W81K0219Q0018_JC_Mock_Survey_Solicitation_28JAN19.pdf

SEE ADDENDUM

(No Collect Calls)

W81K0219Q0018 28-Jan-2018

b. TELEPHONE NUMBER

(808) 438-5124

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 08 Feb 2019

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W81K029. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

TONJA D. JENKINS

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

0011279442

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

W40M REGIONAL HEALTH CONTRACTING OF

REGIONAL HEALTH CONTR OFC PACIFIC

BLDG 339 CLARK ROAD

FT SHAFTER HI 96858-5098

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 W91M4G 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

PACIFIC REGIONAL MEDICAL COMMAND

PACIFIC REGIONAL MEDICAL COMMAND

160 KRUKOWSKI RD

HONOLULU HI 96859

TEL: FAX:

.FAX:

TEL: . SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$15,000,000

NAICS:

541611

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 OF110

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.

W81K0219Q0018

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Tripler Army Medical Center, HI (TAMC)

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The contractor will conduct mock survey assessments on locations subordinate to Tripler Army Medical Center (TAMC), Honolulu, HI. Work will be performed in accordance with PWS 5.1.4.

PURCHASE REQUEST NUMBER: 0011279442

NET AMT

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0001AA 120 Each JC Mock Survey Assessment Days-TAMC

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The contractor will conduct mock survey assessments to Tripler Army Medical Center, HI (TAMC) during “non-JC window” timeframe (defined as approximately 18 months from previous Joint Commission survey) and one full-up mock survey assessment visit during “JC window” timeframe (defined as approximately 24 months from the previous Joint Commission survey) in accordance with the Performance Work Statement (PWS) Section 3.0.

1 EACH = 1 DAY

FOB: Destination

PSC CD: R799

MAX

UNIT UNIT PRICE MAX AMOUNT

0001AB 8 Each Written Reports - TAMC

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The Contractor will provide a preliminary report of findings at the completion of the on-site assessment, which will include a description of the findings, the standard and the element of performance related to the findings; in accordance with PWS 5.1.4.2.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0001AC 48 Each Telephone/VTC Consults-TAMC

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The Contractor shall be available for telephone and/or video teleconference consultative services throughout the contract period for all applicable services/departments within Tripler Army Medical Center, HI. Work shall be in accordance with PWS 3.1.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0001AD 4 Each Travel - TAMC

FFP

Ordering Period: 15 February 2019 - 14 February 2023 Travel will be in accordance with the Performance Work Statement (PWS) paragraph 5.1.4.3.

1 EACH = 1 VISIT

FOB: Destination

Brian Allgood Army Comm Hospital (BAACH)

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The contractor will conduct mock survey assessments on locations subordinate to Brian Allgood Army Community Hospital (BAACH), Republic of Korea. Work will be performed in accordance with PWS 5.1.4.

UNIT UNIT PRICE MAX AMOUNT

0002AA 104 Each JC Mock Survey Assessment Days-BAACH

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The contractor will conduct mock survey assessments to Brian Allgood Army Community Hospital (BAACH), Republic of Korea during “non-JC window” timeframe (defined as approximately 18 months from previous Joint Commission survey) and one full-up mock survey assessment visit during “JC window” timeframe (defined as approximately 24 months from the previous Joint Commission survey) in accordance with the Performance Work Statement (PWS) Section 3.0.

1 EACH = 1 DAY

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0002AB 8 Each Written Reports – BAACH

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The Contractor will provide a preliminary report of findings at the completion of the on-site assessment, which will include a description of the findings, the standard and the element of performance related to the findings; in accordance with PWS 5.1.4.2.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0002AC 48 Each Telephone/VTC Consults-BAACH

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The Contractor shall be available for telephone and/or video teleconference consultative services throughout the contract period for all applicable services/departments within Tripler Army Medical Center, HI. Work shall be in accordance with PWS 3.1.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0002AD 4 Each Travel - BAACH

FFP

Ordering Period: 15 February 2019 - 14 February 2023 Travel will be in accordance with the Performance Work Statement (PWS) paragraph 5.1.4.3.

