SPE5EK18Q0164.PDF

PDF 137 KB Posted Jun 21, 2018

Attached to: TRACK, SLIDING DOOR Federal contract opportunity
Solicitation number: SPE5EK18Q0164
Issued by: Defense Logistics Agency Troop Support Construction and Equipment

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REQUEST FOR QUOTATIONS THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE

4. CERT.FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

5. ISSUED BY

7. DELIVERY

9. DESTINATION

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5 ON OR

BEFORE CLOSE OF BUSINESS (Date)

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (See Continuation Sheets)

12. DISCOUNT FOR PROMPT PAYMENT

d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations are are not attached.

13. NAME AND ADDRESS OF QUOTER

a. NAME OF QUOTER

14. SIGNATURE OF PERSON AUTHORIZED TO SIGN

QUOTATION

16. SIGNER

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not useable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

1. REQUEST NO.

SPE5EK-18-Q-0164

2. DATE ISSUED

2018 JUN 21

3. REQUISITION/PURCHASE REQUEST NO.

0072744083

RATING

DO-C9

DLA TROOP SUPPORT

HARDWARE (ACQ III-2)

700 ROBBINS AVENUE

PHILADELPHIA PA 19111

USA

Buyer: MARY REGAN PHPHCB4 Tel: 215-737-3711 Fax: 215-737-5684 Email: MARY.REGAN@DLA.MIL

6. DELIVER BY (Date)

200 DAYS ADO

8. TO:

c. CITY

d. STATE

b. STREET ADDRESS

a. NAME OF CONSIGNEE

e. ZIP CODE

a. 10 CALENDAR DAYS

b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS

15. DATE OF QUOTATION

a. NAME (Type or Print)

AREA CODE

c. TITLE (Type or Print)d. CITY

c. COUNTY

b. STREET ADDRESS

e. STATE f. ZIP CODE

See Schedule

2018 JUN 27

NUMBER

FOB DESTINATION

OTHER

(See Schedule)

CAGE

b. TELEPHONE

See attached schedule to complete quote information.

Quoter must also complete the following:

a. Quotation is valid for 90 days from date specified in Block 10 above unless otherwise indicated: _____________ .

b. Prices quoted are:

___ Contained in Commercial Catalog or Published Price List No. ___________________ dated _______________ page __________ .

___ Contained in Internal Price List No. _______________dated ____________________, which may be examined at our facility.

___ Commercial sales of comparable quantities: Quantity ____________ ; Price _____________;

___ Customer ________________________.

___ Other (provide basis) ______________________________________ _______________________________________ .

c. FOB Point: ____ Destination ____ Origin Shipping Point (City, State) _________________________________________ .

d. If delivery period shown in Block 6 is unacceptable, provide best possible delivery: _________________________________.

e. Remittance Address (Name, Street, City, State, ZIP): Same as Block 13 unless otherwise indicated below:

f. Vendor FAX Number: ____________________ Vendor Toll-Free Number: ____________________ Vendor E-mail: ______________________________

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 2 OF 8 PAGES

SPE5EK-18-Q-0164

CONTINUED ON NEXT PAGE

This solicitation replaces solicitation SPE5EK-18-Q-0144. First Article Testing no longer applies to this item. The quantity has been decreased to 190.

THIS ITEM REQUIRES PHYSICAL PROTECTION TO ENSURE IT DOES NOT BEND OR KINK. EITHER WILL RENDOR THE ITEM USELESS/

UNUSALBE. THESE TRACKS MUST BE SMOOTH TO FUNCTION PROPERLY.

UNIT CONTAINER ASTM D5168, STYLE C TRIPLE WALLED LENGTH 120 INCHES, WIDTH 8 INCHES, HEIGHT 8 INCHES

MASTER SOLICITATION

THIS SOLICITATION INCORPORATES THE TERMS AND CONDITIONS SET FORTH IN THE DLA MASTER SOLICITATION FOR AUTOMATED SIMPLIFIED ACQUISITIONS REVISION 47 (MAY 16, 2018) WHICH CAN BE FOUND ON THE WEB AT: http://www.dla.mil/Portals/104/ Documents/J7Acquisition/Master_Solicitation_Rev-47_5-16-18.pdf?ver=2018-05-16-142233-663

ALL QUOTES MUST BE SUBMITTED VIA THE DLA INTERNET BID BOARD SYSTEM (DIBBS) AT https://www.dibbs.bsm.dla.mil MICRO- PURCHASE QUOTES MAY BE AWARDED PRIOR TO RETURN DATE UNLESS THIS SOLICITATION HAS BEEN DESIGNATED FOR AUCTIONING.

