ATTACH.Offer_Submission_Packet.pdf

1.8N POSTS, CAMPS AND STATIONS (PC&S) RFP# SPE600-14-R-0206

OFFEROR SUBMISSION

PACKAGE (OSP)

SOLICITATION: SPE600-14-R-0206 : Honduras Posts, Camps, & Stations Program 1.8N

SOLICITATION COVERS THE PERIOD: 1 JANUARY 2015 THROUGH: 31 DECEMBER 2017

INSTRUCTIONS:

1. The original completed package must be returned with your offer to:

FAX: DLA Energy-FEPBB/Number: 703-767-8506 E-MAIL: DESC-PLCOffers@dla.mil

MAIL: DLA Energy-FEPBB Defense Logistics Agency Energy, 8725 John J. Kingman Road, Suite 4950, Ft. Belvoir, VA 22060-6222

All documents to be filled-in or completed are contained in this OSP:

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

X All applicable fill-in clauses

X Price Data Sheet - Attachment A

2. Be sure to proofread all offered prices submitted. Offer prices must be submitted in U.S. dollars per gallon

(e.g. $0.000000). No price differentials will be accepted. Prices should be listed on the price data sheet provided (Attachment A). All offers must be in English.

3. Please check your offer for accuracy and legibility prior to submission. Initial all changes and sign and date the Standard Form 1449 in ink.

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

5. Facsimile Proposals may be submitted in accordance with Clause l-0002 L2.11-3 FACSIMILE

PROPOSALS –COMMERCIAL ITEMS (DLA ENERGY NOV 1999). Electronic Proposals may be submitted in accordance with Clause L-0002 L2.11-4 E-MAIL PROPOSALS (DLA ENERGY OCT 2010).

Please submit Email proposals to: DESC-PLCOFFERS@dla.mil.

OSP-1

mailto:DESC-PLCOffers@dla.mil

1.8N POSTS, CAMPS AND STATIONS (PC&S) RFP# SPE600-14-R-0206

SOLCITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

53801948

2. CONTRACT NUMBER

3. AWARD/EFFECTIVE DATE

See Block 31C

4. ORDER NUMBER

5. SOLICITATION NUMBER

SPE600-14-R-0206

6. SOLICITATION ISSUE DATE

August 19, 2014

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Tammi Lambert

b. TELEPHONE NUMBER (no collect calls)

(703) 767-9365

FAX: (703) 767-8506

8. OFFER DUE DATE/LOCAL TIME

September 19, 2014

3:00 P.M., Eastern Time, Email: tammi.lambert@dla.mil

9. ISSUED BY

CODE

SPE600 10. THIS ACQUISITION IS

UNRESTRICTED

SET ASIDE % FOR

11. DELIVERY FOR

FOB DESTINATION

UNLESS BLOCK IS

12.DISCOUNT

TERMS

Defense Logistics Agency Energy 8725 John J. Kingman Road, Suite 4950

SMALL BUSINESS

SMALL DISADV BUSINESS

MARKED

SEE SCHEDULE

Fort Belvoir, VA 22060-6222 Buyer/Symbol: Tammi Lambert/DLA Energy-FEPBB

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

UNDER DPAS (15 CFR 700)

Phone: (703)767-9526 NAIS: 324110 13b. RATING

SIZE STANDARD: 14. METHOD OF SOLICITATION

PP 1.8N

RFQ IFB RFP

15. DELIVER TO

CODE 16 . ADMINISTERED BY

CODE

SEE SCHEDULE SEE BLOCK 9

17a. CONTRACTOR/OFFEROR

BIDDER CODE

FACILITY

CAGE

CODE

18a. PAYMENT WILL BE MADE BY

CODE

DUNS:

TELEPHONE NO. FAX NO:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS

BLOCK BELOW IS CHECKED SEE

ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(See Attached)

25. ACCOUNTING AND APPROPRIATION DATA

TO BE CITED ON EACH DELIVERY ORDER

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

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

*SCHEDULE OF SUPPLIES AND SOLICITATION CLAUSES ARE ATTACHED.

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

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)

31c. DATE SIGNED

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE

CONTRACT, EXCEPT AS NOTED

33. SHIP NUMBER

34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

36. PAYMENT 37. CHECK NUMBER

32b. SIGNATURE OF AUTHORIZED GOVT.

REPRESENTATIVE

32c. DATE COMPLETE PARTIAL FINAL

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

NO.

40. PAID BY

42a. RECEIVED BY (Print) 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR

PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c . DATE 42b. RECEIVED AT (Location)

42c. DATE REC’D

(YY/MM/DD)

42d. TOTAL

CONTAINERS

OSP-2

mailto:nicholas.ignacio@dla.mil

1.8N POSTS, CAMPS AND STATIONS (PC&S) RFP# SPE600-14-R-0206

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449

INDEX

SECTION B SUPPLIES OR SERVICES AND PRICE COST

CLAUSE TITLE PAGE

B-0001 B1.01 SUPPLIES TO BE FURNISHED (DOMESTIC PC&S) (DLA ENERGY JAN 2012)

B-0002 B19.02 ECONOMIC PRICE ADJUSTMENT (OVERSEAS) (JAN 2012) 13

SECTION F: DELIVERIES OR PERFORMANCE

F-0003

F3 TRANSPORT TRUCK AND/OR TRUCK AND TRAILER FREE TIME AND DETENTION

RATES (PC&S) (DLA ENERGY AUG 2005)

F-0004

F3.03 NOTIFICATION OF CHANGE IN TRANSPORTATION COMPANY (DOMESTIC

PC&S) (DLA ENERGY)

SECTION G: CONTRACT ADMINISTRATION DATA

FAR 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS -- COMMERCIAL ITEMS (MAY

2011), ALTERNATE I (APRIL 2011)

DFARS 252.212-

OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS (JUN 2005) 28

DFARS 252-209-

DISCLOSURE OF OWNERSHIP OR CONTROL BY THE GOVERNMENT OF A TERRORIST

COUNTRY (JAN 2009)

DFARS 252.204-

CENTRAL CONTRACTOR REGISTRATION (ALTERNATE A) (SEPT 2007)

G-0001 G3 INVOICE NUMBERING REQUIREMENTS (DLA ENERGY AUG 1998)

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

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

(DLA ENERGY JUL 2007)

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

TRANSFER SYSTEM (DLA ENERGY JAN 2007)

OSP-3

1.8N POSTS, CAMPS AND STATIONS (PC&S) RFP# SPE600-14-R-0206

SECTION K: REPRESENTATION AND CERTIFICATIONS

FAR 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (FEB

2012)

FAR 52.212-3/I/II

OFFEROR REPRESENTATIONS AND CERTIFICATIONS –

COMMERICIAL ITEMS -- (ALTS I/II) (DEC 2012) 34

DFARS 252.212-7000

OFFEROR REPRESENTATIONS AND CERTIFICATIONS -

COMMERCIAL ITEMS (JUN 2005) 46

DFARS 252.225-7020 TRADE AGREEMENTS CERTIFICATE (JAN 2005) 46

K-0003 K86 FOREIGN TAXES (DLA ENERGY JAN 2012) 47

K-0006 K86 FOREIGN TAXES (DLA ENERGY JUN 1987) 48

K-0007 K150 WIDE AREA WORKFLOW (DLA ENERGY AUG 2012) 48

OSP-4

1.8N POSTS, CAMPS AND STATIONS (PC&S) RFP# SPE600-14-R-0206

SECTION L: INSTRUCTION CONDITION AND NOTICE TO OFFERS

CLAUSE/INTERNAL

PROVISION NUMBER

CLAUSE/INTERNAL PROVISION TITLE PAGE

FAR 52.214-34 SUBMISSION OF OFFERERS IN THE ENGLISH LANGUAGE

(APR 1991) IBR

FAR 52.214-35 SUBMISSION OF OFFERS IN U.S. CURRENCY (APR 1991)

IBR

FAR 52.215-1 INSTRUCTIONS TO OFFERS-COMPETITIVE ACQUISITION

(JAN 2004) IBR

FAR 52.216-1 TYPE OF CONTRACT 48

FAR 52.247-46 SHIPPING POINT(S) USED IN EVALUATION OF F.O.B

ORGIN OFFERS (APR 1984)

IBR

DLAD 52.233-9000 AGENCY PROTEST (NOV 2011) 48

L-0001 L1.02 PROPOSAL ACCEPTANCE PEROID (DLA ENERGY

NOV 1991)

L-0002 L2.11-3 FACSIMILE PROPOSALS-COMMERCIAL ITEMS

(DLA ENERGY NOV 1999) 49

L-0003 L2.11-4 E-MAIL PROPOSALS (DLA ENERGY)(OCT 2010)

L-0004 L54 Site Visit (DLA ENERGY OCT 1992) 50

L-0005 L117 NOTIFICATION OF TRANSPORTATION COMPANY

TO BE UTALIZED IN DELIVERY OF PRODUCT (PC&S)

(DLA ENERGY APR 2005)

SECTION M: EVALUATION FACTORS FOR AWARD

CLAUSE/INTERNAL

PROVISION NUMBER

CLAUSE/INTERNAL PROVISION TITLE PAGE

FAR 52.212-2 EVALUATION—COMMERCIAL ITEMS (JAN 1999)

DLAD 52.215-9003 USE OF PAST PERFORMANCE INFORMATION RETRIEVAL

SYSTEM – STATISTICAL REPORTING (PPIRS-SR)

INFORMATION IN PAST PERFORMANCE EVALUATION

DLAD 52.215-9033 COMPETING INDIVIDUAL DELIVERY ORDERS THROUGH

ON-LINE REVERSE AUCTIONING (JUL 2012) 52

M-0001 M3.01 EVALUATION OF OFFERS WHERE UNCOMMON

ESCALATORS ARE USED (DLA ENERGY JAN 1998) 53

M-0002 M55 CONVERSION FACTORS (DLA ENERGY MAR 2007)

M-0003 M72 EVALUATION OF OFFERS (EXCEPTIONS/DEVIATIONS)

(DLA ENERGY APR 1997) 54

The above contract provisions are incorporated in full text into tis solicitation or are incorporated by reference.

Contract provisions marked (OSP) are contained in the Offer Submission Package.

OSP-5

1.8N POSTS, CAMPS AND STATIONS (PC&S) RFP# SPE600-14-R-0206

SECTION B SUPPLIES OR SERVICES AND PRICE COST

B-0001 B1.05-2 SUPPLIES TO BE FURNISHED (OVERSEAS PC&S) (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 Three (3)-year requirements.

Line Item Schedule

SPE600-14-R-0206

ITEM ESTIMATED

NUMBER QUANTITY UI

PUERTO CASTILLA

USAF, TSW LOCATION: FP4808750, 4402 SUPPORT SQ-MAF, APO 34042

HO, USAF, HONDURAS, HONDURAN NAVAL BASE,

PUERTO CASTILLA

HONDURAS

DELIVERY DODAAC: FP4808

BILLING DODAAC: FP4808

ORDERING DODAAC: FP4808

ORDERING OFFICE: 504-9830-5259/DSN 449-4850

DSN 449-5076/4852/4142

0001 GASOLINE, REGULAR UNLEADED (MUR) NSN: 9130-00-148-7103 10,000

TRUCK (TR), MUST BE A FLAT BED TRUCK W/ABILITY TO LOAD/OFF LOAD

55 GALLON DRUMS

FOB --- PRODUCT TO BE DELIVERED IN TEN (10) - 55 GALLON DRUMS

DELIVERY HOURS: 0800 1700 MONDAY THRU FRIDAY

THIS FUEL IS NOT CAPITALIZED

OSP-6

1.8N POSTS, CAMPS AND STATIONS (PC&S) RFP# SPE600-14-R-0206

ITEM ESTIMATED

NUMBER QUANTITY UI

0012 TURBINE FUEL, AVIATION (JA1) NSN: 9130-00-753-5026 100,000

TANK TRUCK (TT), 750-03, NOTE: COORDINATE W/JTF-B/J4 PRIOR TO DELIVERY

INTO

1/2,500 MOBILE REFUELER

3/3,000 BLADDER(S)

1/4,000 SCAT TANK

DELIVERY HOURS:

0700|1630|7 DAYS INCLUDING HOLIDAY|

EQUIPPED W/ONBOARD PUMP W/3 & 4 KAM-LOK MALE AND

FEMALE INTO 1/2,500 MOBILE REFUELER; 3/3,000

BLADDER(S); 1/4,000 SCAT TANK

MOCORON

HO, USAF, HONDURAS, HONDURAN NAVAL BASE, MOCORON

HONDURAS

DELIVERY DODAAC: FP4808

BILLING DODAAC: FP4808

ORDERING OFFICE: DSN 449-5076/4852/4142

504-9830-5259/DSN 449-4850

0002 GASOLINE, REGULAR UNLEADED (MUR) NSN: 9130-00-148-7103 10,000

TRUCK MUST BE A FLAT BED TRUCK W/ABILITY TO

LOAD/OFF LOAD 55 GALLON DRUMS

FOB - PRODUCT TO BE DELIVERED IN TEN (10) - 55 GALLON DRUMS

DELIVERY HOURS: 0800 1700 MONDAY THRU FRIDAY

THIS FUEL IS NOT CAPITALIZED

0005 DIESEL FUEL #2 (DF2) NSN: 9140-00-286-5294 10,000

TRUCK MUST BE A FLAT BED TRUCK W/ABILITY TO

LOAD/OFF LOAD 55 GALLON DRUMS

FOB - PRODUCT TO BE DELIVERED IN 55 GALLON DRUMS

DELIVERY HOURS: 0700 1500 MONDAY THRU FRIDAY

OSP-7

1.8N POSTS, CAMPS AND STATIONS (PC&S) RFP# SPE600-14-R-0206

ITEM ESTIMATED

NUMBER QUANTITY UI

0014 TURBINE FUEL, AVIATION (JA1) NSN: 9130-00-753-5026 91,000

TANK WAGON (TW), 760-03E, NOTE 1: INITIAL DELIVERY

REQUEST 3500 GAL INTO 4000 GALLONS SCAT TANK.

MINIMUM RESUPPLY AMOUNT OF SCAT TANK WILL BE 2500

GALLONS. NOE 2: INITIAL DELIVERY REQUEST 2500

GALLONS INTO 3000 GALLON BLADDER. INCREASED FUEL

USE DUIRNG SURGE; SURGE TIME 15-30 DYS A T A TIME.

SURGE RESPLLY IS 3000 GALLONS BI-WEEKLY.

ACTIVITY WILL PROVIDE 2 WEEKS NOTICE. INTO

1/3,000 BLADDER(S)

1/4,000 SCAT TANK

2/6,340 TANKS

2/75,000 ABOVE GROUND TANK(S) LOCATED AT BLDG #21

DELIVERY HOURS:

