SPMYM1-14-Q-0053_P0001.pdf

DLA MARITIME NORFOLK

CONTRACTING DIVISION (DLA-NMAB)

BLDG. 1500, 2ND FLOOR

PORTSMOUTH VA 23709-5000

UNDER DPAS (15 CFR 700)

11. DELIVERY FOR FOB

RFQ

SEE SCHEDULE

X

DO-C9E

14. METHOD OF SOLICITATION

IFB RFP

CODE

SEE ADDENDUM

BLOCK IS MARKED

DESTINATION UNLESS

12. DISCOUNT TERMS

(No Collect Calls)

13b. RATING

13a. THIS CONTRACT IS A RATED ORDER

X

CODE

SPMYM1-14-Q-0053 14-Mar-2014

b. TELEPHONE NUMBER

757-396-8064

8. OFFER DUE DATE/LOCAL TIME

03:00 PM 16 Apr 2014

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV 3/2005)

Prescribed by GSA

FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER) 31c. DATE SIGNED

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

22. UNIT 23. UNIT PRICE 24. AMOUNT21. QUANTITY

CODE 10. THIS ACQUISITION IS

UNRESTRICTED

FAX: NAICS:

TEL:

CODE 18a. PAYMENT WILL BE MADE BYOFFEROR

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TEL.

SPMYM1

SIZE STD:

9. ISSUED BY

FACILITY

CODE

17a.CONTRACTOR/

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

15. DELIVER TO CODE N42158 16. ADMINISTERED BY

NORFOLK NAVAL SHIPYARD

RECEIVING OFFICER

BLDG 276

PORTSMOUTH VA 23709-5000

TEL: FAX:

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

CHRISTOPHER JOHNS

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES

SEE SCHEDULE

325120

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.

SB

HUBZONE SB

SET ASIDE: 100 % FOR

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

N4215840179536

ARE NOT ATTACHED

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

TEL: EMAIL:

0 COPIES

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

.OFFER DATED YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

8(A)

SVC-DISABLED VET-OWNED SB

EMERGING SB

X

X

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

SEE SCHEDULE

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES 21. QUANTITY 22. UNIT 24. AMOUNT

PAGE 2 OF

23. UNIT PRICE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV 3/2005) BACK

Prescribed by GSA

FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SPMYM1-14-Q-0053

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 36 Cylinder N4215840179536

FFP

UHP HELIUM

UHP HELIUM 99.999% PURE, SIZE 300CFM

NSN:6830-LL-N01-4916

a) All material for this line item must be marked and identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MUST NOT CONTAIN "METHYLENE CHLORIDE"

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

b) The manufacturer: National Welders: and product: Helium: 300CF Cylinder on attached JML has been approved for use at Norfolk Naval Shipyard. The above Manufacturer and Product approved AUL# (s) is;

6830 LL NO1 4916 SHELF LIFE IS 0-00

c) If another Manufacturer and Product is offered: The buyer must request a copy of the material safety data sheet and forward to code 515.2 Designate "Urgent" or "Routine" priority and suspend award pending reply from code-515.

FOB: Destination

NSN: 6830-LL-N01-4916

MILSTRIP: N4215840179536

MFR PART NR: HEMUPH300

PURCHASE REQUEST NUMBER: N4215840179536

PROJECT: YY6

NET AMT

0002 50 Cylinder N4215840179536

FFP

P-5 METHANE BALANCE ARGON

P-5 GAS

NSN: 6830-LL-N03-8858

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: Airgas, Inc. and product: Non-Flammable Gas Mixture, Argon 90-99%, Methane 0.1-10% (P-5 & P-10), 200 CU-FT Cylinder on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are;

6830 LL N03 8858 SHELF LIFE IS (0-00)

c) If another Manufacturer and Product is offered: The buyer must request a copy of the material safety data sheet and forward to Code-515.2, designate an "Urgent" or "Routine" priority and suspend award pending reply.

