W912LQ-16-T-0060_116th_YR_Event_Meals _Lodging _Meeting_Space_and_AV.pdf

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Yellow Ribbon Lodging, Mtg Space, Meals, AV
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W912LQ-16-T-0060
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Yellow Ribbon - Richmond Lodging Meals Meeting Space and AV

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SEE ADDENDUM

(No Collect Calls)

W912LQ-16-T-0060 16-Jun-2016

b. TELEPHONE NUMBER

434-298-6219

8. OFFER DUE DATE/LOCAL TIME

03:00 PM 05 Jul 2016

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W912LQ9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

STEVEN SLATER

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

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

VAPFO-P

USPFO FOR VIRGINIA,

BLDG 316

FORT PICKETT

BLACKSTONE VA 23824-6316

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 W801GJ 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

0116 IN HHC HEADQUARTERS IN

BLDG 101 116TH REGIMENTAL ROAD

STAUNTON VA 24401-0500

TEL: FAX:

434-298-6202FAX:

TEL: 434-298-6207 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$32,500,000

NAICS:

721110

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

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

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF51

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.

W912LQ-16-T-0060

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 180 Each Lodging Rooms Sept 16, 2016

FFP

Lodging Rooms Sept 16, 2016 ** See Statement of Work** FOB: Destination

NET AMT

0002 500 Each Lodging Rooms Sept 17, 2016

FFP

Lodging Rooms Sept 17, 2016 ** See Statement of Work**

0003 4 Each Conference Rooms

FFP

Conference Rooms - Sept 16 (2 Rooms) & 17 ( Two Rooms), 2016 ** See Statement of Work **

0004 2 Each Breakout Room

FFP

Breakout Room Sept 17 ( One Room) & 18 (One Room), 2016

0005 4 Each Child Care Rooms

FFP

Child Care Rooms Sept 17(2 Rooms) & Sept 18 (2 Rooms) ** See Statement of Work**

0006 2 Each Youth Rooms

FFP

Youth Rooms Sept 17 ( 1 Room), 18 (1 Room), 2016 ** See Statement of Work**

0007 2,400 Each Adult Lunch

FFP

Adult Lunch Sept 17 & 18, 2016 **See Statement ofb Work**

0008 280 Each Child Lunch

FFP

Child Lunch Sept 17 ( 140) & 18 (140), 2016 **See Statement ofb Work**

0009 1 Each Audiovisual Equipment Rental

FFP

Audiovisual Equipment Rental Sept 17 & 18, 2016 ** See Statement of Work**

0010 2 Each Rescource Provider Area / Room

FFP

Rescource Provider Area / Room Sept 17 (1 Room) Sept 18 (1 Room), 2016, ** See Statement of Work**

0011 1 Each CMR - Contractor Manpower Reporting

FFP

CMR - Contractor Manpower Reporting - The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the Virginia Army National Guard via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address: http://www.ecmra.mil.

Reporting inputs will be for the labor executed during the period of performance during each government fiscal year (FY), which runs October 1 through September

30. Although inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each year. Contractors may direct questions to the help desk at helpdesk@http://www.ecmra.mil/.

INFORMATION

I.INFORMATION

The Virginia National Guard intends to procure lodging rooms, conference space, and catered meals in support of 116th Post-Mobilization Yellow Ribbon event to be held in Richmond, Virginia on Sept 17-18, 2016. This procurement is issued as a small business set-aside under the NAICS 721110 with a small business size standard of $32.5M. The Yellow Ribbon Event shall accept quotes for the following dates:

Lodging Rooms shall be quoted for Sept 16 and Sept 17, 2016. Meeting Space, Meals and Audio Visual Equipment shall be quoted for Sept 17 and Sept 18, 2016.

1. The following individuals are designated as points of contact (POC) for purposes of this contract:

(a) Contractor POC:

To be provided at time of award.

(b) Contracting POCs:

Contracting Officer(s) (only individual authorized to make changes to the contract terms and conditions)

Susan E. Swanson 434-298-6293 susan.e.swanson5.civ@mail.mil

Rebecca L. Fowler 434-298-6206 rebecca.l.fowler6.civ@mail.mil

Contract Specialist

SSG Steven M. Slater 434-298-6219 steven.m.slater4.mil@mail.mil

(c) Payment inquiries:

To be provided at time of award.

Invoices must be submitted via WAWF. After successful submission of your WAWF invoice, send an email notification to ng.va.vaarng.list.ngva-aqs-wawf@mail.mil. Failure to do so may cause a delay in payment.

