W912ES-18-T-0026_Solicitation.pdf

SEE ADDENDUM

(No Collect Calls)

W912ES18T0026 13-Feb-2018

b. TELEPHONE NUMBER

651-290-5614

8. OFFER DUE DATE/LOCAL TIME

11:00 AM 05 Mar 2018

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W912ES9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

JOHN P RIEDERER

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

W81G6780043823

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 B6R0NN2 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

EAU GALLE LAKE PROJECT

BRAD LABADIE

USACE - EAU GALLE PROJECT

W501 EAU GALLE DAM ROAD

SPRING VALLEY WI 54767

TEL: 715-778-5562 FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$7,500,000

NAICS:

561730

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)

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.

W912ES18T0026

Section SF 1449 - CONTINUATION SHEET

STATEMENT OF WORK

MOWING SERVICES FOR EAU GALLE LAKE PROJECT

DESCRIPTION/SPECIFICATIONS

1.0 GENERAL

1.1 Scope of Work The work performed under this contract consists of furnishing all plant, materials, equipment, supplies, labor, transportation and performing all work as required, and in strict accordance with the specifications and drawings, all of which are made a part hereof. All work, materials and services not expressly called for in the specifications or shown on the drawings, but which are necessary for completion of the contract requirements shall be performed and furnished by the contractor at no increase in cost to the Government. A site visit is highly recommended prior to bidding.

1.2 The Contractor shall furnish mowing and trimming services in order to maintain clean conditions in the area(s) specified. Work will be performed Monday – Friday each week during the contract period..

1.3 Description Eau Galle Lake is a 650-acre Corps of Engineers flood control project offering both day use and overnight camping facilities. Day use facilities are provided at the Main Day Use Area, Northwest Day Use Area, Lousy Creek Access and the Stilling Basin/Outlet Works. Overnight camping is allowed in Highland Ridge Campground. The office and maintenance area are located near the Main Day Use Area.

1.4 Work Consists of:

(a) Grass Mowing and Trimming

1.5 Contract Period The basic term of the basic contract shall be from 01 May 2018 through 30 April 2019, with 4 one-year options. The Terms of Actual On-Site Performance are:

1. Base Term: 01 May 2018 through 31 October 2018.

2. Option Year 1: 01 May 2019 through 31 October 2019.

3. Option Year 2: 01 May 2020 through 31 October 2020.

4. Option Year 3: 01 May 2021 through 31 October 2021.

5. Option Year 4: 01 May 2022 through 31 October 2022.

1.6 Hours of Operation Unless otherwise noted, mowing and trimming services shall be accomplished between the hours of 6:00 AM and 8:00 PM hours, Monday - Friday. All services listed shall be required during the contract period.

1.7 Damage to Government Buildings, Equipment, and Vegetation The Contractor shall be responsible for notifying the Site Manager of any damage to Government buildings, equipment, and vegetation. Notification shall be in writing and furnished to the Site Manager within 24 hours of each discovery of damage.

1.8 Site Visit: It is highly recommended that potential contractors are highly recommended to inspect the site where the work is to be performed. Site visits may be arranged by contacting: Brad LaBadie; Site Manager, Eau Galle Lake Project, Spring Valley, WI. (651) 290-5716.

1.9 Technical Point of Contact: A Corps Representative will be designated as the primary point of contact for this contract.

1.10 Daily Work Logs. The Contractor shall verbally report to the site office in person or by telephone (715) 778-5562 press 0 at the start of each day when work will be performed, reporting the work planned for that day. In addition, the contractor shall complete a written daily work log at the end of each week and furnish the log to the Site Manager. The log shall indicate the location (zone) of work performed for the day, hours of on duty work time for each employee and the type of work performed.

1.11 Payment. Payment will be made monthly during the contract period for each complete mowing/trimming performed during that month. The contractor must submit a monthly invoice that itemizes each mowing, by zone, with the corresponding unit cost, and the total for each Service Area. Charges on the monthly invoice must match the work logs.

