W912JD-19-R-0002_-Medical_and_Dental_Service.docx

W912JD19R0002

Section SF 1449 - CONTINUATION SHEET

INSTRUCTION TO OFFERORS

INSTRUCTION TO OFFERORS – Addendum to 52.212-1

W912JD-19-R-0002 - PROPOSAL SUBMISSION

1. INTRODUCTION

0. This Request for Proposal is being issued in accordance with FAR 12.203 – Procedures for Solicitation, Evaluation, and Award.

0. You are invited to submit a proposal in response to our Request for Proposal (RFP) W912JD-19-R-0002, Medical and Dental Service for the Maine Army National Guard, located in Bangor, Brunswick, and Augusta, Maine. As a result of this solicitation, the Government intends to award a single Firm Fixed Price (FFP) contract. This solicitation is 100% Small Business set-aside.

1.2 The offeror shall be certified in www.SAM.gov . This will be a determining factor for award during the evaluation process of the offeror quote, if the SAM.gov certification is not current. https://www.sam.gov/portal/public/SAM/.

1.3 The offeror has completed the annual all Representations and Certifications electronically found in the provisions within their profile in the System for Award Management (SAM) at http://www.sam.gov site.

1.4 In the event the current prevailing Wage Determination is changed by the Department of Labor prior to the closing date of this solicitation, it is the offeror’s responsibility to insure the most recent determination is used in preparing the proposal. An Amendment will not be issued prior to closing to change Wage Determination dates and/or numbers.

1.5 Applicable wage determination can be found at https https://wdolhome.sam.gov/.

1.6 Secretary of Labor, Wage and Hour, 2015-4009- Revision 10 – Kennebeck County - Attachment 2.

1.7 Secretary of Labor, Wage and Hour, 2015-4001 – Revision 10 – Penobscot County – Attachment 3.

1.8 A statement that includes acknowledgement all of the amendment number (if applicable). Failure to acknowledge all of the amendment number, may render an offeror’s proposal non-responsive.

1.9 Offers will be evaluated on the basis of information furnished with the Request for Proposal (RFP). Failure to submit the required information will preclude consideration of the offer for this requirement.

2. PROPOSAL SUBMISSION REQUIREMENTS

2.3 The following volume of material shall be submitted:

Volume I – Price-Information (SF 1449) Solicitation, Offer and Award Documents

3. COVER LETTER

3.1 Provide an induction page to include Cage Code, DUNS Number, and Tax Identification Number (TIN). Also include your business socioeconomic status, e.g. small business, women-owned, HUBZone, etc.

3.2. The cover letter submitting the offeror’s proposal shall be signed by an officer of the offeror’s company authorized to commit the company; shall indicate the proposal is valid for 90 calendar days; shall identify by name, title, phone number and email any person authorized to negotiate on the offeror’s behalf and should express the

4. DICUSSIONS

4.1 The Government intends to evaluate proposals and make award without discussions. During the evaluation process, the Government may, at its discretion enter into clarifications or communications as needed. The Government need not enter into communications or clarifications with all Offerors.

5. DEADLINES

5.1 Questions/clarifications regarding this solicitation must be submitted via email to darlener.r.howes.civ@mail.mil by Thursday, August 29th. Any question received after Thursday, August 29th will not be answered.

5.2 All proposal packages are due by 4:00 PM Eastern Local Time on Wednesday, September 11th. Proposals must be submitted via email to darlene.r.howes.civ@mail.mil. In the subject line: W912JD-19-R-0002. Proposals will not be accepted by any other means. Late proposals will not be considered. Offerors will receive an email confirmation that their quote was received within two (2) business days.

5.3 All information relating to this RFP, including changes/amendments and information prior to the date set for receipt of proposals will be posted on the https://www.fbo.gov website.

--End of FAR 52.212-1 Addendum --

Location: Bangor

FFP

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 1 and 3 Approximate Number of Service Members: 130 Period of Performance: Saturday, 2 November 2019 FOB: Destination

PSC CD: Q403

NET AMT

Location: Bangor

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 1 and 3 Approximate Number of Service Members: 115 Period of Performance: Sunday, 3 November 2019

NET AMT

Location: Bangor

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 1, 2 and 3 Approximate Number of Service Members: 115 Period of Performance: Saturday, 7 December 2019

NET AMT

Location: Bangor

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 1, 2 and 3 Approximate Number of Service Members: 125 Period of Performance: Sunday, 8 December 2019

NET AMT

Location: Brunswick

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 1, 2 and 3 Approximate Number of Service Members: 125 Period of Performance: Saturday, 4 January 2020

NET AMT

Location: Brunswick

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 1, 2 and 3 Approximate Number of Service Members: 150 Period of Performance: Sunday, 5 January 2020

NET AMT

Location: Augusta

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 2 and 3 Approximate Number of Service Members: 150 Period of Performance: Saturday, 1 February 2020

NET AMT

Location: Augusta

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 2 and 3 Approximate Number of Service Members: 135 Period of Performance: Sunday, 2 February 2020

NET AMT

Location: Augusta

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 2 and 3 Approximate Number of Service Members: 130 Period of Performance: Saturday, 7 March 2020

NET AMT

Location: Augusta

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 2 and 3 Approximate Number of Service Members: 120 Period of Performance: Sunday, 8 March 2020

NET AMT

Army Contract Manpower Reporting

Yearly Requirement:

The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the contractor will report ALL contractor manpower (including subcontractor manpower) required for performance of this contract. The contractor is required to completely fill in all the information in the format using the following web address: https://cmra.army.mil/.

The required information includes: (1) Contracting Office, Contracting Officer, Contracting Officer’s Technical Representative; (2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) contractor name, address, phone number, e-mail address, identity of contractor employee entering data; (5) Estimated direct labor hours (including sub-contractors); (6) Estimated direct labor dollars paid this reporting period (including sub-contractors); (7) total payments (including sub-contractors); (8) Predominant Federal Service Code (FSC) reflecting services provided by contractor (and separate predominant FSC for each Sub-contractor if different); (9) Estimated data collection cost; (10) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the contractor with its UIC for the purposes of reporting this information); (11) Locations where contractor and sub-contractors perform the work (specified by zip code in the United States and nearest city, country, when in an overseas location, using standardized nomenclature provided on website); (12) Presence of deployment or contingency contract language; and (13) Number of contractor and sub-contractor employees deployed in theater this reporting period (by country).

As part of its submission, the contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period will be the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by 31 Oct of each calendar year.

Contracting Office: W912JD Requiring Activity Unit Identification Code (UIC): W8A4AA

NET AMT

FFP

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 1 and 3 Approximate Number of Service Members: 130 Period of Performance: Saturday, 7 November 2020

NET AMT

FFP

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 1 and 3 Approximate Number of Service Members: 115 Period of Performance: Sunday, 8 November 2020

NET AMT

FFP

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 1, 2 and 3 Approximate Number of Service Members: 115 Period of Performance: Saturday, 5 December 2020

NET AMT

FFP

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 1, 2 and 3 Approximate Number of Service Members: 125 Period of Performance: Sunday, 6 December 2020

NET AMT

FFP

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 1, 2 and 3 Approximate Number of Service Members: 125 Period of Performance: Saturday, 9 January 2021

NET AMT

FFP

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 1, 2 and 3 Approximate Number of Service Members: 150 Period of Performance: Sunday, 10 January 2021

NET AMT

FFP

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 2 and 3 Approximate Number of Service Members: 150 Period of Performance: Saturday, 6 February 2021

NET AMT

FFP

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 2 and 3 Approximate Number of Service Members: 135 Period of Performance: Sunday, 7 February 2021

NET AMT

FFP

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 2 and 3 Approximate Number of Service Members: 130 Period of Performance: Saturday, 6 March 2021

NET AMT

FFP

Contractor shall provide all personnel, equipment, labor, tools, equipment, transportation and supervision necessary to provide mobile Medical/Dental services for the Maine Army National Guard (MEARNG) eligible service members to include: periodic health assessments, hearing examinations, MEDPROS data entry, annual dental exams, digital bitewing radiographs, digital panoramic radiographs, DENCLASS data entry for all radiographs and dental records. Services are to be completed on-site and in accordance with the PWS incorporated herein.

Category Code: Category 2 and 3 Approximate Number of Service Members: 120 Period of Performance: Sunday, 7 March 2021

NET AMT

FFP

Yearly Requirement:

The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the contractor will report ALL contractor manpower (including subcontractor manpower) required for performance of this contract. The contractor is required to completely fill in all the information in the format using the following web address: https://cmra.army.mil/.

The required information includes: (1) Contracting Office, Contracting Officer, Contracting Officer’s Technical Representative; (2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) contractor name, address, phone number, e-mail address, identity of contractor employee entering data; (5) Estimated direct labor hours (including sub-contractors); (6) Estimated direct labor dollars paid this reporting period (including sub-contractors); (7) total payments (including sub-contractors); (8) Predominant Federal Service Code (FSC) reflecting services provided by contractor (and separate predominant FSC for each Sub-contractor if different); (9) Estimated data collection cost; (10) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the contractor with its UIC for the purposes of reporting this information); (11) Locations where contractor and sub-contractors perform the work (specified by zip code in the United States and nearest city, country, when in an overseas location, using standardized nomenclature provided on website); (12) Presence of deployment or contingency contract language; and (13) Number of contractor and sub-contractor employees deployed in theater this reporting period (by country).

As part of its submission, the contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period will be the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by 31 Oct of each calendar year.

Contracting Office: W912JD Requiring Activity Unit Identification Code (UIC): W8A4AA

NET AMT

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

W8A4 MEARNG ELEMENT, JF HQ

CONTRACT BLDG 14 CAMP KEYES

194 WINTHROP STREET

AUGUSTA ME 04333-0032

207-430-5603

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CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

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

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Lowest Price Technically Acceptable (LPTA)

(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 (OCT 2018)

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

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

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

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

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

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

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

(8) PSC 9610, Ores;

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

(10) PSC 9630, Additive Metal Materials.

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

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

“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.

“Successor” means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

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

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

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

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

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

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

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

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

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

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

[Offeror to identify the applicable paragraphs at (c) through (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 will be performed in the United States or its outlying areas. Check all that apply.

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

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

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

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

(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.

(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.

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

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

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

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

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

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

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

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

(i) It ( ___ ) has, ( ___ ) has not, participated in a previous contract or subcontract subject either to the Equal Opportunity clause of this solicitation, the and

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

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

(i) It ( ___ ) has developed and has on file, ( ___ ) has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR Subparts 60-1 and 60-2), or

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

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract.