A.07.23_Solicitation_W912EF17Q0113.pdf

SEE ADDENDUM

(No Collect Calls)

W912EF17Q0113 19-Jun-2017

b. TELEPHONE NUMBER

509-527-7202

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 07 Jul 2017

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.

W912EF9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

CHANDRA D. CROW

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

W68SBV71317681

ARE NOT ATTACHED

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

USAED, WALLA WALLA - CONTRACTING DIV.

CHANDRA D. CROW

201 N. THIRD AVENUE

WALLA WALLA WA 99362-1876

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

509-527-7802FAX:

TEL: 509-527-7202 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

334513

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.

W912EF17Q0113

Section SF 1449 - CONTINUATION SHEET

INSTURCTIONS TO OFFERORS

If you have any questions or concerns regarding this Request for Proposal (RFP), please contact Chandra D. Crow via email: Chandra.d.crow@usace.army.mil

To ensure receipt of your proposal, please send to Chandra Crow:

Email: Chandra.d.crow@usace.army.mil

CONTRACTOR MUST PROVIDE:

Contractor Name: ________________________________________________

Contractor Phone / Email: _________________________________________

DUNS Number: _________________ CAGE Code: _______________

Federal Tax ID Number (TIN): ____________________

GSA Contract Number (If Applicable) _____________________

Estimated Delivery: ____________________________

The System for Award Management (SAM) is online. SAM replaces CCR/FedReg, ORCA, and EPLS. If you have been using those systems, you should now go to www.sam.gov to find your information.

Lack of registration in the SAM Database will make an offeror ineligible for award. Information on how to register and the time required is detailed in the clause. Start by going to www.sam.gov, and then click on the SAM HELP tab. Under User Help you will find the full User Guide as well as Quick Start Guides and Helpful Hints that will help you create an account, migrate your roles, perform updates, and search for the information you need.

Completion of FAR 52.212-3 Offeror Representations and Certifications–Commercial Items – Alternate 1 (May 2014). Electronic completion is encouraged (see http://farsite.hill.af.mil to download Representations and Certifications).

An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual representations and certifications electronically via https://www.acquisition.gov. If an offeror has not completed the annual representations and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (b) through (i) of this provision.

In accordance with FAR Part 29.3 – State and Local Taxes, and per Title 4 of US Code 104-107, the Government is exempt from paying state and local taxes. Exempt tax identification number 91-0828090.

PRICES QUOTED MUST BE VALID FOR 30 DAYS. Solicitation shall result in a firm-fixed-price contract.

BASIS FOR AWARD

The Government will award one contract resulting from this solicitation in accordance with FAR 13.106 to the responsible offeror representing the best value based on price.

All pricing shall include shipping FOB Destination (include shipping costs in price).

ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS–COMMERCIAL ITEMS

Submission of Proposal – Contractor shall submit the following in 1 copy:

1. Signed and dated Standard Form 1449 (Solicitation/Contract/Order for Commercial Items)

2. Signed and dated Standard Form 30, if applicable, for any Amendments to the Solicitation

3. Completed schedule (pricing information) for all contract line item numbers

4. Completed Clause 52.212-3 and Alt I, “Offeror Representations and Certifications—Commercial Items” as noted above

5. Any information required to evaluate the quote, as stated in FAR Clause 52.212-2.

1. BUSINESS HOURS: The standard business hours for the Walla Walla District, Corps of Engineers are Monday through Friday from 8:00 a.m. to 4:00 p.m., excluding federal holidays.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 7 Each

MU INTELLIGENT TEMP MONITOR

FFP

In accordance with the attached technical specifications.

FOB: Destination

MILSTRIP: W68SBV71317681

PURCHASE REQUEST NUMBER: W68SBV71317681

NET AMT

0002 6 Each

XTRA PROTECTION RELIEF DEVICE

FFP

In accordance with the attached technical specifications.

FOB: Destination

0003 6 Each

RAPID PRESSURE RISE FLAG Q WITH VENT

FFP

In accordance with the attached technical specifications.

FOB: Destination

0004 8 Each

900/910 ADAPTOR PLATE

FFP

In accordance with the attached technical specifications.

FOB: Destination

0005 9 Each

16/3 CONNECTOR 360

FFP

In accordance with the attached technical specifications.

FOB: Destination

0006 6 Each

CASE ASSEMBLY

FFP

In accordance with the attached technical specifications.

FOB: Destination

0007 1 Each

AC-DC SEAL IN RELAY

FFP

In accordance with the attached technical specifications.

FOB: Destination

0008 6 Each

XPRD ELBOW, 316L STAINLESS STEEL

FFP

In accordance with the attached technical specifications.

FOB: Destination

0009 48 Each

XPRD PIPE KIT SCHEDULE 10 ALUMINUM 5 FT

FFP

In accordance with the attached technical specifications.

FOB: Destination

0010 48 Each

XPRD ADAPTOR WITH RING & GASKET, 316L

FFP

STAINLESS STEEL. In accordance with the attached technical specifications.

FOB: Destination

0011 48 Each

XPRD REINFORCING COLLAR, 316L STAINLESS

FFP

STEEL. In accordance with the attached technical specifications.

FOB: Destination

0012 48 Each

XPRD PIPE MOUNTING BRACKET, 316L

FFP

STAINLESS STEEL. In accordance with the attached technical specifications.

FOB: Destination

0013 13 Each

104 SERIES 6" REMOTE THERMOMETER, 240

FFP

In accordance with the attached technical specifications.

FOB: Destination

0014 9 Each

PLATINUM COIL ASSEMBLY 600 100 OHMS

FFP

In accordance with the attached technical specifications.

FOB: Destination

0015 9 Each

AMBIENT SENSOR RTD 12 100 OHMS

FFP

In accordance with the attached technical specifications.

FOB: Destination

0016 2 Each

LARGE PRESSURE RELIEF DEVICE

FFP

In accordance with the attached technical specifications.

FOB: Destination

0017 3 Each

104 SERIES 6" REMOTE THERMOMETER, 120

FFP

In accordance with the attached technical specifications.

FOB: Destination

0018 2 Each

PRESSURE-VACUUM BLEEDER/COMPOUND GAGE

FFP

ASSEMBLY. In accordance with the attached technical specifications.

FOB: Destination

0019 5 Each

6" LIQUID LEVEL GAGE-LEVER 5 KOHM POT

FFP

In accordance with the attached technical specifications.

FOB: Destination

0020 2 Each

RAPID PRESSURE RISE FLAG Q

FFP

In accordance with the attached technical specifications.

FOB: Destination

0021 3 Each

SS INTELLIGENT TEMP MONITOR

FFP

In accordance with the attached technical specifications.

FOB: Destination

0022 1 Each

PORTABLE RPRR FIELD TEST KIT

FFP

In accordance with the attached technical specifications.

FOB: Destination

0023 7 Each

18/4 CONNECTOR SHIELDED 600

FFP

In accordance with the attached technical specifications.

FOB: Destination

TECHNICAL SPECIFICATIONS

LOWER GRANITE LOCK AND DAM

Transformer Indication Instrumentation Upgrade

1.0 INTENT

The following specifications pertain to the purchase of; Transformer Monitoring Systems to retrofit existing transformer instrumentation for 8 hydropower main unit and station service transformers. The monitoring system was selected and specified by USACE Hydroelectric Design Center (HDC). Working closely with the Power Systems Section, Controls System Section and Cyber Security/Compliance Section, the instrumentation was selected to directly interface our transformer monitoring functions directly to HDC’s proprietary Generic Data Acquisition and Control System (GDACS). All gaskets will be provided for any instrumentation requiring a gasket that interfaces with the transformers. The equipment must be either Qualitrol and/or technical expert approved equal for use at Lower Granite Lock and Dam.

2.0 SCOPE

The successful bidder shall be required to furnish the Transformer Monitoring Systems to Lower Granite Lock and Dam within the timeframe listed in section 9.0 (Shipment and Delivery).