(d) On-site Government Representative:

To be provided at time of award.

This individual may reduce requirements but does not otherwise have the authority to change any terms and conditions of the award.

2. All quantities are estimated. The government (on-site government representative or contracting officer) will provide final counts no later than the time and date specified in the statement of work. The contractor shall not invoice for more than the final counts provided.

3. Unit prices shall be inclusive of all applicable fees. Pricing shall include all applicable fees to include any nonexempt taxes. In anticipation of questions of whether the government per diem rate is required, the following response is provided: The solicitation is being issued on a competitive basis. The rate utilized for purposes of award will be the rate(s) quoted by the offeror(s) determined to offer the lowest technically acceptable price(s); however, all inclusive pricing shall not exceed per diem pricing for the locality of the facility.

4. A statement of work for the event is included in this solicitation and will be made a part of any resulting award.

5. A single award will be made to the lowest priced, technically acceptable (LPTA) quote(s) that represents the most advantageous scenario to the government.

(a) To be determined technically acceptable, the following minimum requirements must be met:

(1) The quote must provide for lodging, event space, catering, and parking requirements in accordance with the statement of work;

(2) The proposed facility must provide guest informational service (i.e. front desk attendant, concierge service, etc.) 24 hours a day;

(3) The proposed facility must have on-site parking, or if off-site, valet services must be provided;

(4) The proposed facility must be located within 50 miles of Richmond, Virginia;

(5) The proposed facility must be FEMA approved.

(b) In order to determine if minimum requirement (1) can be met, all services requested must either be priced or annotated as provided at no additional cost. For minimum requirements (2) and (3), offeror must provide a fact sheet that addresses each minimum requirement. The physical location of the proposed hotel facility must be provided to permit a determination whether requirement (4) will be met.

The lodging facility FEMA number must be provided to determine if requirement (5) can be met.

If information to address minimum requirements 2-6 is available on-line, a website address can be provided in lieu of the fact sheet.

(6) Vendors must complete, sign, and return the solicitation with their quote to include FAR provision 52.212-3 Alt I and DFARS provision 252.209-7996.

(7) All questions shall be submitted in writing three days prior to the quote due date. Quotes are due no later than 3:00pm July 5, 2016, and must be emailed to steven.m.slater4.mil@mail.mil.

II. STATEMENT OF WORK Yellow Ribbon 3-116 INF BN

The Virginia Army National Guard’s 3-116 INF BN will conduct a Post-Mobilization Yellow Ribbon Event in Richmond, Virginia or within 50 miles of that location. The event will take place Saturday 17 SEPT 2016 and Sunday 18 SEPT 2016. Contractor shall provide the following requirements as outlined below.

A. Requirements Sleeping Rooms:

1. One Hundred Eighty (180) sleeping rooms are required on Friday 16 SEPT 2016, for family members.

Contractor shall reserve this block of sleeping rooms designated “VANG Yellow Ribbon” for the Virginia Army National Guard. The room numbers blocked shall be provided to the designated government representative. The government representative will determine eligibility prior to check-in by hotel representative.

2. Five Hundred (500) sleeping rooms are required for Saturday, 17 SEPT 2016.

3. Rooms shall be private sleeping rooms with toilet and shower/tub facilities, with two double beds or 2 queen beds per room. Additional accommodations should be made for families containing more than 5 family members or for family members that require special needs such as cribs, rollaway beds, and handicap rooms. All additional requirements must be included in the contractor's quote.

4. Twenty five (25) additional sleeping rooms shall be reserved for the Virginia Army National Guard Staff on Friday 16 SEPT 2016 and Saturday 17 SEPT 2016. This block of rooms as designated for - Yellow Ribbon Staff. All staff attending will make individual room reservations using the appropriate reservation code and their personal credit cards.

5. The federal government will pay for the rooms actually used by Service and Family members who have had rooms reserved by the Virginia Army National Guard Yellow Ribbon under the “VANG Yellow Ribbon” block. Contractor shall block all rooms from incidental expenses, such as room service, telephone calls, movie and game rentals, restaurant invoices, etc. if the service or family members doesn't have a credit card to cover incidentals.

6. Service and Family members who contact the hotel directly for room reservations shall be referred to the designated Yellow Ribbon Event government representative to ensure rooms are not double booked. If a Service or Family member reserves a room individually after being referred to the designated government representative, he/she is responsible for their own lodging cost, taxes, incidental costs, etc.

7. The deadline for reserving rooms under the reservation code is seventy-two (72) hours prior to scheduled event. Any rooms not reserved by this deadline shall be released from the block and made available for sale to the general public.

