W912HN-09-R-0097.pdf

USAED, SAVANNAH, WILMINGTON CONTRACT OFF

ATTN: CHARLENNE FIGGINS

69 DARLINGTON AVE

WILMINGTON NC 28403-1343

910-251-4473 910-251-4454

UNDER DPAS (15 CFR 700)

11. DELIVERY FOR FOB

RFQ

SEE SCHEDULE

14. METHOD OF SOLICITATION

IFB RFP

CODE

SEE ADDENDUM

BLOCK IS MARKED

DESTINATION UNLESS

12. DISCOUNT TERMS

(No Collect Calls)

500 emp

13b. RATING

13a. THIS CONTRACT IS A RATED ORDER

X

CODE

W912HN-09-R-0097 07-Jul-2009

b. TELEPHONE NUMBER

910-251-4473

8. OFFER DUE DATE/LOCAL TIME

02:00 PM 23 Jul 2009

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV 3/2005)

Prescribed by GSA

FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER) 31c. DATE SIGNED

ADDENDA ARE

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

22. UNIT 23. UNIT PRICE 24. AMOUNT21. QUANTITY

CODE 10. THIS ACQUISITION IS

UNRESTRICTED

FAX: NAICS:

TEL:

CODE 18a. PAYMENT WILL BE MADE BYOFFEROR

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TEL.

W912HN

SIZE STD:

9. ISSUED BY

FACILITY

CODE

17a.CONTRACTOR/

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

15. DELIVER TO CODE 16. ADMINISTERED BY

JOHN H. KERR PROJECT

PROJECT OFFICE

1930 MAYS CHAPEL ROAD

BOYDTON VA 23917

TEL: 434-738-6143 FAX:

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

CHARLENNE L FIGGINS

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

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES

SEE SCHEDULE

327390

TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS

SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS

SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

SB

HUBZONE SB

SET ASIDE: 100 % FOR

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

W81LJ891667341

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

TEL: EMAIL:

2 COPIES

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

.OFFER DATED YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

X

8(A)

SVC-DISABLED VET-OWNED SB

EMERGING SB

X X

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

SEE SCHEDULE

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES 21. QUANTITY 22. UNIT 24. AMOUNT

PAGE 2 OF

23. UNIT PRICE

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 3/2005) BACK

Prescribed by GSA

FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

W912HN-09-R-0097

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Lump Sum ARRA - Purchase and Install Shower House

North Bend Park, Area C, to replace Building 1 John H. Kerr Reservoir Boydton, VA 23917 Install a Six-Pack Unisex Single-User Restrooms with three Outdoor Showers, approximately 21ft by 25 ft building.

PROJECT NO.: 323025

FOB: Destination

MILSTRIP: W81LJ891667341

NET AMT $

0002 1 Lump Sum ARRA - Purchase and Install Shower House

North Bend Park, Area B, to replace Building 2 John H. Kerr Reservoir Boydton, VA 23917

PROJECT NO.: 323025

Install a Six-Pack Unisex Single-User Restrooms with Showers and attached Multi-User Men/Women Restroom, approximately 25ft by 54ft building.

0003 1 Lump Sum ARRA - Purchase and Install Shower House

North Bend Park, Area B, to replace Building 3 John H. Kerr Reservoir Boydton, VA 23917

PROJECT NO.: 323025

Install a Four-Pack Single User Unisex Restrooms with Showers, approximately 21ft by 20 ft building.

0004 1 Lump Sum ARRA - Purchase and Install Shower House

North Bend Park, Area A, to replace Building 4 John H. Kerr Reservoir Boydton, VA 23917

PROJECT NO.: 323025

Install a Six-Pack Unisex Restrooms with Showers, approximately 21ft by 33 ft building.

NOTE:

1. This contract action requires products and/or services that are funded under the American Recovery and Reinvestment Act of 2009 (ARRA).

2. Contract Line Items using ARRA funds will be identified on the contract award document.

3. See ARRA contract clauses and ARRA reporting requirements.

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 POP 08-SEP-2009 TO

08-DEC-2009

N/A JOHN H. KERR PROJECT

PROJECT OFFICE

1930 MAYS CHAPEL ROAD

BOYDTON VA 23917

434-738-6143

0002 POP 08-SEP-2009 TO

08-DEC-2009

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-NOV-2009 TO

10-JAN-2010

0004 POP 01-NOV-2009 TO

10-JAN-2010

SPECIFICATIONS

SHOWER HOUSE/RESTROOMS

NORTH BEND CAMPGROUND

JOHN H. KERR LAKE

BOYDTON, VA

The Contractor shall provide labor, supplies and materials to completely install four shower house/restrooms at North Bend Campground, John H Kerr Lake, Virginia. This is a turn key job start to finish.

CONTRACT LINE ITEM NUMBERS

0001 ARRA - Purchase and Install Shower House North Bend Park, Area A, to replace Building 1 John H. Kerr Reservoir Boydton, VA 23917 Install a Six-Pack Unisex Single-User Restrooms with three Outdoor Showers, approximately 21ft by 25 ft building.