NSN: 6830-LL-N03-8858

MILSTRIP: N4215840179537

PROJECT: YY9

0003 10 Cylinder N4215840179538

FFP

HYDROGEN CYLINDER

HYDROGEN UHP 99.999% PURE CY SIZE 300 CFM

NSN: 6830-LL-N03-8856

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: National Welders. And product: Hydrogen, 300 CF Cylinders on attached JML has been approved for use at the Norfolk Naval Shipyard. The above Manufacturer and Product approved AUL# (s) are; MSDS #

6830-AU-063-44AA, 6830 LL N03 8856 SHELF LIFE IS 0-00

c) If another Manufacturer and Product is offered: The buyer must request a copy of the material data safety sheet and forward to code-515.2 Designate "URGENT" or "ROUTINE" priority and suspend award pending reply from code-515.2.

FOB: Destination

NSN: 6830-LL-N03-8856

MILSTRIP: N4215840179538

0004 10 Cylinder N4215840179539

FFP

NITROGEN, LIQUID

NITROGEN UHP 99.999% PURE CY SIZE 300 CFM

NSN: 9B 6830 LL-N00-8182

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: Praxair Inc. and product: NITROGEN, REFRIGERATED LIQUID, 300CF. CYLINDER on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are:

9B 6830 AU 04 069AA 9B 6830 LL N0 08182 S/L: 0-00

c) If another MANUFACTURER and PRODUCT is offered: The buyer must request a copy of the material safety data sheet and forward to Code-515.2, designate an "URGENT" or "ROUTINE" priority and suspend award pending reply.

FOB: Destination

NSN: 6830-LL-N00-8182

MILSTRIP: N4215840179539

0005 10 Cylinder N4215840179540

FFP

ARGON GAS

ARGON UHP 99.999% PURE CY SIZE 300

NSN: 9B 6830 LL-N01-9515

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: NATIONAL WELDERS. and product: UHP ARGON, P/N ARUHP300, 300 CF. CYLINDER on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are:

6830 LL-N01-9515 S/L: 0-00

c) If another MANUFACTURER and PRODUCT is offered: The buyer must request a copy of the material safety data sheet and forward to Code-515.2, designate an "URGENT" or "ROUTINE" priority and suspend award pending reply.

FOB: Destination

NSN: 6830-LL-N01-9515

MILSTRIP: N4215840179540

0006 20 Cylinder N4215840179541

FFP

ZERO AIR

ZERO AIR CY SIZE 300

MILSTRIP: N4215840179541

0007 360 Cylinder N4215840179542

FFP

CYLINDER RENTAL

YEARLY CYLINDER RENTAL NOT TO EXCEED 30 CY PER MONTH FOR

12 MONTHS TOTAL 360 CYLINDERS

52.223-3 HAZARDOUS MATERIAL IDENTIFICATION AND MATERIAL

SAFETY DATA (JAN 1997)

FOB: Destination

MILSTRIP: N4215840179542

1001 36 Cylinder

OPTION N4215840179536

FFP

UHP HELIUM

UHP HELIUM 99.999% PURE, SIZE 300CFM

NSN:6830-LL-N01-4916

a) All material for this line item must be marked and identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MUST NOT CONTAIN "METHYLENE CHLORIDE"

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

b) The manufacturer: National Welders: and product: Helium: 300CF Cylinder on attached JML has been approved for use at Norfolk Naval Shipyard. The above Manufacturer and Product approved AUL# (s) is;

6830 LL NO1 4916 SHELF LIFE IS 0-00

c) If another Manufacturer and Product is offered: The buyer must request a copy

MILSTRIP: N4215840179536

MFR PART NR: HEMUPH300

1002 50 Cylinder

OPTION N4215840179536

FFP

P-5 METHANE BALANCE ARGON

P-5 GAS

NSN: 6830-LL-N03-8858

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: Airgas, Inc. and product: Non-Flammable Gas Mixture, Argon 90-99%, Methane 0.1-10% (P-5 & P-10), 200 CU-FT Cylinder on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are;

6830 LL N03 8858 SHELF LIFE IS (0-00)

c) If another Manufacturer and Product is offered: The buyer must request a copy

MILSTRIP: N4215840179537

1003 10 Cylinder

OPTION N4215840179538

FFP

HYDROGEN CYLINDER

HYDROGEN UHP 99.999% PURE CY SIZE 300 CFM

NSN: 6830-LL-N03-8856

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: National Welders. And product: Hydrogen, 300 CF Cylinders on attached JML has been approved for use at the Norfolk Naval Shipyard. The above Manufacturer and Product approved AUL# (s) are; MSDS #

6830-AU-063-44AA, 6830 LL N03 8856 SHELF LIFE IS 0-00

c) If another Manufacturer and Product is offered: The buyer must request a copy of the material data safety sheet and forward to code-515.2 Designate "URGENT" or "ROUTINE" priority and suspend award pending reply from code-515.2.

FOB: Destination

NSN: 6830-LL-N03-8856

MILSTRIP: N4215840179538

1004 10 Cylinder

OPTION N4215840179539

FFP

NITROGEN, LIQUID

NITROGEN UHP 99.999% PURE CY SIZE 300 CFM

NSN: 9B 6830 LL-N00-8182

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: Praxair Inc. and product: NITROGEN, REFRIGERATED LIQUID, 300CF. CYLINDER on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are:

9B 6830 AU 04 069AA 9B 6830 LL N0 08182 S/L: 0-00

c) If another MANUFACTURER and PRODUCT is offered: The buyer must request a copy of the material safety data sheet and forward to Code-515.2, designate an "URGENT" or "ROUTINE" priority and suspend award pending reply.

FOB: Destination

NSN: 6830-LL-N00-8182

MILSTRIP: N4215840179539

1005 10 Cylinder

OPTION N4215840179540

FFP

ARGON GAS

ARGON UHP 99.999% PURE CY SIZE 300

NSN: 9B 6830 LL-N01-9515

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: NATIONAL WELDERS. and product: UHP ARGON, P/N ARUHP300, 300 CF. CYLINDER on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are:

6830 LL-N01-9515 S/L: 0-00

c) If another MANUFACTURER and PRODUCT is offered: The buyer must request a copy of the material safety data sheet and forward to Code-515.2, designate an "URGENT" or "ROUTINE" priority and suspend award pending reply.

FOB: Destination

NSN: 6830-LL-N01-9515

MILSTRIP: N4215840179540

1006 20 Cylinder

OPTION N4215840179541

FFP

1007 360 Cylinder

OPTION N4215840179542

FFP

CYLINDER RENTAL

YEARLY CYLINDER RENTAL NOT TO EXCEED 30 CY PER MONTH FOR

12 MONTHS TOTAL 360 CYLINDERS

52.223-3 HAZARDOUS MATERIAL IDENTIFICATION AND MATERIAL

SAFETY DATA (JAN 1997)

FOB: Destination

MILSTRIP: N4215840179542

2001 36 Cylinder

OPTION N4215840179536

FFP

UHP HELIUM

UHP HELIUM 99.999% PURE, SIZE 300CFM

NSN:6830-LL-N01-4916

a) All material for this line item must be marked and identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MUST NOT CONTAIN "METHYLENE CHLORIDE"

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

b) The manufacturer: National Welders: and product: Helium: 300CF Cylinder on attached JML has been approved for use at Norfolk Naval Shipyard. The above Manufacturer and Product approved AUL# (s) is;

6830 LL NO1 4916 SHELF LIFE IS 0-00

c) If another Manufacturer and Product is offered: The buyer must request a copy

MILSTRIP: N4215840179536

2002 50 Cylinder

OPTION N4215840179536

FFP

P-5 METHANE BALANCE ARGON

P-5 GAS

NSN: 6830-LL-N03-8858

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: Airgas, Inc. and product: Non-Flammable Gas Mixture, Argon 90-99%, Methane 0.1-10% (P-5 & P-10), 200 CU-FT Cylinder on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are;

6830 LL N03 8858 SHELF LIFE IS (0-00)

c) If another Manufacturer and Product is offered: The buyer must request a copy

2003 10 Cylinder

OPTION N4215840179538

FFP

HYDROGEN CYLINDER

HYDROGEN UHP 99.999% PURE CY SIZE 300 CFM

NSN: 6830-LL-N03-8856

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: National Welders. And product: Hydrogen, 300 CF Cylinders on attached JML has been approved for use at the Norfolk Naval Shipyard. The above Manufacturer and Product approved AUL# (s) are; MSDS #

6830-AU-063-44AA, 6830 LL N03 8856 SHELF LIFE IS 0-00

c) If another Manufacturer and Product is offered: The buyer must request a copy of the material data safety sheet and forward to code-515.2 Designate "URGENT" or "ROUTINE" priority and suspend award pending reply from code-515.2.

FOB: Destination

NSN: 6830-LL-N03-8856

2004 10 Cylinder

OPTION N4215840179539

FFP

NITROGEN, LIQUID

NITROGEN UHP 99.999% PURE CY SIZE 300 CFM

NSN: 9B 6830 LL-N00-8182

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: Praxair Inc. and product: NITROGEN, REFRIGERATED LIQUID, 300CF. CYLINDER on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are:

9B 6830 AU 04 069AA 9B 6830 LL N0 08182 S/L: 0-00

c) If another MANUFACTURER and PRODUCT is offered: The buyer must request a copy of the material safety data sheet and forward to Code-515.2, designate an "URGENT" or "ROUTINE" priority and suspend award pending reply.

FOB: Destination

NSN: 6830-LL-N00-8182

2005 10 Cylinder

OPTION N4215840179540

FFP

ARGON GAS

ARGON UHP 99.999% PURE CY SIZE 300

NSN: 9B 6830 LL-N01-9515

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: NATIONAL WELDERS. and product: UHP ARGON, P/N ARUHP300, 300 CF. CYLINDER on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are:

6830 LL-N01-9515 S/L: 0-00

c) If another MANUFACTURER and PRODUCT is offered: The buyer must request a copy of the material safety data sheet and forward to Code-515.2, designate an "URGENT" or "ROUTINE" priority and suspend award pending reply.

FOB: Destination

NSN: 6830-LL-N01-9515

2006 20 Cylinder

OPTION N4215840179541

FFP

2007 360 Cylinder

OPTION N4215840179542

FFP

CYLINDER RENTAL

YEARLY CYLINDER RENTAL NOT TO EXCEED 30 CY PER MONTH FOR

12 MONTHS TOTAL 360 CYLINDERS

52.223-3 HAZARDOUS MATERIAL IDENTIFICATION AND MATERIAL

SAFETY DATA (JAN 1997)

FOB: Destination

3001 36 Cylinder

OPTION N4215840179536

FFP

UHP HELIUM

UHP HELIUM 99.999% PURE, SIZE 300CFM

NSN:6830-LL-N01-4916

a) All material for this line item must be marked and identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MUST NOT CONTAIN "METHYLENE CHLORIDE"

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

b) The manufacturer: National Welders: and product: Helium: 300CF Cylinder on attached JML has been approved for use at Norfolk Naval Shipyard. The above Manufacturer and Product approved AUL# (s) is;

6830 LL NO1 4916 SHELF LIFE IS 0-00

c) If another Manufacturer and Product is offered: The buyer must request a copy

MILSTRIP: N4215840179536

3002 50 Cylinder

OPTION N4215840179536

FFP

P-5 METHANE BALANCE ARGON

P-5 GAS

NSN: 6830-LL-N03-8858

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: Airgas, Inc. and product: Non-Flammable Gas Mixture, Argon 90-99%, Methane 0.1-10% (P-5 & P-10), 200 CU-FT Cylinder on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are;

6830 LL N03 8858 SHELF LIFE IS (0-00)

c) If another Manufacturer and Product is offered: The buyer must request a copy

3003 10 Cylinder

OPTION N4215840179538

FFP

HYDROGEN CYLINDER

HYDROGEN UHP 99.999% PURE CY SIZE 300 CFM

NSN: 6830-LL-N03-8856

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: National Welders. And product: Hydrogen, 300 CF Cylinders on attached JML has been approved for use at the Norfolk Naval Shipyard. The above Manufacturer and Product approved AUL# (s) are; MSDS #

6830-AU-063-44AA, 6830 LL N03 8856 SHELF LIFE IS 0-00

c) If another Manufacturer and Product is offered: The buyer must request a copy of the material data safety sheet and forward to code-515.2 Designate "URGENT" or "ROUTINE" priority and suspend award pending reply from code-515.2.

FOB: Destination

NSN: 6830-LL-N03-8856

3004 10 Cylinder

OPTION N4215840179539

FFP

NITROGEN, LIQUID

NITROGEN UHP 99.999% PURE CY SIZE 300 CFM

NSN: 9B 6830 LL-N00-8182

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: Praxair Inc. and product: NITROGEN, REFRIGERATED LIQUID, 300CF. CYLINDER on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are:

9B 6830 AU 04 069AA 9B 6830 LL N0 08182 S/L: 0-00

c) If another MANUFACTURER and PRODUCT is offered: The buyer must request a copy of the material safety data sheet and forward to Code-515.2, designate an "URGENT" or "ROUTINE" priority and suspend award pending reply.

