W91237-17-T-0079.pdf
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SEE ADDENDUM
(No Collect Calls)
W91237-17-T-0079 09-May-2017
b. TELEPHONE NUMBER
304.399.5548
8. OFFER DUE DATE/LOCAL TIME
04:00 PM 23 May 2017
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.
W912379. ISSUED BY
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
LEAH S MORGAN
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
W81F8E71027259
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
WOMEN-OWNED SMALL
BUSINESS (WOSB)
17a.CONTRACTOR/ CODE FACILITY
OFFEROR CODE
USACE, CONTRACTING BRANCH
LEAH MORGAN, 502 8TH STREET
HUNTINGTON WV 25701
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 963455 16. ADMINISTERED BY
12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
SEE SCHEDULE
14. METHOD OF SOLICITATION
RFQ IFB RFPX
BURNSVILLE LAKE
RICHARD PINGLEY
2550 S MAIN STREET
BURNSVILLE WV 26335-7516
TEL: 304-853-2371 FAX:
304-399-5281FAX:
TEL: 304-399-5548 SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
8(A)
HUBZONE SMALL
BUSINESS
ECONOMICALLY DISADVANTAGED
WOMEN-OWNED SMALL BUSINESS
(EDWOSB)
SIZE STANDARD:
NAICS:
327320
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.
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
(CONTINUED)
PAGE 2 OF44
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.
W91237-17-T-0079
Section SF 1449 - CONTINUATION SHEET
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0001 1 Assortmen t
BUILDING SUPPLIES AND MATERIALS
FFP
The Contractor shall supply and deliver building materials as detailed in the attached Bill of Material.
FOB: Destination
MILSTRIP: W81F8E71027259
PURCHASE REQUEST NUMBER: W81F8E71027259
NET AMT
BILL OF MATERIAL
Item Numbers 38, 39, 41, 52, and 53 must be the brand name specified (see justification posted to www.FBO.gov with this solicitation). All others are brand name or equal. If providing an “equal” product, please include a specification sheet, if available, and indicate which item no. it is substituting.
All materials shall be delivered to Burnsville Lake, 2550 South Main Street, Burnsville, WV 26335-7516. The vendor shall contact the Resource Manager at 304-853-2371 the day before delivery is scheduled to ensure staff is available to off-load the materials. Failure to call could result in a return trip.
Delivery is requested by June 1, 2017 if possible. Please provide estimated lead times for all items that cannot meet the June 1, 2017 delivery date.
Item Number
Description Total Qty Unit Unit Cost Extended Cost
1 Concrete - provide and deliver 4000 psi concrete for footing, floor, sidewalks, and base for flagpole and kiosk at office. The quantity is estimated - the actual quantity ordered could be less. The concrete shall be distributed evenly by the Contractor over the entire area. The Contractor is not responsible for finishing concrete. The first truck shall have a minimum 52’ long conveyor. The other trucks can have shorter conveyors (approximately 40’ long).
The Contractor shall deliver the concrete within 48 hours of request by Government personnel. Pours will be completed in mornings between 8:00 a.m.
and 10:00 a.m. Each truck driver shall provide a delivery ticket for each load to the on-site maintenance staff at time of delivery.
