SPMYM2-18-Q-0637.docx

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ASSEMBLY, HOSE Federal contract opportunity
Solicitation number
SPMYM2-18-Q-0637
Issued by
Defense Logistics Agency Land and Maritime

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Text version

Section SF 30 - BLOCK 14 CONTINUATION PAGE

CLAUSES INCORPORATED BY FULL TEXT

1. The Contractor’s POC is

Phone:
Fax:
E-mail:

2. Buyer POC is SHAWN FERNANDEZ

Phone: (360) 476-8844
Fax: (360) 476-4121
E-mail: SHAWN.FERNANDEZ@DLA.MIL

3. Invoice Information:

The contractor shall utilize the electronic invoicing upon delivery of supplies indicated herein. Invoice may be submitted not more than one every two weeks. Invoices must be submitted electronically using Wide Area Work Flow (WAWF) – Receipt and Acceptance. The contractor shall self-register at the web site: https://wawf.eb.mil. Contractor training is available on the Internet at https://wawftraining.eb.mil.

Additional support can be accessed by calling the NAVY WAWF Assistance Line: 1-877-251-9293.

See clause 252.232-7006 for WAWF table.

4. Inspection Level:

QA 4 7 days inspection

5. Navy Commercial Access Control System (NCACS) Project

Commander, Navy Installations Command (CNIC), has established the Navy Commercial Access Control System (NCACS), a standardized process for granting unescorted access privileges to vendors, contractors, and suppliers not otherwise entitled to the issuance of a Common Access Card (CAC) who seek access to and can provide justification to enter Navy installations and facilities. Visiting vendors may obtain daily passes directly from the individual Navy installation by submitting identification credentials for verification and undergoing a criminal screening/background check. Alternatively, if the vendor chooses, it may voluntarily elect to obtain long-term credentials through enrollment, registration, background vetting, screening, issuance of credentials, and electronic validation of credentials at its own cost through a designated independent contractor NCACS service provider. Credentials will be issued every five years and access privileges will be reviewed/renewed on an annual basis. The costs incurred to obtain Navy installation access of any kind are not reimbursable, and the price(s) paid for obtaining long-term NCACS credentials will not be approved as a direct cost of this contract. Further information regarding NCACS can be found at http://cnic.navy.mil/CNIC_HQ_Site/ (under “Popular Links”) or http://rapidgate.com

All deliveries to CNRNW commands must pass through the base Truck Inspection Station. All delivery vehicles are subject to inspection. Drivers should expect delays due to heightened security.

For access to the main, perimeter gates at any Navy Base Kitsap installation, contractors are required to be a US Citizen and have either:

(a) RAPIDGate badge or

(b) Request a One-day Visitor badge at Pass & ID. Be prepared to present:

-Photo ID -Original proof of citizenship (any one of the following is acceptable):

State Certified Birth Certificate (must have the raised seal)
Unexpired U.S. passport/Passport Card
Alien Registration Card
State Issued ENHANCED Drivers License
Naturalization papers
Certificate/Statement of Birth Born Abroad)

-Current vehicle registration and insurance -Bill of lading that has the delivery address on it

Please note: The RAPIDGate badge does not give access through the second, OA gate to lower base Bangor or to the CIA area at PSNS. To access to either the OA Gate or CIA area, a Navy Region Bangor or NAVSEA Badge is required.

To request a NAVY REGION NW badge, https://www.bavr.cnic.navy.mil/. Sponsor email is jennifer.way@dla.mil

To request a NAVSEA badge, call PSNS Pass & ID 360-476-4882.

YOU CAN NOW UTILIZE THE ON-LINE ENROLLMENT FORM TO ENROLL IN THE RAPIDGate PROGRAM. THE WEBSITE IS HTTPS://EFORM.RAPIDGATE.COM FOR ENROLLMENT. THIS PROCESS IS A FAST WAY TO ENROLL AT 1 OR MANY INSTALLATIONS/FACILITYIES 24 HOURS A DAY 7 DAYS A WEEK.