1 EACH = 1 VISIT

FOB: Destination

Madigan Army Medical Center (MAMC)

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The contractor will conduct mock survey assessments on locations subordinate to Madigan Army Medical Center (MAMC), Tacoma, WA. Work will be performed in accordance with PWS 5.1.4.

UNIT UNIT PRICE MAX AMOUNT

0003AA 120 Each JC Mock Survey Assessment Days-MAMC

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The contractor will conduct mock survey assessments to Madigan Army Medical Center (MAMC) during “non-JC window” timeframe (defined as approximately 18 months from previous Joint Commission survey) and one full-up mock survey assessment visit during “JC window” timeframe (defined as approximately 24 months from the previous Joint Commission survey) in accordance with the Performance Work Statement (PWS) Section 3.0.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0003AB 8 Each Written Reports - MAMC

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The Contractor will provide a preliminary report of findings at the completion of the on-site assessment, which will include a description of the findings, the standard and the element of performance related to the findings; in accordance with PWS 5.1.4.2.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0003AC 48 Each Telephone/VTC Consults - MAMC

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The Contractor shall be available for telephone and/or video teleconference consultative services throughout the contract period for all applicable services/departments within Tripler Army Medical Center, HI. Work shall be in accordance with PWS 3.1.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0003AD 4 Each Travel - MAMC

FFP

Ordering Period: 15 February 2019 - 14 February 2023 Travel will be in accordance with the Performance Work Statement (PWS) paragraph 5.1.4.3.

1 EACH = 1 VISIT

FOB: Destination

Bassett Army Community Hospital (BACH)

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The contractor will conduct mock survey assessments on locations subordinate to Bassett Army Community Hospital (BACH), Fairbanks, AK. Work will be performed in accordance with PWS 5.1.4.

UNIT UNIT PRICE MAX AMOUNT

0004AA 72 Each JC Mock Survey Assessment Days-BACH

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The contractor will conduct mock survey assessments to Bassett Army Community Hospital (BACH) during “non-JC window” timeframe (defined as approximately 18 months from previous Joint Commission survey) and one full-up mock survey assessment visit during “JC window” timeframe (defined as approximately 24 months from the previous Joint Commission survey) in accordance with the Performance Work Statement (PWS) Section 3.0.

1 EACH = 1 DAY

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0004AB 8 Each Written Reports - BACH

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The Contractor will provide a preliminary report of findings at the completion of the on-site assessment, which will include a description of the findings, the standard and the element of performance related to the findings; in accordance with PWS 5.1.4.2.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0004AC 48 Each Telephone/VTC Consults-BACH

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The Contractor shall be available for telephone and/or video teleconference consultative services throughout the contract period for all applicable services/departments within Tripler Army Medical Center, HI. Work shall be in accordance with PWS 3.1.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0004AD 4 Each Travel - BACH

FFP

Ordering Period: 15 February 2019 - 14 February 2023 Travel will be in accordance with the Performance Work Statement (PWS) paragraph 5.1.4.3.

1 EACH = 1 VISIT

FOB: Destination

BG Sams USAHC, Camp Zama (BGCFSAHC)

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The contractor will conduct mock survey assessments on locations subordinate to BG F. Sams US Army Health Clinic, Camp Zama, Japan. Work will be performed in accordance with PWS 5.1.4.

UNIT UNIT PRICE MAX AMOUNT

0005AA 48 Each JC Mock Survey Assessment Days-BGCFSAHC

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The contractor will conduct mock survey assessments to BG F. Sams US Army Health Clinic, Camp Zama during “non-JC window” timeframe (defined as approximately 18 months from previous Joint Commission survey) and one full-up mock survey assessment visit during “JC window” timeframe (defined as approximately 24 months from the previous Joint Commission survey) in accordance with the Performance Work Statement (PWS) Section 3.0.

