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Section SF 1449 - CONTINUATION SHEET

BPA TERMS AND CONDITIONS

1. DESCRIPTION OF BLANKET PURCHASE AGREEMENT (BPA).

A BPA is a simplified method of filling anticipated repetitive needs for supplies or services by establishing “charge accounts” with qualified sources of supply. BPA’s are designed to reduce administrative costs in accomplishing small purchases by eliminating the need for issuing individual purchase documents.

This statement of work describes the Government's requirement for provision of various gases to include, but not limited to: Acetylene, Argon Industrial, Argon UHP, Argon UN, Argon (75%)/CO2 (25%), Carbon Dioxide, Helium UHP, Helium Liquid, Nitrogen Compressed, Nitrogen Liquid, Nitrogen Liquid Bulk, Nitrogen UHP, Neon Research Grade, Argon, Type II, Carbon Monoxide Calibration gas, Nitrogen Dioxide Calibration gas, Sulfur Hexafluoride, Zero Air. The contractor shall provide all labor, supplies, transportation and supervision necessary to provide these gases to contractor owned (leased) tanks and Government-owned tanks and facilities located at White Sands Missile Range, NM.

This statement of work also includes provisions for delivery of miscellaneous items to include, but not limited to: Certifications, adapters, gauges, cylinder rental, signage, labels, fire extinguishers, gloves, wire if required in emergency cases.

Services requested shall be provided on an as needed basis. The contractor will be notified at time of request for purchase with a time of delivery, delivery location to include the building address or site location and a point of contact.

2. Extent of obligation. The Government is obligated only to the extent of authorized purchases actually made under the BPA. This agreement may be terminated upon 30 days written notice by the Government.

3. Purchase limitation. The dollar limit for each authorized call shall not exceed $25,000.00.

4. Period of Performance. 1 June 2009 to 31 May 2014

5. Individuals authorized to purchase under the BPA. The contracting officer will provide the contractor a list of individuals authorized to place orders under this agreement.

6. Delivery tickets. All shipments under the agreement, except those for newspapers, magazines, or other periodicals, shall be accompanied by delivery tickets or sales slips that shall contain the following minimum information:

i. Name of supplier.

ii. BPA number.

iii. Date of purchase.

iv. Purchase number.

v. Itemized list of supplies or services furnished.

vi. Quantity, unit price, and extension of each contract line item (CLIN); less applicable discounts (unit prices and extensions need not be shown when incompatible with the use of automated systems, provided that the invoice is itemized to show this information).

vii. Date of delivery or shipment.

7. Invoices. Payment will be made by VISA Credit Card or Electronic Funds Transfer (EFT). Invoices shall be submitted electronically. Protected Microsoft Excel files are the preferred format; however, Adobe Acrobat Portable Document Format (PDF) and Microsoft Word are also acceptable. The e-mail address will be provided at contract award.

For all deliveries made during a billing period a summary invoice shall be submitted at least monthly or upon expiration of the BPA, whichever occurs first. The summary invoice must identify the delivery tickets covered therein, stating their total dollar value, and supported by receipt copies of the delivery tickets.

Your invoice must include the following:

a. Company name and address

b. Invoice date and number

c. Contract number, contract item number and, if applicable, the order number

d. Description, quantity, unit of measure, unit price and extended price of the items delivered

e. Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading

f. Terms of any discount for prompt payment offered

g. Name and address of official to whom payment is to be sent

h. Name, title, and phone number of person to notify in event of defective invoice

i. DUNS number

8. PROCEDURES FOR ISSUING ORDERS

(a) Oral Orders. Oral orders may be placed under the terms and conditions of this requirement. The contractor shall accept oral orders only from an authorized Government representative. A complete list of authorized representatives will be provided at time of contract award.

(b) Written Delivery Order. A written Delivery Order may be issued on either a monthly or quarterly basis. The order should provide funding and estimated amounts for each period.

(c) No order/delivery shall be made without approval by an authorized representative.

9. PRICE PROPOSAL. The following items shall comprise the price proposal for this solicitation:

(1) Unit of Issue, Unit Price Basic Year and four (4) one (1) Year Options, Extended Price (includes pickup/delivery charges). Prices/Costs shall be completed for each Contract Line Item Number (CLIN).

10. INSPECTION AND ACCEPTANCE: Inspection for quality shall be performed at origin. Quantity determination and acceptance shall be at destination.

SCHEDULE OF SUPPLIES

SCHEDULE OF SUPPLIESAND SERVICES

Location:

Mission & Installation Contracting Command Bldg 143 Crozier Street White Sands Missile Range, NM 88002 Award will be made to the contractor with the lowest price/technically acceptable offer that meets the delivery requirements of 48 hours after order and satisfy an emergency fill within 4 hours of request. Delivery charges shall be incorporated in price per unit.

Questions pertaining to this solicitation must be submitted in writing by May 15, 2009 at 2:00 pm. MST. No questions will be accepted after that time. Questions should be forwarded by email topeter.l.hopkins@us.army.mil

Note: It is our intent to award without discussions; it is imperative that you submit a complete package and that you submit your best technically compliant low price offer. Proposals must be received by 2:00 p.m. MST, May 22, 2009. Perspective contractor must complete the attached excel BPA Price List/Bid Schedule. FAX or Email proposals to: Peter L. Hopkins.

FAX: 575-678-5107 Email: peter.l.hopkins@us.army.mil

Period of Performance:1 June 2009 to 31 May 2014 0001 Acetylene, 10CF CGA 510

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

Argon/CO2 75/25 Size 300

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0003 Argon Compressed 200L

Price Per Unit = $________

Base Period of Performance:

October 1, 2008 - September 30, 2009

0004 Argon Industrial 200L

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0005 Argon Industrial, Size 3k

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010.

0006 Argon UHP 200L

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010 0007 Argon UHP 6K

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

Argon UHP 300L

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

Argon Compressed 244 CF

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0010 Argon UHP GR 5.6k

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0011 Argon Compressed UHP/249CF

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0012 Argon, Refrigerated Liquid 180 Liter

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0013 Carbon Dioxide, 20 LB

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0014 Carbon Dioxide 50lb SIP

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0015 Carbon Dioxide 75lb

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0016 Nitrogen UHP 200L

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0017 Nitrogen UHP 300L

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0018 Nitrogen, Compressed 2.2

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0019 Nitrogen Gaseous 38 Tube Trailer CF

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0020 Liquid Nitrogen Bulk

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0021 Liquid Nitrogen 160L/22PSI

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0022 Liquid Nitrogen 160L/230PSI

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0023 Liquid Nitrogen 180L/230PSI

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0024 Liquid Nitrogen 180L/500PSI

Price Per Unit = $________

1 June 2009 - 31 May 2010

0025 Liquid Nitrogen 240L/50PSI

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0026 Liquid Nitrogen 80L/22PSI

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0027 Helium UHP 200L

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0028 Helium UHP Compressed 244 CF

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0029 Helium UHP 300L

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0030 Helium, Liquid 100L

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0031 Oxygen Industrial Size

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0032 Oxygen Industrial Size, 2 CGA

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0033 Propane, 100 LB

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0034 Neon Research Grade 99.99

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0035 Nitrogen UHP Compressed 230 CF

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0036 Carbon Monoxide Calibration Gas

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0037 Nitrogen Dioxide Calibration Gas

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0038 Sulfur Hexafluoride

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0039 Zero Air UHP

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0040 Wire SA86

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0041 VGL DEWARS

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0042 Welding Rods

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0043 Gauges

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0044 Drivers Gloves, S/M/L/XL

Price Per Unit = $________,_______,_______,_______

Base Period of Performance:

1 June 2009 - 31 May 2010

0045 Signs (Danger, Explosives, Stop, etc)

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0046 Fire Extingushers CO2 15 lb

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0047 Cylinder Adapters

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0048 Nut Nipple N2

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0049 Plasma Welding Tip 30 AMP

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0050 Pointed Welding Tip

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0051 NI Lables

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0052 Hydrostatic Test/Refurbish 38 Tube Trailer

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0053 Rental/Maintenance of Tanks

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0054 Rental Fee, Cylinder

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0055 Pickup/Delivey Charge

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

0056 Hazardous Material Charge

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

1001 Acetylene, CGA 510

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1002 Argon /CO2 75/25 Size 300

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1003 Argon Compressed 200L

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1004 Argon Industrial 200L

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1005 Argon Industrial, Size 3k

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1006 Argon UHP 200L

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1007 Argon UHP 6K

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1008 Argon UHP 300L

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1009 Argon UHP 244 CF

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1010 Argon UHP GR 5.6k

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1011 Argon Compressed UHP/249CF

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1012 Argon, Refrigerated Liquid 180 Liter

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1013 Carbon Dioxide, 20 LB

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1014 Carbon Dioxide 50lb SIP

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1015 Carbon Dioxide 75lb

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1016 Nitrogen UHP 200L

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1017 Nitrogen UHP 300L

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1018 Nitrogen Compressed 2.2

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1019 Nitrogen Gaseous 38 Tube Trailer CF

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1020 Liquid Nitrogen Bulk

Price Per Unit = $________

Option Period I:

October 1, 2010 - September 30, 2011

1021 Liquid Nitrogen 160L/22PSI

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1022 Liquid Nitrogen 160L/230PSI

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1023 Liquid Nitrogen 180L/230PSI

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1024 Liquid Nitrogen 180L/500PSI

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1025 Liquid Nitrogen 240L/50PSI

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1026 Liquid Nitrogen 80L/22PSI

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1027 Helium UHP 200L

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1028 Helium UHP Compressed 244 CF

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1029 Helium UHP 300L

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1030 Helium, Liquid 100L

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1031 Oxygen Industrial Size

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1032 Oxygen Industrial Size, 2 CGA

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1033 Propane, 100 LB

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

1034 Neon Research Grade 99.99

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1035 Nitrogen UHP Compressed 230 CF

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

1036 Carbon Monoxide Calibration Gas

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1037 Nitrogen Dioxide Calibration Gas

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

1038 Sulfur Hexafluoride

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1039 Zero Air UHP

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1040 Wire SA86

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

1041 VGL DEWARS

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1042 Welding Rods

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

1043 Gauges

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

1044 Drivers Gloves, S/M/L/XL

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1045 Signs (Danger, Explosives, Stop, etc)

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1046 Fire Extingushers CO2 15 lb

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

1047 Cylinder Adapters

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1048 Nut Nipple N2

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1049 Plasma Welding Tip 30 AMP

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1050 Pointed Welding Tip

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1051 NI Lables

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1052 Hydrostatic Test/Refurbish 38 Tube Trailer

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1053 Rental/Maintenance of Tanks

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1054 Rental Fee, Cylinder

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

1055 Pickup/Delivey Charge

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

1056 Hazardous Material Charge

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

2001 Acetylene, CGA 510

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

Argon /CO2 75/25 Size 300

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2003 Argon Compressed 200L

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2004 Argon Industrial 200L

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2005 Argon Industrial, Size 3k

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

2006 Argon UHP 200L

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2007 Argon UHP 6K

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

2008 Argon UHP 300L

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2009 Argon UHP 244 CF

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2010 Argon UHP GR 5.6k

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

2011 Argon Compressed UHP/249CF

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

2012 Argon, Refrigerated Liquid 180 Liter

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2012

2013 Carbon Dioxide, 20 LB

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2011

2014 Carbon Dioxide 50lb SIP

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011 2015 Carbon Dioxide 75lb

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2016 Nitrogen UHP 200L

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

2017 Nitrogen UHP 300L

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2018 Nitrogen Compressed 2.2

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2019 Nitrogen Gaseous 38 Tube Trailer CF

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2020 Liquid Nitrogen Bulk

Price Per Unit = $________

Option Period I:

October 1, 2011 - September 30, 2012

2021 Liquid Nitrogen 160L/22PSI

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2022 Liquid Nitrogen 160L/230PSI

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

2023 Liquid Nitrogen 180L/230PSI

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2024 Liquid Nitrogen 180L/500PSI

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

2025 Liquid Nitrogen 240L/50PSI

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2026 Liquid Nitrogen 80L/22PSI

Price Per Unit = $________

Option Period I:

1 June 2010 - 31 May 2011

2027 Helium UHP 200L

Price Per Unit = $________

Option Period I:

1 June 20101- 31 May 2012

2028 Helium UHP Compressed 244 CF

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2029 Helium UHP 300L

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2030 Helium, Liquid 100L

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2031 Oxygen Industrial Size

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2032 xygen Industrial Size, 2 CGA

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

2033 Propane, 100 LB

Price Per Unit = $________

Option Period I:

1 June 2011 - 31 May 2012

Neon Research Grade 99.99

Price Per Unit = $________

Base Period of Performance:

1 June 2010 - 31 May 2011

2035 Nitrogen UHP Compressed 230 CF

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2036 Carbon Monoxide Calibration Gas

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2037 Nitrogen Dioxide Calibration Gas

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2038 Sulfur Hexafluoride

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012 2039 Zero Air UHP

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2040 Wire SA86

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2041 VGL DEWARS

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2042 Welding Rods

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2043 Gauges

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2044 Drivers Gloves, S/M/L/XL

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2045 Signs (Danger, Explosives, Stop, etc)

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2046 Fire Extingushers CO2 15 lb

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2047 Cylinder Adapters

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012 2048 Nut Nipple N2

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2049 Plasma Welding Tip 30 AMP

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2050 Pointed Welding Tip

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2051 NI Lables

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2052 Hydrostatic Test/Refurbish 38 Tube Trailer

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2053 Rental/Maintenance of Tanks

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2054 Rental Fee, Cylinder

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2055 Pickup/Delivey Charge

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

2056 Hazardous Material Charge

Price Per Unit = $________

Base Period of Performance:

1 June 2011 - 31 May 2012

3001 Acetylene, CGA 510

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3002 Argon /CO2 75/25 Size 300

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3003 Argon Compressed 200L

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3004 Argon Industrial 200L

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3005 Argon Industrial, Size 3k

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3006 Argon UHP 200L

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3007 Argon UHP 6K

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3008 Argon UHP 300L

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3009 Argon UHP 244 CF

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3010 Argon UHP GR 5.6k

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3011 Argon Compressed UHP/249CF

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3012 Argon, Refrigerated Liquid 180 Liter

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3013 Carbon Dioxide, 20 LB

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3014 Carbon Dioxide 50lb SIP

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013 3015 Carbon Dioxide 75lb

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3016 Nitrogen UHP 200L

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3017 Nitrogen UHP 300L

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3018 Nitrogen Compressed 2.2

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013 3019 Nitrogen Gaseous 38 Tube Trailer CF

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3020 Liquid Nitrogen Bulk

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3021 Liquid Nitrogen 160L/22PSI

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3022 Liquid Nitrogen 160L/230PSI

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3023 Liquid Nitrogen 180L/230PSI

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3024 Liquid Nitrogen 180L/500PSI

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3025 Liquid Nitrogen 240L/50PSI

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3026 Liquid Nitrogen 80L/22PSI

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3027 Helium UHP 200L

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3028 Helium UHP Compressed 244 CF

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3029 Helium UHP 300L

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3030 Helium, Liquid 100L

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3031 Oxygen Industrial Size

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3032 Oxygen Industrial Size, 2 CGA

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3033 Propane, 100 LB

Price Per Unit = $________

Option Period I:

1 June 2012 - 31 May 2013

3034 Neon Research Grade 99.99

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3035 Nitrogen UHP Compressed 230 CF

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3036 Carbon Monoxide Calibration Gas

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3037 Nitrogen Dioxide Calibration Gas

Price Per Unit = $________

Base Period of Performance:

1 June 2009 - 31 May 2010

3038 Sulfur Hexafluoride

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3039 Zero Air UHP

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3040 Wire SA86

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3041 VGL DEWARS

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3042 Welding Rods

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013 3043 Gauges

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3044 Drivers Gloves, S/M/L/XL

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3045 Signs (Danger, Explosives, Stop, etc)

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3046 Fire Extingushers CO2 15 lb

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3047 Cylinder Adapters

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3048 Nut Nipple N2

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3049 Plasma Welding Tip 30 AMP

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3050 Pointed Welding Tip

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3051 NI Lables

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3052 Hydrostatic Test/Refurbish 28 Tube trailer

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3053 Rental/Maintenance of Tanks

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3054 Rental Fee, Cylinder

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3055 Pickup/Delivey Charge

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

3056 Hazardous Material Charge

Price Per Unit = $________

Base Period of Performance:

1 June 2012 - 31 May 2013

4001 Acetylene, CGA 510

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4002 Argon /CO2 75/25 Size 300

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4003 Argon Compressed 200L

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4004 Argon Industrial 200L

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4005 Argon Industrial, Size 3k

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4006 Argon UHP 200L

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4007 Argon UHP 6K

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4008 Argon UHP 300L

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4009 Argon UHP 244 CF

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4010 Argon UHP GR 5.6k

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4011 Argon Compressed UHP/249CF

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4012 Argon, Refrigerated Liquid 180 Liter

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4013 Carbon Dioxide, 20 LB

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4014 Carbon Dioxide 50lb SIP

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4015 Carbon Dioxide 75lb

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4016 Nitrogen UHP 200L

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4017 Nitrogen UHP 300L

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4018 Nitrogen Compressed 2.2

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4019 Nitrogen Gaseous 38 Tube Trailer CF

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4020 Liquid Nitrogen Bulk

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4021 Liquid Nitrogen 160L/22PSI

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4022 Liquid Nitrogen 160L/230PSI

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4023 Liquid Nitrogen 180L/230PSI

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4024 Liquid Nitrogen 180L/500PSI

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4025 Liquid Nitrogen 240L/50PSI

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4026 Liquid Nitrogen 80L/22PSI

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4027 Helium UHP 200L

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4028 Helium UHP Compressed 244 CF

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4029 Helium UHP 300L

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4030 Helium, Liquid 100L

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4031 Oxygen Industrial Size

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4032 Oxygen Industrial Size, 2 CGA

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4033 Propane, 100 LB

Price Per Unit = $________

Option Period I:

1 June 2013 - 31 May 2014

4034 Neon Research Grade 99.99

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4035 Nitrogen UHP Compressed 230 CF

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4036 Carbon Monoxide Calibration Gas

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4037 Nitrogen Dioxide Calibration Gas

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4038 Sulfur Hexafluoride

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4039 Zero Air UHP

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4040 Wire SA86

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4041 VGL DEWARS

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4042 Welding Rods

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4043 Gauges

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014 4044 Drivers Gloves, S/M/L/XL

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4045 Signs (Danger, Explosives, Stop, etc)

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4046 Fire Extingushers CO2 15 lb

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4047 Cylinder Adapters

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4048 Nut Nipple N2

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4049 Plasma Welding Tip 30 AMP

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4050 Pointed Welding Tip

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4051 NI Lables

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4052 Hydrostatic Test/Refurbish 38 Tube Trailer

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4053 Rental/Maintenance of Tanks

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4054 Rental Fee, Cylinder

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4055 Pickup/Delivey Charge

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

4056 Hazardous Material Charge

Price Per Unit = $________

Base Period of Performance:

1 June 2013 - 31 May 2014

QUANTITY
UNIT PRICE
AMOUNT

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

Thru

1001
Destination
Government
Destination
Government

Thru

2001
Destination
Government
Destination
Government

Thru

3001
Destination
Government
Destination
Government

Thru

4001
Destination
Government
Destination
Government

Thru

DELIVERY INFORMATION

CLIN
DELIVERY DATE
QUANTITY
SHIP TO ADDRESS
UIC

CLAUSES INCORPORATED BY REFERENCE

52.203-12
Limitation On Payments To Influence Certain Federal Transactions
SEP 2007
52.204-7
Central Contractor Registration
APR 2008
52.211-15
Defense Priority And Allocation Requirements
APR 2008
52.212-1
Instructions to Offerors--Commercial Items
JUN 2008
52.212-4
Contract Terms and Conditions--Commercial Items
OCT 2008
52.223-5
Pollution Prevention and Right-to-Know Information
AUG 2003
252.204-7003
Control Of Government Personnel Work Product
APR 1992
252.209-7004
Subcontracting With Firms That Are Owned or Controlled By The Government of a Terrorist Country
DEC 2006
252.211-7003
Item Identification and Valuation
AUG 2008
252.225-7002
Qualifying Country Sources As Subcontractors
APR 2003
252.225-7036
Buy American--Free Trade Agreement--Balance of Payments Program
JAN 2009
252.232-7010
Levies on Contract Payments
DEC 2006
252.243-7001
Pricing Of Contract Modifications
DEC 1991

CLAUSES INCORPORATED BY FULL TEXT

52.208-8 HELIUM REQUIREMENT FORECAST AND REQUIRED SOURCES FOR HELIUM (APR 2002)

Required Sources for Helium and Helium Usage Data (Apr 2002)

(a) Definitions.

Bureau of Land Management, as used in this clause, means the Department of the Interior, Bureau of Land Management, Amarillo Field Office, Helium Operations, located at 801 South Fillmore Street, Suite 500, Amarillo, TX 79101-3545.

Federal helium supplier means a private helium vendor that has an in-kind crude helium sales contract with the Bureau of Land Management (BLM) and that is on the BLM Amarillo Field Office's Authorized List of Federal Helium Suppliers available via the Internet at http://www.nm.blm.gov/www/amfo/amfo_home.html.

Major helium requirement means an estimated refined helium requirement greater than 200,000 standard cubic feet (scf) (measured at 14.7 pounds per square inch absolute pressure and 70 degrees Fahrenheit temperature) of gaseous helium or 7510 liters of liquid helium delivered to a helium use location per year.

(b) Requirements--(1) Contractors must purchase major helium requirements from Federal helium suppliers, to the extent that supplies are available.

(2) The Contractor shall provide to the Contracting Officer the following data within 10 days after the Contractor or subcontractor receives a delivery of helium from a Federal helium supplier--

(i) The name of the supplier;

(ii) The amount of helium purchased;

(iii) The delivery date(s); and

(iv) The location where the helium was used.

(c) Subcontracts. The Contractor shall insert this clause, including this paragraph (c), in any subcontract or order that involves a major helium requirement.

(End of clause)

52.212-2 EVALUATION--COMMERCIAL ITEMS (JAN 1999)

(a) The Government intends to issue multiple Blanket Purchase Agreements (BPAs) resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government. The basis for award will be an integrated assessment of price fair and reasonableness in relationship to the Government’s Independent Cost Estimate (IGCE). Because price will be the only factor considered as the basis of award, the Government anticipates to award without discussions.

(b) Options. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

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

(End of provision)

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (FEB 2009)

An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual representations and certifications electronically at http://orca.bpn.gov. If an offeror has not completed the annual representations and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (c) through (m) of this provision.

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

"Emerging small business" means a small business concern whose size is no greater than 50 percent of the numerical size standard for the NAICS code designated.

"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.

Manufactured end product means any end product in Federal Supply Classes (FSC) 1000-9999, except--

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

(2) Federal Supply Group (FSG) 87, Agricultural Supplies;

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

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

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

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

(8) FSC 9610, Ores;

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

(10) FSC 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 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.

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.

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.

(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 Online Representations and Certifications Application (ORCA) website.

(2) The offeror has completed the annual representations and certifications electronically via the ORCA website at http://orca.bpn.gov. After reviewing the ORCA 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 (m) 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 on ORCA.]

(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, for general statistical purposes, 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)(6) and (c)(7) only if this solicitation is expected to exceed the simplified acquisition threshold.

(6) 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.

(7) 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:

(8) Small Business Size for the Small Business Competitiveness Demonstration Program and for the Targeted Industry Categories under the Small Business Competitiveness Demonstration Program. (Complete only if the offeror has represented itself to be a small business concern under the size standards for this solicitation.)

(i) (Complete only for solicitations indicated in an addendum as being set-aside for emerging small businesses in one of the designated industry groups (DIGs).) The offeror represents as part of its offer that it ( ) is, ( ) is not an emerging small business.

(ii) (Complete only for solicitations indicated in an addendum as being for one of the targeted industry categories (TICs) or designated industry groups (DIGs).) Offeror represents as follows:

(A) Offeror's number of employees for the past 12 months (check the Employees column if size standard stated in the solicitation is expressed in terms of number of employees); or

(B) Offeror's average annual gross revenue for the last 3 fiscal years (check the Average Annual Gross Number of Revenues column if size standard stated in the solicitation is expressed in terms of annual receipts).

(Check one of the following):

Average Annual

Number of Employees Gross Revenues

___ 50 or fewer ___ $1 million or less

___ 51 - 100 ___ $1,000,001 - $2 million

___ 101 - 250 ___ $2,000,001 - $3.5 million

___ 251 - 500 ___ $3,500,001 - $5 million

___ 501 - 750 ___ $5,000,001 - $10 million

___ 751 - 1,000 ___ $10,000,001 - $17 million

___ Over 1,000 ___ Over $17 million

(9) (Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns or FAR 52.219-25, Small Disadvantaged Business Participation Program-Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.)

(i) General. The offeror represents that either--

(A) It ( ) is, ( ) is not certified by the Small Business Administration as a small disadvantaged business concern and identified, on the date of this representation, as a certified small disadvantaged business concern in the database maintained by the Small Business Administration (PRO-Net), and that no material change in disadvantaged ownership and control has occurred since its certification, and, where the concern is owned by one or more individuals claiming disadvantaged status, the net worth of each individual upon whom the certification is based does not exceed $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); or

(B) It ( ) has, ( )( has not submitted a completed application to the Small Business Administration or a Private Certifier to be certified as a small disadvantaged business concern in accordance with 13 CFR 124, Subpart B, and a decision on that application is pending, and that no material change in disadvantaged ownership…

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