0700|1630|7 DAYS INCLUDING HOLIDAY|

W/20-25 HOSE W/3 HOSE & KAMLOK COUPLERS BOTH MALE

AND FEMALE INTO 1/3,000 BLADDER(S); 1/4,000 SCAT

TANK; 2/6,340 TANKS; 2/75,000 ABOVE GROUND

TANK(S) LOCATED AT BLDG #21

LE CEIBA

HO, USAF, HONDURAS, HONDURAN NAVAL BASE, LE CEIBA

HONDURAS

DELIVERY DODAAC: FP4808

BILLING DODAAC: FP4808

ORDERING DODAAC: FP4808

ORDERING OFFICE: DSN 449-5076/4852/4142

NSN: 9130-00-148-7103

0003 GASOLINE, REGULAR UNLEADED (MUR) 20,000

TRUCK MUST BE A FLAT BED TRUCK W/ABILITY TO LOAD/OFF LOAD INTO

55 GALLON DRUMS

FOB - PRODUCT TO BE DELIVERED INTO TEN (10) - 55 GALLON DRUMS

OSP-8

1.8N POSTS, CAMPS AND STATIONS (PC&S) RFP# SPE600-14-R-0206

ITEM ESTIMATED

NUMBER QUANTITY UI

0008 DIESEL FUEL #2 (DF2) NSN: 9140-00-286-5294 2,266,904

TRUCK MUST BE A FLAT BED TRUCK W/ABILITY TO LOAD/OFF LOAD

55 GALLON DRUMS

PLEASE PROVIDE HAND PUMPS TO REMOVE FUEL AND PUT INTO EQUIPMENT

FOB - PRODUCT TO BE DELIVERED IN 55 GALLON DRUMS

VENDOR MUST CALL AHEAD TO ENSURE ACCESS

SOTO CANO

HO, USAF, HONDURAS, HONDURAN NAVAL BASE, SOTO CANO

HONDURAS

DELIVERY DODAAC: SE5F01

BILLING DODAAC: SE5F01

ORDERING DODAAC: SE5F01

ORDERING OFFICE: DSN 449-5076/4852/4142

504-9830-5259/DSN 449-4207

0004 GASOLINE, REGULAR UNLEADED (MUR) NSN: 9130-00-148-7103 561,547

TANK TRUCK (TT), OR TW INTO

1/10,000 GALLON TANK

DELIVERY HOURS: 0800 - 1700 MONDAY THRU FRIDAY

0900 - 1500 TUESDAY THRU THURSDAY

THIS FUEL IS CAPITALIZED

0011 DIESEL FUEL #2 (DF2) NSN: 9140-00-286-5294 4,624,567

TANK TRUCK (TT) OR TW INTO

1/10,000 GALLON TANK

DELIVERY HOURS: 0800 - 1700 MONDAY THRU FRIDAY

0900 - 1500 TUESDAY THRU THURSDAY

OSP-9

1.8N POSTS, CAMPS AND STATIONS (PC&S) RFP# SPE600-14-R-0206

ITEM ESTIMATED

NUMBER QUANTITY UI

0015 TURBINE FUEL, AVIATION (JA1) NSN: 9130-00-753-5026 8,522,239

TANK TRUCK (TT), OR TW INTO

1/20,000 GALLON TANKS

3/10,000 GALLON TANKS

THIS FUEL IS CAPITALIZED

DELIVERY HOURS:

0700|1630|7 DAYS INCLUDING HOLIDAY

SOTO CANO

ARMY, TSW LOCATION: W811P5, SOTO CANO AB POWER PLANT

BLDG R-28/R - 11

ARMY HONDURAS, HONDURAN, SOTO CANO AIR BASE

HONDURAS 34042

DELIVERY DODAAC: W90YQS

BILLING DODAAC: W90YQS

ORDERING DODAAC: W90YQS

ORDERING OFFICE: DSN 449-4862

BRENDAN MOORE: brendan.moore@jtfb.southcom.mil

0016 TURBINE FUEL, AVIATION (JA1) NSN: 9130-00-753-5026 1,660,000

TANK TRUCK (TT), INTO

INTO 2/20,000 ABOVE GROUND TANK (S) AND

1/50,000 ABOVE GROUND TANK (S) INTO BLDG R-28

TANK TRUCK WITH PUMP

20 FOOT HOSES WITH CAM-LOC COUPLERS TO CONNECT

TO THE OFF-LOADER HEADER

DELIVERY NOTE: DRIVERS REQUIRE A BASE PASS AND

ESCORT TO/FROM DELIVERY SITE.

DELIVERY HOURS: 0900 - 1700 TUESDAY AND THURSDAY

OSP-10

1.8N POSTS, CAMPS AND STATIONS (PC&S) RFP# SPE600-14-R-0206

ITEM ESTIMATED

NUMBER QUANTITY UI

PUERTO LEMPIRA

USAF, TSW LOCATION: FP4808750, 4402 SUPPORT SQ-MAF, APO 34042

HO, USAF, HONDURAS, HONDURAN NAVAL BASE, PUERTO LEMPIRA

HONDURAS

DELIVERY DODAAC: FP4808

BILLING DODAAC: FP4808

ORDERING OFFICE: DSN 449-5076/4852/4142

NSN: 9130-00-286-5294

0006 DIESEL FUEL #2 (DF2) NSN: 9140-00-286-5294 30,000

TANK WAGON (TW), INTO

W/PUMP & METER AND 20 HOSE

INTO 1/500 ABOVE GROUND TANK (S)

DELIVERY NOTE: VENDOR MUST BE ABLE TO DELIVER

EVERY 7 DAYS

HIS FUEL IS NOT CAPITALIZED

0007 DIESEL FUEL #2 (DF2) NSN: 9140-00-286-5294 30,000

W/PUMP & METER AND 20 HOSE

INTO 1/500 ABOVE GROUND TANK (S)

