W912MM-23-P-0019.pdf

SEE ADDENDUM

(No Collect Calls)

W912MM23Q0012 01-Mar-2023

b. TELEPHONE NUMBER

605-737-6768

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 27 Mar 2023

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 ARE

X

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.605-490-1252

W912MM9. ISSUED BY

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

W912MM23P0019 16-May-2023

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

SHELLY J THOMSON

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

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

0011959097

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

MONTY C. EISENBRAUN / CONTRACTING OFFICER

See Schedule $30,000.00

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS: SEE SCHEDULE

.16-Mar-2023 YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN W912MM-23-Q-0012

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE 7KMM2 FACILITY

OFFEROR CODE

USPFO SD PURCHASING & CONTRACTING

2823 WEST MAIN STREET

RAPID CITY SD 57702-8186

HEART OF A CHILD, LLC

DAKOTA FRONTIER CAMP

DIANE JOHNSON

1490 LAZELLE ST

STURGIS SD 57785-1417

DFAS-INDY VP GFEBS HQ0670

8899 E 56TH STREET

INDIANAPOLIS IN 46229-3800

18a. PAYMENT WILL BE MADE BY CODE HQ0670

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE

SEE ITEM 9

15. DELIVER TO CODE W56TJS 16. ADMINISTERED BY

Net 30 Days

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

W56TJS - FAMILY YOUTH PROGRAM

TRAVIS PETERSON

2823 WEST MAIN ST

RAPID CITY SD 57702

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$8,000,000

NAICS:

721214

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

X

EMAIL: monty.c.eisenbraun.mil@mail.mil

(605) 737-6738TEL:

31c. DATE SIGNED

16-May-2023

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 OF22

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.

W912MM23P0019

Section SF 1449 - CONTINUATION SHEET

STATEMENT OF WORK

Statement of Work for the 2023 SD Military Youth Camp (ages 9-11)

23-30 June 2023 Youth Camp: Explore (ages 12-14)

24-28 July 2023

Including 2024 option year projections for Youth Camp (ages 9-11)

21-28 June 2024 Youth Camp: Explore (ages 12-14)

15-19 July 2024

South Dakota National Guard Child & Youth Program

FY 23 – FY 24

BACKGROUND:

1.1 The South Dakota National Guard Child & Youth Program will be conducting the 2023 SD Military Youth Camp for ages 9-11 in June and SD Military Youth Camp Explore in July. These events provide the opportunity for military youth, ages 9-11 & 12-14, to connect with each other in a camp-setting with a programming focus on leadership, team building, resilience, life skills, personal development, and military values. Youth Camp is a core program element of the National Guard Child & Youth Program.

1.2 Youth Council Meeting and Volunteer Meeting Prior to Camp 23-25 June 2023. The event is a five-day event, which includes a morning and afternoon of travel, as well as training for adult volunteers prior to campers arriving at camp. Camp will take place at a camp/retreat center in the Rapid City/Sturgis area. The selected provider/facility will provide the required meeting space, food, lodging, and possible customized outdoor activities for the event listed in this solicitation.

1.3 The SD Military Youth Camp will be funded through the Child & Youth Program, as well as a possible community partner. This contract covers lodging and meals for all volunteers, as well as campers affiliated with the Army National Guard. It also covers possible additional outdoor activity /challenge course costs for the Army National Guard campers. Funding through a possible community partner will cover the lodging, meals, and outdoor activity/challenge course costs for campers affiliated with the Air National Guard and other branches of service.

For 2023, Youth Camp (ages 9-11) we are planning for 90 campers, 20+ adult volunteers, and 12+ junior counselors with an approximate total of 125 people at camp.

For 2023, Youth Camp Explore 2023 (ages 12-14), we are planning for 80+ campers and 15+ adult volunteers at this time, with an approximate total of 100 people at camp.

For 2024, Youth Camp (ages 9-11) we are planning for 90 campers, 20+ adult volunteers, and 12+ junior counselors with an approximate total of 125 people at camp.

For 2024, Youth Camp Explore 2023 (ages 12-14), we are planning for 80+ campers and 15+ adult volunteers at this time, with an approximate total of 100 people at camp.

Offers may quote on either June or July dates or both. Specific numbers will be provided to the vendor within two weeks following the close of registration, for necessary billing arrangements through this contract and through our possible community partner.

