SPMYM2-19-Q-1932.pdf

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CDC AND TB DISPOSAL CONTAINERS Federal contract opportunity
Solicitation number
SPMYM2-19-Q-1932
Issued by
Defense Logistics Agency Land and Maritime

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***DRAWINGS (ATTACHMENTS 1-3) ARE RESTRICTED AND ANY INTERESTED VENDOR MUST BE REGISTERED IN THE DLA JOINT CERTIFICATION PROGRAM (JCP).*** SEND VERIFICATION OF REGISTRATION TO THE CONTRACT SPECIALIST AT THE FOLLOWING EMAIL: SHAWN.FERNANDEZ@DLA.MIL OFFERS ARE DUE MONDAY, 6-10-19, O700HRS.

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ATTACHMENT_4_-_CDRL_(as_of_6-19-19).pdf PDF
A0001_TO_SPMYM2-19-Q-1932.pdf PDF
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SEE ADDENDUM

(No Collect Calls)

SPMYM219Q1932 30-May-2019

b. TELEPHONE NUMBER

360-476-8844

8. OFFER DUE DATE/LOCAL TIME

07:00 AM 10 Jun 2019

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

SPMYM29. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

SHAWN F. FERNANDEZ

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

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

N4523A91373000

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

DLA MARITIME PUGET SOUND

ATTN: SHAWN FERNANDEZ

476 W STREET, 2ND FLOOR

BREMERTON WA 98314-610

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS AX

13b. RATING

DO-C9

CODE15. DELIVER TO CODE N4523A 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

PUGET SOUND NAVAL SHIPYARD

RECEIVING OFFICER PSNS

BLDG 514

1400 FARRAGUT AVE

N4523A

BREMERTON WA 98314-5001

TEL: 360-476-7640 FAX:

FAX:

TEL: 360-476-8844 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

332439

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF80

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. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

SPMYM219Q1932

Section SF 30 - BLOCK 14 CONTINUATION PAGE

CLAUSES INCORPORATED BY FULL TEXT

1. The Contractor’s POC is Phone:

Fax:

E-mail:

2. BUYER POINT OF CONTACT (POC)

The Government’s POC is: SHAWN FERNANDEZ Phone: 360-813-9224

FAX:

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. Defense Biometric Identification System (DBIDS):

Effective 14 August 2017, NCACS credentials will no longer be accepted for base access. Any new contractor, vendor or supplier requesting base access will be required to obtain a Defense Biometric Identification System (DBIDS) credential. NCACS credentials will no longer be issued. Only DBIDS credentials will be issued to ALL contractors, vendors and suppliers seeking base access AFTER 30 June 2017. Defense Biometric Identification System (DBIDS) increases installation security and communications by receiving frequent database updates on changes to personnel/credential status, law enforcement warrants, lost/stolen cards, and force protection conditions.

The system provides continuous vetting anytime the DBIDS card is scanned at an installation entry point.

If you currently have a Navy Commercial Access Control System (NCACS) card, the following is required to get a DBIDS credential:

Present your NCACS Card and a completed copy of the SECNAV FORM 5512/1 to the base Visitor Control Center (VCC) representative.

The VCC will pull up your information in the computer, ensuring all information is current and correct.

Once your information is validated, a temporary DBIDS credential is provided.

Your temporary credential will have an expiration date, prior to which you will need to obtain your permanent DBIDS credential (~ 180 days).

For each additional U.S. Navy installation to which you need access, the first time you visit you only need to bring your DBIDS credential and statement of purpose for base access when arriving at the Visitor Control Center.

The representative will enter base access authorization and then you may proceed to work.

If you do NOT have an NCACS Card, the following is required to obtain a DBIDS credential:

Present a letter or official document from any government sponsoring organization that provides the purpose for your access.

Present valid identification, such as a passport or Real ID Act-compliant state driver's license.

Present a completed copy of the SECNAV 5512/1 form to obtain your background check.

Upon completion of the background check, the Visitor Control Center representative will complete the

DBIDS enrollment process, which includes your photo, finger prints, base restrictions, and several other assessments; after all this is done, you will be provided with your new DBIDS credential.

All deliveries 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) DBIDS 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 DBIDS badge does not give access through the second, Operational Area (OA) gate to lower base Bangor or to the Controlled Industrial Area (CIA) at Puget Sound Naval Shipyard (PSNS). To gain 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.

FOR MORE INFORMATION VISIT: https://www.cnic.navy.mil/om/dbids.html

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 2 Each

CONTAINER

FFP

CDC DISPOSAL CONTAINERS, MANUFACTURE PER *DWG 2370-2241

REV. C, PERFORM PROOF TEST PER *DWG 2301-3411 REV. F.

*DRAWINGS ARE RESTRICTED AND ANY INTERESTED VENDOR MUST

BE REGISTERED IN THE DLA JOINT CERTIFICATION PROGRAM (JCP).

NOTE: The requirements in DFARS 252.211-7003, Item Identification and Valuation, are applicable for this line item. The contractor shall provide DoD unique identification or a DoD recognized unique identification equivalent.

FOB: Destination

MILSTRIP: N4523A91373000

PURCHASE REQUEST NUMBER: N4523A91373000

PROJECT: NY3

SIGNAL CODE: A

PSC CD: 8145

NET AMT

CONTRACT DATA REQUIREMENTS LIST

FFP

SEE ATTACHMENT FOUR (4), CONTRACT DATA REQUIREMENTS LIST

(CDRL) FOR DETAILS

PURCHASE REQUEST NUMBER: N4523A91373000

0002AA 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

***PRE-DELIVERABLE***

CERTIFICATION/DATA REPORT PER DI-MISC-80678 EXHIBIT A,

SEQUENCE A001 FOR CLIN 0001

FOB: Destination

MILSTRIP: N4523A91373000

0002AB 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

***PRE-DELIVERABLE***

CERTIFICATION/DATA REPORT PER DI-NDTI-80603A EXHIBIT B,

SEQUENCE A002 FOR CLIN 0001

FOB: Destination

MILSTRIP: N4523A91373000

0002AC 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

PRODUCT QUALITY ASSURANCE TEST, DEMONSTRATION AND

EVALUATION PLAN PER DI-QCIC-81199 EXHIBIT C, SEQUENCE A003

FOR CLIN 0001

FOB: Destination

MILSTRIP: N4523A91373000

0002AD 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT D, SEQUENCE

A004 FOR CLIN 0001

FOB: Destination

MILSTRIP: N4523A91373000

0002AE 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISC-80678 EXHIBIT E,

SEQUENCE A005 FOR CLIN 0001

FOB: Destination

MILSTRIP: N4523A91373000

0002AF 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATE OF COMPLIANCE PER DI-MISC-81356A EXHIBIT F,

SEQUENCE A006 FOR CLIN 0001

FOB: Destination

MILSTRIP: N4523A91373000

0002AG 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT G, SEQUENCE

A007 FOR CLIN 0001

FOB: Destination

MILSTRIP: N4523A91373000

0002AH 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT H, SEQUENCE

A008 FOR CLIN 0001

FOB: Destination

MILSTRIP: N4523A91373000

0002AJ 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CALIBRATION CERTIFICATE/REPORT PER DI-QCIC-80798C EXHIBIT I,

SEQUENCE A009 FOR CLIN 0001

FOB: Destination

MILSTRIP: N4523A91373000

0002AK 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISC-80678 EXHIBIT J,

SEQUENCE A010 FOR CLIN 0001

FOB: Destination

MILSTRIP: N4523A91373000

0002AL 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISIC-80678 EXHIBIT K,

SEQUENCE A011 FOR CLIN 0001

FOB: Destination

MILSTRIP: N4523A91373000

0002AM 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISIC-80678 EXHIBIT L,

SEQUENCE A012 FOR CLIN 0001

FOB: Destination

MILSTRIP: N4523A91373000

0003 2 Each

CONTAINER

FFP

TB DISPOSAL CONTAINERS, MANUFACTURE PER *DWG 2301-3289 REV.

M, PERFORM PROOF TEST PER *DWG 2301-3411 REV. F.

*DRAWINGS ARE RESTRICTED AND ANY INTERESTED VENDOR MUST

BE REGISTERED IN THE DLA JOINT CERTIFICATION PROGRAM (JCP).

NOTE: The requirements in DFARS 252.211-7003, Item Identification and Valuation, are applicable for this line item. The contractor shall provide DoD unique identification or a DoD recognized unique identification equivalent.

FOB: Destination

MILSTRIP: N4523A91373001

PURCHASE REQUEST NUMBER: N4523A91373000

PROJECT: NY3

CONTRACT DATA REQUIREMENTS LIST

FFP

SEE ATTACHMENT FOUR (4), CONTRACT DATA REQUIREMENTS LIST

0004AA 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

***PRE-DELIVERABLE***

CERTIFICATION/DATA REPORT PER DI-MISC-80678 EXHIBIT M,

SEQUENCE A013 FOR CLIN 0003

FOB: Destination

MILSTRIP: N4523A91373000

0004AB 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

***PRE-DELIVERABLE***

CERTIFICATION/DATA REPORT PER DI-NDTI-80603A EXHIBIT N,

SEQUENCE A014 FOR CLIN 0003

FOB: Destination

0004AC 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

PRODUCT QUALITY ASSURANCE TEST, DEMONSTRATION AND

EVALUATION PLAN PER DI-QCIC-81199 EXHIBIT O, SEQUENCE A015

FOR CLIN 0003

FOB: Destination

0004AD 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT P, SEQUENCE

A016 FOR CLIN 0003

FOB: Destination

0004AE 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISC-80678 EXHIBIT Q,

SEQUENCE A017 FOR CLIN 0003

FOB: Destination

0004AF 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATE OF COMPLIANCE PER DI-MISC-81356A EXHIBIT R,

SEQUENCE A018 FOR CLIN 0003

FOB: Destination

0004AG 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT S, SEQUENCE

A019 FOR CLIN 0003

FOB: Destination

0004AH 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT T, SEQUENCE

A020 FOR CLIN 0003

FOB: Destination

0004AJ 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CALIBRATION CERTIFICATE/REPORT PER DI-QCIC-80798C EXHIBIT U,

SEQUENCE A021 FOR CLIN 0003

FOB: Destination

0004AK 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISC-80678 EXHIBIT U,

SEQUENCE A022 FOR CLIN 0003

FOB: Destination

0004AL 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISIC-80678 EXHIBIT W,

SEQUENCE A023 FOR CLIN 0003

FOB: Destination

0004AM 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISIC-80678 EXHIBIT X,

SEQUENCE A024 FOR CLIN 0003

FOB: Destination

0005 1 Each

CONTAINER

FFP

CDC DISPOSAL CONTAINERS, MANUFACTURE PER *DWG 2370-2241

REV. C, PERFORM PROOF TEST PER *DWG 2301-3411 REV. F.

*DRAWINGS ARE RESTRICTED AND ANY INTERESTED VENDOR MUST

BE REGISTERED IN THE DLA JOINT CERTIFICATION PROGRAM (JCP).

NOTE: The requirements in DFARS 252.211-7003, Item Identification and Valuation, are applicable for this line item. The contractor shall provide DoD unique identification or a DoD recognized unique identification equivalent.

