W81K00-16-T-0026_Solicitation.pdf

SEE ADDENDUM

(No Collect Calls)

W81K00-16-T-0026 12-Jan-2016

b. TELEPHONE NUMBER

254-286-7205

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 12 Feb 2016

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 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

ANTHONY D. BROWNER

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

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

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

0010791513

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 MEDCOM HCAA

SOUTHERN REG CONTR OFC

3551 ROGER BROOK DR BLDG 3600

FORT SAM HOUSTON TX 78234-6200

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 W45XTR 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

W2M5 CARL R DARNELL ARMY MED C

PLACE OF PERFORMANCE

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

TEL: . FAX: .

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$7,500,000

NAICS:

621399

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 OF97

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.

W81K00-16-T-0026

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Base - Ten FTE's

FFP

Personal Services for Nurse Practitioner/Physician Assistant (5 FTE's); Optometry

Technician (1 FTE); Optometrist (1 FTE) and Certified Nurse Assistants (3 FTE's) to support the Separation History and Physical Exam mission at Carl R. Darnall

Army Medical Center (CRDAMC) Fort Hood, Texas. Period of Performance: 1

March 2016 - 30 September 2016.

FOB: Destination

PURCHASE REQUEST NUMBER: 0010791513

NET AMT

0001AA 6,840 Hours Base FY16 NP/PA REG HRS 5FTE

FFP

Personal Services for Nurse Practitioner/Physician Assistant Regular Hours for five

(5) FTE's.

0001AB 250 Hours Base FY16 NP/PA EXCESS HRS 5FTE

FFP

Personal Services for Nurse Practitioner/Physician Assistant Excess Hours for five

(5) FTE's.

0001AC 5 Each Base NEW AWARD-SIGN/ON 5FTE

FFP

Personal Services for Nurse Practitioner/Physician Assistant Sign-on Bonus for five (5) FTE's.

0001AD 4,104 Hours Base FY16 CNAs REG HRS 3FTE

FFP

Personal Services for Certified Nurse Assistants Regular Hours for three (3) FTE's.

0001AE 75 Hours Base FY16 CNAs Excess HRS 3FTE

FFP

Personal Services for Certified Nurse Assistants Excess Hours for three (3) FTE's.

0001AF 1,368 Hours Base FY16 NEW OPTOMETRIST 1 FTE

FFP

Personal Services for Optometrist Regular Hours for one (1) FTE.

0001AG 25 Hours Base FY16 NEW OPTOMETRIST 1 FTE Exc

FFP

Personal Services for Optometrist Excess Hours for one (1) FTE.

0001AH 1,368 Hours Base FY16 NEW OPTOMETRY TECH 1 FTE

FFP

Personal Services for Optometry Technician Regular Hours for one (1) FTE.

0001AJ 25 Hours Base FY16 NEW OPT TECH 1 FTE Excess

FFP

Personal Services for Optometry Technician Excess Hours for one (1) FTE.

0001AK 1 Each Base - CONTRACTOR MANPOWER REPORTING

FFP

Base - CONTRACTOR MANPOWER REPORTING

OPTION First Option - Ten FTE's

FFP

Personal Services for Nurse Practitioner/Physician Assistant (5 FTE's); Optometry

Technician (1 FTE); Optometrist (1 FTE) and Certified Nurse Assistants (3 FTE's) to support the Separation History and Physical Exam mission at Carl R. Darnall

Army Medical Center (CRDAMC) Fort Hood, Texas. Period of Performance: 1

October 2016 - 30 September 2017.

1001AA 6,840 Hours OPTION First Option NP/PA REG HRS 5FTE

FFP

Personal Services for Nurse Practitioner/Physician Assistant Regular Hours for five

(5) FTE's.

1001AB 250 Hours OPTION First Opt NP/PA EXCESS HRS 5FTE

FFP

Personal Services for Nurse Practitioner/Physician Assistant Excess Hours for five

1001AC 5 Each OPTION First Option NEW AWARD-SIGN/ON

FFP

Personal Services for Nurse Practitioner/Physician Assistant Sign-on Bonus for five (5) FTE's.

1001AD 4,104 Hours OPTION First Option NP/PAs REG HRS 3FTE

FFP

Personal Services for Certified Nurse Assistants Regular Hours for three (3) FTE's.

1001AE 75 Hours OPTION First Option CNAs Excess HRS 3FTE

FFP

Personal Services for Certified Nurse Assistants Excess Hours for three (3) FTE's.

1001AF 1,368 Hours OPTION First Option NEW OPTOMETRIST 1 FTE

FFP

Personal Services for Optometrist Regular Hours for one (1) FTE.

1001AG 25 Hours OPTION First Opt NEW OPTOMETRIST 1 FTE Exc

FFP

Personal Services for Optometrist Excess Hours for one (1) FTE.

1001AH 1,368 Hours OPTION First Option NEW OPTOMETRY TECH

FFP

Personal Services for Optometry Technician Regular Hours for one (1) FTE.

1001AJ 25 Hours OPTION First Opt NEW OPT TECH 1 FTE Excess

FFP

Personal Services for Optometry Technician Excess Hours for one (1) FTE.

1001AK 1 Each OPTION First Op - CONTRACTOR MANPOWER REPORTING

FFP

Base - CONTRACTOR MANPOWER REPORTING

OPTION Second Option - Ten FTE's

FFP

Personal Services for Nurse Practitioner/Physician Assistant (5 FTE's); Optometry

Technician (1 FTE); Optometrist (1 FTE) and Certified Nurse Assistants (3 FTE's) to support the Separation History and Physical Exam mission at Carl R. Darnall

Army Medical Center (CRDAMC) Fort Hood, Texas. Period of Performance: 1

October 2017 - 30 September 2018.

2001AA 6,840 Hours OPTION Second Option NP/PA REG HRS 5FTE

FFP

Personal Services for Nurse Practitioner/Physician Assistant Regular Hours for five

2001AB 250 Hours OPTION Second Opt NP/PA EXCESS HRS 5FTE

FFP

Personal Services for Nurse Practitioner/Physician Assistant Excess Hours for five

2001AC 5 Each OPTION Second Option NEW AWARD-SIGN/ON

FFP

Personal Services for Nurse Practitioner/Physician Assistant Sign-on Bonus for

2001AD 4,104 Hours OPTION Second Option CNAs REG HRS 3FTE

FFP

2001AE 75 Hours OPTION Second Opt CNAs Excess HRS 3FTE

FFP

2001AF 1,368 Hours OPTION Second Option NEW OPTOMETRIST 1 FTE

FFP

2001AG 25 Hours OPTION Second Op NEW OPTOMETRIST 1 FTE Exc

FFP

2001AH 1,368 Hours OPTION Second Option NEW OPTOMETRY TECH

FFP

2001AJ 25 Hours OPTION Second Op NEW OPT TECH 1 FTE Excess

FFP

2001AK 1 Each OPTION Second - CONTRACTOR MANPOWER REPORTING

FFP

Second Option - CONTRACTOR MANPOWER REPORTING

OPTION Third Option - Ten FTE's

FFP

Personal Services for Nurse Practitioner/Physician Assistant (5 FTE's); Optometry

Technician (1 FTE); Optometrist (1 FTE) and Certified Nurse Assistants (3 FTE's) to support the Separation History and Physical Exam mission at Carl R. Darnall

Army Medical Center (CRDAMC) Fort Hood, Texas. Period of Performance: 1

October 2018 - 30 September 2019.

3001AA 6,840 Hours OPTION Third Option NP/PA REG HRS 5FTE

FFP

Personal Services for Nurse Practitioner/Physician Assistant Regular Hours for five

3001AB 250 Hours OPTION Third Opt NP/PA EXCESS HRS 5FTE

FFP

Personal Services for Nurse Practitioner/Physician Assistant Excess Hours for five

3001AC 5 Each OPTION Third Option NEW AWARD-SIGN/ON

FFP

Personal Services for Nurse Practitioner/Physician Assistant Sign-on Bonus for

3001AD 4,104 Hours OPTION Third Option CNAs REG HRS 3FTE

FFP

3001AE 75 Hours OPTION Third Opt CNAs Excess HRS 3FTE

FFP

3001AF 1,368 Hours OPTION Third Option NEW OPTOMETRIST 1 FTE

FFP

3001AG 25 Hours OPTION Third Opt NEW OPTOMETRIST 1 FTE Exc

FFP

3001AH 1,368 Hours OPTION Third Option NEW OPTOMETRY TECH

FFP

3001AJ 25 Hours OPTION Third Opt NEW OPT TECH 1 FTE Excess

FFP

3001AK 1 Each OPTION Third Op - CONTRACTOR MANPOWER REPORTING

FFP

Third Option - CONTRACTOR MANPOWER REPORTING

OPTION Fourth Option - Ten FTE's

FFP

Personal Services for Nurse Practitioner/Physician Assistant (5 FTE's); Optometry

Technician (1 FTE); Optometrist (1 FTE) and Certified Nurse Assistants (3 FTE's) to support the Separation History and Physical Exam mission at Carl R. Darnall

Army Medical Center (CRDAMC) Fort Hood, Texas. Period of Performance: 1

October 2019 - 30 September 2020.

4001AA 6,840 Hours OPTION Fourth Option NP/PA REG HRS 5FTE

FFP

Personal Services for Nurse Practitioner/Physician Assistant Regular Hours for five

4001AB 250 Hours OPTION Fourth Opt NP/PA EXCESS HRS 5FTE

FFP

Personal Services for Nurse Practitioner/Physician Assistant Excess Hours for five

4001AC 5 Each OPTION Fourth Option NEW AWARD-SIGN/ON

FFP

Personal Services for Nurse Practitioner/Physician Assistant Sign-on Bonus for

4001AD 4,104 Hours OPTION Fourth Option CNAs REG HRS 3FTE

FFP

4001AE 75 Hours OPTION Fourth Option CNAs Excess HRS 3FTE

FFP

4001AF 1,368 Hours OPTION Fourth Option NEW OPTOMETRIST 1 FTE

FFP

4001AG 25 Hours OPTION Fourth Op NEW OPTOMETRIST 1 FTE Exc

FFP

4001AH 1,368 Hours OPTION Fourth Option NEW OPTOMETRY TECH

FFP

4001AJ 25 Hours OPTION Fourth Op NEW OPT TECH 1 FTE Excess

FFP

4001AK 1 Each OPTION Fourth - CONTRACTOR MANPOWER REPORTING

FFP

Fourth Option - CONTRACTOR MANPOWER REPORTING

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 Government

0001AA N/A N/A N/A Government

0001AB N/A N/A N/A Government

0001AC N/A N/A N/A Government

0001AD N/A N/A N/A Government

0001AE N/A N/A N/A Government

0001AF N/A N/A N/A Government

0001AG N/A N/A N/A Government

0001AH Destination Government Destination Government

0001AJ Destination Government Destination Government

0001AK Destination Government Destination Government

1001 N/A N/A N/A Government

1001AA N/A N/A N/A Government

1001AB N/A N/A N/A Government

1001AC N/A N/A N/A Government

1001AD N/A N/A N/A Government

1001AE N/A N/A N/A Government

1001AF N/A N/A N/A Government

1001AG N/A N/A N/A Government

1001AH Destination Government Destination Government

1001AJ Destination Government Destination Government

1001AK Destination Government Destination Government

2001 N/A N/A N/A Government

2001AA N/A N/A N/A Government

2001AB N/A N/A N/A Government

2001AC N/A N/A N/A Government

2001AD N/A N/A N/A Government

2001AE N/A N/A N/A Government

2001AF N/A N/A N/A Government

2001AG N/A N/A N/A Government

2001AH Destination Government Destination Government

2001AJ Destination Government Destination Government

2001AK Destination Government Destination Government

3001 N/A N/A N/A Government

3001AA N/A N/A N/A Government

3001AB N/A N/A N/A Government

3001AC N/A N/A N/A Government

3001AD N/A N/A N/A Government

3001AE N/A N/A N/A Government

3001AF N/A N/A N/A Government

3001AG N/A N/A N/A Government

3001AH Destination Government Destination Government

3001AJ Destination Government Destination Government

3001AK Destination Government Destination Government

4001 N/A N/A N/A Government

4001AA N/A N/A N/A Government

4001AB N/A N/A N/A Government

4001AC N/A N/A N/A Government

4001AD N/A N/A N/A Government

4001AE N/A N/A N/A Government

4001AF N/A N/A N/A Government

4001AG N/A N/A N/A Government

4001AH Destination Government Destination Government

4001AJ Destination Government Destination Government

4001AK Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

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

0001AA POP 01-MAR-2016 TO

30-SEP-2016

N/A W2M5 CARL R DARNELL ARMY MED C

PLACE OF PERFORMANCE

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

W45XTR

0001AB POP 01-MAR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AC POP 01-MAR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AD POP 01-MAR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AE POP 01-MAR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AF POP 01-MAR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AG POP 01-MAR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AH POP 01-MAR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AJ POP 01-MAR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AK POP 01-MAR-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

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

1001AA POP 01-OCT-2016 TO

30-SEP-2017

N/A W2M5 CARL R DARNELL ARMY MED C

PLACE OF PERFORMANCE

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

1001AB POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AC POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AD POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AE POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AF POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AG POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AH POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AJ POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AK POP 01-OCT-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

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

2001AA POP 01-OCT-2017 TO

30-SEP-2018

N/A W2M5 CARL R DARNELL ARMY MED C

PLACE OF PERFORMANCE

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

2001AB POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AC POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AD POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AE POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AF POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AG POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AH POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AJ POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AK POP 01-OCT-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

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

3001AA POP 01-OCT-2018 TO

30-SEP-2019

N/A W2M5 CARL R DARNELL ARMY MED C

PLACE OF PERFORMANCE

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

3001AB POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AC POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AD POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AE POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AF POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AG POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AH POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AJ POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AK POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

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

4001AA POP 01-OCT-2019 TO

30-SEP-2020

N/A W2M5 CARL R DARNELL ARMY MED C

PLACE OF PERFORMANCE

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

4001AB POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AC POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AD POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AE POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AF POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AG POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AH POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AJ POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AK POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015

52.203-6 Restrictions On Subcontractor Sales To The Government SEP 2006

52.203-12 Limitation On Payments To Influence Certain Federal

Transactions

OCT 2010

52.203-17 Contractor Employee Whistleblower Rights and Requirement

To Inform Employees of Whistleblower Rights

APR 2014

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber

Content Paper

MAY 2011

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for

Debarment

OCT 2015

52.219-4 Notice of Price Evaluation Preference for HUBZone Small

Business Concerns

OCT 2014

52.219-8 Utilization of Small Business Concerns OCT 2014

52.222-3 Convict Labor JUN 2003

52.222-21 Prohibition Of Segregated Facilities APR 2015

52.222-26 Equal Opportunity APR 2015

52.222-35 Equal Opportunity for Veterans OCT 2015

52.222-36 Equal Opportunity for Workers with Disabilities JUL 2014

52.222-37 Employment Reports on Veterans OCT 2015

52.222-41 Service Contract Labor Standards MAY 2014

52.222-43 Fair Labor Standards Act And Service Contract Labor

Standards - Price Adjustment (Multiple Year And Option

Contracts)

MAY 2014

52.222-50 Combating Trafficking in Persons MAR 2015

52.222-51 Exemption from Application of the Service Contract Labor

Standards to Contracts for Maintenance, Calibration, or

Repair of Certain Equipment--Requirements

MAY 2014

52.222-54 Employment Eligibility Verification OCT 2015

52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011

52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.225-13 Restrictions on Certain Foreign Purchases JUN 2008

52.228-5 Insurance - Work On A Government Installation JAN 1997

52.229-6 Taxes--Foreign Fixed-Price Contracts FEB 2013

52.232-18 Availability Of Funds APR 1984

52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

JUL 2013

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

52.242-13 Bankruptcy JUL 1995

252.201-7000 Contracting Officer's Representative DEC 1991

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013

252.204-7000 Disclosure Of Information AUG 2013

252.204-7003 Control Of Government Personnel Work Product APR 1992

252.209-7004 Subcontracting With Firms That Are Owned or Controlled By

The Government of a Country that is a State Sponsor of

Terrorism

OCT 2015

252.225-7048 Export-Controlled Items JUN 2013

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006

CLAUSES INCORPORATED BY FULL TEXT

52.216-1 TYPE OF CONTRACT (APR 1984)

The Government contemplates award of a Firm Fixed Price contract resulting from this solicitation.

(End of provision)

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 15 Calender

Days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least

60 Calender 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.

(End of clause)

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (JULY 2013)

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

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 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 (c) of this clause. Such a concern is ``not dominant in its field of operation'' when it does not exercise a controlling or major influence on a national basis in a kind of business activity in which a number of business concerns are primarily engaged. In determining whether dominance exists, consideration shall be given to all appropriate factors, including volume of business, number of employees, financial resources, competitive status or position, ownership or control of materials, processes, patents, license agreements, facilities, sales territory, and nature of business activity.

(b) If the Contractor represented that it was a small business concern prior to award of this contract, the Contractor shall rerepresent its size status according to paragraph (e) of this clause or, if applicable, paragraph (g) of this clause, upon the occurrence of any of the following:

(1) Within 30 days after execution of a novation agreement or within 30 days after modification of the contract to include this clause, if the novation agreement was executed prior to inclusion of this clause in the contract.

(2) Within 30 days after a merger or acquisition that does not require a novation or within 30 days after modification of the contract to include this clause, if the merger or acquisition occurred prior to inclusion of this clause in the contract.

(3) For long-term contracts--

(i) Within 60 to 120 days prior to the end of the fifth year of the contract; and

(ii) Within 60 to 120 days prior to the date specified in the contract for exercising any option thereafter.

(c) The Contractor shall rerepresent its size status in accordance with the size standard in effect at the time of this rerepresentation that corresponds to the North American Industry Classification System (NAICS) code assigned to this contract. The small business size standard corresponding to this NAICS code can be found at http://www.sba.gov/content/table-small-business-size-standards.

(d) The small business size standard for a Contractor providing a product which it does not manufacture itself, for a contract other than a construction or service contract, is 500 employees.

(e) Except as provided in paragraph (g) of this clause, the Contractor shall make the representation required by paragraph (b) of this clause by validating or updating all its representations in the Representations and Certifications section of the System for Award Management (SAM) and its other data in SAM, as necessary, to ensure that they reflect the Contractor's current status. The

Contractor shall notify the contracting office in writing within the timeframes specified in paragraph (b) of this clause that the data have been validated or updated, and provide the date of the validation or update.

(f) If the Contractor represented that it was other than a small business concern prior to award of this contract, the

Contractor may, but is not required to, take the actions required by paragraphs (e) or (g) of this clause.

(g) If the Contractor does not have representations and certifications in SAM, or does not have a representation in

SAM for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

The Contractor represents that it ( ) is, ( ) is not a small business concern under NAICS Code 621399- assigned to contract number W81K00-16-T-0026.

(Contractor to sign and date and insert authorized signer's name and title).

52.233-2 SERVICE OF PROTEST (SEP 2006)

(a) Protests, as defined in section 33.101 of the Federal Acquisition Regulation, that are filed directly with an agency, and copies of any protests that are filed with the Government Accountability Office (GAO), shall be served on the Contracting Officer (addressed as follows) by obtaining written and dated acknowledgment of receipt from:

Randall P. Cummins

Contracting Officer

36001 Darnall Loop, Bldg #36001, Rm 341

Fort Hood, Texas 76544

(b) The copy of any protest shall be received in the office designated above within one day of filing a protest with the GAO.

52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

52.252-5 AUTHORIZED DEVIATIONS IN PROVISIONS (APR 1984)

(a) The use in this solicitation of any Federal Acquisition Regulation (48 CFR Chapter 1) provision with an authorized deviation is indicated by the addition of"(DEVIATION)" after the date of the provision.

(b) The use in this solicitation of any DoD FAR Supplement (48 CFR Chapter 2) provision with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (APR 1984)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this solicitation or contract of any DoD FAR Supplement (48 CFR Chapter 2) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT REPORTING (SEPT 2015)

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

Adequate security means protective measures that are commensurate with the consequences and probability of loss, misuse, or unauthorized access to, or modification of information.

Compromise means disclosure of information to unauthorized persons, or a violation of the security policy of a system, in which unauthorized intentional or unintentional disclosure, modification, destruction, or loss of an object, or the copying of information to unauthorized media may have occurred.

Contractor attributional/proprietary information means information that identifies the contractor(s), whether directly or indirectly, by the grouping of information that can be traced back to the contractor(s) (e.g., program description, facility locations), personally identifiable information, as well as trade secrets, commercial or financial information, or other commercially sensitive information that is not customarily shared outside of the company.

Contractor information system means an information system belonging to, or operated by or for, the Contractor.

Controlled technical information means technical information with military or space application that is subject to controls on the access, use, reproduction, modification, performance, display, release, disclosure, or dissemination.

Controlled technical information would meet the criteria, if disseminated, for distribution statements B through F using the criteria set forth in DoD Instruction 5230.24, Distribution Statements on Technical

Documents. The term does not include information that is lawfully publicly available without restrictions.

Covered contractor information system means an information system that is owned, or operated by or for, a contractor and that processes, stores, or transmits covered defense information.

Covered defense information means unclassified information that--

(i) Is--

(A) Provided to the contractor by or on behalf of DoD in connection with the performance of the contract; or

(B) Collected, developed, received, transmitted, used, or stored by or on behalf of the contractor in support of the performance of the contract; and

(ii) Falls in any of the following categories:

(A) Controlled technical information.

(B) Critical information (operations security). Specific facts identified through the Operations Security process about friendly intentions, capabilities, and activities vitally needed by adversaries for them to plan and act effectively so as to guarantee failure or unacceptable consequences for friendly mission accomplishment (part of

Operations Security process).

(C) Export control. Unclassified information concerning certain items, commodities, technology, software, or other information whose export could reasonably be expected to adversely affect the United States national security and nonproliferation objectives. To include dual use items; items identified in export administration regulations, international traffic in arms regulations and munitions list; license applications; and sensitive nuclear technology information.

(D) Any other information, marked or otherwise identified in the contract, that requires safeguarding or disseminationcontrols pursuant to and consistent with law, regulations, and Governmentwide policies (e.g., privacy, proprietary business information).

Cyber incident means actions taken through the use of computer networks that result in an actual or potentially adverse effect on an information system and/or the information residing therein.

Forensic analysis means the practice of gathering, retaining, and analyzing computer-related data for investigative purposes in a manner that maintains the integrity of the data.

Malicious software means computer software or firmware intended to perform an unauthorized process that will have adverse impact on the confidentiality, integrity, or availability of an information system. This definition includes a virus, worm, Trojan horse, or other code-based entity that infects a host, as well as spyware and some forms of adware.

Media means physical devices or writing surfaces including, but is not limited to, magnetic tapes, optical disks, magnetic disks, large-scale integration memory chips, and printouts onto which information is recorded, stored, or printed within an information system.

Operationally critical support means supplies or services designated by the Government as critical for airlift, sealift, intermodal transportation services, or logistical support that is essential to the mobilization, deployment, or sustainment of the Armed Forces in a contingency operation.

Rapid(ly) report(ing) means within 72 hours of discovery of any cyber incident.

Technical information means technical data or computer software, as those terms are defined in the clause at

DFARS 252.227-7013, Rights in Technical Data-Non Commercial Items, regardless of whether or not the clause is incorporated in this solicitation or contract. Examples of technical information include research and engineering data, engineering drawings, and associated lists, specifications, standards, process sheets, manuals, technical reports, technical orders, catalog-item identifications, data sets, studies and analyses and related information, and computer software executable code and source code.

(b) Adequate security. The Contractor shall provide adequate security for all covered defense information on all covered contractor information systems that support the performance of work under this contract. To provide adequate security, the Contractor shall--

(1) Implement information systems security protections on all covered contractor information systems including, at a minimum--

(i) For covered contractor information systems that are part of an Information Technology (IT) service or system operated on behalf of the Government--

(A) Cloud computing services shall be subject to the security requirements specified in the clause 252.239-7010, Cloud Computing Services, of this contract; and

(B) Any other such IT service or system (i.e., other than cloud computing) shall be subject to the security requirements specified elsewhere in this contract; or

(ii) For covered contractor information systems that are not part of an IT service or system operated on behalf of the

Government and therefore are not subject to the security requirement specified at paragraph (b)(1)(i) of this clause--

(A) The security requirements in National Institute of Standards and Technology (NIST) Special Publication (SP)

800-171, ``Protecting Controlled Unclassified Information in Nonfederal Information Systems and Organizations”, http://dx.doi.org/10.6028/NIST.SP.800-171 that is in effect at the time the solicitation is issued or as authorized by the Contracting Officer; or

(B) Alternative but equally effective security measures used to compensate for the inability to satisfy a particular requirement and achieve equivalent protection approved in writing by an authorized representative of the DoD CIO prior to contract award; and

(2) Apply other security measures when the Contractor reasonably determines that such measures, in addition to those identified in paragraph (b)(1) of this clause, may be required to provide adequate security in a dynamic environment based on an assessed risk or vulnerability.

(c) Cyber incident reporting requirement.

(1) When the Contractor discovers a cyber incident that affects a covered contractor information system or the covered defense information residing therein, or that affects the contractor's ability to perform the requirements of the contract that are designated as operationally critical support, the Contractor shall--

(i) Conduct a review for evidence of compromise of covered defense information, including, but not limited to, identifying compromised computers, servers, specific data, and user accounts. This review shall also include analyzing covered contractor information system(s) that were part of the cyber incident, as well as other information systems on the Contractor's network(s), that may have been accessed as a result of the incident in order to identify compromised covered defense information, or that affect the Contractor's ability to provide operationally critical support; and

(ii) Rapidly report cyber incidents to DoD at http://dibnet.dod.mil.

(2) Cyber incident report. The cyber incident report shall be treated as information created by or for DoD and shall include, at a minimum, the required elements at http://dibnet.dod.mil.

(3) Medium assurance certificate requirement. In order to report cyber incidents in accordance with this clause, the

Contractor or subcontractor shall have or acquire a DoD-approved medium assurance certificate to report cyber incidents. For information on obtaining a DoD-approved medium assurance certificate, see http://iase.disa.mil/pki/eca/Pages/index.aspx.

(d) Malicious software. The Contractor or subcontractors that discover and isolate malicious software in connection with a reported cyber incident shall submit the malicious software in accordance with instructions provided by the

Contracting Officer.

(e) Media preservation and protection. When a Contractor discovers a cyber incident has occurred, the Contractor shall preserve and protect images of all known affected information systems identified in paragraph (c)(1)(i) of this clause and all relevant monitoring/packet capture data for at least 90 days from the submission of the cyber incident report to allow DoD to request the media or decline interest.

(f) Access to additional information or equipment necessary for forensic analysis. Upon request by DoD, the

Contractor shall provide DoD with access to additional information or equipment that is necessary to conduct a forensic analysis.

http://dx.doi.org/10.6028/NIST.SP.800-171 http://dibnet.dod.mil/ http://dibnet.dod.mil/ http://iase.disa.mil/pki/eca/Pages/index.aspx

(g) Cyber incident damage assessment activities. If DoD elects to conduct a damage assessment, the Contracting

Officer will request that the Contractor provide all of the damage assessment information gathered in accordance with paragraph (e) of this clause.

(h) DoD safeguarding and use of contractor attributional/proprietary information. The Government shall protect against the unauthorized use or release of information obtained from the contractor (or derived from information obtained from the contractor) under this clause that includes contractor attributional/proprietary information, including such information submitted in accordance with paragraph (c). To the maximum extent practicable, the Contractor shall identify and mark attributional/proprietary information. In making an authorized release of such information, the Government will implement appropriate procedures to minimize the contractor attributional/proprietary information that is included in such authorized release, seeking to include only that information that is necessary for the authorized purpose(s) for which the information is being released.

(i) Use and release of contractor attributional/proprietary information not created by or for DoD. Information that is obtained from the contractor (or derived from information obtained from the contractor) under this clause that is not created by or for DoD is authorized to be released outside of DoD--

(1) To entities with missions that may be affected by such information;

(2) To entities that may be called upon to assist in the diagnosis, detection, or mitigation of cyber incidents;

(3) To Government entities that conduct counterintelligence or law enforcement investigations;

(4) For national security purposes, including cyber situational awareness and defense purposes (including with

Defense Industrial Base (DIB) participants in the program at 32 CFR part 236); or

(5) To a support services contractor (``recipient'') that is directly supporting Government activities under a contract that includes the clause at 252.204-7009, Limitations on the Use or Disclosure of Third-Party Contractor Reported

Cyber Incident Information.

(j) Use and release of contractor attributional/proprietary information created by or for DoD. Information that is obtained from the contractor (or derived from information obtained from the contractor) under this clause that is created by or for DoD (including the information submitted pursuant to paragraph (c) of this clause) is authorized to be used and released outside of DoD for purposes and activities authorized by paragraph (i) of this clause, and for any other lawful Government purpose or activity, subject to all applicable statutory, regulatory, and policy based restrictions on the Government's use and release of such information.

(k) The Contractor shall conduct activities under this clause in accordance with applicable laws and regulations on the interception, monitoring, access, use, and disclosure of electronic communications and data.

(l) Other safeguarding or reporting requirements. The safeguarding and cyber incident reporting required by this clause in no way abrogates the Contractor's responsibility for other safeguarding or cyber incident reporting pertaining to its unclassified information systems as required by other applicable clauses of this contract, or as a result of other applicable U.S. Government statutory or regulatory requirements.

(m) Subcontracts. The Contractor shall--

(1) Include the substance of this clause, including this paragraph (m), in all subcontracts, including subcontracts for commercial items; and

(2) Require subcontractors to rapidly report cyber incidents directly to DoD at http://dibnet.dod.mil and the prime

Contractor. This includes providing the incident report number, automatically assigned by DoD, to the prime

Contractor (or next higher-tier subcontractor) as soon as practicable.

http://dibnet.dod.mil/

252.244-7000 SUBCONTRACTS FOR COMMERCIAL ITEMS (JUN 2013)

(a) The Contractor is not required to flow down the terms of any Defense Federal Acquisition Regulation

Supplement (DFARS) clause in subcontracts for commercial items at any tier under this contract, unless so specified in the particular clause.

(b) While not required, the Contractor may flow down to subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligation.

(c) The Contractor shall include the terms of this clause, including this paragraph (c), in subcontracts awarded under this contract, including subcontracts for the acquisition of commercial items.

Invoicing, Receipt, Acceptance and Property Transfer (iRAPT) – formerly known as WAWF iRAPT is the authorized method to electronically process vendor request for payment. This application allows DOD vendors to submit and track Invoices and Receipt/Acceptance documents electronically. Contractor shall (i) register to use iRAPT at https://wawf.eb.mil and (ii) ensure an electronic business point of contract (POC) is designated in the System for Award Management at https://www.sam.gov within ten (10) calendar days after award of this contract/order.

iRAPT Instructions:

Questions concerning payments should be directed to the Defense Finance and Accounting Service (DFAS) location listed in Block 18a of your purchase order/contract. Please have your purchase order/contract number ready when calling about payments.

You can easily access payment and receipt information using the DFAS web site at http://www.dfas.mil/money/vendor . Your purchase order/contract number or invoice number will be required to inquire status of your payment.

The following codes and information will be required to assure successful flow of iRAPT documents.

Foreign Vendors will submit banking information in the Comments Tab of the iRAPT invoice.

TYPE OF DOCUMENT [X the appropriate block]

___ Invoice (Contractor Only)

___ Invoice and Receiving Report (COMBO)

_X_ Invoice as 2-in-1 (Services Only)

___ Receiving Report (Government Only) https://wawf.eb.mil/ https://www.sam.gov/ http://www.dfas.mil/money/vendor https://wawf.eb.mil/SUM%20RoboHelp%20Web%20Help/Detailed_Document_Information/Scribble550.htm https://wawf.eb.mil/SUM%20RoboHelp%20Web%20Help/Detailed_Document_Information/Scribble560.htm https://wawf.eb.mil/SUM%20RoboHelp%20Web%20Help/Detailed_Document_Information/Scribble570.htm https://wawf.eb.mil/SUM%20RoboHelp%20Web%20Help/Detailed_Document_Information/Scribble620.htm

CAGE CODE:

ISSUE BY DODAAC: W81K00

ADMIN BY DODAAC: W81K00

INSPECT BY DODAAC: W45XTR

ACCEPT BY DODAAC: W45XTR

SHIP TO DODAAC: W45XTR

PAYMENT OFFICE FISCAL STATION CODE: 021001

EMAIL POINTS OF CONTACT LISTING: (Use Group e-mail accounts if applicable)

INSPECTOR Primary:

Alternate:

ACCEPTOR Primary:

RECEIVING OFFICE POC: Primary:

CONTRACT ADMINISTRATOR/ SPECIALIST: anthony.d.browner.civ@mail.mil DSN:

Comm: - Fax:

CONTRACTING OFFICER: randall.p.cummins.civ@mail.mil.

ADDITIONAL CONTACT: N/A

Any modification requests must be in writing and submitted to:ADMIN DODAAC.

Exclusion from Participation in Federal Health Care Programs (October 2015)

1. The Contractor shall not employ or contract with any individual or entity (hereinafter collectively referred to as

“person”) to provide items or services that will be included in invoices submitted to the Government under this contract if such person is listed on the Department of Health and Human Services (HHS) Office of the Inspector

General (OIG) List of Excluded Individuals and Entities (LEIE) or the TRICARE Sanctioned Provider List. The

Government is legally prohibited from paying for provision of items or services by such persons. The prohibition extends to services beyond direct patient care, such as services of persons in executive or leadership roles and administrative and management services, whether or not such services are billed separately. The LEIE may be found at http://oig.hhs.gov/fraud/exclusions.asp, and the TRICARE Sanctioned Provider list at http://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-

Healthcare/Program-Integrity/Sanctioned-Providers. The LEIE and TRICARE Sanctioned Provider List are hereinafter collectively referred to as “the Lists.”

2. Prior to start of contract performance, the Contractor shall (a) query the Lists to determine whether the name of any person the Contractor employs or contracts with to provide services or items for which payment may be made under this contract appears on the Lists, and (b) certify to the Contracting Officer that the Contractor has queried the

Lists and no such names appear on either of the Lists.

3. During performance of the contract, and prior to persons other than those whose names were queried in accordance with paragraph 2, above, (hereinafter “new persons”) providing services or items under the contract, the

Contractor shall (a) query the Lists as in paragraph 2, and (b) certify to the Contracting Officer that the names of such new persons do not appear on either of the Lists.

4. The Contractor is advised that during performance of the contract, MTF personnel will perform a recurrent recheck of the names of contractor personnel working in the MTF against the Lists, as specified in

OTSG/MEDCOM Policy Memo 15-037. The Government will notify the Contractor in the event any contractor personnel working in the MTF appear on either of the Lists.

5. Should any person providing items or services under the contract appear on either of the Lists at any time during contract performance, the Contractor shall (a) in cases where the Contractor identified the person, notify the

Contracting Officer, and (b) promptly remove that person from the contract.

6. Violation of any aspect of the above paragraphs shall be considered a material breach of the contract and may result in termination of the contract.

7. The Contractor is further advised that, in accordance with Civil Monetary Penalties Law [CMP] (codified at 42

USC § 1320a-7a):

a. There are steep civil monetary penalties associated with billing the Government for providing items or services by a person on either of the Lists, and with failing to return to the Government any overpayments received for provision of such items or services.

b. Billing under the contract for provision of items or services by a person on either List may also result in exclusion of the person that employs or contracts with such person.

8. HHS OIG has issued a Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health

Care Programs with additional information on the CMP. The Special Advisory Bulletin may be found at http://oig.hhs.gov/exclusions/files/sab-05092013.pdf.

(End of Clause)

ADDENDUM TO 52.212-4

(w) The non-FAR Part 12 discretionary FAR, DFARS, AFARS, and LOCAL 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.

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS—COMMERCIAL ITEMS (DEVIATION 2013-O0019) (NOV 2015)

(a) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph

(a) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records -- Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor’s directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form.