

CONTRACTOR WITH ALULOCK 2.0MM CABLE SEAL

OR EQUIVALENT U.S. GOVERNEMENT APPROVED SEAL.

THIS FUEL IS CAPITALIZED.

RESTRICTION: THIS FUEL SHALL BE SOURCED FROM PAKISTAN.

110 FOB MARMEL

AF, ARMY

AFGHASNISTAN

DELIVERY DODAAC: W91PS1

BILLING DODAAC : W91PS1

ORDERING OFFICE : COMM 813.827.1307

ALT ORDERING OFFICE: DSN 312.651.1307

ORDERING DODAAC : SJ0629

JACK L. WHITAKER CIV, DLA ENERGY-ME

(INVENTORY MANAGER)

Jack.whitaker@dla.mil

110-TSN JET FUEL (TS1) 17,280,000 GL $__________

TANK TRUCK (TT), INTO VARIOUS TANKS / BLADDERS / TRUCKS

TRUCK(S) MUST ARRIVE AT THE FACILITY SEALED BY THE

CONTRACTORWITH 2.0MM OR EQUIVALENT U.S GOVERNMENT

APPROVED SEAL. TRUCK MUST BE ABLE TO CONNECT TO A 4 INCH

CAMLOCK. FUEL IS NOT CAPITALIZED.

OSP Page 8 of 32

RESTRICTION: THIS FUEL SHALL BE SOURCED FROM THE

NORTHERN DISTRIBUTION NETWORK.

112 FOB KUNDUZ

AF, ARMY

AFGHANISTAN

DELIVERY DODAAC: W91PS1

BILLING DODAAC : W562JX

ORDERING OFFICE : COMM 813.827.1307

ALT ORDERING OFFICE: DSN 312.651.1307

ORDERING DODAAC : SJ0629

JACK L. WHITAKER CIV, DLA ENERGY-ME

(INVENTORY MANAGER)

Jack.whitaker@dla.mil

SUPPLIES, DELIVERY POINTS, TWO (2) YEAR

ITEMS AND METHOD OF DELIVERY ESTIMATED QUANTITY PRICE

112-TSN JET FUEL (TS1) 5,760,000 GL $__________

NSN: 9130-01-491-2201

TANK TRUCK (TT), INTO VARIOUS TANKS / BLADDERS / TRUCKS

TRUCK(S) MUST ARRIVE AT THE FACILITY SEALED BY THE

CONTRACTORWITH 2.0MM OR EQUIVALENT U.S GOVERNMENT

APPROVED SEAL. TRUCK MUST BE ABLE TO CONNECT TO A 4 INCH

CAMLOCK. FUEL IS NOT CAPITALIZED.

RESTRICTION: THIS FUEL SHALL BE SOURCED FROM THE

NORTHERN DISTRIBUTION NETWORK.

SPECIAL NOTE REGARDING JET FUEL SPECIFICATIONS

1. Offerors are informed that the Government’s requirement for this solicitation is Jet Fuel TS-1 (NSN: 9130-01-491-2201) as defined by Solicitation Provision C16.11, “TURBINE FUEL, AVIATION (TS-1) (FIRST GRADE) WITH OR WITHOUT FUEL SYSTEM ICING INHIBITOR (FSII), CORROSION

INHIBITOR (CI), AND STATIC DISSIPATOR ADDITIVE (SDA).”

2. TS-1 jet fuel supplied under any contract resulting from this solicitation must meet the specification requirements of Solicitation Provision C16.11, and those listed below:

• Additized TS-1 Jet Fuel (JP-8) shall have a minimum flash point of 32 degrees Celsius in accordance with GOST 6356-75

• KINEMATIC VISCOSITY: TS-1 Fuel shall have the following viscosity limits at 40 degrees Celsius*: 1.0mm2/s (minimum) and 4.1mm2/s

(maximum)

• *Note: Extrapolation of GOST 10227 Kinematic Viscosity (KV) data points at -40 degrees Celsius and 20 degrees Celsius shall be used to determine the KV value at 40 degrees Celsius. Additionally, the KV 40 degree Celsius value must fall within the APC ground use limits to be acceptable for ground use.