This solicitation is being issued under the First Destination Transportation (FDT) program.

If this acquisition is for Foreign Military Sales (FMS) or has an APO/FPO ship-to address, FDT will not apply and normal procedures should be followed.

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 3 OF 8 PAGES

CONTINUED ON NEXT PAGE

SECTION B

SUPPLIES/SERVICES: 5340-01-305-6038

ITEM DESCRIPTION:

TRACK, SLIDING DOOR, LEFT HAND.

RA001: THIS DOCUMENT INCORPORATES TECHNICAL AND/OR QUALITY REQUIREMENTS

(IDENTIFIED BY AN 'R' OR AN 'I' NUMBER) SET FORTH IN FULL TEXT IN THE

DLA MASTER LIST OF TECHNICAL AND QUALITY REQUIREMENTS FOUND ON THE WEB

AT: http://www.dla.mil/HQ/Acquisition/Offers/eProcurement.aspx. FOR

SIMPLIFIED ACQUISITIONS, THE REVISION OF THE MASTER IN EFFECT ON THE

SOLICITATION ISSUE DATE OR THE AWARD DATE CONTROLS. FOR LARGE

ACQUISITIONS, THE REVISION OF THE MASTER IN EFFECT ON THE RFP ISSUE DATE

APPLIES UNLESS A SOLICITATION AMENDMENT INCORPORATES A FOLLOW-ON

REVISION, IN WHICH CASE THE AMENDMENT DATE CONTROLS.

RP001: DLA PACKAGING REQUIREMENTS FOR PROCUREMENT

RQ006: QUALITY CONFORMANCE INSPECTION REQUIREMENTS

RQ009: INSPECTION AND ACCEPTANCE AT ORIGIN

RQ011: REMOVAL OF GOVERNMENT IDENTIFICATION FROM NON-ACCEPTED SUPPLIES

THIS ITEM HAS TECHNICAL DATA SOME OR ALL OF WHICH IS SUBJECT TO

EXPORT-CONTROL REGULATIONS. DISTRIBUTION OF THE TECHNICAL DATA AND

ELIGIBILITY FOR AWARD ARE LIMITED TO THOSE SUPPLIERS QUALIFIED THROUGH

JCP CERTIFICATION, OR TO THOSE LICENSED BY EITHER THE DEPARTMENTS OF

STATE OR COMMERCE; OR TO FOREIGN SUPPLIERS PURSUANT TO INTERNATIONAL

AGREEMENTS.

TO APPLY FOR JCP CERTIFICATION, COMPLETE DD FORM 2345, MILITARY CRITICAL

TECHNICAL DATA AGREEMENT, FORM IS AVAILABLE AT THE WORLD WIDE WEB

ADDRESS:

https://public.logisticsinformationservice.dla.mil/PublicHome/jcp/defaul t.aspx

OR BY WRITING TO:

DLA LOGISTICS INFORMATION SERVICE

FEDERAL CENTER

74 WASHINGTON AVE., NORTH

BATTLE CREEK, MI 49037-3084

TO MANUFACTURE THIS ITEM, NON-JCP CERTIFIED SUPPLIERS MUST SUBMIT A

CURRENT MANUFACTURING LICENSE AGREEMENT, TECHNICAL ASSISTANCE AGREEMENT,

DISTRIBUTION AGREEMENT OR OFF-SHORE PROCUREMENT AGREEMENT APPROVED BY

THE DIRECTORATE OF DEFENSE TRADE CONTROLS WITH THE OFFER, UNLESS AN

EXEMPTION UNDER THE PROVISIONS OF ITAR SECTION, 125.4 EXEMPTIONS OF

GENERAL APPLICABILITY, AND/OR EAR PART 740 ARE APPLICABLE.

NON-JCP CERTIFIED SUPPLIERS SEEKING EXPORT CONTROLLED TECHNICAL DATA ARE

REQUIRED TO PROVIDE THE CONTRACTING OFFICER WITH AN APPLICABLE AGREEMENT

OR IDENTIFY WHICH ITAR/EAR EXEMPTION APPLIES TO RECEIVE A COPY OF THE

EXPORT CONTROLLED TECHNICAL DATA.

