W911S8-19-R-0022.pdf

SEE ADDENDUM

(No Collect Calls)

W911S819R0022 31-Jul-2019

b. TELEPHONE NUMBER

(253) 966-2976

8. OFFER DUE DATE/LOCAL TIME

11:00 AM 04 Sep 2019

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W911S89. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

BRIANA M. WATKINS

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

0011382700

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

MICC-JB LEWIS-MCCHORD

BUILDING 2015

JOINT BASE LEWIS-MCCHORD WA 98433-9500

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: (253) 966-3505 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$7,500,000

NAICS:

562998

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 OF80

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.

W911S819R0022

Section SF 1449 - CONTINUATION SHEET

CLIN TOTALS

Offerors shall fill in the total of the contract line items for each individual period in the table below:

Period Total Price Base Period Option Period 1 Grand Total

ITEM NO SUPPLIES/SERVICES ESTIMATED

QUANTITY

UNIT UNIT PRICE ESTIMATED AMOUNT

0001 115 Each Oil/Water Separators OWS 1-5,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

PURCHASE REQUEST NUMBER: 0011382700

PSC CD: S216

ESTIMATED

NET AMT

UNIT UNIT PRICE ESTIMATED AMOUNT

0002 15 Each OWS 5001-10,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0003 2 Each OWS 10,000-15,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0004 1 Each OWS 15,001-20,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0005 2 Each OWS 25,001-30,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0006 1 Each OWS 30,001-35,000 Galllons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0007 2 Each OWS 35,001-40,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0008 2 Each OWS 50,001-55,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0009 1 Each OWS 55,001-60,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7 FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0010 2 Each OWS 95,001-100,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7 FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0011 3 Each OWS 100,001-150,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7 FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0012 1 Each OWS 15,0001-20,0000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7 FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0013 1,400 Each Catch Basins

FFP

To test and analyze, clean, remove and dispose of sediment sludge for catch basins, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.5 and 5.9.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0014 290 Each Analytical Testing

FFP

Perform testing of oil-water separators and catch basins in accordance with the Performance Work Statement Part 5.5

UNIT UNIT PRICE ESTIMATED AMOUNT

0015 2 Each Sumps and Pits Maintenance

FFP

To clean interior sumps and pits in accordance with Performance Work Statement Part 5.8.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

0016 2 Each Contracting Manpower Reporting (CMR)

FFP

Contractor is required to provide data on contractor manpower (including subcontractor manpower) for performance of this contract IAW the PWS paragraph 5.13. The cost, if any, for providing this data shall be entered into the space provided at this CLIN. If no direct cost is associated with providing the data, enter "No Cost." Instructions, including the Contractor and Subcontractor User Guides, are available at the eCMRA (electronic Contractor Manpower Reporting Application) website at: https://ecmra.army.mil. For further assistance, email the eCMRA Help Desk.

Reporting periods are 01 November 2019 through 30 September 2020 (1 each) and 01 October 2020 through 31 October 2020 (1 each). Reports are due no later than 31 October 2020.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1001 115 Each OPTION Oil/Water Separators OWS 1-5,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1002 15 Each OPTION OWS 5001-10,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1003 2 Each OPTION OWS 10,000-15,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1004 1 Each OPTION OWS 15,001-20,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1005 2 Each OPTION OWS 25,001-30,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1006 1 Each OPTION OWS 30,001-35,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7 FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1007 2 Each OPTION OWS 35,001-40,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1008 2 Each OPTION OWS 50,001-55,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1009 1 Each OPTION OWS 55,001-60,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1010 2 Each OPTION OWS 55,001-100,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1011 3 Each OPTION OWS 100,001-150,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1012 1 Each OPTION OWS 150,001-200,000 Gallons

FFP

To test, clean, remove and dispose of sediment sludge, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.7.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1013 1,400 Each OPTION Catch Basins

FFP

To test and analyze, clean, remove and dispose of sediment sludge for catch basins, inspect and provide written report to the Government in accordance with Performance Work Statement Part 5.0 thru 5.5 and 5.9.

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1014 290 Each OPTION Analytical Testing

FFP

Perform testing of oil-water separators and catch basins in accordance with the Performance Work Statement Part 5.5 FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1015 2 Each OPTION 1015 Sumps & Pits Maintenance

FFP

To clean interior sumps and pits in accordance with Performance Work Statement Part 5.8..