Section SF 1449 - CONTINUATION SHEET

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
120
Assembly

ASSEMBLY, HOSE

FFP

NON METALLIC HOSE, 2-1/2" I.D. X 25' LONG, FULLY ASSEMBLED WITH BRASS CAM AND GROOVE END FITTINGS, TESTED, AND CERTIFIED. FOR SALTWATER/FRESHWATER SERVICES. 250 PSI WORKING PRESSURE, 1000 PSI MIN. BURST PRESSURE. CERTIFICATION TEST RECORD FOR EACH HOSE ASSEMBLY MUST ACCOMPANY THE SHIPPED HOSE ASSEMBLIES. SEE ATTACHED SPECIFICATIONS (CONTRACT ITEM DESCRIPTION).

***to be considered for award offeror is responsible for furnishing descriptive literature, the Contracting Officer is not responsible for locating or obtaining any information not identified in the offer***

Bidding On:

Manufacturer's Name:__________________________________________

Brand_______________________________________________________

No:_________________________________________________________

Country of Origin:________________________________________

Actual MFR’s Business Size (L, SB, SBD)* _______________________ *L=large, SB=Small Business SDB=Small Disadvantaged Business

Delivery lead time ARO:_______________________________

FOB: Destination

MILSTRIP: N4523A73429410

PURCHASE REQUEST NUMBER: N4523A73429410

PROJECT: 6X3

SIGNAL CODE: A

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
240
Assembly

ASSEMBLY, HOSE

NON METALLIC HOSE, 2-1/2" I.D. X 50' LONG, FULLY ASSEMBLED WITH BRASS CAM AND GROOVE END FITTINGS, TESTED, AND CERTIFIED. FOR SALTWATER/FRESHWATER SERVICES. 250 PSI WORKING PRESSURE, 1000 PSI MIN. BURST PRESSURE. CERTIFICATION TEST RECORD FOR EACH HOSE ASSEMBLY MUST ACCOMPANY THE SHIPPED HOSE ASSEMBLIES. SEE ATTACHED SPECIFICATIONS (CONTRACT ITEM DESCRIPTION).

***to be considered for award offeror is responsible for furnishing descriptive literature, the Contracting Officer is not responsible for locating or obtaining any information not identified in the offer***

Bidding On:

Manufacturer's Name:__________________________________________

Brand_______________________________________________________

No:_________________________________________________________

Country of Origin:________________________________________

Actual MFR’s Business Size (L, SB, SBD)* _______________________ *L=large, SB=Small Business SDB=Small Disadvantaged Business

Delivery lead time ARO:_______________________________

FOB: Destination

MILSTRIP: N4523A73429411

PURCHASE REQUEST NUMBER: N4523A73429410

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
210
Assembly

ASSEMBLY, HOSE

NON METALLIC HOSE ASSEMBLY, 1/2" I.D. X 50' LONG, FOR USE IN POTABLE WATER SUPPLY/DISCHARGE SYSTEMS, FULLY COUPLED AND ASSEMBLED WITH BRASS CAM AND GROOVE END FITTINGS, AND STAINLESS STEEL CRIMP FERRULES, AND TESTED. CERTIFICATION TEST RECORD FOR EACH HOSE ASSEMBLY MUST ACCOMPANY THE SHIPPED HOSE ASSEMBLIES. SEE ATTACHED SPECIFICATIONS (CONTRACT ITEM DESCRIPTION).

