W911KB21R0028.pdf

SEE ADDENDUM

(No Collect Calls)

W911KB21R0028 19-Feb-2021

b. TELEPHONE NUMBER

907-753-2547

8. OFFER DUE DATE/LOCAL TIME

02:00 PM 09 Mar 2021

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W911KB9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

ERNEST L WOODS III

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

ARE NOT ATTACHED

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

U.S. ARMY ENGINEER DISTRICT, ALASKA

CEPOA-CT-SP

PO BOX 6898

JBER AK 99506-0898

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 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$41,500,000

NAICS:

561210

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 OF52

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.

W911KB21R0028

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Job

BASE YEAR: 1 APR 2021 - 31 MAR 2022

FFP

Chena Electrical & Mechanical Repairs:

Non-Personal Services: Contractor to provide all labor, tools, equipment, materials, parts, transportation, and other requirements necessary to perform inspection, maintenance, repair, and minor new work on an on-call and emrgency basis in accordance with the attached Scope of Work. Reference the attached Quality Assurance Surveillance Plan (QASP). SCA Wage Determination 15-5684 (Rev

11) is attached and made a part of this solicitation and any resultant contract.

FOB: Destination

PSC CD: S216

NET AMT

0002 1 Job

OPTION OPTION YEAR 1: 1 APR 2022 - 31 MAR 2023

FFP

Chena Electrical & Mechanical Repairs:

Non-Personal Services: Contractor to provide all labor, tools, equipment, materials, parts, transportation, and other requirements necessary to perform inspection, maintenance, repair, and minor new work on an on-call and emrgency basis in accordance with the attached Scope of Work. Reference the attached Quality Assurance Surveillance Plan (QASP). SCA Wage Determination 15-5684 (applicable Revision) is attached and made a part of this solicitation and any resultant contract for this option year.

0003 1 Job

OPTION OPTION YEAR 2: 1 APR 2023 - 31 MAR 2024

FFP

Chena Electrical & Mechanical Repairs:

Non-Personal Services: Contractor to provide all labor, tools, equipment, materials, parts, transportation, and other requirements necessary to perform inspection, maintenance, repair, and minor new work on an on-call and emrgency basis in accordance with the attached Scope of Work. Reference the attached Quality Assurance Surveillance Plan (QASP). SCA Wage Determination 15-5684 (applicable Revision) is attached and made a part of this solicitation and any resultant contract for this option year.

Scope of Work Electrical and Mechanical Maintenance and Repair Services, 2021-2023

Chena River Lakes Flood Control Project January 11, 2021

1. The electrical and mechanical systems at the Chena River Lakes Flood Control Project require inspection, maintenance, repair and minor new work on a scheduled and emergency basis. Work may be performed throughout the project area to include the Project Office which is located at 3800 Laurance Road, Volunteer Host sites, and the Outlet Works Water Control Site. Chena River Lakes Flood Control Project lands are located approximately 18 miles east of Fairbanks, Alaska, near the community of North Pole. The Project Office is a commercial building renovated in 2010 with modern electrical, heating, ventilation, air handling (HVAC), solar and water systems. As-built drawings of these systems are available at the project office.

Electrical work also includes work on the Chena Project primary high voltage electrical distribution system which includes both underground and overhead lines.

2. Electrical system inspection, maintenance, repair and installation may be performed on the following electrical systems; however, this list is not intended to be all inclusive:

Emergency Generators Exterior Electrical Distribution System (high voltage lines, transformers, poles, guy wires) Interior and Exterior Conduit, Receptacles, Switches, Wiring, Electrical Connections Signage Lighting Electrical Panels and Breakers Security system and alarms Meters Electric Heaters Water Heaters

Solar Array System (installed in 2010)

The Contractor shall provide Journeyman Commercial Electricians (both interior wiremen and high voltage linemen) with a minimum of 5-years of experience to troubleshoot and repair the interior and exterior electrical systems throughout the Chena River Flood Control Project area. The Contractor may utilize Apprentice Commercial Electricians (both interior wiremen and high voltage linemen) to assist with the performance of work under this contract. Any apprentice performing work under this contract shall be under the direct supervision of a journeymen meeting the experience requirements of the contract at all times. Certifications for all apprentice electricians shall be provided to the Contracting Officer’s Representative prior to the apprentice working on site.

The Contractor may utilize laborers to facilitate logistical type activities like equipment/supply mobilization for example. Laborers shall not perform any work that would otherwise require a certified electrician.

3. Mechanical system inspection, maintenance, repair and installation may be performed on the following mechanical systems; however, this list is not intended to be all inclusive:

Boilers Burners Fuel valves, lines and tanks Mechanical valves and pipes Vents Direct Digital Controls Plumbing systems Water Treatment System

The Contractor shall provide certified HVAC Commercial Service Technicians and Journeyman Plumbers with a minimum of 5-years of experience to troubleshoot and repair the mechanical systems throughout the Chena River Flood Control Project area. The Contractor may utilize Apprentice Plumbers to assist with the performance of work under this contract. Any apprentice performing work under this contract shall be under the direct supervision of a journeymen meeting the experience requirements of the contract at all times. Certifications for all apprentice plumbers shall be provided to the Contracting Officer’s Representative prior to the apprentice working on site. The Contractor may utilize laborers to facilitate logistical type activities like equipment/supply mobilization for example.

Laborers shall not perform any work that would otherwise require a certified technician or plumber. A Powerflame Certified Technician is required to service the burner part of the boilers at the Project Office. The 5-year experience requirement will not apply to the Powerflame Certified Technician.

4. Tasks may include:

A. Scheduled monthly and annual maintenance including monthly and annual checks and servicing.

B. Unscheduled maintenance, repairs and new work as required throughout the Chena Project. The

Contractor shall furnish all tools and transportation needed to facilitate completion of all work under this contract.

C. Develop and/or update a daily/weekly Boiler Room Systems Check Sheet specifically for the Chena Project staff to use in the Boiler Room.

5. Maintenance shall be completed as follows:

Monthly maintenance shall be conducted between the first and fifth days of each month. Monthly maintenance inspections are not expected to exceed 4 hours per month.

Annual maintenance shall be conducted between the first and seventh day of the month the annual inspection is due.

Other scheduled maintenance includes changing the HVAC filters to carbon type air filters in the spring and returning to standard air handler filters in the fall.

6. System repairs shall be completed as follows:

Unscheduled requests for repairs or minor new work to electrical and mechanical systems shall be sent by text or phone to the contractor’s designated contact(s). With the exception of the Project’s primary high voltage electrical distribution system, non-emergency type repairs require a technician to respond in 8-hours and emergency repairs require a technician to respond in 4-hours.

Due to commercial high voltage linemen being in high demand, non-emergency repairs to the Project’s primary high voltage electrical distribution system will be scheduled during September through May.

Emergency repairs to the Project’s high voltage electrical distribution system will require response within 8 hours.

7. For unscheduled repairs or minor new work items, the Contractor shall provide a quote of hours and materials to the Contracting Officer Representative (COR) and obtain approval to proceed prior to performing the work.

8. This is a time-and-materials contract with a ceiling price of $100,000 per year. Labor shall be tracked by name, date, clock hours and work performed and shall be billed at the burdened labor rate included in the contract (reference contract clause 52.232-7, Payments Under Time-and-Materials and Labor-Hours Contracts). This backup information shall be submitted to the COR in support of each billing invoice. The Contractor is required to provide all tools and transportation needed to facilitate repairs. Parts and materials shall be billed separately. Profit on parts and materials will not be allowed. The contractor shall submit a copy of all receipts for all parts and items needed for repairs. Oils and lubricants needed are to be provided as materials.

The contractor shall notify the Government when all costs paid and accrued exceed 85% of the ceiling price of the contract. The Government will not be obligated to pay the contractor any amount in excess of the ceiling price of the contract unless the ceiling price is increased by the Contracting Officer.

9. Pre-Work Meeting: The Contractor shall meet with the Chena Project Manager, Julie Anderson, before the start of work to discuss work hours, labor and parts tracking, and for building access. Keys may be checked out from the Project Office at this time. Contacts for scheduled and unscheduled repairs shall be shared. Certifications for all electricians, plumbers, HVAC service technicians and Powerflame certified technicians shall be provided at this meeting.

10. Abbreviated Accident Prevention Plan: Work shall be performed safely and in accordance with Engineering Manual 385-1-1, dated 30 November 2014. The Contractor shall submit a written abbreviated accident prevention plan to the Corps Project Manager 7 days before the pre-work meeting. The plan shall be prepared in accordance with EM 385-1-1 Appendix A and specifically address all the topics listed in Appendix A.

11. Performance Period: The performance period for this scope of work is a base period of one (1) year and two option periods of one (1) year each. Monthly and annual maintenance shall occur between 7:30AM and 4:30PM Monday through Friday, excluding Government holidays.

12. Acceptance of work: The Contracting Officer’s Representative for work will be Donna West, Donna.L.West@usace.army.mil, 907-753-2761

QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

FOR

ELECTRICAL AND MECHANICAL MAINTENANCE AND REPAIR SERVICES

CHENA RIVER LAKES FLOOD CONTROL PROJECT

2021-2023

Table of Contents

1. Overview

2. Description of Services

3. Roles and Responsibilities

4. Performance Assessment Approach

5. Performance Assessment Documentation

6. Performance Objectives

ATTACHMENT – Corrective Action Report

1. OVERVIEW

1.1 Purpose. The purpose of this Quality Assurance Surveillance Plan (QASP) is to identify the methods and procedures the Government will use to ensure it receives the services under contract as identified in the Statement of Work (SOW). This plan will focus on the level of performance required by the SOW, not the methodology or process.

1.2 Intent. The intent of this plan is to rely on the Contractor’s quality control. Performance Objectives (PO) will be periodically monitored but the Contractor is left as free as possible to develop the most efficient methodology to complete the required of service.

2. DESCRIPTION OF SERVICES

2.1 Scope of Work. Non-Personal Services:

The Chena River Lakes Flood Control Project Electrical and Mechanical Systems require inspection, maintenance, repair and minor new work on a scheduled and emergency basis. Work may be performed throughout the project area to include the project office which is located at 3800 Laurance Road, approximately 18 miles east of Fairbanks, Alaska, near the community of North Pole.

Electrical system inspection, maintenance, repair and installation may be performed on the following electrical systems however this list is not intended to be all inclusive:

Emergency Generators Exterior Electrical Distribution System (transformers, poles, guy wires) Interior and Exterior Conduit, Receptacles, Switches, Wiring, Electrical Connections Signage Lighting Electrical Panels and Breakers Security system and alarms Meters Electric Heaters Water Heaters

Solar Array System (installed in 2010) as part of Project Office renovation

Mechanical system inspection, maintenance, repair and installation may be performed on the following mechanical systems however this list is not intended to be all inclusive:

Boilers Burners Fuel valves, lines and tanks Mechanical valves and pipes Vents Direct Digital Controls Plumbing systems Water Treatment System

Tasks may include:

D. Scheduled monthly and annual maintenance including monthly and annual checks and servicing.

E. Unscheduled maintenance, repairs and new work as required throughout the Chena Project. The

Contractor shall furnish all tools and transportation needed to facilitate completion of all work under this contract.

F. Develop and/or update a daily/weekly Boiler Room Systems Check Sheet specifically for the Chena Project staff to use in the Boiler Room.

Maintenance shall be completed as follows:

Monthly maintenance shall be conducted between the first and fifth days of each month. Monthly maintenance inspections are not expected to exceed 4 hours per month.