FOB: Destination

UNIT UNIT PRICE ESTIMATED AMOUNT

1016 2 Each OPTION Contracting Manpower Reporting (CMR)

FFP

Contractor is required to provide data on contractor manpower (including subcontractor manpower) for performance of this contract IAW the PWS paragraph 5.13. The cost, if any, for providing this data shall be entered into the space provided at this CLIN. If no direct cost is associated with providing the data, enter "No Cost." Instructions, including the Contractor and Subcontractor User Guides, are available at the eCMRA (electronic Contractor Manpower Reporting Application) website at: https://ecmra.army.mil. For further assistance, email the eCMRA Help Desk.

Reporting periods are 01 November 2020 through 30 September 2021 (1 each) and 01 October 2021 through 31 October 2021 (1 each). Reports are due no later than 31 October 2021.

FOB: Destination

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 0008 Destination Government Destination Government 0009 Destination Government Destination Government 0010 Destination Government Destination Government 0011 Destination Government Destination Government 0012 Destination Government Destination Government 0013 Destination Government Destination Government 0014 Destination Government Destination Government 0015 Destination Government Destination Government

0016 Destination Government Destination Government 1001 Destination Government Destination Government 1002 Destination Government Destination Government 1003 Destination Government Destination Government 1004 Destination Government Destination Government 1005 Destination Government Destination Government 1006 Destination Government Destination Government 1007 Destination Government Destination Government 1008 Destination Government Destination Government 1009 Destination Government Destination Government 1010 Destination Government Destination Government 1011 Destination Government Destination Government 1012 Destination Government Destination Government 1013 Destination Government Destination Government 1014 Destination Government Destination Government 1015 Destination Government Destination Government 1016 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-NOV-2019 TO

31-OCT-2020

N/A PUBLIC WORKS

IMCOM-DPW

P.O. BOX 339500

JBLM WA 98433-9500

W68NE6

0002 POP 01-NOV-2019 TO

31-OCT-2020

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0010 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0011 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0012 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0013 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0014 POP 01-NOV-2019 TO

N/A PM BECKY KOWALSKI

DPW

JBLM WA 98433

0015 POP 01-NOV-2019 TO

N/A PUBLIC WORKS

IMCOM-DPW

P.O. BOX 339500

JBLM WA 98433-9500

0016 POP 01-NOV-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-NOV-2020 TO

31-OCT-2021

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1007 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1008 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1009 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1010 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1011 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1012 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1013 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1014 POP 01-NOV-2020 TO

N/A PM BECKY KOWALSKI

DPW

JBLM WA 98433

1015 POP 01-NOV-2020 TO

N/A PUBLIC WORKS

IMCOM-DPW

P.O. BOX 339500

JBLM WA 98433-9500

1016 POP 01-NOV-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

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

(Sep 2006) -- Alternate I

OCT 1995

52.203-11 Certification And Disclosure Regarding Payments To Influence Certain Federal Transactions

SEP 2007

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

MAY 2011

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

Subcontract Awards

OCT 2018

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

OCT 2015

52.209-9 Updates of Publicly Available Information Regarding Responsibility Matters

OCT 2018

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

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

OCT 2018

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

52.217-5 Evaluation Of Options JUL 1990 52.219-6 (Dev) Notice of Total Small Business Set-Aside (DEVIATION

2019-O0003).

JAN 2019

52.219-8 Utilization of Small Business Concerns OCT 2018 52.219-14 (Dev) Limitations on Subcontracting (DEVIATION 2019-O0003). JAN 2019 52.222-3 Convict Labor JUN 2003 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity SEP 2016 52.222-37 Employment Reports on Veterans FEB 2016 52.222-40 Notification of Employee Rights Under the National Labor

Relations Act

DEC 2010

52.222-43 Fair Labor Standards Act And Service Contract Labor Standards - Price Adjustment (Multiple Year And Option Contracts)

AUG 2018

52.222-50 Combating Trafficking in Persons JAN 2019 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.225-13 Restrictions on Certain Foreign Purchases JUN 2008 52.228-5 Insurance - Work On A Government Installation JAN 1997 52.233-3 Protest After Award AUG 1996 52.237-1 Site Visit APR 1984 52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.242-13 Bankruptcy JUL 1995 52.242-15 Stop-Work Order AUG 1989 52.246-4 Inspection Of Services--Fixed Price AUG 1996 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

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7004 Antiterrorism Awareness Training for Contractors FEB 2019 252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

OCT 2016

252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support

MAY 2016

252.205-7000 Provision Of Information To Cooperative Agreement Holders DEC 1991 252.209-7004 Subcontracting With Firms That Are Owned or Controlled By

The Government of a Country that is a State Sponsor of Terrorism

MAY 2019

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

SEP 2014

252.225-7031 Secondary Arab Boycott Of Israel JUN 2005 252.225-7048 Export-Controlled Items JUN 2013 252.226-7001 Utilization of Indian Organizations and Indian-Owned

Economic Enterprises, and Native Hawaiian Small Business Concerns

APR 2019

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

DEC 2018

252.232-7010 Levies on Contract Payments DEC 2006 252.237-7010 Prohibition on Interrogation of Detainees by Contractor

Personnel

JUN 2013

252.243-7001 Pricing Of Contract Modifications DEC 1991 252.243-7002 Requests for Equitable Adjustment DEC 2012 252.247-7022 Representation of Extent of Transportation by Sea. JUN 2019 252.247-7023 Transportation of Supplies by Sea FEB 2019

CLAUSES INCORPORATED BY FULL TEXT

52.000-4070 Insurance Requirements

The following types of insurance and amounts are required in accordance with FAR 52.228-5 "Insurance – Work On A Government Installation”:

Workers' Compensation: $100,000

Comprehensive General Liability Insurance for Bodily Injury: $500,000 per occurrence

Comprehensive Automobile Liability Insurance: $200,000 per person; $500,000 per occurrence for bodily injury;

$20,000 per occurrence for property damages.

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS OR

STATEMENTS (JAN 2017)

(a) Definitions. As used in this clause-- Internal confidentiality agreement or statement means a confidentiality agreement or any other written statement that the contractor requires any of its employees or subcontractors to sign regarding nondisclosure of contractor information, except that it does not include confidentiality agreements arising out of civil litigation or confidentiality agreements that contractor employees or subcontractors sign at the behest of a Federal agency.

Subcontract means any contract as defined in subpart 2.1 entered into by a subcontractor to furnish supplies or services for performance of a prime contract or a subcontract. It includes but is not limited to purchase orders, and changes and modifications to purchase orders.

Subcontractor means any supplier, distributor, vendor, or firm (including a consultant) that furnishes supplies or services to or for a prime contractor or another subcontractor.

(b) The Contractor shall not require its employees or subcontractors to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting waste, fraud, or abuse related to the performance of a Government contract to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information (e.g., agency Office of the Inspector General).

(c) The Contractor shall notify current employees and subcontractors that prohibitions and restrictions of any preexisting internal confidentiality agreements or statements covered by this clause, to the extent that such prohibitions and restrictions are inconsistent with the prohibitions of this clause, are no longer in effect.

(d) The prohibition in paragraph (b) of this clause does not contravene requirements applicable to Standard Form 312 (Classified Information Nondisclosure Agreement), Form 4414 (Sensitive Compartmented Information Nondisclosure Agreement), or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(e) In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015, (Pub. L. 113-235), and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions) use of funds appropriated (or otherwise made available) is prohibited, if the Government determines that the Contractor is not in compliance with the provisions of this clause.

(f) The Contractor shall include the substance of this clause, including this paragraph (f), in subcontracts under such contracts.

(End of clause)

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS (DEC

2014)

The Contractor's representations and certifications, including those completed electronically via the System for Award Management (SAM), are incorporated by reference into the contract.

52.204-22 ALTERNATIVE LINE ITEM PROPOSAL (JAN 2017)

(a) The Government recognizes that the line items established in this solicitation may not conform to the Offeror's practices. Failure to correct these issues can result in difficulties in acceptance of deliverables and processing payments. Therefore, the Offeror is invited to propose alternative line items for which bids, proposals, or quotes are requested in this solicitation to ensure that the resulting contract is economically and administratively advantageous to the Government and the Offeror.

(b) The Offeror may submit one or more additional proposals with alternative line items, provided that alternative line items are consistent with subpart 4.10 of the Federal Acquisition Regulation. However, acceptance of an alternative proposal is a unilateral decision made solely at the discretion of the Government. Offers that do not comply with the line items specified in this solicitation may be determined to be nonresponsive or unacceptable.

(End of provision)

52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES

DEVELOPED OR PROVIDED BY KASPERSKY LAB AND OTHER COVERED ENTITIES (JUL 2018)

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

Covered article means any hardware, software, or service that--

(1) Is developed or provided by a covered entity;

(2) Includes any hardware, software, or service developed or provided in whole or in part by a covered entity; or

(3) Contains components using any hardware or software developed in whole or in part by a covered entity.

Covered entity means--

(1) Kaspersky Lab;

(2) Any successor entity to Kaspersky Lab;

(3) Any entity that controls, is controlled by, or is under common control with Kaspersky Lab; or

(4) Any entity of which Kaspersky Lab has a majority ownership.

(b) Prohibition. Section 1634 of Division A of the National Defense Authorization Act for Fiscal Year 2018 (Pub. L.

115-91) prohibits Government use of any covered article. The Contractor is prohibited from--

(1) Providing any covered article that the Government will use on or after October 1, 2018; and

(2) Using any covered article on or after October 1, 2018, in the development of data or deliverables first produced in the performance of the contract.

(c) Reporting requirement.

(1) In the event the Contractor identifies a covered article provided to the Government during contract performance, or the Contractor is notified of such by a subcontractor at any tier or any other source, the Contractor shall report, in writing, to the Contracting Officer or, in the case of the Department of Defense, to the website at https://dibnet.dod.mil. For indefinite delivery contracts, the Contractor shall report to the Contracting Officer for the indefinite delivery contract and the Contracting Officer(s) for any affected order or, in the case of the Department of Defense, identify both the indefinite delivery contract and any affected orders in the report provided at https://dibnet.dod.mil.

(2) The Contractor shall report the following information pursuant to paragraph (c)(1) of this clause:

(i) Within 1 business day from the date of such identification or notification: The contract number; the order number(s), if applicable; supplier name; brand; model number (Original Equipment Manufacturer (OEM) number, manufacturer part number, or wholesaler number); item description; and any readily available information about mitigation actions undertaken or recommended.

(ii) Within 10 business days of submitting the report pursuant to paragraph (c)(1) of this clause: Any further available information about mitigation actions undertaken or recommended. In addition, the Contractor shall describe the efforts it undertook to prevent use or submission of a covered article, any reasons that led to the use or submission of the covered article, and any additional efforts that will be incorporated to prevent future use or submission of covered articles.

(d) Subcontracts. The Contractor shall insert the substance of this clause, including this paragraph (d), in all subcontracts, including subcontracts for the acquisition of commercial items.

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 will be used to evaluate offers:

1) Technical Experience

2) Price

The Government intends to award a single contract to the offeror that is deemed responsible in accordance with FAR Subpart 9.1, whose proposal conforms to the solicitation, and whose proposal represents the lowest-priced offer with an Acceptable rating for the Technical Experience factor.

(b) Proposals will be evaluated for compliance with the following submission requirements, detailed in the Addendum to FAR 52.212-1, paragraph D. Proposals that do not conform to the solicitation requirements may be deemed ineligible for award:

1 – A cover letter included in the proposal, meeting the following requirements:

Submitted on company letterhead, signed by an officer of the company, stating the authorized representative(s) (along with title, telephone number and other contact information such as e-mail) who can obligate the offeror contractually, negotiate, sign the proposal, and sign other contract actions.

Acknowledges an extended acceptance period of 90 calendar days from the date specified for receipt of offers.

States the offeror’s DUNS number, CAGE Code, Tax-ID number, and address.

Identifies and explains any exceptions or deviations the offeror takes with the solicitation. Additionally, any assumptions used in the proposal preparation were identified.

2 – SF 1449 included in the proposal, meeting the following requirements:

Blocks 12, 17a, 17b, 30a, 30b, and 30c filled out

3 – SF 30 included in the proposal for each amendment issued, meeting the following requirements:

Blocks 6, 15a, 15b, and 15c filled out

4 – A pricing schedule included in the proposal, meeting the following requirements:

Unit and extended price identified for each CLIN CLIN Total table completed

5 – The following representations and certifications included in the proposal, or the offeror stated the representations and certifications are in SAM. If an offeror states that the representations and certifications are in SAM, the Government will check the SAM database to verify the claim. In the event that the certifications and/or reprsentations are not in SAM, the proposal will be considered non-conforming with the solicitation:

52.212-3 Alternate I, “Offeror Representations and Certificataion – Commercial Items” 52.219-1, “Small Business Program Representations” 52.222-22, “Previous Contracts and Compliance Reports” 52.222-25, “Affirmative Action Compliance”

6 – Technical Experience Forms included in the proposal

(c) The Government will evaluate the offerors’ Technical Experience to determine the level to which the offerors’ submitted past experience (which may include past experience of proposed subcontractors) was for work of a like and similar magnitude, scope and complexity as this solicitation. Specifically, the Government will evaluate the offerors’ past technical experience in the following areas:

Inspecting oil/water separators Cleaning oil/water separators

Inspecting stormwater catch basins Cleaning stormwater catch basins Collecting samples of potential hazardous waste Analyzing potential hazardous waste samples Photo documenting site conditions Submitting regular reports summarizing work performed Completing Chain of Custody forms Obtaining permits or licenses for waste transportation/disposal

The Government will evaluate up to three (3) past technical experience submissions (submitted on the Technical Experience Proposal Forms, provided as Attachment 09), and will only evaluate past experience submissions that were performed, in whole or in part, within the past five (5) years from the closing date of the solicitation. If an offeror fails to provide an acceptable past experience narrative, the offeror may be ineligible for award. The Government will determine the acceptability of offerors’ technical experience based on the following ratings:

Technical Experience Ratings

Rating Description Acceptable The offeror’s Technical Experience record involved similar scope and magnitude of effort and complexities this solicitation requires

Unacceptable The offeror’s Technical Experience record involved little or none of the scope and magnitude of effort and complexities this solicitation requires

(d) The Government will not score or rate offerors’ price proposals. Proposed prices will be evaluated for reasonableness and balance. To be eligible for award, an offeror’s technical experience must be rated “Acceptable,” the total price proposed must be determined reasonable, and all CLINs must be determined balanced, unless the Government determines that the lack of balance does not pose an unacceptable risk to the Government.

Offerors are cautioned against submitting an offer that contains unbalanced pricing. Unbalanced pricing exists when, despite an acceptable total evaluated price, the price of one or more contract line items (including base and option periods) is significantly overstated or understated as indicated by the application of price analysis techniques. Offers that are determined to be unbalanced may be rejected if the lack of balance poses a significant risk to the Government.

Price analysis will be performed on the total proposed amount (base and option period). The existence of adequate price competition is expected to support a determination of reasonableness; however, other price analysis techniques may be used to further validate price reasonableness.

The Government will evaluate its option to extend services (FAR Clause 52.217-8) by adding one-half of the offerors’ proposed price for the option period to the total proposed amount. Thus, the offerors’ total price for the purpose of evaluation will include the 24 month contract term and one half of the last option period. Offerors will not propose a cost for the six-month period. The extension of services clause will be exercised only if necessary, utilizing the negotiated rates of the preceding period.

Evaluation of the option(s) shall not obligate the Government to exercise the option(s).

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (OCT 2018)

ALTERNATE I (OCT 2014)

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.

“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 its stock 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 the stock of which is owned by one or more women; and

(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.]

(c) Offerors must complete the following representations when the resulting contract is to 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.

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 provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ___ .] Each

WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

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

(i) It [ ___ ] is, [ ___ ] is not an EDWOSB concern, 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)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ___ .] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

(8) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [ ___ ] is, a women-owned business concern.

(9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price:

(10) HUBZone 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--

(i) It [ ___ ] is, [ ___ ] is not a HUBZone small business concern listed, on the date of this representation, on the

List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [ ___ ] is, [ ___ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: ___ .] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

(11) (Complete if the offeror has represented itself as disadvantaged in paragraph (c)(4) of this provision.)

[The…