***to be considered for award offeror is responsible for furnishing descriptive literature, the Contracting Officer is not responsible for locating or obtaining any information not identified in the offer***

Bidding On:

Manufacturer's Name:__________________________________________

Brand_______________________________________________________

No:_________________________________________________________

Country of Origin:________________________________________

Actual MFR’s Business Size (L, SB, SBD)* _______________________ *L=large, SB=Small Business SDB=Small Disadvantaged Business

Delivery lead time ARO:_______________________________

FOB: Destination

MILSTRIP: N4523A73429412

PURCHASE REQUEST NUMBER: N4523A73429410

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
135
Assembly

ASSEMBLY, HOSE

NON METALLIC HOSE ASSEMBLY, 1/2" I.D. X 25' LONG, FOR USE IN POTABLE WATER SUPPLY/DISCHARGE SYSTEMS, FULLY COUPLED AND ASSEMBLED WITH BRASS CAM AND GROOVE END FITTINGS, AND STAINLESS STEEL CRIMP FERRULES, AND TESTED. CERTIFICATION TEST RECORD FOR EACH HOSE ASSEMBLY MUST ACCOMPANY THE SHIPPED HOSE ASSEMBLIES. SEE ATTACHED SPECIFICATIONS (CONTRACT ITEM DESCRIPTION).

***to be considered for award offeror is responsible for furnishing descriptive literature, the Contracting Officer is not responsible for locating or obtaining any information not identified in the offer***

Bidding On:

Manufacturer's Name:__________________________________________

Brand_______________________________________________________

No:_________________________________________________________

Country of Origin:________________________________________

Actual MFR’s Business Size (L, SB, SBD)* _______________________ *L=large, SB=Small Business SDB=Small Disadvantaged Business

Delivery lead time ARO:_______________________________

FOB: Destination

MILSTRIP: N4523A73429413

PURCHASE REQUEST NUMBER: N4523A73429410

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
30
Assembly

ASSEMBLY, HOSE

NON METALLIC HOSE ASSEMBLY, 2-1/2" I.D. X 25' LONG, FOR CHT (SEWAGE) TRANSFER, 150 PSI MINIMUM WORKING PRESSURE, 29 HG VACUUM RATING, FULLY COUPLED WITH BRASS CAM & GROOVE END FITTINGS AND STAINLESS STEEL CRIMP FERRULES, TESTED AND CERTIFIED. CERTIFICATION TEST RECORD FOR EACH HOSE ASSEMBLY MUST ACCOMPANY THE SHIPPED HOSE ASSEMBLIES. SEE ATTACHED SPECIFICATIONS (CONTRACT ITEM DESCRIPTION).

***to be considered for award offeror is responsible for furnishing descriptive literature, the Contracting Officer is not responsible for locating or obtaining any information not identified in the offer***

Bidding On:

Manufacturer's Name:__________________________________________

Brand_______________________________________________________

No:_________________________________________________________

Country of Origin:________________________________________

Actual MFR’s Business Size (L, SB, SBD)* _______________________ *L=large, SB=Small Business SDB=Small Disadvantaged Business

Delivery lead time ARO:_______________________________

FOB: Destination

MILSTRIP: N4523A73429414

PURCHASE REQUEST NUMBER: N4523A73429410

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
30
Assembly

ASSEMBLY, HOSE

NON METALLIC HOSE ASSEMBLY, 2-1/2" I.D. X 50' LONG, FOR CHT (SEWAGE) TRANSFER, 150 PSI MINIMUM WORKING PRESSURE, 29 HG VACUUM RATING, FULLY COUPLED WITH BRASS CAM & GROOVE END FITTINGS AND STAINLESS STEEL CRIMP FERRULES, TESTED AND CERTIFIED. CERTIFICATION TEST RECORD FOR EACH HOSE ASSEMBLY MUST ACCOMPANY THE SHIPPED HOSE ASSEMBLIES. SEE ATTACHED SPECIFICATIONS (CONTRACT ITEM DESCRIPTION).

