Released_SF1449.pdf

SEE ADDENDUM

(No Collect Calls)

W9128F-16-T-E002 07-Apr-2016

b. TELEPHONE NUMBER

605-487-7845 X3218

8. OFFER DUE DATE/LOCAL TIME

04:00 PM 21 Apr 2016

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.

W9128F9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

JEANNETTE K PATTON

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

W59XQG60471640

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 ORX

SMALL BUSINESS

WOMEN-OWNED SMALL

BUSINESS (WOSB)

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

U.S. ARMY CORPS OF ENGINEERS, OMAHA DIST

CONTRACTING OFFICE

1616 CAPITOL AVENUE

OMAHA NE 68102-4901

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 968810 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

COE FT RANDALL PROJECT OFFICE

LISA M DURHAM

USAED, OMAHACENWO-OD-FR

399 POWERHOUSE ROAD

PICKSTOWN SD 57367

TEL: 605-487-7845 X 3503 FAX: 605-487-7540

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL BUSINESS

(EDWOSB)

SIZE STANDARD:

NAICS:

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF60

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.

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

BASE YR:PWRP, TS & OM Employee Physicals

FFP

Base Year: Powerplant, Tech Support & Outside Maintenance Employee OSHA Physicals (4/15/16-07/31/16) FOB: Destination PROJECT: Fort Randall

NET AMT

000101 BASE YR: Powerplant Employee Physicals

FFP

Base Year: Powerplant Employee OSHA Physicals (4/15/16-07/31/16)

PURCHASE REQUEST NUMBER: W59XQG60471640

000102 BASE YR: TS & OM Employee Physicals

FFP

Base Year: Tech Support & Outside Maintenance Employee OSHA Physicals (4/15/16-07/31/16)

PURCHASE REQUEST NUMBER: W59XQG60471640

OPT1-YR2:PWRP, TS, OM Employee Physicals

FFP

Option 1-Year 2: Powerplant, Tech Support & Outside Maintenance Employee OSHA Physicals (3/1/17-07/31/17)

000201 OPT 1-YR 2: PWRP Employee Physicals

FFP

Option 1-Year 2: Powerplant Employee OSHA Physicals (3/1/17-07/31/17)

000202 OPT 1-YR 2: TS & OM Employee Physicals

FFP

Option 1-Year 2: Powerplant, Tech Support & Outside Maintenance Employee OSHA Physicals (3/1/17-07/31/17)

OPT2-YR3: PWRP,TS, OM Employee Physicals

FFP

Option 2-Year 3: Powerplant, Tech Support & Outside Maintenance Employee OSHA Physicals (3/1/18-07/31/18)

000301 OPT 2-YR 3: PWRP Employee Physcials

FFP

Option 2-Year 3: Powerplant Employee OSHA Physicals (3/1/18-07/31/18)

000302 OPT 2-YR 3: TS & OM Employee Physicals

FFP

Option 2-Year 3: Tech Support & Outside Maintenance Employee OSHA Physicals (3/1/18-07/31/18)

BID SHEET

BID SHEET

Base Yr Pricing

Option 1 Pricing

Option 2 Pricing

PROCEDURE / EXAMS

1. History and Physical

2. Audiometry: (CFR 1910.95 - Annual requirement for any job functions meeting OSHA Hearing Conservation Program standards.) If an employee has ever been retested for an STS, he/she will receive an annual audiogram. NOTE: If an employee tests out with high threshold shift of 10dB or greater, he/she is to be retested. If the threshold shift remains 10dB or greater, the employee will be referred to an outside audiologist provider for evaluation.

3.Visual Screening: Tests with and without correction. Includes tests for right eye individually, left eye individually, both eyes together for near and far acuity, peripheral vision, depth perception, muscle balance, and color discrimination.

4.Urinalysis (UA): This test includes specific gravity tests for albumin, glucose, ketones, and bilirubin. (49 CFR 391.41 – Do this test for all DOT Drivers Certification Exams)

5.Pulmonary Function Test (PFT): This test Includes a forced expiratory capacity at one (1) second (FEV1) and forced vital capacity (FVC). If employee meets requirements for asbestos exposure, an annual PFT is required. Pre-Placement PFT required for respirator users, periodic (up-to 2 years) requires PFT at physician discretion, and is highly recommended for negative pressure respirators. Pre-Placement PFT is required for welders. ARC/TIG/MIG welders require periodic PFT per physician discretion and exposure based. Oxy/Acetylene Welder require annual PFT.

6.Blood Work : Complete Metabolic Panel, Complete Blood Count (CBC), Lipid Panel

7.Heavy Metals Blood/Urine Test: Welders shall receive a pre placement heavy metals blood/urine test (lead, magnesium, cadmium, arsenic, and chromium.

The blood and urine tests should only be completed annually if industrial hygiene sampling indicates an over exposure to hazard more than 30 days a year.

8.Electrocardiogram (EKG): An EKG is to be performed at the initial exam, then every two (2) years beginning at age 40 and older if there is presence of two (2) or more cardiovascular risk factors when reviewing the medical history (i.e., diabetes, smoking, family history of premature coronary artery disease, hypertension, elevated cholesterol, or when symptomatic). At age 50, frequency would be every other year.

Two or more risk factors present: YES/NO/NA

9.Chest X-Ray: Posterior/anterior chest x-ray is to be accomplished when initially placed in MSP and interpreted by a radiologist as determined by position, past exposure and current exposure. When abnormalities are noted on a PA film, a lateral x-ray should be taken. If abnormality appears to be occupationally related, the cost will be borne by USACE. If abnormality is not occupationally related, the employee should be referred to his/her private physician. After the baseline, x-rays are authorized at the discretion of the physician (if needed) to monitor exposure to job-related conditions. See specific guidance for asbestos exposure.

10.Chest X-Ray w/B-Reader: (CFR 29 1910.1001 -asbestos exposure guidelines) Asbestos questionnaire (initial or periodic); asbestos counseling. OSHA requires any employee having any current occupational asbestos exposure to be counseled regarding the dangers of smoking and asbestos. Document asbestos counseling on form “MSP-5.” Chest x-ray (CXR) PA:

If history form states, and current or potential exposure to asbestos, refer to the following guidelines:

1. 0-10 years since first exposure : Any age to receive CXR every five (5) years

2. 10+ years since first exposure: Age 15-35 receive a CXR every five (5) years, Age 35+ - 45 receive a CXR every two (2) years, Age 45+ receive a CXR annually There is no legal requirement for medical monitoring after an employee is no longer exposed. USACE employees who have had previous asbestos exposure shall be offered an equivalent to the annual exam every five years.

11.Red Blood Cell Cholinesterase: This test should be performed annually if mixing and/or spraying organic phosphate and carbonate pesticides. It is to be performed: before spraying begins, middle of season, and two (2) weeks after spraying was completed (to determine if a decrease in cholinesterase has occurred).

12.Blood Lead: (29 CFR 1910.1025) Employees who are exposed to lead at or above the PEL must receive blood lead testing prior to start of work and immediately following completion of work. OSHA places significant emphasis on the medical surveillance of all workers exposed to levels of inorganic lead above the action level of 30 ug/m(3) time weighted average (TWA)

13.Zinc Photoporphyrin (ZPP):

14.Diphtheria Tetanus (Td) Booster: This is required every five (5) years for occupational risk (exposure or injury)

14a.Hepatitis A Vaccinations: Employees that work directly with raw sewage.

14b.Hepatitis B Vaccinations: Employees that work directly with raw sewage.

Other tests(s) not listed above:

15.Respirator Medical Evaluation:

(29CFR1910.134) Provide written recommendation regarding the employees ability to use a respirator, and any limitations. Provide respirator medical clearance on FOH-5 or USACE-5 Part V Report to Employer.

Employee shall complete OSHA Respirator Medical Evaluation Questionnaire for PLHCP to review.

Recommend a pulmonary function test for negative pressure respirators.

Selected Respirators for Employee

N, R, P Disposable Filter Mask Negative Pressure Air Purifying Respirator Powered Air Purifying Respirator (PAPR) Air-Line / Supplied Air Respirator Self Contained Breathing Apparatus

(SCBA)

Ensure selected respirator clearances are correlated on USACE 5 Form Part V

16.HAZWOPER Medical Evaluation: (29 CFR 1910.120) Medical Examination shall include a medical and work history with special emphasis on symptoms related to the handling of hazardous substances and health hazards, and to fitness for duty including the ability to wear any required PPE under conditions that may be expected at the work site.

Physician provides HTRW clearance and expiration under “Report to Employer” under clearances (Other).

Frequency (Expiration): Medical examination shall be completed every 12 months unless physician believes a longer interval (no greater than biennially) is appropriate.

17.Chromium (VI) Examination: (29 CFR 1910.1026) Medical and work history, with emphasis on: Past, present, and anticipated future exposure to chromium (VI); any history of respiratory system dysfunction; any history of asthma, dermatitis, skin ulceration, or nasal septum perforation; and smoking status history.

A physical examination of the skin and respiratory tract; and Any additional tests deemed appropriate by the examining PLHCP

18.CDL: DOT Drivers Certification Exam. (49 CFR 391.41) Use the form “Examination to Determine Physical Condition of Drivers.” This exam is performed every two (2) years. NOTE: Perform UA, audio, and vision screening. If employee wears a hearing aid, employee must be tested with and without hearing aid. Test with hearing aid must be performed by an audiologist.

Physician provides certification card to employer and employee.

19.Crane Operator Physical Exam. This exam is performed every two years. Minimum Requirements:

History and Physical, Vision Screening (20/30 snellen in one eye and 20/50 in the other without corrective lenses, normal depth perception and field of vision, ability to distinguish colors), Audiometry (Adequate hearing with or without hearing aid).

Attached Crane Operator Medical

Certificate Form. Physician provides certification card to employer and employee

CENWO-SO DATE

MEMORANDUM FOR: OCCUPATIONAL HEALTH PROVIDER

SUBJECT: REQUEST FOR MEDICAL TESTING

REFERENCE: OSHA, NIOSH, DOD, DA, USACE ER 385-40

W9128F-16-T-E002

1. Please perform the medical exam and/or tests marked below. Submit all results (with a legible interpretation) to U.S. Army Corps of Engineers, Omaha District: ATTN: CENWO- SO; 1616 Capitol Avenue Omaha, NE 68102 , Fax 402-995-2917

a. NAME: _____________________

b. JOB TITLE:

c. ASSIGNED

OFFICE: PROJECT

d. EXAM TYPE:

PERIODIC (ANNUAL)

e. EXAM

LOCATION: CLINIC NAME

REQUEST PROCEDURE / EXAMS

1. History and Physical

2. Audiometry: (CFR 1910.95 - Annual requirement for any job functions meeting OSHA Hearing Conservation Program standards.) If an employee has ever been retested for an STS, he/she will receive an annual audiogram.

NOTE: If an employee tests out with high threshold shift of 10dB or greater, he/she is to be retested. If the threshold shift remains 10dB or greater, the employee will be referred to an outside audiologist provider for evaluation.

3.Visual Screening: Tests with and without correction. Includes tests for right eye individually, left eye individually, both eyes together for near and far acuity, peripheral vision, depth perception, muscle balance, and color discrimination.

4.Urinalysis (UA): This test includes specific gravity tests for albumin, glucose, ketones, and bilirubin. (49 CFR 391.41 – Do this test for all DOT Drivers Certification Exams)

5.Pulmonary Function Test (PFT): This test Includes a forced expiratory capacity at one (1) second (FEV1) and forced vital capacity (FVC). If employee meets requirements for asbestos exposure, an annual PFT is required. Pre-Placement PFT required for respirator users, periodic (up-to 2 years) requires PFT at physician discretion, and is highly recommended for negative pressure respirators. Pre-Placement PFT is required for welders.

ARC/TIG/MIG welders require periodic PFT per physician discretion and exposure based. Oxy/Acetylene Welder require annual PFT.

6.Blood Work : Complete Metabolic Panel, Complete Blood Count (CBC), Lipid Panel

7.Heavy Metals Blood/Urine Test: Welders shall receive a pre placement heavy metals blood/urine test (lead, magnesium, cadmium, arsenic, and chromium. The blood and urine tests should only be completed annually if industrial hygiene sampling indicates an over exposure to hazard more than 30 days a year.

8.Electrocardiogram (EKG): An EKG is to be performed at the initial exam, then every two (2) years beginning at age 40 and older if there is presence of two (2) or more cardiovascular risk factors when reviewing the medical history (i.e., diabetes, smoking, family history of premature coronary artery disease, hypertension, elevated cholesterol, or when symptomatic). At age 50, frequency would be every other year.

Two or more risk factors present: YES/NO/NA

9.Chest X-Ray: Posterior/anterior chest x-ray is to be accomplished when initially placed in MSP and interpreted by a radiologist as determined by position, past exposure and current exposure. When abnormalities are noted on a PA film, a lateral x-ray should be taken. If abnormality appears to be occupationally related, the cost will be borne by USACE. If abnormality is not occupationally related, the employee should be referred to his/her private physician. After the baseline, x-rays are authorized at the discretion of the physician (if needed) to monitor exposure to job-related conditions. See specific guidance for asbestos exposure.

10.Chest X-Ray w/B-Reader: (CFR 29 1910.1001 - asbestos exposure guidelines) Asbestos questionnaire (initial or periodic); asbestos counseling.

OSHA requires any employee having any current occupational asbestos exposure to be counseled regarding the dangers of smoking and asbestos.

Document asbestos counseling on form “MSP-5.” Chest x-ray (CXR) PA: If history form states, and current or potential exposure to asbestos, refer to the following guidelines:

3. 0-10 years since first exposure

: Any age to receive CXR every five (5) years

4. 10+ years since first exposure:

Age 15-35 receive a CXR every five (5) years, Age 35+ - 45 receive a CXR every two (2) years, Age 45+ receive a CXR annually There is no legal requirement for medical monitoring after an employee is no longer exposed. USACE employees who have had previous asbestos exposure shall be offered an equivalent to the annual exam every five years.

11.Red Blood Cell Cholinesterase: This test should be performed annually if mixing and/or spraying organic phosphate and carbonate pesticides. It is to be performed: before spraying begins, middle of season, and two (2) weeks after spraying was completed (to determine if a decrease in cholinesterase has occurred).

12.Blood Lead: (29 CFR 1910.1025) Employees who are exposed to lead at or above the PEL must receive blood lead testing prior to start of work and immediately following completion of work. OSHA places significant emphasis on the medical surveillance of all workers exposed to levels of inorganic lead above the action level of 30 ug/m(3) time weighted average

(TWA)

13.Zinc Photoporphyrin (ZPP):

14.Diphtheria Tetanus (Td) Booster: This is required every five (5) years for occupational risk (exposure or injury)

14a.Hepatitis A Vaccinations: Employees that work directly with raw sewage.

14b.Hepatitis B Vaccinations: Employees that work directly with raw sewage.

Other tests(s) not listed above:

15.Respirator Medical Evaluation: (29CFR1910.134) Provide written recommendation regarding the employees ability to use a respirator, and any limitations. Provide respirator medical clearance on FOH-5 or USACE-5 Part V Report to Employer. Employee shall complete OSHA Respirator Medical Evaluation Questionnaire for PLHCP to review. Recommend a pulmonary function test for negative pressure respirators.

Selected Respirators for Employee

N, R, P Disposable Filter Mask Negative Pressure Air Purifying Respirator Powered Air Purifying Respirator (PAPR) Air-Line / Supplied Air Respirator Self Contained Breathing Apparatus (SCBA)

Ensure selected respirator clearances are correlated on USACE 5 Form Part V

16.HAZWOPER Medical Evaluation: (29 CFR 1910.120) Medical Examination shall include a medical and work history with special emphasis on symptoms related to the handling of hazardous substances and health hazards, and to fitness for duty including the ability to wear any required PPE under conditions that may be expected at the work site.

Physician provides HTRW clearance and expiration under “Report to Employer” under clearances (Other).

Frequency (Expiration): Medical examination shall be completed every 12 months unless physician believes a longer interval (no greater than biennially) is appropriate.

17.Chromium (VI) Examination: (29 CFR 1910.1026) Medical and work history, with emphasis on: Past, present, and anticipated future exposure to chromium (VI); any history of respiratory system dysfunction; any history of asthma, dermatitis, skin ulceration, or nasal septum perforation; and smoking status history.

A physical examination of the skin and respiratory tract; and Any additional tests deemed appropriate by the examining PLHCP

18.CDL: DOT Drivers Certification Exam. (49 CFR 391.41) Use the form “Examination to Determine Physical Condition of Drivers.” This exam is performed every two (2) years. NOTE: Perform UA, audio, and vision screening. If employee wears a hearing aid, employee must be tested with and without hearing aid. Test with hearing aid must be performed by an audiologist.

Physician provides certification card to employer and employee.

19.Crane Operator Physical Exam. This exam is performed every two years. Minimum Requirements: History and Physical, Vision Screening (20/30 snellen in one eye and 20/50 in the other without corrective lenses, normal depth perception and field of vision, ability to distinguish colors), Audiometry (Adequate hearing with or without hearing aid).

Attached Crane Operator Medical Certificate Form. Physician provides certification card to employer and employee

AUTHORIZED BY: NAME: PROJECT MEDICAL SURVIELLANCE COORDINATOR

SIGNATURE:

DATE:

PHONE:

SOLICITATION INSTRUCTIONS

SOLICITATION INSTRUCTIONS:

This solicitation is being advertised on the basis of low price.

Please complete the following:

‐ The Standard Form (SF) 1449 pages where it is necessary to fill in information/price(s) and/or signature.

‐ The NWO 960_Request for Medical Testing Bid Sheets. The bid sheet will need to include pricing for each year.

‐ Offeror Representation and Certifications – Commercial Items (FAR Clauses 52.212‐3) or verify registration on SAM (see paragraph later in this document).

Please enter your CAGE Code in Block 17a of the SF1449 within the smaller block next to the word “CODE.” The company name and street address entered on the SF1449 should match the System for Award Management (SAM) entry for that CAGE Code.

Due date/time:

Quotations are due by 4:00 pm on 21 April 2016. Send your completed quotation package to the attention of Jeannette K Patton via email as follows:

Email to: jeannette.k.patton@usace.army.mil. SCAN DOCUMENTS WITH SIGNATURES/DATES

Please reference Solicitation Number W9128F‐16‐T‐E002 on all correspondence.

Points of Contact (POC):

For contractual questions, contact Jeannette K. Patton at 605‐487‐7845, Ext. 3218 or at jeannette.k.patton@usace.army.mil.

For technical or specification questions; contact Lisa M. Durham, at 605‐487‐7845 Ext. 3503, or lisa.m.durham@usace.army.mil.

INFORMATION PERTAINING TO MANDATORY REGISTRATIONS, CODES, NUMBERS & REPRESENTATIONS & CERTIFICATIONS:

System for Award Management (SAM):

What is SAM?

The System for Award Management (SAM) is combining federal procurement systems and the Catalog of Federal Domestic Assistance into one new system. This consolidation is being done in phases. The first phase of SAM includes the functionality from the following systems:

* Central Contractor Registry (SAM)

* Federal Agency Registration (FedReg)

* Online Representations and Certifications Application (ORCA)

* Excluded Parties List System (EPLS)

How will SAM benefit me?

The overarching benefits of SAM include streamlined and integrated processes, elimination of data redundancies, and reduced costs while providing improved capability.

SAM registration is required prior to receiving contract award. If you are not currently registered in SAM, refer to the website at https://www.sam.gov for information and instructions on how to register.

How will SAM benefit me?

The overarching benefits of SAM include streamlined and integrated processes, elimination of data redundancies, and reduced costs while providing improved capability.

SAM registration is required prior to receiving contract award. If you are not currently registered in SAM, refer to the website at https://www.sam.gov for information and instructions on how to register.

SAM Service Desk:

URL: http://www.FSD.gov (8am ‐ 8pm Eastern Time) US Calls: 866‐606‐8220 International Calls: 334‐206‐7828

DSN: 809‐463‐3376

Do not delay returning a quote while processing your SAM entry.

Electronic Funds Transfer (EFT):

EFT is a mandatory requirement for the U.S. Army Corps of Engineers. The successful offeror may be required to complete and return an EFT form unless the offeror has EFT information loaded in SAM.

NAICS Code:

This solicitation is being advertised under the North American Industrial Classification Systems (NAICS) Code listed in Box 10 on Page 1 of the SF 1449. You must ensure this NAICS Code is incorporated into your current SAM profile if your company can provide the type of product or service applicable to this NAICS Code. Failure to have this NAICS Code in your current SAM profile may result in not being considered for award. NAICS Codes may be viewed at the U.S. Census Bureau website at http://www.census.gov/eos/www/naics

Dun and Bradstreet Number (DUNS Number):

A DUNS Number is required for SAM registration. If you do not currently have a DUNS number, you may acquire one by linking to the Dun & Bradstreet (D&B) website at http://fedgov.dnb.com/webform. D&B’s Government Customer Response Center (GCRC) phone number is 866‐705‐5711.

Dun & Bradstreet (D&B) provides a DUNS Number, a unique nine digit identification number, for each physical location of your business.

DUNS Number assignment is free for all businesses required to register with the US Federal Government for contracts or grants.

If a DUNS Number does not exist for your business location, it can be created within 1 business day via the D&B website.

OFFEROR’S INFORMATION REQUIRED TO PROCESS AN AWARD:

CAGE Code______________________

DUNS Number ___________________

Tax Identification Number (TIN)______________________________

Company Name and Address:

(Should match SAM profile and Block 17a on SF 1449)

Point of Contact:

Name_______________________________________

Title________________________________________

Business Phone ______________________________

Cell Phone (if applicable)______________________

E‐Mail______________________________________

State and Local Taxes:

The U.S. Army Corps of Engineers is exempt from paying state and local taxes per Title 4 United States Code 104‐107. The U.S.

Army Corps of Engineers Tax ID Number is 62‐1642142.

Contractors performing services for the U.S. Army Corps of Engineers are not exempt from state and local taxes in transactions with vendors, suppliers or subcontractors.

In the State of South Dakota, there is an excise tax on the total gross receipts of all prime contractors and subcontractors engaged in realty improvement. Contractors shall include the excise tax in its quotation.

For information concerning the taxes contact: Sales and Use Tax Division, Capital Lake Plaza, Pierre, South Dakota. Telephone 605‐773‐3311.

Payments:

Payments will be made on a once a month basis after receipt of a one invoice summarizing all employees seen that month.

Payments will not be made on invoices per individual. The contractor is required to include the contract number on all invoices so that receipt and payment for the item or service may be expeditiously processed.

Federal Legal Holidays:

The following Federal legal holidays are observed by this installation:

New Year's Day 1 January Martin Luther King's Birthday Third Monday in January President's Day Third Monday in February Memorial Day Last Monday in May Independence Day 4 July Labor Day First Monday in September Columbus Day Second Monday in October Veterans Day 11 November Thanksgiving Day Fourth Thursday in November Christmas Day 25 December

If a wage determination applies, the number of holidays specified on it has priority over this clause.

FY 2016 CLINIC GUIDANCE

CENWO-SO 29-OCT-2015

MEMORANDUM FOR: Medical Provider, Project Medical Surveillance Coordinators

SUBJECT: FY2016 USACE Physical Exam/Tests/Labs Guidance for Medical Providers

REFERENCE: EM 385-1-1, OM 385-1-1, 29 CFR 1910, 29 CFR 1926, 49 CFR 391.41 (not all inclusive)

Annual physicals exams, tests, and lab/profile work that should be included in the scope of work for Powerhouse and Technical Support employees. Attached are all tests that may be required for each employee. Guidance concerning tests is provided below in the Medical Guidance for Bidders.

Employees who meet the requirements as determined by regulations above will receive medical testing as determined by their exposures or job requirements. For further guidance, contact the Safety Office (Jeff Skrivanek) at 402-995-2913. An Exposure Assessment Form will be completed each time an exam is requested for an employee.

Blood work (Consists of the following):

a. Lipid Panel

i. Triglycerides

ii. Cholesterol, Total

iii. HDL - Cholesterol

iv. LDL, Cholesterol

v. CHOL/HDLC Ratio

b. Comp Metabolic Panel Panel (14 Blood Tests)

i. Serum Glucose

ii. Calcium

iii. Blood Urea Nitrogen (BUN)

iv. Creatinine

v. Sodium

vi. Potassium

vii. Chloride

viii. Carbon Dioxide

ix. Serum Calcium

x. Serum Total Protein (TP)

xi. Human Serum Albumin

xii. Bilirubin Total, Bilirubin, Direct

xiii. Alkaline Phosphatase (ALP)

xiv. Asparatate Amino Transferse (AST or SGOT)

xv. Alanine Amino Transferase (ALT or SGPT)

c. Complete Blood Count (Includes DIFF/PLT)

i. White Blood Cell Count

ii. Red Blood Cell Count

iii. Hemoglobin

iv. Hematocrit

v. Mean Corpuscular Volume (MCV)

vi. Mean Corpuscular Hemoglogin (MCH)

vii. RDW

viii. Platelet Count

Chest X-ray: Posterior/anterior chest x-ray is to be accomplished when initially placed in MSP and interpreted by a radiologist as determined by position, past exposure and current exposure.

Additional chest x-ray may be required as determined by physician and specific exposures that warrant a look at the lungs. The health risk (due to radiation) is greater for an unnecessary chest x-ray than not getting a chest x-ray for some unknown reason. (See separate guidance for asbestos exposure) Posterior/anterior chest x-ray to be accomplished when initially placed in MSP.

Posterior/anterior chest x-ray to be interpreted by radiologist. Not to be accomplished routinely.

When abnormalities are noted on a PA x-ray a lateral x- ray should be taken. If problem seems to be occupationally related the cost will be borne by USACE. If not the patient should be referred to his private physician. Clinic must consult Corps point of contact before any tests other than those requested are performed. (CFR 29 1910.1001 - asbestos exposure guidelines) Asbestos questionnaire (initial or periodic); asbestos counseling. OSHA requires any employee having any current occupational asbestos exposure to be counseled regarding the dangers of smoking and asbestos.

Document asbestos counseling on form “USACE 5.

Electrocardiogram (ECG or EKG): A record of the electric potentials associated with the electric currents that traverse the heart that can be used to diagnose heart disease. The Standard 12-lead electrocardiogram contains three limb leads (I, II, and III), three augmented unipolar leads (aVr, aV1, and aVf) and six transverse precordial limb leads (V1-V6). Precordial electrode placement (V leads) must be consistent and patient position must be flat on the back. Technicians administering the ECG must be adequately trained in the procedure and all ECGs must be read by a physician, questionable ECGs are to be read by a specialist in internal medicine or a cardiologist. The physician reading the ECG must be familiar with the patient’s past history and physical examination results.

Frequency of Electrocardiogram (EKG): (Routine w/Interpretation & Report): Electrocardiogram (EKG). Baseline, then repeat at age 35, then every 5 years until age 50. At age 50+, an EKG to be done every 2 years. EXCEPTION-Age 40+ EKG done every 2 years if two or more risk factors for coronary artery disease (CAD) such as diabetes, smoking, family history of premature coronary artery disease, high blood pressure, high cholesterol, or when symptomatic. This authority is given to the clinic.

Pulmonary Function Test (PFT) Spirometric measurement of both force vital capacity (FVC) and time force expiratory volume (FEV 1.0) performed a minimum of 3 times (all three times must be shown in tests results) over a period of several minutes, looking for reproducibility and consistency as well as maximum effort. The corrected reading is to be compared (using Knudson Tables for comparison) with expected values for the person's age, sex, height, and race. Technicians or nurses performing PFT must be properly trained and/or have attended a NIOSH approved course in pulmonary function testing. Daily calibration checks must be performed. The fact that the calibration check was performed must be recorded on spirometric report form. All employees enrolled in the Asbestos Program will receive an annual Pulmonary Test. Asbestos (REF: 29 CFR 1910.1001) Asbestos: the PEL for asbestos (all asbestiform minerals) is measured for fibers greater than 5 micrometers in length. The PEL is 0.1 fibers per cc. Mandatory medical questionnaires applicable to surveillance of asbestos exposed persons are published in Appendix D of the OSHA asbestos standard 29 CFR 1910.1001. There is no legal requirement for medical monitoring after an employee is no longer exposed. USACE employees who have had previous asbestos exposure shall be offered an equivalent to the annual exam every five years.

a. Complete Asbestos Questionnaire (Initial or Periodic). Use only if above the permissible level of exposure. –

b. Asbestos counseling: OSHA requires any employee having any past exposure and is currently a smoker to be counseled regarding the dangers of smoking and asbestos.

c. Chest X-Ray (CXR) PA: If currently working with asbestos, refer to the following guidelines:

i. If 0-10 years since first exposure, any age is to receive a CXR every 5 years.

ii. If 10+ years since first exposure, and

iii. If age 15-35, receive a CXR every 5 years.

iv. If age 35+ - 45, receive a CXR every 2 years.

v. If age 45+, receive a CXR annually.

d. B-Reader is required on any CXR for asbestos medical surveillance. If field clinic does not have the capability to conduct the b-reader, then the CXR film is to be sent to the U. S.

Army Corps of Engineers (ATTN: CENWO-SO) for acquiring that service in Omaha. CXR, PA & Lateral may be requested by the agency, the examining physician or the Corps of Engineers. NOTE: Request chest x-ray film & all tests results be sent to the Corps at the same time. This is less confusing for our Health Unit when compiling data to accompany the film for obtaining B-Reader.

Urinalysis: Includes a quantitative evaluation for the presence of protein, glucose, ketones and blood, determination of pH, specific gravity, and a microscopic examination of the sediment. UA is part of the standard examination and a requirement for all CDL Exams.

Visual Screening: Perform test with and without glasses. Includes tests for right eye individually, left eye individually, both eyes together for both near and far acuity, peripheral vision, depth perception, muscle balance, and color discrimination. Visual Screening Requirements for Commercial Driver License (CDL).

Tuberculosis Skin Test (Mantoux-PPD): Administered and interrupted if occupationally exposed;

e.g., negative, not positive, but actual milimeter reading. (High risk for TB are those employees whose job involves direct contact with occupants of homeless shelters, migrant farm camps, prisons and jails, and some nursing homes, a TB Skin Test is warranted on an annual basis; If a person’s job duties require him/her to ride in a vehicle with prisoners on a frequent basis, then a TB Skin Test on an every 6-month basis is warranted). For exceptions to this, contact CENWO-SO. Please check first with CENWO-SO. At present, we have only a few employees that require the TB Test.

Diphtheria Tetanus Booster (Td): Required every 10 years for occupational risk exposures.

Benzene: a semi-annual physical examination is required with a history that includes emphasis on disorders of the blood and blood-forming organs. Laboratory tests, including CBC with white cell differential count, RBC with indices (MCV, MCH, MCHC), platelet count, reticulocyte count, and serum bilirubin shall be performed. Following an emergency exposure of an employee to benzene, he or she should have a urinary phenol test collected and performed at the end of their shift. If the phenol level is greater than 75-mg phenol per liter of urine, a complete blood count shall be obtained.

Lead: semi-annual biological exposure monitoring (BEM) shall be provided to personnel exposed above the lead action level (½ the PEL) for more than 30 days per year. This will include blood sampling and analysis for lead and zinc protoporphyrin levels. Annual physical examinations shall include blood lead level, a complete blood count with WBC differential and examination of blood cell morphology on the peripheral smear, RBC indices, reticulocyte count, lead and zinc protoporphyrins in the urine, urinalysis with microscopic examination of the sediment, serum creatinine and blood urea nitrogen (BUN) levels

DOT Certification Examinations are required every 2 years for all employees where a DOT certificate is required to perform their work with the Corps. The commercial driver’s license (CDL) must be a requirement outlined in the employee’s position description. Unless the CDL is listed in the position description, the CDL exam WILL NOT be provided. Urinalysis Test is performed for all employees in the MSP getting a comprehensive exam (a person receiving only an audiogram would not get this test). Vision Exam. Vision screening with & without glasses must be performed. DOT examinations are required every other year. Employees should wear their newest prescription glasses or contact lenses for the vision screening. If the exam indicates that a new prescription is needed, the employee is responsible for obtaining a new prescription from an optometrist or ophthalmologist.

Chest X-ray: 14”x17” posterior/anterior chest film to be accomplished when initially placed in MSP and at exit exam. 14” x 17” Posterior/anterior chest film to be interrupted by radiologist. When abnormalities are noted on a PA film, a lateral x-ray should be taken. If problem seems to be occupationally related, the cost will be borne by USACE. If not occupationally related, the patient should be referred to his private physician. Initial and exit exam only. At discretion of physician if needed to monitor exposure to job-related conditions.

Red Blood Cell Cholinesterase: Every year if Corps employee is mixing and spraying organicphosphate & carbinate pesticides and herbicides. This is not required if Corps employee is only performing functions as observer, and contractor is performing function. This test should be performed before spraying begins, again at middle of season, and again 2 weeks after spraying is completed to determine if a decrease in cholinesterase has occurred.

Hepatitis A: For employees whose job duties bring them into contact with raw sewage or other potentially infectious materials at or above the PEL. Preventive treatment of Hepatitis A involves a series of two injections over a period of six months. For adults, a small amount of vaccine fluid is injected into the army muscle initially, and is followed by a booster does six months after the first injection. Coordinate first with CENWO-SO before scheduling with clinic.

Hepatitis B: For employees whose job duties involve an inherent potential for mucous membrane or skin contact with blood, body fluids, or tissues or a potential for spills or splashes. Vaccinations consist of 3 doses & booster. Initial Dose, Dose 2 (1 month after Dose 1), Dose 3 (6 months after Dose 1). Coordinate first with CENWO-SO before scheduling with clinic.

SCOPE OF WORK

FORT RANDALL PROJECT

PHYSICALS FOR MEDICAL SURVEILLANCE PROGRAM

SCOPE OF WORK

FY 2016

Physicals and blood work required for the below listed employees not to exceed 35 employees.

Please note that employees are given the option to obtain their physical at a clinic of their choice but will be responsible for the costs over and above the contracted costs. Also applicants that are selected for vacant positions often obtain their physical at their current physical location.

Attached are all tests that may be required for each occupation. Guidance concerning tests is provided on request for medical testing. Contract completion date is not later than 31 July 2016.

For each option year a new list of employees will be provided.

Stuart Bartusch, Power Plant Shift Operator Rod Bergin, Power Plant Senior Mechanic Anthony Blaha, Power Plant Mechanic Bryce Eggers, Power Plant Mechanic Trainee II Connor Florey, Power Plant Electrician Trainee III Christopher Hudson, Power Plant Operator Trainee IV Edgar Hutt, Power Plant Shift Operator Jay Kriz, Power Plant Electrician Trainee III Brittany Leibel, Civil Engineer (Environmental) Hans Lillevold, Electrical Engineer Jason Lundy, Power Plant Shift Operator Jon Moellman, Power Plant Shift Operator Mark Nelson, Power Plant Mechanic Dennis Permann, Power Plant Shift Operator Joshua Pavlish, Civil Engineer Tech Patrick Pesicka, Power Plant Electronics Mechanic Kenny Podzimek, Power Plant Electrician Trainee III William Reiser, Power Plant Senior Electrician Dave Ronfeldt, Power Plant Electrician Jacob Russell, Civil Engineer Tech Mike Schenkel, M&O Manager Aaron Schmitz, Mechanical Engineer Evan Schmitz, Civil Engineer Bryce Stasch, Power Plant Mechanic James Thornton, Seasonal Engineering Equipment Operator Tyler Vogt, Power Plant Electrician Trainee IV Vacant, Engineering Equipment Operator Work Leader Vacant, Engineering Equipment Operator Vacant, Power Plant Student Laborers and Outside Maintenance Student Laborer Vacant, Maintenance Worker

Mechanics and Electricians, Electronics Mechanic, M&O Manager and Student Laborers Hands on Physical - 14 Audiogram - 14 Visual Screening - 14 Urinalysis - 12 Heavy Metal Blood Urine Test - 5

PFT - 12

Complete Blood Count - 12 Blood Chemistry Screen - 12 Chromium Examination - 5 EKG – 2, more if determined by the physician

DOT – 2

Crane Operator - 10

Operators Hands on Physical – 6 Audiogram - 6 Visual Screening -6 Urinalysis - 6

PFT - 6

Complete Blood Count - 6 Blood Chemistry Screen - 6 EKG – 2, more if determined by the physician

Civil Engineers and Techs Hands on Physical - 6 Audiogram - 6 Visual Screening – 6 Urinalysis - 6

PFT - 6

Complete Blood Count - 6 Blood Chemistry Screen - 6 EKG – only if determined by the physician

Engineer Equipment Operators, Maintenance Worker and Student Laborer Hands on Physical - 3 Audiogram - 3 Visual Screening -3 Urinalysis - 2

PFT - 2

Complete Blood Count - 2 Blood Chemistry Screen - 2 EKG - only if determined by the physician

CLAUSES INCORPORATED BY REFERENCE

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

Content Paper

MAY 2011

52.204-7 System for Award Management JUL 2013 52.204-13 System for Award Management Maintenance JUL 2013 52.204-16 Commercial and Government Entity Code Reporting JUL 2015 52.204-18 Commercial and Government Entity Code Maintenance JUL 2015 52.212-1 Instructions to Offerors--Commercial Items OCT 2015 52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015 52.223-4 Recovered Material Certification MAY 2008 52.223-17 Affirmative Procurement of EPA-Designated Items in Service and Construction Contracts

MAY 2008

52.225-25 Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran-- Representation and Certifications.

OCT 2015

52.232-18 Availability Of Funds APR 1984 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7008 (Dev) Compliance with Safeguarding Covered Defense Information

Controls

DEC 2015

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting.

DEC 2015

252.225-7001 Buy American And Balance Of Payments Program-- Basic (Nov 2014)

NOV 2014

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

JUN 2012

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

Personnel

JUN 2013

252.243-7001 Pricing Of Contract Modifications DEC 1991 252.244-7000 Subcontracts for Commercial Items JUN 2013

CLAUSES INCORPORATED BY FULL TEXT

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS--COMMERCIAL ITEMS (FEB 2016)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015).

(2) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(3) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items: (Contracting Officer check as appropriate.)

___ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

____ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509).

____ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (June 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

___ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2015) (Pub. L. 109-

282) (31 U.S.C. 6101 note).

___ (5) [Reserved]

___ (6) 52.204-14, Service Contract Reporting Requirements (JAN 2014) (Pub. L. 111-117, section 743 of Div. C).

___ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (JAN 2014) (Pub.

L. 111-117, section 743 of Div. C).

___ (8) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Oct 2015) (31 U.S.C. 6101 note).

____ (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (July 2013) (41 U.S.C. 2313).

____ (10) [Reserved]

____ (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (NOV 2011) (15 U.S.C. 657a).

____ (ii) Alternate I (NOV 2011) of 52.219-3.

____ (12) (i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (OCT 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

____ (ii) Alternate I (JAN 2011) of 52.219-4.

____ (13) [Reserved]

____ (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2011) (15 U.S.C. 644).

____ (ii) Alternate I (NOV 2011).

____ (iii) Alternate II (NOV 2011).

____ (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).

____ (ii) Alternate I (Oct 1995) of 52.219-7.

____ (iii) Alternate II (Mar 2004) of 52.219-7.

____ (16) 52.219-8, Utilization of Small Business Concerns (OCT 2014) (15 U.S.C. 637(d)(2) and (3)).

____ (17)(i) 52.219-9, Small Business Subcontracting Plan (Oct 2015) (15 U.S.C. 637(d)(4)).

____ (ii) Alternate I (Oct 2001) of 52.219-9.

____ (iii) Alternate II (Oct 2001) of 52.219-9.

____ (iv) Alternate III (Oct 2015) of 52.219-9.

____ (18) 52.219-13, Notice of Set-Aside of Orders (NOV 2011) (15 U.S.C. 644(r)).

____ (19) 52.219-14, Limitations on Subcontracting (NOV 2011) (15 U.S.C. 637(a)(14)).

____ (20) 52.219-16, Liquidated Damages—Subcon-tracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

____ (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (NOV 2011) (15 U.S.C. 657f).

X (22) 52.219-28, Post Award Small Business Program Rerepresentation (July 2013) (15 U.S.C. 632(a)(2)).

____ (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women- Owned Small Business Concerns (Dec 2015) (15 U.S.C. 637(m)).

____(24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (Dec 2015) (15 U.S.C. 637(m)).

X (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

X (26) 52.222-19, Child Labor--Cooperation with Authorities and Remedies (FEB 2016) (E.O. 13126).

____ (27) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

X (28) 52.222-26, Equal Opportunity (Apr 2015) (E.O. 11246).

____ (29) 52.222-35, Equal Opportunity for Veterans (Oct 2015) (38 U.S.C. 4212).

____ (30) 52.222-36, Equal Opportunity for Workers with Disabilities (July 2014) (29 U.S.C. 793).

____ (31) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212).

____ (32) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O.

13496).

____ (33)(i) 52.222-50, Combating Trafficking in Persons (March 2, 2015) (22 U.S.C. chapter 78 and E.O. 13627).

____ (ii) Alternate I (March 2, 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

____ (34) 52.222-54, Employment Eligibility Verification (Oct 2015). (E. O. 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

____ (35)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA–Designated Items (May 2008) (42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

____ (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

____ (36) (i) 52.223-13, Acquisition of EPEAT® Registered Imaging Equipment (Jun 2014) (E.O.s 13423 and 13514).

____ (ii) Alternate I (OCT 2015) of 52.223-13.

____ (37)(i) 52.223-14,…