1 EACH = 1 DAY

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0005AB 8 Each Written Reports - BGCFSAHC

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The Contractor will provide a preliminary report of findings at the completion of the on-site assessment, which will include a description of the findings, the standard and the element of performance related to the findings; in accordance with PWS 5.1.4.2.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0005AC 48 Each Telephone/VTC Consults - BGCFSAHC

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The Contractor shall be available for telephone and/or video teleconference consultative services throughout the contract period for all applicable services/departments within Tripler Army Medical Center, HI. Work shall be in accordance with PWS 3.1.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0005AD 4 Each Travel – BGCFSAHC

FFP

Ordering Period: 15 February 2019 - 14 February 2023 Travel will be in accordance with the Performance Work Statement (PWS) paragraph 5.1.4.3.

1 EACH = 1 VISIT

FOB: Destination

0006 1 Each Contractor Manpower Report

FFP

Ordering Period: 15 February 2019 - 14 February 2023 The Contractor is required to comply initially and annually with the requirements of this clause as stated in the Performance Work Statement, paragraph 3.11.

Reporting period will be for the period of performance not to exceed 12 months ending 30 September of each Government fiscal year. This report must be completed by 31 October of each calendar year.

FOB: Destination

MINIMUM & MAXIMUM ORDERING

Orders may be placed by any Regional Health Contracting Office – Pacific warranted Contracting Officer.

Individual Task Orders will provide the quantities required and funding information. The minimum guaranteed amount is $1,000.00 for the five-year ordering period. The estimated and maximum quantities per Contract Line Item (CLIN) and Sub Contract Line Item Number (SLIN) are listed below:

JOINT COMMISSION MOCK SURVEY - ESTIMATED ANNUAL WORKLOAD

CLIN SITE Year 1 Year 2 Year 3 Year 4 Total 4- Year

0001 Tripler Army Medical Center (TAMC), HI

0001AA JC Mock Survey Assessment Days* 0 0 30 0 30

0001AB Written Reports 0 0 2 0 2

0001AC Telephone/VTC Consults 0 0 12 0 12

0001AD Travel** 0 0 1 0 1

0002 Brian Allgood Army Comm. Hospital (BAACH), S. Korea

0002AA JC Mock Survey Assessment Days* 0 0 26 0 26

0002AB Written Reports 0 0 2 0 2

0002AC Telephone/VTC Consults 0 0 12 0 12

0002AD Travel** 0 0 1 0 1

0003 Madigan Army Medical Center (MAMC), WA

0003AA JC Mock Survey Assessment Days* 30 0 0 30 60

0003AB Written Reports 2 0 0 2 4

0003AC Telephone/VTC Consults 12 0 0 12 24

0003AD Travel** 1 0 0 1 2

0004 Bassett Army Comm. Hopsital (BACH), AK

0004AA JC Mock Survey Assessment Days* 0 18 18 0 36

0004AB Written Reports 0 2 2 0 4

0004AC Telephone/VTC Consults 0 12 12 0 24

0004AD Travel** 0 1 1 0 2

0005 BG Sams USAHC, Camp Zama (BGCFSAHC), Japan

0005AA JC Mock Survey Assessment Days* 12 0 12 12 36

0005AB Written Reports 2 0 2 2 6

0005AC Telephone/VTC Consults 12 0 12 12 36

0005AD Travel** 1 0 1 1 3

* 1 Day = Each ** 1 Visit = Each

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 0002 N/A N/A N/A N/A 0002AA Destination Government Destination Government 0002AB Destination Government Destination Government 0002AC Destination Government Destination Government 0002AD Destination Government Destination Government 0003 N/A N/A N/A N/A 0003AA Destination Government Destination Government 0003AB Destination Government Destination Government 0003AC Destination Government Destination Government

0003AD Destination Government Destination Government 0004 N/A N/A N/A N/A 0004AA Destination Government Destination Government 0004AB Destination Government Destination Government 0004AC Destination Government Destination Government 0004AD Destination Government Destination Government 0005 N/A N/A N/A N/A 0005AA Destination Government Destination Government 0005AB Destination Government Destination Government 0005AC Destination Government Destination Government 0005AD Destination Government Destination Government 0006 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 15-FEB-2019 TO

14-FEB-2023

N/A PACIFIC REGIONAL MEDICAL

COMMAND

PACIFIC REGIONAL MEDICAL

COMMAND

160 KRUKOWSKI RD

HONOLULU HI 96859

FOB: Destination

W91M4G

0001AB POP 15-FEB-2019 TO

14-FEB-2023

N/A (SAME AS PREVIOUS LOCATION)

0001AC POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AD POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

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

0002AA POP 15-FEB-2019 TO

14-FEB-2023

N/A PACIFIC REGIONAL MEDICAL

COMMAND

PACIFIC REGIONAL MEDICAL

COMMAND

160 KRUKOWSKI RD

HONOLULU HI 96859

0002AB POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AC POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0002AD POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0003 N/A N/A N/A N/A

0003AA POP 15-FEB-2019 TO

14-FEB-2023

N/A PACIFIC REGIONAL MEDICAL

COMMAND

PACIFIC REGIONAL MEDICAL

COMMAND

160 KRUKOWSKI RD

HONOLULU HI 96859

0003AB POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AC POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0003AD POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

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

0004AA POP 15-FEB-2019 TO

14-FEB-2023

N/A PACIFIC REGIONAL MEDICAL

COMMAND

PACIFIC REGIONAL MEDICAL

COMMAND

160 KRUKOWSKI RD

HONOLULU HI 96859

0004AB POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AC POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0004AD POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 N/A N/A N/A N/A

0005AA POP 15-FEB-2019 TO

14-FEB-2023

N/A PACIFIC REGIONAL MEDICAL

COMMAND

PACIFIC REGIONAL MEDICAL

COMMAND

160 KRUKOWSKI RD

HONOLULU HI 96859

0005AB POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0005AC POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0005AD POP 15-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 15-FEB-2019 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

(w) UNILATERAL MODIFICATIONS

In addition to 52.212-4(c), the Government may make unilateral modifications considered administrative in nature. These include, but are not limited to, changes in the accounting and appropriation data, payment and issuing office addresses, and other corrections that have no effect on the terms and conditions of the contract.

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

52.203-3 Gratuities APR 1984 52.203-6 Alt I Restrictions On Subcontractor Sales To The Government

(Sep 2006) -- Alternate I

OCT 1995

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

OCT 2018

52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 52.204-21 Basic Safeguarding of Covered Contractor Information

Systems

JUN 2016

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

OCT 2015

52.219-6 (Dev) Notice of Total Small Business Set-Aside (DEVIATION 2019-O0003).

DEC 2018

52.219-8 Utilization of Small Business Concerns OCT 2018 52.219-14 (Dev) Limitations on Subcontracting (DEVIATION 2019-O0003). DEC 2018 52.222-3 Convict Labor JUN 2003

52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity SEP 2016 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 FEB 2016 52.222-50 Combating Trafficking in Persons MAR 2015

CLAUSES INCORPORATED BY FULL TEXT

52.222-50 COMBATING TRAFFICKING IN PERSONS (MAR 2015) ALTERNATE I (MAR 2015)

(a) Definitions. As used in this clause—

“Agent” means any individual, including a director, an officer, an employee, or an independent contractor, authorized to act on behalf of the organization.

“Coercion” means—

(1) Threats of serious harm to or physical restraint against any person;

(2) Any scheme, plan, or pattern intended to cause a person to believe that failure to perform an act would result in serious harm to or physical restraint against any person; or

(3) The abuse or threatened abuse of the legal process.

