SPE7M519Q0206.PDF

PDF 140 KB Posted Nov 9, 2018

Attached to: RELAY-SWITCH Federal contract opportunity
Solicitation number: SPE7M519Q0206
Issued by: Defense Logistics Agency Land and Maritime

View the file

On GovTribe

Work with this file on GovTribe

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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.

SPE7M5-19-Q-0206

2. DATE ISSUED

2018 NOV 09

3. REQUISITION/PURCHASE REQUEST NO.

0076989983

RATING

DO-C9

DLA LAND AND MARITIME

ACTIVE DEVICES DIVISION

PO BOX 3990

COLUMBUS OH 43218-3990

USA

Buyer: Linda Berry PMCMTD1 Tel: 614-692-7919 Fax: 614-692-6925 Email: Linda.Berry@dla.mil

6. DELIVER BY (Date)

120 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 NOV 23

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

SPE7M5-19-Q-0206

CONTINUED ON NEXT PAGE

PURCHASE ORDER CLAUSES ARE APPLICABLE AS INDICATED IN THE REVISION OF THE DLA MASTER SOLICITATION FOR AUTOMATED SIMPLIFIED ACQUISITIONS IN EFFECT ON THE AWARD DATE. ALL REVISIONS OF THE DLA MASTER SOLICITATION FOR AUTOMATED SIMPLIFIED ACQUISITIONS CAN BE FOUND ON THE WEB AT: http://www.dla.mil/HQ/Acquisition/Offers/eProcurement.aspx.

DLAD PROCUREMENT NOTES

DLAD Procurement Notes are incorporated by reference, with the same force and effect as if they were in full text. The full text of a DLAD Procurement Note may be accessed electronically at http://www.dla.mil/HQ/Acquisition/Offers/ eProcurement.aspx and via 'References' on the DIBBS homepage.

FDT

This is a First Destination Transportation (FDT) program award. If this award is for FMS or has an APO/FPO ship-to address, these instructions do not apply.

1. CONUS AWARDEE SHIPPING TO ALL LOCATIONS: Transportation requirements for FDT awards are located in DLAD Procurement Note C16 First Transportation Destination (FDT) Program – Government-Arranged Transportation for Manual Awards and DLAD Procurement Note C20 Vendor Shipment Module.

2. OCONUS AWARDEE WITH INSPECTION AND ACCEPTANCE AT DESTINATION: If awardee is outside the contiguous United States transportation requirements are located in DLAD Procurement Note C16 First Transportation Destination (FDT) Program – Government-Arranged Transportation for Manual Awards and DLAD Procurement Note C17 First Destination Transportation (FDT) Program – Shipments Originating from Outside the Contiguous United States and DLAD Procurement Note C20 Vendor Shipment Module.. The contiguous United States location identified in the awardee’s offer is the f.o.b. origin pick-up point.

3. OCONUS AWARDEE WITH INSPECTION AND ACCEPTANCE AT ORIGIN: If awardee is outside the contiguous United States and Inspection and Acceptance are at Origin, DLAD Procurement Note C21 Shipping Instruction Request (SIR) applies.

DFARS 252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(a) Definitions. As used in this clause— “Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in Wide Area WorkFlow

(WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.

acquisition.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

An invoice and WAWF receiving report (RR) are both required. The invoice and receiving report may be submitted separately or together as a combo type document. See DFARS Appendix F for detailed instructions on preparing the WAWF

RR.

NOTE: For contracts in accordance with Fast Payment Procedures, a Fast Pay (FP) invoice must be connected with a receiving report (RR), so either submit a FP combo or submit a RR and follow with a FP invoice. If there is no registered acceptor, the RR portion of the combo cannot be processed. In this case, submit a stand-alone FP invoice (“accept by” DoDAAC/location is mandatory).

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

See Award.

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table Field Name in WAWFData to be entered in WAWF Pay Official DoDAACSee Page 1 Issue By DoDAACSee Page 1 Admin DoDAACSee Page 1 Inspect By DoDAACSee Award Ship To CodeSee Award Ship From CodeSee Award/Purchase Order if applicable Mark For CodeSee Award/Purchase Order if applicable Service Approver (DoDAAC)See Award/Purchase Order if applicable Service Acceptor (DoDAAC)See Award/Purchase Order if applicable Accept at Other DoDAACSee Award/Purchase Order if applicable LPO DoDAAC DCAA Auditor DoDAAC

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

CONTINUED ON NEXT PAGE

Other DoDAAC(s)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the e-mail address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

Additional email notifications are not required.

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

Contact the local contract administrator found in block 6 of the DD 1155, block 9 of the SF 1449, or block 5 of the SF 26.

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

(End of clause)

DFARS Clause 211.275(a)(2) requires passive RFID tags for specified shipments that will be shipped to locations listed at Logistics and Materiel Readiness' (L&MR's) passive RFID website located at http://www.acq.osd.mil/log/sci/ RFID_ship-to-locations.html , or to a location outside the United States when the shipment has been assigned Transportation Priority 1, or to any additional locations deemed necessary by the requiring activity. Vendors need to check the website in the clause prior to submitting quotes. If the website does not list the ship-to address for the procurement and the procurement does not meet either of the other two criteria in the clause, the vendor should not include any costs for RFID in their offer/proposal.

