W81K00-21-Q-0239 Solicitation_Language Services.pdf

SEE ADDENDUM

(No Collect Calls)

W81K0021Q0239 19-Aug-2021

b. TELEPHONE NUMBER 8. OFFER DUE DATE/LOCAL TIME

01:00 PM 27 Aug 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.

W81K009. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

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

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 ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

2539 GARDEN AVENUE

FT SAM HOUSTON TX 78234-0000

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 W55XTW 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

X SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FORT RILEY IRWIN ARMY COMMUNITY HOSPITAL

FORT RILEY IRWIN ARMY COMMUNITY HOS

BDG. 650 HUEBNER RD

FORT RILEY, KS KS 66442

TEL: FAX:

FAX:

TEL: 210-221-1110 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$8,000,000

NAICS:

541930

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 OF87

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.

W81K0021Q0239

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Language Translation

FFP

Non Personal Services. The contractor shall provide over the phone, written, video teleconferencing and American Sign Language services that provides for language translation and interpretation services 24 hours a day, 365 days a year. In accordance with the Performance Work Statement. Period of Performance 01 October 2021 -30 September 2022. Subject to the Availability of FY22 Funds.

NET AMT

0001AA 1 Job Medical Documentation Translation

FFP

Medical documentation Translation services that provides for language translation and interpretation services 24 hours a day, 365 days a year. Translation services for patient and provider communication 2,200 minutes. Languages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2021 - 30 September 2022 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY22 Funds.

FOB: Destination

PSC CD: R608

0001AB 1,000 Minutes American Sign Language Services

FFP

Video Remote Teleconferencing interpretation service that provides American Sign Language translation and interpretation services 24 hours a day, 365 days a year. In accordance with the Performance Work Statement. Period of Performance, 01 October 2021 -30 September 2022 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY22 Funds.

0001AC 5,000 Minutes Phone Interpretation and Translation

FFP

Phone Interpretation and Translation services and video remote Teleconferencing interpretation service that provides for language translation and interpretation services 24 hours a day, 365 days a year. Languages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2021 -30 September 2022 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY22 Funds.

0001AD 12 Job Phone Rental

FFP

Provides four (4) rental phones for services that provides for language translation and interpretation services 24 hours a day, 365 days a year. Translation services for patient and provider communication 2,200. Languages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2021 -30 September 2022 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY22 Funds.

0001AE 1 Each Contractor Manpower Reporting (CMR)

FFP

Contractor Manpower Reporting (CMR) may not be required pending possible changes to DFARS Clause. If the guidance changes the reporting requirement a modification will be executed to remove the CMR reporting requirement. If no modification is completed the contractor shall adhere to the reporting requirement.

Subject to the Availability of FY22 Funds.

OPTION Language Translation

FFP

Non Personal Services. The contractor shall provide over the phone, written, video teleconferencing and American Sign Language services that provides for language translation and interpretation services 24 hours a day, 365 days a year. In

October 2022 -30 September 2023. Subject to the Availability of FY23 Funds.

1001AA 1 Job OPTION Medical Documentation Translation

FFP

Medical documentation Translation services that provides for language translation and interpretation services 24 hours a day, 365 days a year. Translation services for patient and provider communication 2,200 minutes. anguages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2022 - 30 September 2023 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY23 Funds.

1001AB 1,000 Minutes OPTION American Sign Language Services

FFP

Video Remote Teleconferencing interpretation service that provides American Sign Language translation and interpretation services 24 hours a day, 365 days a year. In accordance with the Performance Work Statement. Period of Performance, 01 October 2022 -30 September 2023 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY23 Funds.

1001AC 5,000 Minutes OPTION Phone Interpretation and Translation

FFP

Phone Interpretation and Translation services and video remote Teleconferencing interpretation service that provides for language translation and interpretation services 24 hours a day, 365 days a year. Languages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2022 -30 September 2023 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY23 Funds.

1001AD 12 Job OPTION Phone Rental

FFP

Provides four (4) rental phones for services that provides for language translation and interpretation services 24 hours a day, 365 days a year. Translation services for patient and provider communication 2,200. Languages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2022 -30 September 2023 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY23 Funds.

1001AE 1 Each OPTION Contractor Manpower Reporting (CMR)

FFP

Contractor Manpower Reporting (CMR) may not be required pending possible changes to DFARS Clause. If the guidance changes the reporting requirement a modification will be executed to remove the CMR reporting requirement. If no modification is completed the contractor shall adhere to the reporting requirement.

Subject to the Availability of FY23 Funds.

OPTION Language Translation

FFP

Non Personal Services. The contractor shall provide over the phone, written, video teleconferencing and American Sign Language services that provides for language translation and interpretation services 24 hours a day, 365 days a year. In

October 2023 - 30 September 2024. Subject to the Availability of FY24 Funds.

2001AA 1 Job OPTION Medical Documentation Translation

FFP

Medical documentation Translation services that provides for language translation and interpretation services 24 hours a day, 365 days a year. Translation services for patient and provider communication 2,200 minutes. anguages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2023 - 30 September 2024 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY24 Funds.

2001AB 1,000 Minutes OPTION American Sign Language Services

FFP

Video Remote Teleconferencing interpretation service that provides American Sign Language translation and interpretation services 24 hours a day, 365 days a year. In accordance with the Performance Work Statement. Period of Performance, 01 October 2023 -30 September 2024 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY24 Funds.

2001AC 5,000 Minutes OPTION Phone Interpretation and Translation

FFP

Phone Interpretation and Translation services and video remote Teleconferencing interpretation service that provides for language translation and interpretation services 24 hours a day, 365 days a year. Languages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2023 - 30 September 2024 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY24 Funds.

2001AD 12 Job OPTION Phone Rental

FFP

Provides four (4) rental phones for services that provides for language translation and interpretation services 24 hours a day, 365 days a year. Translation services for patient and provider communication 2,200. Languages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2023 - 30 September 2024 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY24 Funds.

2001AE 1 Each OPTION Contractor Manpower Reporting (CMR)

FFP

Contractor Manpower Reporting (CMR) may not be required pending possible changes to DFARS Clause. If the guidance changes the reporting requirement a modification will be executed to remove the CMR reporting requirement. If no modification is completed the contractor shall adhere to the reporting requirement.

Subject to the Availability of FY24 Funds.

OPTION Language Translation

FFP

Non Personal Services. The contractor shall provide over the phone, written, video teleconferencing and American Sign Language services that provides for language translation and interpretation services 24 hours a day, 365 days a year. In

October 2024 - 30 September 2025. Subject to the Availability of FY25 Funds.

3001AA 1 Job OPTION Medical Documentation Translation

FFP

Medical documentation Translation services that provides for language translation and interpretation services 24 hours a day, 365 days a year. Translation services for patient and provider communication 2,200 minutes. anguages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2024 - 30 September 2025 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY25 Funds.

3001AB 1,000 Minutes OPTION American Sign Language Services

FFP

Video Remote Teleconferencing interpretation service that provides American Sign Language translation and interpretation services 24 hours a day, 365 days a year. In accordance with the Performance Work Statement. Period of Performance, 01 October 2024 -30 September 2025 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY25 Funds.

3001AC 5,000 Minutes OPTION Phone Interpretation and Translation

FFP

Phone Interpretation and Translation services and video remote Teleconferencing interpretation service that provides for language translation and interpretation services 24 hours a day, 365 days a year. Languages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2024 - 30 September 2025 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY25 Funds.

3001AD 12 Job OPTION Phone Rental

FFP

Provides four (4) rental phones for services that provides for language translation and interpretation services 24 hours a day, 365 days a year. Translation services for patient and provider communication 2,200. Languages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2024 - 30 September 2025 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY25 Funds.

3001AE 1 Each OPTION Contractor Manpower Reporting (CMR)

FFP

Contractor Manpower Reporting (CMR) may not be required pending possible changes to DFARS Clause. If the guidance changes the reporting requirement a modification will be executed to remove the CMR reporting requirement. If no modification is completed the contractor shall adhere to the reporting requirement.

Subject to the Availability of FY25 Funds.

OPTION Language Translation

FFP

Non Personal Services. The contractor shall provide over the phone, written, video teleconferencing and American Sign Language services that provides for language translation and interpretation services 24 hours a day, 365 days a year. In

October 2025 - 30 September 2026. Subject to the Availability of FY26 Funds.

4001AA 1 Job OPTION Medical Documentation Translation

FFP

Medical documentation Translation services that provides for language translation and interpretation services 24 hours a day, 365 days a year. Translation services for patient and provider communication 2,200 minutes. anguages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2025 - 30 September 2026 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY26 Funds.

4001AB 1,000 Minutes OPTION American Sign Language Services

FFP

Video Remote Teleconferencing interpretation service that provides American Sign Language translation and interpretation services 24 hours a day, 365 days a year. In accordance with the Performance Work Statement. Period of Performance, 01 October 2025 - 30 September 2026 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY26 Funds.

4001AC 5,000 Minutes OPTION Phone Interpretation and Translation

FFP

Phone Interpretation and Translation services and video remote Teleconferencing interpretation service that provides for language translation and interpretation services 24 hours a day, 365 days a year. Languages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2025 - 30 September 2026 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY26 Funds.

4001AD 12 Job OPTION Phone Rental

FFP

Provides four (4) rental phones for services that provides for language translation and interpretation services 24 hours a day, 365 days a year. Translation services for patient and provider communication 2,200. Languages will include but not limited to Spanish, Korean, German, Japanese, and Tagalog. In accordance with the Performance Work Statement. Period of Performance, 01 October 2025 - 30 September 2026 at Irwin Army Community Hospital (IACH), Fort Riley, Kansas IAW PWS attached. Subject to the Availability of FY26 Funds.

4001AE 1 Each OPTION Contractor Manpower Reporting (CMR)

FFP

Contractor Manpower Reporting (CMR) may not be required pending possible changes to DFARS Clause. If the guidance changes the reporting requirement a modification will be executed to remove the CMR reporting requirement. If no modification is completed the contractor shall adhere to the reporting requirement.

Subject to the Availability of FY26 Funds.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A N/A 0001AA Destination Government Destination Government 0001AB Destination Government Destination Government 0001AC Destination Government Destination Government 0001AD Destination Government Destination Government 0001AE Destination Government Destination Government 1001 N/A N/A N/A N/A 1001AA Destination Government Destination Government 1001AB Destination Government Destination Government 1001AC Destination Government Destination Government 1001AD Destination Government Destination Government 1001AE Destination Government Destination Government 2001 N/A N/A N/A N/A 2001AA Destination Government Destination Government 2001AB Destination Government Destination Government 2001AC Destination Government Destination Government 2001AD Destination Government Destination Government 2001AE Destination Government Destination Government 3001 N/A N/A N/A N/A 3001AA Destination Government Destination Government 3001AB Destination Government Destination Government 3001AC Destination Government Destination Government 3001AD Destination Government Destination Government 3001AE Destination Government Destination Government 4001 N/A N/A N/A N/A 4001AA Destination Government Destination Government 4001AB Destination Government Destination Government 4001AC Destination Government Destination Government 4001AD Destination Government Destination Government 4001AE Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 N/A N/A N/A N/A

0001AA POP 01-OCT-2021 TO

30-SEP-2022

N/A FORT RILEY IRWIN ARMY COMMUNITY

HOSPITAL

FORT RILEY IRWIN ARMY COMMUNITY

HOS

BDG. 650 HUEBNER RD

FORT RILEY, KS KS 66442

W55XTW

0001AB POP 01-OCT-2021 TO

30-SEP-2022

N/A (SAME AS PREVIOUS LOCATION)

0001AC POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AD POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AE POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 N/A N/A N/A N/A

1001AA POP 01-OCT-2022 TO

30-SEP-2023

N/A FORT RILEY IRWIN ARMY COMMUNITY

HOSPITAL

FORT RILEY IRWIN ARMY COMMUNITY

HOS

BDG. 650 HUEBNER RD

FORT RILEY, KS KS 66442

1001AB POP 01-OCT-2022 TO

30-SEP-2023

N/A (SAME AS PREVIOUS LOCATION)

1001AC POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AD POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AE POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 N/A N/A N/A N/A

2001AA POP 01-OCT-2023 TO

30-SEP-2024

N/A FORT RILEY IRWIN ARMY COMMUNITY

HOSPITAL

FORT RILEY IRWIN ARMY COMMUNITY

HOS

BDG. 650 HUEBNER RD

FORT RILEY, KS KS 66442

2001AB POP 01-OCT-2023 TO

30-SEP-2024

N/A (SAME AS PREVIOUS LOCATION)

2001AC POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AD POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AE POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 N/A N/A N/A N/A

3001AA POP 01-OCT-2024 TO

30-SEP-2025

N/A FORT RILEY IRWIN ARMY COMMUNITY

HOSPITAL

FORT RILEY IRWIN ARMY COMMUNITY

HOS

BDG. 650 HUEBNER RD

FORT RILEY, KS KS 66442

3001AB POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AC POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AD POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AE POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 N/A N/A N/A N/A

4001AA POP 01-OCT-2025 TO

30-SEP-2026

N/A FORT RILEY IRWIN ARMY COMMUNITY

HOSPITAL

FORT RILEY IRWIN ARMY COMMUNITY

HOS

BDG. 650 HUEBNER RD

FORT RILEY, KS KS 66442

4001AB POP 01-OCT-2025 TO

30-SEP-2026

N/A (SAME AS PREVIOUS LOCATION)

4001AC POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AD POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AE POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018

ADDENDUM TO 52.212-4

ADDENDUM TO 52.212-4

Paragraph 52.212-4(w) is hereby added:

(w) The non-FAR Part 12 discretionary FAR and DFARS clauses included herein are incorporated into this contract either by reference or in full text. If incorporated by reference, see clause 52.252-2 herein for locations where full text can be found.

(End of Addendum)

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 52.204-23 Prohibition on Contracting for Hardware, Software, and

Services Developed or Provided by Kaspersky Lab and Other Covered Entities.

JUL 2018

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment.

OCT 2020

52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, or Proposed for Debarment

JUN 2020

52.222-3 Convict Labor JUN 2003 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-43 Fair Labor Standards Act And Service Contract Labor

Standards - Price Adjustment (Multiple Year And Option Contracts)

AUG 2018

52.223-1 Biobased Product Certification MAY 2012 52.223-2 Affirmative Procurement of Biobased Products Under Service and Construction Contracts

SEP 2013

52.223-3 Hazardous Material Identification And Material Safety Data FEB 2021 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011 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

52.232-18 Availability Of Funds APR 1984 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

52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004

52.244-6 Subcontracts for Commercial Items JUL 2021 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 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7016 Covered Defense Telecommunications Equipment or Services

-- Representation

DEC 2019

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

252.204-7019 Notice of NIST SP 800-171 DoD Assessment Requirements NOV 2020 252.204-7020 NIST SP 800-171 DoD Assessment Requirements NOV 2020 252.225-7048 Export-Controlled Items JUN 2013 252.225-7974 (Dev) Representation Regarding Business Operations with the

Maduro Regime (DEVIATION 2020-O0005)

FEB 2020

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

DEC 2018

252.232-7006 Wide Area WorkFlow Payment Instructions DEC 2018 252.232-7010 Levies on Contract Payments DEC 2006 252.232-7017 Accelerating Payments to Small Business Subcontractors--

Prohibition on Fees and Consideration

APR 2020

252.243-7001 Pricing Of Contract Modifications DEC 1991 252.245-7003 Contractor Property Management System Administration APR 2012 252.245-7004 Reporting, Reutilization, and Disposal DEC 2017

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)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2020)

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

Backhaul means intermediate links between the core network, or backbone network, and the small subnetworks at the edge of the network (e.g., connecting cell phones/towers to the core telephone network). Backhaul can be wireless (e.g., microwave) or wired (e.g., fiber optic, coaxial cable, Ethernet).

Covered foreign country means The People's Republic of China.

Covered telecommunications equipment or services means--

(1) Telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities);

(2) For the purpose of public safety, security of Government facilities, physical security surveillance of critical infrastructure, and other national security purposes, video surveillance and telecommunications equipment produced by Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or affiliate of such entities);

(3) Telecommunications or video surveillance services provided by such entities or using such equipment; or

(4) Telecommunications or video surveillance equipment or services produced or provided by an entity that the Secretary of Defense, in consultation with the Director of National Intelligence or the Director of the Federal Bureau of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise connected to, the government of a covered foreign country.

Critical technology means--

(1) Defense articles or defense services included on the United States Munitions List set forth in the International Traffic in Arms Regulations under subchapter M of chapter I of title 22, Code of Federal Regulations;

(2) Items included on the Commerce Control List set forth in Supplement No. 1 to part 774 of the Export Administration Regulations under subchapter C of chapter VII of title 15, Code of Federal Regulations, and controlled--

(i) Pursuant to multilateral regimes, including for reasons relating to national security, chemical and biological weapons proliferation, nuclear nonproliferation, or missile technology; or

(ii) For reasons relating to regional stability or surreptitious listening;

(3) Specially designed and prepared nuclear equipment, parts and components, materials, software, and technology covered by part 810 of title 10, Code of Federal Regulations (relating to assistance to foreign atomic energy activities);

(4) Nuclear facilities, equipment, and material covered by part 110 of title 10, Code of Federal Regulations (relating to export and import of nuclear equipment and material);

(5) Select agents and toxins covered by part 331 of title 7, Code of Federal Regulations, part 121 of title 9 of such Code, or part 73 of title 42 of such Code; or

(6) Emerging and foundational technologies controlled pursuant to section 1758 of the Export Control Reform Act of 2018 (50 U.S.C. 4817).

Interconnection arrangements means arrangements governing the physical connection of two or more networks to allow the use of another's network to hand off traffic where it is ultimately delivered (e.g., connection of a customer of telephone provider A to a customer of telephone company B) or sharing data and other information resources.

Reasonable inquiry means an inquiry designed to uncover any information in the entity's possession about the identity of the producer or provider of covered telecommunications equipment or services used by the entity that excludes the need to include an internal or third-party audit.

Roaming means cellular communications services (e.g., voice, video, data) received from a visited network when unable to connect to the facilities of the home network either because signal coverage is too weak or because traffic is too high.

Substantial or essential component means any component necessary for the proper function or performance of a piece of equipment, system, or service.

(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. The Contractor is prohibited from providing to the Government 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, unless an exception at paragraph (c) of this clause applies or the covered telecommunication equipment or services are covered by a waiver described in FAR 4.2104.

(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, unless an exception at paragraph (c) of this clause applies or the covered telecommunication equipment or services are covered by a waiver described in FAR 4.2104. 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.

(c) Exceptions. This clause does not prohibit contractors from providing--

(1) A service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

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

(d) Reporting requirement.

(1) In the event the Contractor identifies covered telecommunications equipment or services used as a substantial or essential component of any system, or as critical technology as part of any system, during contract performance, or the Contractor is notified of such by a subcontractor at any tier or by any other source, the Contractor shall report the information in paragraph (d)(2) of this clause to the Contracting Officer, unless elsewhere in this contract are established procedures for reporting the information; in the case of the Department of Defense, the Contractor shall report to the website at https://dibnet.dod.mil. For indefinite delivery contracts, the Contractor shall report to the Contracting Officer for the indefinite delivery contract and the Contracting Officer(s) for any affected order or, in the case of the Department of Defense, identify both the indefinite delivery contract and any affected orders in the report provided at https://dibnet.dod.mil.

(2) The Contractor shall report the following information pursuant to paragraph (d)(1) of this clause:

(i) Within one business day from the date of such identification or notification: The contract number; the order number(s), if applicable; supplier name; supplier unique entity identifier (if known); supplier Commercial and Government Entity (CAGE) code (if known); brand; model number (original equipment manufacturer number, manufacturer part number, or wholesaler number); item description; and any readily available information about mitigation actions undertaken or recommended.

(ii) Within 10 business days of submitting the information in paragraph (d)(2)(i) of this clause: Any further available information about mitigation actions undertaken or recommended. In addition, the Contractor shall describe the efforts it undertook to prevent use or submission of covered telecommunications equipment or services, and any additional efforts that will be incorporated to prevent future use or submission of covered telecommunications equipment or services.

(e) Subcontracts. The Contractor shall insert the substance of this clause, including this paragraph (e) and excluding paragraph (b)(2), in all subcontracts and other contractual instruments, including subcontracts for the acquisition of commercial items.

(End of clause)

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.

52.209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS--

REPRESENTATION (NOV 2015)

(a) Definitions. Inverted domestic corporation and subsidiary have the meaning given in the clause of this contract entitled Prohibition on Contracting with Inverted Domestic Corporations (52.209-10).

(b) Government agencies are not permitted to use appropriated (or otherwise made available) funds for contracts with either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation, unless the exception at 9.108-2(b) applies or the requirement is waived in accordance with the procedures at 9.108-4.

(c) Representation. The Offeror represents that--

(1) It [ ___ ] is, [ ___ ] is not an inverted domestic corporation; and

(2) It [ ___ ] is, [ ___ ] is not a subsidiary of an inverted domestic corporation.

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (NOV 2015)

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

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).

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.

(b) If the contractor reorganizes as an inverted domestic corporation or becomes a subsidiary of an inverted domestic corporation at any time during the period of performance of this contract, the Government may be prohibited from paying for Contractor activities performed after the date when it becomes an inverted domestic corporation or subsidiary. The Government may seek any available remedies in the event the Contractor fails to perform in accordance with the terms and conditions of the contract as a result of Government action under this clause.

(c) Exceptions to this prohibition are located at 9.108-2.

(d) In the event the Contractor becomes either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation during contract performance, the Contractor shall give written notice to the Contracting Officer within five business days from the date of the inversion event.

52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY OR A

FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that--

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that--

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days before contract ends. (insert the period of time within which the Contracting Officer may exercise the option).

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days before contract ends. (insert the period of time within which the Contracting Officer may exercise the option); provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 60 months.

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (NOV 2020)

Long-term contract means a contract of more than five years in duration, including options. However, the term does not include contracts that exceed five years in duration because the period of performance has been extended for a cumulative period not to exceed six months under the clause at 52.217-8, Option to Extend Services, or other appropriate authority.

Small business concern--

(1) 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 the size standard in paragraph (d) of this clause.