W912EK22R0007.pdf

SEE ADDENDUM

(No Collect Calls)

W912EK22R0007 16-Dec-2021

b. TELEPHONE NUMBER

309-794-5048

8. OFFER DUE DATE/LOCAL TIME

02:00 PM 14 Jan 2022

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.

W912EK9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

JACOB J TOFT

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

96514713088775

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

CONTRACTING DIVISION

US ARMY CORPS OF ENGINEERS 1500 ROCK ISLAND D

ROCK ISLAND IL 61201

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 966109 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

SAYLORVILLE LAKE PROJECT OFC

CEMVR-OD-S

US ARMY CORPS OF ENGINEERS

5600 NW 78TH AVE

JOHNSTON IA 50131-1941

TEL: 515/276-4656 FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$41,500,000

NAICS:

562119

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)

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.

W912EK22R0007

Section SF 1449 - CONTINUATION SHEET

SCHEDULE OF PRICES

ITEM SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 Debris Removal &Disposal 1 Job ____________ _________

Saylorville Dam Trash Rack Debris Removal & Disposal

Contractor will provide all materials, equipment, and labor to remove debris from the trash rack at the Saylorville Lake Dam in accordance with the performance work statement.

PWS

SAYLORVILLE DEBRIS REMOVAL & DISPOSAL CONTRACT

MAIN DAM CONTROL TOWER TRASH RACK

OVERVIEW:

Scope. The intention of this contract is for the Contractor to remove submerged woody debris and non-woody debris from the Main Dam Control Tower Trash Rack area at Saylorville Lake.

The Contractor is to furnish all personnel, equipment, supplies, and materials to remove submerged woody debris and non-woody debris from the Saylorville Lake Main Dam Control Tower Trash Rack. Prices should include mobilization & de-mob, fuel, labor, materials, and equipment to complete the job. All materials removed will be disposed of on-site by the Contractor in an area designated by the Government. The Contractor's work and responsibility will include all planning, programming, administration, management, supervision, communications, and inspection necessary to assure that all services are conducted in accordance with the contract requirements and all applicable Federal, State, and Local laws and regulations.

The Contractor is required to attend an on-site pre-work meeting to be scheduled after the Notice to Proceed or Award. The areas where the work will take place is only accessible during weekday business hours. It will be the Contractor's responsibility for transporting the woody debris and non-woody debris to the proper disposal locations. The Contractor is responsible for all clean up, debris removal, traffic and public control and the restoration of areas, facilities, or structures negatively impacted by this contract to its original condition.

Location. Saylorville Lake Project is located at 5600 NW 78th Ave, Johnston, IA 50131

Site Visit. It is strongly encouraged for the Contractor to make a site visit prior to bidding this contract. Contact the Technical Point of Contact, Lake Manager, Dayne Magneson (515-240- 9534) or Dayne.C.Magneson@usace.army.mil to arrange a site visit.

Schedule. Upon notification, removal will be completed within 90 days of Notice to Proceed (weather and water/ice conditions dependent). If conditions inhibit safe work, the Contractor may request additional days which are subject to approval by the COR. All service/work to remove all woody debris and non-woody debris will be performed during daylight hours between 0700-1800 (CT) on weekdays. Services on weekends or Federal holidays (list federal holidays) mailto:Dayne.C.Magneson@usace.army.mil will not be permitted without approval from the COR in advance. Saylorville Dam is a flood control project. Occasional retention of floodwaters may inundate portions of the dam property or access roads in the areas covered by this contract. The COR will notify the Contractor as areas are closed as a result of floodwaters and will coordinate rescheduling and/or canceling any subsequent service in the closed property area. When flooding ends and waters recede, the COR will notify the Contractor as areas reopen and services may resume.