Annual maintenance shall be conducted between the first and seventh day of the month the annual inspection is due.

Other scheduled maintenance includes changing the HVAC filters to carbon type air filters in the spring and returning to standard air handler filters in the fall.

System repairs shall be completed as follows:

Unscheduled requests for repairs or minor new work to electrical and mechanical systems shall be sent by text or phone to the contractor’s designated contact(s). With the exception of the Project’s primary high voltage electrical distribution system, non-emergency type repairs require a technician to respond in 8-hours and emergency repairs require a technician to respond in 4-hours.

Due to commercial high voltage linemen being in high demand, non-emergency repairs to the Project’s primary high voltage electrical distribution system will be scheduled during September through May.

Emergency repairs to the Project’s high voltage electrical distribution system will require response within 8 hours.

For unscheduled repairs or minor new work items, the Contractor shall provide a quote of hours and materials to the Contracting Officer Representative (COR) prior to performing the work.

All services requested under the SOW are non-personal in nature.

2.2 Contract. This contract is a Time-and-Materials (T&M) contract for Electrical and Mechanical Support Services. The Inspection-Time-and-Material and Labor-Hour, FAR Clause 52.246-6 applies.

3. ROLES AND RESPONSIBILITIES

Contracting Officer (KO) - A person duly appointed with the authority to enter into, administer and terminate contracts on behalf of the Government. The KO is the only person who can legally commit the Government and only the KO, as the Government’s agent, can modify the contract/order. The KO is the final authority for determining the adequacy of the Contractor’s performance. KO decisions arising under or relating to the contact are final.

Contracting Officer’s Representative (COR) – An individual designated in writing by the KO to perform specific technical and administrative functions within the scope and limitations of their written appointment (e.g., surveillance of Contractor’s performance, accept services). The COR is not empowered to make any contractual commitments or authorize any changes to the order/contract or in any way obligate additional funds by the Government; such authority rests solely with the KO.

Quality Assurance Evaluator (QAE) – An individual designated by the requiring activity to assist the COR and provide technical oversight of the Contractor’s performance. The QAE’s primary duty is to monitor the Contractor’s performance by physically checking to see that tasks are completed, reports are submitted, and desired outcomes are achieved. When a surveillance observation results in an unacceptable evaluation, the QAE will report the unacceptable performance to the COR. The QAE is not authorized to direct work, offer advice on how the work should be performed, change the contract, or in any way obligate payment of funds by the Government.

4. PERFORMANCE ASSESSMENT APPROACH

4.1 Purpose. This section details the method(s) used to verify Contractor compliance with SOW requirements.

The key elements of this process are the Government identified Performance Objectives. The Performance Objectives from Paragraph 6 of this QASP dictate the minimum inspection requirements COR/QAE must accomplish on a periodic basis. This QASP provides the procedures on how to conduct the evaluations for Performance Objectives and how to document them in a correct and effective manner.

4.2 Method of Surveillance. Surveillance performed by the Government is to provide objective quality evidence that there is a reasonable level of confidence the services provided by the Contractor have met all the requirements of the contract before authorizing payment. The primary method of surveillance are periodic inspections and customer/user feedback.

Periodic Inspection: Inspections will be performed at the completion of each maintenance or repair tasking.

Periodic inspections may be performed more frequently if the COR/QAE discovers the quality of the Contractor’s performance is less than acceptable.

Customer/User Feedback: Customer feedback is firsthand information from the actual users of the service and is typically obtained verbally or by email. Verbal customer complaints must be followed up in writing/email. The customer complaint must clearly articulate the nature of the complaint, time, date, etc. The COR/QAE will validate the complaint within 24 hours of receipt and contact the Contractor for resolution. If the COR/QAE determines a complaint is invalid, rationale will be cited in the validation section and retained for future reference. Customer feedback will be used to supplement other forms of performance evaluation.

