RFQ_16-T-0071.pdf

SEE ADDENDUM

(No Collect Calls)

W912ES-16-T-0071 08-Apr-2016

b. TELEPHONE NUMBER

651-290-5410

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 19 Apr 2016

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W912ES9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

DEBORAH A LAWRENCE

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

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

W81G6760145622

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

WOMEN-OWNED SMALL

BUSINESS (WOSB)

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

CONTRACTING DIVISION

USACE - ST. PAUL

180 5TH STREET E SUITE 700

ST. PAUL MN 55101-1678

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 PINE 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

CROSS LAKE DAM

CORRINE HODAPP

CROSS LAKE RECREATION AREA

35507 COUNTY ROAD 66

CROSS LAKE MN 56442-0036

TEL: 715-775-5562 FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL BUSINESS

(EDWOSB)

SIZE STANDARD:

$38.5 million

NAICS:

562111

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.

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF55

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

BASE YEAR - GARBAGE REMOVAL SERVICES

FFP

FOR THE CROSS LAKE RECREATION AREA, LOCATED IN CROSSLAKE,

MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE

ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS HEREIN.

FOB: Destination

MILSTRIP: W81G6760145622

PURCHASE REQUEST NUMBER: W81G6760145622

NET AMT

0001AA 5.50 Months Two 8-yard Garbage Dumpsters

FFP

Period of Performance: May 1, 2016 through October 15, 2016

FOB: Destination

0001AB 6.50 Months One 8-yard Garbage Dumpster

FFP

Period of Performance: October 16, 2016 through April 30, 2017

0002 5 Months

BASE YEAR - FIREWOOD ASH REMOVAL SERVICE

FFP

FOR THE CROSS LAKE RECREATION AREA, LOCATED IN CROSSLAKE,

MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE

ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS HEREIN.

Period of Performance: May 1, 2016 through September 30, 2016

0003 5.50 Months

BASE YEAR - RECYCLING REMOVAL SERVICE

FFP

FOR THE CROSS LAKE RECREATION AREA, LOCATED IN CROSSLAKE,

MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE

ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS HEREIN.

Period of Performance: May 1, 2016 through October 15, 2016

OPTION OPTION YEAR 1- GARBAGE REMOVAL SERVICES

FFP

FOR THE CROSS LAKE RECREATION AREA, LOCATED IN CROSSLAKE,

MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE

ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS HEREIN.

1001AA 5.50 Months OPTION Two 8-yard Garbage Dumpsters

FFP

Period of Performance: May 1, 2017 through October 15, 2017

1001AB 6.50 Months OPTION One 8-yard Garbage Dumpster

FFP

Period of Performance: October 16, 2017 through April 30, 2018

1002 5 Months

OPTION OPTION YEAR 1- FIREWOOD ASH REMOVAL

FFP

SERVICE FOR THE CROSS LAKE RECREATION AREA, LOCATED IN

CROSSLAKE, MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH

THE ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS

HEREIN.

Period of Performance: May 1, 2017 through September 30, 2017

1003 5.50 Months

OPTION OPTION YEAR 1- RECYCLING REMOVAL SERVICE

FFP

FOR THE CROSS LAKE RECREATION AREA, LOCATED IN CROSSLAKE,

MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE

ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS HEREIN.

Period of Performance: May 1, 2017 through October 15, 2017

OPTION OPTION YEAR 2- GARBAGE REMOVAL SERVICES

FFP

FOR THE CROSS LAKE RECREATION AREA, LOCATED IN CROSSLAKE,

MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE

ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS HEREIN.

2001AA 5.50 Months OPTION Two 8-yard Garbage Dumpsters

FFP

Period of Performance: May 1, 2018 through October 15, 2018

2001AB 6.50 Months OPTION One 8-yard Garbage Dumpster

FFP

Period of Performance: October 16, 2018 through April 30, 2019

2002 5 Months

OPTION OPTION YEAR 2- FIREWOOD ASH REMOVAL

FFP

SERVICE FOR THE CROSS LAKE RECREATION AREA, LOCATED IN

CROSSLAKE, MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH

THE ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS

HEREIN.

Period of Performance: May 1, 2018 through September 30, 2018

2003 5.50 Months

OPTION OPTION YEAR 2- RECYCLING REMOVAL SERVICE

FFP

FOR THE CROSS LAKE RECREATION AREA, LOCATED IN CROSSLAKE,

MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE

ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS HEREIN.

Period of Performance: May 1, 2018 through October 15, 2018

OPTION OPTION YEAR 3- GARBAGE REMOVAL SERVICES

FFP

FOR THE CROSS LAKE RECREATION AREA, LOCATED IN CROSSLAKE,

MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE

ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS HEREIN.

3001AA 5.50 Months OPTION Two 8-yard Garbage Dumpsters

FFP

Period of Performance: May 1, 2019 through October 15, 2019

3001AB 6.50 Months OPTION One 8-yard Garbage Dumpster

FFP

Period of Performance: October 16, 2019 through April 30, 2020

3002 5 Months

OPTION OPTION YEAR 3- FIREWOOD ASH REMOVAL

FFP

SERVICE FOR THE CROSS LAKE RECREATION AREA, LOCATED IN

CROSSLAKE, MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH

THE ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS

HEREIN.

Period of Performance: May 1, 2019 through September 30, 2019

3003 5.50 Months

OPTION OPTION YEAR 3- RECYCLING REMOVAL SERVICE

FFP

FOR THE CROSS LAKE RECREATION AREA, LOCATED IN CROSSLAKE,

MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE

ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS HEREIN.

Period of Performance: May 1, 2019 through October 15, 2019

OPTION OPTION YEAR 4- GARBAGE REMOVAL SERVICES

FFP

FOR THE CROSS LAKE RECREATION AREA, LOCATED IN CROSSLAKE,

MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE

ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS HEREIN.

4001AA 5.50 Months OPTION Two 8-yard Garbage Dumpsters

FFP

Period of Performance: May 1, 2020 through October 15, 2020

4001AB 6.50 Months OPTION One 8-yard Garbage Dumpster

FFP

Period of Performance: October 16, 2020 through April 30, 2021

4002 5 Months

OPTION OPTION YEAR 4- FIREWOOD ASH REMOVAL

FFP

SERVICE FOR THE CROSS LAKE RECREATION AREA, LOCATED IN

CROSSLAKE, MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH

THE ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS

HEREIN.

Period of Performance: May 1, 2020 through September 30, 2020

4003 5.50 Months

OPTION OPTION YEAR 4- RECYCLING REMOVAL SERVICE

FFP

FOR THE CROSS LAKE RECREATION AREA, LOCATED IN CROSSLAKE,

MN. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE

ENCLOSED SCOPE OF WORK AND THE TERMS/CONDITIONS HEREIN.

Period of Performance: May 1, 2020 through October 15, 2020

NOTES TO OFFERORS:

1. THIS REQUEST FOR QUOTE (RFQ) #W912ES-16-T-0071 IS TO SOLICIT QUOTES FOR GARBAGE

REMOVAL SERVICES FOR THE U.S. ARMY CORPS OF ENGINEERS, CROSS LAKE

RECREATION AREA LOCATED IN CROSSLAKE, MN. THIS RESULTING CONTRACT WILL BE

FOR A BASE YEAR WITH FOUR (4) SUBSEQUENT OPTION YEARS, FOR A TOTAL OF FIVE (5)

YEARS.

2. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE ENCLOSED SCOPE OF WORK

(SOW) AND THE DEPT. OF LABOR WAGE DETERMINATION 05-2285 (REV. 16) DATED

01/05/2016. THE SOW MAP OF THE PROPERTY IS INCLUDED AS SEPARATE

ATTACHEMENT.

3. F.O.B. DESTINATION IS REQUIRED. THIS PROCUREMENT IS 100% SET-ASIDE FOR SMALL

BUSINESS (SB) ONLY.

4. TO SUBMIT A QUOTE:

a. Please complete boxes 17a. with your company name and address and telephone number. In box 18a.

please put your company Federal Tax I.D. number.

b. Contractor must fill in the enclosed Bid Schedule (Section B). When filling in the cost please read the

Scope of Work and note the number of scheduled pickups for garbage, recycling and ash removal.

They vary during the year, so take that into account when figuring out your costs. The prices entered should be the total price for the Base Year and for each Option Year. Please return the Bid Schedule

(Section B) as your quote. If you have any questions about this please contact Deborah

Lawrence at 651-290-5410.

c. Quotes may be submitted by email (preferred), directly to Deborah Lawrence at deborah.a.lawrence@usace.army.mil or faxed to her attention at fax number 651-290-5706.

mailto:deborah.a.lawrence@usace.army.mil

5. ANY TECHNICAL QUESTIONS PERTAINING TO THIS RFQ #W912ES-16-T-0071 SHOULD BE

SUBMITTED IN WRITING TO DEBORAH LAWRENCE, PURCHASING TECHNICIAN AT

deborah.a.lawrence@usace.army.mil and Kevin.P.Henricks@usace.army.mil. QUESTIONS SHOULD BE

RECEIVED NO LATER THAN 2 DAYS PRIOR TO THE QUOTE DUE DATE.