Start September 8, 2009, completion on or before December 8, 2009.

0002 ARRA - Purchase and Install Shower House

North Bend Park, Area C, to replace Building 2 John H. Kerr Reservoir Boydton, VA 23917 Install a Six-Pack Unisex Single-User Restrooms with Showers and attached Multi-User Men/Women Restroom, approximately 25ft by 54ft building.

Start September 8, 2009, completion on or before December 8, 2009.

0003 ARRA - Purchase and Install Shower House

North Bend Park, Area B, to replace Building 3 John H. Kerr Reservoir Boydton, VA 23917 Install a Four-Pack Single User Unisex Restrooms with Showers, approximately 21ft by 20 ft building.

Start November 1, 2009, completion on or before January 1, 2010

0004 ARRA - Purchase and Install Shower House

North Bend Park, Area B, to replace Building 4 John H. Kerr Reservoir Boydton, VA 23917 Install a Six-Pack Unisex Restrooms with Showers, approximately 21ft by 33 ft building.

Start November 1, 2009, completion on or before January 1, 2010.

Contract Line Item Numbers 0001 and 0002 will be completed prior to 0003 and 0004.

The Government is using a name brand or equal acquisition pursuant to FAR Part 11.107(a) to accurately describe the requirements. When preparing solicitation verify:

- All products offered are name brand or equal to the name brand products specified

- Buildings are pre-fabricated by the firm. If they are not pre-fabricated by the firm, identify the firm that fabricates them. Verify any designers that are on staff to fulfill the requirements of this building order. Provide the plant address.

- Documentation that buildings will be of equal to or better quality of construction (i.e. wall thickness, floor thickness, reinforcement, welded connections, fixtures, etc.)

- Verification that a variety of finishes and styles for the walls and roof, toilet options, skylights, door locks, toilet paper dispensers, hot water heaters, ADA accessible features, hand dryers, etc. Verify that a variety of color options for the walls and roof will be available for selection after award.

All will include China plumbing fixtures, Pex-Plumbing, benches in each shower stall, shower cloths hooks in walls, electric hand dryer, 50 gallon hot water heaters, exhaust fan, Merfin 2000 toilet paper dispenser, San Jamr T1290TBK paper towel dispensers, sanitary napkin receptacle, anti-graffiti resistant coating, stone veneer 32 inches high on outside of buildings.

The contractor will do the excavating and pouring footing, foundation and slab. The contractor will also install and assemble the restrooms/showers on site and hook up electric and water.

All questions shall be submitted either by email or fax to Ms. Charlenne Figgins, Contract Specialist. No questions will be accepted/answered via telephone.

E-Mail: charlenne.l.figgins@usace.army.mil Fax: 910-251-4454

MATERIALS SPECIFICATION

PART I-GENERAL

DESCRIPTION

These sections include all materials and labor required in the placement and erection of the Restroom Facility. The building plans and materials are supplied by Contractor. Generally, contractor work will include: site preparation and grading, excavations for structures, backfill or structural backfill, foundation and pad construction and building construction. Contractor supplied components are listed in Part II and Part III.

BUILDING DESIGN

Building is to be constructed on site to meet local codes and approvals for permanent structures.

Building is to be engineered to meet specific site conditions including wind and snow loading, local frost depth, and ground conditions.

Footings are to be dug and poured on site to meet local code for permanent structures. Footings will be built to 24” depth or local frost depth.

Building sidings, treatments, and roofing are to be as specified. Precast buildings with painted textures are not to be considered architecturally equivalent.

CODE COMPLIANCE AND STANDARDS

All work and materials shall comply with the latest industry building codes and regulations.

DESIGN CRITERIA

Design shall meet the Americans with Disabilities Act Accessibility Guidelines (ADAAG).

WARRANTY

The Contractor building and all its associated components shall be warranted against defects in materials and workmanship for a period of not less than one year from date of final acceptance.

PART II – PRODUCTS

CONTRACTOR SUPPLIED ITEMS PER BUILDING:

IMPORTANT: Refer to drawings and/or manuals for dimensions, locations and installation methods for the materials and items described in this section.

Concrete Masonry Units – CMU (supplied by Contractor) Walls are constructed of 8"W x 16"L x 8"H dry stack interlocking concrete masonry units (concrete blocks), manufactured to ASTM C90-02 designation for load bearing concrete masonry units, compressive strength = f'm = 1500 psi. Wall construction has #5 Rebar Horizontal @32” o.c., w (2) #4’s @ top course (spread) and #4 Rebar Vertical @32” o.c. w/ (2) #4’s (in one cell ea. face) @ doors & corners (see Contractor Supplied Items-Rebar in Walls). Walls are fully grouted with 2500 psi concrete. Blocks are brown in color and have a split-face exterior surface and smooth interior surface. Bottom 3’-4” of building to have smooth-face.

1. Mortar Additive

Horn Hydratite® Plus shall be mixed with contractor supplied mortar, in a continuous bed for the first course of blocks. This material provides a watertight seal at the base of the walls.