4.3 Annual Review. The COR/QAE must review QASP Performance Objectives, assess their applicability and recommend the addition or subtraction of Performance Objectives as conditions warrant. This review must be accomplished annually as a minimum.

4.4 Special Audits. The COR/QAE must be alert to conditions that would warrant a special quality audit. Any time the COR/QAE observes that a functional area is out of acceptable performance or that the technical expertise is not available, a request for a quality audit should be addressed to the Contracting Officer.

4.5 Deficiency Identification. Effective contract performance assessment relies on two methods for identification of unacceptable performance – Contractor Identified Discrepancies and Government Identified Discrepancies.

4.5.1 Contractor Identified Discrepancies (CIDs). Generated when contractor employees detect discrepancies during performance of services. When reviewed by the applicable representative, follow procedures below.

4.5.2 Government Identified Discrepancies. Generated as a result of Government inspection of contractor performance that identifies noncompliance with contractual requirements. The Contractor will be given the opportunity to show whether the discrepancy has already been identified and in the process of being resolved.

4.5.3 Procedures

4.5.3.1 Review corrective actions taken by the contractor to resolve a discrepancy.

4.5.3.2 Determine whether the discrepancy has been corrected. If the discrepancy has been resolved, review the corrective action taken and any applicable procedures the contractor has established to preclude recurrence of the problem.

4.5.3.3 If not been resolved and the Contractor has established an estimated completion date for resolution of the discrepancy, the representative will monitor the Contractor’s efforts in resolving the discrepancy. If it is determined the estimated completion date for resolution of the discrepancy is excessive based on the nature of the discrepancy, the Contracting Officer (CO) will be notified. The Government can then evaluate the recommendation to determine the appropriate course of action.

4.5.3.4 If not resolved and the COR determines that the Contractor has not established a resolution of the discrepancy or has failed to perform a follow-up action for resolution of a discrepancy, the COR will issue a report.

The Contractor will be given a suspense date to provide corrective action to the Government’s findings and describe the Contractor’s plan to preclude repeat deficiencies.

5. PERFORMANCE ASSESSMENT DOCUMENTATION

5.1 Corrective Action Report (CAR). Used by COR/QAE to document contract requirement findings and subsequent corrective actions to be taken. A computer-generated CAR may be used provided the information on the CAR remains the same. See attached CAR and instructions for filling it out.

5.1.1 The individual identifying the discrepancy is responsible for completing the CAR utilizing the instructions attached. If there are other questions as to how the CAR is completed, that individual should consult the COR.

5.1.2 The COR will elevate any CARs that cannot be resolved with the contractor to the Government Contracting Officer for resolution.

5.2 COR Monthly Reports. COR/QAE shall document contractor performance assessments in the COR monthly reports.

6. PERFORMANCE OBJECTIVES

6.1 Performance Objectives. The following is a list of the contractual Performance Objectives to be validated by the Government. Each Performance Objective includes a government-determined Performance Threshold and is used to perform the verification. The Performance Objectives are arranged according to the functional area they are associated with. Functional areas not listed were omitted because they did not have Performance Objectives identified as critical. The performance objectives in this paragraph represent the minimum items that must have Performance assessment accomplished on a periodic basis. Any Performance assessment of SOW requirements not required by the QASP must still be documented in the COR Monthly Report.

Performance Objective 1: Monthly maintenance as specified in the scope of work.

Performance Threshold: Contractor receives less than 3 customer complaints for the project per contract year.

Method of Performance Assessment: Customer complaint and inspection.

Performance Objective 2: Annual maintenance as specified in the scope of work.

Performance Threshold: Contractor receives less than 3 customer complaints for the project per contract year.

Performance Objective 3: Unscheduled repairs as specified in the scope of work.

Performance Threshold: Contractor receives less than 3 customer complaints for the project contract year.

CORRECTIVE ACTION REPORT

(If More Space is Needed Use Reverse and Identify By Number)

1. CONTRACTOR

2. CONTRACT NUMBER

3. TYPE OF SERVICES

4. FUNCTIONAL AREA

5. SUSPENSE DATE

6. CONTROL

NUMBER

7.

