W15QKN-22-Q-5006 (Released).pdf

SEE ADDENDUM

(No Collect Calls)

W15QKN22Q5006 22-Nov-2021

b. TELEPHONE NUMBER

609-562-2719

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 23 Dec 2021

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.

W15QKN9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

CHRISTINA HILTON

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

0011676237-0001

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 BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

US ARMY CONTRACTING COMMAND

5418 S. SCOTT PLAZA

JOINT BASE MDL NJ 08640

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

X

SIZE STANDARD:

$30,000,000

NAICS:

221310

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 OF73

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.

W15QKN22Q5006

Section SF 30 - BLOCK 14 CONTINUATION PAGE

INSTRUCTIONS TO OFFERORS

THIS REQUIREMENT IS BEING SET-ASIDE 100% FOR HISTORICALLY UNDERUTILIZED

BUSINESS ZONE (HUBZONE) SMALL BUSINESSES IAW WITH FAR 19.13, AND IS SUBJECT TO

THE AVAILABILITY OF FUNDS IAW FAR PART 52.232-18

1. Solicitation number W15QKN-22-Q-5006 is to procure Backflow Preventer Maintenance Services for the 99th Readiness Division (RD) at the following locations:

a. (VA001) Abingdon Memorial USARC located at 571 Walden Road, Abingdon, VA 24210

b. (VA012) New River Valley Memorial USARC – 5746 Reserve Way, Dublin, VA 24084

c. (VA033) PFC Curtis B. Schooley USARC, 125A Armory Road, Galax, VA, 24333

d. (VA039) MG Guy B. Denit USARC, 4444 Lee Highway, Marion VA, 24354

The contractor shall provide all personnel, supplies, supervision, tools, materials, equipment, transportation and other items and non-personal services necessary to provide backflow preventer maintenance services in accordance with Attachment 0001 - Region C9 VA-Backflow PWS - FY22 01 November 2021, Attachment 0002 - Service Contract ACT WD # 2015-4339 Rev 15 Dated 20 Oct 2021 (Abingdon, VA), Attachment 0003 - Service Contract ACT WD# 2015-4299 Rev 14 Dated 20 Oct 2021 (Dublin, VA) Attachment 0004 – Service Contract ACT WD # 2015-4317 Rev 17 Dated 20 Oct 2021 (Galax & Marion, VA).

The North American Industry Classification System (NAICS) code that applies to the principal nature of the acquisition is: 221310- Water Supply and Irrigation System - Size Standard of $30,000,000.00.

This requirement is being solicited, utilizing the procedures set forth in FAR Part 12 (Acquisition of Commercial Items) and FAR Part 13 (Simplified Acquisition Procedures).

2. The Government intends to award a single, Firm,-Fixed-Price (FFP) contract. The period of performance for this effort shall be a 12-month base period and four, 12-month option periods from date of contract award.

3. The Offeror must be registered in the System for Award Management (SAM) in order to be eligible to receive a Department of Defense contract award. If you need to register in SAM, go to https://www.sam.gov, and or beta.sam.gov/.

4. See Federal Acquisition Regulation (FAR) Clause 52.212-1, "Instructions to Offerors -- Commercial Items" and FAR 52.212-1, Addendum for additional information.

5. See FAR Clause 52.212-2, “Evaluation – Commercial Items” and FAR 52.212-2, Addendum for additional information and evaluation criteria.

6. A site visit is HIGHLY ENCOURAGED. All notifications to attend shall be submitted via e-mail at least 24 hours prior to the scheduled Site Visit date/time to the following:, Jason Belcher, Regional Facilities Operations Specialist (RFOS) at jason.m.belcher.civ@army.mil and jason.m.belcher.civ@mail.mil, (609) 414-1836, and Amy Brooks, Area Facility Operations Specialist (AFOS) at amy.m.brooks.ctr@mail.mil (407) 350-0048. Offerors are urged and expected to inspect the site where services are to be performed and to satisfy themselves regarding all general and local conditions that may affect the cost of contract performance, to the extent that the information is reasonably obtainable. In no event shall failure to inspect the site constitute grounds for a claim after contract award. If you cannot reach the RFOS for a site visit please contact both Christina Elardo, Contract Specialist at christina.m.elardo.civ@army.mil , and Anthony Pavese, Contracting Officer at anthony.r.pavese.civ@army.mil

**ALL SITE VISITS SHALL BE COMPLETED BY NO LATER THAN DECEMBER 10, 2021 AT 2PM EST.**

Address(s):

a. (VA001) Abingdon Memorial USARC located at 571 Walden Road, Abingdon, VA 24210

b. (VA012) New River Valley Memorial USARC – 5746 Reserve Way, Dublin, VA 24084

c. (VA033) PFC Curtis B. Schooley USARC, 125A Armory Road, Galax, VA, 24333

d. (VA039) MG Guy B. Denit USARC, 4444 Lee Highway, Marion VA, 24354

All notifications to attend a visit shall be submitted via e-mail at least 24 hours prior to the scheduled Site

7. All inquiries and questions regarding this solicitation shall be submitted via email no later than 10:00AM EST on December 15 2021 to both Christina Elardo, Contract Specialist at christina.m.elardo.civ@army.mil , Anthony Pavese, Contracting Officer at anthony.r.pavese.civ@army.mil during the solicitation phase of this requirement.

Inquires/questions shall only be submitted via email to the Contracting Officer and Contract Specialist during the solicitation phase of this requirement. Do not send questions/inquires to the RFOS/COR during the solicitation phase.

8. COMPLETING A QUOTE FOR SUBMITTAL

a. Quotes are due no later than the date and time listed in Standard Form (SF) 1449, Block 8 and shall be submitted via email to BOTH: both Christina Elardo, Contract Specialist at christina.m.elardo.civ@army.mil , Anthony Pavese, Contracting Officer at anthony.r.pavese.civ@army.mil . Local time for this requirement is Eastern Standard Time (EST). No other forms of delivery proposal will be accepted or reviewed by the Government other than those delivered by means expressed in Solicitation

W15QKN-22-Q-5006 (SUCH AS E-MAIL DELIVERY ONLY)

b. The Offeror shall provide the name, title, address, email address and telephone number of the company/division point of contact regarding business decisions made with respect to the proposal and who can contractually obligate the company.

c. Offeror shall submit a signed SF 1449 (Blocks 30a, 30b and 30c). In addition, the contractor shall sign and acknowledge any solicitation amendments. In doing so, the Offeror accedes to the contract terms and conditions as written in the Solicitation.

d. The Offeror shall provide a price for each FFP Contract Line Item Number (CLIN) for the base period and option periods on the SF1449 Continuation Sheets of the solicitation.

e. Pricing for each CLIN must be submitted in the proper format. The proper format consists of QUANTITY * UNIT PRICE = AMOUNT/NET AMOUNT. In the event there is a discrepancy in the calculation, the UNIT PRICE will be held to the intended price multiplied by the QUANTITY. If the offeror shows only the AMOUNT/NET AMOUNT, but fails to enter a UNIT PRICE, the AMOUNT/NET AMOUNT divided by the QUANTITY will be held to be the intended price.

f. Offeror should provide their DUNS number, CAGE code, Federal TIN and any small business preference or socioeconomic designations (8a certified, HUBZone Certified, WOSB, etc.) that are applicable to this NAICS Code, see block SF1449 Block 10.

g. See FAR 52.204-24, 52.204-25, and 52.204-26. As a result of interim FAR rule 2019-0009, published on 14 July 2020, and effective on 13 August 2020, Section 889(a)(1)(B) Prohibition on Contracting with Entities Using Certain Telecommunications and Video Surveillance Services or Equipment Clauses, these clauses are included in full text. When submitting proposal FAR clause 52.204-24, and 52.204-26 shall be completed.

h. Offeror shall complete “fill-ins” in provisions, and clauses that apply and submit along with the RFQ response.

i. Failure to provide any applicable information with regards to this solicitation may result in the offeror being deemed non-responsive.

9. All services shall be performed in accordance with the PWS.

10. All offers shall remain valid for 120 calendar days from solicitation close date.

11. Attachment(s):

Attachment 0001 – Region C9 VA-Backflow PWS - FY22 01 November 2021 Attachment 0002 – Service Contract ACT WD # 2015-4339 Rev 15 Dated 20 Oct 2021 (Abingdon, VA) Attachment 0003 – Service Contract ACT WD# 2015-4299 Rev 14 Dated 20 Oct 2021 (Dublin, VA) Attachment 0004 – Service Contract ACT WD # 2015-4317 Rev 17 Dated 20 Oct 2021 (Galax & Marion, VA)

CONTRACT ADMINISTRATION

1. Inquiries concerning all contractual actions after award shall be directed first to the Contract Specialist. In my absence, please contact the Contracting Officer.

2. CHANGES: The Contract Specialist will incorporate all changes and other administrative actions to the contract as directed and authorized by the Contracting Officer.

3. POINTS OF CONTACT:

Contracting Officer Anthony R. Pavese Phone: 609-562-7300 Email: anthony.r.pavese.civ@army.mil

Contract Specialist Christina M. Elardo Phone: 609-562-2719 Email: christina.m.elardo.civ@army.mil

Government Point of Contact Regional Facility Operations Specialist (RFOS) Jason Belcher Phone: 609-414-1836 Email: jason.m.belcher.civ@army.mil

4. SERVICE LOCATIONS:

a. (VA001) Abingdon Memorial USARC located at 571 Walden Road, Abingdon, VA 24210.

b. (VA012) New River Valley Memorial USARC – 5746 Reserve Way, Dublin, VA 24084

c. (VA033) PFC Curtis B. Schooley USARC, 125A Armory Road, Galax, VA, 24333.

d. (VA039) MG Guy B. Denit USARC, 4444 Lee Highway, Marion VA, 24354

5. CONTRACTOR INFORMATION:

Name: TBD Phone: TBD Email: TBD

ACC-NJ LOCAL NARRATIVES

52.228-4000 REQUIRED INSURANCE OCT/2010

In accordance with FAR 28.307-2, the Contractor is required to provide and maintain the kinds and minimum amounts of insurance stated below:

(a) Workers’ compensation and employer’s liability. Contractors are required to comply with applicable Federal and State workers’ compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer’s liability section of the insurance policy, except when contract operations are so commingled with a contractor’s commercial operations that it would not be practical to require this coverage. Employer’s liability coverage of at least $100,000 shall be required, except in States with exclusive or monopolistic funds that do not permit workers’ compensation to be written by private carriers. (See 28.305(c) for treatment of contracts subject to the Defense Base Act.)

(b) General liability.

(1) The contracting officer shall require bodily injury liability insurance coverage written on the comprehensive form of policy of at least $500,000 per occurrence.

(2) Property damage liability insurance shall be required only in special circumstances as determined by the agency.

(c) Automobile liability. The contracting officer shall require automobile liability insurance written on the comprehensive form of policy. The policy shall provide for bodily injury and property damage liability covering the operation of all automobiles used in connection with performing the contract. Policies covering automobiles operated in the United States shall provide coverage of at least $200,000 per person and $500,000 per occurrence for bodily injury and $20,000 per occurrence for property damage. The amount of liability coverage on other policies shall be commensurate with any legal requirements of the locality and sufficient to meet normal and customary claims.

(d) Aircraft public and passenger liability. When aircraft are used in connection with performing the contract, the contracting officer shall require aircraft public and passenger liability insurance. Coverage shall be at least $200,000 per person and $500,000 per occurrence for bodily injury, other than passenger liability, and $200,000 per occurrence for property damage. Coverage for passenger liability bodily injury shall be at least $200,000 multiplied by the number of seats or passengers, whichever is greater.

(e) Vessel liability. When contract performance involves use of vessels, the contracting officer shall require, as determined by the agency, vessel collision liability and protection and indemnity liability insurance.

DISCLOSURE OF UNIT PRICE INFORMATION

This constitutes notification pursuant to Executive Order 12600, Pre-Disclosure Notification Procedures for Confidential Commercial Information (June 23, 1987), of our intention to release unit prices in response to any request under the Freedom of Information Act, 5 USC 552. Unit price is defined as the contract price per unit or item purchased. We consider any objection to be waived unless the contracting officer is notified of your objection to such posting prior to submission of initial proposals.

HQ AMC-LEVEL PROTEST PROGRAM

If you have complaints about this procurement, it is preferable that you first attempt to resolve those concerns with the responsible contracting officer. However, you can also protest to Headquarters, AMC. The HQ, AMC-Level Protest Program is intended to encourage interested parties to seek resolution of their concerns within AMC as an Alternative Dispute Resolution forum, rather than filing a protest with the General Accounting Office or other external forum. Contract award or performance is suspended during the protest to the same extent, and within the same time periods, as if filed at the GAO. The AMC protest decision goal is to resolve protests within 20 working days from filing. To be timely, protests must be filed within the periods specified in FAR 33.103.

Send protests (other than protests to the contracting officer) to:

Address:

Headquarters U.S. Army Materiel Command Office of Command Counsel-Deputy Command Counsel 4400 Martin Road Rm: A6SE040.001 Redstone Arsenal, AL 35898-5000

Fax: (256) 450-8840 Email: usarmy.redstone.usamc.mbx.protests@mail.mil

The AMC-level protest procedures are found at:

Web Address: http://www.amc.army.mil/amc/commandcounsel.html

If Internet access is not available contact the contracting officer or HQ, AMC to obtain the AMC-Level Protest Procedures.

LEVEL I ANTI-TERRORISM AWARENESS TRAINING REQUIREMENTS FOR CONTRACTOR

EMPLOYEES (OCT 2010)

(a) All contractor employees requiring access to any Federally-controlled facility and logical access to Federally controlled information systems except for “national security systems” as defined by 44 U.S.C. 3542(b)(2), should be certified in Level I Anti-Terrorism Training. The training is accessible from any computer with access to the World Wide Web and is available at https://jkodirect.jten.mil . The contractor is responsible for ensuring that the training has been satisfactorily completed and that valid certificates of completion have been submitted to the Contracting Officers Representative (COR) with a copy furnished to the Contracting Officer. The Certificates are valid for one year, therefore, training shall be completed every year for the duration of the contract.

(b) The term Federally-controlled facility is defined as:

(1) Federally-owned buildings or leased space, whether for single or multi-tenant occupancy, and its grounds and approaches, all or any portion of which is under the jurisdiction, custody or control of a department or agency;

(2) Federally-controlled commercial space shared with non-government tenants. For example, if a department or agency leased the 10th floor of a commercial building, the Directive applies to the 10th floor only;

(3) Government-owned, contractor-operated facilities, including laboratories engaged in national defense research and production activities; and

(4) Facilities under a management and operating contract, such as for the operation, maintenance, or support of a Government-owned or Government-controlled research, development, special production, or testing establishment.

(c) The term “Federally-controlled information system” means an information system (44 U.S.C. 3502(8)) used or operated by a Federal agency, or a contractor or other organization on behalf of the agency (44 U.S.C. 3544(a)).

(d) The term "contractor employee" includes employees, agents, students or student interns, or representatives and all employees, agents or representatives of all subcontractors and suppliers.

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Each BY-Backflow Prevention, 1" to 4" - VA001

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for ABINGDON MEMORIAL USARC, 571 WALDEN ROAD, ABINGDON, VA 24210-2207

FOB: Destination

PURCHASE REQUEST NUMBER: 0011676237-0001

PSC CD: S114

NET AMT

0002 1 Each BY-Pipe System ID Labels - VA001

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for ABINGDON MEMORIAL USARC, 571 WALDEN ROAD, ABINGDON, VA 24210-2207

FOB: Destination

0003 1 Each BY-Backflow Prevention, 1" to 4" - VA012

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for NEW RIVER VALLEY MEM USARC, 5746 RESERVE

WAY, DUBLIN, VA 24084-3524

FOB: Destination

0004 1 Each BY-Pipe System ID Labels - VA012

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for NEW RIVER VALLEY MEM USARC, 5746 RESERVE

WAY, DUBLIN, VA 24084-3524

0005 2 Each BY-Backflow Prevention, 1" to 4" - VA033

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for PFC CURTIS B. SCHOOLEY USARC/AMSA 89 (G), 125A

ARMORY ROAD, GALAX, VA 24333-1919

FOB: Destination

0006 2 Each BY-Pipe System ID Labels - VA033

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for PFC CURTIS B. SCHOOLEY USARC/AMSA 89 (G), 125A

ARMORY ROAD, GALAX, VA 24333-1919

0007 1 Each BY-Backflow Prevention, 1" to 4" - VA039

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for MG GUY B. DENIT USARC, 4444 LEE HIGHWAY, MARION VA 24354-9404

FOB: Destination

0008 1 Each BY-Pipe System ID Labels - VA039

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for MG GUY B. DENIT USARC, 4444 LEE HIGHWAY, MARION VA 24354-9404

1001 1 Each OPTION OY1-Backflow Prevention, 1" to 4"- VA001

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for ABINGDON MEMORIAL USARC, 571 WALDEN ROAD, ABINGDON, VA 24210-2207

FOB: Destination

1002 1 Each OPTION OY1- Pipe System ID Labels -VA001

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for ABINGDON MEMORIAL USARC, 571 WALDEN ROAD, ABINGDON, VA 24210-2207

FOB: Destination

1003 1 Each OPTION OY1-Backflow Prevention, 1" to 4"- VA012

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for NEW RIVER VALLEY MEM USARC, 5746 RESERVE

WAY, DUBLIN VA 24084-3524

FOB: Destination

1004 1 Each OPTION OY1 Pipe System ID Labels - VA012

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for NEW RIVER VALLEY MEM USARC, 5746 RESERVE

WAY, DUBLIN VA 24084-3524

1005 2 Each OPTION OY1-Backflow Prevention, 1" to 4"- VA033

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for PFC CURTIS B. SCHOOLEY USARC/AMSA 89 (G), 125A

ARMORY ROAD, GALAX VA 24333-1919

FOB: Destination

1006 2 Each OPTION OY1 - Pipe System ID Labels - VA033

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for PFC CURTIS B. SCHOOLEY USARC/AMSA 89 (G), 125A

ARMORY ROAD, GALAX VA 24333-1919

1007 1 Each OPTION OY1-Backflow Prevention, 1" to 4"- VA039

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for MG GUY B. DENIT USARC, 4444 LEE HIGHWAY, MARION VA 24354-9404

FOB: Destination

1008 1 Each OPTION OY1 - Pipe System ID Labels - VA039

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for MG GUY B. DENIT USARC, 4444 LEE HIGHWAY, MARION VA 24354-9404

2001 1 Each OPTION OY2-Backflow Prevention, 1" to 4"- VA001

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for ABINGDON MEMORIAL USARC, 571 WALDEN ROAD, ABINGDON, VA 24210-2207

FOB: Destination

2002 1 Each OPTION OY2- Pipe System ID Labels - VA001

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for ABINGDON MEMORIAL USARC, 571 WALDEN ROAD, ABINGDON, VA 24210-2207

FOB: Destination

2003 1 Each OPTION OY2-Backflow Prevention, 1" to 4"- VA012

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for NEW RIVER VALLEY MEM USARC, 5746 RESERVE

WAY, DUBLIN VA 24084-3524

FOB: Destination

2004 1 Each OPTION OY2- Pipe System ID Labels - VA012

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for NEW RIVER VALLEY MEM USARC, 5746 RESERVE

WAY, DUBLIN VA 24084-3524

2005 2 Each OPTION OY2-Backflow Prevention, 1" to 4"- VA033

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for PFC CURTIS B. SCHOOLEY USARC/AMSA 89 (G), 125A

ARMORY ROAD, GALAX VA 24333-1919

FOB: Destination

2006 2 Each OPTION OY2- Pipe System ID Labels - VA033

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for PFC CURTIS B. SCHOOLEY USARC/AMSA 89 (G), 125A

ARMORY ROAD, GALAX VA 24333-1919

2007 1 Each OPTION OY2-Backflow Prevention, 1" to 4"- VA039

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for MG GUY B. DENIT USARC, 4444 LEE HIGHWAY, MARION VA 24354-9404

FOB: Destination

2008 1 Each OPTION OY2- Pipe System ID Labels - VA039

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for MG GUY B. DENIT USARC, 4444 LEE HIGHWAY, MARION VA 24354-9404

3001 1 Each OPTION OY3-Backflow Prevention, 1" to 4"- VA001

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for ABINGDON MEMORIAL USARC, 571 WALDEN ROAD, ABINGDON, VA 24210-2207

FOB: Destination

3002 1 Each OPTION OY3- Pipe System ID Labels - VA001

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for ABINGDON MEMORIAL USARC, 571 WALDEN ROAD, ABINGDON, VA 24210-2207

FOB: Destination

3003 1 Each OPTION OY3-Backflow Prevention, 1" to 4"- VA012

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for NEW RIVER VALLEY MEM USARC, 5746 RESERVE

WAY, DUBLIN VA 24084-3524

FOB: Destination

3004 1 Each OPTION OY3- Pipe System ID Lables - VA012

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for NEW RIVER VALLEY MEM USARC, 5746 RESERVE

WAY, DUBLIN VA 24084-3524

3005 2 Each OPTION OY3-Backflow Prevention, 1" to 4"- VA033

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for PFC CURTIS B. SCHOOLEY USARC/AMSA 89 (G), 125A

ARMORY ROAD, GALAX VA 24333-1919

FOB: Destination

3006 2 Each OPTION OY3- Pipe System ID Lables - VA033

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for PFC CURTIS B. SCHOOLEY USARC/AMSA 89 (G), 125A

ARMORY ROAD, GALAX VA 24333-1919

3007 1 Each OPTION OY3-Backflow Prevention, 1" to 4"- VA039

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for MG GUY B. DENIT USARC, 4444 LEE HIGHWAY, MARION VA 24354-9404

FOB: Destination

3008 1 Each OPTION OY3- Pipe System ID Lables - VA039

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for MG GUY B. DENIT USARC, 4444 LEE HIGHWAY, MARION VA 24354-9404

4001 1 Each OPTION OY4-Backflow Prevention, 1" to 4"- VA001

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for ABINGDON MEMORIAL USARC, 571 WALDEN ROAD, ABINGDON, VA 24210-2207

FOB: Destination

4002 1 Each OPTION OY4- Pipe ID Labels, 1" to 4" - VA001

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for ABINGDON MEMORIAL USARC, 571 WALDEN ROAD, ABINGDON, VA 24210-2207

FOB: Destination

4003 1 Each OPTION OY4-Backflow Prevention, 1" to 4"- VA012

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for NEW RIVER VALLEY MEM USARC, 5746 RESERVE

WAY, DUBLIN VA 24084-3524

FOB: Destination

4004 1 Each OPTION OY4- Pipe System ID Labels - VA012

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for NEW RIVER VALLEY MEM USARC, 5746 RESERVE

WAY, DUBLIN VA 24084-3524

4005 2 Each OPTION OY4-Backflow Prevention, 1" to 4"- VA033

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for PFC CURTIS B. SCHOOLEY USARC/AMSA 89 (G), 125A

ARMORY ROAD, GALAX VA 24333-1919

FOB: Destination

4006 2 Each OPTION OY4- Pipe System ID Labels - VA033

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for PFC CURTIS B. SCHOOLEY USARC/AMSA 89 (G), 125A

ARMORY ROAD, GALAX VA 24333-1919

4007 1 Each OPTION OY4-Backflow Prevention, 1" to 4"- VA039

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for MG GUY B. DENIT USARC, 4444 LEE HIGHWAY, MARION VA 24354-9404

FOB: Destination

4008 1 Each OPTION OY4- Pipe System ID Labels - VA039

FFP

Backflow Preventative Maintenance service in accordance with the Performance Work Statement for MG GUY B. DENIT USARC, 4444 LEE HIGHWAY, MARION VA 24354-9404

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 1001 Destination Government Destination Government 1002 Destination Government Destination Government 1003 Destination Government Destination Government 1004 Destination Government Destination Government 1005 Destination Government Destination Government 1006 Destination Government Destination Government 1007 Destination Government Destination Government 1008 Destination Government Destination Government 2001 Destination Government Destination Government 2002 Destination Government Destination Government 2003 Destination Government Destination Government 2004 Destination Government Destination Government 2005 Destination Government Destination Government 2006 Destination Government Destination Government 2007 Destination Government Destination Government 2008 Destination Government Destination Government 3001 Destination Government Destination Government 3002 Destination Government Destination Government 3003 Destination Government Destination Government 3004 Destination Government Destination Government 3005 Destination Government Destination Government 3006 Destination Government Destination Government 3007 Destination Government Destination Government 3008 Destination Government Destination Government 4001 Destination Government Destination Government 4002 Destination Government Destination Government 4003 Destination Government Destination Government 4004 Destination Government Destination Government 4005 Destination Government Destination Government 4006 Destination Government Destination Government 4007 Destination Government Destination Government 4008 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 28-DEC-2021 TO

27-DEC-2022

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

571 WALDEN ROAD

ABINGDON, VA 24210-2207

W81GH2

0002 POP 28-DEC-2021 TO

27-DEC-2022

N/A 99TH READINESS DIVISION

99TH REGION

571 WALDEN RD

ABINGDON VA NJ 24210

0003 POP 28-DEC-2021 TO

N/A NEW RIVER VALLEY MEM USARC

(VA012)

99TH READINESS DIVISION

5746 RESERVE WAY

DUBLIN VA 24084-3524

0004 POP 28-DEC-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 28-DEC-2021 TO

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

125A ARMORY RD

GALAX VA VA 24333-1919

609-410-7317

0006 POP 28-DEC-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 28-DEC-2021 TO

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

4444 LEE HIGHWAY

MARION VA 24354

0008 POP 28-DEC-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 28-DEC-2022 TO

27-DEC-2023

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

571 WALDEN ROAD

ABINGDON, VA 24210-2207

1002 POP 28-DEC-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 28-DEC-2022 TO

N/A NEW RIVER VALLEY MEM USARC

(VA012)

99TH READINESS DIVISION

5746 RESERVE WAY

DUBLIN VA 24084-3524

1004 POP 28-NOV-2022 TO

N/A NEW RIVER VALLEY MEM USARC

(VA012)

JASON BELCHER

5746 RESERVE WAY

DUBLIN VA 24084-3524

919-802-7094

1005 POP 28-DEC-2022 TO

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

125A ARMORY RD

GALAX VA VA 24333-1919

609-410-7317

1006 POP 28-DEC-2022 TO

N/A 99TH READINESS DIVISION

99TH READINESS DIVISON

152A ARMORY RD

GALAX VA NJ 24333

1007 POP 28-DEC-2022 TO

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

4444 LEE HIGHWAY

MARION VA 24354

1008 POP 28-DEC-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 28-DEC-2023 TO

27-DEC-2024

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

571 WALDEN ROAD

ABINGDON, VA 24210-2207

2002 POP 28-DEC-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 28-DEC-2023 TO

N/A NEW RIVER VALLEY MEM USARC

(VA012)

99TH READINESS DIVISION

5746 RESERVE WAY

DUBLIN VA 24084-3524

2004 POP 28-DEC-2023 TO

N/A NEW RIVER VALLEY MEM USARC

(VA012)

JASON BELCHER

5746 RESERVE WAY

DUBLIN VA 24084-3524

919-802-7094

2005 POP 28-DEC-2023 TO

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

125A ARMORY RD

GALAX VA VA 24333-1919

609-410-7317

2006 POP 28-DEC-2023 TO

N/A 99TH READINESS DIVISION

99TH READINESS DIVISON

152A ARMORY RD

GALAX VA NJ 24333

2007 POP 28-DEC-2023 TO

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

4444 LEE HIGHWAY

MARION VA 24354

2008 POP 28-DEC-2023 TO

N/A 99TH READINESS DIVISION

99TH REGION

4444 LEE HIGHWAY

MARION VA 24354

3001 POP 28-DEC-2024 TO

27-DEC-2025

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

571 WALDEN ROAD

ABINGDON, VA 24210-2207

3002 POP 28-DEC-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 28-DEC-2024 TO

N/A NEW RIVER VALLEY MEM USARC

(VA012)

99TH READINESS DIVISION

5746 RESERVE WAY

DUBLIN VA 24084-3524

3004 POP 28-DEC-2024 TO

N/A NEW RIVER VALLEY MEM USARC

(VA012)

JASON BELCHER

5746 RESERVE WAY

DUBLIN VA 24084-3524

919-802-7094

3005 POP 28-DEC-2024 TO

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

125A ARMORY RD

GALAX VA VA 24333-1919

609-410-7317

3006 POP 28-DEC-2024 TO

N/A 99TH READINESS DIVISION

99TH REGION

125A ARMORY ROAD

GALAX VA 24333-1919

3007 POP 28-DEC-2024 TO

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

4444 LEE HIGHWAY

MARION VA 24354

3008 POP 28-DEC-2024 TO

N/A 99TH READINESS DIVISION

99TH REGION

4444 LEE HIGHWAY

MARION VA 24354

4001 POP 28-DEC-2025 TO

27-DEC-2026

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

571 WALDEN ROAD

ABINGDON, VA 24210-2207

4002 POP 28-DEC-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 28-DEC-2025 TO

N/A NEW RIVER VALLEY MEM USARC

(VA012)

99TH READINESS DIVISION

5746 RESERVE WAY

DUBLIN VA 24084-3524

4004 POP 28-DEC-2025 TO

N/A NEW RIVER VALLEY MEM USARC

(VA012)

JASON BELCHER

5746 RESERVE WAY

DUBLIN VA 24084-3524

919-802-7094

4005 POP 28-DEC-2025 TO

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

125A ARMORY RD

GALAX VA VA 24333-1919

609-410-7317

4006 POP 28-DEC-2025 TO

N/A 99TH READINESS DIVISION

99TH REGION

125A ARMORY ROAD

GALAX VA 24333-1919

4007 POP 28-DEC-2025 TO

N/A 99TH READINESS DIVISION

99TH READINESS DIVISION

4444 LEE HIGHWAY

MARION VA 24354

4008 POP 28-DEC-2025 TO

N/A 99TH READINESS DIVISION

99TH REGION

4444 LEE HIGHWAY

MARION VA 24354

CLAUSES INCORPORATED BY REFERENCE

52.204-7 System for Award Management OCT 2018 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

JUN 2020

52.204-13 System for Award Management Maintenance OCT 2018 52.204-16 Commercial and Government Entity Code Reporting AUG 2020 52.204-17 Ownership or Control of Offeror AUG 2020 52.204-18 Commercial and Government Entity Code Maintenance AUG 2020 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.204-20 Predecessor of Offeror AUG 2020 52.204-21 Basic Safeguarding of Covered Contractor Information

Systems

JUN 2016

52.204-22 Alternative Line Item Proposal JAN 2017 52.209-2 Prohibition on Contracting with Inverted Domestic

Corporations--Representation

NOV 2015

52.209-9 Updates of Publicly Available Information Regarding Responsibility Matters

OCT 2018

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law

FEB 2016

52.212-1 Instructions to Offerors--Commercial Items SEP 2021 52.212-2 Evaluation - Commercial Items OCT 2014 52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.215-1 Instructions to Offerors--Competitive Acquisition JAN 2017 52.217-5 Evaluation Of Options JUL 1990 52.219-1 Small Business Program Representations SEP 2021 52.219-28 Post-Award Small Business Program Rerepresentation SEP 2021 52.219-33 Nonmanufacturer Rule SEP 2021 52.222-25 Affirmative Action Compliance APR 1984 52.223-6 Drug-Free Workplace MAY 2001 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

JUN 2020

52.225-13 Restrictions on Certain Foreign Purchases FEB 2021

52.225-25 Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran-- Representation and Certifications.

JUN 2020

52.228-5 Insurance - Work On A Government Installation JAN 1997 52.229-3 Federal, State And Local Taxes FEB 2013 52.232-1 Payments APR 1984 52.232-18 Availability Of Funds APR 1984 52.232-23 Assignment Of Claims MAY 2014 52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

OCT 2018

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 52.233-2 Service Of Protest SEP 2006 52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.237-1 Site Visit APR 1984 52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.242-15 Stop-Work Order AUG 1989 52.246-4 Inspection Of Services--Fixed Price AUG 1996 52.246-25 Limitation Of Liability--Services FEB 1997 52.247-34 F.O.B. Destination NOV 1991 52.249-2 Termination For Convenience Of The Government (Fixed-

Price)

APR 2012

52.249-8 Default (Fixed-Price Supply & Service) 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 252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7004 Antiterrorism Awareness Training for Contractors. FEB 2019 252.204-7006 Billing Instructions OCT 2005 252.204-7007 Alternate A, Annual Representations and Certifications MAY 2021 252.204-7007 Alternate A, Annual Representations and Certifications MAY 2021 252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting

DEC 2019

252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support

MAY 2016

252.204-7017 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services -- Representation

MAY 2021

252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services

JAN 2021

252.205-7000 Provision Of Information To Cooperative Agreement Holders DEC 1991 252.209-7004 Subcontracting With Firms That Are Owned or Controlled By

The Government of a Country that is a State Sponsor of Terrorism

MAY 2019

252.209-7007 Prohibited Financial Interests for Lead System Integrators JUL 2009 252.209-7010 Critical Safety Items AUG 2011 252.215-7007 Notice of Intent to Resolicit JUN 2012

252.215-7013 Supplies and Services Provided by Nontraditional Defense Contractors.

JAN 2018

CLAUSES INCORPORATED BY FULL TEXT

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services-- Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications- Commercial Items. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision-

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services."

(d) Representations. The Offeror represents that--

(1) It [] will, [] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that--

It [] does, [] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of provision)

52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES--REPRESENTATION (OCT

2020)

(a) Definitions. As used in this provision, “covered telecommunications equipment or services” and "reasonable inquiry" have the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services”.

(c) Representations.

(1) The Offeror represents that it [ ___ ] does, [ ___ ] does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

(2) After conducting a reasonable inquiry for purposes of this representation, the offeror represents that it [ ___ ] does, [ ___ ] does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services.

(End of provision)

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (FEB 2021)

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 (v) of this provision.

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

“Covered telecommunications equipment or services” has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

“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…