6. ALL CONTRACTORS MUST BE REGISTERED IN SAM (SYSTEM FOR AWARD MANAGEMENT),

INCLUDING THE ON-LINE REPRESENTATIONS AND CERTIFICATIONS SECTION, PRIOR TO

AWARD. THERE IS NO FEE TO REGISTER IN SAM. TO REGISTER GO TO THE SAM WEBSITE

AT http://www.acquisition.gov. IF YOU HAVE ANY QUESTIONS ABOUT REGISTERING, PLEASE

CONTACT DEBORAH LAWRENCE AT 651290-5410. WE CAN’T AWARD TO CONTRACTORS

THAT ARE NOT REGISTERED AND ACTIVE IN SAM.

7. ALL QUOTES ARE DUE NO LATER THAN THE DATE AND TIME PROVIDED IN BLOCK 8

ON PAGE 1 OF THIS STANDARD FORM 1449. NO LATE QUOTES WILL BE ACCEPTED.

PLEASE BE SURE TO INCLUDE YOUR FEDERAL TAX I.D. NUMBER ON YOUR QUOTE.

8. THE U.S. ARMY CORPS OF ENGINEERS IS AN AGENCY OF THE FEDERAL GOVERNMENT

(DEPT. OF DEFENSE), THEREFORE, TAX-EXEMPT. FEDERAL TAX I.D. NUMBER 62-1642142.

SCOPE OF WORK (SOW):

U.S. Army Corps of Engineers

Cross Lake Recreation Area

Garbage, Recycling and Firewood Ash Materials Removal

Scope of Work

1.0 General: This scope of work provides detail for acquisition of Garbage Removal

Services for the U.S. Army Corps of Engineers’ (Corps) Cross Lake Recreation Area.

This contract consists of the acquisition of garbage services by the Corps with a base contract period of 1 year with 4 subsequent option years, for a total of 5 years.

2.0 Project Location and Description: Cross Lake Recreation Area is a heavily utilized multi-purpose recreation area that includes a campground with 121 campsites and day use areas that include two boat ramps, fishing piers, a dam, office and multiple restroom and shower facilities. The Recreation Area is located on the east side of Cross Lake which is part of the Whitefish Chain of Lakes in north central Minnesota. The address is:

35507 County Road 66, Crosslake, MN 56442.

3.0 Point of Contact and Billing: The Point of Contact for the Army Corps of Engineers is

Corrine Hodapp, Southern Headwaters Section Supervisor, 651-290-5790. The Contractor shall bill the U. S. Army Corps of Engineers, Cross Lake Recreation Area, 35507 County Road

66, P.O. Box 36, Crosslake, Minnesota 56442-0036 for Garbage Pickup/Removal service on a monthly basis.

mailto:deborah.a.lawrence@usace.army.mil mailto:Kevin.P.Henricks@usace.army.mil http://www.acquisition.gov/

4.0 Garbage, Recycling & Firewood Ash Dumpster Service Times: All garbage, recycling and ash dumpsters shall be emptied between the hours of 8:00 am and 4:00 pm.

5.0 Garbage Container Service: The Contractor shall provide two (2) 8-yard garbage dumpsters with covers. The two garbage dumpsters will be located at separate locations within the campground area as shown on attachment 1. The garbage dumpsters shall be emptied daily, six days a week on Monday through Saturday from 01 May through 15

October. One of the garbage dumpsters shall be moved to the office parking lot to an area designated by the Site Supervisor and emptied once per month from 16 October through 30

April. The other garbage dumpster shall be removed from the site during this time period, and re-installed to its location in the campground prior to 01 May each year.

Dumpsters shall be in good condition and replaced with a clean dumpster if they become unsightly or strong smelling. Exact locations of both dumpsters within the Recreation Area may be subject to change if needs dictate. The relocation of dumpsters will be infrequent and normally at the beginning of the season. The contractor will be notified by the

Supervisory Ranger at least one week in advance of any intended change to dumpster locations.

6.0 Firewood Ash Container Service: The Contractor shall provide one (1) 8-yard dumpster designed for firewood ashes. The firewood ash dumpster shall be located on the

South end of the parking lot next to the Corps of Engineers office building as shown in attachment 1. The firewood ash dumpster shall be emptied twice per month from 01

May through 30 September on days designated by the Site Supervisor and agreed upon by the Contractor. The firewood ash dumpster will not be serviced from 01 October through 30 April and shall be removed from the site throughout this time period. The dumpster shall be installed in its proper location prior to 01 May each year.

7.0 Recycling Container Service: The Contractor shall provide a roll-off type recycling container with covers and a 14 yard minimum capacity. The recycling container shall contain separate compartments for aluminum cans, plastics, cardboard and glass, at a minimum. The container must be in good condition and must be replaced with a similar one if it becomes unsightly or strong smelling. The recycling container shall be placed in the campground near one of the garbage dumpsters as shown in attachment 1. The container shall be emptied whenever it becomes full from 01 May through 15 October. It is estimated that a 14 yard container would need to be emptied at least once per month. The Site

Supervisor will notify the Contractor when the container is full and the contractor must empty and replace the container within 2 days of notification that it is full. Waste within the recycling container must be transported to a recycling center and properly recycled. The recycling container will not be serviced 16 October through 30 April, and will be removed from the site throughout this time period. The exact location of the recycling container within the

Recreation Area may be subject to change if needs dictate. The relocation of dumpsters will be infrequent and normally at the beginning of the season. The contractor will be notified by the Supervisory Ranger at least one week in advance of any intended change to the container location.

8.0 Equipment and Safety: Contractor vehicles shall be in good working order. Vehicles leaking motor oil, hydraulic fluid, etc. will not be allowed on the site. Contractor vehicles must follow posted speed limits within the Recreation Area. Careless or reckless operation within the Recreation Area will not be allowed. The contractor must comply with all applicable federal, state and local safety and occupational health laws, rules, and regulations and must complete all work in a safe manner in accordance with EM 385-1-1 Safety & Health

Requirements Manual. An on line version can be reviewed at http://www.publications.usace.army.mil/Portals/76/Publications/EngineerManuals/EM_385-

1-1.pdf .

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

W912ES-16-T-0071

SCHEDULE - SECTION B

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

SCHEDULE

001 2016-2017 Garbage Removal Services for Crosslake Recreation Area.

001A Basic Period of performance: 1 JB

01 May 2016 through 30 April 2017 BID AMOUNT

001A1 Garbage, Recycling and Ash Removal: ________________

002 2017-2018 Garbage Removal Services for Crosslake Recreation Area.

002A Option Year One (1) Period of performance: 1 JB

01 May 2017 through 30 April 2018 BID AMOUNT

002A1 Garbage, Recycling and Ash Removal: ________________

003 2018-2019 Garbage Removal Services for Crosslake Recreation Area.

003A Option Year Two (2) Period of performance: 1 JB

01 May 2018 through 30 April 2019 BID AMOUNT

003A1 Garbage, Recycling and Ash Removal: ________________

004 2019-2020 Garbage Removal Services for Crosslake Recreation Area.

004A Option Year Three (3) Period of performance: 1 JB

01 May 2019 through 30 April 2020 BID AMOUNT

004A1 Garbage, Recycling and Ash Removal: ________________

005 2020-2021 Garbage Removal Services for Crosslake Recreation Area.

005A Option Year Four (4) Period of performance: 1 JB

01 May 2020 through 30 April 2021 BID AMOUNT

005A1 Garbage, Recycling and Ash Removal: ________________

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 POP 01-MAY-2016 TO

30-APR-2017

N/A CROSS LAKE DAM

CORRINE HODAPP

CROSS LAKE RECREATION AREA

35507 COUNTY ROAD 66

CROSS LAKE MN 56442-0036

715-775-5562

PINE

0001AA POP 01-MAY-2016 TO

15-OCT-2016

N/A (SAME AS PREVIOUS LOCATION)

0001AB POP 16-OCT-2016 TO

30-APR-2017

N/A (SAME AS PREVIOUS LOCATION)

0002 POP 01-MAY-2016 TO

30-SEP-2016

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-MAY-2016 TO

15-OCT-2016

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-MAY-2017 TO

30-APR-2018

N/A (SAME AS PREVIOUS LOCATION)

1001AA POP 01-MAY-2017 TO

15-OCT-2017

N/A (SAME AS PREVIOUS LOCATION)

1001AB POP 16-OCT-2017 TO

30-APR-2018

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-MAY-2017 TO

30-SEP-2017

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-MAY-2017 TO

15-OCT-2017

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 01-MAY-2018 TO

30-APR-2019

N/A (SAME AS PREVIOUS LOCATION)

2001AA POP 01-MAY-2018 TO

15-OCT-2018

N/A (SAME AS PREVIOUS LOCATION)

2001AB POP 16-OCT-2018 TO

30-APR-2019

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 01-MAY-2018 TO

30-SEP-2018

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 01-MAY-2018 TO

15-OCT-2018

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 01-MAY-2019 TO

30-APR-2020

N/A (SAME AS PREVIOUS LOCATION)

3001AA POP 01-MAY-2019 TO

15-OCT-2019

N/A (SAME AS PREVIOUS LOCATION)

3001AB POP 16-OCT-2019 TO

30-APR-2020

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 01-MAY-2019 TO

30-SEP-2019

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 01-MAY-2019 TO

15-OCT-2019

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 01-MAY-2020 TO

30-APR-2021

N/A (SAME AS PREVIOUS LOCATION)

4001AA POP 01-MAY-2020 TO

15-OCT-2020

N/A (SAME AS PREVIOUS LOCATION)

4001AB POP 16-OCT-2020 TO

30-APR-2021

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 01-MAY-2020 TO

30-SEP-2020

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-MAY-2020 TO

15-OCT-2020

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.212-1 Instructions to Offerors--Commercial Items OCT 2015

52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015

52.222-50 Combating Trafficking in Persons MAR 2015

52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.247-34 F.O.B. Destination NOV 1991

52.253-1 Computer Generated Forms JAN 1991

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7015 Disclosure of Information to Litigation Support Contractors FEB 2014

252.213-7000 Notice to Prospective Suppliers on Use of Past Performance

Information Retrieval System--Statistical Reporting in Past

Performance Evaluations

JUN 2015

252.223-7008 Prohibition of Hexavalent Chromium JUN 2013

252.225-7048 Export-Controlled Items 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 JUN 2013

252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (MAR 2016)

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site accessed through http://www.acquisition.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (q) of this provision.

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

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

"Forced or indentured child labor" means all work or service-

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

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

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

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

http://www.acquisition.gov/

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

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

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

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

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

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

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

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

(8) PSC 9610, Ores;

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

(10) PSC 9630, Additive Metal Materials.

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

Restricted business operations means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the

Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment

Act of 2007) conducting the business can demonstrate--

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

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

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

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

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

(6) Have been voluntarily suspended.

Sensitive technology--

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

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

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

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

(50 U.S.C. 1702(b)(3)).

Service-disabled veteran-owned small business concern--

(1) Means a small business concern--

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

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

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

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

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

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

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

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

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

Subsidiary means an entity in which more than 50 percent of the entity is owned--

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

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

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

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

"Women-owned business concern" means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the 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 posted electronically on the SAM website.

(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 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 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 (q) 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 ORCA.]

(c) Offerors must complete the following representations when the resulting contract will 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.

https://www.acquisition.gov/

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

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

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

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB

Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ___ .] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

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

(i) It [ ___ ] is, [ ___ ] is not an EDWOSB concern, has provided all the required documents to the WOSB

Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

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

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

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

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

(i) It [ ___ ] is, [ ___ ] is not a HUBZone small business concern listed, on the date of this representation, on the

List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR Part 126; and

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

(d) Certifications and representations required to implement provisions of Executive Order 11246--

(1) Previous Contracts and Compliance. The offeror represents that--

(i) It ( ___ ) has, ( ___ ) has not, participated in a previous contract or subcontract subject either to the Equal

Opportunity clause of this solicitation, the and

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

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

(i) It ( ___ ) has developed and has on file, ( ___ ) has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR

Subparts 60-1 and 60-2), or

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

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy

American --Supplies, is included in this solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of

“domestic end product.” The terms “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American--Supplies.”

(2) Foreign End Products:

Line Item

No.

Country of

Origin

(List as necessary)

(3) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(g)(1) Buy American--Free Trade Agreements--Israeli Trade Act Certificate. (Applies only if the clause at FAR

52.225-3, Buy American--Free Trade Agreements--Israeli Trade Act, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The terms ``Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product,'' ``commercially available off-the-shelf (COTS) item,''

``component,'' ``domestic end product,'' ``end product,'' ``foreign end product,'' ``Free Trade Agreement country,''

``Free Trade Agreement country end product,'' ``Israeli end product,'' and ``United States'' are defined in the clause of this solicitation entitled ``Buy American--Free Trade Agreements--Israeli Trade Act.''

(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than

Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled ``Buy American--Free Trade Agreements--Israeli Trade Act'':

Free Trade Agreement Country End Products (Other than Bahrainian, Moroccan, Omani, Panamanian, or Peruvian

End Products) or Israeli End Products:

Country of

Origin

[List as necessary]

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) of this provision) as defined in the clause of this solicitation entitled "Buy American-Free Trade Agreements-Israeli

Trade Act." The offeror shall list as other foreign end products those end products manufactured in the United

States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.”

Other Foreign End Products:

Line Item

No.

Country of

Origin

(iv) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(2) Buy American Act-Free Trade Agreements-Israeli Trade Act Certificate, Alternate I (Jan 2004). If Alternate I to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products as defined in the clause of this solicitation entitled "Buy American -Free Trade Agreements-Israeli Trade Act":

Canadian End Products:

Line Item

No.

(3) Buy American-Free Trade Agreements-Israeli Trade Act Certificate, Alternate II (Jan 2004). If Alternate II to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products or Israeli end products as defined in the clause of this solicitation entitled "Buy American-Free Trade Agreements-Israeli Trade Act":

Canadian or Israeli End Products:

Line Item

No.

Country of

Origin

(4) Buy American--Free Trade Agreements--Israeli Trade Act Certificate, Alternate III. If Alternate III to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Korean, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled ``Buy American --Free Trade Agreements--Israeli Trade Act'':

Free Trade Agreement Country End Products (Other than Bahrainian, Korean, Moroccan, Omani, Panamanian, or

Peruvian End Products) or Israeli End Products:

Country of

Origin

(5) Trade Agreements Certificate. (Applies only if the clause at FAR 52.225-5, Trade Agreements, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(5)(ii) of this provision, is a U.S.-made or designated country end product, as defined in the clause of this solicitation entitled ``Trade Agreements''.

(ii) The offeror shall list as other end products those end products that are not U.S.-made or designated country end products.

Other End Products:

Country of

Origin

(iii) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25. For line items covered by the WTO GPA, the Government will evaluate offers of U.S.-made or designated country end products without regard to the restrictions of the Buy American statute. The Government will consider for award only offers of U.S.-made or designated country end products unless the Contracting

Officer determines that there are no offers for such products or that the offers for such products are insufficient to fulfill the requirements of the solicitation.

(h) Certification Regarding Responsibility Matters (Executive Order 12689). (Applies only if the contract value is expected to exceed the simplified acquisition threshold.) The offeror certifies, to the best of its knowledge and belief, that the offeror and/or any of its principals--

(1) [ ___ ] Are, [ ___ ] are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;

(2) [ ___ ] Have, [ ___ ] have not, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property; and

(3) [ ___ ] Are, [ ___ ] are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses enumerated in paragraph (h)(2) of this clause; and

(4) [ ___ ] Have, [ ___ ] have not, within a three-year period preceding this offer, been notified of any delinquent

Federal taxes in an amount that exceeds $3,500 for which the liability remains unsatisfied.

(i) Taxes are considered delinquent if both of the following criteria apply:

(A) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.

(B) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.

(ii) Examples.

(A) The taxpayer has received a statutory notice of deficiency, under I.R.C. §6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax liability.

Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appear rights.

(B) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. §6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals

Contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. In the course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.

(C) The taxpayer has entered into an installment agreement pursuant to I.R.C. §6159. The taxpayer is making timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the taxpayer is not currently required to make full payment.

(D) The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. §362 (the Bankruptcy Code).

(i) Certification Regarding Knowledge of Child Labor for Listed End Products (Executive Order 13126). [The

Contracting Officer must list in paragraph (i)(1) any end products being acquired under this solicitation that are included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, unless excluded at 22.1503(b).]

(1) Listed end products.

https://www.acquisition.gov/far/current/html/Subpart%2022_15.html#wp1088086

Listed End Product Listed Countriesof Origin

NONE NONE

(2) Certification. [If the Contracting Officer has identified end products and countries of origin in paragraph (i)(1) of this provision, then the offeror must certify to either (i)(2)(i) or (i)(2)(ii) by checking the appropriate block.]

[ ___ ] (i) The offeror will not supply any end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product.

[ ___ ] (ii) The offeror may supply an end product listed in paragraph (i)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product. The offeror certifies that it has made a good faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture any such end product furnished under this contract.