1. SCOPE:

2.1 The objective of this Statement of Work is to conduct and complete the requirements for the 2023 SD Military Youth Camp & Youth Camp Explore / option year projections for the 2024 SD Military Youth Camp & Youth Camp Explore. It is the responsibility of the contractor to ensure all requested requirements are met or exceeded. Meeting space, food, lodging, and possible customized outdoor activities shall be performed by the contractor with oversight by the SDNG Child & Youth Program POC.

2.2 It will be the responsibility of the assigned and trained Point of Contact (POC) to provide the lodging list to the contractor 2 week prior to the event. The Child & Youth Program staff will provide the numbers for food (to include special dietary needs) and outdoor activities to the contractor 2 week prior to the event. The Child & Youth Program staff will also confirm the cabins/lodging rooms and meeting spaces that will be used 2 week prior to the event. The Child & Youth Program Staff will provide a point-of-contact for the contractor to work with throughout the scheduling and execution process of the event.

The Child & Youth Program and community partner will be charged for actual numbers of participants for lodging & activities during the week of camp. Meals will be billed off of the meal numbers provided two weeks prior to camp. The numbers provided in this statement of work are for estimate purposes. The number of meals per day is also subject to change based on the final Youth Camp training schedule.

EVENT DATES: 23-30 June 2023 Youth Camp (ages 9-11)

Locations: Black Hills area Requirements for Friday, June 23, 1200, hours – Friday, June 30, 1300, hours

23-25 June – Youth Council meeting – estimated 15 people.

25-26 June – Youth Camp Volunteer Training – estimated 35 people.

26-30 June – Youth Camp – estimated 125 people.

1) Access to retreat POC/staff throughout the event.

2) Ability for Child & Youth staff to begin event set-up and preparation the afternoon of 23

June (if needed) and tear down the afternoon of 30 June.

3) 1 General Assembly Meeting Room – 125+ people; Welcome Center and Office/ outdoor area for registration (26 June). Large area for meeting space, general assembly, evening dance, lodging, dining area, and as needed.

4) 6-7 Meeting Breakout areas for six-seven teams 20+ people.

5) Supply Room – locked room for storage of camp supplies, camper medications, etc. Meeting Room – Meeting space for adult volunteers, etc.

6) 1 Dining Hall area – 125+ people; for breakfast, lunch, and dinner to be served.

7) Lodging – Cabins/Lodges and meeting areas for event attendees only.

8) Access to participate in outdoor activities with certified staff/instructors through the venue – i.e., possible low ropes challenge course and guided hike to a gold mine. Possible archery activity as well. Number of participants to be provided prior to event.

9) Access to Flagpole and outside gathering area, open green field for recreation, activities, etc.

Meal/Break Requirements

1) Monday-Friday – access to water jugs – keep replenished throughout the day.

2) Menu for meals to be provided to Child & Youth Program staff prior to event. Breakfast, lunch, dinner, and the possibility of sack lunch with drink if requested. Possible evening snack if requested as well. Meals and sack lunch to be youth-friendly and nutritious. Special dietary needs for campers and volunteers to be provided for if applicable (i.e., gluten-free, and peanut-free).

3) Permission for Child & Youth Program to bring outside snacks and beverages into facility.

4) Breakfast – Saturday and Sunday for the Youth Council Meeting, Monday for all Camp volunteers (which also incorporates the Youth Council), and Tuesday through Friday for all campers and volunteers.

5) Lunch – Saturday and Sunday for the Youth Council meeting, Monday (Youth Council and Volunteers) and Tuesday through Thursday for all campers and volunteers. Camp agenda to be provided, as well as time to prepare sack lunches if requested based on activity schedule.

Sack lunches on Friday for only those that are riding the bus across the state. Child & Youth Program to provide Friday sack lunch numbers 1 week prior to camp.

6) Dinner – Friday, Saturday, and Sunday for the Youth Council, Sunday for Youth Council, and Monday through Thursday for all campers and volunteers.

Lodging Requirements

1) Lodging location to be at event location. Specific cabins/lodges to be used, based on the number of attendees, to be confirmed prior to the event.

2) Youth Council will arrive Friday afternoon and will have access to requested cabins and meeting space.

3) Camp volunteers will arrive on Sunday evening for training. Volunteers will have access to the requested cabins and meeting spaces.

4) Campers arrive on Monday afternoon, with lodging access through Friday around noon.

5) Youth Camp campers and volunteers are the only people to be lodged in the above cabins/lodges or utilizing the cabins/lodges during the event.

6) Access to cabins and meeting rooms for 23-30 June, with access to supply/storage rooms as well.

7) Child & Youth Program will provide attendee numbers to contractor prior to event.

EVENT DATES: July 24-28 July 2023 Youth Camp Explorer (ages 12-14)

Locations: Black Hills area

Requirements for Monday, July 24, 0730 hours – Friday, July 28, 1300, hours

1) Retreat POC/staff accessible and onsite 24/7 through the duration of Youth Camp.

2) Adequate staff available to assist with camp size of 100 people.

3) Ability for Child & Youth staff to begin event set-up and preparation the morning of 24

July and tear down the afternoon of 28 July.

4) 1 General Assembly Meeting Room – 100 people; Area for registration, meeting space, general assembly, dining area, possible evening dance, and as needed.

5) 4-5 indoor/weather-proof meeting breakout areas for four-five teams of 20+ people.

6) Supply/Medic Room – locked room for storage of camp supplies, camper medications, etc.

7) 1 Dining Hall – 100 people; breakfast, lunch, and dinner to be served.

8) Lodging – Cabins and meeting areas for event attendees only. Separate lodging facilities for males and females.

9) Access to participate in outdoor activities, to include close location to Ft. Meade.

10) Access to Flag Pole and outside gathering areas, fire pit if allowed, area for outdoor dance, open field areas for recreation, games, activities, etc.

a. Outdoor recreation to include, but not limited to, volleyball, tetherball, gaga ball, carpet ball, basketball, etc.

Meal/Break Requirements

1) Monday-Friday – access to ice and water jugs – keep replenished throughout the day.

2) Menu for meals to be provided to Child & Youth Program staff prior to event for approval.

Breakfast, lunch, dinner, and the possibility sack lunch with drink if requested. Meals and sack lunch to be youth-friendly and nutritious. Special dietary needs of campers and volunteers to be provided/accounted for if needed (i.e. gluten free, peanut free, etc.).

3) Permission for Child & Youth Program to bring outside snacks and beverages into facility.

4) Breakfast – Tuesday through Friday for all campers and volunteers.

5) Lunch – Monday (volunteers arriving prior to camp) and Tuesday through Thursday for all campers and volunteers. Camp agenda to be provided, as well as time to prepare sack lunches if requested based on activity schedule. Sack lunches on Friday for only those that are riding the bus across the state. Child & Youth Program to provide Friday sack lunch numbers 1 week prior to camp.

6) Dinner – Monday through Thursday for all campers and volunteers.

7) All kitchen staff to be provided by the contractor for meal preparation, meal service, and clean-up. Campers will be expected to participate in bussing their own trays, general clean-up, etc.

8) Meals to be prepared in time and provided in accordance with the Youth Camp schedule.

Lodging Requirements:

1) Lodging location to be at event location. Specific cabins to be used, based on the number of attendees, to be confirmed prior to the event.

2) Camp volunteers will arrive on Monday morning for training. Volunteers will have access to the requested cabins and meeting spaces on Monday morning.

3) Youth Camp campers and volunteers are the only people to be lodged in the above cabins/camp venue or utilizing the cabins/camp venue during the entire event.

4) Access to the above cabins and meeting rooms for 24-28 July with access to supply/storage rooms earlier if needed.

5) Child & Youth Program will provide attendee numbers to contractor prior to event.

EVENT DATES: 21-28 June 2024 Youth Camp (ages 9-11)

Locations: Black Hills area Requirements for Friday, June 21, 1200, hours – Friday, June 28, 1300, hours

21-23 June – Youth Council meeting – estimated 15 people.

23-24 June – Youth Camp Volunteer Training – estimated 35 people.

24-28 June – Youth Camp – estimated 125 people.

The above listed requirements/scope are the same for the 2024 option year, with the adjusted dates included.

EVENT DATES: 15-19 July 2024 Youth Camp Explorer (ages 12-14)

Locations: Black Hills area Requirements for Monday, July 15, 0730 hours – Friday, July 19, 1300, hours

The above listed requirements/scope are the same for the 2024 option year, with the adjusted dates included.