40 Yard
2 Rebar - 1/2" x 20' - shall be grade 40 steel or better with raised ribs for concrete adhesion
50 Each
3 Steel tie wire for rebar - 16 gauge, 500' roll. 1 Each 4 Rebar safety caps - DSC10 or equal, shall be
OSHA approved and fit 1/2" rebar - package of 25 2 Each
5 Steel mesh reinforcement wire - 5' x 150' roll - shall be welded to form a square grid
2 Roll
6 Vapor barrier - shall be minimum 6 mil thick clear poly sheeting, 10' x 100' roll
2 Rolls
7 2" x 4" x 8' # 2 grade S4S kiln-dried whitewood studs - for forms
25 Each
8 3" plastic conduit Schedule 80 - 10' lengths 12 Each 9 3" male adaptor with lock ring for above conduit 4 Each 10 3" bushing for above conduit 4 Each 11 3" sweeping 90 for above conduit 2 Each 12 3" coupling for above conduit 6 Each 13 5/8" x 16" x 4" round-head hot dipped galvanized steel anchor bolts with washers and nuts 30 Each
14 Aluminum flashing for termite shield - 8" x 50' roll 2 Roll 15 Sill seal - FoamSealR # 2FS or equal - 5-1/2" x 50' roll 2 Roll
16 Liquid nails - extreme heavy duty - 10 ounce tube 12 Tube 17 Caulk - DAP Dynaflex 230 or equal premium indoor/outdoor sealant - 10.1 ounce tube in light gray for window and door caulking - shall be paintable, mold and mildew resistant latex
12 Tube
18 Foam sealant - Great Stuff or equal polyurethane-based insulating foam in 16 ounce aerosol can with quick stop straw - shall form a permanent weather-tight seal to minimize drafts and insect infestation
12 Each
19 2" x 6" x 8' # 2 grade S4S kiln-dried whitewood studs
85 Each
20 2" x 6" x 12' # 2 grade ACQ treated bottom plate 8 Each 21 2" x 6" x 12' # 2 grade S4S kiln-dried whitewood top plate 16 Each
22 2" x 4" x 8' # 2 grade S4S kiln-dried whitewood studs
196 Each
23 2" x 4" x 16' # 2 grade ACQ treated bottom plate 7 Each 24 2" x 4" x 16' # 2 grade S4S kiln-dried whitewood top plate 14 Each
25 2" x 12" x 16' # 2 grade S4S kiln-dried whitewood headers
4 Each
26 Windows - wvglassco.com # 451T or equal insulated storefront type fixed storefront framing units with bronze aluminum frames - outside frame measurements shall be 22-1/4" w x 74-1/2" h.
Frames shall be 1-1/2" wide on each side, top and bottom, looking toward the glass. Inside to outside frame depth shall be 4-1/2" . Glass shall be 1" bronze tinted tempered glass. These shall be eight separate framed units that will each fit between studs, not one continuous unit. Frames shall be assembled, but glasses shall not be installed.
8 Each
Frames will be installed by the government, and then the glasses will be installed.
27 Door - wvglassco.com # 451 or equal single narrow stile insulated storefront type door with bronze aluminum frame - outside frame measurements shall be 40" w x 86" h, and door measurement shall be 36" x 84" outside. Door frame shall be 1-1/2" wide on each side, top and bottom of the glass, looking toward the glass. Inside to outside door frame depth shall be 4-1/2". Glass shall be 1" bronze tinted tempered glass. Looking from outside toward the inside of the building, the hinges shall be on the left side of the door. Shall include standard commercial quality hardware including 300 series stainless steel butt hinges (4 -1/2" x 4" x .134"), closer, deadbolt lock (Adams Rite MS1850 or equal with NO cylinder (government will provide cylinder) but with standard thumb latch on the interior, weatherstripping, and threshold.
1 Each
28 Coil stock - aluminum .019" thick x 24" x 50' roll, dark bronze in color
1 Roll
29 1/2" x 4' x 8' plywood with exterior glue - shall be pressure treated to meet AWPA standards, southern yellow pine for exterior use; shall have limited lifetime warranty that protects against damage by fungal decay or termite infestation
15 Sheet
30 Truss hanger - Simpson LUS26 or equal 8 Each 31 Truss hanger - Simpson SUL26 or equal 3 Each 32 Truss hanger - Simpson SUR26 or equal 3 Each 33 Truss hanger - Simpson THJA26 or equal 1 Each 34 Building wrap - Dupont Tyvek or equal in 9' x 150' roll 1 Each
35 Roof sheathing - 3/4" x 4' x 8' plywood with exterior glue - shall be pressure treated to meet AWPA standards, southern yellow pine for exterior use;
shall have limited lifetime warranty that protects against damage by fungal decay or termite infestation
55 Sheet
36 Building felt, 30#, 200 square foot roll 5 Roll 37 Roof vent - Master Flow 1000 CFM or equal brown galvanized steel electric power - with 5 year warranty
2 Each
38 Decra Shake Roofing - do not substitute - must match existing roofing on building - color Weathered Timber - square to cover 10' x 10' area. Shall be steel panels with 37ksi tensile strength, aluminum zinc alloy coating, acrylic priming system, acrylic resin binder basecoat, ceramic dcoated stone granules, and an acrylic overglaze. Shall have a limited lifetime warranty.
17 Square
39 Decra shake caps for hip roof - do not substitute 46 Each 40 Furring strips for shakes - shall be 1" x 2" x 10' premium quality, S4S kiln dried, untreated 160 Each
41 Olympic® Maximum Exterior Deck, Fence and Siding Latex Stain - Solid Color Cape Cod Grey - in 5 gallon buckets. Do not substitute - must match existing stain on building.
5 Each
42 Drip edge - 2.38" x 10' - brown in color 9 Each 43 WeatherLock® or equal – Specialty Tile and Metal
Waterproofing Barrier - roll 3' x 66.7' roll 2 Roll
44 Fascia boards - 2" x 10" x8' rough sawn kiln-dried cedar
12 Each
45 2" x 4" x 8' # 2 grade S4S kiln-dried whitewood - to tie end of trusses to wall
10 Each
46 Soffit - 3/8" x 4' x 8' rough sawn cedar plywood 6 Sheet 47 Vented soffit - shall be Amerimax #77102, 13" x 12' white aluminum or equal with two sections divided by a strengthening panel down the center
11 Each
48 Durovent Baffle # DVB2346 or equal - 23.5" x 46", 10/bag
5 Bag
49 Fiberglass insulation - 23" x 6" kraft faced R19 (walls)
640 SqFt
50 Fiberglass insulation - 23" x 9-1/2" kraft faced R30 (ceiling)
1290 SqFt
51 Fiberglass insulation - 23" x 6" kraft faced R19 (soundproofing walls)
448 SqFt
52 Breckenridge premium REAL WOOD siding panel.
Panels shall be 4' x 8' sheets 19/32" thick, with 1 1/2" vertical grooves at 12" OC spacing. The face of the panel shall be manufactured using a select, patch-free import Okume veneer that has a rough cedar appearance. The inner core shall be made from strong western softwood veneer and a fully water resistant (NAUF) phenolic resin. Do not substitute - must match existing siding on building.
20 Sheet
53 Briar Hill sandstone - do not substitute - must match existing stonework on building - shall have full-color range (minimum of 8 colors), split face, random shaped rubble with 15% 7" to 12" high and 85% 4" - 7" high, with coverage of 45 square feet per ton.
8 TN
54 Type N mortar - 70# bags 20 Bag 55 Brown masonry sand 3 Ton 56 Concrete wall ties - # WB22WT or equal galvanized
22 gauge 350 Each
57 Drywall, 4' x 8' x 1/2" sheets 68 Sheet 58 Drywall, 4' x 12' x 5/8" sheets 28 Sheet 59 Drywall screws - # 6 x 1 5/8" 20 Pound 60 All purpose drywall joint compound - 5 gal bucket 6 Each 61 Drywall joint tape - 2 1/16" x 500' 4 Roll 62 Primer - Valspar Interior Latex Primer or equal for new drywall, low odor, in 5 gallon bucket 2 Each
63 Paint - Valspar Ultra 4000 or equal High Hide White Semi-Gloss Latex Interior Paint, white in color - in 5 gallon bucket
2 Each
64 Polyurethane clear gloss - shall be Minwax # 71030 or equal, fast drying
2 Gallon
65 Raco # 2709 or equal wire protection plate with nailing spurs
50 Each
66 Wood door slab - 36" x 84" x 1-3/4" solid core commercial grade wood door fire rated for 20 minutes. Shall not have hinge cutouts or hole for knob.
2 Each
67 Red oak baseboard - hartlandplaningmill.com # HB660 or equal in 8' lengths - shall be same 5-1/4" wide x 3/4" thick profile to match existing baseboards.
36 Each
68 Red oak casing - hartlandplaningmill.com # HC432 or equal in 8' lenghs - shall be same 3-1/4" wide profile to match existing casings, but shall be 3/4" thick.
48 Each
69 Red oak casing - hartlandplaningmill.com # HC432 or equal in 10' lenghs - shall be same 3-1/4" wide profile to match existing casings, but shall be 3/4" thick.
2 Each
70 Red oak board - 1" x 4" x 8' S4S kiln-dried 6 Each 71 Red oak board - 1" x 4" x 10' S4S kiln-dried 13 Each 72 Red oak board - 2" x 6" x 8' S4S kiln-dried 3 Each 73 Primed finger-jointed baseboard 9/16" x 3-1/4" x 8' -
Woodgrain Millwork # 713 or equal 10 Each
74 Primed finger-jointed casing 11/16 x 2-1/4" x 8' - Woodgrain Millwork # 327 or equal
3 Each
75 Breaker box - 80 circuit 200 amp main breaker load center - Square D # HOM4080M200PCVP or equal
1 Each
76 15 amp single pole Square D Homeline breakers or equal for above box (#75 - must be compatible)
10 Each
77 20 amp single pole Square D Homeline breakers or equal for above box (#75 - must be compatible)
10 Each
78 Wire - stranded #12 CU THHN Black - 500' roll 2 Roll 79 Wire - stranded #12 CU THHN White - 500' roll 3 Roll 80 Wire - stranded #12 CU THHN Red - 500' roll 1 Roll 81 Wire - stranded #12 CU THHN Green - 500' roll 3 Roll 82 EMT conduit - 3/4" - 10' length 75 Each 83 EMT conduit coupling for above 50 Each 84 EMT conduit male adapter for above 100 Each
85 Standard new work metal single receptacle box 30 Each 86 Standard new work metal double receptacle box 20 Each 87 Standard new work metal triple receptacle box 2 Each 88 Metal junction box with 3/4" knockouts - 4" x 4" x 2-
1/8" with cover and screws 15 Each
89 Hubbell 5511 or equal round non-metallic floor box for concrete pour with 3/4" and 1" hubs
8 Each
90 Hubbell 6299 or equal round non-metallic floor box cover with adapter ring
8 Each
91 Standard 20 amp white GFCI receptacle 5 Each 92 Standard 20 amp white receptacle 50 Each 93 Standard white receptacle cover 50 Each 94 Standard white 15 amp single pole toggle light switch 12 Each
95 Standard white switch plate cover 12 Each 96 Flexible duct - insulated R6 with galvanized core wire - 6" x 25' 3 Roll
97 Flexible duct - insulated R6 with galvanized core wire - 10" x 25'
1 Roll
98 Ceiling diffuser - Johnstone # L88-986 or equal - 6" x 6" MV4S 4-way white plastic with damper and rubber seat
7 Each
99 Return air grill - Johnstone # L88-467 or equal - 10" x 10" RH45 commercial aluminum grill, white in color - shall have horizontal bars at 45 degrees and face bars permanently fixed into heavy aluminum frame at 45 degree angle
3 Each
100 Duct elbows - Johnstone # M81-110 or equal - 26 gauge 6" fully adjustable
7 Each
101 Duct collar - Johnstone # M81-479 or equal - shall be used to transition from flat plenum to flex duct -shall be flat on the long side, 30 gauge, and 6" in diameter
7 Each
102 Duct collar - Johnstone # M81-023 or equal - shall be used to transition from flat plenum to flex duct, snap together - 28 gauge, and 10" in diameter
3 Each
103 Duct board - Johnstone # R94-245 or equal - shall be 2" x 4' x 10' sheet of fiberglass, protected by EPA registered biocide, R value of 4.3 minimum
1 Sheet
104 Duct tape - Johnstone # G80-091 or equal - shall be 3" x 50 yard aluminum foil tape, 4 mils thick
2 Roll
105 Duct ties - Johnstone # G80-724 or equal - for all weather applications, plenum rated, 175 lbs tensile strength, heavey duty, package of 50
1 Package
106 LED Panel Light - shall be greenledzone.com # PLC50554-6A2DCCB or equal, with input voltage from 100 to 277VAC, power consumption not greater than 50W, efficacy 131 Lm/W, 6492 lumens minimum, color - 4000k. Panel size shall be 23 3/4"W to 24"W x 47 7/8"L to 48"L x 3/8" thick to 1/2" thick, and overall height including the driver shall not exceed 1 1/2" (shall fit in existing customized oak frames), weight shall not be greater than 18 lbs, shall have built in step dimming which allows user to switch from high to medium to low brightness with a standard switch simply by toggling the switch on/off within 3 second, shall be capable of lay-in or suspended mounting with built in mounting points, shall have frosted plastic lens with white aluminum frame, shall be UL/DLC listed, shall not emit UVV/IR radiation or RF, and shall have a lifetime of 50000 hours minimum, with a minimum 5 year warranty.
19 Each
107 LED recessed downlight and driver to fit in 68mm hole - shall be 15 watt cool white floodlight, with input voltage from 100 to 277VAC, shall emit minimum of 480 lumens, with white aluminum frame, shall be CE/RoHS certified, and shall have a lifetime of 100,000 hours minimum, with a minimum 3 year warranty.
30 Each
108 Conduit with wire, Metl Clad # 68579201 or equal, with 14/2 AWG copper wire, .439" OD, roll of 250'
2 Roll
109 Conduit bushings - 3/8 in. flexible metal conduit (FMC) anti-short bushing (35-Pack)
2 Package
110 Conduit box connectors - for 3/8" flexible metal conduit (FMC) - shall have one screw to attach to conduit and shall attach to metal box in 1/2" knockout - shall be zinc die-cast - package of 5
10 Package
111 Utility box - 3-3/4" x 1-1/2" x 1-1/2" steel with 11 1/2" knockouts with screw-on lid - Garvin Industries # G19180 or equal with G19190 lid
26 Each
112 Paslode # 650474 or equal 2000-count 3-1/4" x .131 hot dipped galvanized plus framing nail - must be compatible with Paslode Cordless Framing Nailer
2 Box
113 Paslode # 650385 or equal 2000-count 3" x .120 hot dipped galvanized plus framing nail - must be compatible with Paslode Cordless Framing Nailer
2 Box
114 Paslode # 650381 or equal 2000-count 2" x .113 hot dipped galvanized framing nails - must be compatible with Paslode Cordless Framing Nailer -
EXTERIOR GRADE
2 Box
115 Paslode # 650046 or equal 2000-count 2" 16 gauge galvanized angled finish nails - EXTERIOR GRADE
1 Box
116 Paslode #816005 or equal Orange Fuel Cell - must be compatible with Paslode Cordless Framing Nailer
2 Each
Total
Submit invoice(s) to:
USACE, Burnsville Lake ATTN: Ashley Pierson 2550 South Main Street Burnsville, WV 26335-7516
INSTRUCTIONS TO OFFERORS
The Government intends to award one firm-fixed price commercial supply contract.
The award will be based on low-price. Prospective offerors must complete the information below.
Estimated Delivery Time: __________________________________
DUNS: ___________________________ TAX ID: ________________________
Registration at the following website is required to be awarded this contract:
http://www.SAM.gov.
Please direct all questions to Leah Morgan at (304) 399-5548 or leah.s.morgan@usace.army.mil. THE
SOLICITATION AND RESULTING CONTRACT SHALL BE THE GOVERNING DOCUMENT IN ALL
CASES.
QUOTES CAN BE FAXED OR E-MAILED TO Leah Morgan at (304) 399-5281 or leah.s.morgan@usace.army.mil.
Delivery is requested by June 1, 2017 if possible. Please provide estimated lead times for all items that cannot meet the June 1, 2017 delivery date.
Per FAR Clause 52.212-3 Alt 1, the Contractor is required to complete the On-line Representations and Certifications Application (SAM) OR to complete paragraphs (c) through (m) of this clause and include with quote.
CONTRACTOR FEEDBACK. Help us in BUILDING STRONG. Please provide us with your feedback, comments and recommendations for improvement by visiting our Interactive Customer Evaluation (ICE) Website at:
http://ice.disa.mil/index.cfm?fa=card&service_provider_id=110826&site_id=856&service_category_id=14
ADDENDUM TO FAR 52.212-4
ADDENDUM TO FAR 52.212-4, Contract Terms and Conditions – Commercial Items
The terms and conditions for the following clause is hereby incorporated into this solicitation and resulting contract as an addendum to FAR clauses 52.212-4.
Paragraph (c) within FAR Clause 52.212-4 has been deleted in its entirety:
“(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.”
FAR Clause 52.243-1 Alt 1, Changes-Fixed Price, has been added in its entirety:
(a) The Contracting Officer may at any time, by written order, and without notice to the sureties, if any, make changes within the general scope of this contract in any one or more of the following:
(1) Description of services to be performed.
(2) Time of performance (i.e., hours of the day, days of the week, etc.).
(3) Place of performance of the services.
(b) If any such change causes an increase or decrease in the cost of, or the time required for, performance of any part of the work under this contract, whether or not changed by the order, the Contracting Officer shall make an equitable adjustment in the contract price, the delivery schedule, or both, and shall modify the contract.
(c) The Contractor must assert its right to an adjustment under this clause within 30 days from the date of receipt of the written order. However, if the Contracting Officer decides that the facts justify it, the Contracting Officer may receive and act upon a proposal submitted before final payment of the contract.
(d) If the Contractor’s proposal includes the cost of property made obsolete or excess by the change, the Contracting Officer shall have the right to prescribe the manner of the disposition of the property.
(e) Failure to agree to any adjustment shall be a dispute under the Disputes clause. However, nothing in this clause shall excuse the Contractor from proceeding with the contract as changed.
(End of Clause)
END OF ADDENDUM TO FAR 52.212-4
CLAUSES INCORPORATED BY REFERENCE
52.204-7 System for Award Management OCT 2016 52.204-13 System for Award Management Maintenance OCT 2016 52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 52.211-6 Brand Name or Equal AUG 1999 52.212-1 Instructions to Offerors--Commercial Items JAN 2017 52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017 52.223-15 Energy Efficiency in Energy-Consuming Products DEC 2007 52.232-40 Providing Accelerated Payments to Small Business
Subcontractors
DEC 2013
52.247-34 F.O.B. Destination NOV 1991 52.253-1 Computer Generated Forms JAN 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 252.204-7012 Safeguarding Covered Defense Information and Cyber
Incident Reporting
OCT 2016
252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support
MAY 2016
252.223-7008 Prohibition of Hexavalent Chromium JUN 2013 252.225-7002 Qualifying Country Sources As Subcontractors DEC 2016 252.225-7036 Alt I Buy American--Free Trade Agreement--Balance of Payments
Program--Alternate I (Dec 2016)
DEC 2016
252.225-7048 Export-Controlled Items JUN 2013 252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.244-7000 Subcontracts for Commercial Items JUN 2013 252.247-7023 Transportation of Supplies by Sea APR 2014
CLAUSES INCORPORATED BY FULL TEXT
52.203-18 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN INTERNAL
CONFIDENTIALITY AGREEMENTS OR STATEMENTS--REPRESENTATION (JAN 2017)
(a) Definition. As used in this provision-- Internal confidentiality agreement or statement, subcontract, and subcontractor, are defined in the clause at 52.203- 19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements.
(b) 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), Government agencies are not permitted to use funds appropriated (or otherwise made available) for contracts with an entity that requires employees or subcontractors of such entity seeking to report waste, fraud, or abuse to sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information.
(c) The prohibition in paragraph (b) of this provision 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.
(d) Representation. By submission of its offer, the Offeror represents that it will 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).
(End of provision)
52.211-16 VARIATION IN QUANTITY (APR 1984)
(a) A variation in the quantity of any item called for by this contract will not be accepted unless the variation has been caused by conditions of loading, shipping, or packing, or allowances in manufacturing processes, and then only to the extent, if any, specified in paragraph (b) below.
(b) The permissible variation shall be limited to:
5 Percent increase 5 Percent decrease This increase or decrease shall apply to Items 1, 53, and 55 only.
(End of clause)
52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (JAN 2017)
ALTERNATE I (OCT 2014)
The offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site located at https://www.sam.gov/portal . 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--
“Administrative merits determination” means certain notices or findings of labor law violations issued by an enforcement agency following an investigation. An administrative merits determination may be final or be subject to appeal or further review. To determine whether a particular notice or finding is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.
“Arbitral award or decision” means an arbitrator or arbitral panel determination that a labor law violation occurred, or that enjoined or restrained a violation of labor law. It includes an award or decision that is not final or is subject to being confirmed, modified, or vacated by a court, and includes an award or decision resulting from private or confidential proceedings. To determine whether a particular award or decision is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.
“Civil judgment” means--
(1) In paragraph (h) of this provision: A judgment or finding of a civil offense by any court of competent jurisdiction.
(2) In paragraph (s) of this provision: Any judgment or order entered by any Federal or State court in which the court determined that a labor law violation occurred, or enjoined or restrained a violation of labor law. It includes a judgment or order that is not final or is subject to appeal. To determine whether a particular judgment or order is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.
“DOL Guidance” means the Department of Labor (DOL) Guidance entitled: ``Guidance for Executive Order 13673, `Fair Pay and Safe Workplaces' ''. The DOL Guidance, dated August 25, 2016, can be obtained from www.dol.gov/fairpayandsafeworkplaces.
“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.
“Enforcement agency” means any agency granted authority to enforce the Federal labor laws. It includes the enforcement components of DOL (Wage and Hour Division, Office of Federal Contract Compliance Programs, and Occupational Safety and Health Administration), the Equal Employment Opportunity Commission, the occupational Safety and Health Review Commission, and the National Labor Relations Board. It also means a State agency designated to administer an OSHA-approved State Plan, but only to the extent that the State agency is acting in its capacity as administrator of such plan. It does not include other Federal agencies which, in their capacity as contracting agencies, conduct investigations of potential labor law violations. The enforcement agencies associated with each labor law under E.O. 13673 are--
(1) Department of Labor Wage and Hour Division (WHD) for--
(i) The Fair Labor Standards Act;
(ii) The Migrant and Seasonal Agricultural Worker Protection Act;
(iii) 40 U.S.C. chapter 31, subchapter IV, formerly known as the Davis-Bacon Act;
(iv) 41 U.S.C. chapter 67, formerly known as the Service Contract Act;
(v) The Family and Medical Leave Act; and
(vi) E.O. 13658 of February 12, 2014 (Establishing a Minimum Wage for Contractors);
(2) Department of Labor Occupational Safety and Health Administration (OSHA) for--
(i) The Occupational Safety and Health Act of 1970; and
(ii) OSHA-approved State Plans;
(3) Department of Labor Office of Federal Contract Compliance Programs (OFCCP) for--
(i) Section 503 of the Rehabilitation Act of 1973;
(ii) The Vietnam Era Veterans' Readjustment Assistance Act of 1972 and the Vietnam Era Veterans' Readjustment Assistance Act of 1974; and
(iii) E.O. 11246 of September 24, 1965 (Equal Employment Opportunity);
(4) National Labor Relations Board (NLRB) for the National Labor Relations Act; and
(5) Equal Employment Opportunity Commission (EEOC) for--
(i) Title VII of the Civil Rights Act of 1964;
(ii) The Americans with Disabilities Act of 1990;
(iii) The Age Discrimination in Employment Act of 1967; and
(iv) Section 6(d) of the Fair Labor Standards Act (Equal Pay Act).
“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).
“Labor compliance agreement” means an agreement entered into between a contractor or subcontractor and an enforcement agency to address appropriate remedial measures, compliance assistance, steps to resolve issues to increase compliance with the labor laws, or other related matters.
“Labor laws” means the following labor laws and E.O.s:
(1) The Fair Labor Standards Act.
(2) The Occupational Safety and Health Act (OSHA) of 1970.
(3) The Migrant and Seasonal Agricultural Worker Protection Act.
(4) The National Labor Relations Act.
(5) 40 U.S.C. chapter 31, subchapter IV, formerly known as the Davis-Bacon Act.
(6) 41 U.S.C. chapter 67, formerly known as the Service Contract Act.
(7) E.O. 11246 of September 24, 1965 (Equal Employment Opportunity).
(8) Section 503 of the Rehabilitation Act of 1973.
(9) The Vietnam Era Veterans' Readjustment Assistance Act of 1972 and the Vietnam Era Veterans' Readjustment Assistance Act of 1974.
(10) The Family and Medical Leave Act.
(11) Title VII of the Civil Rights Act of 1964.
(12) The Americans with Disabilities Act of 1990.
(13) The Age Discrimination in Employment Act of 1967.
(14) E.O. 13658 of February 12, 2014 (Establishing a Minimum Wage for Contractors).
(15) Equivalent State laws as defined in the DOL Guidance. (The only equivalent State laws implemented in the FAR are OSHA-approved State Plans, which can be found at www.osha.gov/dcsp/osp/approved_state_plans.html).
“Labor law decision” means an administrative merits determination, arbitral award or decision, or civil judgment, which resulted from a violation of one or more of the laws listed in the definition of ``labor laws''.
“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.
Note to paragraph (a): By a court order issued on October 24, 2016, the following definitions in this paragraph (a) are enjoined indefinitely as of the date of the order: ``Administrative merits determination'', ``Arbitral award or decision'', paragraph (2) of ``Civil judgment'', ``DOL Guidance'', ``Enforcement agency'', ``Labor compliance agreement'', ``Labor laws'', and ``Labor law decision''. The enjoined definitions will become effective immediately if the court terminates the injunction. At that time, DoD, GSA, and NASA will publish a document in the Federal Register advising the public of the termination of the injunction.
(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 posted on the SAMwebsite.
(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representation 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), as of the date of this offer 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 offeror shall check the category in which its ownership falls]:
___ Black American.
___ Hispanic American.
___ Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians).
___ Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, Republic of Palau, Republic of the Marshall Islands, Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).
___ Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal).
___ Individual/concern, other than one of the preceding.
(d) Representations required to implement provisions of Executive Order 11246 --
(1) Previous contracts and compliance. The offeror represents that --
(i) It [ ___ ] has, [ ___ ] has not, participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and
(ii) It [ ___ ] has, [ ___ ] has not, filed all required compliance reports.
(2) Affirmative Action Compliance. The offeror represents that --
(i) It [ ___ ] has developed and has on file, [ ___ ] has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR parts 60-1 and 60-2), or
(ii) It [ ___ ] has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.
(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352).
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