W9124918R0002CONFORM.pdf

SEE ADDENDUM

(No Collect Calls)

W9124919R0002 28-Dec-2018

b. TELEPHONE NUMBER

706-791-1809

8. OFFER DUE DATE/LOCAL TIME

01:30 PM 05 Feb 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.

W912499. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

LEON M. MCKENZIE

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

(TYPE OR PRINT)

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

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

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

ARE NOT ATTACHED

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

MICC - FORT GORDON

271 HERITAGE PARK LANE

BLDG. 35200

FT GORDON GA 30905

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 W90P8V 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

INSTALLATION PROPERTY BOOK

INSTALLATION PROPERTY BOOK

10TH AVE AND 11TH STREET

FORT GORDON, GA GA 30905

TEL: FAX:

706-791-8651FAX:

TEL: 706-791-1800 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

X 8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$7,500,000

NAICS:

561110

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 OF200

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.

W9124919R0002

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Months

PHASE-IN PERIOD

FFP

(Non-Personal) Military Personnel Services (Personnel Manning and Personnel Service) IAW PWS for Military Personnel Division, Fort Gordon, Georgia.

The phase-in period is part of the base year of the Contract and starts immediately on the contract start date. During the phase-in period, the Contractor shall prepare to assume full responsibility for all areas of operation in accordance with the terms and conditions of this Contract. This period will be 30-days in duration.

FOB: Destination

PSC CD: R699

NET AMT

0002 12 Months DHR Administrative Support Services

FFP

The contractor shall provide all necessary management, supervision and other labor required to successfully perform non-personal DHR Administrative Support Services in accordance with the Performance Work Statement (PWS) and other areas of the solicitation.

0003 12 Months

ACCOUNTING & STRENGTH REPORTING SERV

FFP

(Non Personal) Personnel Manning Provide Personnel Accounting and Strength Reporting Services in accordance with PWS Section 5.3, Military Personnel Division, Fort Gordon, Georgia.

0004 12 Months

MANAGE CASUALTY OPERATIONS

FFP

(Non Personal) Personnel Manning Manage Casualty Operations in accordance with PWS Section 5.4, Military Personnel Division, Fort Gordon, Georgia.

0005 12 Months

MANAGE IN/OUT PROCESSING

FFP

(Non Personal) Personnel Manning Manage Permanent Party Installation Support Modules (ISM) In/Out Processing in accordance with PWS Section 5.5, Military Personnel Division, Fort Gordon, Georgia.

0006 12 Months

MANAGE REASSIGNMENT PROCESSING

FFP

(Non Personal) Personnel Manning Manage Permanent Party Reassignment Processing in accordance with PWS Section 5.6, Military Personnel Division, Fort Gordon, Georgia.

0007 12 Months

MILITARY PERSONNEL SUPPORT

FFP

(Non Personal) Personnel Manning Provide Military Personnel Support to Annual Soldier Readiness in accordance with PWS Section 5.7, Military Personnel Division, Fort Gordon, Georgia

0008 12 Months

ISSUANCE OF ID CARDS/TAGS

FFP

(Non Personal) Personnel Services Issue ID Cards/Tags in accordance with PWS Section 5.8 Military Personnel Division, Fort Gordon, Georgia.

0009 12 Months

PROMOTIONS & REDUCTIONS (GARRISON ONLY)

FFP

(Non Personal) Personnel Services Process promotions/Reductions (Garrison Only) in accordance with PWS Section 5.9, Military Personnel Division, Fort Gordon, Georgia.

0010 12 Months

PROCESS SEPARATIONS & RETIREMENTS

FFP

(Non Personal) Personnel Services Process Separations & Retirements in accordance with PWS Section 5.10, Military Personnel Division, Fort Gordon, Georgia.

0011 12 Months

IPA & MIL PERSONNEL SERVICES

FFP

(Non Personal) Personnel Services Process Individual Personnel Actions and Military Personnel Services to Students/Trainees in accordance with PWS Section 5.11, Military Personnel Division, Fort Gordon, Georgia.

0012 12 Months

MANAGE INDIVIDUAL MIL PERSONNEL INFO

FFP

(Non Personal) Personnel Services Manage Individual Military Personnel Information in accordance with PWS Section 5.12, Military Personnel Division, Fort Gordon, Georgia.