“Commercial sex act” means any sex act on account of which anything of value is given to or received by any person.

“Commercially available off-the-shelf (COTS) item” means--

(1) Any item of supply (including construction material) that is—

(i) A commercial item (as defined in paragraph (1) of the definition at FAR 2.101);

(ii) Sold in substantial quantities in the commercial marketplace; and

(iii) Offered to the Government, under a contract or subcontract at any tier, without modification, in the same form in which it is sold in the commercial marketplace; and

(2) Does not include bulk cargo, as defined in 46 U.S.C. 40102(4), such as agricultural products and petroleum products.

“Debt bondage” means the status or condition of a debtor arising from a pledge by the debtor of his or her personal services or of those of a person under his or her control as a security for debt, if the value of those services as reasonably assessed is not applied toward the liquidation of the debt or the length and nature of those services are not respectively limited and defined.

“Employee” means an employee of the Contractor directly engaged in the performance of work under the contract who has other than a minimal impact or involvement in contract performance.

“Forced labor” means knowingly providing or obtaining the labor or services of a person—

(1) By threats of serious harm to, or physical restraint against, that person or another person;

(2) By means of any scheme, plan, or pattern intended to cause the person to believe that, if the person did not perform such labor or services, that person or another person would suffer serious harm or physical restraint; or

(3) By means of the abuse or threatened abuse of law or the legal process.

“Involuntary servitude” includes a condition of servitude induced by means of—

(1) Any scheme, plan, or pattern intended to cause a person to believe that, if the person did not enter into or continue in such conditions, that person or another person would suffer serious harm or physical restraint; or

(2) The abuse or threatened abuse of the legal process.

“Severe forms of trafficking in persons” means—

(1) Sex trafficking in which a commercial sex act is induced by force, fraud, or coercion, or in which the person induced to perform such act has not attained 18 years of age; or

(2) The recruitment, harboring, transportation, provision, or obtaining of a person for labor or services, through the use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery.

“Sex trafficking” means the recruitment, harboring, transportation, provision, or obtaining of a person for the purpose of a commercial sex act.

“Subcontract” means any contract entered into by a subcontractor to furnish supplies or services for performance of a prime contract or a subcontract.

“Subcontractor” means any supplier, distributor, vendor, or firm that furnishes supplies or services to or for a prime contractor or another subcontractor.

“United States” means the 50 States, the District of Columbia, and outlying areas.

(b) Policy. The United States Government has adopted a policy prohibiting trafficking in persons including the trafficking-related activities of this clause. Contractors, contractor employees, and their agents shall not—

(1) Engage in severe forms of trafficking in persons during the period of performance of the contract;

(2) Procure commercial sex acts during the period of performance of the contract;

(3) Use forced labor in the performance of the contract;

(4) Destroy, conceal, confiscate, or otherwise deny access by an employee to the employee's identity or immigration documents, such as passports or drivers' licenses, regardless of issuing authority;

(5)(i) Use misleading or fraudulent practices during the recruitment of employees or offering of employment, such as failing to disclose, in a format and language accessible to the worker, basic information or making material misrepresentations during the recruitment of employees regarding the key terms and conditions of employment, including wages and fringe benefits, the location of work, the living conditions, housing and associated costs (if employer or agent provided or arranged), any significant cost to be charged to the employee, and, if applicable, the hazardous nature of the work;

(ii) Use recruiters that do not comply with local labor laws of the country in which the recruiting takes place;

(6) Charge employees recruitment fees;

(7)(i) Fail to provide return transportation or pay for the cost of return transportation upon the end of employment--

(A) For an employee who is not a national of the country in which the work is taking place and who was brought into that country for the purpose of working on a U.S. Government contract or subcontract (for portions of contracts performed outside the United States); or

(B) For an employee who is not a United States national and who was brought into the United States for the purpose of working on a U.S. Government contract or subcontract, if the payment of such costs is required under existing temporary worker programs or pursuant to a written agreement with the employee (for portions of contracts performed inside the United States); except that--

(ii) The requirements of paragraphs (b)(7)(i) of this clause shall not apply to an employee who is--

(A) Legally permitted to remain in the country of employment and who chooses to do so; or

(B) Exempted by an authorized official of the contracting agency from the requirement to provide return transportation or pay for the cost of return transportation;

(iii) The requirements of paragraph (b)(7)(i) of this clause are modified for a victim of trafficking in persons who is seeking victim services or legal redress in the country of employment, or for a witness in an enforcement action related to trafficking in persons. The contractor shall provide the return transportation or pay the cost of return transportation in a way that does not obstruct the victim services, legal redress, or witness activity. For example, the contractor shall not only offer return transportation to a witness at a time when the witness is still needed to testify.

This paragraph does not apply when the exemptions at paragraph (b)(7)(ii) of this clause apply.

(8) Provide or arrange housing that fails to meet the host country housing and safety standards; or

(9) If required by law or contract, fail to provide an employment contract, recruitment agreement, or other required work document in writing. Such written work document shall be in a language the employee understands. If the employee must relocate to perform the work, the work document shall be provided to the employee at least five days prior to the employee relocating. The employee's work document shall include, but is not limited to, details about work description, wages, prohibition on charging recruitment fees, work location(s), living accommodations and associated costs, time off, roundtrip transportation arrangements, grievance process, and the content of applicable laws and regulations that prohibit trafficking in persons.

(c) Contractor requirements. The Contractor shall—

(1) Notify its employees of—

(i) (A) The United States Government's policy prohibiting trafficking in persons described in paragraph (b) of this clause; and

(B) The following directive(s) or notice(s) applicable to employees performing work at the contract place(s) of performance as indicated below:

Document Title Document may be obtained from: Applies to performance in/at:

USFK Off Limits Information http://www.usfk.mil/Resources/Off-

Limits/ Republic of Korea

United States Forces Korea (USFK) Command Policy Letter #12, Combating Prostitution and Trafficking in Persons (CTIP) http://www.usfk.mil/Resources/Off- Limits/

Republic of Korea

(ii) The actions that will be taken against employees or agents for violations of this policy. Such actions for employees may include, but are not limited to, removal from the contract, reduction in benefits, or termination of employment; and

(2) Take appropriate action, up to and including termination, against employees, agents, or subcontractors that violate the policy in paragraph (b) of this clause.

(d) Notification. (1) The Contractor shall inform the Contracting Officer and the agency Inspector General immediately of—

(i) Any credible information it receives from any source (including host country law enforcement) that alleges a Contractor employee, subcontractor, subcontractor employee, or their agent has engaged in conduct that violates the policy in paragraph (b) of this clause (see also 18 U.S.C. 1351, Fraud in Foreign Labor Contracting, and 52.203- 13(b)(3)(i)(A), if that clause is included in the solicitation or contract, which requires disclosure to the agency Office of the Inspector General when the Contractor has credible evidence of fraud); and

(ii) Any actions taken against a Contractor employee, subcontractor, subcontractor employee, or their agent pursuant to this clause.

(2) If the allegation may be associated with more than one contract, the Contractor shall inform the contracting officer for the contract with the highest dollar value.

(e) Remedies. In addition to other remedies available to the Government, the Contractor's failure to comply with the requirements of paragraphs (c), (d), (g), (h), or (i) of this clause may result in—

(1) Requiring the Contractor to remove a Contractor employee or employees from the performance of the contract;

(2) Requiring the Contractor to terminate a subcontract;

(3) Suspension of contract payments until the Contractor has taken appropriate remedial action;

(4) Loss of award fee, consistent with the award fee plan, for the performance period in which the Government determined Contractor non-compliance;

(5) Declining to exercise available options under the contract;

(6) Termination of the contract for default or cause, in accordance with the termination clause of this contract; or

(7) Suspension or debarment.

(f) Mitigating and aggravating factors. When determining remedies, the Contracting Officer may consider the following:

(1) Mitigating factors. The Contractor had a Trafficking in Persons compliance plan or an awareness program at the time of the violation, was in compliance with the plan, and has taken appropriate remedial actions for the violation, that may include reparation to victims for such violations.

(2) Aggravating factors. The Contractor failed to abate an alleged violation or enforce the requirements of a compliance plan, when directed by the Contracting Officer to do so.

(g) Full cooperation.

(1) The Contractor shall, at a minimum—

(i) Disclose to the agency Inspector General information sufficient to identify the nature and extent of an offense and the individuals responsible for the conduct;

(ii) Provide timely and complete responses to Government auditors' and investigators' requests for documents;

(iii) Cooperate fully in providing reasonable access to its facilities and staff (both inside and outside the U.S.) to allow contracting agencies and other responsible Federal agencies to conduct audits, investigations, or other actions to ascertain compliance with the Trafficking Victims Protection Act of 2000 (22 U.S.C. chapter 78), E.O. 13627, or any other applicable law or regulation establishing restrictions on trafficking in persons, the procurement of commercial sex acts, or the use of forced labor; and

(iv) Protect all employees suspected of being victims of or witnesses to prohibited activities, prior to returning to the country from which the employee was recruited, and shall not prevent or hinder the ability of these employees from cooperating fully with Government authorities.

(2) The requirement for full cooperation does not foreclose any Contractor rights arising in law, the FAR, or the terms of the contract. It does not—

(i) Require the Contractor to waive its attorney-client privilege or the protections afforded by the attorney work product doctrine;

(ii) Require any officer, director, owner, employee, or agent of the Contractor, including a sole proprietor, to waive his or her attorney client privilege or Fifth Amendment rights; or

(iii) Restrict the Contractor from—

(A) Conducting an internal investigation; or

(B) Defending a proceeding or dispute arising under the contract or related to a potential or disclosed violation.

(h) Compliance plan.

(1) This paragraph (h) applies to any portion of the contract that—

(i) Is for supplies, other than commercially available off-the-shelf items, acquired outside the United States, or services to be performed outside the United States; and

(ii) Has an estimated value that exceeds $500,000.

(2) The Contractor shall maintain a compliance plan during the performance of the contract that is appropriate—

(i) To the size and complexity of the contract; and

(ii) To the nature and scope of the activities to be performed for the Government, including the number of non- United States citizens expected to be employed and the risk that the contract or subcontract will involve services or supplies susceptible to trafficking in persons.

(3) Minimum requirements. The compliance plan must include, at a minimum, the following:

(i) An awareness program to inform contractor employees about the Government's policy prohibiting trafficking-related activities described in paragraph (b) of this clause, the activities prohibited, and the actions that will be taken against the employee for violations. Additional information about Trafficking in Persons and examples of awareness programs can be found at the Web site for the Department of State's Office to Monitor and Combat Trafficking in Persons at http://www.state.gov/j/tip/.

(ii) A process for employees to report, without fear of retaliation, activity inconsistent with the policy prohibiting trafficking in persons, including a means to make available to all employees the hotline phone number of the Global Human Trafficking Hotline at 1-844-888-FREE and its email address at help@befree.org.

(iii) A recruitment and wage plan that only permits the use of recruitment companies with trained employees, prohibits charging recruitment fees to the employee, and ensures that wages meet applicable host-country legal requirements or explains any variance.

(iv) A housing plan, if the Contractor or subcontractor intends to provide or arrange housing, that ensures that the housing meets host-country housing and safety standards.

(v) Procedures to prevent agents and subcontractors at any tier and at any dollar value from engaging in trafficking in persons (including activities in paragraph (b) of this clause) and to monitor, detect, and terminate any agents, subcontracts, or subcontractor employees that have engaged in such activities.