2. PERFORMANCE REQUIREMENTS:

3.1 The contractor shall provide all management, labor, material, and supplies necessary to provide the 2023 / 2024 SD Military Youth Camp Explore listed in the statement of work.

3.2 The Event Facility: Contractor shall ensure that rooms are set-up IAW with the Statement of Work.

3.3 Food Service: The contractor shall ensure that there is adequate food for each camper and volunteer as outlined in the SOW. All food served shall be IAW with state and city requirements. No later than 2 weeks prior to the event the contractor shall furnish the POC with a proposed detailed menu(s). Child & Youth Program Staff will also furnish the contractor the numbers to prepare for food IAW the contract and also regarding any specific dietary needs as requested by the campers/volunteers.

3.4 Pre-camp inspection: The contractor shall permit Child & Youth Program Staff to conduct on-site inspection 30-days prior and one-week prior to camp start date as needed. The purpose of on-site inspection is: (1) conduct a walk-through of the campground facilities to ensure contractor has made adequate preparations per SOW in anticipation of SD Military Youth Camp,

(2) review camp agenda, and (3) exchange pertinent information that will ensure a smooth conduct of camp.

3. PERFORMANCE STANDARDS:

4.1 The Performance Requirements includes performance standards. The Government shall use these standards to determine contractor performance. Regardless of the surveillance method, the Point of Contact (POC) shall always contact the contractor’s task manager or on-site representative when a defect is identified and inform the manager of the specifics of the problem.

The POC shall be responsible for monitoring the contractor’s performance in meeting specific performance standards.

4.2 Methods of Quality Assurance Surveillance

Direct Observation. (Can be performed periodically or through 100% Surveillance) Periodic Inspection. (Inspections may be scheduled daily or unscheduled as required) Validate User/Consumer Complaints. (Relies on the user of the service to identify deficiencies.

Complaints are then investigated and then validated)

4.3 Ratings. Metrics and Methods are designed to determine if performance exceeds, meets or does not meet a given standard and acceptable quality level. A rating scale shall be used to determine a positive, neutral or negative outcome. The following ratings shall be used:

GREEN

Performance meets or exceeds contract requirements to the Government's benefits.

YELLOW Substandard Performance will be corrected on the spot.

RED Substandard Performance that may not be corrected on the spot or at all.

The Contractor Service Delivery Schedule identifies the major tasks or deliverables the contractor will be providing or accomplishing during the contract period. The schedule identifies the task standards, the acceptable level of quality and the primary method the Government will use to assess the contractor’s performance.

CONTRACTOR’s SERVICE DELIVERY SCHEDULE ROOMS

Deliverable/Tasks Performance Standard Acceptable Quality Level

Method Used/ Frequency

Sleeping Room -Beds are in good condition -Room door locks properly -Room is clean -Blankets are clean if provided -Smoke detectors in working order -Garbage cans are cleaned out/removed regularly.

100% of time -Complaint

Bath Room / Shower

-Shower works properly with hot water -Bathroom is clean and in working order -Plumbing works properly -Garbage cans are cleaned out/removed regularly.

Heating/Cooling -Heating system works properly -Air conditioning works properly

95% of time -Complaint

CONTRACTOR’s SERVICE DELIVERY SCHEDULE MEALS

Deliverable/Tasks Performance Standard Acceptable Quality Level

Method Used/ Frequency

Meal -Food is hot, warm, fresh as appropriate -Portions are sufficient size

95% of time -Complaint

-Special dietary needs are accommodated for

- Meals prepared for in time/ accordance to schedule

Cleanliness -Maintains cleanliness of dining area -Maintains cleanliness of serving equipment -Kitchen appliances (to include ice machines) are in working order and food is stored/maintained at the correct temperature settings/levels

100% of time

100% of time

-Complaint

Contractor Personnel -Contractor personnel have proper hygiene -Contractor personnel wear proper serving attire

4. GOVERNMENT ROLES AND RESPONSIBILITIES:

The following personnel shall oversee and coordinate surveillance activities.

a. Contracting Officer (KO) – The KO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms and shall safeguard the interests of the United States in the contractual relationship. The KO shall also assure that the contractor receives impartial, fair and equitable treatment under this contract. The KO is ultimately responsible for the final determination of the adequacy of the contractor’s performance.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0010 100 Each $80.00 $8,000.00 2023 July Youth Camp Lodging

FFP

2023 July Youth Camp Explore Lodging Services, Non-Personal

***See SOW for additional details***

Vendor POC: Brian Johnson phone 605-757-6379 brianjohnson@rushmore.com

Government POC:

Name:Taryn Bloomfield Phone Number: 605-737-6919

3953:W56TJS30240500

FOB: Destination

PURCHASE REQUEST NUMBER: 0011959097

PSC CD: G099

NET AMT $8,000.00

ACRN AA

CIN: GFEBS001195909700001

$8,000.00

0020 1 Job $9,840.00 $9,840.00 2023 July Youth Camp Meals

FFP

2023 July Youth Camp Explore Meals Services, Non-Personal, Breakfast:

Lunch:

Sack Lunch:

Dinner:

Evening Snack:

***See SOW for additional details*** FOB: Destination

NET AMT $9,840.00

CIN: GFEBS001195909700002

$9,840.00

0050 100 Each $121.60 $12,160.00 2023 July Youth Camp Outdoor Activity

FFP

2023 July Youth Camp Explore Outdoor Activity Services, Non-Personal

***See SOW for additional details*** FOB: Destination

NET AMT $12,160.00

CIN: GFEBS001195909700003

$12,160.00

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0010 Destination Government Destination Government 0020 Destination Government Destination Government 0050 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0010 POP 24-JUL-2023 TO

28-JUL-2023

N/A W56TJS - FAMILY YOUTH PROGRAM

TRAVIS PETERSON

2823 WEST MAIN ST

RAPID CITY SD 57702

605-737-6945 FOB: Destination

W56TJS

0020 POP 24-JUL-2023 TO

28-JUL-2023

N/A (SAME AS PREVIOUS LOCATION)

0050 POP 24-JUL-2023 TO

28-JUL-2023

N/A (SAME AS PREVIOUS LOCATION)

ACCOUNTING AND APPROPRIATION DATA

AA: 021202320232065000011313126R0040120837 6100.9000021001

COST CODE: A18ST

AMOUNT: $30,000.00

ACRN CLIN/SLIN CIN AMOUNT

AA 0010 GFEBS001195909700001 $8,000.00

0020 GFEBS001195909700002 $9,840.00

0050 GFEBS001195909700003 $12,160.00

CLAUSES INCORPORATED BY REFERENCE

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

JUN 2020

52.204-13 System for Award Management Maintenance OCT 2018 52.204-18 Commercial and Government Entity Code Maintenance AUG 2020 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.204-23 Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities

NOV 2021

52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, or Proposed for Debarment

NOV 2021

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.212-4 Contract Terms and Conditions--Commercial Products and Commercial Services

DEC 2022

52.222-3 Convict Labor JUN 2003 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity SEP 2016 52.222-36 Equal Opportunity for Workers with Disabilities JUN 2020 52.222-41 Service Contract Labor Standards AUG 2018 52.222-43 Fair Labor Standards Act And Service Contract Labor

Standards - Price Adjustment (Multiple Year And Option Contracts)

AUG 2018

52.222-50 Combating Trafficking in Persons NOV 2021 52.222-55 Minimum Wages for Contractor Workers Under Executive

Order 14026

JAN 2022

52.223-18 Encouraging Contractor Policies To Ban Text Messaging While Driving

JUN 2020

52.225-13 Restrictions on Certain Foreign Purchases FEB 2021 52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

OCT 2018

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

NOV 2021

52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.246-1 Contractor Inspection Requirements APR 1984 52.252-6 Authorized Deviations In Clauses NOV 2020 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights DEC 2022 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

DEC 2019

252.204-7020 NIST SP 800-171 DoD Assessment Requirements MAR 2022 252.225-7001 Buy American And Balance Of Payments Program-- Basic JUN 2022 252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

DEC 2018

252.232-7010 Levies on Contract Payments DEC 2006 252.237-7010 Prohibition on Interrogation of Detainees by Contractor

Personnel

JUN 2013

252.243-7001 Pricing Of Contract Modifications DEC 1991

252.244-7000 Subcontracts for Commercial Items DEC 2022 252.247-7023 Transportation of Supplies by Sea FEB 2019

CLAUSES INCORPORATED BY FULL TEXT

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

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

Backhaul means intermediate links between the core network, or backbone network, and the small subnetworks at the edge of the network (e.g., connecting cell phones/towers to the core telephone network). Backhaul can be wireless (e.g., microwave) or wired (e.g., fiber optic, coaxial cable, Ethernet).

