W81K0222Q0054 - Solicitation - FINAL - 06.03.22.pdf

SEE ADDENDUM

(No Collect Calls)

W81K0222Q0054 03-Jun-2022

b. TELEPHONE NUMBER

808-438-5117

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 06 Jul 2022

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

SCOTT K. SAITO

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

0011745623

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 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 WX3JN7 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

W07C TRIPLER ARMY MED CTR

W07C TRIPLER ARMY MED CTR

MATERIAL BR LOG DIV

BLDG 161 KRUKOWSKI RD

TRIPLER AMC HI 96859-5000

TEL: 1-808-433-6661 FAX:

FAX:

TEL: 808-655-2299 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$12,000,000

NAICS:

621111

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 OF127

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.

W81K0222Q0054

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0001 350 Each 24 Hr On-Call Coverage

FFP

Base Period of Performance: 01 Oct 22 to 30 Sept 23

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for the Base Period.

FOB: Destination

PURCHASE REQUEST NUMBER: 0011745623

PSC CD: Q523

MAX

NET AMT

UNIT UNIT PRICE MAX AMOUNT

0002 66 Hours 1 - 2 Hours Surgery

FFP

Base Period of Performance: 01 Oct 22 to 30 Sept 23

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for the Base Period.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0003 31 Hours 3 - 4 Hours Surgery

FFP

Base Period of Performance: 01 Oct 22 to 30 Sept 23

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for the Base Period.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0004 5 Hours 5 Hour Surgery

FFP

Base Period of Performance: 01 Oct 22 to 30 Sept 23

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for the Base Period.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0005 5 Hours Greater than 5 Hour Surgery

FFP

Base Period of Performance: 01 Oct 22 to 30 Sept 23

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for the Base Period.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0006 2 Each Max Charge for Long and Difficult Cases

FFP

Base Period of Performance: 01 Oct 22 to 30 Sept 23

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for the Base Period.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0007 52 Each In-House Consultation

FFP

Base Period of Performance: 01 Oct 22 to 30 Sept 23

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for the Base Period.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0008 40 Hours Rounding Fee

FFP

Base Period of Performance: 01 Oct 22 to 30 Sept 23

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for the Base Period.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0009 4 Hours Telephone Consultation

FFP

Base Period of Performance: 01 Oct 22 to 30 Sept 23

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for the Base Period.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1001 350 Each OPTION 24 Hr On-Call Coverage

FFP

Opt I Period of Performance: 01 Oct 23 to 30 Sept 24

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option I.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1002 66 Hours OPTION 1 - 2 Hours Surgery

FFP

Opt I Period of Performance: 01 Oct 23 to 30 Sept 24

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option I.

UNIT UNIT PRICE MAX AMOUNT

1003 31 Hours OPTION 3 - 4 Hours Surgery

FFP

Opt I Period of Performance: 01 Oct 23 to 30 Sept 24

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option I.

UNIT UNIT PRICE MAX AMOUNT

1004 5 Hours OPTION 5 Hour Surgery

FFP

Opt I Period of Performance: 01 Oct 23 to 30 Sept 24

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option I.

UNIT UNIT PRICE MAX AMOUNT

1005 5 Hours OPTION Greater than 5 Hour Surgery

FFP

Opt I Period of Performance: 01 Oct 23 to 30 Sept 24

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option I.

UNIT UNIT PRICE MAX AMOUNT

1006 2 Each OPTION Max Charge for Long and Difficult Cases

FFP

Opt I Period of Performance: 01 Oct 23 to 30 Sept 24

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option I.

UNIT UNIT PRICE MAX AMOUNT

1007 52 Each OPTION In-House Consultation

FFP

Opt I Period of Performance: 01 Oct 23 to 30 Sept 24

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option I.

UNIT UNIT PRICE MAX AMOUNT

1008 40 Hours OPTION Rounding Fee

FFP

Opt I Period of Performance: 01 Oct 23 to 30 Sept 24

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option I.

UNIT UNIT PRICE MAX AMOUNT

1009 4 Hours OPTION Telephone Consultation

FFP

Opt I Period of Performance: 01 Oct 23 to 30 Sept 24

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option I.

UNIT UNIT PRICE MAX AMOUNT

2001 350 Each OPTION 24 Hr On-Call Coverage

FFP

Opt II Period of Performance: 01 Oct 24 to 30 Sept 25

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option II.

UNIT UNIT PRICE MAX AMOUNT

2002 66 Hours OPTION 1 - 2 Hours Surgery

FFP

Opt II Period of Performance: 01 Oct 24 to 30 Sept 25

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option II.

UNIT UNIT PRICE MAX AMOUNT

2003 31 Hours OPTION 3 - 4 Hours Surgery

FFP

Opt II Period of Performance: 01 Oct 24 to 30 Sept 25

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option II.

UNIT UNIT PRICE MAX AMOUNT

2004 5 Hours OPTION 5 Hour Surgery

FFP

Opt II Period of Performance: 01 Oct 24 to 30 Sept 25

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option II.

UNIT UNIT PRICE MAX AMOUNT

2005 5 Hours OPTION Greater than 5 Hour Surgery

FFP

Opt II Period of Performance: 01 Oct 24 to 30 Sept 25

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option II.

UNIT UNIT PRICE MAX AMOUNT

2006 2 Each OPTION Max Charge for Long and Difficult Cases

FFP

Opt II Period of Performance: 01 Oct 24 to 30 Sept 25

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option II.

UNIT UNIT PRICE MAX AMOUNT

2007 52 Each OPTION In-House Consultation

FFP

Opt II Period of Performance: 01 Oct 24 to 30 Sept 25

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option II.

UNIT UNIT PRICE MAX AMOUNT

2008 40 Hours OPTION Rounding Fee

FFP

Opt II Period of Performance: 01 Oct 24 to 30 Sept 25

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option II.

UNIT UNIT PRICE MAX AMOUNT

2009 4 Hours OPTION Telephone Consultation

FFP

Opt II Period of Performance: 01 Oct 24 to 30 Sept 25

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option II.

UNIT UNIT PRICE MAX AMOUNT

3001 350 Each OPTION 24 Hr On-Call Coverage

FFP

Opt III Period of Performance: 01 Oct 25 to 30 Sept 26

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option III.

UNIT UNIT PRICE MAX AMOUNT

3002 66 Hours OPTION 1 - 2 Hours Surgery

FFP

Opt III Period of Performance: 01 Oct 25 to 30 Sept 26

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option III.

UNIT UNIT PRICE MAX AMOUNT

3003 31 Hours OPTION 3 - 4 Hours Surgery

FFP

Opt III Period of Performance: 01 Oct 25 to 30 Sept 26

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option III.

UNIT UNIT PRICE MAX AMOUNT

3004 5 Hours OPTION 5 Hour Surgery

FFP

Opt III Period of Performance: 01 Oct 25 to 30 Sept 26

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option III.

UNIT UNIT PRICE MAX AMOUNT

3005 5 Hours OPTION Greater than 5 Hour Surgery

FFP

Opt III Period of Performance: 01 Oct 25 to 30 Sept 26

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option III.

UNIT UNIT PRICE MAX AMOUNT

3006 2 Each OPTION Max Charge for Long and Difficult Cases

FFP

Opt III Period of Performance: 01 Oct 25 to 30 Sept 26

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option III.

UNIT UNIT PRICE MAX AMOUNT

3007 52 Each OPTION In-House Consultation

FFP

Opt III Period of Performance: 01 Oct 25 to 30 Sept 26

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option III.

UNIT UNIT PRICE MAX AMOUNT

3008 40 Hours OPTION Rounding Fee

FFP

Opt III Period of Performance: 01 Oct 25 to 30 Sept 26

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option III.

UNIT UNIT PRICE MAX AMOUNT

3009 4 Hours OPTION Telephone Consultation

FFP

Opt III Period of Performance: 01 Oct 25 to 30 Sept 26

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option III.

UNIT UNIT PRICE MAX AMOUNT

4001 350 Each OPTION 24 Hr On-Call Coverage

FFP

Opt IV Period of Performance: 01 Oct 26 to 30 Sept 27

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option IV.

UNIT UNIT PRICE MAX AMOUNT

4002 66 Hours OPTION 1 - 2 Hours Surgery

FFP

Opt IV Period of Performance: 01 Oct 26 to 30 Sept 27

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option IV.

UNIT UNIT PRICE MAX AMOUNT

4003 31 Hours OPTION 3 - 4 Hours Surgery

FFP

Opt IV Period of Performance: 01 Oct 26 to 30 Sept 27

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option IV.

UNIT UNIT PRICE MAX AMOUNT

4004 5 Hours OPTION 5 Hour Surgery

FFP

Opt IV Period of Performance: 01 Oct 26 to 30 Sept 27

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option IV.

UNIT UNIT PRICE MAX AMOUNT

4005 5 Hours OPTION Greater than 5 Hour Surgery

FFP

Opt IV Period of Performance: 01 Oct 26 to 30 Sept 27

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option IV.

UNIT UNIT PRICE MAX AMOUNT

4006 2 Each OPTION Max Charge for Long and Difficult Cases

FFP

Opt IV Period of Performance: 01 Oct 26 to 30 Sept 27

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option IV.

UNIT UNIT PRICE MAX AMOUNT

4007 52 Each OPTION In-House Consultation

FFP

Opt IV Period of Performance: 01 Oct 26 to 30 Sept 27

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option IV.

UNIT UNIT PRICE MAX AMOUNT

4008 40 Hours OPTION Rounding Fee

FFP

Opt IV Period of Performance: 01 Oct 26 to 30 Sept 27

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option IV.

UNIT UNIT PRICE MAX AMOUNT

4009 4 Hours OPTION Telephone Consultation

FFP

Opt IV Period of Performance: 01 Oct 26 to 30 Sept 27

The Contractor shall provide non-personal On-Call Pediatric General Surgeon services in accordance with the Performance Work Statement (PWS) for the Department of Surgery at Tripler Army Medical Center, Hawaii.

See Exhibit 1 for the list of Estimated and Maximum Quantities for Option IV.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 0008 Destination Government Destination Government 0009 Destination Government Destination Government 1001 Destination Government Destination Government 1002 Destination Government Destination Government 1003 Destination Government Destination Government 1004 Destination Government Destination Government 1005 Destination Government Destination Government 1006 Destination Government Destination Government 1007 Destination Government Destination Government 1008 Destination Government Destination Government 1009 Destination Government Destination Government 2001 Destination Government Destination Government 2002 Destination Government Destination Government 2003 Destination Government Destination Government 2004 Destination Government Destination Government 2005 Destination Government Destination Government 2006 Destination Government Destination Government 2007 Destination Government Destination Government 2008 Destination Government Destination Government 2009 Destination Government Destination Government 3001 Destination Government Destination Government 3002 Destination Government Destination Government 3003 Destination Government Destination Government 3004 Destination Government Destination Government 3005 Destination Government Destination Government 3006 Destination Government Destination Government 3007 Destination Government Destination Government 3008 Destination Government Destination Government 3009 Destination Government Destination Government 4001 Destination Government Destination Government 4002 Destination Government Destination Government 4003 Destination Government Destination Government 4004 Destination Government Destination Government 4005 Destination Government Destination Government 4006 Destination Government Destination Government 4007 Destination Government Destination Government 4008 Destination Government Destination Government 4009 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-OCT-2022 TO

30-SEP-2023

N/A W07C TRIPLER ARMY MED CTR

W07C TRIPLER ARMY MED CTR

MATERIAL BR LOG DIV

BLDG 161 KRUKOWSKI RD

TRIPLER AMC HI 96859-5000

1-808-433-6661

WX3JN7

0002 POP 01-OCT-2022 TO

30-SEP-2023

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-OCT-2023 TO

30-SEP-2024

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1007 POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1008 POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

1009 POP 01-OCT-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 01-OCT-2024 TO

30-SEP-2025

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2006 POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2007 POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2008 POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

2009 POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 01-OCT-2025 TO

30-SEP-2026

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

3006 POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

3007 POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

3008 POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

3009 POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 01-OCT-2026 TO

30-SEP-2027

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 01-OCT-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-OCT-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 01-OCT-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 01-OCT-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

4006 POP 01-OCT-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

4007 POP 01-OCT-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

4008 POP 01-OCT-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

4009 POP 01-OCT-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.212-4 Contract Terms and Conditions--Commercial Products and

Commercial Services

DEC 2021

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.