NOTE: JCP CERTIFIED CONTRACTORS WHO RECEIVE TECHNICAL DATA PURSUANT TO

THEIR DD FORM 2345 CERTIFICATION MAY NOT FURTHER DISSEMINATE SUCH DATA

UNLESS FURTHER DISSEMINATION OF THE TECHNICAL DATA IS EXPRESSLY

PERMITTED BY DODD 5230.25.

MIL-STD-130N, 16 Nov 2012

IDENTIFICATION MARKING OF U.S. MILITARY PROPERTY

SAMPLING:

THE SAMPLING METHOD SHALL BE IN ACCORDANCE WITH MIL-STD-1916 OR ASQ

H1331, TABLE 1 OR A COMPARABLE ZERO BASED SAMPLING PLAN UNLESS OTHERWISE

SPECIFIED BY THE CONTRACT. IF THE APPLICABLE DRAWING, SPECIFICATION,

STANDARD, OR QUALITY ASSURANCE PROVISION (QAP) SPECIFIES CRITICAL, MAJOR

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 4 OF 8 PAGES

CONTINUED ON NEXT PAGE

SECTION B

SUPPLY/SERVICE: 5340-01-305-6038 CONT'D

AND/OR MINOR ATTRIBUTES, THEY SHALL BE ASSIGNED VERIFICAITON LEVELS OF

VII, IV AND II OR AQLS OF 0.1, 1.0 AND 4.0 RESPECTIVELY. UNSPECIFIED

ATTRIBUTES SHALL BE CONSIDERED AS MAJOR UNLESS SAMPLING PLANS ARE

SPECIFIED IN APPLICABLE DOCUMENTS. FOR MIL-STD-1916, THE MANUFACTURER

MAY USE THE ATTRIBUTE OR VARIABLE INSPECTION METHOD AT THEIR OPTION OR

PER THE CONTRACT. MIL-STD-105/ASQ Z1.4 MAY BE USED TO SET SAMPLE LOT

SIZE, BUT ACCEPTANCE WOULD BE ZERO NON-CONFORMANCES IN THE SAMPLE LOT

UNLESS OTHERWISE SPECIFIED IN THE CONTRACT.

THE DRAWING(S) LISTED BELOW ARE AVAILABLE AT

DLA DURING *OPEN SOLICITATION ONLY*.

TO RECEIVE A COPY OF THE DRAWING(S),

FOR EBS SOLICITATIONS USE URL

HTTPS://WWW.DIBBS.BSM.DLA.MIL/RFQ/

MERCURY OR MERCURY CONTAINING COMPOUNDS SHALL

NOT BE INTENTIONALLY ADDED TO<(>,<)> OR COME IN DIRECT

CONTACT WITH<(>,<)> ANY HARDWARE OR SUPPLIES FURNISHED

UNDER THIS CONTRACT. EXCEPTION: FUNCTIONAL MERCURY

USED IN BATTERIES, FLUORESCENT LIGHTS, REQUIRED

INSTRUMENTS; SENSORS OR CONTROLS; WEAPON SYSTEMS;

AND CHEMICAL ANALYSIS REAGENTS SPECIFIED BY NAVSEA.

PORTABLE FLUORESCENT LAMPS AND PORTABLE INSTRUMENTS

CONTAINING MERCURY SHALL BE SHOCK PROOF AND CONTAIN

A SECOND BOUNDARY OF CONTAINMENT OF THE MERCURY OR

MERCURY COMPOUND. (IAW NAVSEA 5100-003D).

CRITICAL APPLICATION ITEM

IAW BASIC DRAWING NR 78286 70217-02702

REVISION NR AP DTD 03/06/2012

PART PIECE NUMBER: 70217-02702-049

IAW REFERENCE DRAWING NR 78286 38010-70045

REVISION NR A DTD 04/19/1982

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 81996 PAINT-STD-22750

REVISION NR A DTD 10/30/1998

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 81996 PAINT-STD-23377

REVISION NR C DTD 05/21/2002

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 81996 PAINT-STD-53072

REVISION NR B DTD 04/30/2002

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 78286 SS8654

REVISION NR 11 DTD 02/20/1998

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 78286 SS8798

REVISION NR 17 DTD 04/28/2015

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 81996 TI-STD15

REVISION NR E DTD 07/13/2016

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 78286 SS8630

REVISION NR 26 DTD 05/19/2015

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 81996 PAINT-STD-46168

REVISION NR D DTD 03/15/2005

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 78286 SS5100

REVISION NR 39 DTD 10/27/2011

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 78286 SS9208

REVISION NR 55 DTD 04/14/2015

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 5 OF 8 PAGES

CONTINUED ON NEXT PAGE

SECTION B

SUPPLY/SERVICE: 5340-01-305-6038 CONT'D

PART PIECE NUMBER:

IAW REFERENCE QAP 14153 SQAP013056038

REVISION NR A DTD 07/28/2008

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 78286 70217-02702

REVISION NR H DTD 03/31/2014

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 81996 TI-STD20

REVISION NR B DTD 07/13/2016

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 78286 70217-02702

REVISION NR BR DTD 03/23/2012

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 78286 70217-02702

REVISION NR BB DTD 08/12/2010

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 78286 70217-02702-049

REVISION NR DTD 04/01/2014

PART PIECE NUMBER:

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0001 5340-01-305-6038 190.000 EA $ ________________ $ ________________

TRACK,SLIDING DOOR

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: ORIGIN

ACCEPTANCE POINT: ORIGIN

FOB: ORIGIN DELIVERY DATE: 200 DAYS ADO

PREP FOR DELIVERY:

PKGING DATA-QUP:001

SHALL BE PACKAGED IN ACCORDANCE WITH HAZARDOUS

MATERIALS PACKAGING REQUIREMENTS.

PACKAGING: PACKAGING FOR HAZARDOUS MATERIALS

SHALL COMPLY WITH APPLICABLE REGULATIONS, I.E.,

TITLE 49 CODE OF FEDERAL REGULATIONS,

INTERNATIONAL CIVIL AVIATION ORGANIZATION (ICAO)

TECHNICAL INSTUCTIONS (EXCLUDING PARAGRAPH 1.4

OF CHAPTERS 1 AND 3), AND INTERNATIONAL MARITIME

DANGEROUS GOODS CODE (IMDG). BOTH ICAO AND IMDG

COMPLY WITH UNITED NATIONS (UN) RECOMMENDATIONS

ON TRANSPORT OF DANGEROUS GOODS. WHEN A);

CONTRACT/ORDER FOR HAZARDOUS MATERIALS REQUIRES

SHIPMENT THROUGH A MILITARY AERIAL PORT FOR

TRANSPORT VIA MILITARY AIRCRAFT, PACKAGING SHALL

COMPLY WITH DLAI 4145.3, PREPARING HAZARDOUS

MATERIALS FOR MILITARY AIR SHIPMENT.

LABELING AND MARKING: ALL INTERIOR AND EXTERIOR

CONTAINERS SHALL BE LABELED AND MARKED AS

SPECIFIED IN THE REFERENCED PRODUCT

SPECIFICATION, AND/OR AS SPECIFIED IN SECTION D

OF THE CONTRACT OR ORDER. IN ADDITION, ALL

LABELING AND MARKING SHALL COMPLY WITH THE

REQUIREMENTS OF MIL-STD-129, 49 CFR, 29 CFR,

AND, AS APPLICABLE, ICAO TECHNICAL INSTRUCTIONS,

IMDG ANNEX 1, AND/OR DLAI 4145.3.

CERTIFICATION: ALL PACKAGING PERFORMANCE TEST

REQUIREMENTS SHALL BE SUPPORTED BY CERTIFICATES

AND REPORTS ATTESTING TO DATE OF TESTING AND

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 6 OF 8 PAGES

CONTINUED ON NEXT PAGE

SECTION B

SUPPLY/SERVICE: 5340-01-305-6038 CONT'D

DATA RESULTS OBTAINED FROM TESTING. THE

CONTRACTOR'S SIGNED CERTIFICATION THAT PACKAGE

CONFIGURATION MEETS 49 CFR, AND, AS APPLICABLE,

ICAO, IMDG AND/OR DLAI 4145.3 REQUIREMENTS,

SHALL BE INCLUDED ON THE DD FORM 250 (MATERIAL

INSPECTION AND RECEIVING REPORT), OR ANY

SUITABLE ALTERNATE COMMERCIAL PACKING LIST. ALL

CERTIFICATES/REPORTS SHALL BE AVAILABLE FOR

INSPECTION BY AUTHORIZED U. S. GOVERNMENT

REPRESENTATIVES FOR A PERIOD OF NOT LESS THAN 3

YEARS FROM THE DATE OF SHIPMENT.

IF THE MATERIAL IS NOT CONSIDERED HAZARDOUS,

IN ACCORDANCE WITH FED-STD-313, THE MATERIAL

SHALL BE COMMERCIALLY PACKAGED IN ACCORDANCE

WITH "ASTM D3951."