TECHNICAL REQUIREMENTS:

General Requirement. The Contractor will perform woody debris and non-woody debris removal services in accordance with these specifications. The area for woody debris and non-woody debris removal may encompasses the entire inflow area of the trash rack submerged all the way to the reservoir floor, depth will vary with pool elevation. Normal Conservation Pool Level is 836’. The floor of the trash rack is at elevation 793’. The width of the trash rack is fifty-three (53) feet. Woody debris and non-woody debris is to be removed from the face of the trash rack to achieve 90% clearance of the trash rack inflow area.

Woody debris is considered to be any woody vegetation including, but not limited to, fallen trees, stumps, branches, root ball, logs, shrubs, branches, any boards or lumber including pallets, plywood, stakes, posts, carrying timbers, and other like items. All woody debris is to be transported to the on-site disposal area designated by the Government.

Non-woody debris may include various trash materials including, but not limited to, tires, drums, Styrofoam and plastic containers, propane cylinders and other non-valuable items. Non-woody debris will be removed and separated from the woody debris so the non-woody debris may be disposed of separately. All non-woody debris will be transported to the on-site disposal area designated by the Government.

Most of the debris is submerged woody debris. All woody debris will be transported to an on-site disposal location. The Government will supply a woody debris disposal site within one thousand (1,000) feet of the staging area. All non-woody debris is to be transported to an on-site disposal location. The Government will supply a non-woody debris disposal site within two thousand (2,000) feet of the staging area at the Saylorville Administration and Maintenance Complex.

If the Contractor encounters any containers (i.e. barrels, drums, etc.) suspected of containing, or having contained, hazardous or toxic substances, the Contractor will immediately notify the COR. The Government will be responsible for disposing such containers in the proper manner.

Inspections. The Contractor is responsible for establishing and maintaining an adequate quality control system to satisfactorily inspect and ensure that all work performed by the Contractor’s organization in each separate service is in full compliance with this contract and the instructions, provisions, specifications, drawings, and maps herein.

A pre-work debris inspection survey is to be conducted by the Contractor prior to starting work.

The inspection survey needs to show the volume of debris submerged against the trash rack. The survey is to be supplied to the Government before debris removal begins.

A final debris inspection survey will be required by the Contractor to show that the Contractor has met the requirements of the volume of debris removal. This inspection survey is to be supplied to the Government. Once it is determined by the Government that the contract requirements of 90% clearance of the inflow area of the trash rack have been completed the work will be considered complete.

If completed services do not conform to contract requirements, the Government may require the Contractor correct the deficient services to bring them into conformity with the requirements.

Correction of deficient services does not entitle the Contractor to an increase of the unit price contained in the awarded contract. If the Contractor fails to promptly correct unsatisfactory services or fails to take necessary action to ensure future work is in compliance with the contract requirements, the Government may proceed with any rights or remedies detailed within the contract clauses and terms. The Government reserves the right to delay or stop work as needed to accommodate higher priorities.

Work and Staging Area. The primary work area will be located at the Saylorville Lake Main Dam Control Tower on the reservoir side. The debris removal will take place at the inlet area of the Control Tower which is protected by the steel trash rack below the water surface. The trash rack is made up of vertical and horizontal steel beams. The spacing between beams is show in the attached drawings. Trash racks generally collect debris in a perpendicular alignment to the vertical beams; however, some debris does enter through the piers. The trash rack is accessible by a bridge to the bullnose of the inlet. The bridge deck does have weight limits that may restrict equipment capabilities. The bridge is designed for H 20 loading. There is a parking lot adjacent to the work area that will be designated as the staging area for this project. Equipment may be stored in the Control Tower Access parking lot. The area will be closed off to the public. The Government is not responsible for providing storage containers or facilities for the storage of Contractor supplies, materials, and equipment. The Government assumes no liability for the Contractors equipment and materials left on site. Following completion of the contract, all Contractor’s equipment and materials must be removed from Government property. This area is subject to highwater impacts from fluctuating reservoir pool levels. The Government will monitor pool levels and communicate any impacts to the Contractor as soon as changing pool levels or impacts are identified. The woody material disposal area is approximately one thousand (1,000) feet up the road from the staging area parking lot. The non-woody material disposal area is approximately two thousand (2,000) feet up the road from the staging area parking lot. Maps and photos are attached to show the work and staging areas.