FOB: Destination

MILSTRIP: N4523A91373002

PURCHASE REQUEST NUMBER: N4523A91373000

PROJECT: NY3

CONTRACT DATA REQUIREMENTS LIST

FFP

0006AA 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

***PRE-DELIVERABLE***

CERTIFICATION/DATA REPORT PER DI-MISC-80678 EXHIBIT Y,

SEQUENCE A025 FOR CLIN 0005

FOB: Destination

0006AB 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

***PRE-DELIVERABLE***

CERTIFICATION/DATA REPORT PER DI-NDTI-80603A EXHIBIT Z,

SEQUENCE A026 FOR CLIN 0005

0006AC 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

PRODUCT QUALITY ASSURANCE TEST, DEMONSTRATION AND

EVALUATION PLAN PER DI-QCIC-81199 EXHIBIT AA, SEQUENCE A027

FOR CLIN 0005

FOB: Destination

0006AD 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT AB,

SEQUENCE A028 FOR CLIN 0005

FOB: Destination

0006AE 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISC-80678 EXHIBIT AC,

SEQUENCE A029 FOR CLIN 0005

FOB: Destination

0006AF 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATE OF COMPLIANCE PER DI-MISC-81356A EXHIBIT AD,

SEQUENCE A030 FOR CLIN 0005

FOB: Destination

0006AG 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT AE,

SEQUENCE A031 FOR CLIN 0005

FOB: Destination

0006AH 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT AF,

SEQUENCE A032 FOR CLIN 0005

FOB: Destination

0006AJ 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CALIBRATION CERTIFICATE/REPORT PER DI-QCIC-80798C EXHIBIT AG,

SEQUENCE A033 FOR CLIN 0005

FOB: Destination

0006AK 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISC-80678 EXHIBIT AH,

SEQUENCE A034 FOR CLIN 0005

FOB: Destination

0006AL 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISIC-80678 EXHIBIT AI,

SEQUENCE A035 FOR CLIN 0005

FOB: Destination

0006AM 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISIC-80678 EXHIBIT AJ,

SEQUENCE A036 FOR CLIN 0005

FOB: Destination

0007 1 Each

CONTAINER

FFP

TB DISPOSAL CONTAINERS, MANUFACTURE PER *DWG 2301-3289 REV.

M, PERFORM PROOF TEST PER *DWG 2301-3411 REV. F.

*DRAWINGS ARE RESTRICTED AND ANY INTERESTED VENDOR MUST

BE REGISTERED IN THE DLA JOINT CERTIFICATION PROGRAM (JCP).

NOTE: The requirements in DFARS 252.211-7003, Item Identification and Valuation, are applicable for this line item. The contractor shall provide DoD unique identification or a DoD recognized unique identification equivalent.

FOB: Destination

MILSTRIP: N4523A91373003

PURCHASE REQUEST NUMBER: N4523A91373000

PROJECT: NY3

CONTRACT DATA REQUIREMENTS LIST

FFP

0008AA 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

***PRE-DELIVERABLE***

CERTIFICATION/DATA REPORT PER DI-MISC-80678 EXHIBIT AK,

SEQUENCE A037 FOR CLIN 0007

FOB: Destination

0008AB 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

***PRE-DELIVERABLE***

CERTIFICATION/DATA REPORT PER DI-NDTI-80603A EXHIBIT AL,

SEQUENCE A038 FOR CLIN 0007

0008AC 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

PRODUCT QUALITY ASSURANCE TEST, DEMONSTRATION AND

EVALUATION PLAN PER DI-QCIC-81199 EXHIBIT AM, SEQUENCE A039

FOR CLIN 0007

FOB: Destination

0008AD 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT AN,

SEQUENCE A040 FOR CLIN 0007

FOB: Destination

0008AE 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISC-80678 EXHIBIT AO,

SEQUENCE A041 FOR CLIN 0007

FOB: Destination

0008AF 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATE OF COMPLIANCE PER DI-MISC-81356A EXHIBIT AP,

SEQUENCE A042 FOR CLIN 0007

FOB: Destination

0008AG 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT AQ,

SEQUENCE A043 FOR CLIN 0007

FOB: Destination

0008AH 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

TEST/INSPECTION REPORT PER DI-NDTI-80809B EXHIBIT AR,

SEQUENCE A044 FOR CLIN 0007

FOB: Destination

0008AJ 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CALIBRATION CERTIFICATE/REPORT PER DI-QCIC-80798C EXHIBIT AS,

SEQUENCE A045 FOR CLIN 0007

FOB: Destination

0008AK 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISC-80678 EXHIBIT AT,

SEQUENCE A046 FOR CLIN 0007

FOB: Destination

0008AL 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISIC-80678 EXHIBIT AU,

SEQUENCE A047 FOR CLIN 0007

FOB: Destination

0008AM 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

CERTIFICATION/DATA REPORT PER DI-MISIC-80678 EXHIBIT AV,

SEQUENCE A048 FOR CLIN 0007

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 N/A N/A N/A N/A 0002AA Destination Government Destination Government 0002AB Destination Government Destination Government 0002AC Destination Government Destination Government 0002AD Destination Government Destination Government

0002AE Destination Government Destination Government 0002AF Destination Government Destination Government 0002AG Destination Government Destination Government 0002AH Destination Government Destination Government 0002AJ Destination Government Destination Government 0002AK Destination Government Destination Government 0002AL Destination Government Destination Government 0002AM Destination Government Destination Government 0003 Destination Government Destination Government 0004 N/A N/A N/A N/A 0004AA Destination Government Destination Government 0004AB Destination Government Destination Government 0004AC Destination Government Destination Government 0004AD Destination Government Destination Government 0004AE Destination Government Destination Government 0004AF Destination Government Destination Government 0004AG Destination Government Destination Government 0004AH Destination Government Destination Government 0004AJ Destination Government Destination Government 0004AK Destination Government Destination Government 0004AL Destination Government Destination Government 0004AM Destination Government Destination Government 0005 Destination Government Destination Government 0006 N/A N/A N/A N/A 0006AA Destination Government Destination Government 0006AB Destination Government Destination Government 0006AC Destination Government Destination Government 0006AD Destination Government Destination Government 0006AE Destination Government Destination Government 0006AF Destination Government Destination Government 0006AG Destination Government Destination Government 0006AH Destination Government Destination Government 0006AJ Destination Government Destination Government 0006AK Destination Government Destination Government 0006AL Destination Government Destination Government 0006AM Destination Government Destination Government 0007 Destination Government Destination Government 0008 N/A N/A N/A N/A 0008AA Destination Government Destination Government 0008AB Destination Government Destination Government 0008AC Destination Government Destination Government 0008AD Destination Government Destination Government 0008AE Destination Government Destination Government 0008AF Destination Government Destination Government 0008AG Destination Government Destination Government 0008AH Destination Government Destination Government 0008AJ Destination Government Destination Government 0008AK Destination Government Destination Government 0008AL Destination Government Destination Government 0008AM Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 06-SEP-2019 2 PUGET SOUND NAVAL SHIPYARD

RECEIVING OFFICER PSNS

BLDG 514

1400 FARRAGUT AVE

N4523A

BREMERTON WA 98314-5001

360-476-7640

N4523A

0002 N/A N/A N/A N/A

0002AA 06-SEP-2019 1 PUGET SOUND NAVAL SHIPYARD

RECEIVING OFFICER PSNS

BLDG 514

1400 FARRAGUT AVE

N4523A

BREMERTON WA 98314-5001

360-476-7640

0002AB 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0002AC 75 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0002AD 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0002AE 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0002AF 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0002AG 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0002AH 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0002AJ 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0002AK 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0002AL 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0002AM 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0003 06-SEP-2019 2 (SAME AS PREVIOUS LOCATION)

0004 N/A N/A N/A N/A

0004AA 06-SEP-2019 1 PUGET SOUND NAVAL SHIPYARD

RECEIVING OFFICER PSNS

BLDG 514

1400 FARRAGUT AVE

N4523A

BREMERTON WA 98314-5001

360-476-7640

0004AB 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0004AC 75 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0004AD 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0004AE 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0004AF 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0004AG 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0004AH 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0004AJ 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0004AK 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0004AL 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0004AM 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0005 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0006 N/A N/A N/A N/A

0006AA 06-SEP-2019 1 PUGET SOUND NAVAL SHIPYARD

RECEIVING OFFICER PSNS

BLDG 514

1400 FARRAGUT AVE

N4523A

BREMERTON WA 98314-5001

360-476-7640

0006AB 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0006AC 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0006AD 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0006AE 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0006AF 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0006AG 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0006AH 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0006AJ 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0006AK 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0006AL 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0006AM 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0007 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0008 N/A N/A N/A N/A

0008AA 06-SEP-2019 1 PUGET SOUND NAVAL SHIPYARD

RECEIVING OFFICER PSNS

BLDG 514

1400 FARRAGUT AVE

N4523A

BREMERTON WA 98314-5001

360-476-7640

0008AB 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0008AC 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0008AD 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0008AE 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0008AF 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0008AG 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0008AH 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0008AJ 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0008AK 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0008AL 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

0008AM 06-SEP-2019 1 (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.203-12 Limitation On Payments To Influence Certain Federal

Transactions

OCT 2010

52.204-7 System for Award Management OCT 2018 52.204-13 System for Award Management Maintenance OCT 2018 52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.204-22 Alternative Line Item Proposal JAN 2017 52.212-1 Instructions to Offerors--Commercial Items OCT 2018 52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.232-1 Payments APR 1984 52.232-8 Discounts For Prompt Payment FEB 2002 52.232-11 Extras APR 1984 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

DEC 2013

52.233-1 Disputes MAY 2014 52.243-1 Changes--Fixed Price AUG 1987 52.246-2 Inspection Of Supplies--Fixed Price AUG 1996 52.247-34 F.O.B. Destination NOV 1991 52.249-1 Termination For Convenience Of The Government (Fixed

Price) (Short Form)

APR 1984

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 252.204-7015 Notice of Authorized Disclosure of Information for Litigation

Support

MAY 2016

252.209-7004 Subcontracting With Firms That Are Owned or Controlled By The Government of a Country that is a State Sponsor of Terrorism

OCT 2015

252.211-7008 Use of Government-Assigned Serial Numbers SEP 2010 252.225-7001 Buy American And Balance Of Payments Program-- Basic DEC 2017 252.225-7002 Qualifying Country Sources As Subcontractors DEC 2017 252.225-7013 Duty-Free Entry--Basic MAY 2016 252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

DEC 2018

252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.244-7000 Subcontracts for Commercial Items JUN 2013 252.247-7023 Transportation of Supplies by Sea FEB 2019

CLAUSES INCORPORATED BY FULL TEXT

52.209-3 FIRST ARTICLE APPROVAL--CONTRACTOR TESTING (SEP 1989)

(a) The Contractor shall test one (1) each unit of CLIN 0001 and 0002 as specified in this contract. At least 14 calendar days before the beginning of first article tests, the Contractor shall notify the Contracting Officer, in writing, of the time and location of the testing so that the Government may witness the tests.

(b) The Contractor shall submit the first article test report within 75 calendar days from the date of this contract to address identified in Block 15 of the SF 1449 marked "FIRST ARTICLE TEST REPORT: Contract No. TBD, CLIN 0001 and 0002." Within seven (7) calendar days after the Government receives the test report, the Contracting Officer shall notify the Contractor, in writing, of the conditional approval, approval, or disapproval of the first article. The notice of conditional approval or approval shall not relieve the Contractor from complying with all requirements of the specifications and all other terms and conditions of this contract. A notice of conditional approval shall state any further action required of the Contractor. A notice of disapproval shall cite reasons for the disapproval.

(c) If the first article is disapproved, the Contractor, upon Government request, shall repeat any or all first article tests. After each request for additional tests, the Contractor shall make any necessary changes, modifications, or repairs to the first article or select another first article for testing. All costs related to these tests are to be borne by the Contractor, including any and all costs for additional tests following a disapproval. The Contractor shall then conduct the tests and deliver another report to the Government under the terms and conditions and within the time specified by the Government. The Government shall take action on this report within the time specified in paragraph

(b) above. The Government reserves the right to require an equitable adjustment of the contract price for any extension of the delivery schedule, or for any additional costs to the Government related to these tests.

(d) If the Contractor fails to deliver any first article report on time, or the Contracting Officer disapproves any first article, the Contractor shall be deemed to have failed to make delivery within the meaning of the Default clause of this contract.

(e) Unless otherwise provided in the contract, and if the approved first article is not consumed or destroyed in testing, the Contractor may deliver the approved first article as part of the contract quantity if it meets all contract requirements for acceptance.

(f) If the Government does not act within the time specified in paragraph (b) or (c) above, the Contracting Officer shall, upon timely written request from the Contractor, equitably adjust under the changes clause of this contract the delivery or performance dates and/or the contract price, and any other contractual term affected by the delay.

(g) Before first article approval, the acquisition of materials or components for, or the commencement of production of, the balance of the contract quantity is at the sole risk of the Contractor. Before first article approval, the costs thereof shall not be allocable to this contract for (1) progress payments, or (2) termination settlements if the contract is terminated for the convenience of the Government.

(h) The Government may waive the requirement for first article approval test where supplies identical or similar to those called for in the schedule have been previously furnished by the offeror/contractor and have been accepted by the Government. The offeror/contractor may request a waiver.

(End of clause)

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

(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:

(1) Technical: Offers must meet or exceed the specifications in the solicitation and any subsequent amendments. If applicable, offers must also meet the requirements of FAR 52.211-6 Brand Name or Equal. Any offer determined to be technically unacceptable is ineligible for award regardless of price or other factors.

(2) Price: Price will be evaluated in addition to other factors identified. The following price evaluation factors apply:

(XX) Single Award evaluation - due to the interrelationship of supplies and/or services to be provided hereunder, the Government reserves the right to make a single award to the offeror whose offer is considered in the best interest of the Government, price and other factors considered. Therefore, offerors proposing less than the entire effort specified herein may be determined to be unacceptable.

(XX) Proposed pricing shall be provided on a unit price line item basis in the solicitation.

(3) Past Performance: Offerors will be evaluated in accordance with the following.

(XX) Use of Supplier Performance Risk System (SPRS) in Past Performance Evaluations

(APR 2018)

(1) The Supplier Performance Risk System (SPRS) (https://www.sprs.csd.disa.mil) (formerly Past Performance Information Retrieval System – Statistical Reporting (PPIRS- SR)) will be used in the evaluation of suppliers’ past performance.

(2) SPRS collects quality and delivery data on previously awarded contracts and orders from existing Department of Defense reporting systems to classify each supplier’s performance history by Federal supply class (FSC) and product or service code (PSC). The SPRS application provides the contracting officer quantifiable past performance information regarding a supplier's quality and delivery performance for the FSC and PSC of the supplies being purchased.

(3) The quality and delivery classifications identified for a supplier in SPRS will be used by the contracting officer to evaluate a supplier’s past performance in conjunction with the supplier’s references (if requested). The Government will use this past performance information in accordance with the basis for award stated in the solicitation.

(XX) The Contracting Officer will also evaluate past performance information from internal sources.

(4) Delivery: Offerors must meet the required delivery date OR PROPOSE AN ALTERNATE

DELIVERY DATE.

(5) Other:

(XX) Must meet size standard identified on page 1 or in FAR provision 52.219-1, if a set-aside.

(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.

(End of provision)

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (OCT 2018)

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

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM 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), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs __.

[Offeror to identify the applicable paragraphs at (c) through (u) 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 SAM.]

(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.

(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. [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.

Note: Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold.

(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) HUBZone small business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents, as part of its offer, that--

(i) It [ ___ ] is, [ ___ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR Part 126; and

(ii) It [ ___ ] is, [ ___ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR Part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: ___ .] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

(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 ( ___ )…

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