***to be considered for award offeror is responsible for furnishing descriptive literature, the Contracting Officer is not responsible for locating or obtaining any information not identified in the offer***

Bidding On:

Manufacturer's Name:__________________________________________

Brand_______________________________________________________

No:_________________________________________________________

Country of Origin:________________________________________

Actual MFR’s Business Size (L, SB, SBD)* _______________________ *L=large, SB=Small Business SDB=Small Disadvantaged Business

Delivery lead time ARO:_______________________________

FOB: Destination

MILSTRIP: N4523A73429415

PURCHASE REQUEST NUMBER: N4523A73429410

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
30
Assembly

ASSEMBLY, HOSE

NON METALLIC HOSE ASSEMBLY, 1-1/2" I.D. X 50' LONG, FOR USE IN POTABLE WATER SUPPLY/DISCHARGE SYSTEMS, FULLY COUPLED AND ASSEMBLED WITH BRASS CAM AND GROOVE END FITTINGS AND STAINLESS STEEL CRIMP FERRULES, AND TESTED. CERTIFICATION TEST RECORD FOR EACH HOSE ASSEMBLY MUST ACCOMPANY THE SHIPPED HOSE ASSEMBLIES. SEE ATTACHED SPECIFICATIONS (CONTRACT ITEM DESCRIPTION).

***to be considered for award offeror is responsible for furnishing descriptive literature, the Contracting Officer is not responsible for locating or obtaining any information not identified in the offer***

Bidding On:

Manufacturer's Name:__________________________________________

Brand_______________________________________________________

No:_________________________________________________________

Country of Origin:________________________________________

Actual MFR’s Business Size (L, SB, SBD)* _______________________ *L=large, SB=Small Business SDB=Small Disadvantaged Business

Delivery lead time ARO:_______________________________

FOB: Destination

MILSTRIP: N4523A73429416

PURCHASE REQUEST NUMBER: N4523A73429410

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
75
Assembly

ASSEMBLY, HOSE

NON METALLIC HOSE ASSEMBLY, 2-1/2" I.D. X 25' LONG, 2-1/2" BRASS NST END CONNECTIONS, ORANGE, DOUBLE JACKET, IAW MIL-H-24606, NFPA 1961, TEST PRESSURE 600 PSI, BURST PRESSURE 900 PSI. CERTIFICATION TEST RECORD FOR EACH HOSE ASSEMBLY MUST ACCOMPANY THE SHIPPED HOSE ASSEMBLIES. SEE ATTACHED SPECIFICATIONS (CONTRACT ITEM DESCRIPTION).

***to be considered for award offeror is responsible for furnishing descriptive literature, the Contracting Officer is not responsible for locating or obtaining any information not identified in the offer***

Bidding On:

Manufacturer's Name:__________________________________________

Brand_______________________________________________________

No:_________________________________________________________

Country of Origin:________________________________________

Actual MFR’s Business Size (L, SB, SBD)* _______________________ *L=large, SB=Small Business SDB=Small Disadvantaged Business

Delivery lead time ARO:_______________________________

FOB: Destination

MILSTRIP: N4523A73429417

PURCHASE REQUEST NUMBER: N4523A73429410

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
15
Assembly

ASSEMBLY, HOSE

NON METALLIC HOSE ASSEMBLY, 1-1/2" I.D. X 25' LONG, FOR USE IN POTABLE WATER SUPPLY/DISCHARGE SYSTEMS, FULLY COUPLED AND ASSEMBLED WITH BRASS CAM AND GROOVE END FITTINGS, AND STAINLESS STEEL CRIMP FERRULES, AND TESTED. CERTIFICATION TEST RECORD FOR EACH HOSE ASSEMBLY MUST ACCOMPANY THE SHIPPED HOSE ASSEMBLIES. SEE ATTACHED SPECIFICATIONS (CONTRACT ITEM DESCRIPTION).

***to be considered for award offeror is responsible for furnishing descriptive literature, the Contracting Officer is not responsible for locating or obtaining any information not identified in the offer***

Bidding On:

Manufacturer's Name:__________________________________________

Brand_______________________________________________________

No:_________________________________________________________

Country of Origin:________________________________________

Actual MFR’s Business Size (L, SB, SBD)* _______________________ *L=large, SB=Small Business SDB=Small Disadvantaged Business