2. Wall Sealant Tamms Tamoseal® cement based waterproofing finish shall be mixed (by contractor) with Tamms Akkro®- 7T liquid bonding admixture for smooth trowel application to the inside surface of all exterior block walls.

This material seals the pores and voids in the wall surface. Note: Interior Wall Finish Contractor supplied Epoxy based paint, color to be white, over trowel applied smooth Tamms Tamoseal.

Exterior Masonry Prepared Wall (supplied by Contractor) The veneer units are applied directly to masonry

1. Masonry Wall Finish Bottom 3'-4” of exterior walls shall be finished with Owens Corning stone (80% Bucks County Southern Ledgestone csv-2056 with 20% Bucks County Dressed Fieldstone csv-2030) Includes Taupe water sill.

The stones are permitted to be adhered directly to the clean, unpainted masonry substrates with a nominal ½ to ¾ in. thick bed of Type S gray mortar. Joints between the stones shall be grouted, to match the stone.

Masonry materials shall be installed as specified in applicable building codes for such materials. Apply expansion or control joints if applicable. Includes matching cap/water table sill. (Note: Grout to be contractor supplied)

Anti-Graffiti Coating (supplied by Contractor) Chemprobe Masonry Coating Phylon 1422, Series 620, Conformal Clear, Anti-graffiti protective acrylic coating for concrete block masonry. Test for adhesion and do not apply in high wind or rain. Certain porous surfaces may require a sealer prior to coating application. Test a small area. Check local codes for applicability.

Prefabricated Structural Insulated Panels (supplied by Contractor) Roof panels are prefabricated, structural, insulated panels. Interior and exterior sheathing is 7/16” Structural II OSB.

Insulation is 5 ½” – R-23. Panels include all necessary hardware and fasteners for installation on building walls.

1. Vaulted Ceiling Finish Interior vaulted ceiling surfaces and exposed eaves and gable overhangs are pre-finished with white FRP (fiberglass reinforced panels), .090” thick. FRP is pre-installed with Durabond D-740 wall adhesive. FRP trim is white PVC. Roof panel trim is 22-gauge white galvanized steel. Includes fasteners for FRP.

2. Framing for Skylight Openings Where specified, openings for skylights are pre-framed in roof panels.

Roofing-Metal (supplied by Contractor) Fabral Delta-Rib, 29-ga. steel roofing, with 24” coverage width. Choice of roofing color; standard color is dark brown. Roofing package includes inside and outside foam closures, matching trim (eaves, gables and ridge) and fasteners, sheet metal flashing (all sides), foam closure strips and 30# roll roofing (under metal).

Skylight, Fixed Skylight (supplied by Contractor) Velux™ America Inc., Series FS 056, Comfort Plus, Fixed Skylight. Wood Frame of Kiln-dried, laminated Nordic Pine. Exterior maintenance free cladding, roll formed (0.65 mm aluminum). Glass is Standard 5/8” overall dual sealed insulated glass with 9.1mm (0.358”) air space, laminated and tempered. Stainless steel spacer with desiccant, primary seal polyisobutylene, secondary seal silicone. 15 5/16” x 46 3/8”.

1. Flashing. EDM – Metal Roof Flashing.

2. Weather Stripping - neoprene profiled to affect weather seal.

3. Fittings - Surface treatment with electro-galvanized, chromate passivated yellow.

4. Mounting Brackets – Factory installed stamped steel, surface treatment electro-galvanized, chromate passivated yellow.

5. Fasteners – 1 ¼” galvanized ring shank nail for mounting brackets, 6 per bracket.

Triangular Louvered Vents (supplied by Contractor) Louvered vents instead of Lexan windows. Vents are pre-assembled 1/2” steel frame with steel louvers and insect screen. Includes: mastic & white silicone caulking, 3/8” expansion anchors, flashing and #14 galv. Tek screws.

Powder-coated Black. Sheet metal sill flashing 29 ga., black (per the plans).

Wall Vents (supplied by Contractor)

Wall vents are pre-assembled 1/8” black steel frame and heavy-duty expanded steel mesh welded to both sides of a galvanized louvered vent with integral insect screen. Dimensions: 16” x 24” x 7” o.d., 14-1/2” x 19-1/8” x 2” i.d.

Free area: 111 sq. in. Finish: powder-coated, black.

Gable Vents (supplied by Contractor) Gable vents are pre-assembled steel louvers with insect screen. Finish: powder-coated, black.

Man Door, Steel 3'-0" x 7'-0" for concrete wall (supplied by Contractor) Steelcraft® L18-Series Flush Door with honeycomb core. Material is 18-ga. galvanized steel (14-ga. top and bottom channels). Finish is powder coated, black. A stainless steel kick plate is preinstalled at the bottom of the interior surface of the door. Door dimensions are 36” x 84” x 1-3/4”. Available with left or right swing.

1. Door Frame for 3'-0" x 7'-0" door for concrete wall Steelcraft® F16-Series 3-Sided Flush Frame, pre-welded. Material is 16-ga. galvanized steel. Finish is powder coated, black. Frame dimensions are: 2” jamb width, 4” header height, and 7-3/4” jamb thickness.

Doorframe is grouted into walls during installation.

2. Door Clips for Door Frame Masonry door clips (3/16” diam.) are fitted between the doorframe and concrete blocks to bond frame to wall. Door clips allow full internal grouting of the frame during installation.

3. Door Hinges Bommer LB4310C-450J-652 adjustable spring hinge (top and bottom). LB8093-4501J-652 standard hinge (middle). Made with non-corrosive lubricated bearings. Finish is Satin Chrome with rust resistant coated steel. Kit is provided with stainless steel screws and pins on standard hinge and stainless steel screws and knobs (top and bottom) on spring hinge.

4. Cylinder Deadlock, Dormitory (single user doors) Schlage Lock B560 626 Cylinder Deadlock with Thumb-Turn. Installation on-site with supplied hardware.

Deadlock and hardware are zinc plated.

5. Cylinder Deadlock – School House Safety (mechanical, storage, concession) Doors for multi-user restrooms and mechanical/storage rooms are supplied with:

Schlage Lock, No. B563 626 Standard ADA Handle, Cylinder Deadlock, Schoolhouse Safety. Locks or unlocks by key from outside. Unlocked by thumb-turn on the inside. Cannot be locked from the inside.

Dead bolt automatically deadlocks when fully extended. Lockset and hardware are zinc plated.

6. Pull Plate & Handle Trimco 1017-3B Pull Plate and 1194-2 Handle. Pull plate is preinstalled on door. Handle is installed on site. With supplied hardware. Pull plate and handle are stainless steel.

7. Door Closer (supplied by Contractor)

IR Dor-O-Matic SC81 Inside Surface Mounted Door Closer with dual hydraulic valves, power adjustment, adjustable back check, and can be adjusted to meet the ADA accessibility requirements.

8. Threshold Pemko 4” x 36” #170A

Toilet, Floor Mount China, ADA Compliant (supplied by Contractor) ProFlo PF1703WH Bowl. White vitreous china, low consumption (1.6 gal. per flush), with elongated rim. 17-1/4” high at rim. Siphon action, 1-1/2” top spud.

1. Toilet Seat Beneke 523 Open end plastic seat for elongated bowl. Seat is injection molded of high strength, impact and chemical resistant polypropylene, matching check hinges have integrally molded, stainless steel posts fitted with stainless steel washers and nuts, Perma-Bumper feature provides integrally molded bumpers that are permanent, sanitary and easy to clean, white.

2. Flush Valve, toilet Sloan Royal 111 Exposed flush valve for 1-1/2” top spud bowl.

3. Fasteners, Toilet Fixtures All necessary zinc-plated steel fasteners for attaching plumbing fixtures to walls, and floors.

WC-2, Toilet, Floor Mount China, Standard (supplied by Contractor) ProFlo PF1701WH Bowl. White vitreous china, low consumption (1.6 gal. per flush), with elongated rim. 14” high at rim. Siphon action, 1-1/2” top spud.

1. Toilet Seat Beneke 523 Open end plastic seat for elongated bowl. Seat is injection molded of high strength, impact and chemical resistant polypropylene, matching check hinges have integrally molded, stainless steel posts fitted with stainless steel washers and nuts, Perma-Bumper feature provides integrally molded bumpers that are permanent, sanitary and easy to clean, white.

2. Flush Valve, toilet Sloan Royal 111 Exposed flush valve for 1-1/2” top spud bowl.

3. Fasteners, Toilet Fixtures

LV-1, Lavatory, ADA Compliant, with backsplash (supplied by Contractor) ProFlo 1810WH Wall Mount Lavatory. White vitreous china, 20”W x 18”D with backsplash.

1. Faucet Chicago 333-665 Metering Single Faucet with push control handle and aerator

2. Offset Grid Strainer and P-trap, for lavatory Dearborn 760W Strainer, Dearborn 701 P-trap, 1-1/4”, 17-ga.

3. Protective Pipe Cover ADA conforming, wheelchair accessible lavatory P-trap and angle valve assemblies shall be covered with the molded closed cell vinyl, LAV GUARD, undersink protective pipe cover, Model #101.White. Cover shall be secured with Snap-Clip flush reusable fasteners.

4. Fasteners, Lavatory Fixtures

S-1, Utility Sink (supplied by Contractor) Mustee Utilitub® 12 Floor Mounted Laundry/Utility Tub. One-piece molded Co-Poly Pure™ tub with smooth surface and ribbed underbody, leak proof 1-1/2” integral molded drain, heavy gauge steel legs with levelers and stopper. Dimensions: 34”H x 18”W x 23-1/2”D; 13” tub depth, 15 gallon capacity. Has built in Strainer.

1. Faucet, Utility Sink Moen Chateau 4975CHT Two Handle Faucet, chrome.

SH-1, Shower Panel, ADA Accessible (supplied by Contractor) Metcraft 700-SHS HC Shower Panel. Surface mount, tamper resistant 16-ga. stainless steel panel with chrome head and push-button single control, recessed soap dish.