FOB: Destination

NSN: 6830-LL-N00-8182

3005 10 Cylinder

OPTION N4215840179540

FFP

ARGON GAS

ARGON UHP 99.999% PURE CY SIZE 300

NSN: 9B 6830 LL-N01-9515

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: NATIONAL WELDERS. and product: UHP ARGON, P/N ARUHP300, 300 CF. CYLINDER on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are:

6830 LL-N01-9515 S/L: 0-00

c) If another MANUFACTURER and PRODUCT is offered: The buyer must request a copy of the material safety data sheet and forward to Code-515.2, designate an "URGENT" or "ROUTINE" priority and suspend award pending reply.

FOB: Destination

NSN: 6830-LL-N01-9515

3006 20 Cylinder

OPTION N4215840179541

FFP

3007 360 Cylinder

OPTION N4215840179542

FFP

CYLINDER RENTAL

YEARLY CYLINDER RENTAL NOT TO EXCEED 30 CY PER MONTH FOR

12 MONTHS TOTAL 360 CYLINDERS

52.223-3 HAZARDOUS MATERIAL IDENTIFICATION AND MATERIAL

SAFETY DATA (JAN 1997)

FOB: Destination

4001 36 Cylinder

OPTION N4215840179536

FFP

UHP HELIUM

UHP HELIUM 99.999% PURE, SIZE 300CFM

NSN:6830-LL-N01-4916

a) All material for this line item must be marked and identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MUST NOT CONTAIN "METHYLENE CHLORIDE"

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

b) The manufacturer: National Welders: and product: Helium: 300CF Cylinder on attached JML has been approved for use at Norfolk Naval Shipyard. The above Manufacturer and Product approved AUL# (s) is;

6830 LL NO1 4916 SHELF LIFE IS 0-00

c) If another Manufacturer and Product is offered: The buyer must request a copy

MILSTRIP: N4215840179536

4002 50 Cylinder

OPTION N4215840179536

FFP

P-5 METHANE BALANCE ARGON

P-5 GAS

NSN: 6830-LL-N03-8858

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: Airgas, Inc. and product: Non-Flammable Gas Mixture, Argon 90-99%, Methane 0.1-10% (P-5 & P-10), 200 CU-FT Cylinder on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are;

6830 LL N03 8858 SHELF LIFE IS (0-00)

c) If another Manufacturer and Product is offered: The buyer must request a copy

4003 10 Cylinder

OPTION N4215840179538

FFP

HYDROGEN CYLINDER

HYDROGEN UHP 99.999% PURE CY SIZE 300 CFM

NSN: 6830-LL-N03-8856

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: National Welders. And product: Hydrogen, 300 CF Cylinders on attached JML has been approved for use at the Norfolk Naval Shipyard. The above Manufacturer and Product approved AUL# (s) are; MSDS #

6830-AU-063-44AA, 6830 LL N03 8856 SHELF LIFE IS 0-00

c) If another Manufacturer and Product is offered: The buyer must request a copy of the material data safety sheet and forward to code-515.2 Designate "URGENT" or "ROUTINE" priority and suspend award pending reply from code-515.2.

FOB: Destination

NSN: 6830-LL-N03-8856

4004 10 Cylinder

OPTION N4215840179539

FFP

NITROGEN, LIQUID

NITROGEN UHP 99.999% PURE CY SIZE 300 CFM

NSN: 9B 6830 LL-N00-8182

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: Praxair Inc. and product: NITROGEN, REFRIGERATED LIQUID, 300CF. CYLINDER on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are:

9B 6830 AU 04 069AA 9B 6830 LL N0 08182 S/L: 0-00

c) If another MANUFACTURER and PRODUCT is offered: The buyer must request a copy of the material safety data sheet and forward to Code-515.2, designate an "URGENT" or "ROUTINE" priority and suspend award pending reply.