Equipment. Work will require heavy machinery for lifting, pulling, dragging, and transporting of debris. It is the responsibility of the Contractor to control traffic and to provide proper barricades, cones, signage, and traffic control personnel to safely perform the work and protect the public. The Contractor will have access to the shoreline, bridge deck to the area above the trash rack, and/or water surface of the reservoir to remove material from the trash rack. The bridge deck does have weight limits that may restrict equipment capabilities. Equipment will need to be approved by the Government prior to access of the bridge. All load handling and crane operations are required to be completed in accordance with EM 385-1-1, Section 16. These requirements are applicable to load handling equipment (LHE) to include cranes, derricks, hoists and power-operated equipment that can be used to raise, lower and/or horizontally move a suspended load. This includes excavators, forklifts, and other equipment when used with rigging.

Property Damage. The Contractor will use reasonable care to avoid damaging existing, equipment, facilities, parking lots, roads, trash rack, bridges, and structures during the performance of the specified work. The Contractor will be responsible for restoring any Government facilities or structures damaged as a result of the Contractor’s actions. The Contractor will also be responsible for any damage to private property or injury to any person as a result of the Contractor’s operations. The Contractor is to notify the COR immediately of damage to Government and private property and injury to any person resulting from the Contractor’s operation. Also, the Contractor is to notify the COR of damage to Government facilities due to vandalism or other causes on the day such damage is first noticed. Trucks and/or trailers will be driven on existing roads only. The Contractor will also restore features (roadways, parking lots, structures, vegetation, etc.), which are damaged or destroyed by the Contractor’s operation. The Contractor will, at their own expense, provide proof to the COR and maintain during the entire performance of this contract the following: Insurance Type - General Liability (Bodily Injury and Property Damage Combined) Minimum Amounts of Liability $1,000,000.

Each Occurrence $1,000,000 Aggregate. The Contractor is required to provide a Certificate of Insurance to the COR at the time of the Pre-Work Conference.

Safety. Performance of all services must assure complete safety to public visitors, Government employees, Contractor employees, and all other persons in the worksite areas. The Contractor will comply with any pertinent requirements contained in the Corps of Engineers Safety Manual (EM 385-1-1), current at the time of award. Furthermore, the Contractor will comply with pertinent occupational safety and health standards as required by the Occupational Safety and Health Administration (OSHA). The complete safety manual with appendices can be reviewed at the following Internet address:

https://www.usace.army.mil/Missions/Safety-and-Occupational-Health/Safety-and-Health- Requirements-Manual/.

The Contractor will provide Contractor personnel with any personal protective apparel and equipment required by the Safety Manual (EM 385-1-1) and, as necessary, eliminate or minimize hazards to personnel. As a minimum, each employee must wear a hard hat, shirt (with sleeves), long trousers, fall protection harness with lanyard, if required, protective shoes/boots (safety toed), and personal floatation devices when operating on or near boats during all contract work.

Contractor employees will utilize other safety equipment such as: hearing protection devices, work gloves, or protective glasses/goggles whenever required by the safety manual.

Before the Pre-Work Conference, the Contractor will be responsible to provide an approved Accident Prevention Plan, Activity Hazard Analysis Plan, and information about any aerial lifting devices to be used including model number, height, weight and capacity of lift. All aerial lifting devices must be in compliance with the Safety Manual (EM 385-1-1). The Contractor is required to attend a Pre-Work Conference, to be scheduled by the COR, within 10 calendar days of the Notice to Proceed.

The Contractor will prepare an Accident Prevention Plan (APP) specific to the activities being performed. The APP is to include Activity Hazard Analyses (AHAs) as described in Section 3 below. Special attention should focus on the requirements of EM 385-1-1, specifically Section 01.A.12 through 01.A.17 and Appendix A, (Minimum Basic Outline for Accident Prevention Plan). Work will not proceed until the APP has been reviewed by the Government Designated Authority (GDA) and deemed acceptable for use on the project. The APP is to interface with the Contractor's overall safety and health program. Any portions of the Contractor's safety and health program referenced in the APP will be included and made site-specific. The Government considers the Prime Contractor to be the "controlling authority" for safety and health of the subcontractors. The Prime Contractor is responsible for informing their subcontractors of the safety provisions under the terms of the contract, the penalties for noncompliance, and inspecting subcontractor operations to ensure that accident prevention responsibilities are being carried out.

An AHA is to be submitted for each major phase of work. A major phase of work is defined as an operation involving a type of work presenting hazards not experienced in previous operations or where a new subcontractor or work crew is to perform the work. The analysis will define all activities to be performed, identify the sequence of work, the specific hazards anticipated, and the control measures to be implemented to eliminate or reduce each hazard to an acceptable level. Work will not proceed on a phase of work until the AHAs have been submitted and accepted. A preparatory meeting will be conducted by the Prime Contractor to discuss the AHAs contents with all effected onsite employees. The AHA will be continuously reviewed and revised to address changing site conditions as appropriate.

Photos/Drawings/Maps. See attached photos, drawings, and maps of the Saylorville Main Dam Control Tower work area, debris, and onsite disposal locations.

Payment. After final inspection and acceptance by the Government, the Contractor must submit an invoice to the COR. The invoice must include the invoice date, contract number, company name and address as registered in SAM.GOV, dates of service, description of work, quantities, process, and total amount due per line item.

Local Point of Contact.

Dayne Magneson Lake Manager US Army Corps of Engineers 515-276-4656, ext 6511 Email invoices to Dayne.C.Magneson@usace.army.mil mailto:Dayne.C.Magneson@usace.army.mil

SECURITY REQUIREMENTS:

**NOTE: To protect the privacy of the Contractor, all Contractor employees, and all sub-contractor employees, background checks, OPSEC SOPs, E-verify, and I-9 forms must be submitted with a coversheet stating the contract number (e.g. W912EK22CXXXX), title of project, and the company's point of contact information, in a sealed envelope/container and mailed to:

Security Office U.S. Army Corps of Engineers Rock Island District 1500 Rock Island Drive Rock Island, IL 61201

Security Clause 1.

AT Level 1 Training. All Contractor and Sub-Contractor employees requiring access to non-public or private Government property must complete Anti-Terrorism (AT) Level 1 Training within 30 calendar days after notice to proceed date. AT Level 1 Training is available at the following website: https://jkodirect.jten.mil/Atlas2/faces/page/login/Login.seam. The required training is under the heading “JS-US007-14: Level 1 Antiterrorism Awareness Training.”

Contractor employees who have a Common Access Card (CAC) may log in with their CAC.

Contractor employees without a CAC are to log into the “Non-CAC users” link and need to complete the training all at once, as no record of training is to be maintained aside from the certificate that is printed upon completion. All AT Level 1 Training certificates must be submitted to the Contracting Officer Representative within 5 calendar days of completion.

Security Clause 2(b).

For Access and General Protection Policy and Procedures. All Contractors and sub-contractor employees will comply with installation and facility access guidelines and rules as stated herein. Contractor workforce must comply with all personal identity verification requirements as directed by Department of Defense, Department of the Army Headquarters, Rock Island District and/or local policy. In addition to the changes otherwise authorized by the Changes clause of this contract, should the Force Protection Condition (FPCON) at any installation or facility change, the Government may require changes in Contractor security matters or processes.

In support of Rock Island District evaluation of personnel authorized for access to federal facilities, the Contractor must submit background checks that have been conducted by a bonded third party within 6 months of the Notice to Proceed date and authorize reports to be provided to the Rock Island District Security and Law Enforcement Office by the third party. The background check will cover, at a minimum, the ten years covering states the employee has lived in, national criminal records check which includes felony and misdemeanor offenses, Department of Motor Vehicles records, and a national sex offender registry check, submitted 14 days prior to accessing the project site.

Identification Badges: The Contractor is responsible for furnishing a photo identification badge/card to each employee prior to the employee's work on-site, and for requiring each employee engaged on the work to display identification. At a minimum, the badge will have the https://jkodirect.jten.mil/Atlas2/faces/page/login/Login.seam following items shown: the employee’s picture, employee’s name, and company name working for. The badge will be prominently displayed unless restricted for safety concerns, in which case it will be available for immediate display upon request (carried on person).

As employees are added or deleted from the submitted and approved Access Control List (ACL), this information will be reported immediately to the Contracting Officer (KO). Added employees will not be permitted on-site until requirements of this paragraph are completed, submitted, and approved.

Disqualifying factors include, but are not limited to:

(1) Criminal conduct, in particular violent crime and sex offenders;

(2) Habitual use of intoxicating beverages to excess as evidenced by driving under the influence or public intoxication records; or

(3) Any illegal activity or other disqualification which makes the individual unfit for service (e.g.

drug trafficking or procurement fraud).

In addition to the submitted background checks, supplemental agency checks may be performed at the discretion of the Rock Island District security personnel. The Contractor agrees to cooperate and ensure that Contractor personnel provide any documentation required to complete these checks. Any person lacking proper identification credentials or deemed a security threat may be denied access to the project. Such action in no way relieves the Contractor from performance of the Contract. The Rock Island District retains the right to deny any Contractor and Sub-Contractor employee from working on a contract awarded by the Rock Island District based on final background investigation results. All information received as a result of a background check will be handled according to Privacy Act regulation.

In the event that an unexpected change in personnel is required, due to sudden absence of a critical path employee, the Contractor is to immediately contact the Contracting Officer to coordinate obtaining written approval from the Security Office for new/additional personnel to be brought on site prior to background check acceptance. The Contractor is to submit a Personnel Change Request Form, will wait to receive written authorization from the Security Office prior to bringing new personnel on site, and ensure a background check is sent to the Rock Island District Security Office no later than ten days from written notice of approval. The Rock Island District reserves the right to terminate access of the employee upon completion of the Government’s review of the background check and the Contractor will be notified immediately of any such Government decision.

In the event of an unforeseen change in work site conditions which may require a contract modification and the Contractor is required to immediately add personnel, a Personnel Change Request Form will be submitted to and approved by the Security Office prior to bringing new personnel on site. The Contractor is to ensure a background check is sent to the Rock Island District Security Office no later than ten days from written notice of approval. The Rock Island District reserves the right to terminate access of the employee upon completion of the Government’s review of the background check and the Contractor will be notified immediately of any such Government decision.

Subcontractor personnel not expected to be on the worksite for more than 15 days may be allowed on site with the following conditions:

1) Employee will be on site a total of 15 days or less, for the duration of the project.

2) Employee is added to the ACL as a short-term employee.

3) Employee is escorted while on site by Prime Contractor approved personnel. This is defined as being in the line of sight of an identified contractor employee who has a background check on file with the Rock Island District (as noted on the

ACL).

4) Each Contractor employee can sponsor only five short term employees at a time.

Foreign National employees: Due to a difference in background check procedures for long term foreign national employees, all such employees must provide a photocopy of their passport to the Rock Island District Security Office NLT 30 days prior to arrival on site. Short term foreign national employees (e.g. specialists with a two week period of performance) may work on site with the following conditions:

1) Foreign national employee will be on site a total of 15 days or less, for the duration of the project.

2) Foreign national employee will comply with E-Verify requirements E-Verify paragraph).

3) Approved and identified Contractor employee must escort the foreign national employee at ALL times while on site.

4) Each contractor employee can sponsor only one short term foreign national at a time.