2.0 LOCATION

2.1 Eau Galle Lake Project is located in Midwestern Wisconsin approximately 50 miles east of the Minneapolis-St. Paul metropolitan area and about 40 miles west of Eau Claire, Wisconsin.

The dam lies immediately north of and adjacent to Spring Valley, Wisconsin. The project lies in both Pierce and St. Croix Counties. See Section 14 for a map of the different areas of the project.

3.0 ZONES

3.1 Explanation of Zones: The Eau Galle Lake Project is divided into five (5) zones.

Contractor shall price each zone per mowing. Each mowing will be in accordance with section 3.

Mowing is not considered completed until trimming and cleanup has been performed to the satisfaction of the Site Manager, COR or designated representative. Contractor will receive payment for the mowings completed per zone. Contractor will not receive payment for incomplete mowing of a zone.

3.2 Designation of Zones: The contractor shall be responsible for the mowing and trimming of the areas designated in light green on the maps. The five zones are as follows:

Zone 1: Overlook Area (0.65 acres), Office Area (0.72 acres), Eau Galle Dam Road (0.46 acres) Zone 2: Main Day Use Area (8.0 acres) Zone 3: Stilling Basin (0.72 acres) Zone 4: High Ridge Campground (2.5 acres), Equestrian Campground (2.0 acres), Prairie

Loop Trail (0.36 acres, Dugan Road (0.51 acres) Zone 5: Northwest Day Use Area (3.25 acres)

3.3 Clarification of Areas: If requested, the Site Manager or COR will clarify the boundaries of any areas to be mowed. The Contracting Officer or COR must authorize the installation of stakes, flags, or other boundary designators that will remain in place for more than one day.

4.0 GRASS MOWING and TRIMMING

4.1 General: Mow and trim grass and weeds in designated locations at Eau Galle Lake Project. Mowing and trimming shall not be permitted in recreation areas on Friday’s after 12:00PM, Saturdays, Sundays, Holidays or before 7:00am and after 8:00pm on weekdays unless specifically approved by the Site Manager.

4.2 Grass Cutting: Grass shall be cut to a minimum height of two (2) inches, and a maximum height of three (3) inches. All areas shall be cut when general height of grass or weeds in a zone exceeds five (5) inches. All litter, trash, limbs, rocks and other debris shall be removed from the area before mowing. Mowing operations shall have a minimum impact on visitor use.

Discharge from mowers shall be directed away from all persons, vehicles, campsites, etc.

Mowers shall be operated in a manner that will prevent damage to the turf, especially during turns. Maps of areas in Section 13 indicate where grass and weed trimming is to be performed, and approximate acres. In areas where a mower cannot provide complete coverage, such as sidewalks, roadways and shoulders, parking lots, trees, picnic tables, fences, signs, buildings, electrical boxes, grills, fire pits, trash receptacles, playground equipment, campsites and all other appurtenant structures, grass and weed control may be accomplished through the use of power trimmers or hand clippers.

4.2.1 Grass clippings shall be left on the ground for mulch.

4.2.2 Grass and weed control on all campsites shall extend one (1) foot from the edge of camp pad and drive in the Highland Ridge Campground.

4.2.3 Grass and weed control for all park roads designated in Section 13 shall extend five (5) feet from the road edge and/or to all guardrails and posts, flag poles, lights, weather station, sign posts, sloped paving, concrete flumes and other appurtenant structures within ten

(10) feet of the road edge. Vegetation shall be kept to five (5) inches or less within three (3) feet of each feature. In areas where there is adjacent grass and weed control as shown in Section 13, the area of control shall extend from the road edge through the adjacent area.

4.2.4 Grass and weed control at parking lots shall extend five (5) feet beyond the parking lot edge. In areas where there is adjacent Grass and Weed Control the area of control shall extend from the parking lot edge through the adjacent area.