Delivery lead time ARO:_______________________________

FOB: Destination

MILSTRIP: N4523A73429418

PURCHASE REQUEST NUMBER: N4523A73429410

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
15
Assembly

ASSEMBLY, HOSE

NON METALLIC 1-1/4" I.D. x 25' LONG AIR HOSE ASSEMBLY, COUPLED AND FULLY ASSEMBLED WITH PT COUPLING CO., BRASS CAM & GROOVE END FITTINGS, AND PT COUPLING CO., STAINLESS STEEL INTERLOCKING CRIMP FERRULES, OUTER COVER TO BE RED IN COLOR. CONTINENTAL CONTI TECH, AIR AND MULTIPURPOSE HOSE, VERIFLEX, SAP 20026197, WITH PT COUPLING CO., PART #12CSLII, ITEM #1290312L2 ON FIRST END, PT COUPLING CO., PART #12E, ITEM #1200512 ON SECOND END, COUPLED PT COUPLING CO., PROGRIP C50SS STAINLESS STEEL CRIMP FERRULES. CERTIFICATION TEST RECORD FOR EACH HOSE ASSEMBLY MUST ACCOMPANY THE SHIPPED HOSE ASSEMBLIES. SEE ATTACHED SPECIFICATIONS (CONTRACT ITEM DESCRIPTION).

BRAND NAME OR EQUAL

***to be considered for award offeror is responsible for furnishing descriptive literature, the Contracting Officer is not responsible for locating or obtaining any information not identified in the offer***

Bidding On:

Manufacturer's Name:__________________________________________

Brand_______________________________________________________

No:_________________________________________________________

Country of Origin:________________________________________

Actual MFR’s Business Size (L, SB, SBD)* _______________________ *L=large, SB=Small Business SDB=Small Disadvantaged Business

Delivery lead time ARO:_______________________________

FOB: Destination

BRAND NAME/SOLE SOURCE: BN

MILSTRIP: N4523A73429419

PURCHASE REQUEST NUMBER: N4523A73429410

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
45
Assembly

ASSEMBLY, HOSE

2" I.D. x 50' LONG FULLY ASSEMBLED, TESTED AND COUPLED NON METALLIC HOSE ASSEMBLY, WITH BRASS CAM & GROOVE END FITTINGS, LP AIR SERVICES. HOSE OUTER COVER IS TO BE FLAME RESISTANT. WORKING PRESSURE 250 PSI MINIMUM, END COUPLINGS: 1ST END, PT COUPLING CO., PART #20CSLII, ITEM #1290320L2; 2ND END PT COUPLING CO., PART #20E, ITEM #1200520, WITH PT COUPLING CO., PRO-GRIP C50SS STAINLESS STEEL CRIMP FERRULES SIZED TO MATCH THE HOSE AND END FITTINGS. EACH HOSE ASSEMBLY IS TO BE STRENGTH TESTED AT 225 PSIG (+20,-0 PSI) FOR 10 MINUTES. CERTIFICATION TEST RECORD FOR EACH HOSE ASSEMBLY MUST ACCOMPANY THE SHIPPED HOSE ASSEMBLIES. SEE ATTACHED SPECIFICATIONS (CONTRACT ITEM DESCRIPTION).

BRAND NAME OR EQUAL

***to be considered for award offeror is responsible for furnishing descriptive literature, the Contracting Officer is not responsible for locating or obtaining any information not identified in the offer***

Bidding On:

Manufacturer's Name:__________________________________________

Brand_______________________________________________________

No:_________________________________________________________

Country of Origin:________________________________________

Actual MFR’s Business Size (L, SB, SBD)* _______________________ *L=large, SB=Small Business SDB=Small Disadvantaged Business

Delivery lead time ARO:_______________________________

FOB: Destination

BRAND NAME/SOLE SOURCE: BN

MILSTRIP: N4523A73429420

PURCHASE REQUEST NUMBER: N4523A73429410

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

CONTRACT DATA REQUIREMENTS LIST

SEE ATTACHMENT TWO (2), CONTRACT DATA REQUIREMENTS LIST (CDRL) FOR DETAILS

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0012AA

1
Set

CONTRACT DATA REQUIREMENTS LIST (CDRL)