CLAUSES INCORPORATED BY REFERENCE

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

(JUN 2020) -- Alternate I

DEC 2021

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

Subcontract Awards

JUN 2020

52.204-13 System for Award Management Maintenance OCT 2018 52.204-15 Service Contract Reporting Requirements for Indefinite-

Delivery Contracts

OCT 2016

52.204-18 Commercial and Government Entity Code Maintenance AUG 2020 52.204-23 Prohibition on Contracting for Hardware, Software, and

Services Developed or Provided by Kaspersky Lab and Other Covered Entities

DEC 2021

52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment

DEC 2021

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

DEC 2021

52.209-9 Updates of Publicly Available Information Regarding Responsibility Matters

OCT 2018

52.219-8 Utilization of Small Business Concerns OCT 2018 52.222-3 Convict Labor JUN 2003 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity SEP 2016 52.222-37 Employment Reports on Veterans JUN 2020 52.222-50 Combating Trafficking in Persons DEC 2021 52.222-54 Employment Eligibility Verification DEC 2021 52.223-3 Hazardous Material Identification And Material Safety Data FEB 2021 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

JUN 2020

52.225-13 Restrictions on Certain Foreign Purchases FEB 2021 52.228-5 Insurance - Work On A Government Installation JAN 1997 52.232-18 Availability Of Funds APR 1984 52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

OCT 2018

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2021

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 252.204-7004 Antiterrorism Awareness Training for Contractors. FEB 2019 252.204-7018 Prohibition on the Acquisition of Covered Defense

Telecommunications Equipment or Services

JAN 2021

252.204-7020 NIST SP 800-171 DoD Assessment Requirements MAR 2022 252.205-7000 Provision Of Information To Cooperative Agreement Holders DEC 1991 252.225-7012 Preference For Certain Domestic Commodities MAR 2022 252.225-7048 Export-Controlled Items JUN 2013 252.226-7001 Utilization of Indian Organizations and Indian-Owned

Economic Enterprises, and Native Hawaiian Small Business Concerns

APR 2019

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

DEC 2018

252.232-7010 Levies on Contract Payments DEC 2006 252.232-7017 Accelerating Payments to Small Business Subcontractors--

Prohibition on Fees and Consideration

APR 2020

252.243-7002 Requests for Equitable Adjustment DEC 2012

CLAUSES INCORPORATED BY FULL TEXT

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS (NOV 2021)

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

Covered contractor information system means an information system that is owned or operated by a contractor that processes, stores, or transmits Federal contract information.

Federal contract information means information, not intended for public release, that is provided by or generated for the Government under a contract to develop or deliver a product or service to the Government, but not including information provided by the Government to the public (such as on public websites) or simple transactional information, such as necessary to process payments.

Information means any communication or representation of knowledge such as facts, data, or opinions, in any medium or form, including textual, numerical, graphic, cartographic, narrative, or audiovisual (Committee on National Security Systems Instruction (CNSSI) 4009).

Information system means a discrete set of information resources organized for the collection, processing, maintenance, use, sharing, dissemination, or disposition of information (44 U.S.C. 3502).

Safeguarding means measures or controls that are prescribed to protect information systems.

(b) Safeguarding requirements and procedures.

(1) The Contractor shall apply the following basic safeguarding requirements and procedures to protect covered contractor information systems. Requirements and procedures for basic safeguarding of covered contractor information systems shall include, at a minimum, the following security controls:

(i) Limit information system access to authorized users, processes acting on behalf of authorized users, or devices (including other information systems).

(ii) Limit information system access to the types of transactions and functions that authorized users are permitted to execute.

(iii) Verify and control/limit connections to and use of external information systems.

(iv) Control information posted or processed on publicly accessible information systems.

(v) Identify information system users, processes acting on behalf of users, or devices.

(vi) Authenticate (or verify) the identities of those users, processes, or devices, as a prerequisite to allowing access to organizational information systems.

(vii) Sanitize or destroy information system media containing Federal Contract Information before disposal or release for reuse.

(viii) Limit physical access to organizational information systems, equipment, and the respective operating environments to authorized individuals.

(ix) Escort visitors and monitor visitor activity; maintain audit logs of physical access; and control and manage physical access devices.