0013 12 Months

PROVIDE RETIREE SERVICES

FFP

(Non Personal) Personnel Services Provide Retiree Services in accordance with PWS Section 5.13, Military Personnel Division, Fort Gordon, Georgia.

0014 Job Other Direct Cost (ODC)

COST

Includes all supplies and materials, other than Travel, approved in advance by the COR in accordance with PWS 1.6.14. Approved ODCs shall be reimbursed in accordance with FAR 31.205-26 and shall be a Not-to-Exceed Amount of $29,911.00. Profit, G&A and handling fees are not allowable. Contractor insert $29,911.00.

ESTIMATED COST

0015 1 Each

CONTRACTOR MANPOWER REPORTING

FFP

Contractor is required to provide data on contractor labor hours (including subcontractor labor hours) for performance of this contract IAW the PWS. 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 “not a direct cost”. Instructions, including the contractor and subcontractor user guides, are available at http://www.ecmra.mil.

1001 12 Months OPTION DHR Administrative Support Services

FFP

The contractor shall provide all necessary management, supervision and other labor required to successfully perform non-personal DHR Administrative Support Services in accordance with the Performance Work Statement (PWS) and other areas of the solicitation.

1002 12 Months

OPTION ACCOUNTING & STRENGTH REPORTING SERV

FFP

(Non Personal) Personnel Manning Provide Personnel Accounting and Strength Reporting Services in accordance with PWS Section 5.3, Military Personnel Division, Fort Gordon, Georgia.

1003 12 Months

OPTION MANAGE CASUALTY OPERATIONS

FFP

(Non Personal) Personnel Manning Manage Casualty Operations in accordance with PWS Section 5.4, Military Personnel Division, Fort Gordon, Georgia.

1004 12 Months

OPTION MANAGE IN/OUT PROCESSING

FFP

(Non Personal) Personnel Manning Manage Permanent Party Installation Support Modules (ISM) In/Out Processing in accordance with PWS Section 5.5, Military Personnel Division, Fort Gordon, Georgia.

1005 12 Months

OPTION MANAGE REASSIGNMENT PROCESSING

FFP

(Non Personal) Personnel Manning Manage Permanent Party Reassignment Processing in accordance with PWS Section 5.6, Military Personnel Division, Fort Gordon, Georgia.

1006 12 Months

OPTION MILITARY PERSONNEL SUPPORT

FFP

(Non Personal) Personnel Manning Provide Military Personnel Support to Annual Soldier Readiness in accordance with PWS Section 5.7, Military Personnel Division, Fort Gordon, Georgia

1007 12 Months

OPTION ISSUANCE OF ID CARDS/TAGS

FFP

(Non Personal) Personnel Services Issue ID Cards/Tags in accordance with PWS Section 5.8 Military Personnel Division, Fort Gordon, Georgia.

1008 12 Months

OPTION PROMOTIONS & REDUCTIONS (GARRISON ONLY)

FFP

(Non Personal) Personnel Services Process promotions/Reductions (Garrison Only) in accordance with PWS Section 5.9, Military Personnel Division, Fort Gordon, Georgia.

1009 12 Months

OPTION PROCESS SEPARATIONS & RETIREMENTS

FFP

(Non Personal) Personnel Services Process Separations & Retirements in accordance with PWS Section 5.10, Military Personnel Division, Fort Gordon, Georgia.

1010 12 Months

OPTION IPA & MIL PERSONNEL SERVICES

FFP

(Non Personal) Personnel Services Process Individual Personnel Actions and Military Personnel Services to Students/Trainees in accordance with PWS Section 5.11, Military Personnel Division, Fort Gordon, Georgia.

1011 12 Months

OPTION MANAGE INDIVIDUAL MIL PERSONNEL INFO

FFP

(Non Personal) Personnel Services Manage Individual Military Personnel Information in accordance with PWS Section 5.12, Military Personnel Division, Fort Gordon, Georgia.

1012 12 Months

OPTION PROVIDE RETIREE SERVICES

FFP

(Non Personal) Personnel Services Provide Retiree Services in accordance with PWS Section 5.13, Military Personnel Division, Fort Gordon, Georgia.

1013 Job OPTION Other Direct Cost (ODC)

COST

Includes all supplies and materials, other than Travel, approved in advance by the COR in accordance with PWS 1.6.14. Approved ODCs shall be reimbursed in accordance with FAR 31.205-26 and shall be a Not-to-Exceed Amount of $30,888.00. Profit, G&A and handling fees are not allowable. Contractor insert $30,808.00.