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT A, SEQUENCE A01 FOR CLIN 0001

FOB: Destination

PURCHASE REQUEST NUMBER: N4523A73429410

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0012AB

1
Set

CONTRACT DATA REQUIREMENTS LIST (CDRL)

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT B, SEQUENCE B01 FOR CLIN 0002

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0012AC

1
Set

CONTRACT DATA REQUIREMENTS LIST (CDRL)

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT C, SEQUENCE C01 FOR CLIN 0003

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0012AD

1
Set

CONTRACT DATA REQUIREMENTS LIST (CDRL)

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT D, SEQUENCE D01 FOR CLIN 0004

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0012AE

1
Set

CONTRACT DATA REQUIREMENTS LIST (CDRL)

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT E, SEQUENCE E01 FOR CLIN 0005

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0012AF

1
Set

CONTRACT DATA REQUIREMENTS LIST (CDRL)

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT F, SEQUENCE F01 FOR CLIN 0006

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0012AG

1
Set

CONTRACT DATA REQUIREMENTS LIST (CDRL)

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT G, SEQUENCE G01 FOR CLIN 0007

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0012AH

1
Set

CONTRACT DATA REQUIREMENTS LIST (CDRL)

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT H, SEQUENCE H01 FOR CLIN 0008

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0012AJ

1
Set

CONTRACT DATA REQUIREMENTS LIST (CDRL)

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT J, SEQUENCE J01 FOR CLIN 0009

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0012AK

1
Set

CONTRACT DATA REQUIREMENTS LIST (CDRL)

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT K, SEQUENCE K01 FOR CLIN 0010

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0012AL

1
Set

CONTRACT DATA REQUIREMENTS LIST (CDRL)

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT L, SEQUENCE L01 FOR CLIN 0011

NET AMT

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
0008
Destination
Government
Destination
Government
0009
Destination
Government
Destination
Government
0010
Destination
Government
Destination
Government
0011
Destination
Government
Destination
Government
0012
N/A
N/A
N/A
N/A
0012AA
Destination
Government
Destination
Government
0012AB
Destination
Government
Destination
Government
0012AC
Destination
Government
Destination
Government
0012AD
Destination
Government
Destination
Government
0012AE
Destination
Government
Destination
Government
0012AF
Destination
Government
Destination
Government
0012AG
Destination
Government
Destination
Government
0012AH
Destination
Government
Destination
Government
0012AJ
Destination
Government
Destination
Government
0012AK
Destination
Government
Destination
Government
0012AL
Destination
Government
Destination
Government

DELIVERY INFORMATION

CLIN
DELIVERY DATE
QUANTITY
SHIP TO ADDRESS
DODAAC / CAGE
0001
15-DEC-2017
120
PUGET SOUND NAVAL SHIPYARD

RECEIVING OFFICER PSNS

BLDG 514

1400 FARRAGUT AVE

N4523A

BREMERTON WA 98314-5001

360-476-7640

N4523A

0002
15-DEC-2017
240
(SAME AS PREVIOUS LOCATION)

N4523A

0003
15-DEC-2017
210
(SAME AS PREVIOUS LOCATION)

N4523A

0004
15-DEC-2017
135
(SAME AS PREVIOUS LOCATION)

N4523A

0005
15-DEC-2017
30
(SAME AS PREVIOUS LOCATION)

N4523A

0006
15-DEC-2017
30
(SAME AS PREVIOUS LOCATION)

N4523A

0007
15-DEC-2017
30
(SAME AS PREVIOUS LOCATION)

N4523A

0008
15-DEC-2017
75
(SAME AS PREVIOUS LOCATION)

N4523A

0009
15-DEC-2017
15
(SAME AS PREVIOUS LOCATION)

N4523A

0010
15-DEC-2017
15
(SAME AS PREVIOUS LOCATION)

N4523A

0011
15-DEC-2017
45
(SAME AS PREVIOUS LOCATION)

