SOL_W911S8-19-R-0008.pdf

PDF 962 KB Posted Aug 1, 2019

Attached to: Backflow Preventer Maintenance
Solicitation number: W911S8-19-R-0008
Issued by: Department of the Army Materiel Command Mission and Installation Contracting Command Joint Base Lewis-McChord

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Updated SOL W911S8-19-R-0008

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Other files

File	Type	Posted
Attach_8_Wage_Determination_No._2015-5539,_Rev._7-2.pdf	PDF	Jul 25, 2019
Attach_4_TE-3_-_Daily_Inspection_Report.doc	DOC document	Jul 25, 2019
Attach_6_TE-5_-_Lewis-Main_BFP_Inventory.xlsx	XLSX spreadsheet	Jul 25, 2019
W911S8-19-R-0008,_Conformed,_25_July_2019.pdf	PDF	Jul 25, 2019
Attach_3_TE-2_-_MF_Database_Report.xlsx	XLSX spreadsheet	Jul 25, 2019
Attach_1_PWS_BFP_Maintenance_(FY19)_Over_and_Above_23_July_19.pdf	PDF	Jul 25, 2019
Attach_7_TE-6_-_MF_BFP_Inventory.xlsx	XLSX spreadsheet	Jul 25, 2019
W911S8-19-R-0008-0001,_Amendment_0001.pdf	PDF	Jul 25, 2019
Attach_5_TE-4_-_Backflow_Prevention_Test_Report.pdf	PDF	Jul 25, 2019
Attach_2_TE-1_-_Lewis_-Main_Database_Report.pdf	PDF	Jul 25, 2019
Attach_10_AFI_32-1066.pdf	PDF	Jul 25, 2019
Questions_&_Responses_BFP_Assembly_Maintenance_(W911S8-19-R-0008).pdf	PDF	Jul 25, 2019
FINAL_SOL_W911S8-19-R-0008._5_July_19.pdf	PDF	Jul 9, 2019
PWS_BFP_Maintenance_(FY19)_Over_and_Above_1_July_19.pdf	PDF	Jul 5, 2019
Wage_Determination_No._2015-5539,_Rev._7-2.previous.pdf	PDF	Jul 5, 2019
Copy_of_Copy_of_TE-6_-MF_BFP_Inventory.xlsx	XLSX spreadsheet	Jul 5, 2019
TE_4_Backflow_Prevention_Test_Report.pdf	PDF	Jul 5, 2019
Question_Submission_Form.xlsx	XLSX spreadsheet	Jul 5, 2019
Copy_of_TE-2-_MF_Database_Report.xlsx	XLSX spreadsheet	Jul 5, 2019
TE-1_-_Lewis_-Main_Database_Report.pdf	PDF	Jul 5, 2019
TE_3_Daily_Inspection_Report.doc	DOC document	Jul 5, 2019

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

0011210460

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

W911S819R0008 05-Jul-2019

7. FOR SOLICITATION a. NAME b. TELEPHONE NUMBER (No Collect Calls) 8. OFFER DUE DATE/LOCAL TIME

INFORMATION CALL: SHANWTE REYNOLDS (253) 966-3505 02:00 PM 01 Aug 2019

9. ISSUED BY

MICC-JB LEWIS-MCCHORD

BUILDING 2015

CODE W911S8 10. THIS ACQUISITION IS

SMALL BUSINESS

UNRESTRICTED OR X SET ASIDE:

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

100 % FOR:

JOINT BASE LEWIS-MCCHORD WA 98433-9500

HUBZONE SMALL

BUSINESS

EDWOSB

NAICS:

238220

TEL: (253) 966-3505

SERVICE-DISABLED

VETERAN-OWNED

8(A)

SIZE STANDARD:

FAX:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

12. DISCOUNT TERMS

SMALL BUSINESS

13a. THIS CONTRACT IS A

13b. RATING

$15,000,000

MARKED

SEE SCHEDULE

RATED ORDER UNDER

DPAS (15 CFR 700)

14. METHOD OF SOLICITATION

RFQ IFB

X RFP

15. DELIVER TO CODE W68NE6 16. ADMINISTERED BY

PUBLIC WORKS ROADS SHOP BLDG.2054 NO. 4R

DPW

PUBLIC WORKS ROADS SHOP

BLDG.2054 NO. 4R

JBLM WA 98433

TEL: 253-477-3742 FAX:

CODE

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

18a. PAY MENT WILL BE MADE BY CODE

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

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

SUCH ADDRESS IN OFFER BELOW IS CHECKED SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/ SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

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

ADDENDA

ARE

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 2 29. AWARD OF CONTRACT: REF.

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND OFFER DATED . Y OUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

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

(SIGNATURE OF CONTRACTING OFFICER)

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

(TYPE OR PRINT)

(TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

TEL:

EMAIL:

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

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

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

36. PAYMENT

COMPLETE PARTIAL FINAL

37. CHECK NUMBER

PARTIAL FINAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES ESTIMATED

QUANTITY

UNIT UNIT PRICE ESTIMATED AMOUNT

0001 6 Months

Testing and Certification-O&M

FFP

The contractor shall perform annual testing and certification of backflow assemblies in accordance with Performance Work Statement Para. 5.1.1 and

5.1.5.and all deliverables as appropriate.

FOB: Destination

PURCHASE REQUEST NUMBER: 0011210460

PSC CD: AD24

ESTIMATED

NET AMT

UNIT UNIT PRICE ESTIMATED AMOUNT

0002 6 Months

Testing and Certification-TWCF

FFP

The contractor shall perform annual testing and certification of backflow assemblies in accordance with Performance Work Statement Para. 5.1.1 and 5.1.5.

and all deliverables as appropriate.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0003 1 Job

Over and Above Work and Materials-O&M

FFP

Over and Above and materials on O&M: Lewis North, Lewis Main, and McChord

Field. Over and above work is in support to task within scope of the PWS paragraphs. All over and above funding action will be negotiated on an individual basis. Onsite unscheduled service calls require the contractor to respond within twenty four (24) hours. The price is not to exceed amount and the contractor shall notify the COR once the ceiling price of this CLIN reaches 75%. Journeyman

Plumber (PL01) = $ per hour, Backflow Specialty Plumber (PL30) = $ per hour.

The contractor shall perform in accordance with Performance Work Statement

Para. 5.3-5.3.4 and 5.6. and all deliverables as appropriate.

$15,000.00

UNIT UNIT PRICE ESTIMATED AMOUNT

0004 1 Job

Over and Above Work and Materials -TWCF

FFP

Over and Above and materials on McChord Field. Over and above work is in support to task within scope of the PWS paragraphs. All over and above funding action will be negotiated on an individual basis. Onsite unscheduled service calls require the contractor to respond within twenty four (24) hours. The price is not to exceed amount and the contractor shall notify the COR once the ceiling price of this CLIN reaches 75%. Journeyman Plumber (PL01) = $ per hour, Backflow

Specialty Plumber (PL30)= $ per hour. The contractor shall perform in accordance with Performance Work Statement Para. 5.3-5.3.4 and 5.6. and all deliverables as appropriate.

FOB: Destination

$25,000.00

UNIT UNIT PRICE ESTIMATED AMOUNT

Requested Test and Certification

FFP

Requested Testing and Certification: In the event a Back Flow Preventer assembly is installed or replaced by the DPW, the contractor shall be responsible for the testing and certification of BFP assemblies as requested by COR. Requested testing and certification shall require a two (2)-day response time and shall be completed within five (5) working days after notification. The contractor shall perform in accordance with Performance Work Statement Para 5.1.5 and 5.2.-5.2.3.

and all deliverables as appropriate

UNIT UNIT PRICE ESTIMATED AMOUNT

0005AA 4 Job

Routine

FFP

Requested Testing and Certification: In the event a Back Flow Preventer assembly is installed or replaced by the DPW. Routine services shall require a two (2) day response time and shall be completed within seven 7 working days after the date of issue the contractor shall be responsible for the testing and certification of Back

Flow Preventer assemblies as requested by COR. And all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

0005AB 1 Job

Emergency

FFP

Requested Testing and Certification: In the event a Back Flow Preventer assembly is installed or replaced by the DPW. Emergency service shall require a two (2) hour response time to COR notification. Orders shall be completed in 2 days. The contractor shall be responsible for the testing and certification of Back Flow

Preventer assemblies as requested by COR. And all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

0006 1 Each

Contract Manpower Report

FFP

Contract Manpower Report IAW PWS. The contractor shall perform annual testing and certification of backflow assemblies in accordance with Performance

Work Statement Para. 5.7.

Reporting Period 1 November 2019 - 30 April 2020

UNIT UNIT PRICE ESTIMATED AMOUNT

1001 12 Months OPTION Testing and Certification-O&M

FFP

The contractor shall perform annual testing and certification of backflow assemblies in accordance with Performance Work Statement Para. 5.1.1 and

5.1.5.and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

1002 12 Months OPTION Testing and Certification-TWCF

FFP

The contractor shall perform annual testing and certification of backflow assemblies in accordance with Performance Work Statement Para. 5.1.1 and 5.1.5.

and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

1003 1 Job OPTION Over and Above Work and Materials-O&M

FFP

Over and Above and materials on O&M: Lewis North, Lewis Main, and McChord

Field. Over and above work is in support to task within scope of the PWS paragraphs. All over and above funding action will be negotiated on an individuals basis. Onsite unscheduled service calls require the contractor to respond within twenty four (24) hours. The price is not to exceed amount and the contractor shall notify the COR once the ceiling price of this CLIN reaches 75%. Journeyman

Plumber (PL01) = $ per hour, Backflow Specialty Plumber (PL30)= $ per hour.

The contractor shall perform in accordance with Performance Work Statement

Para. 5.3-5.3.4 and 5.6. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

1004 1 Job OPTION Over and Above Work and Materials -TWCF

FFP

Over and Above and materials on McChord Field. Over and above work is in support to task within scope of the PWS paragraphs. All over and above funding action will be negotiated on an individuals basis. Onsite unscheduled service calls require the contractor to respond within twenty four (24) hours. The price is not to exceed amount and the contractor shall notify the COR once the ceiling price of this CLIN reaches 75%. Journeyman Plumber (PL01) = $ per hour, Backflow

Specialty Plumber (PL30)= $ per hour. The contractor shall perform in accordance with Performance Work Statement Para. 5.3-5.3.4 and 5.6. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION Requested Test and Certification

FFP

Requested testing and certification shall require a two (2)-day response time and shall be completed within five (5) working days after notification. The contractor shall perform in accordance with Performance Work Statement Para. 5.2.-5.2.3 and

5.1.5.

and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

1005AA 8 Job

Routine

FFP

Flow Preventer assemblies as requested by COR. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

1005AB 2 Job

Emergency

FFP

Preventer assemblies as requested by COR. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

1006 2 Each OPTION Manpower Report

FFP

Contract Manpower Report IAW PWS.

Reporting Period 1 May 2020 - 30 September 2020 and 1 October 2020- 31 April

UNIT UNIT PRICE ESTIMATED AMOUNT

2001 12 Months OPTION Testing and Certification-O&M

FFP

The contractor shall perform annual testing and certification of backflow assemblies in accordance with Performance Work Statement Para. 5.1.1 and

5.1.5.and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

2002 12 Months OPTION Testing and Certification-TWCF

FFP

The contractor shall perform annual testing and certification of backflow assemblies in accordance with Performance Work Statement Para. 5.1.1 and 5.1.5.

and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

2003 1 Job OPTION Over and Above Work and Materials-O&M

FFP

Over and Above and materials on O&M: Lewis North, Lewis Main, and McChord

Plumber (PL01) = $ per hour, Backflow Specialty Plumber (PL30)= $ per hour.

The contractor shall perform in accordance with Performance Work Statement

Para. 5.3-5.3.4 and 5.6. and all deliverables as appropriate.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

2004 1 Job OPTION Over and Above Work and Materials -TWCF

FFP

Over and Above and materials on McChord Field. Over and above work is in support to task within scope of the PWS paragraphs. All over and above funding action will be negotiated on an individuals basis. Onsite unscheduled service calls require the contractor to respond within twenty four (24) hours. The price is not to exceed amount and the contractor shall notify the COR once the ceiling price of this CLIN reaches 75%. Journeyman Plumber (PL01) = $ per hour, Backflow

Specialty Plumber (PL30)= $ per hour. The contractor shall perform in accordance with Performance Work Statement Para. 5.3-5.3.4 and 5.6. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION Requested Test and Certification

FFP

5.1.5. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

2005AA 8 Job

Routine

FFP

Flow Preventer assemblies as requested by COR. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

2005AB 2 Job

Emergency

FFP

Preventer assemblies as requested by COR. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

2006 2 Each OPTION Contract Manpower Report

FFP

Contract Manpower Report-The contractor shall perform annual testing and certification of backflow assemblies in accordance with Performance Work

Statement Para. 5.7.