1014 1 Each

OPTION OPT YR 1-CONTRACTOR MANPOWER REPORTING

FFP

Contractor is required to provide data on contractor labor hours (including subcontractor labor hours) for performance of this contract IAW the PWS. 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 “not a direct cost”. Instructions, including the contractor and subcontractor user guides, are available at http://www.ecmra.mil.

2001 12 Months OPTION DHR Administrative Support Services

FFP

The contractor shall provide all necessary management, supervision and other labor required to successfully perform non-personal DHR Administrative Support Services in accordance with the Performance Work Statement (PWS) and other areas of the solicitation.

2002 12 Months

OPTION ACCOUNTING & STRENGTH REPORTING SERV

FFP

(Non Personal) Personnel Manning Provide Personnel Accounting and Strength Reporting Services in accordance with PWS Section 5.3, Military Personnel Division, Fort Gordon, Georgia.

2003 12 Months

OPTION MANAGE CASUALTY OPERATIONS

FFP

(Non Personal) Personnel Manning Manage Casualty Operations in accordance with PWS Section 5.4, Military Personnel Division, Fort Gordon, Georgia.

2004 12 Months

OPTION MANAGE IN/OUT PROCESSING

FFP

(Non Personal) Personnel Manning Manage Permanent Party Installation Support Modules (ISM) In/Out Processing in accordance with PWS Section 5.5, Military Personnel Division, Fort Gordon, Georgia.

2005 12 Months

OPTION MANAGE REASSIGNMENT PROCESSING

FFP

(Non Personal) Personnel Manning Manage Permanent Party Reassignment Processing in accordance with PWS Section 5.6, Military Personnel Division, Fort Gordon, Georgia.

2006 12 Months

OPTION MILITARY PERSONNEL SUPPORT

FFP

(Non Personal) Personnel Manning Provide Military Personnel Support to Annual Soldier Readiness in accordance with PWS Section 5.7, Military Personnel Division, Fort Gordon, Georgia

2007 12 Months

OPTION ISSUANCE OF ID CARDS/TAGS

FFP

(Non Personal) Personnel Services Issue ID Cards/Tags in accordance with PWS Section 5.8 Military Personnel Division, Fort Gordon, Georgia.

2008 12 Months

OPTION PROMOTIONS & REDUCTIONS (GARRISON ONLY)

FFP

(Non Personal) Personnel Services Process promotions/Reductions (Garrison Only) in accordance with PWS Section 5.9, Military Personnel Division, Fort Gordon, Georgia.

2009 12 Months

OPTION PROCESS SEPARATIONS & RETIREMENTS

FFP

(Non Personal) Personnel Services Process Separations & Retirements in accordance with PWS Section 5.10, Military Personnel Division, Fort Gordon, Georgia.

2010 12 Months

OPTION IPA & MIL PERSONNEL SERVICES

FFP

(Non Personal) Personnel Services Process Individual Personnel Actions and Military Personnel Services to Students/Trainees in accordance with PWS Section 5.11, Military Personnel Division, Fort Gordon, Georgia.

2011 12 Months

OPTION MANAGE INDIVIDUAL MIL PERSONNEL INFO

FFP

(Non Personal) Personnel Services Manage Individual Military Personnel Information in accordance with PWS Section 5.12, Military Personnel Division, Fort Gordon, Georgia.

2012 12 Months

OPTION PROVIDE RETIREE SERVICES

FFP

(Non Personal) Personnel Services Provide Retiree Services in accordance with PWS Section 5.13, Military Personnel Division, Fort Gordon, Georgia.

2013 Job OPTION Other Direct Cost (ODC)

COST

Includes all supplies and materials, other than Travel, approved in advance by the COR in accordance with PWS 1.6.14. Approved ODCs shall be reimbursed in accordance with FAR 31.205-26 and shall be a Not-to-Exceed Amount of $31,732.00. Profit, G&A and handling fees are not allowable. Contractor insert $31,732.00

2014 1 Each

OPTION OPT YR 2 - CONTRACTOR MANPOWER REPORTING

FFP

Contractor is required to provide data on contractor labor hours (including subcontractor labor hours) for performance of this contract IAW the PWS. 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 “not a direct cost”. Instructions, including the contractor and subcontractor user guides, are available at http://www.ecmra.mil.

3001 12 Months OPTION DHR Administrative Support Services

FFP

The contractor shall provide all necessary management, supervision and other labor required to successfully perform non-personal DHR Administrative Support Services in accordance with the Performance Work Statement (PWS) and other areas of the solicitation.

3002 12 Months

OPTION ACCOUNTING & STRENGTH REPORTING SERV

FFP

(Non Personal) Personnel Manning Provide Personnel Accounting and Strength Reporting Services in accordance with PWS Section 5.3, Military Personnel Division, Fort Gordon, Georgia.

3003 12 Months

OPTION MANAGE CASUALTY OPERATIONS

FFP

(Non Personal) Personnel Manning Manage Casualty Operations in accordance with PWS Section 5.4, Military Personnel Division, Fort Gordon, Georgia.

3004 12 Months

OPTION MANAGE IN/OUT PROCESSING

FFP

(Non Personal) Personnel Manning Manage Permanent Party Installation Support Modules (ISM) In/Out Processing in accordance with PWS Section 5.5, Military Personnel Division, Fort Gordon, Georgia.

3005 12 Months

OPTION MANAGE REASSIGNMENT PROCESSING

FFP

(Non Personal) Personnel Manning Manage Permanent Party Reassignment Processing in accordance with PWS Section 5.6, Military Personnel Division, Fort Gordon, Georgia.

3006 12 Months

OPTION MILITARY PERSONNEL SUPPORT

FFP

(Non Personal) Personnel Manning Provide Military Personnel Support to Annual Soldier Readiness in accordance with PWS Section 5.7, Military Personnel Division, Fort Gordon, Georgia

3007 12 Months

OPTION ISSUANCE OF ID CARDS/TAGS

FFP

(Non Personal) Personnel Services Issue ID Cards/Tags in accordance with PWS Section 5.8 Military Personnel Division, Fort Gordon, Georgia.

3008 12 Months

OPTION PROMOTIONS & REDUCTIONS (GARRISON ONLY)

FFP

(Non Personal) Personnel Services Process promotions/Reductions (Garrison Only) in accordance with PWS Section 5.9, Military Personnel Division, Fort Gordon, Georgia.

3009 12 Months

OPTION PROCESS SEPARATIONS & RETIREMENTS

FFP

(Non Personal) Personnel Services Process Separations & Retirements in accordance with PWS Section 5.10, Military Personnel Division, Fort Gordon, Georgia.

3010 12 Months

OPTION IPA & MIL PERSONNEL SERVICES

FFP

(Non Personal) Personnel Services Process Individual Personnel Actions and Military Personnel Services to Students/Trainees in accordance with PWS Section 5.11, Military Personnel Division, Fort Gordon, Georgia.

3011 12 Months

OPTION MANAGE INDIVIDUAL MIL PERSONNEL INFO

FFP

(Non Personal) Personnel Services Manage Individual Military Personnel Information in accordance with PWS Section 5.12, Military Personnel Division, Fort Gordon, Georgia.

3012 12 Months

OPTION PROVIDE RETIREE SERVICES

FFP

(Non Personal) Personnel Services Provide Retiree Services in accordance with PWS Section 5.13, Military Personnel Division, Fort Gordon, Georgia.

3013 Job OPTION Other Direct Cost (ODC)

COST

Includes all supplies and materials, other than Travel, approved in advance by the COR in accordance with PWS 1.6.14. Approved ODCs shall be reimbursed in accordance with FAR 31.205-26 and shall be a Not-to-Exceed Amount of $32,684. Profit, G&A and handling fees are not allowable. Contractor insert $32,684.

3014 1 Each

OPTION OPT YR 3 -CONTRACTOR MANPOWER REPORTING

FFP

Contractor is required to provide data on contractor labor hours (including subcontractor labor hours) for performance of this contract IAW the PWS. 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 “not a direct cost”. Instructions, including the contractor and subcontractor user guides, are available at http://www.ecmra.mil.

4001 12 Months OPTION DHR Administrative Support Services

FFP

The contractor shall provide all necessary management, supervision and other labor required to successfully perform non-personal DHR Administrative Support Services in accordance with the Performance Work Statement (PWS) and other areas of the solicitation.

4002 12 Months

OPTION ACCOUNTING & STRENGTH REPORTING SERV

FFP

(Non Personal) Personnel Manning Provide Personnel Accounting and Strength Reporting Services in accordance with PWS Section 5.3, Military Personnel Division, Fort Gordon, Georgia.

4003 12 Months

OPTION MANAGE CASUALTY OPERATIONS

FFP

(Non Personal) Personnel Manning Manage Casualty Operations in accordance with PWS Section 5.4, Military Personnel Division, Fort Gordon, Georgia.

4004 12 Months

OPTION MANAGE IN/OUT PROCESSING

FFP

(Non Personal) Personnel Manning Manage Permanent Party Installation Support Modules (ISM) In/Out Processing in accordance with PWS Section 5.5, Military Personnel Division, Fort Gordon, Georgia.

4005 12 Months

OPTION MANAGE REASSIGNMENT PROCESSING

FFP

(Non Personal) Personnel Manning Manage Permanent Party Reassignment Processing in accordance with PWS Section 5.6, Military Personnel Division, Fort Gordon, Georgia.

4006 12 Months

OPTION MILITARY PERSONNEL SUPPORT

FFP

(Non Personal) Personnel Manning Provide Military Personnel Support to Annual Soldier Readiness in accordance with PWS Section 5.7, Military Personnel Division, Fort Gordon, Georgia

4007 12 Months

OPTION ISSUANCE OF ID CARDS/TAGS

FFP

(Non Personal) Personnel Services Issue ID Cards/Tags in accordance with PWS Section 5.8 Military Personnel Division, Fort Gordon, Georgia.

4008 12 Months

OPTION PROMOTIONS & REDUCTIONS (GARRISON ONLY)

FFP

(Non Personal) Personnel Services Process promotions/Reductions (Garrison Only) in accordance with PWS Section 5.9, Military Personnel Division, Fort Gordon, Georgia.

4009 12 Months

OPTION PROCESS SEPARATIONS & RETIREMENTS

FFP

(Non Personal) Personnel Services Process Separations & Retirements in accordance with PWS Section 5.10, Military Personnel Division, Fort Gordon, Georgia.

4010 12 Months

OPTION IPA & MIL PERSONNEL SERVICES

FFP

(Non Personal) Personnel Services Process Individual Personnel Actions and Military Personnel Services to Students/Trainees in accordance with PWS Section 5.11, Military Personnel Division, Fort Gordon, Georgia.

4011 12 Months

OPTION MANAGE INDIVIDUAL MIL PERSONNEL INFO

FFP

(Non Personal) Personnel Services Manage Individual Military Personnel Information in accordance with PWS Section 5.12, Military Personnel Division, Fort Gordon, Georgia.

4012 12 Months

OPTION PROVIDE RETIREE SERVICES

FFP

(Non Personal) Personnel Services Provide Retiree Services in accordance with PWS Section 5.13, Military Personnel Division, Fort Gordon, Georgia.

4013 Job OPTION Other Direct Cost (ODC)

COST

Includes all supplies and materials, other than Travel, approved in advance by the COR in accordance with PWS 1.6.14. Approved ODCs shall be reimbursed in accordance with FAR 31.205-26 and shall be a Not-to-Exceed Amount of $33,665. Profit, G&A and handling fees are not allowable. Contractor insert $33,665.00.

4014 1 Each

OPTION OPT YR 4 - CONTRACTOR MANPOWER REPORTING

FFP

Contractor is required to provide data on contractor labor hours (including subcontractor labor hours) for performance of this contract IAW the PWS. 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 “not a direct cost”. Instructions, including the contractor and subcontractor user guides, are available at http://www.ecmra.mil.

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 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 2001 Destination Government Destination Government 2002 Destination Government Destination Government 2003 Destination Government Destination Government 2004 Destination Government Destination Government 2005 Destination Government Destination Government 2006 Destination Government Destination Government 2007 Destination Government Destination Government 2008 Destination Government Destination Government 2009 Destination Government Destination Government 2010 Destination Government Destination Government 2011 Destination Government Destination Government 2012 Destination Government Destination Government 2013 Destination Government Destination Government 2014 Destination Government Destination Government 3001 Destination Government Destination Government 3002 Destination Government Destination Government 3003 Destination Government Destination Government 3004 Destination Government Destination Government 3005 Destination Government Destination Government 3006 Destination Government Destination Government 3007 Destination Government Destination Government 3008 Destination Government Destination Government 3009 Destination Government Destination Government 3010 Destination Government Destination Government 3011 Destination Government Destination Government 3012 Destination Government Destination Government 3013 Destination Government Destination Government 3014 Destination Government Destination Government 4001 Destination Government Destination Government 4002 Destination Government Destination Government 4003 Destination Government Destination Government 4004 Destination Government Destination Government 4005 Destination Government Destination Government 4006 Destination Government Destination Government 4007 Destination Government Destination Government 4008 Destination Government Destination Government 4009 Destination Government Destination Government 4010 Destination Government Destination Government 4011 Destination Government Destination Government 4012 Destination Government Destination Government 4013 Destination Government Destination Government 4014 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-APR-2019 TO

30-APR-2019

N/A INSTALLATION PROPERTY BOOK

INSTALLATION PROPERTY BOOK

10TH AVE AND 11TH STREET

FORT GORDON, GA GA 30905

W90P8V

0002 POP 01-MAY-2019 TO

30-APR-2020

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0010 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0011 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0012 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0013 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0014 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0015 31-MAR-2020 1 (SAME AS PREVIOUS LOCATION)

1001 POP 01-MAY-2020 TO

30-APR-2021

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1007 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1008 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1009 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1010 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1011 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1012 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1013 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1014 31-MAR-2021 1 (SAME AS PREVIOUS LOCATION)

2001 POP 01-MAY-2021 TO

30-APR-2022

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2002 POP 01-MAY-2021 TO

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2003 POP 01-MAY-2021 TO

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2004 POP 01-MAY-2021 TO

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2005 POP 01-MAY-2021 TO

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2006 POP 01-MAY-2021 TO

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2007 POP 01-MAY-2021 TO

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2008 POP 01-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

2009 POP 01-MAY-2021 TO

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2010 POP 01-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

2011 POP 01-MAY-2021 TO

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2012 POP 01-MAY-2021 TO

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2013 POP 01-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

2014 31-MAR-2022 1 (SAME AS PREVIOUS LOCATION)

3001 POP 01-MAY-2022 TO

30-APR-2023

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 01-MAY-2022 TO

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3003 POP 01-MAY-2022 TO

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3004 POP 01-MAY-2022 TO

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3005 POP 01-MAY-2022 TO

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3006 POP 01-MAY-2022 TO

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3007 POP 01-MAY-2022 TO

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3008 POP 01-MAY-2022 TO

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3009 POP 01-MAY-2022 TO

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3010 POP 01-MAY-2022 TO

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3011 POP 01-MAY-2022 TO

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3012 POP 01-MAY-2022 TO

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3013 POP 01-MAY-2022 TO

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3014 31-MAR-2023 1 (SAME AS PREVIOUS LOCATION)

4001 POP 01-MAY-2023 TO

30-APR-2024

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 01-MAY-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-MAY-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 01-MAY-2023 TO

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4005 POP 01-MAY-2023 TO

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4006 POP 01-MAY-2023 TO

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4007 POP 01-MAY-2023 TO

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4008 POP 01-MAY-2023 TO

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4009 POP 01-MAY-2023 TO

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4010 POP 01-MAY-2023 TO

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4011 POP 01-MAY-2023 TO

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4012 POP 01-MAY-2023 TO

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4013 POP 01-MAY-2023 TO

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4014 31-MAR-2024 1 (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.202-1 Definitions NOV 2013 52.203-3 Gratuities APR 1984 52.203-5 Covenant Against Contingent Fees MAY 2014 52.203-10 Price Or Fee Adjustment For Illegal Or Improper Activity MAY 2014 52.203-13 Contractor Code of Business Ethics and Conduct OCT 2015 52.203-16 Preventing Personal Conflicts of Interest DEC 2011 52.203-17 Contractor Employee Whistleblower Rights and Requirement

To Inform Employees of Whistleblower Rights

APR 2014

52.204-2 Security Requirements AUG 1996 52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber

Content Paper

MAY 2011

52.204-7 System for Award Management OCT 2018 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-13 System for Award Management Maintenance OCT 2018 52.207-3 Right of First Refusal of Employment MAY 2006 52.209-2 Prohibition on Contracting with Inverted Domestic

Corporations--Representation

NOV 2015

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

OCT 2015

52.209-7 Information Regarding Responsibility Matters OCT 2018 52.209-9 Updates of Publicly Available Information Regarding

Responsibility Matters

OCT 2018

52.212-1 Instructions to Offerors--Commercial Items AUG 2018 52.212-2 Evaluation - Commercial Items OCT 2014 52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017 52.215-1 Instructions to Offerors--Competitive Acquisition JAN 2017 52.217-5 Evaluation Of Options JUL 1990 52.219-8 Utilization of Small Business Concerns NOV 2016 52.219-14 Limitations On Subcontracting JAN 2017 52.219-16 Liquidated Damages-Subcontracting Plan JAN 1999 52.219-27 Notice of Service-Disabled Veteran-Owned Small Business

Set-Aside

NOV 2011

52.219-28 Post-Award Small Business Program Rerepresentation JUL 2013 52.222-17 Nondisplacement of Qualified Workers MAY 2014 52.222-17 Nondisplacement of Qualified Workers MAY 2014 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity SEP 2016 52.222-35 Equal Opportunity for Veterans OCT 2015 52.222-36 Equal Opportunity for Workers with Disabilities JUL 2014 52.222-37 Employment Reports on Veterans FEB 2016 52.222-38 Compliance With Veterans' Employment Reporting

Requirements

FEB 2016

52.222-41 Service Contract Labor Standards AUG 2018 52.222-50 Combating Trafficking in Persons MAR 2015 52.222-54 Employment Eligibility Verification OCT 2015 52.222-62 Paid Sick Leave Under Executive Order 13706 JAN 2017 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011

52.223-16 Alt I Acquisition of EPEAT - Registered Personal Computer Products - Alternate I

JUN 2014

52.223-18 Encouraging Contractor Policies To Ban Text Messaging While Driving

AUG 2011

52.232-1 Payments APR 1984 52.232-18 Availability Of Funds APR 1984 52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

JUL 2013

52.232-37 Multiple Payment Arrangements MAY 1999 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.233-1 Disputes MAY 2014 52.233-3 Protest After Award AUG 1996 52.233-3 Alt I Protest After Award (Aug 1996) - Alternate I JUN 1985 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.237-3 Continuity Of Services JAN 1991 52.242-13 Bankruptcy JUL 1995 52.246-2 Inspection Of Supplies--Fixed Price AUG 1996 52.246-4 Inspection Of Services--Fixed Price AUG 1996 52.249-2 Termination For Convenience Of The Government (Fixed-

Price)

APR 2012

52.249-8 Default (Fixed-Price Supply & Service) APR 1984 52.249-8 Alt I Default (Fixed-Price Supply and Service) (Apr 1984) -

Alternate I

APR 1984

252.201-7000 Contracting Officer's Representative DEC 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.209-7002 Disclosure Of Ownership Or Control By A Foreign Government

JUN 2010

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

OCT 2015

252.216-7000 Economic Price Adjustment--Basic Steel, Aluminum, Brass, Bronze Or Copper Mill Products

MAR 2012

252.219-7011 Notification to Delay Performance JUN 1998 252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or

Hazardous Materials

SEP 2014

252.226-7001 Utilization of Indian Organizations and Indian-Owned Economic Enterprises, and Native Hawaiian Small Business Concerns

SEP 2004

252.232-7003 (Dev) Electronic Submission of Payment Requests and Receiving Reports (DEVIATION 2018-A00001) (DEC 2017)

JAN 2018

252.232-7998 (Dev) Supplier Self Service Pilot (Deviation 2018-A0001) (DEC 2017)

APR 2018

252.239-7001 Information Assurance Contractor Training and Certification JAN 2008

CLAUSES INCORPORATED BY FULL TEXT

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

The Offeror shall complete only paragraph (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 --

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

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

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

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

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

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

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

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

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

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

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

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

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

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

(8) PSC 9610, Ores;

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

(10) PSC 9630, Additive Metal Materials.

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

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

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

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

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

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

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

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

(6) Have been voluntarily suspended.

“Sensitive technology”--

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

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

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

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

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

(1) Means a small business concern--

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

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

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

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

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

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

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

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

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

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

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

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

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

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

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

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

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

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

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

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

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

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

(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 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), 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 will be performed in the United States or its outlying areas. Check all that apply.

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

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

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

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

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

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

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

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

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

(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…