(x) Monitor, control, and protect organizational communications (i.e., information transmitted or received by organizational information systems) at the external boundaries and key internal boundaries of the information systems.

(xi) Implement subnetworks for publicly accessible system components that are physically or logically separated from internal networks.

(xii) Identify, report, and correct information and information system flaws in a timely manner.

(xiii) Provide protection from malicious code at appropriate locations within organizational information systems.

(xiv) Update malicious code protection mechanisms when new releases are available.

(xv) Perform periodic scans of the information system and real-time scans of files from external sources as files are downloaded, opened, or executed.

(2) Other requirements. This clause does not relieve the Contractor of any other specific safeguarding requirements specified by Federal agencies and departments relating to covered contractor information systems generally or other Federal safeguarding requirements for controlled unclassified information (CUI) as established by Executive Order 13556.

(c) Subcontracts. The Contractor shall include the substance of this clause, including this paragraph (c), in subcontracts under this contract (including subcontracts for the acquisition of commercial products or commercial services, other than commercially available off-the-shelf items), in which the subcontractor may have Federal contract information residing in or transiting through its information system.

(End of clause)

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

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.

52.216-18 ORDERING. (AUG 2020)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule. Such orders may be issued from 01 October 2022 through 30 September 2027 or until 31 March 2028 if FAR Clause 52.217-8, Option to Extend Services is exercised.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c) A delivery order or task order is considered "issued" when--

(1) If sent by mail (includes transmittal by U.S. mail or private delivery service), the Government deposits the order in the mail;

(2) If sent by fax, the Government transmits the order to the Contractor's fax number; or

(3) If sent electronically, the Government either--

(i) Posts a copy of the delivery order or task order to a Government document access system, and notice is sent to the Contractor; or

(ii) Distributes the delivery order or task order via email to the Contractor's email address.

(d) Orders may be issued by methods other than those enumerated in this clause only if authorized in the contract.

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 $1,000.00, 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 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 five (5) 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 31 March 2029.

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 expires.

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

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

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

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 66 months.

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (SEP 2021)

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

Small business concern--

(1) Means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR part 121 and the size standard in paragraph (d) of this clause. 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.

(2) Affiliates, as used in this definition, means business concerns, one of whom directly or indirectly controls or has the power to control the others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13

CFR 121.103.

(b) If the Contractor represented that it was any of the small business concerns identified in 19.000(a)(3) prior to award of this contract, the Contractor shall rerepresent its size and socioeconomic status according to paragraph (f) of this clause or, if applicable, paragraph (h) of this clause, upon 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) If the Contractor represented that it was any of the small business concerns identified in 19.000(a)(3) prior to award of this contract, the Contractor shall rerepresent its size and socioeconomic status according to paragraph (f) of this clause or, if applicable, paragraph (h) of this clause, when the Contracting Officer explicitly requires it for an order issued under a multiple-award contract.

(d) 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(s) assigned to this contract. The small business size standard corresponding to this NAICS code(s) can be found at https://www.sba.gov/document/support--table-size-standards.

(e) The small business size standard for a Contractor providing an end item that it does not manufacture, process, or produce itself, for a contract other than a construction or service contract, is 500 employees if the acquisition--

(1) Was set aside for small business and has a value above the simplified acquisition threshold;

(2) Used the HUBZone price evaluation preference regardless of dollar value, unless the Contractor waived the price evaluation preference; or

(3) Was an 8(a), HUBZone, service-disabled veteran-owned, economically disadvantaged women-owned, or women-owned small business set-aside or sole-source award regardless of dollar value.

(f) Except as provided in paragraph (h) of this clause, the Contractor shall make the representation(s) required by paragraph (b) and (c) 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, or with its offer for an order (see paragraph (c) of this clause), that the data have been validated or updated, and provide the date of the validation or update.

(g) 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 (f) or (h) of this clause.

(h) 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:

(1) The Contractor represents that it [ ] is, [ ] is not a small business concern under NAICS Code assigned to contract number .

(2) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(3) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a women-owned small business concern.

(4) Women-owned small business (WOSB) concern eligible under the WOSB Program. [Complete only if the Contractor represented itself as a women-owned small business concern in paragraph (h)(3) of this clause.] The Contractor represents that--

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

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(4)(i) of this clause is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture.

[The Contractor shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that…