1. Grab Bars 24" x 36"

Brey-Krause Mfg. Co. D-7875-SS, Stainless Steel Grab Bars, 14-ga, satin finish, 1 ½" o.d 22 ga. round snap-on concealed mount

2. Grab Bars for Showers Brey-Krause Mfg. Co, D-7812-SS, Stainless Steel Grab Bars, 18"L, 14-ga, satin finish, 1 ½" o.d 22 ga. round snap-on concealed mount

3. Shower Seat Brey-Krause Mfg. Co S-6215-SS, Stainless Steel Shower Seat

4. Fasteners for Shower Fixtures, all necessary zinc-plated steel fasteners for attaching plumbing fixtures to walls.

5. Bench (Note: Not all showers are fitted with benches. Refer to plans.)

Double R Shower Stall Bench. Cedar 2x4 slats in powder-coated steel frame. Triangular bench in ADA accessible shower.

6. Shower Curtain and Rod (Note: Not all showers are fitted with shower curtains. Refer to plans.) 9533- 4872 Vinyl Shower Curtain, white, 48" x 72", 9536 Shower Curtain Hooks, B-9531 Extra Heavy-Duty Shower Curtain Rod. 18-ga. stainless steel.

SH-2, Shower Panel, Standard (supplied by Contractor) Metcraft 700-SHS Shower Panel. Surface mount, tamper resistant 16-ga. stainless steel panel with chrome head and push-button single control, recessed soap dish.

1. Bench (Note: Not all showers are fitted with benches. Refer to plans.)

Double R Shower Stall Bench. Cedar 2x4 slats in powder-coated steel frame. Rectangular bench in standard shower.

2. Shower Curtain and Rod (Note: Not all showers are fitted with shower curtains. Refer to plans.) 9533- 3672 Vinyl Shower Curtain, white, 36" x 72", 9536 Shower Curtain Hooks, B-9531 Extra Heavy-Duty Shower Curtain Rod. 18-ga. stainless steel.

RH-1, Robe Hook (supplied by Contractor) Bradley 9119 Robe Hook, forged brass with bright chrome finish, concealed mounting plate in 12 gauge plated steel in bright chrome finish.

HB-1, Wall Hydrant (supplied by Contractor) Woodford 67P Freeze less Hydrant, automatic draining with anti-siphon vacuum breaker, for ¾" copper pipe.

Depth to match wall thickness.

LF-1, Light Fixture, Wall Mount (supplied by Contractor) Harris Lighting 300CPHB32PLTHPF120CWTPS Light Fixture. UL listed for wet locations, rustproof vandal-resistant housing-bronze color, injection molded polycarbonate lens, self-start preheat type ballast- high power factor-0° F min. starting temp. Dimensions: 6-1/2"W x 9-1/4"H x 6-3/8"D.

LF-2, Light Fixture, Ceiling Mount-Mechanical/Storage Room (supplied by Contractor) Buildings with mechanical/storage room(s) are supplied with:

Lithonia LB232-120GEB Fluorescent Light Fixture. UL listed. Heavy-duty formed channel with removable reflector. High-gloss, white baked enamel finish. (Fluorescent light tubes to be supplied by others)

BP, Main Breaker Panel, 200 Amp-Single Phase (supplied by Contractor) Cutler Hammer BR2040B200 200 Amp Main Breaker Panel.

Note: This panel has been sized to accept only the loads of the Contractor supplied electrical fixture package.

Contractor has the right to modify the mbp to be most efficient based on any changes.

PE-1, Photo Eye Lighting Control and Weather Box (supplied by Contractor) Intermatic K4321 Fixed Position Photo Control with weatherproof cover and neoprene gasket.

BWF-B5 Outdoor Junction Box.

HT-1, Heater with Thermostat (supplied by Contractor) King LPW Series (Large Pic-A-Watt) LPW1227T Wall Mount Heater, 120 volt, 1000-2750 watts. Surface mount (with LPWSA wall can, powder-coated white) with built-in thermostat (single pole hydraulic capillary tube).

WH-1, Water Heater, Electric-52 Gallon (supplied by Contractor) AO Smith Pro-Max model DRE-52-18 Hot Water Heater, 52 gal 18kw 220v, 1ph, includes Dynaclean™ Diffuser Dip Tube, Coregard ™, durable tamper-resistant brass drain valve, Factory-Installed side-mounted temperature and pressure relief valve.

1. Thermometer Weksler 3A02, 0°-150°F

2. Mixing Valve Sparco AM101 Thermostatic Tempering Valve. 3/4” solid brass, high capacity (12.0 gpm at 45-psig differentials. Temperature range: 85-120° F.

HD-1, Hand Dryer (supplied by Contractor) Fastaire HD03 hand dryer. Cast Aluminum, sandblast finish and clear sealant. 1/6 hp motor, 2-stage blower and filter, 30 second shut-off after start, approx. 50 CFM, 120 volts, 60 HZ, 7.5 Amps AC.

EF-1, Exhaust Fan (supplied by Contractor) Greenheck GCW-070-D Sidewall Exhaust Fan, 307 cfm @.125 sp, 115v/1ph, Nema-1 disconnect, speed control, gravity damper. Includes Gre-Esd-403 72.25” wide x 24” High Special Shape Triangle Left, Channel Frame, Birdscreen, Mill finish.