3. As an acceptable alternative to TS-1 jet fuel, Offerors can supply Jet A1 Jet Fuel, which must meet the specification requirements of Solicitation Provision C16.09-5, “TURBINE FUEL, AVIATION (JA1) WITH OR WITHOUT FUEL SYSTEM ICING INHIBITOR (FSII), CORROSION INHIBITOR/LUBRICITY

IMPROVER (CI/LI), AND STATIC DISSIPATER ADDITIVE (SDA).”

SPECIAL NOTES:

1. All CLINS shall be sourced from Northern supply routes and/or Pakistan into Afghanistan.

2. All offerors must register in JCCS Vendor at https://www.jccs.gov/olvr/ and must submit their registration number with their offer package. Initial Offeror packages not registered in the JCCS Vendor shall not be considered for award.

3. Proposals that include the use of Armed Private Security companies will not be considered for award. Offerors may seek assistance through the Afghanistan Ministry of Interior.

4. The contractor selected for award shall be ready to deliver fuel in accordance with the contract requirements within 30 days of award.

5. Offerors submitting electronic responses to this solicitation must limit email size to 10MB for a single email. Emails over 10MB may not be delivered because of server restriction on mail size for delivery.

https://www.jccs.gov/olvr/

OSP Page 9 of 32

6. Force protection requirements are in full effect under this contract at all times. There may be waits outside all gates. This includes mandatory cool down periods of 24 hours or more. Alternating security measures may randomly affect wait times outside of the gates. Claims for detention will not be paid.

7. Offerors note: The U.S. Government is tax exempt. DO NOT include any taxes in offered prices for which the U.S. is tax exempt.

8. Evaluation of Offer: In accordance with M72.03-3-100, the Government will award contracts under this solicitation to contractors that provide the best overall value on the basis of past performance, combined technical/risk rating, and price. The Government reserves the right to make multiple awards on all

CLINS.

9. If awarded a contract, the Government may request periodical updates to the information found in the Ownership Responsibility and Sub-Contractor Data Sheet. Failure to provide full, complete and accurate information at any time during contract pre-award or performance, with regard to this package may be grounds for a Contractor Non-Responsibility Determination and termination of the contract by the Contracting Officer.

10. Any violation of the Iran Sanctions Act is strictly forbidden. Contractor shall not source nor blend any portion of the fuel destined for DLA Energy with refined fuel products sourced from Iran. In accordance with FAR 52.212-3 -- OFFEROR REPRESENTATIONS AND CERTIFICATIONS -- COMMERCIAL ITEMS (APR 2012C), by submission of its offer, the offeror certifies that the offeror, or any person owned or controlled by the offeror, does not engage in any activities for which sanctions may be imposed under section 5 of the Iran Sanctions Act.

11. Exceptions: Any exceptions the offeror takes to the terms and conditions of the solicitation must be submitted with the offer. Offerors shall submit all exceptions taken in list format. Only exceptions detailed in the offer will be treated as exceptions to the terms and conditions of the solicitation. Any exceptions taken by the offeror will be considered by the Government and either accepted or rejected. Exceptions that are accepted by the Government will be incorporated into any resultant contract; exceptions that are rejected by the Government must be withdrawn by the offeror or the offer will be rejected.

12. DLA Energy reserves the right to request delivery to an alternate location as needed in accordance with the CHANGES - Military Readiness Clause of this contract. The Contractor may submit a claim for any reasonable additional transportation costs, as supported by appropriate documentation, which may result from such a change.

13. Offerors must submit pricing in unit price/per USG format; Example: ($0.000000/USG).

SPECIAL NOTES ON CLIN 102-ST1 (FUEL RESERVES):

1. The U.S. Military requires substantial quantities of TS-1 jet fuel at Bagram Air Base, which must be imported from northern and western sources.

Historically, there have been disruptions in supply that have severely impacted continuity of operations in the area and raise serious concerns that future disruptions may result in mission failure. The Government has determined that, in order to minimize these risks, quantities of fuel (approximately 3,000,000 USG) should be imported and held by the Contractor in intermediate storage in Afghanistan, such that a large “reserve” exists from which fuel can be delivered to meet existing contract requirements when supply disruptions occur.

2. The Contractor will accumulate and maintain TS-1 jet fuel reserves of approximately 3,000,000 USG (“the reserves”), or the awarded portion thereof, at an intermediate storage facility or facilities in Afghanistan. Reserve fuel must be mutually exclusive from operational fuel quantities. Reserve fuel is to be drawn down at the direction of the Regional Commander only by contract delivery order. Fuel in reserves shall meet contract specifications.

3. The Contractor will provide documentation of all fuel removed from and added to the reserves within three (3) working days of addition/removal.

4. CLIN 102-ST1 is a Reserves CLIN; however, for DLA Energy system purposes it is identified as a BAF CLIN in the schedule above.

5. Offerors are informed that, in order to be awarded any TS-1 reserve quantity under line item 102-ST1, they must also be awarded quantities under at minimum one line item from this solicitation. No contracts will be awarded solely for line item 102-ST1. If multiple awards are made for the line items under this solicitation, each awardee will be expected to maintain a portion of not less than 3,000,000 USG of line item 102-ST1.

6. It is anticipated that the contractor will only deliver reserve fuel in the event that normal supply to Bagram Air Base is disrupted. The Contractor will inform DLA Energy promptly of any actual or potential disruptions in supply that may necessitate delivering reserve fuel.

7. FAR 52.228-3, WORKERS’ COMPENSATION INSURANCE (DEFENSE BASE ACT) is only applicable to CLIN 102-ST6, the reserve requirement, which is considered a service contract line item.

8. DLA Energy reserves the right to request delivery to an alternate location as needed in accordance with the CHANGES - Military Readiness Clause of this contract. The Contractor may submit a claim for any reasonable additional transportation costs, as supported by appropriate documentation, which may result from such a change.

9. Unless the Government has notified the Contractor, in writing, of its intent to reduce or draw down the reserves, the Contractor shall replace fuel removed from the reserves promptly so as to maintain the required reserve quantity. Replenishment shall be accomplished not later than 30 days after normal fuel deliveries have resumed.

10. In the event that the contractor does not receive the follow-on contract, or if the reserve fuel requirement ceases to exist under the subject contract, DLA Energy agrees to order all fuel remaining in the reserve prior to expiration of the current contract, with delivery to take place within 90 days thereafter.

11. DLA Energy reserves the right to have a representative examine the storage facilities at any time, with or without notice, in order to verify that the fuel meets specifications and that the quantity of fuel in reserve is accurately reported. In the event that fuel is determined to be off-specification while in reserve, the Contractor shall have the opportunity to state how it intends to bring the fuel back to specification before it is delivered to the Government. However, fuel that cannot be brought back on specification prior to delivery in a manner that is acceptable to the Government must be removed from the reserves and

OSP Page 10 of 32 replaced. The Government will not pay maintenance charges for fuel that cannot be brought back to specification. These procedures will be identified in the Quality Control Plan (QCP).

12. Deliveries of reserve fuel to the Government shall be subject to the quantity and quality provisions contained in the Contract.

13. In accordance with Clause E-0001, the Contractor is required (unless otherwise instructed by the Government) to provide and maintain an inspection system and a written description QCP acceptable to the Government.

14. Title to the fuel and risk of loss thereof, remains with the Contractor while it is in reserve. Delivery of reserve fuel to the Government shall be FOB destination and title and risk of loss shall transfer to the Government when the fuel passes through the U.S. Government designated receipt meter into the US Government’s bladder or tank truck. Title and risk of loss or damage to the supplies provided under all line items under this solicitation shall remain with the Contractor until completed download of product at the final delivery destination. The Contractor bears all risk and responsibility for loss or damage to equipment and personal injury or death of its employees, agents, or subcontractors. The Contractor is responsible for obtaining adequate insurance to cover the risks discussed herein. The Government will not reimburse the Contractor for claims stemming from loss or damage to product or equipment or personal injury or death of employees, agents or subcontractors.

15. The invoice and payment procedures for reserve CLIN 102-ST6 are as follows:

1. Contractor emails the reserve fee invoice and the supporting weekly Material Stock Measurement Acts, signed by both the contractor and the U.S. Government’s third party representative, to Mr. Joshua Zehler (Joshua.Zehler@dla.mil) at DLA Energy Middle East (DLA Energy-ME) for review and certification. The contractor shall submit reserve invoices on a monthly basis.

2. DLA Energy-ME reviews and certifies the reserve invoices and submits the certified invoices to DFAS for payment.

3. DFAS pays the certified invoice.

B-0002 B19.02 ECONOMIC PRICE ADJUSTMENT (OVERSEAS) (DLA ENERGY JAN 2012)

(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 contract provision; 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 contract provision, 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 mailto:Joshua.Zehler@dla.mil

OSP Page 11 of 32 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 contract provision 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.desc.dla.mil under the heading Vendor Resources and then Product Price Adjustments.

(e) FAILURE TO DELIVER. Notwithstanding any other conditions of this contract provision, 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 conditions of this contract provision 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.

http://www.platts.com/ http://www.desc.dla.mil/

OSP Page 12 of 32

(h) CONVERSION FACTORS. If this contract provision requires quantity conversion for economic price adjustment purposes, the conversion factors for applicable products, as specified in the CONVERSION FACTORS contract provision, 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 contract provision.

(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 contract provision.

(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 1 AUG 2012 (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 .

102-ST1 PLATTS AVJET FUEL FOB MED CARGO $2.847241 See Paragraph (f) above

103-TS1 PLATTS AVJET FUEL FOB MED CARGO $2.847241 See Paragraph (f) above

103-TSA PLATTS AVJET FUEL FOB MED CARGO $2.847241 See Paragraph (f) above

104-TS1 PLATTS AVJET FUEL FOB MED CARGO $2.847241 See Paragraph (f) above

104-TSA PLATTS AVJET FUEL FOB MED CARGO $2.847241 See Paragraph (f) above

105-TS1 PLATTS AVJET FUEL FOB MED CARGO $2.847241 See Paragraph (f) above

105-TSA PLATTS AVJET FUEL FOB MED CARGO $2.847241 See Paragraph (f) above

Below CLINs shall be sourced from the Northern Distribution Network:

101-KDN PLATTS JET KERO CIF NEW CARGO $2.907302 See Paragraph (f) above

101-PGN PLATTS JET KERO CIF NEW CARGO $2.907302 See Paragraph (f) above

110-TSN PLATTS JET KERO CIF NEW CARGO $2.907302 See Paragraph (f) above

112-TSN PLATTS JET KERO CIF NEW CARGO $2.907302 See Paragraph (f) above

Below CLINs shall be sourced from Pakistan:

101-TS1 PLATTS JET KERO ARAB GULF CARGO $2.731537 See Paragraph (f) above

101-KDP PLATTS JET KERO ARAB GULF CARGO $2.731537 See Paragraph (f) above

101-PGP PLATTS JET KERO ARAB GULF CARGO $2.731537 See Paragraph (f) above

NOTE: Product prices will escalate monthly based on the average of high and low assessments contained in the Platt’s publication of each month in which deliveries are made. Therefore, the effective price for the period of the 1st through the 30th /31st will be the average of the high and low assessments for the previous month’s assessments posted on the 1st of each month. Saturdays and Sundays shall be considered as Platt’s non-publication days. If assessments are not posted by Platt’s during the period that delivery was made due to a holiday or another occurrence, only the posted assessments for that period will be used in the calculation.

SECTION G - CONTRACT ADMINISTRATION DATA

OSP Page 13 of 32

G-0002 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)

G-0003 G9.07 ELECTRONIC TRANSFER OF FUNDS PAYMENTS - CORPORATE TRADE EXCHANGE (DLA ENERGY JUL

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 located in the United States and must be capable of receiving Automated Clearing House (ACH) transactions.

NAME OF RECEIVING BANK: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

(DO NOT EXCEED 29 CHARACTERS)

CITY AND STATE OF RECEIVING BANK: | | | | | | | | | | | | | | | | | | | | |

(DO NOT EXCEED 20 CHARACTERS)

AMERICAN BANKERS ASSOCIATION NINE DIGIT IDENTIFIER OF RECEIVING BANK: | | | | | | | | | |

ACCOUNT TYPE CODE: (Contractor to designate one)

OSP Page 14 of 32

[ ] CHECKING TYPE 22

[ ] SAVINGS TYPE 32

RECIPIENT'S ACCOUNT NUMBER ENCLOSED IN PARENTHESES: | | | | | | | | | | | | | | | |

(DO NOT EXCEED 15 CHARACTERS)

RECIPIENT'S NAME: | | | | | | | | | | | | | | | | | | | | | | | | | |

(DO NOT EXCEED 25 CHARACTERS)

STREET ADDRESS: | | | | | | | | | | | | | | | | | | | | | | | | | |

(DO NOT EXCEED 25 CHARACTERS)

CITY AND STATE: | | | | | | | | | | | | | | | | | | | | | | | | | |

(DO NOT EXCEED 25 CHARACTERS)

NOTE: Additional information may be entered in EITHER paragraph (b) OR paragraph (c) below. Total space available for information entered in (b) OR (c) is 153 characters.

(b) SPECIAL INSTRUCTIONS/OTHER IDENTIFYING DATA:

OR

(c) THIRD PARTY INFORMATION: Where payment is to be forwarded from the receiving bank to another financial institution for deposit into Contractor's account, the following information must be supplied by the Contractor: Second Bank Name, City/State and/or Country, Account Number, and Account Name.

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

INFORMATION.

NAME: | | | | | | | | | | | | | | | | | | | | | | | | | |

(DO NOT EXCEED 25 CHARACTERS)

TITLE: | | | | | | | | | | | | | | | | | | | | | | | | | |

OSP Page 15 of 32

TELEPHONE NUMBER: | | | | | | | | | | | | | | | | | | | | | | | | | |

SIGNATURE: ______________________________________________________________________

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

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

(g) In the event corporate trade exchange (CTX) payments cannot be processed, the Government retains the option to make payments under this contract by check.

(h) NOTICE TO FOREIGN SUPPLIERS.

(1) Payment may be made through the Federal Reserve Wire Transfer system. The bank designated as the receiving bank must be located in the United States and must be capable of receiving ACH transactions. The appropriate American Bankers Association nine-digit identifier must be supplied in order for payments to be processed through CTX.

(2) If your account is with a foreign bank that has an account with a bank located within the United States, the U.S.

bank may be designated as the receiving bank. The recipient's name and account number shall identify the foreign bank, and transfer instructions to supplier's account must be specified in (b) OR (c) above.

(3) The Third Party information supplied in (c) above will be located in the first RMT segment of the CTX payment information sent to the receiving bank.

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

G-0004 G9.07-5 ELECTRONIC TRANSFER OF FUNDS PAYMENTS – FEDERAL RESERVE WIRE TRANSFER SYSTEM (DLA

ENERGY JAN 2012)

(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____ (DESC fill-in)

CONTRACT NUMBER: ______________________________________________ (DESC 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: | | | | | | | | | | | | | | | | | | | | | | | | | |

OSP Page 16 of 32

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.

SECTION K - REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS OR QUOTERS

FAR 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS-COMMERCIAL ITEMS (APRIL 2012)

An offeror shall complete only paragraphs (b) of this provision if the offeror has completed the annual representations and certificates electronically via https://www.acquisition.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--

“Economically disadvantaged women-owned small business (EDWOSB) concern” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

“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…