8. If rooms, reserved under the “VANG Yellow Ribbon block”, are unable to be “sold”, the contractor may invoice the government for those rooms not cancelled prior to 13 September 2016 at 5:00pm after approval from the contracting officer.

9. The federal government is tax exempt.

10. The designated government representative is not authorized to change the terms and conditions of the resulting contract. However, he/she may reduce the quantity of sleeping rooms and meals required prior to or during the event.

B. Meeting Space:

1. Two Conference rooms shall accommodate approximately 600 attendees and staff each. Staff shall have access to these rooms the afternoon before, Friday 08 APR 2016 at 5:00 PM and maintain access to these rooms through Saturday, 18 SEPT 2016. Conference rooms must be free from any support columns blocking view of attendees and be set up banquet style as determined during site visit. Paper and pens shall be set at each table setting. A water station shall be placed in the back of each room.

Audiovisual equipment as outlined below shall be provided and maintained.

a. Saturday 17 SEPT 2016 and Sunday 18 SEPT 2016, 6:00 a.m. to 6:00 p.m.

2. Resource provider area to accommodate partners and at least 1200 people, setup with 30 each 6ft tables skirted, placed near walls with 2 chairs behind tables, for the following date and time:

a. Saturday 17 SEPT 2016 and Sunday 18 SEPT 2016, 7:00 a.m. to 6:00 p.m.

3. Four conference rooms shall each be set up with one table and six chairs along with water station, paper and pens, and tissues to be used as counseling rooms.

4. One conference room shall be set up with chairs to accommodate at least 300 people to be used for breakout sessions.

a. Saturday 17 SEPT 2016 and Sunday 18 SEPT 2016, 1:00 p.m. to 6:00 p.m

5. One childcare room to accommodate up to seventy (70) children, ages 0-5. Child care room is required to have a minimum size of 20 sq. feet per child. Set up six (6) tables (round or rectangle) with eight (8) chairs per table in room to be used for meals and by daycare providers. Room is required to contain audiovisual equipment, TV/DVD and cart as outlined below are required on each of the following dates and times:

6. One childcare room to accommodate up to seventy (70) children, ages 5-10. Child care room is required to have a minimum size of 20 sq. feet per child. Set up eight (8) tables (round or rectangle) with eight (8) chairs per table in room to be used for meals and by daycare providers. Room is required to contain audiovisual equipment, TV/DVD and cart as outlined below are required on each of the following dates and times:

7. One youth room to accommodate up to thirty (30) youths, ages 11-17. Youth room is required to have a minimum size of 20 sq. feet per child. Set up three (3) tables (round or rectangle) with eight (8) chairs per table in room to be used for activities and by Youth programming. Room is required to contain audiovisual equipment, Projector, Screen, and wireless mic as outlined below are required on each of the following dates and times:

8. All rooms must be walled spaces with doors that are able to be secured. No pipe and drape adaptions are to be utilized to accommodate required space.

C. Refreshments:

1. Contractor shall provide a working lunch to accommodate approximately 1200 adult participants, buffet style to include 2 entrees, vegetables, starch, non carbonated beverages and assorted deserts.

a. Saturday 17 SEPT 2016 and Sunday 18 SEPT 2016, 12:00 p.m.

2. Contractor shall provide a lunch to accommodate approximately 140 children 0 to 10, buffet style to include 2 entrees, vegetables, starch, non carbonated beverages and assorted deserts.

a. Saturday 17 SEPT 2016 and Sunday 18 SEPT 2016, 12:00 p.m.

3. Contractor will be responsible for all clean up relating to the meal to include washing/drying and putting away of all equipment used at/owned by the facility.

4. Government shall provide a final count of personnel to be provided with lunch no later than 5:00 pm on 13 SEPT 2016.

5. Contractor shall not impose a penalty upon the government for food not consumed by attendees, providing the government gives proper personnel count to the contractor in the required timeframe.

D. Audiovisual Equipment:

1. Contractor shall provide and set up equipment as follows:

a. TV and DVD cart combo set up in childcare rooms

b. Podium, microphone, wireless lavaliere (lapel mike), and hand held mike, audio sound system, screen, projector, cart to hold government-provided equipment and Wi-Fi internet service and IT personnel on hotel premises to assist in setup or as needed in general conference rooms, breakout room, and youth room identified in paragraphs B.1, B.4 and B.7 above.

i. Saturday 17 SEPT 2016 and Sunday 18 SEPT 2016, by 07:00 a.m.

2. Screen or screens (if more than one is needed) must be large enough and properly positioned to ensure all attendees can easily view presentations.

3. Government shall be permitted to bring and setup its own laptop computers with Microsoft PowerPoint applications, and printers to be used in conjunction with contractor-provided equipment in the conference room and breakout rooms.

4. Government shall be permitted to connect its equipment to the contractor’s electrical outlets and facilities, at no additional cost to the government for use of contractor’s electrical service.

E. Other:

1. Contractor shall provide the following miscellaneous items throughout the entire conference period:

a. Registration area with four (4) table and eight (8) chairs outside the general conference room, and four (4) tables and eight (8) chairs for childcare registration.

b. Sign(s) identifying to family members the location of registration area and childcare rooms

i. Saturday 17 SEPT 2016 and Sunday 18 SEPT 2016, by 07:00 am

2. The contractor agrees to allow the government to provide child care services for the family members by separate contract in the conference rooms identified in paragraph B.5 and B.6.

3. Contractor shall have adequate staff at front desk during check-in/registration area to ensure attendees will be promptly serviced.

4. Contractor shall identify with quote any cost for parking of vehicles or valet parking. Parking must be on the premises.

III. Quality Assurance Surveillance Plan - VaARNG Yellow Ribbon Event

The Contracting Officer’s Representative (COR) will monitor vendor performance and complete the quality assurance worksheet below. The quality assurance worksheet will be submitted directly to the contract specialist within 72 hours of the completion of performance.

The COR may submit a quality assurance worksheet at any time and as often as necessary to document quality levels.

If a rating other than green is identified, the COR must document and provide to the contract specialist sufficient information to properly articulate the deficiencies to the vendor so corrective action may be taken.

The COR referred to in this QASP is identified on the contract.

Table 1, Performance Criteria for Performance Deliverables

Deliverable Acceptable Quality Level (AQL) Method Used / Frequency Lodging Provide clean and maintained rooms, timely and acceptable housekeeping services in accordance with establishment’s mission to include adequate heating/cooling within the rooms, hospitable staff, relaxing atmosphere (quiet time), and other lodging requirements as identified in the contract.

Participant observations during event & random inspection

Meeting Space Provide meeting space large enough to comfortably accommodate number of participants per statement of work (SOW). Provide audio visual equipment that is functioning adequately. Provide clean, safe environment conducive to training opportunity offered to participants.

Participant observations during event & random inspection

Childcare Space Provide clean, safe accommodations for childcare providers to support healthy, entertaining care that alleviates undue stress on parents attending training opportunity.

Provide space large enough to accommodate number of children participating per SOW. Provide audio visual equipment that is functioning adequately.

Participant observations during event & random inspection

Meals Provide menu variety, prompt service, high-quality food, beverage, and service and other meal requirements as outlined in the SOW and contract without more than one violation per event. The one exception for this standard is unacceptable food and safety concerns, which shall be without violation.

Participant comments during meals & random inspection

Quality Assurance Rating Scheme

Rating Description Green Yes performance and technical specifications are being met at AQL.

Yellow Yes performance and technical specifications are currently being met at the minimum

AQL, but one or more service/ deliverable needs contractor attention.

The Customer must identify what component of the deliverable and/or service requires attention.

Red No, performance and technical specifications are not being met at AQL and the service/deliverable needs immediate contractor resolutions.

The Customer must identify what component of the deliverable and/or service is below the minimum AQL.

REMEDIES FOR CONTRACTOR NOT MEETING ACCEPTABLE QUALITY LEVELS OF PERFORMANCE

OBJECTIVES WITHIN CONTRACT PERIOD:

1st violation: The government will provide verbal warning to the contractor; 2nd violation: The government may request contractor to provide a written corrective action plan to ensure violations are not repeated in potential future requirements; 3rd violation: The government may reduce final payment up to 10% and provide a negative performance rating in the Contractor Performance Assessment Rating System (CPARS).

The government will evaluate the contractor’s performance under this contract using the method of surveillance specified in Table 1, Performance Criteria for Performance Deliverables. All surveillance observations will be recorded by the government. Those observations indicating defective performance shall be initialed by the contractor’s designated representative. The contractor shall designate at least one employee for this purpose. If no such designated employee is available, recorded observation shall so state.

The following evaluation form will be filled out by the COR and delivered to the contract specialist for inclusion in the contract file.

Quality Assurance Worksheet

LODGING GREEN YELLOW RED

Cleanliness [ ] [ ] [ ] Condition of rooms [ ] [ ] [ ] Housekeeping services [ ] [ ] [ ] Heating/cooling within the room [ ] [ ] [ ]

OVERALL GREEN YELLOW RED

Overall, how would you rate hotel’s hospitality?

(Friendliness, courtesy, responsiveness)

Overall, how would you rate the hotel’s ability to provide a relaxing atmosphere?

MEETING SPACE GREEN YELLOW RED

Was the space provided adequate for the number of participants?

Cleanliness of meeting space. [ ] [ ] [ ] Heating/Cooling within the meeting space. [ ] [ ] [ ]

Did meeting space meet overall standards for cleanliness and safety?

CHILDCARE SPACE GREEN YELLOW RED

Was the space provided adequate for the number of participants?

Cleanliness of meeting space. [ ] [ ] [ ] Heating/Cooling within the meeting space. [ ] [ ] [ ]

Did meeting space meet overall standards for cleanliness and safety?

MEALS GREEN YELLOW RED

Menu Variety [ ] [ ] [ ] Promptness of service [ ] [ ] [ ] Quality of service [ ] [ ] [ ] Quality of food [ ] [ ] [ ] Quality of beverage [ ] [ ] [ ]

Comments:

Prepared by: _________________________________________Rating Period: __________________________

(COR)

Contractor: _______________________________________ Date: ______________________________

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 0008 Destination Government Destination Government 0009 Destination Government Destination Government 0010 Destination Government Destination Government 0011 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

0001 POP 16-SEP-2016 TO

18-SEP-2016

N/A 0116 IN HHC HEADQUARTERS IN

BLDG 101 116TH REGIMENTAL ROAD

STAUNTON VA 24401-0500

W801GJ

0002 POP 16-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 16-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 16-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 16-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 16-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 16-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 16-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 POP 16-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0010 POP 16-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0011 POP 16-SEP-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.204-7 System for Award Management JUL 2013 52.204-13 System for Award Management Maintenance JUL 2013 52.204-16 Commercial and Government Entity Code Reporting JUL 2015 52.204-18 Commercial and Government Entity Code Maintenance JUL 2015 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.212-1 Instructions to Offerors--Commercial Items OCT 2015 52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015 52.223-1 Biobased Product Certification MAY 2012 52.223-2 Affirmative Procurement of Biobased Products Under Service and Construction Contracts

SEP 2013

52.223-11 Ozone-Depleting Substances MAY 2001 52.223-17 Affirmative Procurement of EPA-Designated Items in Service and Construction Contracts

MAY 2008

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

DEC 2013

252.201-7000 Contracting Officer's Representative DEC 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.203-7996 (Dev) Prohibition on Contracting with Entities that Require Certain

Internal Confidentiality Agreements - Representation (Deviation 2016-O0003)

OCT 2015

252.203-7997 (Dev) Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements (Deviation 2016-O0003)

OCT 2015

252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7004 Alt A System for Award Management Alternate A FEB 2014 252.204-7008 (Dev) Compliance with Safeguarding Covered Defense Information

Controls

DEC 2015

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting.

DEC 2015

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

MAY 2016

252.209-7004 Subcontracting With Firms That Are Owned or Controlled By The Government of a Country that is a State Sponsor of Terrorism

OCT 2015

252.225-7001 Buy American And Balance Of Payments Program-- Basic (Nov 2014)

NOV 2014

252.225-7002 Qualifying Country Sources As Subcontractors DEC 2012 252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.244-7000 Subcontracts for Commercial Items JUN 2013 252.246-7000 Material Inspection And Receiving Report MAR 2008 252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

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

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 accessed through http://www.acquisition.gov . If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (r) 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.

“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 (q) of this provision that the offeror has completed for the purposes of this solicitation only, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

___ Black American.

___ Hispanic American.

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

___ Asian-Pacific American (persons with origins 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 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 to the Equal Opportunity clause of this solicitation; 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 parts 60-1 and 60-2), or

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

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

(f) Buy American Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American – Supplies, is included in this solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.” The terms “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American—Supplies.”

(2) Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

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

(g)

(1) Buy American -- Free Trade Agreements -- Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American -- Free Trade Agreements -- Israeli Trade Act, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The terms “Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product,” “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” “Free Trade Agreement country,” “Free Trade Agreement country end product,” “Israeli end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American--Free Trade Agreements--Israeli Trade Act.”

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

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

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) or this provision) as defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements— Israeli Trade Act.” The offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.”

Other Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

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

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

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

Canadian End Products:

Line Item No.:

[List as necessary]

(3) Buy American—Free Trade…

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