Markings Paragraph When ASTM D3951, Commercial Packaging is specified, the following apply:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

•,,The Unit of Issue (U/I) and Quantity per Unit Pack (QUP) as specified in the contract take precedence over QUP in ASTM D3951.

PARCEL POST ADDRESS:

SW3122

DLA DISTRIBUTION JACKSONVILLE

BLDG 175 SWAN ROAD

JACKSONVILLE FL 32212-0103

FOR TRANSPORTATION ASSISTANCE SEE DLAD PROC NOTE C19. FOR FIRST DESTINATION TRANSPORTATION (FDT) AWARDS SEE DLAD PROC

NOTE C20 AND

CONTRACT INSTRUCTIONS.

FREIGHT SHIPPING ADDRESS:

SW3122

DLA DISTRIBUTION JACKSONVILLE

BLDG 175 SWAN ROAD

RAYMOND MORGAN 904-542-2743

JACKSONVILLE FL 32212-0103

GOVT USE

External External External Customer RDD/ ITEM PR PRLI PR PRLI Material Need Ship Date .

0001 0072744083 0001 N/A N/A N/A 10/13/2018

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 7 OF 8 PAGES

CONTINUED ON NEXT PAGE

SECTION A - SOLICITATION/CONTRACT FORM

52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING (JUL 2016) FAR

SECTION I - CONTRACT CLAUSES

52.204-14 SERVICE CONTRACT REPORTING REQUIREMENTS (OCT 2016) FAR

52.204-15 SERVICE CONTRACT REPORTING REQUIREMENTS FOR INDEFINITE-DELIVERY CONTRACTS (OCT 2016) FAR

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (JUL 2016) FAR

52.204-20 PREDECESSOR OF OFFEROR (JUL 2016) FAR

As prescribed in 4.1804(d), insert the following provision:

(a) Definitions. As used in this provision -

“Commercial and Government Entity (CAGE) code” means -

(1) An identifier assigned to entities located in the United States or its outlying areas by the Defense Logistics Agency (DLA) Commercial and Government Entity (CAGE) Branch to identify a commercial or government entity; or

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support and Procurement Agency (NSPA) to entities located outside the United States and its outlying areas that the DLA Commercial and Government Entity (CAGE) Branch records and maintains in the CAGE master file. This type of code is known as a NATO CAGE (NCAGE) code.

“Predecessor” means an entity that is replaced by a successor and includes any predecessors of the predecessor.

“Successor” means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

(b) The Offeror represents that it [ ] is or [ ] is not a successor to a predecessor that held a Federal contract or grant within the last three years.

(c) If the Offeror has indicated “is” in paragraph (b) of this provision, enter the following information for all predecessors that held a Federal contract or grant within the last three years (if more than one predecessor, list in reverse chronological order):

Predecessor CAGE code:

Predecessor legal name:

(Do not use a “doing business as” name)

(End of provision)

SECTION K - REPRESENTATIONS, CERTIFICATIONS AND STATEMENTS

52.204-17 OWNERSHIP OR CONTROL OF OFFEROR (JUL 2016) FAR

As prescribed in 4.1804(b), use the following provision:

(a) Definitions. As used in this provision -

“Commercial and Government Entity (CAGE) code” means -

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support and Procurement Agency

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 8 OF 8 PAGES

SECTION K - REPRESENTATIONS, CERTIFICATIONS AND STATEMENTS (CONTINUED)

(NSPA) to entities located outside the United States and its outlying areas that the DLA Commercial and Government Entity (CAGE) Branch records and maintains in the CAGE master file. This type of code is known as a NATO CAGE (NCAGE) code.

“Highest-level owner” means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

“Immediate owner” means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

(b) The Offeror represents that it [ ] has or [ ] does not have an immediate owner. If the Offeror has more than one immediate owner (such as a joint venture), then the Offeror shall respond to paragraph (c) and if applicable, paragraph (d) of this provision for each participant in the joint venture.

Immediate owner CAGE code:

Immediate owner legal name:

(Do not use a “doing business as” name)

Is the immediate owner owned or controlled by another entity?: [ ] Yes or [ ] No.

(d) If the Offeror indicates “yes” in paragraph (c) of this provision, indicating that the immediate owner is owned or controlled by another entity, then enter the following information:

Highest-level owner CAGE code:

Highest-level owner legal name:

(Do not use a “doing business as” name)

(End of provision)

CONTINUATION SHEET