4.2.5 Cleanup: Remove all clippings from sidewalks and shelters. The premises shall be left in a clean and neat condition.

4.2.6 Use of hand clipper or power trimmer is acceptable. Grass cutting will not be considered complete until all trimming operations are accomplished.

4.2.7 Trees or shrubs damaged during trimming operations shall be replaced with ones of the same species and size at the Contractor's expense.

4.3 Trail Maintenance: Trails designated in Section 13 shall be mowed to a width matching that of the previous mowing. At no time shall the trail corridor be less than six (6) feet unless prevented by a natural feature. Living, standing trees shall not be removed from the trail corridor. Any obstacles that prevents normal mowing of the trail(s) shall be reported immediately to the Site Manager

4.4 Use of Herbicides and Growth Retardants, or similar chemicals is prohibited.

5.0 INITIAL INSPECTION

5.1 At the onset of this contract, the Contractor shall inspect all facilities and areas within the specifications of this contract and report immediately to the Technical POC any preexisting conditions that would prevent the Contractor from fulfilling any of the specific requirements of this contract.

6.0 CONTRACT PERFORMANCE

6.1 Acceptance of Work. In accordance with the inspection of services provisions of the contract, clause 52.212-4(a) Inspection / Acceptance, the Contractor shall provide services in a timely manner. The Government may require the Contractor, at no additional cost, to replace or correct work that fails to meet contract requirements.

When unacceptable performance occurs, the Contracting Officer will inform the Contractor.

This will normally be in writing unless circumstances necessitate verbal communication.

When the Contracting Officer determines formal written communication is required, a Contract Discrepancy Report (CDR) will be given to the contractor.

The contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state how long after receipt the contractor has to present this corrective action plan to the Contracting Officer.

The response statement shall identify causes for failure to perform, and identify ways to prevent future occurrences of the same performance failures. The Contracting Officer will assess the need for further action, based on past performance and written plan for future incident prevention.

Failure to perform required services in a timely manner may result in payment reduction. Any CDRs may become a part of the supporting documentation for contract payment deductions or other actions deemed necessary by the Contracting Officer.

7.0 PERSONNEL

7.1 The Contractor shall act as, or provide a superintendent present on site whenever the work specified herein is being performed. The superintendent shall conduct overall management coordination and be the central point of contact with the Government for performance of work under this contract. The superintendent and any individual designated to act for him/her, shall have full authority to contractually commit the Contractor for prompt action on matters pertaining to administration of this contract. The superintendent shall deal directly with the Technical POC for normal day-to-day administration of the contract provisions.

7.2 The Contractor or his/her superintendent shall contact the Site Manager weekly as directed by the Site Manager, to coordinate his/her work schedule with the Corps of Engineers' operations.

7.3 The Contractor shall, at his/her own expense, obtain any State of Wisconsin licenses or permits required to perform the contract.

7.4 The Contractor shall furnish his/her employees with uniforms consisting of long or short-sleeved shirts, long pants and safety-toed shoes and all applicable Personal Protective Equipment required under EM385-1-1. All uniforms shall be of the same color and style.

Uniforms shall be clean, neat, and presentable at all times.

7.5 The Contractor shall be responsible for maintaining satisfactory standards of employee competence, conduct, appearance, integrity, and sobriety, and for taking such disciplinary action with respect to employees as may be necessary. Possession or indication of use of illegal substances by a Contract employee shall result in the employee's immediate removal and replacement. The overall appearance and conduct of Corps of Engineers employees shall serve as a standard for the Contractor.

7.6 Employee Removal. The Contracting Officer may require, in writing, that the Contractor remove from the work any employee which the Contracting Officer deems incompetent, careless, or otherwise objectionable. Examples of actions requiring dismissal include, but are not limited to the following: consumption of alcoholic beverages or intoxicants while on duty, cursing, harassment of visitors, unauthorized reservation of campsites, unwarranted physical contact with visitors or Corps personnel, recurring written and/or verbal complaints from visitors on employee's attitude, lack of cooperation and resistance to implementation of policies and programs as directed by the Site Manager. Any such removal may be permanent. The Contractor shall be required to effect this direction immediately and without expense to the Government. Any such action under this section shall not relieve the Contractor from any and all responsibilities specified under this Contract including, but not limited to, timeliness and quality of performance.

8.0 SUSPENSION OF WORK

8.1 Suspension of Work. The Contractor may be instructed to suspend a portion of, or all work due to wet conditions, extended periods of dry weather, construction activities or safety hazards. During any period of work suspension the contractor will not be paid.

9.0 ORIENTATION

9.1 Prior to the contract start date the Government will provide an orientation to the Contractor and the personnel performing under the contract, which shall consist of the following:

(a) General meeting covering contract requirements.

(b) Facility Inventory.

(c) Tour of entire project, building, structures and recreation areas.

(d) Project safety considerations.

(e) Schedule of maintenance service to be performed.

10.0 SECURITY

10.1 The Contractor shall cooperate with government personnel safeguarding government property. The Contractor shall be responsible for reporting all acts of vandalism, larceny, or pilferage to the Site Manager.

11.0 SAFETY

11.1 All work performed under this contract shall be in accordance with the latest version of the Corps of Engineers Safety and Health Requirements Manual (EM 385-1-1). The safety manual is available for viewing or printing at: http://www.usace.army.mil/Safety-and- Occupational-Health/Safety-and-Health-Requirements-Manual/

12.0 LOST AND FOUND

12.1 The contractor shall not dispose of any personal property found while in the performance of this contract. All items found by the contractor shall be turned into the site office within 24hours.

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

13.0 Maps

Vicinity Map

Mowing and Trimming Areas Zone 1

Office Area, Overlook Area, Eau Galle Dam Road W501 Eau Galle Dam Road

Spring Valley, WI 54767

Zone 2

Main Day Use Area W501 Eau Galle Dam Road

Zone 3 Stilling Basin

Foote Ave

Zone 4

Highland Ridge Campground, Equestrian Campground, Prairie Loop Area, and Dugan Road N2100 Dugan Road

Zone 5

Northwest Day Use Area 3000 Boston Road

13.1 Omissions from the drawings or specifications or the misdescription of detail of work which are manifestly necessary to carry out the intent of the drawings and specifications, or which are customarily performed, shall not relieve the contractor from performing such as if fully and correctly set forth and described in the drawings and specifications.

NOTES TO QUOTER

Please submit all questions in writing to John Riederer, Contract Specialist at John.P.Riederer@usace.army.mil

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

U.S. Army Corps of Engineers Attn: Contracting (John Riederer) 180 5th Street East, STE 700 St. Paul, MN 55101-1678

Please include UNIT costs in your quote. If there is a conflict between the unit pricing and the Amount, the unit price shall prevail.

With your quote, provide the following:

1. Acknowledgement of all amendments (if applicable).

2. A signed and dated Standard Form (SF) 1449 (page 1) with pricing for all line items and a total price. Incomplete pricing schedules may be rejected.

3. A completed Commercial Experience Questionnaire (Attachment A).

4. A completed Past Performance Questionnaire (Attachment B).

5. Your CAGE code, DUNS number and Tax Identification Number (TIN).

6. Contact information for the individual submitting the quote.

**Offers will be evaluated by Lowest Price Technically Acceptable (LPTA) using simplified acquisition procedures of FAR 13.106-2. The following factors will be used to evaluate quotes:

price and technically acceptable. To be technically acceptable, the offeror must have a minimum of 2 years of commercial lawn/grounds maintenance service experience along with availability of commercial lawn mowing equipment and satisfactory relevant past performance.

Offeror shall 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/

Quotes must be received no later than the date and time stated in the solicitation. Quotes received after the deadline are Late, and may not be considered for contract award.

Please monitor FBO.gov for any amendments to the solicitation. It is the responsibility of the vendor to specifically acknowledge ALL amendments prior to the solicitation close. The preferred method of acknowledging an amendment is to return a signed copy of the amendment (form SF30) first page as a PDF email attachment with your quote. Failure to acknowledge amendments may result in your offer not being considered for award.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 22 Each Base Year - Zone 1 - Mowing & Trimming

FFP

Base Year - Active Performance 1 May 2018 - 31 October 2018. Mowing and Trimming of Zone 1 - Overlook Area (0.65 acres), Office Area (0.72 acres), Eau Galle Dam Road (0.46 acres) - Total 1.83 acres FOB: Destination

PURCHASE REQUEST NUMBER: W81G6780043823

NET AMT

http://www.fsd.gov/

0002 22 Each Base Year - Zone 2 - Mowing & Trimming

FFP

Base Year - Active Performance 1 May 2018 - 31 October 2018. Mowing and Trimming of Zone 2 - Main Day Use Area (8.0 acres)

0003 18 Each Base Year - Zone 3 - Mowing & Trimming

FFP

Base Year - Active Performance 1 May 2018 - 31 October 2018. Mowing and Trimming of Zone 3 - Stilling Basin (0.72 acres)

0004 20 Each Base Year - Zone 4 - Mowing & Trimming

FFP

Base Year - Active Performance 1 May 2018 - 31 October 2018. Mowing and Trimming of Zone 4 - High Ridge Campground (2.5 acres), Equestrian Campground (2.0 acres), Prairie Loop Trail (0.36 acres), Dugan Road (0.51 acres) -total 5.37 acres

0005 18 Each Base Year - Zone 5 - Mowing & Trimming

FFP

Base Year - Active Performance 1 May 2018 - 31 October 2018. Mowing and Trimming of Zone 5 - Northwest Day Use Area (3.25 acres)

1001 22 Each OPTION Opt Yr 1 - Zone 1 - Mowing & Trimming

FFP

Option Year 1 - Active Performance 1 May 2019 - 31 October 2019. Mowing and Trimming of Mowing and Trimming of Zone 1 - Overlook Area (0.65 acres), Office Area (0.72 acres), Eau Galle Dam Road (0.46 acres)

1002 22 Each OPTION Opt Yr 1 - Zone 2 - Mowing & Trimming

FFP

Option Year 1 - Active Performance 1 May 2019 - 31 October 2019. Mowing and Trimming of Zone 2 - Main Day Use Area (8.0 acres)

1003 18 Each OPTION Opt Yr 1 - Zone 3 - Mowing & Trimming

FFP

Option Year 1 - Active Performance 1 May 2019 - 31 October 2019. Mowing and Trimming of Zone 3 - Stilling Basin (0.72 acres)

1004 20 Each OPTION Opt Yr 1 - Zone 4 - Mowing & Trimming

FFP

Option Year 1 - Active Performance 1 May 2019 - 31 October 2019. Mowing and Trimming of Mowing and Trimming of Zone 4 - High Ridge Campground (2.5 acres), Equestrian Campground (2.0 acres), Prairie Loop Trail (0.36 acres), Dugan Road (0.51 acres) - total 5.37 acres

1005 18 Each OPTION Opt Yr 1 - Zone 5 - Mowing & Trimming

FFP

Option Year 1 - Active Performance 1 May 2019 - 31 October 2019. Mowing and Trimming of Zone 5 - Northwest Day Use Area (3.25 acres)

2001 22 Each OPTION Opt Yr 2 - Zone 1 - Mowing & Trimming

FFP

Option Year 2 - Active Performance 1 May 2020 - 31 October 2020. Mowing and Trimming of Mowing and Trimming of Zone 1 - Overlook Area (0.65 acres), Office Area (0.72 acres), Eau Galle Dam Road (0.46 acres) - Total 1.83 acres

2002 22 Each OPTION Opt Yr 2 - Zone 2 - Mowing & Trimming

FFP

Option Year 2 - Active Performance 1 May 2020 - 31 October 2020. Mowing and

2003 18 Each OPTION Opt Yr 2 - Zone 3 - Mowing & Trimming

FFP

Option Year 2 - Active Performance 1 May 2020 - 31 October 2020. Mowing and

2004 20 Each OPTION Opt Yr 2 - Zone 4 - Mowing & Trimming

FFP

Option Year 2 - Active Performance 1 May 2020 - 31 October 2020. Mowing and Trimming of Mowing and Trimming of Zone 4 - High Ridge Campground (2.5 acres), Equestrian Campground (2.0 acres), Prairie Loop Trail (0.36 acres), Dugan

2005 18 Each OPTION Opt Yr 2 - Zone 5 - Mowing & Trimming

FFP

Option Year 2 - Active Performance 1 May 2020 - 31 October 2020. Mowing and

3001 22 Each OPTION Opt Yr 3 - Zone 1 - Mowing & Trimming

FFP

Option Year 3 - Active Performance 1 May 2021 - 31 October 2021. Mowing and Trimming of Mowing and Trimming of Zone 1 - Overlook Area (0.65 acres), 3002 22 Each OPTION Opt Yr 3 - Zone 2 - Mowing & Trimming

FFP

Option Year 3 - Active Performance 1 May 2021 - 31 October 2021. Mowing and

3003 18 Each OPTION Opt Yr 3 - Zone 3 - Mowing & Trimming

FFP

Option Year 3 - Active Performance 1 May 2021 - 31 October 2021. Mowing and

3004 20 Each OPTION Opt Yr 3 - Zone 4 - Mowing & Trimming

FFP

Option Year 3 - Active Performance 1 May 2021 - 31 October 2021. Mowing and Trimming of Mowing and Trimming of Zone 4 - High Ridge Campground (2.5 acres), Equestrian Campground (2.0 acres), Prairie Loop Trail (0.36 acres), Dugan

3005 18 Each OPTION Opt Yr 3 - Zone 5 - Mowing & Trimming

FFP

Option Year 3 - Active Performance 1 May 2021 - 31 October 2021. Mowing and Trimming of Zone Zone 5 - Northwest Day Use Area (3.25 acres)

4001 22 Each OPTION Opt Yr 4 - Zone 1 - Mowing & Trimming

FFP

Option Year 4 - Active Performance 1 May 2022 - 31 October 2022. Mowing and Trimming of Mowing and Trimming of Zone 1 - Overlook Area (0.65 acres), 4002 22 Each OPTION Opt Yr 4 - Zone 2 - Mowing & Trimming

FFP

Option Year 4 - Active Performance 1 May 2022 - 31 October 2022. Mowing and

4003 18 Each OPTION Opt Yr 4 - Zone 3 - Mowing & Trimming

FFP

Option Year 4 - Active Performance 1 May 2022 - 31 October 2022. Mowing and

4004 20 Each OPTION Opt Yr 4 - Zone 4 - Mowing & Trimming

FFP

Option Year 4 - Active Performance 1 May 2022 - 31 October 2022. Mowing and Trimming of Mowing and Trimming of Zone 4 - High Ridge Campground (2.5 acres), Equestrian Campground (2.0 acres), Prairie Loop Trail (0.36 acres), Dugan

4005 18 Each OPTION Opt Yr 4 - Zone 5 - Mowing & Trimming

FFP

Option Year 4 - Active Performance 1 May 2022 - 31 October 2022. Mowing and

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 Government 0002 N/A N/A N/A Government 0003 N/A N/A N/A Government 0004 N/A N/A N/A Government 0005 N/A N/A N/A Government 1001 N/A N/A N/A Government 1002 N/A N/A N/A Government 1003 N/A N/A N/A Government 1004 N/A N/A N/A Government 1005 N/A N/A N/A Government 2001 N/A N/A N/A Government 2002 N/A N/A N/A Government 2003 N/A N/A N/A Government 2004 N/A N/A N/A Government 2005 N/A N/A N/A Government 3001 N/A N/A N/A Government 3002 N/A N/A N/A Government 3003 N/A N/A N/A Government 3004 N/A N/A N/A Government 3005 N/A N/A N/A Government 4001 N/A N/A N/A Government 4002 N/A N/A N/A Government 4003 N/A N/A N/A Government 4004 N/A N/A N/A Government 4005 N/A N/A N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-MAY-2018 TO

30-APR-2019

N/A EAU GALLE LAKE PROJECT

BRAD LABADIE

USACE - EAU GALLE PROJECT

W501 EAU GALLE DAM ROAD

SPRING VALLEY WI 54767

715-778-5562

B6R0NN2

0002 POP 01-MAY-2018 TO

30-APR-2019

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-MAY-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-MAY-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 01-MAY-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-MAY-2019 TO

30-APR-2020

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 01-MAY-2020 TO

30-APR-2021

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 01-MAY-2021 TO

30-APR-2022

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 01-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 01-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 01-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 01-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 01-MAY-2022 TO

31-OCT-2022

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 01-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 01-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 01-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984 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 52.223-2 Affirmative Procurement of Biobased Products Under Service and Construction Contracts

SEP 2013

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

252.203-7005 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

252.222-7007 Representation Regarding Combating Trafficking in Persons JAN 2015 252.225-7001 Buy American And Balance Of Payments Program-- Basic

(Dec 2016)

DEC 2016

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

CLAUSES INCORPORATED BY FULL TEXT

52.211-16 VARIATION IN QUANTITY (APR 1984)

(a) A variation in the quantity of any item called for by this contract will not be accepted unless the variation has been caused by conditions of loading, shipping, or packing, or allowances in manufacturing processes, and then only to the extent, if any, specified in paragraph (b) below.

(b) The permissible variation shall be limited to:

20 Percent increase 40 Percent decrease This increase or decrease shall apply to All CLINs.

(End of clause)

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

(a) Offers shall be evaluated in accordance with (IAW) FAR Part 13 - Simplified Acquisition Procedures of FAR 13.106-2. Offers will be evaluated by Lowest Price Technically Acceptable (LPTA) using simplified acquisition procedures of FAR 13.106-2. The Government will award a contract resulting from this solicitation to the responsible contractor whose offer, conforming to the solicitation, will be most advantageous to the Government.

The following factors will be used to evaluate offers:

(i) Price

(ii) Minimum 2 years of commercial lawn/grounds maintenance service experience and availability of Commercial lawn mowing equipment. This is Technically Acceptable factor. Complete and return Attachment A.

(iii) Satisfactory Past Performance. Past performance will be evaluated for satisfactory completion. This is a Technically Acceptable factor. Complete and return Attachment B.

An offeror must provide a price for all items (CLINs) in this solicitation to be eligible for award. Partial quotations will not be accepted.

All quotes received will be subject to an initial screening by the Contracting Officer/Contract Specialist to determine whether they are complete and technically acceptable in accordance with the solicitation. Quotes that fail this initial evaluation process may be rejected and the offeror will be notified they are no longer eligible for further consideration.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) 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 (NOV 2017)

ALTERNATE I (OCT 2014)

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

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

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

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

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

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

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

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

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

“Manufactured end product” means any end product in product and service codes (PSCs) 1000-9999, except— https://www.sam.gov/portal

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

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

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

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

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

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

(8) PSC 9610, Ores;

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

(10) PSC 9630, Additive Metal Materials.

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

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

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

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

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

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

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

(6) Have been voluntarily suspended.

“Sensitive technology”—

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

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

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

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

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

(1) Means a small business concern—

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

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

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

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

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

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

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

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

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

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

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

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

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

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

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

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

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

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

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

(b)

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

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

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

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

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

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

https://www.acquisition.gov/

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

___ Black American.

___ Hispanic American.

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

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

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

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

(d) Representations required to…