FOB: Destination

NSN: 6830-LL-N00-8182

4005 10 Cylinder

OPTION N4215840179540

FFP

ARGON GAS

ARGON UHP 99.999% PURE CY SIZE 300

NSN: 9B 6830 LL-N01-9515

a) All material for this line item must be markedand identified clearly on each individual container and LABEL IAW CFR 29.1910.1200.

MATERIAL DATA SAFETY SHEET REQUIRED WITH MATERIAL

MUST NOT CONTAIN "METHYLENE CHLORIDE"

b) The manufacturer: NATIONAL WELDERS. and product: UHP ARGON, P/N ARUHP300, 300 CF. CYLINDER on attached JML has been approved for use at Norfolk Naval Shipyard. The above manufacturer and product approved AUL#'(s) are:

6830 LL-N01-9515 S/L: 0-00

c) If another MANUFACTURER and PRODUCT is offered: The buyer must request a copy of the material safety data sheet and forward to Code-515.2, designate an "URGENT" or "ROUTINE" priority and suspend award pending reply.

FOB: Destination

NSN: 6830-LL-N01-9515

4006 20 Cylinder

OPTION N4215840179541

FFP

4007 360 Cylinder

OPTION N4215840179542

FFP

CYLINDER RENTAL

YEARLY CYLINDER RENTAL NOT TO EXCEED 30 CY PER MONTH FOR

12 MONTHS TOTAL 360 CYLINDERS

52.223-3 HAZARDOUS MATERIAL IDENTIFICATION AND MATERIAL

SAFETY DATA (JAN 1997)

FOB: Destination

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 1001 Destination Government Destination Government 1002 Destination Government Destination Government 1003 Destination Government Destination Government 1004 Destination Government Destination Government 1005 Destination Government Destination Government 1006 Destination Government Destination Government 1007 Destination Government Destination Government 2001 Destination Government Destination Government 2002 Destination Government Destination Government 2003 Destination Government Destination Government 2004 Destination Government Destination Government 2005 Destination Government Destination Government 2006 Destination Government Destination Government 2007 Destination Government Destination Government 3001 Destination Government Destination Government 3002 Destination Government Destination Government 3003 Destination Government Destination Government 3004 Destination Government Destination Government 3005 Destination Government Destination Government 3006 Destination Government Destination Government 3007 Destination Government Destination Government 4001 Destination Government Destination Government 4002 Destination Government Destination Government 4003 Destination Government Destination Government 4004 Destination Government Destination Government 4005 Destination Government Destination Government 4006 Destination Government Destination Government 4007 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 POP 21-APR-2014 TO

20-APR-2015

N/A NORFOLK NAVAL SHIPYARD

RECEIVING OFFICER

BLDG 276

PORTSMOUTH VA 23709-5000

N42158

0002 POP 21-APR-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 21-APR-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 21-APR-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 21-APR-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 21-APR-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 21-APR-2014 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 21-APR-2015 TO

20-APR-2016

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 21-APR-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 21-APR-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 21-APR-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 21-APR-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 21-APR-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

1007 POP 21-APR-2015 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 21-APR-2016 TO

20-APR-2017

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 21-APR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 21-APR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 21-APR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 21-APR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2006 POP 21-APR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

2007 POP 21-APR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 21-APR-2017 TO

20-APR-2018

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 21-APR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 21-APR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 21-APR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 21-APR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3006 POP 21-APR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

3007 POP 21-APR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 21-APR-2018 TO

20-APR-2019

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 21-APR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 21-APR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 21-APR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 21-APR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4006 POP 21-APR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

4007 POP 21-APR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.204-13 System for Award Management Maintenance JUL 2013 52.212-1 Instructions to Offerors--Commercial Items JUL 2013 52.217-5 Evaluation Of Options JUL 1990 52.223-3 Hazardous Material Identification And Material Safety Data JAN 1997 52.246-1 Contractor Inspection Requirements APR 1984 52.247-34 F.O.B. Destination NOV 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.204-7003 Control Of Government Personnel Work Product APR 1992 252.223-7008 Prohibition of Hexavalent Chromium JUN 2013 252.225-7001 Buy American And Balance Of Payments Program DEC 2012 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 252.247-7023 Transportation of Supplies by Sea JUN 2013 252.247-7023 Alt III Transportation of Supplies by Sea (JUN 2013) Alternate III MAY 2002

CLAUSES INCORPORATED BY FULL TEXT

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

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Lowest technically acceptable price Past performance

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

CLAUSES INCORPORATED BY FULL TEXT

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (NOV 2013)

ALTERNATE I (APR 2011)

An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual representations and certifications electronically via http://www.acquisition.gov. If an offeror has not completed the annual representations and certifications electronically at the System for Award Management (SAM) website, the offeror shall complete only paragraphs (b) through (i) of this provision.