Personnel Change Request Form Contract #_______________ Date___________ We, _____________________, respectfully request to add/replace (circle one) personnel to the jobsite due to the following situation:

Personnel to be conditionally added to the ACL (escorted by):

Background checks (if required for a long-term employee) must be submitted by close of business on (insert proposed date): ________________

(Insert signature block)

Security Clause 15.

Pre-screen candidates using E-Verify Program. The Contractor must pre-screen Candidates using the E-Verify Program website (http://www.uscis.gov/e-verify) to meet the established employment eligibility requirements. The Contractor 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. Documentation of company enrollment in E- Verify, via a print screen of the company profile within the E-Verify system, must be submitted to the Security Office no later than 3 business days after the initial Notice to Proceed.

*When contracts are with individuals, the individuals will be required to complete a Form I-9, Employment Eligibility Verification must be given/coordinated with the designated Government representative. This Form will be provided to the Security Office after Notice to Proceed is given.

QASP

QUALITY ASSURANCE SURVEILLANCE PLAN

Purpose: This Quality Assurance Surveillance Plan (QASP) is a Government developed and applied document used to make sure that systematic quality assurance methods are used in the administration of the Performance Based Service Contract (PBSC) standards included in this contract. The intent is to ensure that the contractor performs in accordance with performance metrics set forth in the contract documents, that the Government receives the quality of services called for in the contract, and that the Government only pays for the acceptable level of services received.

1. Critical performance processes and requirements. Critical to the performance of the contract, the contractor shall provide all personnel equipment, tools, materials, supervision, transportation, other items and services necessary to perform as defined in this Performance Work Statement (PWS). The contractor shall provide accurate transaction processing to ensure that material accountability comply with safety and security requirements, in accordance with this PWS. Additionally, the contractor shall be accountable for all auditable documents, establish/maintain effective quality, and perform required within prescribed timeframes. The performance process is the timely, accurate, and thorough completion of all contract requirements.

2. Performance Standards

a. Schedule. The dates for services and the actual accomplishment of the services in accordance with the schedule will be assessed against original dates of services and milestones established for the contract.

b. Service. The services required to be performed will be assessed against the PWS detailed in the contract, for the required content, quality, timeliness, and accuracy.

http://www.uscis.gov/e-verify

c. Past Performance. In addition to schedule and services, and cost aspects of performance discussed above, pursuant to FAR 42.15, the Government will assess the contractor’s record of conforming to contract requirements and to standards of good workmanship, the contractor’s adherence to contract schedules including the administrative aspects of performance, the contractor’s history of reasonable and cooperative behavior and commitment to customer satisfaction, and the contractor’s business-like concern for the interest of the customer.

3. Surveillance methods. The primary methods of surveillance used to monitor performance of this contract will include, but not be limited to: random or planned sampling, periodic inspection, Contractor Self Reporting, and validated customer complaints.

a. Random/Scheduled Monitoring. Random and/or scheduled monitoring will be conducted if and when deemed necessary by the COR to ensure compliance with the terms of the contract. Using the attached matrix the COR will determine whether the contractor is in compliance with the terms of the contract.

b. Contractor Self-Reporting. The contractor shall provide as needed status reports that document significant problems/issues and potential resolutions.

c. Customer Feedback. Customer feedback will be obtained from valid customer complaints. Customer complaints, to be considered valid, must set forth clearly and in writing the detailed nature of the complaint; must be signed and must be forwarded to the COR by the contractor. The contractor shall maintain a log of all customer complaints as well as a copy of each complaint in a documentation file. The COR may request to review the log and/or documentation file at any time.

4. Performance Measurement. Performance will be measured in accordance with the following table:

Performance-Based Matrix

Performance Element

Performance Requirement

Surveillance Method

Frequency Acceptable Quality Level

Contract Services

Contract Services furnished as prescribed in the PWS as applicable.

Inspection by the COR

Random inspection of all sampling of contract services.

>95% of services inspected performed timely and without rework required.

Overall Contract Performance

Overall contract performance of sufficient quality to earn a Satisfactory (or higher) rating in the COR’s annual report on contractor performance

Assessment by the COR

Annual All service elements rated Satisfactory (or higher) Satisfactory = 95% or above average contract acceptable random sampling

Contractor Self Reporting

Contract Services furnished as prescribed in the PWS as applicable.

Contractor Self Reports

Monthly >95% of services reported performed timely and without rework required.

Customer Feedback

Customer complaints reviewed by COR

Inspection by the COR

Per Occurrence

100% of valid customer complaints resolved

Invoicing Monthly invoices per contract procedures are timely and accurate.

Review & acceptance of the invoice by

COR

Monthly 100% accuracy

Incentives/Disincentives:

For each item that does not meet acceptable levels, the Government may issue a Contract Discrepancy Report (CDR). CDRs will be forwarded to the Contracting Officer with a copy sent to the contractor. The contractor must reply in writing within 5 days of receipt identifying how future occurrences of the problem will be prevented. Based upon the contractor’s past performance and plan to solve the problem, the Contracting Officer will determine if any further action will be taken.

In accordance with the inspection of services provisions of the contract (52.212-4 (a) Inspection/Acceptance), the contractor will provide quality products in a timely manner since the Government can require the contractor, at no additional cost, to replace or correct work that fails to meet contract requirements.

CLAUSES INCORPORATED BY REFERENCE

52.204-7 System for Award Management OCT 2018 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-13 System for Award Management Maintenance OCT 2018 52.204-16 Commercial and Government Entity Code Reporting AUG 2020 52.204-17 Ownership or Control of Offeror AUG 2020 52.204-18 Commercial and Government Entity Code Maintenance AUG 2020 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment.

OCT 2020

52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

AUG 2020

52.209-2 Prohibition on Contracting with Inverted Domestic Corporations--Representation

NOV 2015

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.212-1 Instructions to Offerors--Commercial Items SEP 2021 52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.223-10 Waste Reduction Program MAY 2011 52.225-25 Prohibition on Contracting with Entities Engaging in Certain

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

JUN 2020

52.228-5 Insurance - Work On A Government Installation JAN 1997 52.232-18 Availability Of Funds APR 1984 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.237-1 Site Visit APR 1984 52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.246-1 Contractor Inspection Requirements APR 1984 252.201-7000 Contracting Officer's Representative DEC 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 252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

DEC 2019

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

MAY 2016

252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or Hazardous Materials

SEP 2014

252.223-7008 Prohibition of Hexavalent Chromium JUN 2013 252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.244-7000 Subcontracts for Commercial Items JAN 2021

CLAUSES INCORPORATED BY FULL TEXT

52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES--REPRESENTATION (OCT

2020)

(a) Definitions. As used in this provision, “covered telecommunications equipment or services” and "reasonable inquiry" have the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services”.

(c) Representations.

(1) The Offeror represents that it [ ___ ] does, [ ___ ] does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

(2) After conducting a reasonable inquiry for purposes of this representation, the offeror represents that it [ ___ ] does, [ ___ ] does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services.

(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: PRICE

(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 (FEB 2021)

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management (SAM) accessed through https://www.sam.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (v) of this provision.

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

“Covered telecommunications equipment or services” has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

https://www.sam.gov/

“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.

“Predecessor” means an entity that is replaced by a successor and includes any predecessors of the predecessor.

“Reasonable inquiry” has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

“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"--

(1) 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.

(2) Affiliates, as used in this definition, means business concerns, one of whom directly or indirectly controls or has the power to control the others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13 CFR 121.103.

“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.

“Successor” means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company or a company that only changes its name.

The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

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

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

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

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

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

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

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

“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 in SAM.

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(s) applicable to the NAICS code(s) referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs __.

[Offeror to identify the applicable paragraphs at (c) through (v) 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…