DELIVERY NOTE: VENDOR MUST BE ABLE TO DELIVER

0010 DIESEL FUEL #2 (DF2) NSN: 9140-00-286-5294 2,002

W/PUMP & METER AND 20 HOSE

INTO 1/500 ABOVE GROUND TANK (S)

DELIVERY NOTE: VENDOR MUST BE ABLE TO DELIVER

OSP-11

1.8N POSTS, CAMPS AND STATIONS (PC&S) RFP# SPE600-14-R-0206

ITEM ESTIMATED

NUMBER QUANTITY UI

NACO

USAF, TSW LOCATION: W81XFX105, W81XFX USARSO TSA DEFAULT 00934

HO, USAF, HONDURAS, HONDURAN NAVAL BASE, NACO

HONDURAS

DELIVERY DODAAC: W81XFX

BILLING DODAAC: W81XFX

ORDERING OFFICE: DSN 449-5076/4852/4142

703-767-0661 CHARLES SHIPP

NSN: 9130-00-286-5294

0009 DIESEL FUEL #2 (DF2) NSN: 9140-00-286-5294 49,000

TANK WAGON (TW), INTO HEMTT TANKERS (S)

INITIAL DELIVERY REQUEST IS 4,500 GALLONS; SUBSEQUENT REQUEST WILL BE

APPROXIMATELY 4,000 TO 4,500 GALLONS EVERY 7 - 10 DAYS

W/PUMP & METER WITH 3 INCH FEMAL KAMLOC FITTING AND

A 25 FOOT HOSE INTO

INTO 2/2,500 HEMTT TANKER(S)

AGUACATE

USAF, TSW LOCATION: FP4808755, 4402 SUPPORT SQ-MAF, APO

AA USAF, HONDURAS, HONDURAN NAVAL BASE, AGUACATE

HONDURAS

DELIVERY DODAAC: FP4808

BILLING DODAAC: FP4808

ORDERING OFFICE:

ORDERING DODAAC: FP4808

0013 TURBINE FUEL, AVIATION (JA1) NSN: 9130-00-753-5026 72,000

TANK WAGON (TW), 755-03, NOTE 1: INITIAL DELIVERY REQUEST

3500 GAL INTO 4000 GALLONS SCAT TANK. MINIMUM

RESUPPLY AMOUNT OF SCAT TANK WILL BE 2500 GALLONS.

NOTE 2: INITIAL DELIVERY REQUEST 2500 GALLONS

INTO 3000 BLADDER. INCREASED FUEL

USE DUIRNG SURGE; SURGE TIME 15-30 DY S AT A TIME.

SURGE RESPLLY IS 3000 GALLONS BI-WEEKLY.

ACTIVITY WILL PROVIDE 2 WEEKS NOTICE. INTO

1/3,000 BLADDER(S)

1/4,000 SCAT TANK

DELIVERY HOURS:

0700|1630|7 DAYS INCLUDING HOLIDAY|

W/20-25 HOSE W/3 HOSE & KAMLOK COUPLERS BOTH MALE

AND FEMALE

FUEL IS NOT CAPITALIZED

OSP-12

1.8N POSTS, CAMPS AND STATIONS (PC&S) RFP# SPE600-14-R-0206

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 OIL GRAM PRICE REPORTS.

[ ] (iii) The established price posted by ______________ and (name of company)

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

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

(i) INCREASES. Any increase in unit price as a result of an increase in reference price shall apply only to deliveries made on or after the date of receipt by the Contracting Officer of a written notification from the Contractor of such increase. However, the prices payable under this contract shall in no event exceed the Contractor’s posted or established selling price in effect on the date of delivery for the product supplied in the form of delivery made at the point of delivery. Also, no notification incorporating an increase in a contract unit price shall be executed pursuant to this 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

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B-0002 B19.02 CONT’D

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.

(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 Maximum price company/ name of product; Method of price payable under publication If publication - delivery as of this contract (identify heading under applicable 10-31-2011 (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 p rice .

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Product Reference Base Reference Price

Date

For all Regular Unleaded Gasoline / Gasohol

Platt's Oilgram Price, US Gulf Coast, Waterborne, Unleaded; 5 day average (5 days ending Friday prior to week of delivery) Price adjustments are effective Mon-Sun of week of delivery.

$2.816400 28-July-14

For all Ultra Low Sulfur Diesel

ULSD; 5 day average (5 days ending Friday prior to week of delivery) Price adjustments are effective

$2.874400 28-July-14

Jet Fuel (JA1)

Jet/Kero 54; 5 day average (5 days ending Friday prior to week of delivery) Price adjustments are effective

$2.859400 28-July-14

SECTION F: DELIVERIES OR PERFORMANCE

F-0003 F3 TRANSPORT TRUCK AND/OR TRUCK AND TRAILER FREE TIME AND DETENTION

RATES (PC&S) (DLA ENERGY AUG 2005)

(a) Upon arrival of Contractor's transport truck or truck and trailer, the receiving activity shall promptly designate the tanks into which the load is to be discharged. Free time will commence when the discharge hose is connected to the receiving line at the delivery point and will end when discharge is completed. The Contractor shall be paid for detention beyond free time for delays caused by the Government. A minimum of one hour free time is required.

(1) Free time for unloading a transport truck or truck and trailer (includes one hour minimum plus any additional time): _______________________________________________.

(2) Rate for detention beyond free time: __________________________________________________________.

The above will not be considered in the evaluation of offers for award except that a free time of less than one hour may render an offer unacceptable. Notwithstanding the above, the Government is entitled to at least as much free time as is allowed by the common carrier or that the Contractor normally allows its regular commercial customers, whichever is greater. Free time only applies to single-drop deliveries (it is not applicable to multiple-drop tank truck/truck and trailer deliveries or any tank wagon deliveries).

(b) Notwithstanding the above, the Government will not pay more in detention rates than the actual rate charged by the common carrier or the rate the Contractor normally charges its regular commercial customers, whichever is lower. Detention costs will be the sole responsibility of the activity incurring them and are only allowable on single drop deliveries (they are not allowable on multiple drop tank truck/truck and trailer deliveries or any tank wagon deliveries. Invoices for detention costs will be submitted by the Contractor directly to the activity receiving the product. These provisions are applicable to DLA-owned/capitalized as well as non- DLA-owned/noncapitalized products.

(c) UNLESS THE OFFEROR OTHERWISE INDICATES IN PARAGRAPHS (a)(1) AND (a)(2) ABOVE, FREE TIME

WILL BE CONSIDERED UNLIMITED AND DETENTION COSTS WILL NOT BE CHARGEABLE.

F-0004 F3.03 NOTIFICATION OF CHANGE IN TRANSPORTATION COMPANY (PC&S) (DLA ENERGY

APR

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2005)

(a) In the performance of this contract, the Contractor agrees not to utilize transportation companies that have been debarred or suspended, are ineligible for receipt of contracts with Government agencies, are in receipt of a notice of proposed debarment or ineligibility from any Government agency, or are otherwise ineligible under Federal programs. Substitution of a new transportation company is subject to review by the Contracting Officer for use under this contract.

(b) If the Contractor changes transporters after award, the Contractor shall provide the Contracting Officer with the following information on alternative or new transportation company(ies) being utilized in the transportation of supplies under this contract.

Name, Address, and Phone Number State(s) in which transporter of Transportation Company is authorized to operate

SECTION G: CONTRACT ADMINISTRATION DATA

FAR 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS -- COMMERCIAL ITEMS (MAY

2011), ALTERNATE I (APRIL 2011)

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

(a) Definitions. As used in this provision--

“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.

“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 Coe 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;

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

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

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

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

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

(8) FSC 9610, Ores;

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

(10) FSC 9630, Additive Metal Materials.

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

“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

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

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

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

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

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

(6) Have been voluntarily suspended.

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

(1) Means a small business concern—

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

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

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

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

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

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(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 in reference to the WOSB concern or concerns that are participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern or concerns that are participating in the joint venture: _________.] Each WOSB concern 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 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)(7)(i) of this provision is accurate in reference to the EDWOSB concern or concerns that are participating in the joint venture. The offeror shall enter the name or names of the EDWOSB concern or concerns 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:

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(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), OSP-20

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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…