Mirror (supplied by Contractor) Brey-Krause Mfg. Co.T-1024-36-SS 18 ga. Satin Finish, 24”W x 36”H.

Grab Bars (supplied by Contractor) Brey-Krause Mfg. Co. Co D-7812-SS, D-7816-SS, and D-7815-SS, Stainless Steel Grab Bars, 18”, 36" & 42"L, 14-ga, satin finish, 1 ½" o.d 22 ga. round snap-on concealed mount. The space between the wall and the grab bar is 1 ½” and the grab bars do not project more than 3” in to any clear floor space.

Toilet Paper Dispenser-2-roll, white painted steel (supplied by Contractor) Aslin Lockable Dispenser, two-roll, 1/4” steel, 13” long, lockable (padlock not included). Finish: white painted steel. Dispenser to be free-rolling with 1" narrow bar. Unless specified otherwise by owner. Required fasteners (six) to be supplied by contractor.

Signs (supplied by Contractor) Restroom entry signs shall be fastened to exterior walls alongside entry doors to meet ADA requirements. Graphics and Grade 2 Braille on injection molded plastic signs, gray color, Dimensions: 6" W x 9" H x 1/8" thickness.

Seat Cover Dispenser (supplied by Contractor) Bradley 583 Seat Cover Dispenser. Surface mounted, satin finish stainless steel, 500 capacity.

Napkin/Tampon Disposal Dispenser- (supplied by Contractor) Bradley 4722-15 napkin-tampon disposal, surface mounted, satin finish stainless steel, Single end compartment.

Paper Towel Dispenser- (supplied by Contractor) Bradley 251-33 paper towel dispenser, surface mounted, single-fold towels, white enamel finish.

Waste Receptacle (supplied by Contractor) Bradley 377-38 36-gallon waste receptacle. Fabricated of heavy gauge stainless steel with exposed surfaces in architectural stain finish. Equipped with vinyl wall bumper strip and rubber feet. Top fabricated of heavy gauge stainless steel. Swing door is counter balanced for easy operation.

Soap Dispenser (supplied by Contractor) Bradley 6562 Soap Dispenser. Tank type-vertical surface mounted, push-in corrosion resistant liquid soap valve.

Finish: stainless steel.

PART III - INSTALLATION

CONTRACTOR SUPPLIED ITEMS

The following items are to be supplied by the building contractor. Refer to drawings for quantities, dimensions, locations and installation methods for items described in this section. The contractor shall supply any parts not listed above in Factory Supplied Items Per Building, including but not limited to items specified in the final plans and items required by building codes. The contractor shall be responsible for ensuring that the concrete foundation and slab are adequate for the site conditions and the purpose for which the building and foundation/slab are intended.

Equipment, Labor and Trades (supplied by contractor)

All equipment, labor and trades to unload the building, excavate the site, build concrete forms, supply and install the reinforced concrete footings and slab, and install the building and fixtures.

Engineered Fill (supplied by contractor) 3/4" minus crushed rock engineered fill around footing, foundation and slab as required.

Slab Vapor Barrier (supplied by contractor) 6 mil. continuous vapor barrier under concrete slab.

Concrete Foundation/Footing, Interior Slabs and Exterior/Entry Slabs (supplied by contractor) 2500 psi ready-mix concrete to dimensions specified in final plans. Steel rebar to be supplied by contractor as specified in final plans.

Concrete Slab Sealer (supplied by contractor) Sonneborn Sonocrete Kure 1315 water-base transparent curing, sealing and dust proofing compound or equivalent.

Two (2) coats to be applied per manufacturer’s instructions by contractor.

Mortar Bed for First Course of Blocks (supplied by contractor) Mixed with Hydratite® Plus mortar additive (supplied by Contractor). Mortar supplied by contractor.

Concrete Grout in Walls (supplied by contractor) 2500 psi ready-mix concrete pumped into stacked wall blocks, approx. 1 cubic yd. per 100 blocks.

Rebar in Walls (supplied by contractor) All walls have #5 Rebar Horizontal @32” o.c., w (2) #4’s @ top course (spread) and #4 Rebar Vertical @32” o.c.

w/ (2) #4’s (in one cell ea. Face) @ doors & corners

Plumbing Rough-in (supplied by contractor)

All underground water service to building as specified in final site plan. (Note: minimum water pressure at toilet and urinal flush valves. Refer to the 2006 Uniform Plumbing Code Section 610 for pipe sizing in to the building.

Pex Tubing to be used as water supply.

All underground sewer drain(s) from building as specified in final site plan.

Building water shutoff valve and drain for each individual room and all rough piping as shown on final plans.

Plumbing Installation and Trim (supplied by contractor) Supplied fixtures as specified in final plans. (Note: supply and install fasteners and trim for fixtures as required.)

Backflow Check Valve (supplied by contractor) as required Water and Sewer line backflow check valve.

