W9128F19Q099_-_Ft_Peck_Concrete_RFQ.pdf

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Fort Peck - Recreation Area Concrete Federal contract opportunity
Solicitation number
W9128F-19-Q-0099
Issued by
Department of the Army Corps of Engineers Engineering District Omaha

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REQUEST FOR QUOTE - W9128F-19-Q-0099

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COE FT PECK PROJECT OFFICE

JASON MOLSTAD

USAED OMAHACENWO-OD-FP

301 EAST KANSAS STREET

FORT PECK MT 59223-0208

TEL: 406-526-3411 EXT 4267 FAX:

REQUEST FOR QUOTATIONS

(THIS IS NOT AN ORDER) 1

PAGE OF PAGES

1. REQUEST NO. 2. DATE ISSUED RATING

W9128F19Q0099 02-Aug-2019 5a. ISSUED BY

8. TO: NAME AND ADDRESS, INCLUDING ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this

Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State, and local taxes)

ITEM NO.

(a)

SUPPLIES/ SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e) (f)

SEE SCHEDULE

AMOUNT

% No. %

NOTE: Additional provisions and representations [ ] are [ ] are not attached.

13. NAME AND ADDRESS OF QUOTER (Street, City, County, State, and ZIP Code)

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF

QUOTATION

16. NAME AND TITLE OF SIGNER (Type or print) (Include area code)

TELEPHONE NO.

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (REV. 6-95)

PREVIOUS EDITION NOT USABLE Prescribed by GSA FAR (48 CFR) 53.215-1(a)

THIS RFQ X[ ] IS [ ] IS NOT A SMALL BUSINESS SET-ASIDE

6. DELIVER BY (Date)

SEE SCHEDULE

AND/OR DMS REG. 1

UNDER BDSA REG. 2

4. CERT. FOR NAT. DEF.3. REQUISITION/PURCHASE

REQUEST NO.

U.S. ARMY CORPS OF ENGINEERS, OMAHA DIST

CONTRACTING OFFICE

1616 CAPITOL AVENUE

OMAHA NE 68102-4901

9. DESTINATION (Consignee and address, including ZIP Code)

7. DELIVERY

[ ]X FOB

DESTINATION

[ ] OTHER

(See Schedule)

28-Aug-2019(Date)

PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS:10.

402-995-2086CLINTON E RUSSELL

(Name and Telephone no.) (No collect calls)5b. FOR INFORMATION CALL:

d. CALENDAR DAYSc. 30 CALENDAR DAYSb. 20 CALENDAR DAYS12. DISCOUNT FOR PROMPT PAYMENT a. 10 CALENDAR DAYS

W9128F19Q0099

Section A - Solicitation/Contract Form

CLAUSES INCORPORATED BY FULL TEXT

Instructions to Quoters – Other than Commercial Items

Please provide the following information with your quote:

Company’s Name as it appears on SAM:

Company’s Address as it appears on SAM:

CAGE CODE:

DUNS:

TIN:

NAICS. North American Industry Classification System (NAICS) code and small business size standard. The NAICS code and small business size standard for this acquisition appear in FAR 52.204-8 of the solicitation.

Submitting your quote. Submission of quotations. Submit quotations to the office specified in this solicitation at or before the exact time specified in this solicitation. Quotations may be submitted on the SF 18, letterhead stationery, or as otherwise specified in the solicitation.

Quotations are due by 23 AUGUST 2019. Send your completed quotation package to the attention of Clinton Russell at clinton.e.russell@usace.army.mil. Electronic quotations are preferred over paper responses, unless other arrangements have been made with the individual identified above. You may submit more than one quote. If you do, we will evaluate each separately.

We will not consider any quote that we receive after the deadline unless we receive it before we issue a purchase order and considering it will not delay our purchase. In case of an emergency that delays our operations and makes submission or receipt of your quote impossible, we will extend the deadline by one working day.

As a minimum, quotations must show-

(1) The solicitation number;

(2) The time specified in the solicitation for receipt of quotations;

(3) The name, address, and telephone number of the quoter;

(4) A technical description of the items being quoted in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary;

(5) Terms of any express warranty;

(6) Price and any discount terms;

(7) “Remit to” address, if different than mailing address;

(8) A completed copy of the representations and certifications at FAR 52.204-8 if applicable.

(9) Acknowledgment of Solicitation Amendments;

(10) Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information); and

(11) If the quotation is not submitted on the SF 18, include a statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Quotations that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

Terms and content of your quote. Your quote must be based on the terms of this RFQ. We might reject any quote that is not based on these terms in every respect. Your quote must contain all of the information described below.

Small Business Status. In order to submit a quote, you must know whether your company is a small business. The small business size standard that applies to this purchase is stated in FAR 52.204-8, along with the North American Industry Classification System (NAICS) code on which it is based.

Issuance of purchase order. Your quote should contain your best terms. The Contracting Officer may reject any or all quotes. After the evaluation of quotes, the Contracting Officer may negotiate final terms with one or more quoters of the Government’s choice before issuing a purchase order. The Contracting Officer will not negotiate with any quoters other than those of the Government’s choice and will not use the formal source selection procedures described in FAR Part 15.

The Contracting Officer may issue a purchase order to other than the quoter with the lowest price. We might issue multiple orders, purchasing various items or groups of items from different quoters. We might issue an order for less than the quantity on which your quote is based, at the quoted price, unless you tell us that you will not accept an order on that basis.

System for Award Management (SAM). Unless exempted by the Contracting Officer, you must register in SAM before we will issue a purchase order to you. If you do not register by the date set by the Contracting Officer, the Contracting Officer might issue the order to a different quoter. Once registered, you must remain registered throughout performance until final payment. Go to https://www.acquisition.gov for information on SAM registration and annual confirmation.

DUNS Number (Data Universal Numbering System Number). [This applies to all quote if the solicitation requires that you be registered in the System for Award Management (SAM).] Place the annotation “DUNS” or “DUNS+4” next to your name and address on the first page of your quote followed by the DUNS or DUNS+4 number that identifies the quoter’s name and address.

If you do not have a DUNS number, contact Dun and Bradstreet to obtain one. If you are located within the United States, you may contact Dun and Bradstreet by calling 1-866-705-5711 or via the internet at http://fedgov.dnb.com/webform.

If you are located outside the United States, you must contact the local Dun and Bradstreet office for a DUNS number. Tell Dun and Bradstreet that you are a quoter for a Government contract when contacting the local Dun and Bradstreet office.

The DUNS+4 is the DUNS number plus a 4-character suffix that you may use at your discretion to establish additional SAM records for identifying alternative Electronic Funds Transfer (EFT) accounts (see FAR Subpart 32.11) for your company.

Insurance Required (FAR 52.228-5):

In accordance with FAR 28.307-2, “Liability,” the contractor shall procure the following minimum insurance:

Type Amount Workman’s Compensation and Employer’s Liability Insurance $100,000 General Liability Insurance $1,000,000 per occurrence

And, when automobiles are used in connection with performing the contract:

Type Amount

Automobile Liability Insurance $200,000 per person Bodily Injury $500,000 per occurrence Property Damage $ 20,000 per occurrence

And, when aircraft is used in connection with performing the contract:

Type Amount Aircraft Public and Passenger Liability Insurance $200,000 per person Bodily Injury (other than passenger injury) $500,000 per occurrence Property Damage $200,000 per occurrence Passenger Liability Bodily Injury $200,000 multiplied by the number of seats or passengers, whichever is greater

And, when contract performance involves use of vessels, the Contracting Officer shall require, as determined by the agency, vessel collision liability and protection and indemnity insurance. The contractor is responsible for contacting the state for compliance with its workman’s compensation laws.

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.

Section B - Supplies or Services and Prices

STATEMENT OF WORK

Cast in Place Concrete – Recreation Sites US Army Corps of Engineers – Fort Peck Project

304 East Kansas Fort Peck, MT 59223

1.0 Scope of Work. The scope of this project is to furnish all plant, labor, materials, and equipment to perform slab on grade construction such as curbs, sidewalks, camp pads, and shelter pads as indicated in this Specification

1.1 Period of Performance: Base and option work if awarded shall be completed NLT 1 November, 2019.

2.0 General

2.1 Standards and Regulations. The Contractor shall perform to the standards in the contract and comply with all Local, State, and Federal Regulations during the services performed. The Contractor is responsible for ascertaining the extent to which these regulations affect the operations resulting from this contract. The Contractor shall comply will all applicable regulations. Applicable regulations include, but are not limited to the following:

a. Engineering Manual (EM) 385-1-1 (USACE – Safety and Health Requirements Manual), dated November 2014;

http://www.publications.usace.army.mil/Portals/76/Publications/EngineerManuals/EM_385-1-1.pdf

b. Occupational Safety and Health Standards (29 CFR 1910);

c. See Specification Section 03 30 53 Miscellaneous Cast-In-Place Concrete for additional reference standards

2.1.1 Activity Hazard Analysis (AHA). The contractor shall prepare the AHA in accordance with Paragraph 01.A.14 or 01.A.15 of the EM 385-1-1. If using Paragraph 01.A.15, prepare the AHA IAW Figure 1-2.

Note: Contractors and other individual employer’s typically use Job Safety Analyses (JSAs), Job Hazard Analyses (JHAs), or similar Risk Management assessment tools. The government considers equivalent to, and acceptable substitutes for, the USACE’s AHA provided the data collected is the same as that required by the AHA, commensurate with the type of services the contractor is performing.

2.1.2 Abbreviated Accident Prevention Plan (APP). EM 385-1-1 in its entirety may be too complex for the type of work performed under these contracts; contractors may reference Appendix A, for abbreviated Accident Prevention Plan (APP). The contractor shall only need to submit items in Appendix A that are pertinent to the contract. The contractor shall use a qualified person to prepare the site-specific abbreviated Accident Prevention Plan (APP). The contractor shall prepare the APP in accordance with the format and requirements of the EM 385-1-1 and supplemented herein. The contractor shall sign and submit the APP for approval prior to the start of work onsite.

2.2 Measurement and Payment. Payment items for the work under this contract for which contract job or unit price payments will be made are listed in the BIDDING SCHEDULE and described below. All costs for items of work, which are not specifically mentioned to be included in a particular job or unit price payment item, are included in the listed job or unit item most closely associated with the work involved. The job or unit price and payment made for each item listed constitutes full compensation for furnishing all plant, labor, materials, and equipment, and performing any associated Contractor quality control, environmental protection, meeting safety requirements, tests and reports, and for performing all work required for which separate payment is not otherwise provided.

2.2.1 Concrete – Base CLIN 0001AA, 0002AA, 0003AA, 0004AA, 0005AA, 0006AA, 00007AA – Option CLIN

0008AA, 0009AA, 0010AA, 0011AA

Payment will be made at the contract unit price. Price shall include all plant, labor, materials, and equipment for laying out the work, setting forms and steel reinforcement, pour, finish, cure the concrete, and final cleanup of the site. Cost of related materials and supplies shall include but no be limited to, those required for the work including:

formwork, reinforcing materials, isolation materials, cleaning, and chemical release agents, curing materials, or any additional items required for installation in accordance with the drawings and specifications.

2.2.2 Site Prep - Base CLIN 0001AB, 0002AB, 0003AB, 0004AB, 0005AB, 0006AB, 00007AB – Option CLIN

0008AB, 0009AB, 0010AB, 0011AB

Payment will be made at the contract unit price. Price shall include all plant, labor, materials, and equipment required for site prep prior to placement. Price shall include removal of vegetation to a suitable subgrade, grading as required, compaction of subgrade, and placement and compaction of aggregate base in accordance with the drawings and specifications.

2.3 Location. Work is located within a 10 mile radius of the town Fort Peck, MT. A detailed location map is included in the contract drawings.

2.4 Staging Area. N/A

2.5 Delivery, Storage, and Handling. N/A

2.6 Work Hours and Work Limits. The contractor is responsible for conducting business, between the hours of 0700 to 1800 Monday thru Friday except Federal or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings.

2.6.1 Recognized Holidays: There are ten (10) recognized holidays.

New Year’s Day Labor Day* Martin Luther King Jr. Birthday Columbus Day President’s Day Veteran’s Day Memorial Day* Thanksgiving Day Independence Day* Christmas Day

2.7 Facilities. Public toilet facilities are available at some locations. The Contractor shall provide and maintain portable toilets for use by the Contractor's staff where public toilets are not available. Toilet(s) shall be placed at the location directed by the Contracting Officer. To prevent overturning by high winds, all portable toilets shall be anchored down. Electricity is not provided

2.8 Environmental Conditions. The contractor shall comply with all applicable Federal, State, Local, and Regional environmental laws and regulations.

2.9 Antiterrorism/Operation Security Requirements: N/A

2.0 Submittals. Prior to commencement of work, the Contractor shall submit the following documents to the COR for review and approval (test reports and delivery tickets obtained during the progress of work shall be submitted within 24 hours of receiving the results):

a. Activity Hazard Analysis (AHA);

b. Abbreviated Accident Prevention Plan (APP)

c. Proof of Insurance for Contractors and Subcontractors;

d. Specific materials specified in the SOW

e. Product Data – Air Entraining Admixture

f. Product Data – Water-Reducing or Retarding Admixture

g. Product Data – Curing Materials

h. Product Data – Expansion Joint Filler Strips, Premolded

i. Product Data – Field Molded Sealants

j. Test Reports – Aggregates

k. Test Reports – Concrete Mixture Proportions and Test Data

l. Test Reports – Compressive Strength Testing

m. Test Reports - Slump

n. Test Reports – Air Content

o. Certificates – Delivery Tickets

3.0 Materials. All materials shall be in new unused condition meeting the requirements of the specification.

4.0 Execution. Perform work in accordance with the Drawings and Specifications Section 03 30 53 Miscellaneous Cast-In-Place Concrete.

4.1 Quality Control: The Contractor shall designate, in writing, an employee who shall serve as the contact for matters involving quality and performance or nonperformance of the required work stated in this SOW. The employee(s) shall be qualified and fully competent with full authority to act for, and on behalf of, the Contractor as necessary to insure that the required work is performed in accordance with the standards contained herein. The Contractor shall furnish the above written designation to the Contracting Officer’s Representative (COR) no later than the first day of work.

The Contractor shall include the name(s), address(s), and telephone number(s) of the responsible individual(s).

4.2 Quality Assurance: The Government has the right to inspect all work called for by the contract, to the extent practicable at all times and places during the term of the contract. The Government shall perform inspections in a manner that will not delay the work. If any of the work does not conform to contract requirements, the Government may require the Contractor to re-perform the work in conformity with contract requirements and at no increase in cost.

4.3 Protection of Existing Facilities and Works: The Contractor shall be responsible for the protection of the work area from damage and upon completion of the work shall leave existing works in a condition equal to that which existed when the work started. All work, storage of materials, and construction plant shall be kept within the limits of the areas assigned. Prior to construction operations, the Contractor shall confer with the Contracting Officer's representative to determine the proximity of any possible under-ground obstructions, pipe or equipment which could be damaged as a result of construction operations. Existing utility lines that are shown on the drawings or the locations are otherwise made known to the Contractor shall be protected from damage, and if damaged, shall be repaired by the Contractor at no additional expense to the Government. In the event that the Contractor damages any existing utility lines that are not shown or the locations of which have not been made known to the Contractor, report thereof shall be made immediately to the Contracting Officer. If the Contracting Officer determines that repairs shall be made by the Contractor, such repairs will be ordered under CONTRACT CLAUSES clause entitled "Changes." The Contractor will be responsible for the protection of structures from any structural damage during the construction operations.

Roads and surfaces shall be protected from damage by the work or if damaged shall be repaired with equal materials at no additional expense to the Government. At all times the work areas shall be kept in a condition conducive to safety of workmen and the public and neat in appearance. Waste or surplus materials shall not be allowed to accumulate in the construction areas.

4.4 Location of Underground Utilities: Contact local utility locating service a minimum of 48 hours prior to excavating, to mark utilities, and within sufficient time required if work occurs on a Monday or after a Holiday.

Verify existing utility locations indicated on contract drawings, within area of work.

5.0 Inspection and Tests. The government will provide inspection of all work in accordance with FAR 52.213-4 – Terms and Conditions – Simplified Acquisitions (Other Than Commercial Items).

6.0 Point of Contact. The government will update this paragraph with POC information at time of award.

7.0 Drawings. Drawings may not reflect actual site conditions. Therefore, field verification by the Contractor is highly recommended to determine actual site-specific conditions. The following Drawings are included:

Sheet C-01 Index Sheet C-02 Comfort Station Plan Sheet C-03 Comfort Station Plan

Sheet C-04 Details – Curbs, Sidewalks, Ect Sheet C-05 CLIN 0001 & 0002 Sheet C-06 CLIN 0003 & 0004 Sheet C-07 CLIN 0005 & 0006 Sheet C-08 CLIN 0007 & 0008 Sheet C-09 CLIN 0009 & 00010 Sheet C-10 CLIN 0011 & Summary

BID SCHEDULE

Base Contract

CLIN 0001 – Comfort Station Sidewalk

Line Task Quantity Unit Cost/Unit Total Cost

0001AA Concrete 1 Job $ $

0001AB Site Prep 1 Job $ $

CLIN 0001 Comfort Station Sidewalk – Total Cost Total $

CLIN 0002 West End Tent and Trailer – Sidewalk to Toilet

0002AA Concrete 1 Job $ $

0002AB Site Prep 1 Job $ $

CLIN 0002 West End Tent and Trailer – Sidewalk to Toilet – Total Cost Total $

CLIN 0003 West End Tent and Trailer – Camp Pads

0003AA Concrete 3

EA $ $

0003AB Site Prep 3 EA

CLIN 0003 West End Tent and Trailer – Camp Pads – Total Cost Total $

CLIN 0004 West End Tent and Trailer – Shelter Site #7

0004AA Concrete 1

Job $ $

0004AB Site Prep 1 Job

CLIN 0004 West End Tent and Trailer – Shelter Site #7 – Total Cost Total $

CLIN 0005 Duck Creek Camp Pads

0005AA Concrete 7

EA $ $

0005AB Site Prep 7 EA

CLIN 0005Duck Creek Camp Pads– Total Cost Total $

CLIN 0006 Interpretive Center Sidewalk – West End

0006AA Concrete 1

0006AB Site Prep 1 Job

CLIN 0006 Interpretive Center Sidewalk – West End – Total Cost Total $

CLIN 0007 1st Dredge Swim Beach – Sidewalk to Toilet

0007AA Concrete 1

0007AB Site Prep 1 Job

CLIN 0007 1st Dredge Swim Beach – Sidewalk to Toilet – Total Cost Total $

Options

CLIN 0008 – West End ¾ Point – Shelter Pad

Line Task Quantity Unit Cost/Unit Total Cost

0008AA Concrete 1 Job $ $

0008AB Site Prep 1 Job $ $

CLIN 0008 West End ¾ Point – Shelter Pad – Total Cost Total $

CLIN 0009 West End 3 – Shelter Pad

0009AA Concrete 1 Job $ $

0009AB Site Prep 1 Job $ $

CLIN 0009 West End 3 – Shelter Pad – Total Cost Total $

CLIN 0010 Bone Trail – Shelter Pad

0010AA Concrete 1

0010AB Site Prep 1 Job

CLIN 0010 Bone Trail – Shelter Pad – Total Cost Total $

CLIN 0011 Bone Trail Vault - Sidewalk

0011AA Concrete 1

0011AB Site Prep 1 Job

CLIN 0011 Bone Trail Vault - Sidewalk – Total Cost Total $

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Job Comfort Station Sidewalk

FFP

Furnish all plant, labor, materials, and equipment to perform slab on grade construction of a sidewalk located at the Comfort Station in accordance with attached Statement of Work and Contract Drawings (Sheet ID DSCMP C-05).

CLIN 0001 will be the total of CLIN 0001AA and 0001AB from the attached Bid Schedule.

FOB: Destination

NET AMT

0002 1 Job West End Tent and Trailer

FFP

Furnish all plant, labor, materials, and equipment to perform slab on grade construction of a sidewalk located at the West End Tent and Trailer Site Toilet House in accordance with attached Statement of Work and Contract Drawings (Sheet ID DSCMP C-05). CLIN 0002 will be the total of CLIN 0002AA and 0002AB from the attached Bid Schedule.

0003 3 Job West End Tent and Trailer

FFP

Furnish all plant, labor, materials, and equipment to perform slab on grade construction of THREE (3) camp pads at the West End Tent and Trailer Shelter #7 in accordance with attached Statement of Work and Contract Drawings (Sheet ID DSCMP C-06). CLIN 0004 will be the total of CLIN 0004AA and 0004AB from the attached Bid Schedule.

0004 1 Job West End Tent and Trailer

FFP

Furnish all plant, labor, materials, and equipment to perform slab on grade construction of a shelter pad located at the West End Tent and Trailer Shelter #7 in accordance with attached Statement of Work and Contract Drawings (Sheet ID DSCMP C-06). CLIN 0004 will be the total of CLIN 0004AA and 0004AB from

0005 7 Job Duck Creek Camp Pads

FFP

Furnish all plant, labor, materials, and equipment to perform slab on grade construction of SEVEN (7) camp pads located at the Duck Creek Camping Area in accordance with attached Statement of Work and Contract Drawings (Sheet ID DSCMP C-07). CLIN 0005 will be the total of CLIN 0005AA and 0005AB from

0006 1 Job Interpretive Center Sidewalk – West End

FFP

Furnish all plant, labor, materials, and equipment to perform slab on grade construction of sidewalk located on the Interpretive Center - West End in accordance with attached Statement of Work and Contract Drawings (Sheet ID DSCMP C-07). CLIN 0006 will be the total of CLIN 0006AA and 0006AB from

0007 1 Job 1st Dredge Swim Beach

FFP

Furnish all plant, labor, materials, and equipment to perform slab on grade construction of sidewalk located on the 1st Dredge Swim Beach in accordance with attached Statement of Work and Contract Drawings (Sheet ID DSCMP C-08).

CLIN 0007 will be the total of CLIN 0007AA and 0007AB from the attached Bid

0008 1 Job OPTION West End 3/4 Point – Shelter Pad

FFP

Furnish all plant, labor, materials, and equipment to perform slab on grade construction of shelter pad located on the West End 3/4 Point in accordance with attached Statement of Work and Contract Drawings (Sheet ID DSCMP C-08).

CLIN 0008 will be the total of CLIN 0008AA and 0008AB from the attached Bid

0009 1 Job OPTION West End 3 – Shelter Pad

FFP

Furnish all plant, labor, materials, and equipment to perform slab on grade construction of shelter pad located on the West End 3 in accordance with attached Statement of Work and Contract Drawings (Sheet ID DSCMP C-09). CLIN 0009 will be the total of CLIN 0009AA and 0009AB from the attached Bid Schedule.

0010 1 Job OPTION Bone Trail – Shelter Pad

FFP

Furnish all plant, labor, materials, and equipment to perform slab on grade construction of shelter pad located on the Bone Trail in accordance with attached Statement of Work and Contract Drawings (Sheet ID DSCMP C-09). CLIN 0010 will be the total of CLIN 0010AA and 0010AB from the attached Bid Schedule.

0011 1 Job OPTION Bone Trail Vault - Sidewalk

FFP

Furnish all plant, labor, materials, and equipment to perform slab on grade construction of sidewalk located on the Bone Trail Vault in accordance with attached Statement of Work and Contract Drawings (Sheet ID DSCMP C-10).

CLIN 0011 will be the total of CLIN 0011AA and 0011AB from the attached Bid

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 0008 Destination Government Destination Government 0009 Destination Government Destination Government 0010 Destination Government Destination Government 0011 Destination Government Destination Government

Section F - Deliveries or Performance

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 01-NOV-2019 1 COE FT PECK PROJECT OFFICE

JASON MOLSTAD

USAED OMAHACENWO-OD-FP

301 EAST KANSAS STREET

FORT PECK MT 59223-0208

406-526-3411 EXT 4267

968609

0002 01-NOV-2019 1 (SAME AS PREVIOUS LOCATION)

0003 01-NOV-2019 3 (SAME AS PREVIOUS LOCATION)

0004 01-NOV-2019 1 (SAME AS PREVIOUS LOCATION)

0005 01-JUL-2019 7 (SAME AS PREVIOUS LOCATION)

0006 01-NOV-2019 1 (SAME AS PREVIOUS LOCATION)

0007 01-NOV-2019 1 (SAME AS PREVIOUS LOCATION)

0008 01-NOV-2019 1 (SAME AS PREVIOUS LOCATION)

0009 01-NOV-2019 1 (SAME AS PREVIOUS LOCATION)

0010 01-NOV-2019 1 (SAME AS PREVIOUS LOCATION)

0011 01-NOV-2019 1 (SAME AS PREVIOUS LOCATION)

Section I - Contract Clauses

CLAUSES INCORPORATED BY REFERENCE

52.203-7 Anti-Kickback Procedures MAY 2014 52.203-12 Limitation On Payments To Influence Certain Federal

Transactions

OCT 2010

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.217-5 Evaluation Of Options JUL 1990 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.232-27 Prompt Payment for Construction Contracts JAN 2017 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.233-1 Disputes MAY 2014 52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.236-5 Material and Workmanship APR 1984 52.236-7 Permits and Responsibilities NOV 1991 52.236-26 Preconstruction Conference FEB 1995 52.242-14 Suspension of Work APR 1984 52.243-4 Changes JUN 2007 52.243-5 Changes and Changed Conditions APR 1984 52.246-21 Warranty of Construction MAR 1994 52.246-21 Warranty of Construction MAR 1994 52.253-1 Computer Generated Forms JAN 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.204-7002 Payment For Subline Items Not Separately Priced DEC 1991 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting

OCT 2016

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

MAY 2016

52.211-10 COMMENCEMENT, PROSECUTION, AND COMPLETION OF WORK (APR 1984)

The Contractor shall be required to (a) commence work under this contract within 10 calendar days after the date the Contractor receives the notice to proceed, (b) prosecute the work diligently, and (c) complete the entire work ready for use not later than 1 November 2019. The time stated for completion shall include final cleanup of the premises.

*The Contracting Officer shall specify either a number of days after the date the contractor receives the notice to proceed, or a calendar date.

(End of clause)

52.228-13 ALTERNATIVE PAYMENT PROTECTIONS (JULY 2000)

(a) The Contractor shall submit one of the following payment protections:

Payment Bonds

Irrevocable Line of credit

(b) The amount of the payment protection shall be 100 percent of the contract price.

(c) The submission of the payment protection is required within 10 days of contract award.

(d) The payment protection shall provide protection for the full contract performance period plus a one-year period.

(e) Except for escrow agreements and payment bonds, which provide their own protection procedures, the Contracting Officer is authorized to access funds under the payment protection when it has been alleged in writing by a supplier of labor or material that a nonpayment has occurred, and to withhold such funds pending resolution by administrative or judicial proceedings or mutual agreement of the parties.

(f) When a tripartite escrow agreement is used, the Contractor shall utilize only suppliers of labor and material that signed the escrow agreement.

52.236-27 SITE VISIT (CONSTRUCTION) (FEB 1995)

(a) The clauses at 52.236-2, Differing Site Conditions, and 52.236-3, Site Investigations and Conditions Affecting the Work, will be included in any contract awarded as a result of this solicitation. Accordingly, offerors or quoters are urged and expected to inspect the site where the work will be performed.

(b) Site visits may be arranged during normal duty hours by contacting:

Name: Jason Molstad

Address: 304 East Kansas, Fort Peck, MT 59223 Telephone: 406-526-3411 Ext 4267

(End of provision)

52.244-6 SUBCONTRACTS FOR COMMERCIAL ITEMS (JAN 2019)

(a) Definitions. As used in this clause—

“Commercial item” and “commercially available off-the-shelf item” have the meanings contained in Federal Acquisition Regulation 2.101, Definitions.

“Subcontract” includes a transfer of commercial items between divisions, subsidiaries, or affiliates of the Contractor or subcontractor at any tier.

(b) To the maximum extent practicable, the Contractor shall incorporate, and require its subcontractors at all tiers to incorporate, commercial items or non-developmental items as components of items to be supplied under this contract.

(c)(1) The Contractor shall insert the following clauses in subcontracts for commercial items:

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509), if the subcontract exceeds $5.5 million and has a performance period of more than 120 days. In altering this clause to identify the appropriate parties, all disclosures of violation of the civil False Claims Act or of Federal criminal law shall be directed to the agency Office of the Inspector General, with a copy to the Contracting Officer.

(ii) 52.203-15, Whistleblower Protections Under the American Recovery and Reinvestment Act of 2009 (Jun 2010) (Section 1553 of Pub. L. 111-5), if the subcontract is funded under the Recovery Act.

(iii) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017).

(iv) 52.204-21, Basic Safeguarding of Covered Contractor Information Systems (JUN 2016), other than subcontracts for commercially available off-the-shelf items, if flow down is required in accordance with paragraph (c) of FAR clause 52.204-21.

(v) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (JUL 2018) (Section 1634 of Pub. L. 115-91).

(vi) 52.219-8, Utilization of Small Business Concerns (Oct 2018) (15 U.S.C. 637(d)(2) and (3)), if the subcontract offers further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $700,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

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

(viii) 52.222-26, Equal Opportunity (Sept 2016) (E.O. 11246).

(ix) 52.222-35, Equal Opportunity for Veterans (Oct 2015) (38 U.S.C. 4212(a));

(x) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29 U.S.C. 793).

(xi) 52.222-37, Employment Reports on Veterans (Feb 2016) (38 U.S.C. 4212).

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

13496), if flow down is required in accordance with paragraph (f) of FAR clause 52.222-40.

(xiii)(A) 52.222-50, Combating Trafficking in Persons (JAN 2019) (22 U.S.C. chapter 78 and E.O. 13627).

(B) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

(xiv) 52.222-55, Minimum Wages under Executive Order 13658 (DEC 2015), if flowdown is required in accordance with paragraph (k) of FAR clause 52.222-55.

(xv) 52.222-62, Paid Sick Leave Under Executive Order 13706 (JAN 2017) (E.O. 13706), if flow down is required in accordance with paragraph (m) of FAR clause 52.222-62.

(xvi)(A) 52.224-3, Privacy Training (JAN 2017) (5 U.S.C. 552a) if flow down is required in accordance with 52.224-3(f).

(B) Alternate I (JAN 2017) of 52.224-3, if flow down is required in accordance with 52.224-3(f) and the agency specifies that only its agency-provided training is acceptable).

(xvii) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Oct 2016)

(Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

(xviii) 52.232-40, Providing Accelerated Payments to Small Business Subcontractors (Dec 2013), if flow down is required in accordance with paragraph (c) of FAR clause 52.232-40.

(xix) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006) (46 U.S.C. App.

1241 and 10 U.S.C. 2631), if flow down is required in accordance with paragraph (d) of FAR clause 52.247- 64).

(2) While not required, the Contractor may flow down to subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligations.

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://farsite.hill.af.mil

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (APR 1984)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this solicitation or contract of any DFAR (48 CFR Chapter 2) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

Antiterrorism (AT)/Operations Security (OPSEC) Provisions

2. Access and General Protection/Security Policy and Procedures. All contractor and all associated sub-contractors employees shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also provide all information required for background checks to meet installation/facility access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any installation or facility change, the Government may require changes in contractor security matters or processes.

2b. For contractors who do not require CAC, but require access to a DoD facility or installation. Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05 / AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative, as NCIC and TSDB are available), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

13. Will be escorted in areas where they may be exposed to classified and/or sensitive materials and/or sensitive or restricted areas. All contract employees, including subcontractor employees who are not in possession of the appropriate security clearance or access privileges, will be escorted in areas where they may be exposed to classified and/or sensitive materials and/or sensitive or restricted areas.

15. Pre-screen candidates using E-Verify Program. The Contractor must pre-screen Candidates using the E-verify Program (http://www.uscis.gov/e-verify) website to meet the established employment eligibility requirements.

The Vendor must ensure that the Candidate has two valid forms of Government issued identification prior to enrollment to ensure the correct information is entered into the E-verify system. An initial list of verified/eligible Candidates must be provided to the COR no later than 3 business days after the initial contract award." *When contracts are with individuals, the individuals will be required to complete a Form I-9, Employment Eligibility Verification, with the designated Government representative. This Form will be provided to the Contracting Officer and shall become part of the official contract file.

Section J - List of Documents, Exhibits and Other Attachments

WAGE RATES

"General Decision Number: MT20190079 01/04/2019

Superseded General Decision Number: MT20180080

State: Montana

Construction Type: Highway

Counties: Montana Statewide.

HIGHWAY CONSTRUCTION PROJECTS

Note: Under Executive Order (EO) 13658, an hourly minimum wage of $10.60 for calendar year 2019 applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2015.

If this contract is covered by the EO, the contractor must pay all workers in any classification listed on this wage determination at least $10.60 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract in calendar year 2019. If this contract is covered by the EO and a classification considered necessary for performance of work on the contract does not appear on this wage determination, the contractor must pay workers in that classification at least the wage rate determined through the conformance process set forth in 29 CFR 5.5(a)(1)(ii) (or the EO minimum wage rate, if it is higher than the conformed wage rate). The EO minimum wage rate will be adjusted annually. Please note that this EO applies to the above-mentioned types of contracts entered into by the federal government that are subject to the Davis-Bacon Act itself, but it does not apply to contracts subject only to the Davis-Bacon Related Acts, including those set forth at 29 CFR 5.1(a)(2)-(60). Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

Modification Number Publication Date 0 01/04/2019

* SUMT2014-001 02/19/2014

Rates Fringes

CARPENTER

Carpenter/Piledriverman.....$ 29.00 11.82 Millwright..................$ 32.00 11.82 Zone 1: 0 to 25 miles - Free

Zone 2: 25 to 50 miles - Base Pay +$2.50

Zone 3: Over 50 miles - Base Pay +$3.00

The Carpenter zone hourly rate applicable to each project shall be determined by measuring the road miles over the shortest practical maintained route from the County Courthouse of the following cities to the center of the job:

Billings, Bozeman, Butte, Great Falls, Helena, Missoula, Kalispell

The agency shall calculate the mileage and include it in the special provisions of the bid documents and awarded contract

CEMENT MASON/CONCRETE FINISHER...$ 24.87 10.80

Zone 1: 0 to 25 miles - Free

Zone 2: 25 to 50 miles - Base + $2.50

Zone 3: Over 50 miles -Base + $3.00

The Cement Mason/Concrete Finisher zone hourly rate applicable to each project shall be determined by measuring the road miles over the shortest practical maintained route from the County Courthouse of the following cities to the center of the job:

Billings, Bozeman, Butte, Great Falls, Helena, Missoula, Kalispell

DIVER

Diver Tender................$ 37.16 14.52 Diving......................$ 76.32 14.52 Stand-By....................$ 38.16 14.52 The tender shall receive 2 hours at the straight time pay rate per shift for dressing and/or undressing a Diver when work is done under hyperbaric conditions.

Depth Pay (Surface Diving):

0-20 ft.: Free zone

>20-100 ft.: $2.00 per ft.

>100-150 ft.: $3.00 per ft.

>150-220 ft.: $4 00 per ft.

>220 ft.: $5.00 per ft.

Diving in Enclosures (Diver Only):

0-25 ft.: Free zone

>25-300 ft.: $1.00 per ft.

DIVER ZONE PAY:

The hourly wage rates applicable to each project shall be determined by measuring the road miles over the shortest practical maintained route from the County Court House of the following cities only to the center of the job:

BILLINGS, BOZEMAN, BUTTE, GREAT FALLS, HELENA, KALISPELL,

MISSOULA

ZONE 1: 0 to 25 miles - Free

ZONE 2: 25 to 50 miles - Base Pay +$2.50

ZONE 3: Over 50 miles - Base Pay +$3.00

ELECTRICIAN (LINE

CONSTRUCTION)

Equipment Operator..........$ 33.27 14.16 Groundman...................$ 25.98 13.25 Lineman.....................$ 43.43 15.38

TRAVEL PAY:

$50.00 per day - 0-25 Miles From the County Courthouse of the following cities: Billings, Bozeman, Butte, Great Falls, Helena, Kalispell and Missoula

$60.00 per day - Over 25 Miles

ELECTRICIAN

All Areas...................$ 32.74 13.42

TRAVEL PAY:

Zone 1: 0 to 10 miles - Free

Zone 2: 10 to 60 miles - Federal mileage both ways/day

Zone 3: Over 60 miles - $75.00 per day

The Electrician zone hourly rate applicable to each project

Billings, Bozeman, Butte, Great Falls, Helena, Kalispell, Missoula

IRONWORKER.......................$ 27.25 20.98

TRAVEL PAY:

0 to 45 miles - Free

45-85 miles - $55.00 per day

Over 85 miles - $85.00 per day

The Ironworker zone hourly rate applicable to each project

Billings, Bozeman, Butte, Great Falls, Helena, Kalispell, Missoula

Zone 1: 0 to 25 miles - Free

Zone 2: 25 to 50 miles - Base + $2.50

Zone 3: Over 50 miles - Base + $3.00

LABORER

Group 1.....................$ 20.90 9.60 Group 2.....................$ 23.97 9.60 Group 3.....................$ 24.19 9.60 Group 4.....................$ 25.18 9.60 GROUP 1: Flag Person

GROUP 2: All General Labor work; Burning Bar; Bucket Man;

Carpenter Tender; Caisson Worker; Cement Mason Tender; Cement Handler (dry); Chuck Tender; Choker Setter; Concrete Worker;

Curb Machine-Lay Down; Crusher and Batch Plant Worker; Fence Erector; Form Setter; Form Stripper; Heater Tender;

Landscaper; Pipe Wrapper; Pot Tender; Powderman Tender; Rail and Truck Loaders and Unloaders; Riprapper; Sealants for Concrete and other materials; Sign Erection, Guard Rail and Jersey Rail;

Stake Jumper; Spike Driver; Signalman; Tail Hoseman; Tool Checker and Houseman; Traffic Control Worker

GROUP 3: Concrete Vibrator; Dumpman (Grademan); Equipment Handler; Geotextile and Liners; High-Pressure Nozzleman;

Jackhammer (Pavement Breaker); Laser

Equipment; Non-riding Rollers; Pipelayer; Posthole Digger (power); Power Driven Wheelbarrow; Rigger; Sandblaster; Sod- Cutter-power; Tampers

GROUP 4: Asphalt Raker; Cutting Torch; Grade Setter; High- Scaler; Power Saws (Faller & Concrete); Powderman ($1.00 per hour above Group 4 rate); Rock & Core Drill; Track or Truck Mounted Wagon Drill; Welder including Air Arc

LABORERS ZONE PAY:

PAINTER (Pavement Marking/Milling and related work. Includes operating marking and all other equipment and all work involved in application of pavement markings including epoxies, paints, tape, buttons, thermo-plastics and any other products applied for traffic marking purposes and for directing and regulating traffic and cutting rumble strips)...........$ 28.00 10.30

PAINTER ZONE PAY:

POWER EQUIPMENT OPERATOR:

Group 1.....................$ 26.52 10.40 Group 2.....................$ 28.55 10.40 Group 3.....................$ 29.41 10.40 Group 4.....................$ 30.10 10.40 Group 5.....................$ 31.44 10.40 Group 6.....................$ 32.13 10.40 Group 7.....................$ 34.23 10.40 GROUP 1: Air Compressor; Auto Fine Graders; Belt Finishing Machine; Boring Machine (small); Cement Silo; Crane, A-Frame Truck Crane; Crusher Conveyor; DW-10, 15, and 20 Tractor Roller; Farm Tractor; Forklift; Form Grader; Front End Loader Under 1 CU Yard; Heavy Duty Drills; Herman Nelson Heater;

Mulching Machine; Oiler, All Except Cranes & Shovels; Pumpman

GROUP 2: Air Doctor; Backhoe/Excavator/Shovel to and including 3 CU Yard; Bit Grinder; Bituminous Paving Travel Plant; Boring Machine Large; Broom, Self-Propelled; Concrete

Travel Batcher; Concrete Float & Spreader; Concrete Bucket Dispatcher;

Concrete Finish Machine; Concrete Conveyor; Distributor;

Dozer; Rubber-Tired, Push & Side Boom; Elevating Grader/Gradall; Field Equipment Serviceman; Front End Loader 1 CU Yard to including 5 CU Yard; Grade Setter; Heavy Duty Drills, All Types;

Hoist/Tugger, All; Hydralift & Similar; Industrial Locomotive;

Motor Patrol, Except Finish; Mountain Skidder; Oiler - Cranes & Shovels; Pavement Breaker, EMSCO; Power Saw, Self-Propelled;

Pugmill; Pumpcrete/Grout Machine; Punch Truck; Roller, Other Than Asphalt; Roller, Sheepsfoot, Self-Propelled; Roller, 25 Tons and Over; Ross Carrier; Rotomill Under 6 Ft; Trenching Machine; Washing/Screening Plant

GROUP 3: Asphalt Paving Machine; Asphalt Screed;

Backhoe/Excavator/Shovel Over 3 CU Yard; Cableway Highline;

Concrete Batch Plant; Concrete Curing Machine; Concrete Pump;

Cranes; Creter; Cranes, Electric Overhead; Cranes 24 Tons and Under; Curb Machine/Slip Form Paver; Finish Dozer; Front End Loader Over 5 CU Yard; Mechanic/Welder; Pioneer Dozer; Roller Asphalt (Breakdown & Finish); Rotomill, Over 6 FT; Scraper, Single, Twin or Pulling Belly Dump; Yo-Yo Cat

GROUP 4: Asphalt/Hot Plant Operator, Cranes, 25 Tons to 44 Tons; Crusher Operator; Finish Motor Patrol; Finish Scraper

GROUP 5: Cranes, 45 Tons To Including 74 Tons

GROUP 6: Cranes, 75 Tons To Including 149 Tons; Crane, Whirley (All)

GROUP 7: Cranes, 150 Tons To Including 250 Tons (Add $ 1.00 For Every 100 Tons Over 250 Tons; Crane, Tower (All)

POWER EQUIPMENT OPERATOR ZONE PAY:

TRUCK DRIVER

Group 1.....................$ 22.39 10.16 Group 2.....................$ 28.06 10.16 GROUP 1: Pilot Car

GROUP 2: Combination Truck and Concrete Mixer and Transit Mixer; Dry Batch Trucks; Distributor Driver; Dumpman; Dump Trucks and Similar Equipment; Dumpster; Flat Trucks; Lumber Carriers; Lowboys; Pickup; Powder Truck Driver; Power Boom;

Serviceman; Service Truck/Fuel Truck/ Tireperson; Truck Mechanic; Trucks With Power Equipment; Warehouseman, Partsman, Cardex and Warehouse Expeditor; Water Trucks

TRUCK DRIVER ZONE PAY:

practical maintained route from the County Court House of the following cities only to the center of the job:

WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental.

Note: Executive Order (EO) 13706, Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2017. If this contract is covered by the EO, the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work, up to 56 hours of paid sick leave each year.

Employees must be permitted to use paid sick leave for their own illness, injury or other health-related needs, including preventive care; to assist a family member (or person who is like family to the employee) who is ill, injured, or has other health-related needs, including preventive care; or for reasons resulting from, or to assist a family member (or person who is like family to the employee) who is a victim of, domestic…

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