Covered foreign country means The People's Republic of China.

Covered telecommunications equipment or services means--

(1) Telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities);

(2) For the purpose of public safety, security of Government facilities, physical security surveillance of critical infrastructure, and other national security purposes, video surveillance and telecommunications equipment produced by Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or affiliate of such entities);

(3) Telecommunications or video surveillance services provided by such entities or using such equipment; or

(4) Telecommunications or video surveillance equipment or services produced or provided by an entity that the Secretary of Defense, in consultation with the Director of National Intelligence or the Director of the Federal Bureau of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise connected to, the government of a covered foreign country.

Critical technology means--

(1) Defense articles or defense services included on the United States Munitions List set forth in the International Traffic in Arms Regulations under subchapter M of chapter I of title 22, Code of Federal Regulations;

(2) Items included on the Commerce Control List set forth in Supplement No. 1 to part 774 of the Export Administration Regulations under subchapter C of chapter VII of title 15, Code of Federal Regulations, and controlled--

(i) Pursuant to multilateral regimes, including for reasons relating to national security, chemical and biological weapons proliferation, nuclear nonproliferation, or missile technology; or

(ii) For reasons relating to regional stability or surreptitious listening;

(3) Specially designed and prepared nuclear equipment, parts and components, materials, software, and technology covered by part 810 of title 10, Code of Federal Regulations (relating to assistance to foreign atomic energy activities);

(4) Nuclear facilities, equipment, and material covered by part 110 of title 10, Code of Federal Regulations (relating to export and import of nuclear equipment and material);

(5) Select agents and toxins covered by part 331 of title 7, Code of Federal Regulations, part 121 of title 9 of such Code, or part 73 of title 42 of such Code; or

(6) Emerging and foundational technologies controlled pursuant to section 1758 of the Export Control Reform Act of 2018 (50 U.S.C. 4817).

Interconnection arrangements means arrangements governing the physical connection of two or more networks to allow the use of another's network to hand off traffic where it is ultimately delivered (e.g., connection of a customer of telephone provider A to a customer of telephone company B) or sharing data and other information resources.

Reasonable inquiry means an inquiry designed to uncover any information in the entity's possession about the identity of the producer or provider of covered telecommunications equipment or services used by the entity that excludes the need to include an internal or third-party audit.

Roaming means cellular communications services (e.g., voice, video, data) received from a visited network when unable to connect to the facilities of the home network either because signal coverage is too weak or because traffic is too high.

Substantial or essential component means any component necessary for the proper function or performance of a piece of equipment, system, or service.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. The Contractor is prohibited from providing to the Government any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system, unless an exception at paragraph (c) of this clause applies or the covered telecommunication equipment or services are covered by a waiver described in FAR 4.2104.

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract, or extending or renewing a contract, with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system, unless an exception at paragraph (c) of this clause applies or the covered telecommunication equipment or services are covered by a waiver described in FAR 4.2104. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract.

(c) Exceptions. This clause does not prohibit contractors from providing--

(1) A service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(2) Telecommunications equipment that cannot route or redirect user data traffic or permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(d) Reporting requirement.

(1) In the event the Contractor identifies covered telecommunications equipment or services used as a substantial or essential component of any system, or as critical technology as part of any system, during contract performance, or the Contractor is notified of such by a subcontractor at any tier or by any other source, the Contractor shall report the information in paragraph (d)(2) of this clause to the Contracting Officer, unless elsewhere in this contract are established procedures for reporting the information; in the case of the Department of Defense, the Contractor shall report to the website at https://dibnet.dod.mil. For indefinite delivery contracts, the Contractor shall report to the Contracting Officer for the indefinite delivery contract and the Contracting Officer(s) for any affected order or, in the case of the Department of Defense, identify both the indefinite delivery contract and any affected orders in the report provided at https://dibnet.dod.mil.

(2) The Contractor shall report the following information pursuant to paragraph (d)(1) of this clause:

(i) Within one business day from the date of such identification or notification: The contract number; the order number(s), if applicable; supplier name; supplier unique entity identifier (if known); supplier Commercial and Government Entity (CAGE) code (if known); brand; model number (original equipment manufacturer number, manufacturer part number, or wholesaler number); item description; and any readily available information about mitigation actions undertaken or recommended.

(ii) Within 10 business days of submitting the information in paragraph (d)(2)(i) of this clause: Any further available information about mitigation actions undertaken or recommended. In addition, the Contractor shall describe the efforts it undertook to prevent use or submission of covered telecommunications equipment or services, and any additional efforts that will be incorporated to prevent future use or submission of covered telecommunications equipment or services.

(e) Subcontracts. The Contractor shall insert the substance of this clause, including this paragraph (e) and excluding paragraph (b)(2), in all subcontracts and other contractual instruments, including subcontracts for the acquisition of commercial products or commercial services.

(End of clause)

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEVIATION 2018-

O0021) (DEC 2022)

(a) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph

(a) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records—Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor’s directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(b)(1) Notwithstanding the requirements of any other clauses of this contract, the Contractor is not required to flow down any FAR clause, other than those in this paragraph (b) (1) in a subcontract for commercial products or commercial services. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause—

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (NOV 2021) (41 U.S.C. 3509).

(ii) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L.

113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(iii) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (NOV 2021) (Section 1634 of Pub. L. 115-91).

(iv) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (NOV 2021) (Section 889(a)(1)(A) of Pub. L. 115-232).

(v) 52.219-8, Utilization of Small Business Concerns (OCT 2022) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $700,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(vi) 52.222-21, Prohibition of Segregated Facilities (APR 2015).

(vii) 52.222-26, Equal Opportunity (SEP 2016) (E.O. 11246).

(viii) 52.222-35, Equal Opportunity for Veterans (OCT 2015) (38 U.S.C. 4212).

(ix) 52.222-36, Equal Opportunity for Workers with Disabilities (JUL 2014) (29 U.S.C. 793).

(x) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212).

(xi) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (DEC 2010) (E.O. 13496).

Flow down required in accordance with paragraph (f) of FAR clause 52.222-40.

(xii) 52.222-41, Service Contract Labor Standards (AUG 2018) (41 U.S.C. chapter 67).

(xiii)(A) 52.222-50, Combating Trafficking in Persons (NOV 2021) (22 U.S.C. chapter 78 and E.O. 13627).

(B) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

(xiv) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment-Requirements (MAY 2014) (41 U.S.C. chapter 67).

(xv) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services- Requirements (MAY 2014) (41 U.S.C. chapter 67).

(xvi) 52.222-54, Employment Eligibility Verification (MAY 2022) (E.O. 12989).

(xvii) 52.222-55, Minimum Wages for Contractor Workers Under Executive Order 14026 (JAN 2022).

(xviii) 52.222-62 Paid Sick Leave Under Executive Order 13706 (JAN 2022) (E.O. 13706).

(xix)(A) 52.224-3, Privacy Training (JAN 2017) (5 U.S.C. 552a).

(B) Alternate I (JAN 2017) of 52.224-3.

(xx) 52.225-26, Contractors Performing Private Security Functions Outside the United States (OCT 2016) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. Subtitle A, Part V, Subpart G Note).

(xxi) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (MAY 2014) (42 U.S.C. 1792). Flow down required in accordance with paragraph (e) of FAR clause 52.226-6.

(xxii) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (NOV 2021) (46 U.S.C. 55305 and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the contractor may include in its subcontracts for commercial products and commercial services a minimal number of additional clauses necessary to satisfy its contractual obligations.

52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 2014)

In compliance with the Service Contract Labor Standards statute and the regulations of the Secretary of Labor (29 CFR part 4), this clause identifies the classes of service employees expected to be employed under the contract and states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the provisions of 5 U.S.C. 5341 or 5332.

THIS STATEMENT IS FOR INFORMATION ONLY: IT IS NOT A WAGE DETERMINATION

Employee Class Monetary Wage-Fringe Benefits

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

https://acquisition.gov

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE TELECOMMUNICATIONS

EQUIPMENT OR SERVICES (JAN 2021)

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

Covered defense telecommunications equipment or services means--

(1) Telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation, or any subsidiary or affiliate of such entities;

(2) Telecommunications services provided by such entities or using such equipment; or

(3) Telecommunications equipment or services produced or provided by an entity that the Secretary of Defense reasonably believes to be an entity owned or controlled by, or otherwise connected to, the government of a covered foreign country.

Covered foreign country means--

(1) The People's Republic of China; or

(2) The Russian Federation.

Covered missions means--

(1) The nuclear deterrence mission of DoD, including with respect to nuclear command, control, and communications, integrated tactical warning and attack assessment, and continuity of Government; or

(2) The homeland defense mission of DoD, including with respect to ballistic missile defense.

Critical technology means--

(1) Defense articles or defense services included on the United States Munitions List set forth in the International Traffic in Arms Regulations under subchapter M of chapter I of title 22, Code of Federal Regulations;

(2) Items included on the Commerce Control List set forth in Supplement No. 1 to part 774 of the Export Administration Regulations under subchapter C of chapter VII of title 15, Code of Federal Regulations, and controlled--

(i) Pursuant to multilateral regimes, including for reasons relating to national security, chemical and biological weapons proliferation, nuclear nonproliferation, or missile technology; or

(ii) For reasons relating to regional stability or surreptitious listening;

(3) Specially designed and prepared nuclear equipment, parts and components, materials, software, and technology covered by part 810 of title 10, Code of Federal Regulations (relating to assistance to foreign atomic energy activities);

(4) Nuclear facilities, equipment, and material covered by part 110 of title 10, Code of Federal Regulations (relating to export and import of nuclear equipment and material);

(5) Select agents and toxins covered by part 331 of title 7, Code of Federal Regulations, part 121 of title 9 of such Code, or part 73 of title 42 of such Code; or

(6) Emerging and foundational technologies controlled pursuant to section 1758 of the Export Control Reform Act of 2018 (50 U.S.C. 4817).

Substantial or essential component means any component necessary for the proper function or performance of a piece of equipment, system, or service.

(b) Prohibition. In accordance with section 1656 of the National Defense Authorization Act for Fiscal Year 2018 (Pub. L. 115-91), the contractor shall not provide to the Government any equipment, system, or service to carry out covered missions that uses covered defense telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system, unless the covered defense telecommunication equipment or services are covered by a waiver described in Defense Federal Acquisition Regulation Supplement 204.2104.

(c) Procedures. The Contractor shall review the list of excluded parties in the System for Award Management (SAM) at https://www.sam.gov for entities that are excluded when providing any equipment, system, or service, to carry out covered missions, that uses covered defense telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system, unless a waiver is granted.

(d) Reporting.

(1) In the event the Contractor identifies covered defense telecommunications equipment or services used as a substantial or essential component of any system, or as critical technology as part of any system, during contract performance, the Contractor shall report at https://dibnet.dod.mil the information in paragraph (d)(2) of this clause.

(2) The Contractor shall report the following information pursuant to paragraph (d)(1) of this clause:

(i) Within 3 business days from the date of such identification or notification: The contract number; the order number(s), if applicable; supplier name; brand; model number (original equipment manufacturer number, manufacturer part number, or wholesaler number); item description; and any readily available information about mitigation actions undertaken or recommended.

(ii) Within 30 business days of submitting the information in paragraph (d)(2)(i) of this clause: Any further available information about mitigation actions undertaken or recommended. In addition, the Contractor shall describe the efforts it undertook to prevent use or submission of a covered defense telecommunications equipment or services, and any additional efforts that will be incorporated to prevent future use or submission of covered telecommunications equipment or services.

(e) Subcontracts. The Contractor shall insert the substance of this clause, including this paragraph (e), in all subcontracts and other contractual instruments, including subcontracts for the acquisition of commercial items.

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(a) Definitions. As used in this clause—

“Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

“Payment request” and “receiving report” are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232- 7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall—

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

(1) Document type. The Contractor shall submit payment requests using the following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items—

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

Invoice 2 in 1

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

(Contracting Officer: Insert either “Invoice 2in1” or the applicable invoice and receiving report document type(s) for fixed price line items for services.)

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial item financing, submit a commercial item financing request.

(2) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

[Note: The Contractor may use a WAWF “combo” document type to create some combinations of invoice and receiving report in one step.]

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC HQ0670

Issue By DoDAAC W912MM

Admin DoDAAC** W912MM

Ship To Code W56TJS

Service Acceptor (DoDAAC) W56TJS

WAWF ACCEPTORS:

Travis Peterson travis.l.peterson10.mil@army.mil Christina Sihrer christina.n.sihrer.mil@army.mil Susan Bosworth susan.c.bosworth.mil@army.mil

Contrac…