At the time of shipment, the vendor should check the website again to make sure that it has not been updated to include the ship-to location. If the ship-to location it has been added, the vendor should contact the post award administrator to discuss any costs associated with added RFID and/or any associated administration requirements.

E06 Inspection and Acceptance at Origin (SEP 2016)

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

CONTINUED ON NEXT PAGE

SECTION B

SUPPLIES/SERVICES: 5999-01-494-0638

ITEM DESCRIPTION:

RELAY-SWITCH

RP001: DLA PACKAGING REQUIREMENTS FOR PROCUREMENT

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.

RQ002: CONFIGURATION CHANGE MANAGEMENT - ENGINEERING CHANGE PROPOSAL

REQUEST FOR VARIANCE (DEVIATION OR WAIVER)

RQ009: INSPECTION AND ACCEPTANCE AT ORIGIN

RQ011: REMOVAL OF GOVERNMENT IDENTIFICATION FROM NON-ACCEPTED SUPPLIES

RQ017: PHYSICAL INDENTIFICATION/BARE ITEM MARKING

NOTE: THE CITED DRAWING IS A SOURCE CONTROLLED

DRAWING AND AS OF THE DATE OF THIS SOLICITATION

ONLY THE SOURCE(S) CITED ON THE DRAWING HAVE

BEEN APPROVED. EVEN THOUGH SOURCES AND APPROVED

PART NUMBERS ARE PROVIDED, THE ITEMS

FURNISHED MUST MEET THE REQUIREMENTS OF THE

CITED DRAWING. OFFERORS WHO ARE INTERESTED

IN QUALIFYING THEIR PRODUCT FOR PURPOSE OF

FUTURE ACQUISITION MUST CONTACT THE

COGNIZANT DESIGN ACTIVITY SPECIFIED ON THE

SOURCE CONTROLLED DRAWING.

ALSO, MAY INCLUDE ADDITIONAL APPROVED SOURCES

THAT HAVE NOT BEEN REFLECTED ON THE DRAWING AT

THIS TIME.

SOURCE CONTROL

FAR 52.246-11, HIGHER LEVEL CONTRACT QUALITY

REQUIREMENTS, APPLIES/ISO 9001/ANSI/ASQC

Q 9001 APPLIES.

THE USE OF ANY CLASS I OZONE-DEPLETING SUBSTANCE

(ODS) IN THE DESIGN, MANUFACTURING, TESTING,

CLEANING, OR ANY OTHER PROCESS FOR THIS ITEM

UNDER ANY MILITARY OR FEDERAL SPECIFICATION,

STANDARD OR DRAWING REFERENCED IN THIS ITEM

DESCRIPTION IS "PROHIBITED" UNLESS THE SEPARATE

WRITTEN APPROVAL OF THE CONTRACTING OFFICER IS

OBTAINED. THIS PROHIBITION SUPERSEDES ALL

SPECIFICATION REQUIREMENTS BUT DOES NOT

ALLEVIATE ANY PRODUCT PERFORMANCE REQUIREMENTS.

THIS DOES NOT APPLY TO COMMERCIAL ITEMS, AS

DEFINED IN "FAR 11.001" OR TO PART-NUMBERED-

ONLY ITEMS.

BAE Systems Land Armaments L.P. 80212 P/N 4254520 Sechan Electronics, Inc. 7Z941 P/N 80212-4254520

IAW BASIC DRAWING NR 19207 12474783

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

CONTINUED ON NEXT PAGE

SECTION B

SUPPLY/SERVICE: 5999-01-494-0638 CONT'D

REVISION NR A DTD 09/11/2008

PART PIECE NUMBER:

IAW REFERENCE DRAWING NR 19207 12474783

REVISION NR DTD 03/06/2015

PART PIECE NUMBER:

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

0001 5999-01-494-0638 54.000 EA $ ________________ $ ________________

RELAY-SWITCH

PRICING TERMS: Firm Fixed Price

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: ORIGIN

ACCEPTANCE POINT: ORIGIN

FOB: ORIGIN DELIVERY DATE: 120 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

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."

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

CONTINUED ON NEXT PAGE

SECTION B

SUPPLY/SERVICE: 5999-01-494-0638 CONT'D

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:

SW3227

DLA DISTRIBUTION RED RIVER

RECEIVING BLDG 499

10TH STREET AND K AVENUE

TEXARKANA TX 75507-5000

FOR TRANSPORTATION SEE DLAD DLAD PROC NOTE C19. FOR FIRST DESTINATION TRANSPORTATION SEE DLAD PROC NOTE C20 AND

CONTRACT

FREIGHT SHIPPING ADDRESS:

SW3227

DLA DISTRIBUTION RED RIVER

RECEIVING BLDG 499

10TH STREET AND K AVENUE

TEXARKANA TX 75507-5000

GOVT USE

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

0001 0076989983 0001 N/A N/A N/A 03/10/2021

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