Reporting Period: 1 May 2021 - 30 September 2021 and 1 October 2021 - 30 April

UNIT UNIT PRICE ESTIMATED AMOUNT

3001 12 Months OPTION Testing and Certification-O&M

FFP

The contractor shall perform annual testing and certification of backflow assemblies in accordance with Performance Work Statement Para. 5.1.1 and

5.1.5.and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

3002 12 Months OPTION Testing and Certification-TWCF

FFP

The contractor shall perform annual testing and certification of backflow assemblies in accordance with Performance Work Statement Para. 5.1.1 and 5.1.5.

and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

3003 1 Job OPTION Over and Above Work and Materials-O&M

FFP

Over and Above and materials on O&M: Lewis North, Lewis Main, and McChord

Plumber (PL01) = $ per hour, Backflow Specialty Plumber (PL30)= $ per hour.

The contractor shall perform in accordance with Performance Work Statement

Para. 5.3-5.3.4 and 5.6. and all deliverables as appropriate.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

3004 1 Job OPTION Over and Above Work and Materials -TWCF

FFP

Over and Above and materials on McChord Field. Over and above work is in support to task within scope of the PWS paragraphs. All over and above funding action will be negotiated on an individuals basis. Onsite unscheduled service calls require the contractor to respond within twenty four (24) hours. The price is not to exceed amount and the contractor shall notify the COR once the ceiling price of this CLIN reaches 75%. Journeyman Plumber (PL01) = $ per hour, Backflow

Specialty Plumber (PL30)= $ per hour. The contractor shall perform in accordance with Performance Work Statement Para. 5.3-5.3.4 and 5.6. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION Requested Test and Certification

FFP

Requested Testing and Certification: In the event a BFP assembly is installed or replaced by the DPW, the contractor shall be responsible for the testing and certification of BFP assemblies as requested by COR. Requested testing and certification shall require a two (2)-day response time and shall be completed within five (5) working days after notification. The contractor shall perform in accordance with Performance Work Statement Para 5.1.5 and 5.2.-5.2.3. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

3005AA 8 Job

Routine

FFP

Flow Preventer assemblies as requested by COR. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

3005AB 2 Job

Emergency

FFP

Preventer assemblies as requested by COR. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

3006 2 Each OPTION Contract Manpower Report

FFP

Contract Manpower Report- The contractor shall perform annual testing and certification of backflow assemblies in accordance with Performance Work

Statement Para. 5.7.

Reporting Period 1 May 2022 - 30 September 2022 and 1 October 2022 -30 April

UNIT UNIT PRICE ESTIMATED AMOUNT

4001 12 Months OPTION Testing and Certification-O&M

FFP

The contractor shall perform annual testing and certification of backflow assemblies in accordance with Performance Work Statement Para. 5.1.1 and

5.1.5.and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

4002 12 Months OPTION Testing and Certification-TWCF

FFP

The contractor shall perform annual testing and certification of backflow assemblies in accordance with Performance Work Statement Para. 5.1.1 and 5.1.5.

and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

4003 1 Job OPTION Over and Above Work and Materials-O&M

FFP

Over and Above and materials on O&M: Lewis North, Lewis Main, and McChord

Field. Over and above work is in support to task within scope of the PWS paragraphs. All over and above funding action will be negotiated on an individual’s basis. Onsite unscheduled service calls require the contractor to respond within twenty four (24) hours. The price is not to exceed amount and the contractor shall notify the COR once the ceiling price of this CLIN reaches 75%.

Journeyman Plumber (PL01) = $ per hour, Backflow Specialty Plumber (PL30)= $ per hour.

The contractor shall perform in accordance with Performance Work Statement

Para. 5.3-5.3.4 and 5.6. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

4004 1 Job OPTION Over and Above Work and Materials -TWCF

FFP

Over and Above and materials on McChord Field. Over and above work is in support to task within scope of the PWS paragraphs. All over and above funding action will be negotiated on an individuals basis. Onsite unscheduled service calls require the contractor to respond within twenty four (24) hours. The price is not to exceed amount and the contractor shall notify the COR once the ceiling price of this CLIN reaches 75%. Journeyman Plumber (PL01) = $ per hour, Backflow

Specialty Plumber (PL30)= $ per hour. The contractor shall perform in accordance with Performance Work Statement Para. 5.3-5.3.4 and 5.6. And all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

OPTION Requested Test and Certification

FFP

5.1.5. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

4005AA 8 Job

Routine

FFP

Flow Preventer assemblies as requested by COR. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

4005AB 2 Job

Emergency

FFP

Preventer assemblies as requested by COR. and all deliverables as appropriate.

