Attachment_III_-_OSP_for_13R0503.pdf
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- Solicitation number
- SP0600-13-R-0503
- Issued by
-
Defense Logistics Agency Energy
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Attachment III - Offeror's Submission Package (OSP)
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Solicitation – SP0600-13-R-0503
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
1. REQUISITION NUMBER
SP0600-13-0337;
SP0600-13-0343;
SP0600-13-0359;
SP0600-13-0362;
SP0600-13-0366;
SP0600-13-0353;
PAGE 1 OF 34 in Offeror Submission Package (OSP)
2. CONTRACT NUMBER
3. AWARD/EFFECTIVE DATE
4. ORDER NUMBER
5. SOLICITATION NUMBER
SP0600-13-R-0503
6. SOLICITATION ISSUE DATE
November 20, 2012
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME Patricia M. Smith
b. TELEPHONE NUMBER (no collect calls) Phone: (703) 767-9332 Fax: (703) 767-9338
8. OFFER DUE DATE/LOCAL
TIME
3:00 pm local Ft. Belvoir time/ Date: December 21, 2012
9. ISSUED BY CODE SP0600 10. THIS ACQUISITION IS
UNRESTRICTED
SET ASIDE 100 % FOR
11. DELIVERY FOR
FOB DESTINATION
UNLESS BLOCK IS
12. DISCOUNT
TERMS
DLA Energy 8725 John J. Kingman Road, Suite 4950
SMALL BUSINESS
SVC-DISABLED VET-
OWNDED SB
MARKED
SEE SCHEDULE
Fort Belvoir, VA 22060-6222 Buyer/Symbol: Patricia M. Smith/ DLA Energy BXA
8(A) 13a. THIS CONTRACT IS RATED ORDER
UNDER DPAS (15 CFR 700)
Phone: (703) 767-9332 Patricia.Smith@dla.mil
NAICS: 493190 13b. RATING
SIZE STANDARD: $25.5M 14. METHOD OF SOLICITATION
RFQ IFB RFP
15. DELIVER TO CODE 16. ADMINISTERED BY CODE
See Schedule
17a. FACILITY
18a. PAYMENT WILL BE MADE BY
CODE
See Clause G-0001 G148.05
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 X SEE ADDENDUM
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
** SEE CLAUSE B-0001 B34.01 (SCHEDULE)**
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. *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: _
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
AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449
Prescribed by GSAFAR (48 CPR) 53.212
Section SF 1449 – CONTINUATION SHEET
SOLICITATION NUMBER: SP0600-13-R-0503
DESCRIPTION OF SERVICES:
Providing all technical support, personnel, supervision, equipment, tools, materials and other items and services as required on behalf of DLA-Energy in support of the following Department of Air Force fuel storage facilities:
- Altus AFB, OK
- Dyess AFB, TX
- Offutt AFB, NE
- Scott AFB, IL
- Whiteman AFB, MO
- McConnell AFB, KS
(Note: Separate awards will be issued as a result of this solicitation)
** This procurement is 100% Service Disabled Veteran Owned Small Business (SDVOSB) set-aside utilizing FAR Part 12 procedures. This procurement is restricted to SDVOSB under NAICS Code 493190**
ANTICIPATED PERIOD OF PERFORMANCE:
November 1, 2013 through October 31, 2018
SUBMIT OFFERS TO:
Defense Logistics Agency Energy-BXA Attn: OFFER UNDER SOLICITATION SP0600-13-R-0503 8725 John J. Kingman Rd., Suite 4950 Ft. Belvoir, VA 22060-6222 Phone: (703) 767-9332
**Note: Fax and e-mailed offers are not acceptable**
A. Pricing Required for All Services and Performance Periods
Offerors MUST provide prices for all services required during the performance period. Offerors do not have to offer on all installations to be considered for award.
B. Department of Labor Wage Determinations
1. The minimum wage rates and fringe benefits applicable to the period of performance are contained in the following Wage Determinations:
LOCATION: ALTUS AFB, OK WD: 2005-2525 Rev. 14, Dated: 6/13/2012 LOCATION: DYESS AFB, TX WD: 2005-2517 Rev. 16, Dated: 6/13/2012 LOCATION: OFFUTT AFB, NE WD: 2005-2325 Rev. 12, Dated: 6/13/2012 LOCATION: SCOTT AFB, IL WD: 2005-2309 Rev. 12, Dated: 6/13/2012 LOCATION: WHITEMAN AFB, MO WD: 2005-2307 Rev. 13, Dated: 6/13/2012 LOCATION: MCCONNELL AFB, KS WD: 2005-2215 Rev. 14, Dated: 6/13/2012
These Wage Determinations are attached herein as Attachment II.
C. Pricing of Services
1. The prices submitted must be inclusive of all direct costs, indirect costs, and profit per installation. Offerors MUST include ALL costs associated with providing the services described herein.
2. The Government SHALL NOT be responsible for compensating the Contractor for any costs tied to solicitation requirements but not factored into the proposed prices, either by the Contractor’s intention or by mistake.
D. Current contracts
These services are currently being performed as contract; any information related to these contracts must be requested via the DLA’s Freedom of Act (FOIA) office:
AF GOCO REGION 2
Contract: SP0600-08-C-5840 Dyess AFB, TX Altus AFB, OK Whiteman AFB, MO FOIA request process available at:
dlaenergy.efoia@dla.mil
AF GOCO REGION 4
Contract: SP0600-08-C-5837 McConnell AFB, KS Offutt AFB, NE FOIA request process available at:
dlaenergy.efoia@dla.mil
SCOTT AFB GOCO
Contract: SP0600-08-C-5838 FOIA request process available at:
dlaenergy.efoia@dla.mil
Note: All references to the Central Contractor Registration (CCR) database are to be revised to read as System for Award Management (SAM) and refer to https://www.sam.gov/.
https://www.sam.gov/
CLAUSE INDEX
SECTION B – SUPPLIES/SERVICES AND PRICES/COSTS
B-0001 B34.01 SERVICES TO BE FURNISHED AND PRICES (DLA ENERGY FEB 1991) 7
SECTION G - CONTRACT ADMINISTRATION DATA
G-0002 G9.06 ADDRESS TO WHICH REMITTANCE SHOULD BE MAILED (DLA
ENERGY DEC 1999)
SECTION J – LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS
FORM TITLE LOCATION
SF1449 SOLICITATION/CONTRACT/ORDER FOR
COMMERCIAL ITEMS
PERFORMANCE WORK STATEMENT (PWS) ATTACHMENT I
DEPARTMENT OF LABOR WAGE
DETERMINATIONS
(TO INCLUDE THE FOLLOWING LOCATIONS):
ATTACHMENT II
LOCATION: ALTUS AFB, OK
WD: 2005-2525 Rev. 14, Dated: 6/13/2012
LOCATION: DYESS AFB, TX
WD: 2005-2517 Rev. 16, Dated: 6/13/2012
LOCATION: OFFUTT AFB, NE
WD: 2005-2325 Rev. 12, Dated: 6/13/2012
LOCATION: SCOTT AFB, IL
WD: 2005-2309 Rev. 12, Dated: 6/13/2012
LOCATION: WHITEMAN AFB, MO
WD: 2005-2307 Rev. 13, Dated: 6/13/2012
LOCATION: MCCONNELL AFB, KS
WD: 2005-2215 Rev. 14, Dated: 6/13/2012
OFFEROR SUBMISSION PACKAGE ATTACHMENT III
PAST PERFORMANCE EXPERIENCE FORM ATTACHMENT IV
PAST PERFORMANCE QUESTIONNAIRE ATTACHMENT V
JOINT VENTURE AGREEMENT ATTACHMENT VI
SECTION K - REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS
52.203-2 CERTIFICATE OF INDEPENDENT PRICE DETERMINATION (APR 1985) 14
52.212-3 OFFEROR REPRESENTATIONS AND CERIFICATIONS-COMMERCIAL
ITEMS (APR 2012)
252.209-7999 REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID
DELINQUENT TAX LIABILITY OR A FELONY CONVICTION UNDER ANY
FEDERAL LAW (DEVIATION 2012-O0004) (JAN 2012)
252.212-7000 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL
ITEMS (JUN 2005)
252.247-7022 REREPRESENTATION OF EXTENT OF TRANSPORTATION BY SEA (AUG
1992)
K-0003 K33.01 AUTHORIZED NEGOTIATORS (DLA ENERGY APR 2007) 25
SECTION L – INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS
52.212-1 INSTRUCTIONS TO OFFERORS –COMMERCIAL ITEMS (FEB 2012) 26
ADDENDUM TO FAR 52.212-1 (GOCO) (DLA ENERGY NOV 2010) 28
52.215-9023 REVERSE AUCTION (JUL 2012) 30
52.216-1 TYPE OF CONTRACT (APR 1984) 31
52.233-2 SERVICE OF PROTEST (SEP 2006) 31
52.237-1 SITE VISIT (APR 1984) 31
252.204-7001 COMMERCIAL AND GOVERNMENT ENTITY (CAGE) CODE REPORTING
(AUG 1999)
52.233-9000 (DLA) AGENCY PROTESTS 32
SECTION L – INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS – (Cont’d)
52.233-9001 (DLA) DISPUTES:AGREEMENTS TO USE ALTERNATIVE DISPUTE
RESOLUTION (ADR)
L-0001 L1.02 PROPOSAL ACCEPTANCE PERIOD (DLA ENERGY NOV 1991) 32
L-0002 L82 WAGE DETERMINATION (DLA ENERGY FEB 2009) 32
L-0003 L87.06 CONDITIONS FOR MULTIYEAR OFFERS (DLA ENERGY FEB 2009) 32
SECTION M – EVALUATION FACTORS FOR AWARD
52.212-2 EVALUATION—COMMERCIAL ITEMS (JAN 1999) 33
M-0001 M72 EVALUATION OF OFFERS (EXCEPTIONS/DEVIATIONS) (DLA
ENERGY APR 1997)
SECTION B – SUPPLIES OR SERVICES AND PRICES/COSTS
B-0001 B34.01 SERVICES TO BE FURNISHED AND PRICES (DESC FEB 1991)
(a) The services to be furnished during the period specified herein and the unit prices are as follows:
LINE ITEM 1001: NONPERSONAL SERVICES: (FIRM-FIXED PRICE)
The Contractor shall operate and maintain the Government-owned bulk fuel facilities in accordance with the Section C, Performance Work Statement, and all other terms and conditions set forth herein, for the period November 1, 2013 through October 31, 2018. Offerors do not have to offer on all installations to be considered for award.
PLACE OF PERFORMANCE: ALTUS AFB, OK
The offered price per month for performing these services at the above location is $______________________________
(PRORATED FOR PART MONTHS)
(b) The following line items are cost reimbursable line items under which the Contractor shall furnish non-personal services and/or supplies and materials. The Contractor will be reimbursed under these line items for services actually performed as approved in advance by the Contracting Officer or Contracting Officer’s Representative. The "NOT TO EXCEED" amounts shown below represent the Government's estimate of the five-year costs of reimbursable supplies, services, and overtime for each contract year for at all locations. All general and administrative (G&A) and profit for the following line items must be included in Line Item 1001.
LINE ITEM 1002: MAINTENANCE AND REPAIR NOT TO EXCEED $110,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 1003: EMERGENCY SERVICES NOT TO EXCEED $50,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 1004: OVERTIME NOT TO EXCEED $15,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 1005: EMERGENCY SPILL RESPONSE NOT TO EXCEED $25,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
(c) OVERTIME RATES. The following fully-loaded overtime rates will apply to work ordered under CLIN 1004. No additional G&A or profit will be allowed.
FDSO: $____________ per hour (Straight time rate); $____________ per hour (Overtime rate)
FDSM: $____________ per hour (Straight time rate); $____________ per hour (Overtime rate)
B-0001 B34.01 SERVICES TO BE FURNISHED AND PRICES (DESC FEB 1991) (CONTINUED)
(a) The services to be furnished during the period specified herein and the unit prices are as follows:
LINE ITEM 2001: NONPERSONAL SERVICES: (FIRM-FIXED PRICE)
The Contractor shall operate and maintain the Government-owned bulk fuel facilities in accordance with the Performance Work Statement, Section C, and all other terms and conditions set forth herein, for the period November 1, 2013 through October 31, 2018.
Offerors do not have to offer on all installations to be considered for award.
PLACE OF PERFORMANCE: DYESS AFB, TX
The offered price per month for performing these services at the above location is $______________________________
(PRORATED FOR PART MONTHS)
(b) The following line items are cost reimbursable line items under which the Contractor shall furnish non-personal services and/or supplies and materials. The Contractor will be reimbursed under these line items for services actually performed as approved in advance by the Contracting Officer or Contracting Officer’s Representative. The "NOT TO EXCEED" amounts shown below represent the Government's estimate of the five-year costs of reimbursable supplies, services, and overtime for each contract year for at all locations. All general and administrative (G&A) and profit for the following line items must be included in Line Item 2001.
LINE ITEM 2002: MAINTENANCE AND REPAIR NOT TO EXCEED $110,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 2003: EMERGENCY SERVICES NOT TO EXCEED $50,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 2004: OVERTIME NOT TO EXCEED $15,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 2005: EMERGENCY SPILL RESPONSE NOT TO EXCEED $25,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
(c) OVERTIME RATES. The following fully-loaded overtime rates will apply to work ordered under CLIN 2004. No
(b) The services to be furnished during the period specified herein and the unit prices are as follows:
LINE ITEM 3001: NONPERSONAL SERVICES: (FIRM-FIXED PRICE)
The Contractor shall operate and maintain the Government-owned bulk fuel facilities in accordance with the Performance Work Statement, Section C, and all other terms and conditions set forth herein, for the period November 1, 2013 through October 31, 2018.
Offerors do not have to offer on all installations to be considered for award.
PLACE OF PERFORMANCE: OFFUTT AFB, NE
The offered price per month for performing these services at the above location is $______________________________
(PRORATED FOR PART MONTHS)
(b) The following line items are cost reimbursable line items under which the Contractor shall furnish non-personal services and/or supplies and materials. The Contractor will be reimbursed under these line items for services actually performed as approved in advance by the Contracting Officer or Contracting Officer’s Representative. The "NOT TO EXCEED" amounts shown below represent the Government's estimate of the five-year costs of reimbursable supplies, services, and overtime for each contract year for at all locations. All general and administrative (G&A) and profit for the following line items must be included in Line Item 3001.
LINE ITEM 3002: MAINTENANCE AND REPAIR NOT TO EXCEED $110,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 3003: EMERGENCY SERVICES NOT TO EXCEED $50,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 3004: OVERTIME NOT TO EXCEED $15,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 3005: EMERGENCY SPILL RESPONSE NOT TO EXCEED $25,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
(c) OVERTIME RATES. The following fully-loaded overtime rates will apply to work ordered under CLIN 3004. No
(a) The services to be furnished during the period specified herein and the unit prices are as follows:
LINE ITEM 4001: NONPERSONAL SERVICES: (FIRM-FIXED PRICE)
The Contractor shall operate and maintain the Government-owned bulk fuel facilities in accordance with the Performance Work Statement, Section C, and all other terms and conditions set forth herein, for the period November 1, 2013 through October 31, 2018.
Offerors do not have to offer on all installations to be considered for award.
PLACE OF PERFORMANCE: SCOTT AFB, IL
The offered price per month for performing these services at the above location is $______________________________
(PRORATED FOR PART MONTHS)
(b) The following line items are cost reimbursable line items under which the Contractor shall furnish non-personal services and/or supplies and materials. The Contractor will be reimbursed under these line items for services actually performed as approved in advance by the Contracting Officer or Contracting Officer’s Representative. The "NOT TO EXCEED" amounts shown below represent the Government's estimate of the five-year costs of reimbursable supplies, services, and overtime for each contract year for at all locations. All general and administrative (G&A) and profit for the following line items must be included in Line Item 4001.
LINE ITEM 4002: MAINTENANCE AND REPAIR NOT TO EXCEED $60,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 4003: EMERGENCY SERVICES NOT TO EXCEED $50,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 4004: OVERTIME NOT TO EXCEED $15,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 4005: EMERGENCY SPILL RESPONSE NOT TO EXCEED $25,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
(c) OVERTIME RATES. The following fully-loaded overtime rates will apply to work ordered under CLIN 4004. No
(a) The services to be furnished during the period specified herein and the unit prices are as follows:
LINE ITEM 5001: NONPERSONAL SERVICES: (FIRM-FIXED PRICE)
The Contractor shall operate and maintain the Government-owned bulk fuel facilities in accordance with the Performance Work Statement, Section C, and all other terms and conditions set forth herein, for the period November 1, 2013 through October 31, 2018.
Offerors do not have to offer on all installations to be considered for award.
PLACE OF PERFORMANCE: WHITEMAN AFB, MO
The offered price per month for performing these services at the above location is $______________________________
(PRORATED FOR PART MONTHS)
(b) The following line items are cost reimbursable line items under which the Contractor shall furnish non-personal services and/or supplies and materials. The Contractor will be reimbursed under these line items for services actually performed as approved in advance by the Contracting Officer or Contracting Officer’s Representative. The "NOT TO EXCEED" amounts shown below represent the Government's estimate of the five-year costs of reimbursable supplies, services, and overtime for each contract year for at all locations. All general and administrative (G&A) and profit for the following line items must be included in Line Item 5001.
LINE ITEM 5002: MAINTENANCE AND REPAIR NOT TO EXCEED $100,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 5003: EMERGENCY SERVICES NOT TO EXCEED $50,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 5004: OVERTIME NOT TO EXCEED $15,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 5005: EMERGENCY SPILL RESPONSE NOT TO EXCEED $25,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
(c) OVERTIME RATES. The following fully-loaded overtime rates will apply to work ordered under CLIN 5004. No
(b) The services to be furnished during the period specified herein and the unit prices are as follows:
LINE ITEM 6001: NONPERSONAL SERVICES: (FIRM-FIXED PRICE)
The Contractor shall operate and maintain the Government-owned bulk fuel facilities in accordance with the Performance Work Statement, Section C, and all other terms and conditions set forth herein, for the period November 1, 2013 through October 31, 2018.
Offerors do not have to offer on all installations to be considered for award.
PLACE OF PERFORMANCE: MCCONNELL AFB, KS
The offered price per month for performing these services at the above location is $______________________________
(PRORATED FOR PART MONTHS)
(b) The following line items are cost reimbursable line items under which the Contractor shall furnish non-personal services and/or supplies and materials. The Contractor will be reimbursed under these line items for services actually performed as approved in advance by the Contracting Officer or Contracting Officer’s Representative. The "NOT TO EXCEED" amounts shown below represent the Government's estimate of the five-year costs of reimbursable supplies, services, and overtime for each contract year for at all locations. All general and administrative (G&A) and profit for the following line items must be included in Line Item 6001.
LINE ITEM 6002: MAINTENANCE AND REPAIR NOT TO EXCEED $110,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 6003: EMERGENCY SERVICES NOT TO EXCEED $50,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 6004: OVERTIME NOT TO EXCEED $15,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
LINE ITEM 6005: EMERGENCY SPILL RESPONSE NOT TO EXCEED $25,000.00
(TASK ORDER REQUIRED IF $3,000.00 OR OVER)
(c) OVERTIME RATES. The following fully-loaded overtime rates will apply to work ordered under CLIN 6004. No
SECTION G – CONTRACT ADMINISTRATION DATA
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)
SECTION K – REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS
52.203-2 CERTIFICATE OF INDEPENDENT PRICE DETERMINATION (APR 1985)
(a) The offeror certifies that --
(1) The prices in this offer have been arrived at independently, without, for the purpose of restricting competition, any consultation, communication, or agreement with any other offeror or competitor relating to --
(i) Those prices;
(ii) The intention to submit an offer; or
(iii) The methods or factors used to calculate the prices offered.
(2) The prices in this offer have not been and will not be knowingly disclosed by the offeror, directly or indirectly, to any other offeror or competitor before bid opening (in the case of a sealed bid solicitation) or contract award (in the case of a negotiated solicitation) unless otherwise required by law; and
(3) No attempt has been made or will be made by the offeror to induce any other concern to submit or not to submit an offer for the purpose of restricting competition.
(b) Each signature on the offer is considered to be a certification by the signatory that the signatory --
(1) Is the person in the offeror’s organization responsible for determining the prices being offered in this bid or proposal, and that the signatory has not participated and will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) of this provision; or
(2)
(i) Has been authorized, in writing, to act as agent for the following principals in certifying that those principals have not participated, and will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) of this provision ____________________ [insert full name of person(s) in the offeror’s organization responsible for determining the prices offered in this bid or proposal, and the title of his or her position in the offeror’s organization];
(ii) As an authorized agent, does certify that the principals named in subdivision (b)(2)(i) of this provision have not participated, and will not participate, in any action contrary to subparagraphs (a)(1) through (a)(3) of this provision; and
(iii) As an agent, has not personally participated, and will not participate, in any action contrary to subparagraphs (a)(1) through (a)(3) of this provision.
(c) If the offeror deletes or modifies subparagraph (a)(2) of this provision, the offeror must furnish with its offer a signed statement setting forth in detail the circumstances of the disclosure.
52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS -- COMMERCIAL ITEMS (APR 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 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.
https://www.acquisition.gov/
“Inverted domestic corporation,” as used in this section, 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). An inverted domestic corporation as herein defined does not meet the definition of an inverted domestic corporation as defined by the Internal Revenue Code at 26 U.S.C. 7874.
“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.
Sensitive technology—
(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically—
(i) To restrict the free flow of unbiased information in Iran; or
(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and
(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).
“Service-disabled veteran-owned small business concern”—
(1) Means a small business concern—
(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and
(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.
(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).
“Small business concern” means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.
“Subsidiary” means an entity in which more than 50 percent of the entity is owned—
(1) Directly by a parent corporation; or
(2) Through another subsidiary of a parent corporation.
“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.
“Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127),” 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.
(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 accessed through https://www.acquisition.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 electronically 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)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold.
(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.] The offeror prepresents that—
(i) It [_] is, [_] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and
(ii) It [_] is, [_] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: _________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.
(7) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.] The offeror represents that—
(i) It [_] is, [_] is not an EDWOSB concern, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and
(ii) It [_] is, [_] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: _____________.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.
(8) 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.
(9) 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:
(10) [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 CCR Dynamic Small Business Search database maintained by the Small Business Administration , 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)(10)(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: ________________.]
(11) HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that--
(i) It [_] is, [_] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and
(ii) It [_] is, [_] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(11)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: __________.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.
(12) (Complete if the offeror has represented itself as disadvantaged in paragraph (c)(4) or (c)(10) of this provision.)
[The offeror shall check the category in which its ownership falls]:
____ Black American.
___ Hispanic American.
___ Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians).
___ Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, U.S. Trust Territory or the Pacific Islands (Republic of Palau), Republic of the Marshall Islands, Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).
___ Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal).
___ Individual/concern, other than one of the preceding.
(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.)
(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The terms “Bahrainian, Moroccan, Omani, or Peruvian end product,” “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” “Free Trade Agreement country,” “Free Trade Agreement country end product,” “Israeli end product,” and ‘United States’ are defined in the clause of this solicitation entitled “Buy American Act--Free Trade Agreements--Israeli Trade Act.”
(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Moroccan, Omani, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled “Buy American Act—Free Trade Agreements—Israeli Trade Act”:
Free Trade Agreement Country End Products (Other than Bahrainian or Moroccan End Products) or Israeli End Products:
(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) or this provision) as defined in the clause of this solicitation entitled “Buy American Act—Free Trade Agreements—Israeli Trade Act.” The offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.”
Other Foreign End Products:
(iv) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.
(2) Buy American Act—Free Trade Agreements—Israeli Trade Act Certificate, Alternate I. If Alternate I to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:
(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products as defined in the clause of this solicitation entitled “Buy American Act—Free Trade Agreements—Israeli Trade Act”:
Canadian End Products:
Line Item No.:
[List as necessary]
(3) Buy American Act—Free Trade Agreements—Israeli Trade Act Certificate, Alternate II. If Alternate II to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:
(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products or Israeli end products as defined in the clause of this solicitation entitled ``Buy American Act--Free Trade Agreements--Israeli Trade Act'':
Canadian or Israeli End Products:
Line Item No.: Country of Origin:
(4) Buy American Act—Free Trade Agreements—Israeli Trade Act Certificate, Alternate III. If Alternate III to the clause at 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 Free Trade Agreement country end products (other than Bahrainian, Korean, 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, Korean, Moroccan, Omani, or Peruvian End Products) or Israeli End Products:
(5) 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)(5)(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
(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,…
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