(a) Definitions. As used in this provision:

"Emerging small business" means a small business concern whose size is no greater than 50 percent of the numerical size standard for the NAICS code designated.

"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 Code at 26 U.S.C. 7874.

“Manufactured end product” means any end product in Federal Supply Classes (FSC) 1000-9999, except—

(1) FSC 5510, Lumber and Related Basic Wood Materials;

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

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

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

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

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

(8) FSC 9610, Ores;

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

(10) FSC 9630, Additive Metal Materials.

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

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

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

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

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

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

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

(6) Have been voluntarily suspended.

Sensitive technology—

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically--

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).

Service-disabled veteran-owned small business concern—

(1) Means a small business concern--

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

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

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

"Small business concern" means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.

Subsidiary means an entity in which more than 50 percent of the entity is owned--

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

Veteran-owned small business concern means a small business concern—

(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

"Women-owned 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 its stock is owned by one or more women; or

(2) Whose management and daily business operations are controlled by one or more women.

"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 stock of which is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

(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 electronically on the SAM website.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representations 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 (n) 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 will be performed in the United States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it ( ) is, ( ) is not a small business concern.

(2) Veteran-owned small business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents as part of its offer that it ( ) is, ( ) is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. (Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.) The offeror represents as part of its offer that it ( ___ ) is, ( ___ ) is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents, for general statistical purposes, that it ( ___ ) is, ( ___ ) is not a small disadvantaged business concern as defined in 13 CFR 124.1002.

(5) Women-owned small business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents that it ( ___ ) is, ( ___ ) is not a women-owned small business concern.

Note to paragraphs (c)(8) and (9): 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 represents 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 [ ___ ballot] is, [ ___ ballot] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ----------.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(7) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.] The offeror represents that--

(i) It [ ___ ballot] is, [ ___ ballot] is not an EDWOSB concern, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility;

and

(ii) It [ ___ ballot] is, [ ___ ballot] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ----------.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

(8) Women-owned business concern (other than small business concern). (Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents that it ( ___ ) is, a women-owned business concern.

(9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price:

(10) Small Business Size for the Small Business Competitiveness Demonstration Program and for the Targeted Industry Categories under the Small Business Competitiveness Demonstration Program. (Complete only if the offeror has represented itself to be a small business concern under the size standards for this solicitation.)

(i) (Complete only for solicitations indicated in an addendum as being set-aside for emerging small businesses in one of the designated industry groups (DIGs).) The offeror represents as part of its offer that it ( ) is, ( ) is not an emerging small business.

(ii) (Complete only for solicitations indicated in an addendum as being for one of the targeted industry categories (TICs) or designated industry groups (DIGs).) Offeror represents as follows:

(A) Offeror's number of employees for the past 12 months (check the Employees column if size standard stated in the solicitation is expressed in terms of number of employees); or

(B) Offeror's average annual gross revenue for the last 3 fiscal years (check the Average Annual Gross Number of Revenues column if size standard stated in the solicitation is expressed in terms of annual receipts).

(Check one of the following):

Average Annual

Number of Employees Gross Revenues

___ 50 or fewer ___ $1 million or less

___ 51 - 100 ___ $1,000,001 - $2 million

___ 101 - 250 ___ $2,000,001 - $3.5 million

___ 251 - 500 ___ $3,500,001 - $5 million

___ 501 - 750 ___ $5,000,001 - $10 million

___ 751 - 1,000 ___ $10,000,001 - $17 million

___ Over 1,000 ___ Over $17 million

(11) (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 SAM 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)(9)(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: ___ .)

(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 of the Pacific Islands (Republic of Palau), Republic of the Marshall Islands, Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).

___ Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal).

___ Individual/concern, other than one of the preceding.

(d) Certifications and 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 either to the Equal Opportunity clause of this solicitation, the 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 Subparts 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 $100,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract.