W15QKN-16-T-1091.docx

W15QKN-16-T-1091

Section SF 30 - BLOCK 14 CONTINUATION PAGE

INSTRUCTIONS TO OFFERORS

INSTRUCTIONS TO OFFERORS

INSTRUCTIONS TO OFFEROR

1. ALL QUESTIONS SHALL BE IN WRITING. QUESTIONS MAY BE EMAILED TO EDDIE SHERWOOD edward.l.sherwood4.civ@mail.mil <mailto:edward.l.sherwood4.civ@mail.mil>

Basis of Award: The Government will award a single contract resulting from this solicitation to the responsible, responsive offeror whose offer conforms to the solicitation and is found to be most advantageous to the Government and whose total aggregate price is lowest.

Offerors must complete blocks 12, 17a, and 30a, b & c of the SF 1449. Offerors must sign the SF 1449 In doing so, the offeror accedes to the contract terms and conditions as written in the solicitation. Insert proposed fixed-price unit and extended prices for each Contract Line Item Number (CLIN). Prices shall not extend past the second decimal point for unit and extended amounts. The proposed price shall include all personnel, supplies, services, management, overhead, other directs costs, G&A, and profit to fulfill the contractual requirements of the Statement of Work.

Contractors must complete and return all representations and certifications with their quote and annotate their Dunn & Bradstreet Number and Federal ID Number with their offer.

2. A PROPOSAL IS DUE NO LATER THAN THE DATE SPECIFIED IN BLOCK 08, PAGE 01 OF THE SOLICITATION. PROPOSAL MUST BE E-MAILED. SEE PARAGRAPH ONE ABOVE FOR EMAIL INFORMATION. IT IS THE OFFEROR’S RESPONSIBILITY THAT PROPOSAL SUBMITTED ON TIME, REGARDLESS OF TRANSMISSION, ARE RECEIVED IN THIS OFFICE PRIOR TO THE TIME AND DATE FOR RECEIPT OF OFFER.

3. The contractor shall ensure all work is in accordance with the Statement of Work (SOW)

Complete blocks 12, 17a & b, and 30a, b & c of the SF 1449. Signed originals shall be included for all documents requiring the signature of an offeror. In doing so, the offeror accedes to the contract terms and conditions as written in the solicitation.

6. YOU MUST BE REGISTERED IN SAM (SYSTEMFOR AWARD MANAGEMENT). IN ORDER TO BE AWARDED A DEPARTMENT OF DEFENSE CONTRACT. IF YOU NEED TO REGISTER IN SAM, GO TO THE WEBSITE https://www.sam.gov <https://www.sam.gov/> OR CALL (888)606-8220.

7. ALL REPRESENTATIONS AND CERTIFICATIONS MUST INCLUDE:

DUNS AND BRADSTREET #__________________________

CAGE (COMMERCIAL AND GOVERNMENT ENTITY) CODE ___________________

TIN # ____________________________

8. DUE TO RESTRICTED ACCESS TO FORT DIX, CONTRACTORS THAT WILL BE HANDCARRYING THEIR QUOTE ARE REQUIRED TO SUBMIT TO THE CONTRACTING OFFICER A LIST OF PERSONNEL PLANNING TO DELIVER THE PACKAGE NOT LATER THAN 24 WORKING HOURS PRIOR TO THE DUE DATE. CONTRACTORS MUST ALSO FURNISH THE APPROXIMATE TIME OF ARRIVAL AND THE GATE THEY WILL UTILIZE. CONTRACTORS ARE CAUTIONED THAT THERE MAY BE DELAYS AT THE GATES AND SHOULD ALLOW ADEQUATE TIME FOR ENTERING THE INSTALLATION TO ENSURE PACKAGES ARE RECEIVED PRIOR TO THE TIME AND DATE FOR RECEIPT OF QUOTE. ALL INDIVIDUALS MUST HAVE A PICTURE ID AND NO SUBSTITUTIONS ARE AUTHORIZED. VEHICLES ARE ALSO SUBJECT TO SEARCH.

9. AMENDMENTS: The contractor will be sent amendments via e-mail if required.

10. DELIVERY LOCATION:

High Tech Regional Training Site-Maintenance (HTRTS-M)

DODAAC W81W5E.

Bldg 661 6201 Midway Street Sacramento, CA 95828

DELIVERY SHALL BE NO LATER THAN 20 DAYS AFTER THE DATE OF AWARD.

Section SF 1449 - CONTINUATION SHEET

Voice/Data 66 Block Bridging Clip, FFP

Voice/Data 66 Block Bridging Clip, Bridging Clip 2 Position, Phosphorous Bronze FOB: Destination

PURCHASE REQUEST NUMBER: 0010768991-0002

NET AMT

Modular Surface Jack Color White, Modular Surface Jack Color White, Number Of Ports 1, Mounting Screw Cover Type Snap On

NET AMT

3M Scotchlok IDC UY2 Connectors, 19-26 A

3M Scotchlok IDC UY2 Connectors, 19-26 AWG

NET AMT

Modular Plug Type Plug 6 Position 4 Cont

Modular Plug Type Plug 6 Position 4 Contact 26 AWG To 24 AWG, Conductor Non-Plenum Cable For Handset Cords

NET AMT

Ez-Rj45 Connector

Distribution Ring 6-1/8-Inch By 3-1/8-Inch By 4-3/8-Inch By 3-3/4-Inch Die Cast Aluminum Distributing Ring

NET AMT

Distribution Ring 6-1/8-Inch By 3-1/8-In

Distribution Ring 6-1/8-Inch By 3-1/8-In

NET AMT

Connecting Block 110 Cat5e Use W/110 Blo

Connecting Block 110 Cat5e Use W/110 Blocks

NET AMT

110 Sys, Fldterm Kit, Cat5/6, 64pr,W/Leg

110 Sys, Fldterm Kit, Cat5/6, 64pr,W/Legs

NET AMT

8" Natural 18 Tensile Nylon 6.6 Mini Loc

8" Natural 18 Tensile Nylon 6.6 Mini Locking Cable Tie

NET AMT

Block Modular 66m 25pr, S66# 25-Pair Fie

Block Modular 66m 25pr, S66# 25-Pair Field-Terminated M Series Connecting Block.

NET AMT

Stand-Off Bracket For 66 Blocks

Stand-Off Bracket For 66 Blocks

NET AMT

Replacement 110 Blade, Application Punch

Replacement 110 Blade, Application Punch Down Tool

NET AMT

Replacement 66 Blade, Application Punch

Replacement 66 Blade, Application Punch Down Tool

NET AMT

Crossconnect Wire Rating Nonplenum Insul

Crossconnect Wire Rating Nonplenum Insulation Material PVC Conductor Size 24 AWG 1000 Ft Spool Bl/Wh

NET AMT

Bulk Line Cortdage 4 Conductor Line Cord

Bulk Line Cortdage 4 Conductor Line Cord 1000 Ft At4clc Bulk Flat Line Cable - 1000 Feet Satin Silver

NET AMT

4pr Cat5e UTP Cable Blue 1000ft M57553B, 4pr Cat5e UTP Cable Blue 1000ft M57553B, 5e LAN Riser, Blue

NET AMT

Category 3 Cable Non Plenum UTP Gray 25

Category 3 Cable Non Plenum UTP Gray 25 Pairs 1000ft M55700

NET AMT

Data Communication Jack Cat 5 Wiring For

Category 3 Cable Non Plenum UTP Gray 25 Pairs 1000ft M55700

NET AMT

Mechanics Tool Bag, Navy 8 Internal Pock

Mechanics Tool Bag, Navy 8 Internal Pockets 2 External Pockets

NET AMT

6" Needle Nose Pliers, 6'' (152 Mm) Jour

6" Needle Nose Pliers, 6'' (152 Mm) Journeyman Standard Long-Nose Pliers Side-Cutting

NET AMT

6" Diagonal Cutting Plier 6-Inch Standar

6" Diagonal Cutting Plier 6-Inch Standard Diagonal-Cutting Pliers-Tapered NOSE

NET AMT

Scotchlock Crimping Ratchet Bell-System

Scotchlock Crimping Ratchet Bell-System Pliers Connector Crimping

NET AMT

Crimping Ratchet Rj11/Rj45, All In One S

Crimping Ratchet Rj11/Rj45, All In One Snagless Modular Plug Crimper

NET AMT

Spudger, Plastic, Pointed/Flat, Pk10

Spudger, Plastic, Pointed/Flat, Pk10

NET AMT

#2 Phillips Screwdriver

#2 Phillips Screwdriver

NET AMT

Impact Tool, Type Impact Tool Kit With 6

Impact Tool, Type Impact Tool Kit With 66/110 Cut Blade

NET AMT

Cable Tester Cat 5/6

Cable Tester Cat 5/6

NET AMT

Probe And Toner In Case

Probe And Toner In Case

NET AMT

Screwdriver Cushion-Grip Round-Shank P F

Screwdriver Cushion-Grip Round-Shank P Flat Tip Screwdriver

NET AMT

TS22 Butt Set OSP With Alligator Clips T

TS22 Butt Set OSP With Alligator Clips Telephone Test Set (Butt Set)

NET AMT

Electrician Scissors With Stripping Notc

TS22 Butt Set OSP With Alligator Clips Telephone Test Set (Butt Set)

NET AMT

TurTEL 8 Modular Adapter (Module Jack Te

TurTEL 8 Modular Adapter (Module Jack Tester)

NET AMT

Cable Ring Cutting Tool Standard Neuses

Two Port VERSATAP Faceplate Ivory

NET AMT

Double Stripper With Cutter 24/26 AWG

Double Stripper With Cutter 24/26 AWG

NET AMT

8" Black 120 Lb Cable Tie - 50 Pcs/Bag

8" Black 120 Lb Cable Tie - 50 Pcs/Bag

NET AMT

14.9" 120 Tensile Mini Black Dome-Top Ba

14.9" 120 Tensile Mini Black Dome-Top Barb-Ty Cable Ties 50 Pcs

NET AMT

Two Port VERSATAP Faceplate Ivory

Two Port VERSATAP Faceplate Ivory

NET AMT

Single-Gang, Wall Box, Ivory

Single-Gang, Wall Box, Ivory

NET AMT

Grip Swivel 1-1/2" Seg-1

Grip Swivel 1-1/2" Seg-1

NET AMT

Grip Swivel 1-1/2" Seg-2

Grip Swivel 1-1/2" Seg-2

NET AMT

Square Drive Extensions .38 In. - 6 In.

Square Drive Extensions .38 In. - 6 In. Extension 3/8 Drive 6

NET AMT

3/8" Drive Deep Socket 7/16 12 Point

3/8" Drive Deep Socket 7/16 12 Point

NET AMT

Socket 3/8' Drive 13 Mm 12 Point Deep

Socket 3/8' Drive 13 Mm 12 Point Deep

NET AMT

Socket 3/8' Drive 13 Mm 12 Point Deep

Socket 3/8' Drive 13 Mm 12 Point Deep

NET AMT

Nut Driver Magnetic Cushion Grip 3/8inx6

Nut Driver Magnetic Cushion Grip 3/8inx6in, 3/8 In. Magnetic Tip Nut Driver

NET AMT

Hand Wire Wrap And Unwrap Tool

Hand Wire Wrap And Unwrap Tool

NET AMT

Tape Measure 25-Feet Tape Measure Has Si

Tape Measure 25-Feet Tape Measure Has Single Hook

NET AMT

9-1/2-Inch Journeyman High Leverage Cabl

9-1/2-Inch Journeyman High Leverage Cable Cutter

NET AMT

Can Wrench With Hex Head

Can Wrench With Hex Head

NET AMT

Cable Pipe Locator Cable Sheath Fault Lo

Cable Pipe Locator Cable Sheath Fault Locator Sheath Fault Locator Locator 2273-U3t3

NET AMT

Dymo Rhino Pro 4200 Label Maker Kit Spec

Dymo Rhino Pro 4200 Label Maker Kit Specifically Designed For Tough Environments And Labeling Requirements Usable On Heat-Shrink Tubing, Creating A Fixed Length Label, With A Bar Code Or Wrapping A Cable With Flexible-Nylon Tape Or Equivalent

NET AMT

Electricians True RMS Multimeter

Electricians True RMS Multimeter

NET AMT

42 In. Pedestal Mounting Stake, With Har

42 In. Pedestal Mounting Stake, With Har

NET AMT

Distribution Upcbd3 Closure, Distributio

Distribution Upcbd3 Closure, Distribution Housing Pedestal 6 In

NET AMT

STATEMENT OF WORK

STATEMENT OF WORK

HTRTS-M SUBSTATON INSTALLATION TRAINING TOOLS AND EQUIPMENT

1.0 Scope: High Tech Regional Training Site – Maintenance (HTRTS-M) conducts 25 Series (Signal/Communications) Military Occupational Skill – Transition (MOS-T) training to Active Component (AC), Reserve Component (RC) and National Guard (NG) soldiers in support of the One Army School System. HTRTS-M will begin conducting the 25L10 Cable System Installer – Maintainer course beginning FY16. HTRTS-M has not conducted the course in the recent past and therefore requires the procurement of equipment and supplies to meet this requirement.

The contractor shall provide, and deliver the products addressed in ATTACHMENT 1 of this statement of work to the High Tech Regional Training Site – Maintenance (HTRTS-M) in Sacramento, California.

1.1 General: This is a non-personal services contract providing the products identified in the Scope to the High Tech Regional Training Site – Maintenance, Sacramento, California. The Government shall not exercise any supervision or control over the contract service providers performing the services described herein.

1.2 Applicability:

1.3 Order Type: This effort shall be a proposed on a firm-fixed-price basis.

1.4 Period of Performance/Place of Performance: The place of performance shall be High Tech Regional Training Site, Sacramento, California 95828, DODAAC W81W5E.

All HTRTS-M Substation Installation Training Tools and Equipment shall be delivered to:

High Tech Regional Training Site-Maintenance (HTRTS-M)

DODAAC W81W5E.

Bldg 661 6201 Midway Street Sacramento, CA 95828

1.5 Government Furnished Equipment/Materials/Facilities: N/A

1.6 Inspection/Acceptance/FOB Terms: Inspection and acceptance shall at Destination. FOB shall be at Destination.

1.7 Security:

1.7.1 Access and general protection/security policy and procedures: Contractor and all associated sub-contractors employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

1.7.2 For contractors that do not require CAC, but require access to a DoD facility or installation: Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014/AR 190-13), applicable installation, facility, and area commander installation/facility access and local security policies and procedures (provide by government representative), or , at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

1.7.4 Threat Awareness Reporting Program: For all contractors with security clearances. Per AR 381-12 Threat Awareness and Reporting Program (TARP), contractor employees must receive annual TARP training by a CI agent or other trainer as specified in 2-4b.

2.0 Applicable Documents: N/A

3.0 Requirements: The HTRTS-M will use the products addressed in Attachment 1 of this statement of work to conduct Substation Installation Training in support of the 25L10 Course IAW with TRADOC and Industry standards and the 25L10 Training Plan of Instruction (POI).

The purpose of this equipment is to provide students with the proper tools to enable them to obtain the skills and knowledge required to install, troubleshoot and repair CAT-5 cable and LAN/WAN substation distribution system; identify the 25 pair color code on Commercial copper cable; determine types of cable faults and the troubleshooting techniques to locate and repair cable faults; fabricate and test CAT-5/CAT-6 patch cords; and maintain a communications systems installation record (CSIR).

3.1. The contractor shall provide and deliver products that meet the specifications, brand names or equivalent, and quantity of items addressed in Attachment 1 of this statement of work.

3.2 Technical Support: N/A

3.3 Hours of Operation: N/A

3.5 Recognized Holidays: N/A

4.0 Deliverables: The contractor shall provide, and deliver all products addressed in Attachment 1 of this statement of work within 20 days of awarded of contract.

5.0 Travel/Special Requirements: N/A

ATTACHMENT 1: PAGE 1

SUBJECT: SOW – HTRTS-M Substation Installation Training Tools and Equipment

ATTACHMENT 1: PAGE 2

SUBJECT: SOW – HTRTS-M Substation Installation Training Tools and Equipment

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

SFC PEREZ ESTEBAN

6201 MIDWAY ST

SACRAMENTO CA 95828

W81W5E

W81W5E

W1HZ USA RTS MAINTENANCE

6201 MIDWAY STREET BLDG 661

SACRAMENTO NJ 95828

910-570-9447

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CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (NOV 2015)

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

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.

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

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

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

"Women-owned business concern" means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

"Women-owned small business concern" means a small business concern--

(1) That is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least 51 percent of its stock is owned by one or more women; or

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

Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127)”, means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States.

(b) (1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted electronically on the SAM website.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ___ .

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

(c) Offerors must complete the following representations when the resulting contract will be performed in the United States or its outlying areas. Check all that apply.

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

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

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

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

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

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

(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that--

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

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

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

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

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

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

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

(10) 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 ( ___ ) has, ( ___ ) has not, filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that--

(i) It ( ___ ) has developed and has on file, ( ___ ) has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR Subparts 60-1 and 60-2), or

(ii) It ( ___ ) has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American --Supplies, is included in this solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.” The terms “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American--Supplies.”

(2) Foreign End Products:

(List as necessary)

(3) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(g)(1) Buy American--Free Trade Agreements--Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American--Free Trade Agreements--Israeli Trade Act, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The terms ``Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product,'' ``commercially available off-the-shelf (COTS) item,'' ``component,'' ``domestic end product,'' ``end product,'' ``foreign end product,'' ``Free Trade Agreement country,'' ``Free Trade Agreement country end product,'' ``Israeli end product,'' and ``United States'' are defined in the clause of this solicitation entitled ``Buy American--Free Trade Agreements--Israeli Trade Act.''

(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled ``Buy American--Free Trade Agreements--Israeli Trade Act'':

Free Trade Agreement Country End Products (Other than Bahrainian, Moroccan, Omani, Panamanian, or Peruvian End Products) or Israeli End Products:

[List as necessary]

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) of this provision) as defined in the clause of this solicitation entitled "Buy American-Free Trade Agreements-Israeli Trade Act." The offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.”

Other Foreign End Products:

(iv) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(2) Buy American Act-Free Trade Agreements-Israeli Trade Act Certificate, Alternate I (Jan 2004). If Alternate I to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products as defined in the clause of this solicitation entitled "Buy American -Free Trade Agreements-Israeli Trade Act":

Canadian End Products:

Line Item No.

(3) Buy American-Free Trade Agreements-Israeli Trade Act Certificate, Alternate II (Jan 2004). If Alternate II to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products or Israeli end products as defined in the clause of this solicitation entitled "Buy American-Free Trade Agreements-Israeli Trade Act":

Canadian or Israeli End Products:

(4) Buy American--Free Trade Agreements--Israeli Trade Act Certificate, Alternate III. If Alternate III to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Korean, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled ``Buy American --Free Trade Agreements--Israeli Trade Act'':

Free Trade Agreement Country End Products (Other than Bahrainian, Korean, Moroccan, Omani, Panamanian, or Peruvian End Products) or Israeli End Products:

(5) Trade Agreements Certificate. (Applies only if the clause at FAR 52.225-5, Trade Agreements, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(5)(ii) of…