A.07.23_-_W912DW18Q0048.pdf

PDF 1 MB Posted

Attached to
Emergency Repair Meadowhurst Levee (Equipment and Steel Piles)
Solicitation number
W912DW18Q0048
Issued by

About this file

Emergency Repair Meadowhurst Levee (Equipment and Steel Piles)

View the file

Other files

File Type Posted
A.07.24_-_W912DW18Q00480001.pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

SEE ADDENDUM

(No Collect Calls)

W912DW18Q0048 01-Jun-2018

b. TELEPHONE NUMBER

206-764-6573

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 08 Jun 2018

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.

W912DW9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

VINCENT E DANIELS

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

(TYPE OR PRINT)

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

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

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

ARE NOT ATTACHED

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

USA ENGINEER DISTRICT, SEATTLE

ATTN: CENWS-CT

4735 EAST MARGINAL WAY SOUTH, BLDG. 1202

SEATTLE WA 98134-2388

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 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$15,000,000

NAICS:

238910

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

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

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF53

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.

W912DW18Q0048

Section SF 1449 - CONTINUATION SHEET

INSTRUC TIONS TO OFFERORS

Instructions to Offerors

1. REPRESENTATIONS AND CERTIFICATIONS CONTAINED HEREIN MUST BE COMPLETED BY

QUOTERS AND RETURNED WITH OFFERS:

IF YOUR REPRESENTATIONS AND CERTIFICATIONS ARE REGISTERED IN THE SYSTEM FOR

AWARD MANAGEMENT (SAM) CHECK HERE . IF NOT, YOU CAN REGISTER

ONLINE AT www.sam.gov

2. Marking of Quote Envelopes:

Envelopes shall be plainly marked as follows:

Quote for: Emergency Repair Meadowhurst Levee (Equipment and Steel Piles)

Request for Quote No.: W912DW18Q0048

Closing Date and Time: 8 June 2018, 10:00 A.M. Pacific Time

AMENDMENTS NUMBERED________HAVE BEEN RECEIVED

Hand carried quote submittal procedures have changed. When dropping off all hand carried proposals, the official delivery location is now the guard station in the main foyer of Federal Center South, located at Building 1202, 4735 E. Marginal Way South where the official time clock is also located. Notify the guard on duty that you have a quote for Contracting Division. The point of contract will be notified and a representative from Contracting Division will sign in your package(s) and transport them to Contracting Division. Please allow sufficient time for these procedures when submitting hand carried quotes. All other quote submittal procedures remain the same.

3. For questions call (206)-764-6573. Mailed quotes shall be accepted before closing at US Army Corps of

Engineers, Seattle District, P.O. Box 3755 Seattle, WA. 98124. Physical street address is US Army Corps of Engineers, Seattle District, 4735 E. Marginal Way S., Building 1202, Seattle, WA 98134. All emailed offers shall contain the RFQ No. W912DW18Q0048 in the subject line and emailed to the following email address:

vincent.e.daniels@usace.army.mil.

4. PROSPECTIVE OFFERORS: Contractors are required to be registered in the System for Awards Management

(SAM) for awards resulting from solicitations.

This rule more efficiently implements the Debt Collection Improvement Act of 1996, as it requires contractors to be registered in SAM for consideration of future solicitations, awards, and payment. Registration is required prior to award of any contract, basic agreement, basic ordering agreement, or blanket purchase agreement from a solicitation. LACK OF REGISTRATION IN THE SAM DATABASE WILL MAKE AN OFFER INELIGIBLE FOR AWARD. The web site may be accessed at www.sam.gov.

5. ELECTRONIC FUNDS TRANSFER (EFT): Effective 99 Jun 01, the Government will make all payments by

EFT (unless the Government VISA credit card is accepted). The only exceptions are: 1) Foreign Vendors, 2) Government Agencies, and 3) One time payments. The EFT forms and instructions are on the USACE Finance Center (UFC) Web Page; www.fc.usace.army.mil. The UFC point of contact for this action is Mr. Michael Rye,

(901) 874-8543.

6. Award shall be made to the responsive and responsible offer with the overall lowest price.

7. Required Submittals:

a) Instruction Page (2 pages) Indicate if you are registered SAM.

Must acknowledge any/all amendments to the solicitation.

Must fill in all company information requested All submittals as required by evaluation criteria

b) Fill in all pricing information.

c) 52.204-17 OWNERSHIP OF CONTROL OF OFFEROR (NOV 2014). Must fill in all applicable blanks.

d) 52.209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS--REPRESENTATION (NOV 2015). Must fill in all applicable blanks.

e) 52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX

LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016). Must fill in all applicable blanks.

a) 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (MAR 2015) ALTERNATE I (OCT 2014). Must fill in all applicable blanks.

b) 52.219-1 SMALL BUSINESS PROGRAM REPRESENTATIONS (OCT 2014) - ALTERNATE I (MAY 2014). Must fill in all applicable blanks.

c) 52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (JULY 2013). Must fill in all applicable blanks.

d) 52.222-18 CERTIFICATION REGARDING KNOWLEDGE OF CHILD LABOR FOR LISTED END PRODUCTS (FEBRUARY 2001). Must fill in all applicable blanks.

e) 52.223-22 PUBLIC DISCLOSURE OF GREENHOUSE GAS EMISSIONS AND REDUCTION

GOALS--REPRESENTATION (DEC 2016). Must fill in all applicable blanks.

***All of these must be filled in and returned.*** DO NOT return the rest of the solicitation form.

8. The contractor is required to provide the following information with your quote:

Federal Taxpayer’s ID Number:

DUNS Number:

Cage Code Number This requires registration in SAM, web site for registration is www.sam.gov.

Remit to Address:

Company Name:

Address:

City/State/Zip:

Phone & Fax Numbers:

Point of Contact:

E-Mail Address:

All quoted items must meet the requirements of the Request for Quote (RFQ) including specifications stated in all attachments.

Multiple quotes are not accepted for this RFQ. If multiple quotes are received only one quote (as determined by the Contracting Officer) will be evaluated by the Government. The quote shall be determined acceptable based on the date and time received.

The contractor should list any special features or warranty information applicable to the quoted product(s).

ANNOUNCEMENT TO OFFERORS

Due to recent national events Seattle District US Army Corps of Engineers shall be conducting business under heightened security for the foreseeable future.

Access to Federal Center South, 4735 E Marginal Way S, Building 1202, Seattle, WA 98124 will be through the front lobby only. The building is under Federal Protective Service, which means that persons entering the facility are subject to inspection; including purses, packages, etc. All deliveries shall be thoroughly inspected. In addition, visitors may be required to be escorted by Corps personnel while in the building.

For any questions please contact the Contract Specialist assigned to your project or check our website at www.nws.usace.army.mil for up-to-date information.

BID SCHEDULE

ITEM NO DESCRIPTION QTY UNIT U. PRICE AMOUNT

0001 CE – 1 Barge Tug 1 Job NA $________

(capable of hauling a minimum of 200 tons) Crane capable of pile driving and placing of riprap.

See attached drawing sheet. (NOTE: For Rock Placement Only)

Regular Hourly Rate x Est. Quantity = Amount $__________ x 40 Hours $_________

Overtime Hourly Rate x Est. Quantity = Amount $__________ x 20 Hours $_________

Mobilization / Demobilization 1 Job $_________

0002 CE-2, Rubber tire Loader, Similar to a Cat 950 1 Job NA $________

0003 Piles 22 EA $________ $________

0004 Installation per Pile 40 EA $________ $________

0005 (Option) CE – 1 Barge Tug 1 Job NA $________

(capable of hauling a minimum of 200 tons) Crane capable of pile driving and placing of riprap.

See attached drawing sheet. (NOTE: For Rock Placement Only)

0006 (Option) CE-2, Rubber tire Loader, Similar to a Cat 950 1 Job NA $________

STATEMENT OF WORK

SCOPE OF WORK

Emergency Repair Meadowhurst Levee

(Equipment and Steel Piles)

1) LOCATION

Meadowhurst Levee, Benewah County, St. Joe River, St. Maries, Idaho

2) EQUIPMENT REQUIRED:

Furnish all necessary supplies, materials, earthmoving, pile driving, and support equipment; complete with operator(s).

a) CE – 1 Barge, (capable of hauling a minimum of 200 tons) Tug, Crane capable of pile driving and placing of riprap. See attached drawing sheet. (NOTE: For Rock Hauling and Placement “ONLY.”)

Mob/Demob Base - 40 Hours of Regular Time and 20 Hours of Overtime Option - 40 Hours of Regular Time and 20 Hours of Overtime

b) CE-2, Rubber tire Loader, Similar to a Cat 950

Mob/Demob Base - 40 Hours of Regular Time and 20 Hours of Overtime Option - 40 Hours of Regular Time and 20 Hours of Overtime

c) 22 Piles Each. Purchase and Deliver per specification requirements.

d) 40 Piles Each. Driven on site.

3) SPECFICATIONS FOR PILE INSTALLATION:

GENERAL

This project ("the work") includes furnishing all transportation, plant, materials, labor, inspection, equipment, to install 40 each 10” diameter pilings in accordance with the attached drawings at the Meadowhurst Levee on the St. Joe River in St Maries ID.

3.1 Project Location

Equipment and operator furnished under this Purchase Order shall be delivered to and used at the Meadowhurst Levee System, located in St Maries, ID. See attached map.

3.2 Scope of Work

The piling will be installed on the riverward toe of the levee on 3’ centers the start and end locations and alignment will be identified in the field by a Corps of Engineers representative. Riprap will be placed at the toe of the levee after the pile is driven. (See attached cross section drawing.)

3.3 Approvals

Approval for acceptance of each part shall be obtained from the designated representatives of the Corps of Engineers

3.4 Designated Representative (Point of Contact)

The following individuals are the designated representatives and "points of contact" for this proposal.

Tony Doersam Email: anthony.w.doersam@usace.army.mil Phone: (206) 909-7955

Mike Wevodau Email: michael.d.wevodau@usace.army.mil Phone: (253) 405-0718

4) TECHNICAL SPECIFICATIONS

4.1 Approval of Materials

All materials to be furnished as part of the work shall require approval by the government. The government reserves the right to reject any and all materials for lack of suitability to the intended use.

4.2 Piles

(20) - Each supplied by the government

ASTM: A53 Gr. B, A252, A500 Yield Strength: 35 ksi Pipe Pile: 10 X-Strong Outer Diameter: 10.75 inch Inner Diameter: 9.75 inch Nominal Thickness: 0.500 inch Pipe Length: 40 feet

(22) - Each supplied by the contractor

ASTM: A53 Gr. B, A252, A500 Yield Strength: 35 ksi Pipe Pile: 10 X-Strong Outer Diameter: 10.75 inch Inner Diameter: 9.75 inch Nominal Thickness: 0.500 inch Pipe Length: 40 feet

4.2.1 Handling

All transport, threading or pitching, stacking, loading and off-loading, and/or any other handling of the piles shall be carried out in such a manner so as to prevent damage to the piles.

4.2.2 Attachments

Holes may be burned or drilled in the free end of the pile, in accordance with the manufacturer's recommendation. Welded or bolted lifting pad-eyes or brackets may be attached to the free end of the pile, in accordance with the manufacturer's recommendation.

4.2.3 Disposal

All unused pile shall remain the property of the contractor and shall be removed at the completion of the project. All wasted portions shall be properly disposed of.

5) SITE PREPARATION

All levee work and pile driving operations will be conducted from the barge.

6) EQUIPMENT

All equipment necessary to perform the work shall be furnished as part of the contract. All equipment shall be in good working order, and, shall comply with the respective manufacturer requirements, and in accordance with the requirements of EM 385-1-1, “Safety and Health Requirements Manual”. All personnel are required to have PPE in accordance with EM 385 1-1. EM 385 1-1 can be found at:

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

All equipment shall be maintained so as to operate at all times without motor fuel, lubricant, coolant, or other leakage. The government reserves the right to reject any and all equipment at any time, if it deems said equipment unsuitable for the site conditions, requirements, or work.

6.1 Pile Driving Equipment

Pile driving and support equipment necessary to install the designated piles and Riprap shall be furnished as part of the contract. Vibratory hammers shall not be used on this project due to the possibility of liquefaction of the slope. Pneumatic or diesel impact hammers shall be utilized with a hammer weight of 10,000-20,000lbs. All driving anvils, cushions, blocks, adapters, or other equipment necessary to properly drive the specified piles with the selected equipment in accordance with the pile manufacturer's requirements, shall be furnished as part of the contract.

7) PILE INSTALLATION

7.1 Preparation

Each pile shall be inspected upon delivery and just prior to installation.

7.2 Marking

Each pile shall be marked with a neatly painted line along its entire length, and shall be accurately marked at five-foot intervals, so as to allow for ready visual identification of the tip depth. Each pile shall be clearly marked at its free end with a unique identification symbol, number, or letter.

8) INSTALLATION

Pilings shall be driven with the proper size hammer and by approved methods so as not to subject the pilings to damage and to ensure proper depth. Driving hammers shall be maintained in proper alignment during driving operations by use of leads or guides attached to the hammer. Pilings shall be driven without the aid of a water jet. Adequate precautions shall be taken to ensure that pilings are driven plumb. Pilings shall be driven to a depth where the minimum blow count per foot is encountered. The ground surface elevation of the pile centerline at this site is approximately 0 feet. Piles at this site shall be driven to an elevation of approximately minus 28 to a minus 35 foot depth.

9) INSPECTION OF DRIVEN PILING

The Contractor shall inspect pilings extending above ground. Pilings found to be damaged shall be removed and replaced at the Contractor's expense.

10) CUTTING-OFF AND SPLICING

Pilings damaged by driving shall be pulled and re-driven when directed by the Contracting Officer at no additional cost to the Government. Piling cut-offs shall become the property of the Contractor and shall be removed from the site. No splicing is allowed.

11) MONITORING

11.1 Pile Installation Monitoring

The rate of driving shall be closely monitored and recorded, for each pile (piece). Changes in the rate of driving shall be noted and recorded. The final ten feet of driving shall be monitored.

Especially close so as to identify the glacial till layer. It is anticipated that a noticeable decrease in driving rate will be observed when the pile tip enters this layer. The depth of embedment shall be noted and recorded.

Contractor shall be responsible for monitoring vibrations caused by pile driving. Pile driving system operations may be modified to reduce nuisance vibration problems where necessary as determined by the QAR. Modifications of the pile driving shall be subject to the approval of the Contracting Officer.

11.2 Noise Monitoring Program

During the execution of the contract, the government or its designated agents may monitor noise generated as a result of the work. The contractor shall comply with reasonable requests by the government in order to facilitate the monitoring and assessment of noise.

12) COMMENCEMENT, PROSECUTION AND COMPLETION:

It is anticipated work shall commence on or about July 16, 2018 thru August 25, 2018.

13) INSPECTION:

All work will be inspected by the Quality Assurance Representative (QAR), Seattle District, Corps of Engineers.

14) SAFETY REQUIREMENTS:

Operation and condition of equipment shall be conducted in accordance with the requirements of EM 385-1-1, “Safety and Health Requirements Manual”. All personnel are required to have PPE in accordance with EM 385 1-1. EM 385 1-1 can be found at:

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

15) SECURITY:

Pre-screen candidates using E-Verify Program. Proposed language: "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 QAR 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.

The contractor and all associated sub-contractors shall receive a brief/training (provided by the RA) on the local suspicious activity reporting program. This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the project manager, security representative or law enforcement entity. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance with the results reported to the QAR NLT 5 calendar days after the completion of the training.

16) DAVIS-BACON WAGE RATE:

Davis-Bacon Wage Rates are to be paid unless equipment is owner operated. Owner operators are reminded when a twenty-four hour operation is in effect, and if another individual is operating this equipment, the owner operator is REQUIRED to pay that individual Davis-Bacon Wage Rates for the type of equipment operated.

Some employees might not be covered under this Davis-Bacon award.

17) LUNCH:

A ½ hour lunch break is mandatory during an eight to twelve hour shift and will be deducted whether it is taken or not. All contractor and Owner Operators are strongly encouraged to take half hour break.

18) MEASUREMENT AND PAYMENT:

(a) Measurement

For the purpose of calculating payrolls, the workweek is based on seven (7) consecutive days, beginning at 0001 hours (0:01 AM) Monday and ending at 2400 hours (12:00 midnight) Sunday. This work week shall remain fixed throughout the performance period of this purchase order. Overtime will be paid for work performed under this contract in excess of 40 hours within a work week.

(b) Payment

(1) Mobilization and Demobilization: Payment will be made at the purchase order lump sum price for (items including) Mobilization and Demobilization, payment of which shall constitute full compensation for assembling equipment at site preparatory to starting work, and for removing it there from at completion of the work under direction of the Contracting Officer.

19) MAIL INVOICES TO:

Seattle District, Corps of Engineers

ATTN: CENWS-OD-EM

PO Box 3755 Seattle, WA 98124-3755

Certified Payrolls and Owner/Operator Statements should be sent to the field office, if applicable. Otherwise, mail to the above address.

Payment will be based on the actual hours worked as reflected by the US Army Corps of Engineers, Seattle District, rental equipment record. Invoices will show actual hours worked, partial payments authorized.

18'-0"

18'-0"

10"

T

O

S T

IC

K U

P

T

O

S T

IC

K U

P

(5' MAX)

3' O.C.

SPACED

APPROX 25' TO 30'

ALIGN WITH ADJACENT LEVEE SECTION

APPROX 25' TO 30'

7' TO 10'

VARIES

CF301

T

M A

C P

H E

R S

O N

T

M A

C P

H E

R S

O N

CF301

GENERAL NOTES

0 5' 10'

CF301 0 5' 10'

TYPICAL SECTION - SITE 1

TYPICAL SECTION - SITE 2

2H

1V 1V

1.5H

2H

1V 1V

1.5H

CF301 0 5' 10'

PILE SPACING DETAIL - SITE 2

BANK ELEV

APPROXIMATE

TO FORM TOE

BEHIND PILES

PLACE LARGE STONES

FORM TOE

BEHIND PILES TO

PLACE LARGE STONES

FORM TOE

BEHIND PILES TO

PLACE LARGE STONES

WITH RIPRAP

BACKFILL DAMAGED AREA

WITH RIPRAP

BACKFILL DAMAGED AREA

S E

C T

IO

N S A

N D D

E T

A

IL

S

40 FEET LONG

12-INCH DIAMETER

EXISTING PIPE PILES

40 FEET LONG

10-INCH DIAMETER

3 FEET O.C.

DRIVE NEW PIPE PILES

L F

O R

D

ELEV 2128'

OHW

ELEV 2128'

OHW

SLOPE VARIES

PRE-DAMAGE TOE

SLOPE VARIES

PRE-DAMAGE TOE

ELEV 2143'

TOP OF LEVEE

ELEV 2143'

TOP OF LEVEE

SLOPE

DAMAGED

APPROX

SLOPE

DAMAGED

APPROX

34 EACH 0 EACHSTEEL PILES

50 TON120 TONLARGE STONES

150 TON450 TONCLASS II RIPRAP

SITE 2SITE 1MATERIAL QUANTITIES

+12 INCHTOLERANCE

32 INCH MINLARGE STONE SIZE

+6 INCHTOLERANCE

25-100 LBS6-10 INCH10%

100 LBS10 INCH90% LARGER THAN

200 LBS13 INCH50% SIZE

500 LBS18 INCH100% SMALLER THAN

RIPRAP GRADATION - CLASS II

FORM TOE. BACKFILL REMAINING VOID WITH RIPRAP.

PLACE LARGE STONES IMMEDIATELY BEHIND PILES TO7.

OR CUT OFF WITHIN TARGET RANGE TO SIMILAR ELEV.

APPROX 2128 - 2132 FEET. DRIVE PILES TO DESIRED ELEVATION

TOP OF PILES SHOULD BE CONSISTENT ALONG SITE LENGTH,

ORDINARY HIGH WATER IS APPROX 2128 FEET (NAVD 88).

TOP OF LEVEE ELEVATION IS APPROX 2143 FEET (NAVD 88).6.

EXISTING PILES).

ABOVE MUDLINE SHALL BE APPROX 2 TO 5 FEET (MATCH

MINIMUM EMBEDMENT DEPTH IS 25 FEET. STICKUP ELEV5.

SPLICES WILL NOT BE PERMITTED.

WALL THICKNESS 1/2 INCH, 40 FEET LONG.

DESCRIBED AS STEEL PIPE PILES, 10-INCH DIAMETER,

PILES ARE PROVIDED BY THE SPONSOR AND ARE

MAXIMUM SPACING IS 5 FEET O.C.

AT SITE 2, INSTALL NEW PILES 3 FEET O.C. 4.

165+50 TO 166+50 AND HAS NO EXISTING PILES.

SITE 2 IS APPROXIMATELY 100 FEET LONG FROM STATION 3.

DIAMETER, 40 FEET LONG, SPACING VARIES.

EXISTING STEEL PIPE PILES AT THE TOE, 12-INCH

STATION 159+00 TO 162+00 [NLD]. THIS SITE HAS

SITE 1 IS APPROXIMATELY 300 FEET LONG FROM2.

LEVEE SECTION UPSTREAM AND DOWNSTREAM.

MATCH REPAIR SECTION EXTENTS TO ADJACENT1.

S O

L

IC

IT

A T

IO

N N

O

D W

N B

Y

C K

D B

Y

D E

S C

R

IP

T

IO

N

D

2 3

C

4 5

A

B

M A

R K

A P

P R

D A

T E

F

IL

E N

U M

B E

R

S

IZ

E

S U

B M

IT

T E

D B

Y

D A

T E

M A

R K

D E

S C

R

IP

T

IO

N

C O

N T

R A

C T N

O

D A

T E

A P

P R

®of Engineers

US Army Corps of Engineers

US Army Corps

A N

S I

D :3

:4

P

M

P L

O T D

A T

E T

IM

E

/3 /2

DESIGN FILE:

IDENTIFICATION

SHEET

I:\AECDesigns\FY18_P2-466387_MHLR\Con_Docs\CAD_Sheets\Civil\FY18_P2-466387_MHLR-CF301.dgn

U .S

A R

M Y C

O R

P S O

F E

N G

IN

E E

R S

S E

A T

T L E D

IS

T R

IC

T

E

A S

T M

A R

G

IN

A L W

A Y S

O U

T H

S E

A T

T L E

W A

S H

IN

G T

O N

D E

S

IG

N E

D B

Y

D A

R Y

L D

O W

N

IN

G

M E

A D

O W

H U

R S

T L

E V

E E R

E P

A

IR

S

T J -1

-0

D

E C

E M

B E

R

F Y P

M

H L

R P

L

-9

S T

M A

R

IE

S

ID

A H

O

E -6 -7 -3

CLAUSES INCORPORATED BY REFERENCE

52.203-6 Alt I Restrictions On Subcontractor Sales To The Government

(Sep 2006) -- Alternate I

OCT 1995

52.204-7 System for Award Management OCT 2016 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

OCT 2016

52.204-13 System for Award Management Maintenance OCT 2016 52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 52.204-22 Alternative Line Item Proposal JAN 2017 52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for Debarment

OCT 2015

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.212-1 Instructions to Offerors--Commercial Items JAN 2017 52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017 52.217-5 Evaluation Of Options JUL 1990 52.219-6 Notice Of Total Small Business Set-Aside NOV 2011 52.219-13 Notice of Set-Aside of Orders NOV 2011 52.222-3 Convict Labor JUN 2003 52.222-6 Construction Wage Rate Requirements MAY 2014 52.222-19 Child Labor -- Cooperation with Authorities and Remedies JAN 2018 52.222-41 Service Contract Labor Standards MAY 2014 52.222-62 Paid Sick Leave Under Executive Order 13706 JAN 2017 52.225-13 Restrictions on Certain Foreign Purchases JUN 2008 52.225-25 Prohibition on Contracting with Entities Engaging in Certain

Activities or Transactions Relating to Iran-- Representation and Certifications.

OCT 2015

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.247-34 F.O.B. Destination NOV 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.203-7003 Agency Office of the Inspector General DEC 2012 252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7004 Alt A System for Award Management Alternate A FEB 2014 252.204-7005 Oral Attestation of Security Responsibilities NOV 2001 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

252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

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 252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

52.204-17 OWNERSHIP OR CONTROL OF OFFEROR (JUL 2016)

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

Commercial and Government Entity (CAGE) code means—

(1) An identifier assigned to entities located in the United States or its outlying areas by the Defense Logistics Agency (DLA) Commercial and Government Entity (CAGE) Branch to identify a commercial or government entity;

or

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support and Procurement Agency (NSPA) to entities located outside the United States and its outlying areas that the DLA Commercial and Government Entity (CAGE) Branch records and maintains in the CAGE master file. This type of code is known as a NATO CAGE (NCAGE) code.

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

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

(b) The Offeror represents that it [ ___ ] has or [ ___ ] does not have an immediate owner. If the Offeror has more than one immediate owner (such as a joint venture), then the Offeror shall respond to paragraph (c) and if applicable, paragraph (d) of this provision for each participant in the joint venture.

(c) If the Offeror indicates ``has'' in paragraph (b) of this provision, enter the following information:

Immediate owner CAGE code:

Immediate owner legal name: ___

(Do not use a ``doing business as'' name)

Is the immediate owner owned or controlled by another entity?:

[ ___ ] Yes or [ ___ ] No.

(d) If the Offeror indicates ``yes'' in paragraph (c) of this provision, indicating that the immediate owner is owned or controlled by another entity, then enter the following information:

Highest-level owner CAGE code:

Highest-level owner legal name:

(Do not use a ``doing business as'' name)

(End of provision)

52.209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS--

REPRESENTATION (NOV 2015)

(a) Definitions. Inverted domestic corporation and subsidiary have the meaning given in the clause of this contract entitled Prohibition on Contracting with Inverted Domestic Corporations (52.209-10).

(b) Government agencies are not permitted to use appropriated (or otherwise made available) funds for contracts with either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation, unless the exception at 9.108-2(b) applies or the requirement is waived in accordance with the procedures at 9.108-4.

(c) Representation. The Offeror represents that--

(1) It [ ___ ] is, [ ___ ] is not an inverted domestic corporation; and

(2) It [ ___ ] is, [ ___ ] is not a subsidiary of an inverted domestic corporation.

52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY OR A

FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that--

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that--

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (NOV 2017)

ALTERNATE I (OCT 2014)

The offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site located at https://www.sam.gov/portal . If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (u) of this provision.

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

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

“Forced or indentured child labor” means all work or service—

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

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

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

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

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

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

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

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

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

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

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

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

(8) PSC 9610, Ores;

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

(10) PSC 9630, Additive Metal Materials.

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

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

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

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

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

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

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

(6) Have been voluntarily suspended.

“Sensitive technology”—

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

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

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

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

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

(1) Means a small business concern—

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

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

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

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

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

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

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

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

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

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

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

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

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

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

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

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

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

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

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

(b)

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

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representation and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ___ . [Offeror to identify the applicable paragraphs at (c) through (u) of this provision that the offeror has completed for the purposes of this solicitation only, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

(c) Offerors must complete the following representations when the resulting contract is to be performed in the United States or its outlying areas. Check all that apply.

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

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

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

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

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

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

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

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

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ___ .] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

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

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

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ___ .] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

(8) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [ ___ ] is, a women-owned business concern.

(9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price:

(10) HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that--

(i) It [ ___ ] is, [ ___ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [ ___ ] is, [ ___ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: ___ .] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

(11) (Complete if the offeror has represented itself as disadvantaged in paragraph (c)(4) of this provision.)

[The offeror shall check the category in which its ownership falls]:

___ Black American.

___ Hispanic American.

___ Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians).

___ Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, Republic of Palau, Republic of the Marshall Islands, Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).

___ Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal).

___ Individual/concern, other than one of the preceding.

(d) Representations required to implement provisions of Executive Order 11246 --

(1) Previous contracts and compliance. The offeror represents that --

(i) It [ ___ ] has, [ ___ ] has not, participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and

(ii) It [ ___ ] has, [ ___ ] has not, filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that --

(i) It [ ___ ] has developed and has on file, [ ___ ] has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR parts 60-1 and 60-2), or

(ii) It [ ___ ] has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a…

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it.