UNIT UNIT PRICE ESTIMATED AMOUNT

4006 2 Each OPTION Contract Manpower Report

FFP

Contract Manpower Report IAW PWS.

Reporting Period 1 May 2023 - 30 September 2023 and 1 October 2023 - 30 April

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 N/A N/A N/A N/A

0005AA Destination Government Destination Government

0005AB Destination Government Destination Government

0006 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 N/A N/A N/A N/A

1005AA Destination Government Destination Government

1005AB Destination Government Destination Government

1006 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 N/A N/A N/A N/A

2005AA Destination Government Destination Government

2005AB Destination Government Destination Government

2006 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 N/A N/A N/A N/A

3005AA Destination Government Destination Government

3005AB Destination Government Destination Government

3006 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 N/A N/A N/A N/A

4005AA Destination Government Destination Government

4005AB Destination Government Destination Government 4006 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-NOV-2019 TO

30-APR-2020

N/A PUBLIC WORKS ROADS SHOP BLDG.2054 W68NE6

NO. 4R

DPW

PUBLIC WORKS ROADS SHOP

BLDG.2054 NO. 4R

JBLM WA 98433

253-477-3742

FOB: Destination

0002 POP 01-NOV-2019 TO

30-APR-2020

N/A (SAME AS PREVIOUS LOCATION) W68NE6

FOB: Destination

0003 POP 01-NOV-2019 TO

30-APR-2020

N/A (SAME AS PREVIOUS LOCATION) W68NE6

FOB: Destination

0004 POP 01-NOV-2019 TO

30-APR-2020

N/A (SAME AS PREVIOUS LOCATION) W68NE6

FOB: Destination

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

0005AA POP 01-NOV-2019 TO

30-APR-2020

N/A PUBLIC WORKS ROADS SHOP BLDG.2054 W68NE6

NO. 4R

DPW

PUBLIC WORKS ROADS SHOP

BLDG.2054 NO. 4R

JBLM WA 98433

253-477-3742

FOB: Destination

0005AB POP 01-NOV-2019 TO

30-APR-2020

N/A (SAME AS PREVIOUS LOCATION) W68NE6

FOB: Destination

0006 POP 01-NOV-2019 TO

30-APR-2020

N/A (SAME AS PREVIOUS LOCATION) W68NE6

FOB: Destination

1001 POP 01-MAY-2020 TO

30-APR-2021

N/A (SAME AS PREVIOUS LOCATION) W68NE6

FOB: Destination

1002 POP 01-MAY-2020 TO

30-APR-2021

N/A (SAME AS PREVIOUS LOCATION) W68NE6

FOB: Destination

1003 POP 01-MAY-2020 TO

30-APR-2021

N/A (SAME AS PREVIOUS LOCATION) W68NE6

FOB: Destination

1004 POP 01-MAY-2020 TO

30-APR-2021

N/A (SAME AS PREVIOUS LOCATION) W68NE6

1005 N/A N/A N/A N/A

1005AA POP 01-MAY-2020 TO

30-APR-2021

N/A PUBLIC WORKS ROADS SHOP BLDG.2054

NO. 4R

DPW

PUBLIC WORKS ROADS SHOP

BLDG.2054 NO. 4R

JBLM WA 98433

253-477-3742

FOB: Destination

W68NE6

1005AB POP 01-MAY-2020 TO

30-APR-2021

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W68NE6

1006 POP 01-MAY-2020 TO

30-APR-2021

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W68NE6

2001 POP 01-MAY-2021 TO

30-APR-2022

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W68NE6

2002 POP 01-MAY-2021 TO

30-APR-2022

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W68NE6

2003 POP 01-MAY-2021 TO

30-APR-2022

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W68NE6

2004 POP 01-MAY-2021 TO

30-APR-2022

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W68NE6

2005 N/A N/A N/A N/A

2005AA POP 01-MAY-2021 TO

30-APR-2022

N/A PUBLIC WORKS ROADS SHOP BLDG.2054

NO. 4R

DPW

PUBLIC WORKS ROADS SHOP

BLDG.2054 NO. 4R

JBLM WA 98433

253-477-3742

FOB: Destination

W68NE6

2005AB POP 01-MAY-2021 TO

30-APR-2022

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W68NE6

2006 POP 01-MAY-2021 TO

30-APR-2022

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W68NE6

3001 POP 01-MAY-2022 TO

30-APR-2023

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W68NE6

3002 POP 01-MAY-2022 TO

30-APR-2023

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W68NE6

3003 POP 01-MAY-2022 TO

30-APR-2023

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W68NE6

3004 POP 01-MAY-2022 TO

30-APR-2023

N/A (SAME AS PREVIOUS LOCATION)

W68NE6

3005 N/A N/A N/A N/A

3005AA POP 01-MAY-2022 TO

30-APR-2023

N/A PUBLIC WORKS ROADS SHOP BLDG.2054 W68NE6

NO. 4R

DPW

PUBLIC WORKS ROADS SHOP

BLDG.2054 NO. 4R

JBLM WA 98433

253-477-3742

3005AB POP 01-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

3006 POP 01-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 01-MAY-2023 TO

30-APR-2024

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 01-MAY-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-MAY-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 01-MAY-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 N/A N/A N/A N/A

4005AA POP 01-MAY-2023 TO

N/A PUBLIC WORKS ROADS SHOP BLDG.2054 W68NE6

NO. 4R

DPW

PUBLIC WORKS ROADS SHOP

BLDG.2054 NO. 4R

JBLM WA 98433

253-477-3742

4005AB POP 01-MAY-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

4006 POP 01-MAY-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

CONTRACT TOTALS

PERIOD PROPOSED PRICES

BASE PERIOD $

1ST OPTION PERIOD $

2ND OPTION PERIOD $

3RD OPTION PERIOD $

4TH OPTION PERIOD $

CONTRACT TOTAL ALL PERIODS

CLAUSES INCORPORATED BY REFERENCE

52.202-1 Definitions NOV 2013

52.203-3 Gratuities APR 1984

52.203-12 Limitation On Payments To Influence Certain Federal OCT 2010 Transactions

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber MAY 2011 Content Paper

52.204-7 System for Award Management OCT 2018

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.204-16 Commercial and Government Entity Code Reporting JUL 2016

52.212-1 (Dev) Instructions to Offerors - Commercial Items. (DEVIATION OCT 2018 2018-O0018)

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

52.215-2 Audit and Records--Negotiation OCT 2010

52.222-50 Combating Trafficking in Persons JAN 2019

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

52.223-10 Waste Reduction Program MAY 2011

52.229-4 Federal, State, And Local Taxes (State and Local FEB 2013 Adjustments)

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013

52.232-40 Providing Accelerated Payments to Small Business DEC 2013 Subcontractors

52.237-2 Protection Of Government Buildings, Equipment, And APR 1984 Vegetation

52.242-13 Bankruptcy JUL 1995

52.242-15 Stop-Work Order AUG 1989

52.243-1 Alt I Changes--Fixed Price (Aug 1987) - Alternate I APR 1984

52.247-34 F.O.B. Destination NOV 1991

52.253-1 Computer Generated Forms JAN 1991

252.201-7000 Contracting Officer's Representative DEC 1991

252.203-7000 Requirements Relating to Compensation of Former DoD SEP 2011 Officials

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

252.203-7005 Representation Relating to Compensation of Former DoD NOV 2011 Officials

252.204-7003 Control Of Government Personnel Work Product APR 1992

252.204-7008 Compliance With Safeguarding Covered Defense Information OCT 2016 Controls

252.209-7004 Subcontracting With Firms That Are Owned or Controlled By MAY 2019 The Government of a Country that is a State Sponsor of

Terrorism

252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or SEP 2014 Hazardous Materials

252.225-7012 Preference For Certain Domestic Commodities DEC 2017

252.232-7010 Levies on Contract Payments DEC 2006

252.243-7001 Pricing Of Contract Modifications DEC 1991

252.243-7002 Requests for Equitable Adjustment DEC 2012 252.247-7023 Transportation of Supplies by Sea FEB 2019

CLAUSES INCORPORATED BY FULL TEXT

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS (JUN 2016)

(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 Web sites) 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 items, 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)

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

FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations

Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that--

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

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

(b) The Offeror represents that--

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

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

(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: SEE ADDENDUM 52.212-2

(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 (OCT 2018)

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 (u)) of this provision.

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

“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.

http://www.sam.gov/ http://www.sam.gov/

“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.

“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.

“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 applicable to the NAICS code 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 (u) 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.]

States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it ( business concern.

) is, ( ) is not a small

(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 ( not a veteran-owned small business concern.

) is, ( ) is

(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 ( disadvantaged business concern as defined in 13 CFR 124.1002.

) is, ( ) is not a small

(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 ( owned small business concern.

) is, ( ) is not a women-

Note: Complete paragraphs ( c)(8)and ( c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold.

(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…

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