3.0 SYSTEM REQUIREMENTS

3.1 Item 0001: Qualitrol, Main Unit Intelligent Temp Monitor, part # 509-00264313, or an approved equal product meeting the following specifications: Quantity 6 each.

3.1.1 Device Configuration: 509-100/01

3.1.2 Mounting: ENCLOSURE

3.1.3 Hi Vibration Option: NO

3.1.4 Communications: RS485W

3.1.5 Heater: NO

3.1.6 5kV Protection: NO

3.1.7 Special Labeling: NONE

3.1.8 Ethernet: YES

3.1.9 Protocol: YES

3.1.10 Front Panel Graphic: ENGLISH

3.1.11 Instruction CD: MULTILANGUAGE

3.1.12 Data logger: YES

3.1.13 Event Recorder: NO

3.1.14 Direct Winding: NO

3.1.15 FX Fiber Optic Ethernet: YES

3.1.16 Seasonal Set Point: NO

3.1.17 Ambient Temp Forecast: NO

3.1.18 CT Temp Scaling: ADV1

3.1.19 Configuration Form: 4606

3.1.20 Expansion Module: NO

3.1.21 Input Slot 1: PT100

3.1.22 Input Slot 2: WINDING/10A

3.1.23 Input Slot 3: WINDING/10A

3.1.24 Input Slot 4: 5K OHM

3.1.25 Input Slot 5: 4-20mA/2WN

3.1.26 Input Slot 6: PT100

3.1.27 Input Slot 7: EMPTY

3.1.28 Input Slot 8: EMPTY

3.1.29 10 Amp Sensors: 2

3.2 Item 0002: QUALITROL, Xtra Protection Relief Device, PART # XPRD00-00266306, or an approved equal product meeting the following specifications: Quantity 6 EACH.

3.2.1 Insulator Style; 3Q

3.2.2 Connector Type; CABLE

3.2.3 Cable Choice: 16GA SOW 1

3.2.4 Length: 600.0 INCHES

3.2.5 Nut Style: STANDARD SHELL

3.2.6 Labeling: STANDARD

3.2.7 Switch Type: STANDARD

3.2.8 Connection Style: Q-STANDARD

3.2.9 Device Wiring: 3Q05

3.2.10 Special Options: STANDARD

3.2.11 Labeling: STANDARD

3.2.12 Operating Pressure: 8.0 PSI / 0.55 BAR

3.2.13 Fluid Type: MINERAL

3.2.14 Valve Seal Gasket: NITRILE

3.2.15 Indicator Color: YELLOW

3.2.16 Semaphore: YELLOW POLYCARBONATE

3.2.17 Mounting Gasket Qty: 0

3.2.18 Special Options: SCREEN SCN-600-1

3.3 Item 0003: Qualitrol, Rapid Pressure Rise Relay with Flag Q and Vent, part # 910-010-03, or an approved equal product. Quantity 6 each.

3.4 Item 0004: Qualitrol, 900/910 Adaptor Plate to interface the rapid pressure rise relay to the main unit transformers, part # PLT-719-1, or an approved equal product. Quantity 8 each

3.5 Item 0005: Qualitrol, 16/3 Connector with cable, Part # CON-603-28, or an approved equal product meeting the following specifications: Quantity 8 each

3.5.1 Cable length: 360”

3.5.2 Cable type: 3 conductor, Black, Green and White

3.5.3 Wire gauge: 16 AWG

3.5.4 Outer jacket: UL/CSA type SOW color Black

3.5.5 Voltage: 600

3.5.6 Operating Temperature: -40 deg. C to 90 deg. C

3.6 Item 0006: Qualitrol, 6” Diameter Liquid Level Case Assembly with remote output Q-standard wiring, part # CAS-718-2, or an approved equal product. Quantity 6 each

3.7 Item 0007: Qualitrol, AC-DC Seal in Relay to interface between the Rapid Pressure Rise and the Main

Unit Intelligent Temp Monitor to provide trip and annunciation protection, part # 909-300-01, or an approved equal product. Quantity 8 each.

3.8 Item 0008: Qualitrol, 205 to 208 Flange Adapter to interface the Xtra Protection Relief Device to the existing Westinghouse transformer mounting holes, part # FLA-627-1P, or an approved equal product.

Quantity 6 each.

3.9 Item 0009: Qualitrol, 316L Stainless Steel Elbow for the XPRD discharge piping system, part # ELB-

009-1, or an approved equal product. Quantity 6 each.

3.10 Item 0010: Qualitrol, Schedule 10 Aluminum Pipe Kit 5 foot length, for XPRD discharge piping system, part # PPE-600-1, or an approved equal product. Quantity 48 each.

3.11 Item 0011: Qualitrol, 316L Stainless Steel Adapter with Ring & Gasket, for XPRD discharge piping system, part # ADP-236-1, or an approved equal product. Quantity 48 each.

3.12 Item 0012: Qualitrol, 316L Stainless Steel Reinforcing Collar, for XPRD discharge piping system, part # CLR-011-1, or an approved equal product. Quantity 48 each.

3.13 Item 0013: Qualitrol, 316L Stainless Steel Pipe Mounting Brackets, for XPRD discharge piping system, part # BKT-186-1, or an approved equal product. Quantity 48 each.

3.14 Item 0014: Qualitrol, 104 Series 6 inch Remote Mount Thermometer. Capillary based, mechanical thermometer. Featuring bourdon tube measurement with resettable maximum pointer and 3 switches for temperature related alarms and control signals. Part # TR6000B-00262313, or an approved equal product meeting the following specifications: Quantity 12 each

3.14.1 Insulator Style: 7Q

3.14.2 Connector Type: CABLE

3.14.3 Cable Choice: 16 AWG type SOW 1

3.14.4 Length: 240.0 inches

3.14.5 Nut Style: STANDARD SHELL

3.14.6 Labeling: STANDARD

3.14.7 Temperature Range: 0/160 C

3.14.8 Dial Color: WHITE ON BLACK

3.14.9 Language: ENGLISH

3.14.10 Inscription: W/TC

3.14.11 Number of Switches: 3

3.14.12 Switch 1: 80

3.14.13 Switch 2: 85

3.14.14 Switch 3: 120

3.14.15 Switch Rating: STD

3.14.16 Switch 1 Operation: ON RISING TEMPERATURE

3.14.17 Environment: OUTDOOR/VENTED

3.14.18 Gauge Mounting: STUD3/4

3.14.19 Lens: POLYCARBONATE

3.14.20 Connection Style: Q-STD

3.14.21 Device Wiring: 7Q03

3.14.22 Labeling: STANDARD

3.14.23 Well: NONE

3.14.24 Adaptor: NONE

3.14.25 Element Connection: FIXED 7/8”

3.14.26 Capillary Type: BRAIDED COPPER

3.14.27 Bulb Length: 5.81 INCHES

3.14.28 Bulb Diameter: .481 INCHES

3.14.29 Capillary Length: 240 INCHES

3.15 Item 0015: Qualitrol, Platinum Coil Assembly, resistive thermal device, 600 inch cable length, 100

Ohms, part # 103-044-09 or an approved equal product. Quantity 8 each.

3.16 Item 0016: Qualitrol, Ambient Sensor, resistive thermal device, 12 foot cable length, 100 Ohms, part # 103-047-01 or an approved equal product. Quantity 8 each.

3.17 Item 0017: Qualitrol, Large Pressure Relief Device, part # LPRD00-00230133 or an approved equal product meeting the following specifications: Quantity 2 each.

3.17.1 Operating Pressure: 8.0 PSI / 0.55 BAR

3.17.2 Fluid Type: MINERAL

3.17.3 Switches: 1 SWITCH

3.17.4 Gasket Retention: EPOXY

3.17.5 Bleed Screw: NO

3.17.6 Valve Seal Gasket: NITRILE

3.17.7 Environment: OUTDOOR

3.17.8 Indicator Color: YELLOW

3.17.9 Semaphore: YELLOW POLYCARBONATE

3.17.10 Mounting Gasket: Qty 1

3.17.11 Mounting Gasket Mtl: NITRILE

3.17.12 Labeling: STANDARD

3.17.13 Switch Type: STANDARD

3.17.14 Connection Style: Q-STANDARD

3.17.15 Device Wiring: 3Q05

3.17.16 Switch Action: LATCHING

3.17.17 Special Testing: STANDARD

3.17.18 Finish: STANDARD

3.17.19 Insulator Style: 3Q

3.17.20 Connector Type: CABLE

3.17.21 Cable Choice: 16 AWG type SOW 1

3.17.22 Units: ENGLISH

3.17.23 Length: 180.0 INCHES

3.17.24 Nut Style: STANDARD SHELL

3.18 Item 0018: Qualitrol, 104 Series 6 inch Remote Mount Thermometer. Capillary based, mechanical thermometer. Featuring bourdon tube measurement with resettable maximum pointer and 1 switch for temperature related alarms and control signals. Part # TR6000B-00266307 or an approved equal product meeting the following specifications: Quantity 2 each.

3.18.1 Insulator Style: 3Q

3.18.2 Connector Type: CABLE

3.18.3 Cable Choice: 16 AWG type SOW 1

3.18.4 Length: 120.0 inches

3.18.5 Nut Style: STANDARD SHELL

3.18.6 Labeling: STANDARD

3.18.7 Temperature Range: 0/180 C

3.18.8 Dial Color: WHITE ON BLACK

3.18.9 Language: ENGLISH

3.18.10 Inscription: UNIVC

3.18.11 Number of Switches: 1

3.18.12 Switch 1: 60

3.18.13 Switch Rating: STD

3.18.14 Switch 1 Operation: ON RISING TEMPERATURE

3.18.15 Environment: OUTDOOR/VENTED

3.18.16 Gauge Mounting: STANDARD PLATE

3.18.17 Lens: POLYCARBONATE

3.18.18 Connection Style: Q-STD

3.18.19 Device Wiring: 3Q01

3.18.20 Labeling: STANDARD

3.18.21 Well: NONE

3.18.22 Adaptor: NONE

3.18.23 Element Connection: UNIV 7/8”

3.18.24 Capillary Type: BRAIDED COPPER

3.18.25 Bulb Length: 26.00 INCHES

3.18.26 Bulb Diameter: UNIV

3.18.27 Capillary Length: 80 INCHES

3.19 Item 0019: Qualitrol, Pressure/Vacuum Gage with Bleeder, part # 070-35C, or an approved equal product meeting the following specifications: Quantity 2 each.

3.19.1 P-V Bleeder Settings: ± 5 P.S.I.

3.19.2 Dial Colors: Background – Flat Black, Characters and Pointer - White

3.19.3 Fitting: ¼-18 NPT

3.20 Item 0020: Qualitrol, 32 Series Liquid Level Gage with lever, part # 032-013-01 CS-35808, or an approved equal product meeting the following specifications: Quantity 4 each.

3.20.1 Dial: 6 in diameter

3.20.2 Potentiometer: 5,000 ohms

3.21 Item 0021: Qualitrol, Rapid Pressure Rise Relay for mounting in Gas Medium, part # 910-010-33, or an approved equal product meeting the following specifications: Quantity 2 each.

3.21.1 Flange Mount: Four ½” diameter bolt slots equally spaced on 4” circle

3.21.2 Thread mount: 2 ½”-8 NTP male tapered pipe thread

3.21.3 Ambient Operating Temp -40ºF to 180ºF

3.21.4 Switch Rating (DC) ½ Amp @ 125 VDC - resistive

3.22 Item 0022: Qualitrol, Station Service Intelligent Temp Monitor, part # 509-00264748, or an approved equal product meeting the following specifications: Quantity 2 each.

3.22.1 Device Configuration: 509-100/01

3.22.2 Mounting: ENCLOSURE

3.22.3 Hi Vibration Option: NO

3.22.4 Communications: RS485W

3.22.5 Heater: NO

3.22.6 5kV Protection: NO

3.22.7 Special Labeling: NONE

3.22.8 Ethernet: YES(ETHERNET)

3.22.9 Protocol: YES(PROTO)

3.22.10 Front Panel Graphic: ENGLISH

3.22.11 Instruction CD: MULTILANGUAGE

3.22.12 Data logger: YES(DATA)

3.22.13 Event Recorder: NO

3.22.14 Direct Winding: NO

3.22.15 FX Fiber Optic Ethernet: YES(FX)

3.22.16 Seasonal Set Point: NO

3.22.17 Ambient Temp Forecast: NO

3.22.18 CT Temp Scaling: ADV1

3.22.19 Configuration Form: 4651

3.22.20 Expansion Module: NO

3.22.21 Input Slot 1: PT100

3.22.22 Input Slot 2: WINDING/10A

3.22.23 Input Slot 3: PT/AMB/RTD

3.22.24 Input Slot 4: 5K OHM

3.22.25 Input Slot 5: 5K OHM

3.22.26 Input Slot 6: EMPTY

3.22.27 Input Slot 7: EMPTY

3.22.28 Input Slot 8: EMPTY

3.22.29 10 Amp Sensors: 1

3.23 Item 0024: Qualitrol, Portable Rapid Pressure Rise Relay Test Kit, for testing relays during transformer maintenance outages, part # KIT-031-1, or an approved equal product, Quantity 1 each.

3.24 Item 0026: Qualitrol, 18/4 connector with shielding 600 inches long, part # con-697-14, or an approved equal product, Quantity 6 each.

4.0 PRE AWARD SUBMITTALS

For consideration of a “or approved equal product” bids - descriptive materials (brochures, illustrations, drawings, data sheets, etc.) must be submitted which will allow the Contracting Officer to determine, without discussion with the bidder, whether the products being offered meet or exceed all of the required specifications. Submittals shall include, but not be limited to, copies of manufactures catalog cut sheets, specification sheets, manufacturer certifications, and warranty information. Failure to submit adequate supporting documentation may result in disqualification of proposed bid.

5.0 POST AWARD SUBMITTALS

Successful contractor shall be required to submit as-built cad drawings to facilitate installation, replacement, or reconfigurations. Government will verify and approve the drawings prior to manufacturing.

6.0 WARRANTY

All transformer instrumentation components shall have a 5 year warranty on all parts, labor and workmanship from factory defects.

7.0 ON-SITE TRAINING

N/A

8.0 OPERATION AND MAINTENANCE MANUALS

Five (3) hardcopies and one (1) electronic copy of the Operation and Maintenance Manuals shall be required for transformer instrumentation components and two (2) hardcopies and one (1) electronic copy for the portable RPRR field test kit kits. The manuals shall include instructions on the installation, initial startup, operation, preventive maintenance tasks and schedule, maintenance repair and troubleshooting. They shall also include diagrams listing all system components, part numbers, and a list of recommended spare parts. The spare parts list shall specify critical spares (recommended spare parts stored on site) and manufacturer name and manufacturer part number for each spare part.

The following information shall be provided with the Operations and Maintenance Manuals:

Contract Number Name of the Contractor Name, Phone Numbers and Email Address of Contractor

Name, Phone Numbers and Email Address of Manufacturer Name, Phone Numbers and Email Address of each Authorized Distributor/Parts Vendor

9.0 SHIPMENT AND DELIVERY

9.1 All items shall be delivered FOB destination to Lower Granite Lock and Dam within Six (6) weeks of contract award.

9.2 The contractor shall be responsible for packing and shipping the components in a manner that will ensure undamaged and complete arrival to Lower Granite Lock and Dam.

9.3 No shipments are allowed other than normal business hours of Monday through Thursday 7:00 a.m. -

4:00 p.m., excluding Federal holidays.

9.4 All shipments shall be delivered to:

US Army Corps of Engineers Lower Granite Lock and Dam 885 Almota Ferry Road Pomeroy, WA 99347-9632

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 Drawings 81

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984 52.203-17 Contractor Employee Whistleblower Rights and Requirement

To Inform Employees of Whistleblower Rights

APR 2014

52.203-18 Prohibition on Contracting With Entities That Require Certain Internal Confidentiality Agreements or Statements-- Representation

JAN 2017

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

MAY 2011

52.204-7 System for Award Management 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 52.204-21 Basic Safeguarding of Covered Contractor Information

Systems

JUN 2016

52.212-1 Instructions to Offerors--Commercial Items JAN 2017

52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.242-13 Bankruptcy JUL 1995 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 252.204-7008 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

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

OCT 2015

252.222-7007 Representation Regarding Combating Trafficking in Persons JAN 2015 252.223-7008 Prohibition of Hexavalent Chromium JUN 2013 252.225-7001 Buy American And Balance Of Payments Program-- Basic

(Dec 2016)

DEC 2016

252.225-7002 Qualifying Country Sources As Subcontractors DEC 2016 252.225-7012 Preference For Certain Domestic Commodities DEC 2016 252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.243-7002 Requests for Equitable Adjustment DEC 2012 252.244-7000 Subcontracts for Commercial Items JUN 2013 252.246-7000 Material Inspection And Receiving Report MAR 2008 252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

Invoices – Simplified Acquisition Procedures

The Contractor shall submit invoices as follows:

One (1) copy of the Invoice shall be E-mailed to:

Walla Walla District, Corps of Engineers ATTN: Aaron L. Corgard 885 Almota Ferry Rd Pomeroy, WA 99347-9632 Telephone: (509) 843-2216 Email: Aaron.l.corgard@usace.army.mil

One (1) copy of the Invoice shall be E-mailed to:

Chandra Crow 201 N. 3rd Avenue Walla Walla, WA. 99362 Ph. (509) 527-7202 Fax (509) 527-7802 Email: Chandra.d.crow@usace.army.mil

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.

(End of provision)

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

In addition to your quote, please answer each of the following questions:

EVALUATION FACTOR 1:

Check one—

This quote is based on the Brand Name listed in the specifications.

This quote is NOT based on the Brand Name listed in the specifications Submittals required.

EVALUATION FACTOR 2:

Check one—

This quote includes meeting the delivery requirement of Six (6) weeks after contract award.

This quote does NOT include meeting the delivery requirement of Six (6) weeks after the contract award.

Delivery will be longer than Six (6) weeks after contract award.

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

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (JAN 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--

“Administrative merits determination” means certain notices or findings of labor law violations issued by an enforcement agency following an investigation. An administrative merits determination may be final or be subject to appeal or further review. To determine whether a particular notice or finding is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.

“Arbitral award or decision” means an arbitrator or arbitral panel determination that a labor law violation occurred, or that enjoined or restrained a violation of labor law. It includes an award or decision that is not final or is subject to being confirmed, modified, or vacated by a court, and includes an award or decision resulting from private or confidential proceedings. To determine whether a particular award or decision is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.

“Civil judgment” means--

(1) In paragraph (h) of this provision: A judgment or finding of a civil offense by any court of competent jurisdiction.

(2) In paragraph (s) of this provision: Any judgment or order entered by any Federal or State court in which the court determined that a labor law violation occurred, or enjoined or restrained a violation of labor law. It includes a judgment or order that is not final or is subject to appeal. To determine whether a particular judgment or order is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.

“DOL Guidance” means the Department of Labor (DOL) Guidance entitled: ``Guidance for Executive Order 13673, `Fair Pay and Safe Workplaces' ''. The DOL Guidance, dated August 25, 2016, can be obtained from www.dol.gov/fairpayandsafeworkplaces.

“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.

“Enforcement agency” means any agency granted authority to enforce the Federal labor laws. It includes the enforcement components of DOL (Wage and Hour Division, Office of Federal Contract Compliance Programs, and Occupational Safety and Health Administration), the Equal Employment Opportunity Commission, the occupational Safety and Health Review Commission, and the National Labor Relations Board. It also means a State agency designated to administer an OSHA-approved State Plan, but only to the extent that the State agency is acting in its capacity as administrator of such plan. It does not include other Federal agencies which, in their capacity as contracting agencies, conduct investigations of potential labor law violations. The enforcement agencies associated with each labor law under E.O. 13673 are--

(1) Department of Labor Wage and Hour Division (WHD) for--

(i) The Fair Labor Standards Act;

(ii) The Migrant and Seasonal Agricultural Worker Protection Act;

(iii) 40 U.S.C. chapter 31, subchapter IV, formerly known as the Davis-Bacon Act;

(iv) 41 U.S.C. chapter 67, formerly known as the Service Contract Act;

(v) The Family and Medical Leave Act; and

(vi) E.O. 13658 of February 12, 2014 (Establishing a Minimum Wage for Contractors);

(2) Department of Labor Occupational Safety and Health Administration (OSHA) for--

(i) The Occupational Safety and Health Act of 1970; and

(ii) OSHA-approved State Plans;

(3) Department of Labor Office of Federal Contract Compliance Programs (OFCCP) for--

(i) Section 503 of the Rehabilitation Act of 1973;

(ii) The Vietnam Era Veterans' Readjustment Assistance Act of 1972 and the Vietnam Era Veterans' Readjustment Assistance Act of 1974; and

(iii) E.O. 11246 of September 24, 1965 (Equal Employment Opportunity);

(4) National Labor Relations Board (NLRB) for the National Labor Relations Act; and

(5) Equal Employment Opportunity Commission (EEOC) for--

(i) Title VII of the Civil Rights Act of 1964;

(ii) The Americans with Disabilities Act of 1990;

(iii) The Age Discrimination in Employment Act of 1967; and

(iv) Section 6(d) of the Fair Labor Standards Act (Equal Pay Act).

“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).

“Labor compliance agreement” means an agreement entered into between a contractor or subcontractor and an enforcement agency to address appropriate remedial measures, compliance assistance, steps to resolve issues to increase compliance with the labor laws, or other related matters.

“Labor laws” means the following labor laws and E.O.s:

(1) The Fair Labor Standards Act.

(2) The Occupational Safety and Health Act (OSHA) of 1970.

(3) The Migrant and Seasonal Agricultural Worker Protection Act.

(4) The National Labor Relations Act.

(5) 40 U.S.C. chapter 31, subchapter IV, formerly known as the Davis-Bacon Act.

(6) 41 U.S.C. chapter 67, formerly known as the Service Contract Act.

(7) E.O. 11246 of September 24, 1965 (Equal Employment Opportunity).

(8) Section 503 of the Rehabilitation Act of 1973.

(9) The Vietnam Era Veterans' Readjustment Assistance Act of 1972 and the Vietnam Era Veterans' Readjustment Assistance Act of 1974.

(10) The Family and Medical Leave Act.

(11) Title VII of the Civil Rights Act of 1964.

(12) The Americans with Disabilities Act of 1990.

(13) The Age Discrimination in Employment Act of 1967.

(14) E.O. 13658 of February 12, 2014 (Establishing a Minimum Wage for Contractors).

(15) Equivalent State laws as defined in the DOL Guidance. (The only equivalent State laws implemented in the FAR are OSHA-approved State Plans, which can be found at www.osha.gov/dcsp/osp/approved_state_plans.html).

“Labor law decision” means an administrative merits determination, arbitral award or decision, or civil judgment, which resulted from a violation of one or more of the laws listed in the definition of ``labor laws''.

“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.

Note to paragraph (a): By a court order issued on October 24, 2016, the following definitions in this paragraph (a) are enjoined indefinitely as of the date of the order: ``Administrative merits determination'', ``Arbitral award or decision'', paragraph (2) of ``Civil judgment'', ``DOL Guidance'', ``Enforcement agency'', ``Labor compliance agreement'', ``Labor laws'', and ``Labor law decision''. The enjoined definitions will become effective immediately if the court terminates the injunction. At that time, DoD, GSA, and NASA will publish a document in the Federal Register advising the public of the termination of the injunction.

(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.