W912ES18T0016_Steel_Supply_Solicitation.pdf

SEE ADDENDUM

(No Collect Calls)

W912ES18T0016 21-Nov-2017

b. TELEPHONE NUMBER

651-290-5407

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 30 Nov 2017

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W912ES9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

TERRY G ZENKER

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

W81G6773051582

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

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 W912ES 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

X SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

LOCK & DAM #7

DELENE MOSER

USACE - LOCK & DAM 7

33018 HIGHWAY 61

LACRESCENT MN 55947

TEL: 651-290-5183 FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

1,500

NAICS:

331110

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

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

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 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

NOTES TO QUOTERS

Please submit all questions in writing to Terry Zenker, Contract Specialist at terry.g.zenker@usace.army.mil

Please submit your quote as a PDF attachment to an email (preferred) sent to Terry.g.zenker@usace.army.mil or by mail/courier to:

U.S. Army Corps of Engineers Attn: Contracting (Terry Zenker) 180 5th Street East, STE 700 St. Paul, MN 55101-1678 As a component of the U.S. Government, the U.S. Army Corps of Engineers is exempt from Federal, State and Local taxes, including sales taxes. Please do not include sales tax(es) in quoted price. Please contact Terry Zenker, Contract Specialist, for the appropriate tax exempt certificate.

All item pricing shall include shipping (FOB destination) and shall not have a separate line for shipping costs.

This procurement is a 100% Small Business Set-Aside. The supplies provided must meet the requirements in 52.219-6(d). The Small Business Administration has not issued a class waiver to the non-manufacturer rule applicable to the supplies required.

Quotes must include information about the manufacturing facility (per SOW 6 (c)). Quotes received without this information may be excluded from consideration for award.

Offeror must be registered in SAM (System for Award Management) https://www.sam.gov to include the FAR and DFARS Reps and Certs sections with the NAICS code applicable to the solicitation. For assistance with SAM, please contact:

SAM by GSA Hours of Operation: Monday – Friday 8am to 8pm ET U.S. Calls 866-606-8220, Service desk website: http://www.fsd.gov/

STATEMENT OF WORK

SCOPE OF WORK

LOCK AND DAM

STRUCTURAL STEEL SUPPLY

1. GENERAL. The Contractor shall provide all labor, plant, and material needed to furnish and deliver the structural steel wale assemblies, tie rod assemblies, structural bolt assemblies, non‐structural bolt assemblies, wale splice assemblies, tension plates, pipe spacer assemblies, and drain cover assemblies shown and specified herein. The Contractor shall also deliver all components required under this contract to the specified delivery location and shall provide any necessary material handling equipment needed to offload the delivery trucks.

2. DELIVERY LOCATION. All components specified in this scope of work shall be delivered by the Contractor to Lock and Dam 7. The Contractor is responsible for off‐loading the delivery trucks and providing any necessary material handling equipment need to offload the delivery trucks at the delivery location.

a. Physical Delivery Location: Lock and Dam 7 is located in Winona County, Minnesota approximately 3 miles upstream of La Crescent, Minnesota along the right bank of the Mississippi River. Lock and

Dam 7 is located on the USGS La Crescent 7.5 minute quadrangle. The delivery location is further specified as the following grid coordinate: 15T XJ 35769 58349

b. Mailing Address: U.S. Army Corps of Engineers Lock and Dam 7 33018 Highway 61 La Crescent, MN 55947

c. Delivery Coordination. The Contractor shall contact the lockmaster and provide notification of the scheduled delivery date at least five working days prior to delivery of each shipment.

Lockmaster – Ms. Delene Moser

(651) 290.5183 (office)

d. Delivery Hours. Deliveries will only be accepted Monday through Friday, exclusive of Federal holidays from 0800 to 1600 hours.

3. INVOICE REQUIREMENTS. The Contractor shall furnish an invoice to the Lockmaster and Chief of Maintenance and Repair upon delivery.

Chief of Maintenance and Repair – Mr. Chris Stai

431 North Shore Drive Fountain City, WI 54629

(651) 290‐5144

4. DIMENSIONAL TOLERANCES.

a. Rolled Shapes and plates shall conform to the requirements specified in ASTM A6

b. Overall length of the wales and tie rods shall be plus or minus 1/16th of an inch.

c. Bolt holes shall be sized 1/16th of an inch larger than the bolt diameter.

d. Tie rods and channels shall deviate no more than 1/8” from true in the longitudinal dimension over any 10 foot span.

5. SURFACE FINISH.

FINNISHSCHEDULE

Wales Hot Dip Galvanized IAW ASTM 123 (after fabrication)

Non‐Structural Bolt Assemblies Hot Dip Galvanized IAW ASTM 123

Tie Rod Assemblies Hot Dip Galvanized IAW ASTM 123

Drain Covers Hot Dip Galvanized IAW ASTM 123

Structural Bolt Assemblies Hot Dip Galvanized IAW ASTM 123

Wale Splice Plates Hot Dip Galvanized IAW ASTM 123

Tension Plate Assemblies Hot Dip Galvanized IAW ASTM 123

Pipe Spacer Assemblies Hot Dip Galvanized IAW ASTM 123

Threaded Rod Assemblies Hot Dip Galvanized IAW ASTM 123

6. STRUCTURAL STEEL MATERIAL REQUIREMENTS.

a. Structural Steel. Wide flange and WT shapes shall conform to ASTM A992/A992M. Angles, Channels, and Plates shall conform to the requirements of ASTM A36/A36M.

b. Structural Steel Tubing. Structural steel tubing shall conform to ASTM A500/A500M, Grade C, 50,000 psi yield strength

c. Mill Certifications. The Contractor shall provide mill certifications showing all physical and chemical properties conform the requirements given in sub paragraphs a. and b. above. Mill certifications shall be submitted at the time of delivery for information only.

7. STRUCTURAL BOLT ASSEMBLIES. Each structural bolt assembly shall consist of a bolt, nut, and washer, unless noted or specified otherwise. Structural bolt assemblies shall conform to ASTM A325, Type 1. Nuts shall conform to ASTM A563, Grade and Style as specified in the applicable ASTM bolt standard. Washers shall conform to ASTM F436, plain carbon steel. Structural bolt assemblies intended for use as part of the wale splice plate assemblies shall be ASTM A325 twist off type tension control fasteners.

8. NON‐STRUCTRUAL BOLT ASSEMBLIES. Each non‐structural bolt assembly shall consist of a bolt, nut, and two washers. Non‐structural bolts shall conform to ASTM A307, Grade A. The bolt heads and the nuts of the supplied fasteners must be marked with the manufacturer's identification mark, the strength grade and type specified by ASTM specifications. Nuts shall conform to ASTM A563M, Grade A, heavy hex style. Washers shall conform to ASTM F844. All components of the non‐structural bolt assemblies shall be hot dip galvanized, after fabrication, in accordance with ASTM A123. Grip shall be sufficient to accommodate two washers, a nut, and a half inch thick sheet pile web.

W912ES18T0016

9. TIE ROD ASSEMBLIES, 1 ¾” diameter. 1 ¾” diameter threaded rod shall conform to ASTM A615/A615M with a minimum yield stress of 75,000 psi. Threaded Rod Assembly Washers shall conform to ASTM F436, plain carbon steel. High Strength Threaded Rod Assembly Nuts shall conform to ASTM A563, Grade A, Heavy Hex Style. Thread Rod Assembly Plate. All plate included in the threaded rod assembly shall conform to ASTM A36/A36M

10. THREADED ROD ASSEMBLIES, 7/8” diameter. 7/8” diameter threaded rod shall conform to ASTM A449/A449M with a minimum tensile strength of 120,000 psi. Threaded Rod Assembly Washers shall conform to ASTM F436, plain carbon steel. High Strength Threaded Rod Assembly Nuts shall conform to ASTM A563, Grade B, Hex Style.

11. DRAIN COVER ASSEMBLIES. Drain cover assemblies shall consist of a threaded flange, two neoprene gaskets, one perforated steel screen, four 5/8 inch diameter ASTM A307 steel studs, four washers, four nuts, and one ASTM A36 steel plate with the studs attached. The Contractor shall determine the required length of the ASTM A307 studs. Threaded flanges shall conform to ASME/ANSI B16.5 Class 150. Gaskets shall be constructed from neoprene and shall conform to ASME 16.21, Class 150. All metallic components of the drain cover assembly shall be hot dipped galvanized after fabrication. Drain cover assemblies shall be delivered fully assembled.

12. QUANTITIES REQUIRED. See attached bill of materials.

13. SHOP DRAWINGS. The Contractor shall submit shop drawings of the wales, tie rod assemblies, wale splice plate assemblies, tension plates, pipe spacer assemblies, and drain cover assemblies for approval by the Contracting Officer. The Contractor shall submit .pdf files of the shop drawings for approval no later than 10 working days after contract award. The Government will approve or disapprove the shop drawings within five working days of receipt of the shop drawings. Fabrication shall not commence before the shop drawings are approved. Shop drawings shall be of sufficient detail that the location of all components, fasteners, and fastener holes and their dimensions are clearly called out. All dimensions required for fabrication shall be called out. Scaling off the shop drawings to determine dimensions will not be allowed. Shop drawings shall contain a neat line, coordinates, scale bar, and a title block showing the fabrication shop’s name and address, date, name or initials of the draftsperson, revision number of the drawing, and the name of the designer or engineer responsible for the content of the drawing. The contract number shall be included on each drawing as part of the title block.

14. SCHEDULE. All components required under this contract shall be delivered to the specified delivery location no later than 60 calendar days after contract award.

15. ATTACHMENTS. See attached plates and bill of materials.

Lock and Dam 7 Structural Steel

Supply

Bill of Materials

Assembly

Description

Thickness

Length

Width

Diameter

Grip

Quantity Required

Unit

Wales

C 12x20.7 33'‐11" 4 each

C 12x20.7 37'‐2" 4 each

C 12x20.7 35'‐11" 4 each

Tie Rod

Grade 75 Tie Bar 22'‐6" 1‐3/4" 12 each

Thrust Plate 1‐1/2" 10" 10" 24 each

Nut (ASTM A563) 24 each

Wale Splice Plate

Wale Splice Plate 1/2" 12‐1/2" 9" 16 each

Bolt, Tension Control (A325)

3/4"

1‐5/16" each

Nut

3/4" 96 each

Washer 3/4" 96 each

Tension Plate

Tension Plate 1/2" 11" 7" 44 each

Thread Rod (A449) 1'‐8" 7/8" 88 each

Nut 7/8" 176 each

Washer 7/8" 176 each

Non‐ Structural

Bolt

Bolt (A307) 3/4" 1/2" 94 each

Nut 3/4" 94 each

Washer 3/4" 188 each

Pipe

Spacers

Round HSS STD 2‐1/4" 1" 50 each

Bolt (A325) 5/8" 2‐7/8" 50 each

Nut 5/8" 50 each

Washer 5/8" 100 each

Drain Cover

2" Pipe Flange 6" 48 each

Plate 5/8" 6‐1/2" 6‐1/2" 48 each

Neoprene Gasket 1/8" 96 each

Stud (A307) 5/8" 192 each

Nut 5/8" 192 each

Washer 5/8" 192 each

Steel Screen 13 gage 6" 48 each

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Wales

FFP

Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW ASTM 123 (after fabrication)

MILSTRIP: W81G6773051582

PURCHASE REQUEST NUMBER: W81G6773051582

NET AMT

0001AA 4 Each Wales

FFP

C 12x20.7 Length: 33'-11" Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements Hot Dip Galvanized IAW ASTM 123 (after fabrication) FOB: Destination

0001AB 4 Each

WALES

FFP

C 12x20.7 Length: 37'-2" Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements Hot Dip Galvanized IAW ASTM 123 (after fabrication)

0001AC 4 Each

WALES

FFP

C 12x20.7 Length: 35'-11" Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements Hot Dip Galvanized IAW ASTM 123 (after fabrication)

Tie Rod Assembly

FFP

Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. TIE ROD ASSEMBLIES, 1 ¾” diameter. 1 ¾” diameter threaded rod shall conform to ASTM A615/A615M with a minimum yield stress of 75,000 psi. Threaded Rod Assembly Washers shall conform to ASTM F436, plain carbon steel. High Strength Threaded Rod Assembly Nuts shall conform to ASTM A563, Grade A, Heavy Hex Style. Thread Rod Assembly Plate. All plate included in the threaded rod assembly shall conform to ASTM A36/A36M. Hot Dip Galvanized IAW ASTM 123

MILSTRIP: W81G6773051582

0002AA 12 Each Grade 75 Tie Bar

FFP

Grade 75 Tie Bar Length: 22'-6" Diameter: 1-3/4" Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW ASTM 123

0002AB 24 Each Thrust Plate

FFP

Thickness: 1-1/2"; Length: 10"; Width: 10" Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW ASTM 123

0002AC 24 Each Nut (ASTM A563)

FFP

Diameter: 1-3/4" Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW ASTM 123

Wale Splice Plate

FFP

STRUCTURAL BOLT ASSEMBLIES. Each structural bolt assembly shall consist of a bolt, nut, and washer, unless noted or specified otherwise. Structural bolt assemblies shall conform to ASTM A325, Type 1. Nuts shall conform to ASTM A563, Grade and Style as specified in the applicable ASTM bolt standard.

Washers shall conform to ASTM F436, plain carbon steel. Structural bolt assemblies intended for use as part of the wale splice plate assemblies shall be ASTM A325 twist off type tension control fasteners. Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW ASTM 123

0003AA 16 Each Wale Splice Plate

FFP

Thichkness: 1/2" Length: 12-1/2" Width: 9" Hot Dip Galvanized IAW ASTM

0003AB 96 Each Bolt, Tension Control (A325)

FFP

Bolt, Tension Control (A325) Diameter: 3/4" Grip: 1-5/16" Structural bolt assemblies intended for use as part of the wale splice plate assemblies shall be ASTM A325 twist off type tension control fasteners. Hot Dip Galvanized IAW

ASTM 123

0003AC 96 Each Nut

FFP

Diameter: 3/4" Hot Dip Galvanized IAW ASTM 123

0003AD 96 Each Washer

FFP

Washer Diameter: 3/4" Hot Dip Galvanized IAW ASTM 123

Tension Plate Assembly

FFP

THREADED ROD ASSEMBLIES, 7/8” diameter. 7/8” diameter threaded rod shall conform to ASTM A449/A449M with a minimum tensile strength of 120,000 psi.

Threaded Rod Assembly Washers shall conform to ASTM F436, plain carbon steel. High Strength Threaded Rod Assembly Nuts shall conform to ASTM A563, Grade B, Hex Style. Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW ASTM 123

0004AA 44 Each Tension Plate

FFP

Thickness: 1/2"; Length: 11"; Width: 7"; Hot Dip Galvanized IAW ASTM 123

0004AB 88 Each Thread Rod (A449)

FFP

Length: 1'-8"; Diameter: 7/8" THREADED ROD ASSEMBLIES, 7/8” diameter.

7/8” diameter threaded rod shall conform to ASTM A449/A449M with a minimum tensile strength of 120,000 psi. Hot Dip Galvanized IAW ASTM 123

0004AC 176 Each

NUT

FFP

NUT: Diameter: 7/8" High Strength Threaded Rod Assembly Nuts shall conform to ASTM A563, Grade B, Hex Style. Hot Dip Galvanized IAW ASTM

0004AD 176 Each

WASHER

FFP

WASHER Diameter: 7/8" Threaded Rod Assembly Washers shall conform to ASTM F436, plain carbon steel. Hot Dip Galvanized IAW ASTM

Non-Structural Bolt Assembly

FFP

NON-STRUCTRUAL BOLT ASSEMBLIES. Each non-structural bolt assembly shall consist of a bolt, nut, and two washers. Non-structural bolts shall conform to ASTM A307, Grade A. The bolt heads and the nuts of the supplied fasteners must be marked with the manufacturer's identification mark, the strength grade and type specified by ASTM specifications. Nuts shall conform to ASTM A563M, Grade A, heavy hex style. Washers shall conform to ASTM F844. All components of the non-structural bolt assemblies shall be hot dip galvanized, after fabrication, in accordance with ASTM A123. Grip shall be sufficient to accommodate two washers, a nut, and a half inch thick sheet pile web. Hot Dip Galvanized IAW

ASTM 123

0005AA 94 Each Bolt (A307)

FFP

Diameter: 3/4"; Grip: 1/2" Hot Dip Galvanized IAW ASTM 123

0005AB 94 Each

NUT

FFP

NUT: Diameter: 3/4"; Hot Dip Galvanized IAW ASTM 123

0005AC 188 Each

WASHER

FFP

WASHER: Diameter: 3/4"; Hot Dip Galvanized IAW ASTM 123

Pipe Spacer Assemblies

FFP

Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW ASTM 123. Structural Steel Tubing. Structural steel tubing shall conform to ASTM A500/A500M, Grade C, 50,000 psi yield strength.

0006AA 50 Each Round HSS

FFP

Round HSS; Thickness: STD; Length: 2-1/4"; Diameter: 1" Hot Dip Galvanized

IAW ASTM 123

0006AB 50 Each Bolt (A325)

FFP

Bolt (A325); Diameter: 5/8" Girp: 2-7/8" Hot Dip Galvanized IAW ASTM 123

0006AC 50 Each

NUT

FFP

NUT; Diameter: 5/8" Hot Dip Galvanized IAW ASTM 123

0006AD 100 Each

WASHER

FFP

WASHER; Diameter: 5/8" Hot Dip Galvanized IAW ASTM 123

DRAIN COVER ASSEMBLIES

FFP

Drain cover assemblies shall consist of a threaded flange, two neoprene gaskets, one perforated steel screen, four 5/8 inch diameter ASTM A307 steel studs, four washers, four nuts, and one ASTM A36 steel plate with the studs attached. The Contractor shall determine the required length of the ASTM A307 studs. Threaded flanges shall conform to ASME/ANSI B16.5 Class 150.

Gaskets shall be constructed from neoprene and shall conform to ASME 16.21, Class 150. All metallic components of the drain cover assembly shall be hot dipped galvanized after fabrication. Drain cover assemblies shall be delivered fully assembled. Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW ASTM 123.

0007AA 48 Each 2" Pipe Flange

FFP

2" Pipe Flange; Diameter: 6" Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW

ASTM 123.

0007AB 48 Each

PLATE

FFP

PLATE: Thickness: 5/8"; Length: 6-1/2" Width: 6-1/2" Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW ASTM 123.

0007AC 96 Each Neoprene Gasket

FFP

Neoprene Gasket; Thickness: 1/8"

0007AD 192 Each Stud (A307)

FFP

Stud (A307); Diameter: 5/8" Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW

0007AE 192 Each

NUT

FFP

NUT; Diameter: 5/8" Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW ASTM 123.

0007AF 192 Each

WASHER

FFP

WASHER; Diameter: 5/8" Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW

0007AG 48 Each

STEEL SCREEN

FFP

STEEL SCREEN Thickness: 13 Gage; Diameter: 6" Follow SOW for Dimensional Tolerances, Surface Finish, and Structural Steel Material Requirements. Hot Dip Galvanized IAW ASTM 123.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A N/A 0001AA Destination Government Destination Government 0001AB Destination Government Destination Government 0001AC Destination Government Destination Government 0002 N/A N/A N/A N/A 0002AA Destination Government Destination Government 0002AB Destination Government Destination Government 0002AC Destination Government Destination Government 0003 N/A N/A N/A N/A 0003AA Destination Government Destination Government 0003AB Destination Government Destination Government 0003AC Destination Government Destination Government 0003AD Destination Government Destination Government 0004 N/A N/A N/A N/A 0004AA Destination Government Destination Government 0004AB Destination Government Destination Government 0004AC Destination Government Destination Government 0004AD Destination Government Destination Government 0005 N/A N/A N/A N/A 0005AA Destination Government Destination Government 0005AB Destination Government Destination Government 0005AC Destination Government Destination Government 0006 N/A N/A N/A N/A 0006AA Destination Government Destination Government 0006AB Destination Government Destination Government 0006AC Destination Government Destination Government 0006AD Destination Government Destination Government 0007 N/A N/A N/A N/A 0007AA Destination Government Destination Government 0007AB Destination Government Destination Government 0007AC Destination Government Destination Government 0007AD Destination Government Destination Government 0007AE Destination Government Destination Government 0007AF Destination Government Destination Government 0007AG Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 N/A N/A N/A N/A

0001AA 60 dys. ADC 4 LOCK & DAM #7

DELENE MOSER

USACE - LOCK & DAM 7

33018 HIGHWAY 61

LACRESCENT MN 55947

651-290-5183

W912ES

0001AB 60 dys. ADC 4 (SAME AS PREVIOUS LOCATION)

0001AC 60 dys. ADC 4 (SAME AS PREVIOUS LOCATION)

0002 N/A N/A N/A N/A

0002AA 60 dys. ADC 12 LOCK & DAM #7

DELENE MOSER

USACE - LOCK & DAM 7

33018 HIGHWAY 61

LACRESCENT MN 55947

651-290-5183

0002AB 60 dys. ADC 24 (SAME AS PREVIOUS LOCATION)

0002AC 60 dys. ADC 24 (SAME AS PREVIOUS LOCATION)

0003 N/A N/A N/A N/A

0003AA 60 dys. ADC 16 LOCK & DAM #7

DELENE MOSER

USACE - LOCK & DAM 7

33018 HIGHWAY 61

LACRESCENT MN 55947

651-290-5183

0003AB 60 dys. ADC 96 (SAME AS PREVIOUS LOCATION)

0003AC 60 dys. ADC 96 (SAME AS PREVIOUS LOCATION)

0003AD 60 dys. ADC 96 (SAME AS PREVIOUS LOCATION)