N4523A

0012
N/A
N/A
N/A
N/A
0012AA
15-DEC-2017
1
PUGET SOUND NAVAL SHIPYARD

RECEIVING OFFICER PSNS

BLDG 514

1400 FARRAGUT AVE

N4523A

BREMERTON WA 98314-5001

360-476-7640

N4523A

0012AB
15-DEC-2017
1
(SAME AS PREVIOUS LOCATION)

N4523A

0012AC
15-DEC-2017
1
(SAME AS PREVIOUS LOCATION)

N4523A

0012AD
15-DEC-2017
1
(SAME AS PREVIOUS LOCATION)

N4523A

0012AE
15-DEC-2017
1
(SAME AS PREVIOUS LOCATION)

N4523A

0012AF
15-DEC-2017
1
(SAME AS PREVIOUS LOCATION)

N4523A

0012AG
15-DEC-2017
1
(SAME AS PREVIOUS LOCATION)

N4523A

0012AH
15-DEC-2017
1
(SAME AS PREVIOUS LOCATION)

N4523A

0012AJ
15-DEC-2017
1
(SAME AS PREVIOUS LOCATION)

N4523A

0012AK
15-DEC-2017
1
(SAME AS PREVIOUS LOCATION)

N4523A

0012AL
15-DEC-2017
1
(SAME AS PREVIOUS LOCATION)

N4523A

CLAUSES INCORPORATED BY REFERENCE

52.202-1
Definitions
NOV 2013
52.203-3
Gratuities
APR 1984
52.203-11
Certification And Disclosure Regarding Payments To Influence Certain Federal Transactions
SEP 2007
52.203-12
Limitation On Payments To Influence Certain Federal Transactions
OCT 2010
52.203-17
Contractor Employee Whistleblower Rights and Requirement To Inform Employees of Whistleblower Rights
APR 2014
52.204-4
Printed or Copied Double-Sided on Postconsumer Fiber Content Paper
MAY 2011
52.204-7
System for Award Management
JUL 2013
52.204-13
System for Award Management Maintenance
JUL 2013
52.204-16
Commercial and Government Entity Code Reporting
JUL 2016
52.204-18
Commercial and Government Entity Code Maintenance
JUL 2016
52.209-2
Prohibition on Contracting with Inverted Domestic Corporations--Representation
NOV 2015
52.209-10
Prohibition on Contracting With Inverted Domestic Corporations
NOV 2015
52.212-4
Contract Terms and Conditions--Commercial Items
MAY 2015
52.225-25
Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran-- Representation and Certifications.
OCT 2015
52.232-40
Providing Accelerated Payments to Small Business Subcontractors
DEC 2013
52.247-34
F.O.B. Destination
NOV 1991
252.203-7000
Requirements Relating to Compensation of Former DoD Officials
SEP 2011
252.203-7002
Requirement to Inform Employees of Whistleblower Rights
SEP 2013
252.204-7004 Alt A
System for Award Management Alternate A
FEB 2014
252.204-7015
Notice of Authorized Disclosure of Information for Litigation Support
MAY 2016
252.225-7001
Buy American And Balance Of Payments Program-- Basic (Nov 2014)
NOV 2014
252.225-7002
Qualifying Country Sources As Subcontractors
DEC 2012
252.225-7012
Preference For Certain Domestic Commodities
FEB 2013
252.225-7048
Export-Controlled Items
JUN 2013
252.232-7003
Electronic Submission of Payment Requests and Receiving Reports
JUN 2012
252.232-7010
Levies on Contract Payments
DEC 2006
252.243-7001
Pricing Of Contract Modifications
DEC 1991
252.243-7002
Requests for Equitable Adjustment
DEC 2012
252.244-7000
Subcontracts for Commercial Items
JUN 2013
252.247-7023
Transportation of Supplies by Sea
APR 2014

CLAUSES INCORPORATED BY FULL TEXT

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

(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.

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.

(c) If the Offeror indicates ``has'' in paragraph (b) of this provision, enter the following information:

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)

52.204-20 Predecessor of Offeror (JUL 2016)

(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: ____ (or mark “Unknown”).

Predecessor legal name: ____.

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

52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (OCT 2015)

(a)(1) The Offeror certifies, to the best of its knowledge and belief, that-

(i) The Offeror and/or any of its Principals-

(A) Are ( ) are not ( ) presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;

(B) Have ( ) have not ( ), within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) contract or subcontract; violation of Federal or State antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property (if offeror checks “have”, the offeror shall also see 52.209-7, if included in this solicitation); and

(C) Are ( ) are not ( ) presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision.; and

(D) Have , have not , within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds $3,500 for which the liability remains unsatisfied.

(1) Federal taxes are considered delinquent if both of the following criteria apply:

(i) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.

(ii) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.

(2) Examples. (i) The taxpayer has received a statutory notice of deficiency, under I.R.C. Sec. 6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.

(ii) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. Sec. 6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. In the course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.

(iii) The taxpayer has entered into an installment agreement pursuant to I.R.C. Sec. 6159. The taxpayer is making timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the taxpayer is not currently required to make full payment.

(iv) The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. 362 (the Bankruptcy Code).

(ii) The Offeror has ( ) has not ( ), within a three-year period preceding this offer, had one or more contracts terminated for default by any Federal agency.

(2) Principal, for the purposes of this certification, means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

(b) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

(c) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible.

(d) Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a) of this provision. The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

(e) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If it is later determined that the Offeror knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default.

52.211-6 BRAND NAME OR EQUAL (AUG 1999)

(a) If an item in this solicitation is identified as “brand name or equal,” the purchase description reflects the characteristics and level of quality that will satisfy the Government's needs. The salient physical, functional, or performance characteristics that “equal” products must meet are specified in the solicitation.

(b) To be considered for award, offers of “equal” products, including “equal” products of the brand name manufacturer, must--

(1) Meet the salient physical, functional, or performance characteristic specified in this solicitation;

(2) Clearly identify the item by--

(i) Brand name, if any; and

(ii) Make or model number;

(3) Include descriptive literature such as illustrations, drawings, or a clear reference to previously furnished descriptive data or information available to the Contracting Officer; and

(4) Clearly describe any modifications the offeror plans to make in a product to make it conform to the solicitation requirements. Mark any descriptive material to clearly show the modifications.

(c) The Contracting Officer will evaluate “equal” products on the basis of information furnished by the offeror or identified in the offer and reasonably available to the Contracting Officer. The Contracting Officer is not responsible for locating or obtaining any information not identified in the offer.

(d) Unless the offeror clearly indicates in its offer that the product being offered is an “equal” product, the offeror shall provide the brand name product referenced in the solicitation.

52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

The Contractor is responsible for the delivery of each item quantity within allowable variations, if any. If the Contractor delivers and the Government receives quantities of any item in excess of the quantity called for (after considering any allowable variation in quantity), such excess quantities will be treated as being delivered for the convenience of the Contractor. The Government may retain such excess quantities up to $250 in value without compensating the Contractor therefor, and the Contractor waives all right, title, or interests therein. Quantities in excess of $250 will, at the option of the Government, either be returned at the Contractor's expense or retained and paid for by the Government at the contract unit price.

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (JUL 2016)

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site located at https://www.sam.gov/portal. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (r) 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.

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.

Inverted domestic corporation means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

Manufactured end product means any end product in product and service codes (PSCs) 1000-9999, except--

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

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

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

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

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

(8) PSC 9610, Ores;

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

(10) PSC 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.

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

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.

Small disadvantaged business concern, consistent with 13 CFR 124.1002, means a small business concern under the size standard applicable to the acquisition, that--

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by--

(i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

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.

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.

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 stock of which 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 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 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 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 (r) of this provision that the offeror has completed for the purposes of this solicitation only, if any.) These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on ORCA.]

(c) Offerors must complete the following representations when the resulting contract 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 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 [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ___ .] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

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

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

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture.

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