(4) Posting.

(i) The Contractor shall post the relevant contents of the compliance plan, no later than the initiation of contract performance, at the workplace (unless the work is to be performed in the field or not in a fixed location) and on the Contractor's Web site (if one is maintained). If posting at the workplace or on the Web site is impracticable, the Contractor shall provide the relevant contents of the compliance plan to each worker in writing.

(ii) The Contractor shall provide the compliance plan to the Contracting Officer upon request.

(5) Certification. Annually after receiving an award, the Contractor shall submit a certification to the Contracting Officer that—

(i) It has implemented a compliance plan to prevent any prohibited activities identified at paragraph (b) of this clause and to monitor, detect, and terminate any agent, subcontract or subcontractor employee engaging in prohibited activities; and

(ii) After having conducted due diligence, either—

(A) To the best of the Contractor's knowledge and belief, neither it nor any of its agents, subcontractors, or their agents is engaged in any such activities; or

(B) If abuses relating to any of the prohibited activities identified in paragraph (b) of this clause have been found, the Contractor or subcontractor has taken the appropriate remedial and referral actions.

(i) Subcontracts.

(1) The Contractor shall include the substance of this clause, including this paragraph (i), in all subcontracts and in all contracts with agents. The requirements in paragraph (h) of this clause apply only to any portion of the subcontract that—

(A) Is for supplies, other than commercially available off-the-shelf items, acquired outside the United States, or services to be performed outside the United States; and

(B) Has an estimated value that exceeds $500,000.

(2) If any subcontractor is required by this clause to submit a certification, the Contractor shall require submission prior to the award of the subcontract and annually thereafter. The certification shall cover the items in paragraph (h)(5) of this clause.

(End of clause)

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

52.224-3 Privacy Training JAN 2017 52.225-13 Restrictions on Certain Foreign Purchases JUN 2008 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 52.242-13 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 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

DEC 2018

252.232-7010 Levies on Contract Payments DEC 2006

CLAUSES INCORPORATED BY FULL TEXT

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.

52.216-19 ORDER LIMITATIONS (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than $1,000, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor -

(1) Any order for a single item in excess of the quantity indicated on any IDIQ Contract Line Item;

(2) Any order for a combination of items in excess of the quantity indicated on any IDIQ Contract Line Item; or

(3) A series of orders from the same ordering office within 30 calendar days that together call for quantities exceeding the limitation in paragraph (b) (1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 5 working days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

52.216-22 INDEFINITE QUANTITY. (OCT 1995)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum". The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum".

(c) Except for any limitations on quantities in the Order Limitations clause or in the Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period; provided, that the Contractor shall not be required to make any deliveries under this contract after after 31 January 2023.

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 calendar days before the contract completion date.

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 541611 - assigned to contract number .

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

52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR RELATIONS ACT

(DEC 2010)

(a) During the term of this contract, the Contractor shall post an employee notice, of such size and in such form, and containing such content as prescribed by the Secretary of Labor, in conspicuous places in and about its plants and offices where employees covered by the National Labor Relations Act engage in activities relating to the performance of the contract, including all places where notices to employees are customarily posted both physically and electronically, in the languages employees speak, in accordance with 29 CFR 471.2(d) and (f).

(1) Physical posting of the employee notice shall be in conspicuous places in and about the Contractor's plants and offices so that the notice is prominent and readily seen by employees who are covered by the National Labor Relations Act and engage in activities related to the performance of the contract.

(2) If the Contractor customarily posts notices to employees electronically, then the Contractor shall also post the required notice electronically by displaying prominently, on any Web site that is maintained by the Contractor and is customarily used for notices to employees about terms and conditions of employment, a link to the Department of Labor's Web site that contains the full text of the poster. The link to the Department's Web site, as referenced in (b)(3) of this section, must read, ``Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers.''

(b) This required…