0004 N/A N/A N/A N/A

0004AA 60 dys. ADC 44 LOCK & DAM #7

USACE - LOCK & DAM 7

33018 HIGHWAY 61

LACRESCENT MN 55947

651-290-5183

0004AB 60 dys. ADC 88 (SAME AS PREVIOUS LOCATION)

0004AC 60 dys. ADC 176 (SAME AS PREVIOUS LOCATION)

0004AD 60 dys. ADC 176 (SAME AS PREVIOUS LOCATION)

0005 N/A N/A N/A N/A

0005AA 60 dys. ADC 94 LOCK & DAM #7

DELENE MOSER

USACE - LOCK & DAM 7

33018 HIGHWAY 61

LACRESCENT MN 55947

651-290-5183

0005AB 60 dys. ADC 94 (SAME AS PREVIOUS LOCATION)

0005AC 60 dys. ADC 188 (SAME AS PREVIOUS LOCATION)

0006 N/A N/A N/A N/A

0006AA 60 dys. ADC 50 LOCK & DAM #7

DELENE MOSER

USACE - LOCK & DAM 7

33018 HIGHWAY 61

LACRESCENT MN 55947

651-290-5183

0006AB 60 dys. ADC 50 (SAME AS PREVIOUS LOCATION)

0006AC 60 dys. ADC 50 (SAME AS PREVIOUS LOCATION)

0006AD 60 dys. ADC 100 (SAME AS PREVIOUS LOCATION)

0007 N/A N/A N/A N/A

0007AA 60 dys. ADC 48 LOCK & DAM #7

USACE - LOCK & DAM 7

33018 HIGHWAY 61

LACRESCENT MN 55947

651-290-5183

0007AB 60 dys. ADC 48 (SAME AS PREVIOUS LOCATION)

0007AC 60 dys. ADC 96 (SAME AS PREVIOUS LOCATION)

0007AD 60 dys. ADC 192 (SAME AS PREVIOUS LOCATION)

0007AE 60 dys. ADC 192 (SAME AS PREVIOUS LOCATION)

0007AF 60 dys. ADC 192 (SAME AS PREVIOUS LOCATION)

0007AG 60 dys. ADC 48 (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.204-7 System for Award Management OCT 2016 52.204-13 System for Award Management Maintenance OCT 2016 52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 52.204-22 Alternative Line Item Proposal JAN 2017 52.212-1 Instructions to Offerors--Commercial Items JAN 2017 52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

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

252.204-7004 Alt A System for Award Management Alternate A FEB 2014 252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting

OCT 2016

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

MAY 2016

252.213-7000 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 252.225-7001 Buy American And Balance Of Payments Program-- Basic

(Dec 2016)

DEC 2016

252.232-7010 Levies on Contract Payments DEC 2006 252.244-7000 Subcontracts for Commercial Items JUN 2013 252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

52.212-2 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:

(i) Price

(ii) Past Performance. Past performance will be evaluated in accordance with Clause 252.213‐7000. In the case of a supplier without a record of relevant past performance history in the Past Performance Information Retrieval System‐Statistical Reporting (PPIRS‐SR) for the Federal supply class (FSC) or product or service code (PSC) of the supplies being purchased, the supplier may not be evaluated favorably or unfavorably for its past performance history.

(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.

(End of provision)

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

ALTERNATE I (OCT 2014)

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

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

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

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

“Civil judgment” means--

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

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

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

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

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

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

(i) The Fair Labor Standards Act;

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

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

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

(v) The Family and Medical Leave Act; and

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

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

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

(ii) OSHA-approved State Plans;

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

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

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

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

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

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

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

(ii) The Americans with Disabilities Act of 1990;

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

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

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

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

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

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

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

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

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

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

(1) The Fair Labor Standards Act.

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

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

(4) The National Labor Relations Act.

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

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

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

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

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

(10) The Family and Medical Leave Act.

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

(12) The Americans with Disabilities Act of 1990.

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

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

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

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

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

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

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

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

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

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

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

(8) PSC 9610, Ores;

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

(10) PSC 9630, Additive Metal Materials.

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

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

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

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

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

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

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

(6) Have been voluntarily suspended.

Sensitive technology—

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

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

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

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

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

(1) Means a small business concern—

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

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

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

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

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

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

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

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

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

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

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

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

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

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

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

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

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

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

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

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

(b)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

___ Black American.

___ Hispanic American.

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

___ Asian-Pacific American (persons with origins…