Plumbing NOTE: (IF APPLICABLE) Hot water tanks require a pressure relief valve (included when hot water package is part of Contractor’s supplied items) and drain line (contractor supplied) to the exterior of the building per UPC, Section 608.4. Hot water tanks require two straps per UPC, Section 510.5. (supplied by contractor)

FD-1, Floor Drain (supplied by contractor) Smith 2005, duco cast iron body with flashing collar and adjustable strainer. (unless owner specifies otherwise)

Electrical Rough-in (supplied by contractor) All underground and/or overhead service to building as specified in final site plan.

Electric meter base and all rough wiring, conduit, switches, plugs and circuit breakers as shown on final plans.

(Note: Contractor does not supply the meter base. Contractor-supplied breaker panel includes main breaker only.

Branch circuit breakers are not supplied by Contractor.)

Electrical Installation and Trim (supplied by contractor) Supplied fixtures as specified in final plans. Note: supply and install fasteners and trim for fixtures as required.)

Provide #4 bare copper ground wire per NEC 250 and approved connectors per plans.

CB-1, Branch Circuit Breakers (supplied by contractor) Cutler Hammer BR Type-Single Phase-Single Pole (or equivalent)

SW-1, Switch (supplied by contractor) (if needed) Leviton 1221-2I quiet wall switch, 15 amp/120 volt, Ivory colored with cover plate (or equivalent)

EO-1, GFCI Outlets (supplied by contractor) (if needed) Pass & Seymour/Legrand 1594, Straight Blade Duplex GFCI Receptacles, 2 Pole, 3 wire grounding, UL Listed.

With SafeLock Protection and a trip-indicator light.

Epoxy Paint (supplied by contractor) Epoxy based paint over smooth Tamms Tamoseal®. Color to be white

Other (supplied by contractor) The building contractor is responsible for supply and installation of all other items indicated on final plans or required by building codes, which are not supplied by Contractor.

Special Inspection (supplied by owner, not by CONTRACTOR) if required:

If Special Inspection, as defined by Code, is required per the Building Department or other regulatory agencies, then Contractor can assist but NOT provide this service. Contractor can endorse an owner furnished special inspector or special inspection company in order to facilitate the permitting process. In order for Contractor to endorse the proposed special inspector, documentation such as previous experience, resumes and references, etc. shall be requested by Contractor in order to endorse their services.

Contractor, under no circumstance shall be considered the special

Inspector, nor shall they pay any fees associated with such. All such required costs, fees and arrangements associated with these are the responsibility of the owner.

ITEMS NOT SUPPLIED BY CONTRACTOR

The following items are to be supplied by others. This could be the owner, landscapers, or other site workers. This also includes any items not listed above or in the plans that are not listed as being supplied by the Contractor.

Relocation and installation of existing utilities per written specification to be supplied by owner.

Exterior Concrete Sidewalks at Building Perimeter (supplied by others unless specified in quotation as supplied by contractor) Exterior concrete sidewalks at building perimeter (not including steel-reinforced exterior concrete pad between building walls) to consist of: sub-grade of 2" deep sand leveling base over 6" deep gravel; concrete pad of 5" thick 2500 p.s.i concrete with #3 (3/8") rebar 18" each way. Concrete sidewalks shall have 1-1/2" deep saw cuts 5' o.c.

and expansion joints 20' o.c.

Drain Valve (by others) Water Line drain valve to be supplied by others.

Other Materials and Equipment Not Supplied or Installed by Contractor The following items and any other items not listed in the quotation or this specification, or not shown in the final plans are outside the scope of the Materials Specification and are not supplied or installed by Contractor:

Landscaping Irrigation Equipment Gutters and Downspouts Fire Alarm and Fire Suppression Equipment Lighting Equipment not attached to the building.

Plumbing Equipment not included in the Materials Specification Electrical Equipment not included in the Materials Specification Concession Equipment not included in the Materials Specification

CLAUSES INCORPORATED BY REFERENCE

52.202-1 Definitions JUL 2004 52.203-6 Restrictions On Subcontractor Sales To The Government SEP 2006 52.203-6 Alt I Restrictions On Subcontractor Sales To The Government

(Sep 2006) -- Alternate I

OCT 1995

52.204-7 Central Contractor Registration APR 2008 52.204-9 Personal Identity Verification of Contractor Personnel SEP 2007 52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for Debarment

SEP 2006

52.212-1 Instructions to Offerors--Commercial Items JUN 2008 52.212-4 Contract Terms and Conditions--Commercial Items MAR 2009 52.215-2 Alt I Audit and Records--Negotiation (Mar 2009) Alternate I MAR 2009 52.219-8 Utilization of Small Business Concerns MAY 2004 52.219-14 Limitations On Subcontracting DEC 1996 52.222-5 Davis-Bacon Act--Secondary Site of the Work JUL 2005 52.222-6 Davis Bacon Act JUL 2005 52.222-7 Withholding of Funds FEB 1988 52.222-8 Payrolls and Basic Records FEB 1988 52.222-9 Apprentices and Trainees JUL 2005 52.222-10 Compliance with Copeland Act Requirements FEB 1988 52.222-11 Subcontracts (Labor Standards) JUL 2005 52.222-12 Contract Termination-Debarment FEB 1988 52.222-13 Compliance with Davis-Bacon and Related Act Regulations. FEB 1988 52.222-14 Disputes Concerning Labor Standards FEB 1988 52.222-15 Certification of Eligibility FEB 1988 52.225-21 Required Use of American Iron, Steel, and Other

Manufactured Goods--Buy American Act--Construction Materials

MAR 2009

52.225-22 Notice of Required Use of American Iron, Steel, and Other Manufactured Goods--Buy American Act--Construction Materials

MAR 2009

52.237-2 Protection Of Government Buildings, Equipment, And Vegetation

APR 1984

52.247-34 F.O.B. Destination NOV 1991 52.253-1 Computer Generated Forms JAN 1991 252.204-7004 Alt A Central Contractor Registration (52.204-7) Alternate A SEP 2007 252.204-7006 Billing Instructions OCT 2005 252.209-7004 Subcontracting With Firms That Are Owned or Controlled By

The Government of a Terrorist Country

DEC 2006

252.212-7000 Offeror Representations and Certifications- Commercial Items

JUN 2005

252.225-7002 Qualifying Country Sources As Subcontractors APR 2003 252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991

CLAUSES INCORPORATED BY FULL TEXT

52.203-15 WHISTLEBLOWER PROTECTIONS UNDER THE AMERICAN RECOVERY AND

REINVESTMENT ACT OF 2009 (MAR 2009)

(a) The Contractor shall post notice of employees rights and remedies for whistleblower protections provided under section 1553 of the American Recovery and Reinvestment Act of 2009 (Pub. L. 111-5).

(b) The Contractor shall include the substance of this clause including this paragraph (b) in all subcontracts.

(End of clause)

52.212-2 EVALUATION--COMMERCIAL ITEMS (JAN 1999)

(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:

Award will be made to the lowest priced, technically acceptable offer

(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 (FEB 2009)

An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual representations and certifications electronically at http://orca.bpn.gov. If an offeror has not completed the annual representations and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (c) through (m) of this provision.

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

"Emerging small business" means a small business concern whose size is no greater than 50 percent of the numerical size standard for the NAICS code designated.

"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.

Manufactured end product means any end product in Federal Supply Classes (FSC) 1000-9999, except--

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

(2) Federal Supply Group (FSG) 87, Agricultural Supplies;

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

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

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

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

(8) FSC 9610, Ores;

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

(10) FSC 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 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.

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.

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

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

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

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

"Women-owned small business concern" means a small business concern--

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

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

(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 Online Representations and Certifications Application (ORCA) website.

(2) The offeror has completed the annual representations and certifications electronically via the ORCA website at http://orca.bpn.gov. After reviewing the ORCA database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ----------.

(Offeror to identify the applicable paragraphs at (c) through (m) 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 on ORCA.]

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

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

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

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

(4) Small disadvantaged business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents, for general statistical purposes, 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)(6) and (c)(7) only if this solicitation is expected to exceed the simplified acquisition threshold.

(6) 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.

(7) 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:

(8) Small Business Size for the Small Business Competitiveness Demonstration Program and for the Targeted Industry Categories under the Small Business Competitiveness Demonstration Program. (Complete only if the offeror has represented itself to be a small business concern under the size standards for this solicitation.)

(i) (Complete only for solicitations indicated in an addendum as being set-aside for emerging small businesses in one of the designated industry groups (DIGs).) The offeror represents as part of its offer that it ( ) is, ( ) is not an emerging small business.

(ii) (Complete only for solicitations indicated in an addendum as being for one of the targeted industry categories (TICs) or designated industry groups (DIGs).) Offeror represents as follows:

(A) Offeror's number of employees for the past 12 months (check the Employees column if size standard stated in the solicitation is expressed in terms of number of employees); or

(B) Offeror's average annual gross revenue for the last 3 fiscal years (check the Average Annual Gross Number of Revenues column if size standard stated in the solicitation is expressed in terms of annual receipts).

(Check one of the following):

Average Annual

Number of Employees Gross Revenues

___ 50 or fewer ___ $1 million or less

___ 51 - 100 ___ $1,000,001 - $2 million

___ 101 - 250 ___ $2,000,001 - $3.5 million

___ 251 - 500 ___ $3,500,001 - $5 million

___ 501 - 750 ___ $5,000,001 - $10 million

___ 751 - 1,000 ___ $10,000,001 - $17 million

___ Over 1,000 ___ Over $17 million

(9) (Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns or FAR 52.219-25, Small Disadvantaged Business Participation Program-Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.)

(i) General. The offeror represents that either--

(A) It ( ) is, ( ) is not certified by the Small Business Administration as a small disadvantaged business concern and identified, on the date of this representation, as a certified small disadvantaged business concern in the database maintained by the Small Business Administration (PRO-Net), and that no material change in disadvantaged ownership and control has occurred since its certification, and, where the concern is owned by one or more individuals claiming disadvantaged status, the net worth of each individual upon whom the certification is based does not exceed $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); or

(B) It ( ) has, ( )( has not submitted a completed application to the Small Business Administration or a Private Certifier to be certified as a small disadvantaged…