FINDING:

FINDING IMPACT:

Please respond with a written corrective action plan that details the corrective action of the cited deficiency, the cause of the deficiency, and actions taken to prevent recurrence by Suspense Date in Block 5. If date was not entered in Block 5, the contractor is not required to provide a response.

8. QUALITY ASSURANCE PERSONNEL (QAP)

TYPED NAME AND GRADE

SIGNATURE AND DATE

9. ISSUING AUTHORITY

TYPED NAME AND GRADE

SIGNATURE AND DATE

10. QAP RESPONSE TO CONTRACTOR CORRECTIVE ACTION AND ACTION TAKEN TO PREVENT

RECURRENCE

11. CONTRACTOR RESPONSE

ACCEPTED REJECTED

12. CLOSE DATE

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A Government 0002 N/A N/A N/A Government 0003 N/A N/A N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-APR-2021 TO

31-MAR-2022

N/A N/A

0002 POP 01-APR-2022 TO

31-MAR-2023

0003 POP 01-APR-2023 TO

30-MAR-2024

CLAUSES INCORPORATED BY REFERENCE

52.204-7 System for Award Management JUL 2013 52.204-13 System for Award Management Maintenance OCT 2018 52.204-21 Basic Safeguarding of Covered Contractor Information

Systems

JUN 2016

52.212-1 Instructions to Offerors--Commercial Items MAR 2020 52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7005 Representation Relating to Compensation of Former DoD Officials

NOV 2011

252.204-7004 Antiterrorism Awareness Training for Contractors. FEB 2019 252.204-7004 Alt A System for Award Management Alternate A FEB 2014 252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

DEC 2019

252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services

DEC 2019

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 252.244-7000 Subcontracts for Commercial Items JUN 2013

CLAUSES INCORPORATED BY FULL TEXT

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2020)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in the provision at 52.204-26, Covered Telecommunications Equipment or Services--Representation, or in paragraph (v) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Items.

(a) Definitions. As used in this provision-

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

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

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

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

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services."

(d) Representations. The Offeror represents that--

(1) It [] will, [] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that--

It [] does, [] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of provision)

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Offers will be technically evaluated in accordance with the requirements set forth in the Performance Work Statement. Award will be made to the lowest-priced technically acceptable offeror. The Government reserves the right to make award on the initial offer received without discussions.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (MAR 2020)

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management (SAM) accessed through https://www.sam.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (v) of this provision.

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

“Covered telecommunications equipment or services” has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

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

"Forced or indentured child labor" means all work or service-

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

“Highest-level owner” means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

“Immediate owner” means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: Ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

“Inverted domestic corporation” means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

“Manufactured end product” means any end product in product and service codes (PSCs) 1000-9999, except--

(1) PSC 5510, Lumber and Related Basic Wood Materials;

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

(5) PSC 9410, Crude Grades of Plant Materials;

(6) PSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) PSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) PSC 9610, Ores;

(9) PSC 9620, Minerals, Natural and Synthetic; and

(10) PSC 9630, Additive Metal Materials.

“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

“Predecessor” means an entity that is replaced by a successor and includes any predecessors of the predecessor.

“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate--

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

“Sensitive technology”--

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically--

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).

“Service-disabled veteran-owned small business concern”--

(1) Means a small business concern--

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

“Small business concern” means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.

“Small disadvantaged business concern”, consistent with 13 CFR 124.1002, means a small business concern under the size standard applicable to the acquisition, that--

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by--

(i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

“Subsidiary” means an entity in which more than 50 percent of the entity is owned--

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

“Successor” means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company or a company that only changes its name.

The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

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

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

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

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

“Women-owned small business concern” means a small business concern--

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

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

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

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

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

[Offeror to identify the applicable paragraphs at (c) through (v) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

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

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

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

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

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

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

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

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

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture.