W912MM-16-T-0023.pdf

SEE ADDENDUM

(No Collect Calls)

W912MM-16-T-0023 19-Apr-2016

b. TELEPHONE NUMBER

605-737-6739

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 27 Apr 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 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.

W912MM9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

AMANDA J. GALDO

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

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

W912MM - USPFO FOR SOUTH DAKOTA

ATTN: AMANDA.J.GALDO;

EMAIL: AMANDA.J.GALDO.MIL@MAIL.MIL

2823 WEST MAIN STREET - BLDG 420

RAPID CITY SD 57702-8170

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 W91NZ4 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

W91NZ4 - RRM

R.S.P.

803 WEST NATIONAL GUARD DRIVE

SIOUX FALLS SD 57104

TEL: 605-357-2844 FAX:

605-737-6752FAX:

TEL: 605-737-6739 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$38,500,000

NAICS:

722310

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 OF38

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.

W912MM-16-T-0023

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Information

FFP

The Recruitment Sustainment Program (RSP) and South Dakota Army National Guard (SDARNG) has a requirement to support scheduled monthly Guard Drills with meals. The requirement is for contractor delivered and served meals in Sioux Falls, SD 57104. Number of meals is estimated and may change monthly.

Contractor shall coordinate with the SDARNG Point of Contact (POC) 1 week prior to all deliveries. Tentative schedule will be provide at time of award.

No award shall be made unless the Contracting Officer makes confirmation or affirmative determination of responsibility for the potential contractor. Potential contractor must be registered in System for Award Management (SAM) prior to award of contract. This acquisition shall be 100% Small Business set aside.

Applicable NAICS 722310 – Food Service Contractors, the small business size standards is $38.5 Million. RFQ solicitation response date is 27 April 2016.

***The vendor shall provide a sample menu and any past performance with their quote.

FOB: Destination

NET AMT

0010 1,440 Each Catered Lunch Meal

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2016 - Apr 2017

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete details***

0020 1,440 Each Catered Breakfast Meals

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2016 - Apr 2017

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

0030 1,440 Each Delivered Sack Lunch

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2016 - Apr 2017

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

0040 1 Each One Time Facility Rental Fee

FFP

One Time Facility Rental Fee Rental Fee is Cost Reimbursable

May 2016 - Apr 2017

If Vendor wishes to rent kitchen facilities for food preparation, coordination must be made at time of award. Vendor must submit a Paid receipt from South Dakota Army National Guard Construction & Facilities Management Office in order to receive reimbursement.

***See attached Application for Rental of Facilities***

0050 24 Days Facility Daily Charge

FFP

Facility Daily Charge Rental Fees are Cost Reimbursable

May 2016 - Apr 2017

If Vendor wishes to rent kitchen facilities for food preparation, coordination must be made at time of award. Vendor must submit a Paid receipt from South Dakota Army National Guard Construction & Facilities Management Office in order to receive reimbursement.

1010 1,440 Each OPTION Catered Lunch Meal

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2017 - Apr 2018

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

1020 1,440 Each OPTION Catered Breakfast Meals

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2017 - Apr 2018

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

1030 1,440 Each OPTION Delivered Sack Lunch

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2017 - Apr 2018

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

1040 1 Each OPTION One Time Facility Rental Fee

FFP

One Time Facility Rental Fee Rental Fee is Cost Reimbursable

May 2017 - Apr 2018

If Vendor wishes to rent kitchen facilities for food preparation, coordination must be made at time of award. Vendor must submit a Paid receipt from South Dakota Army National Guard Construction & Facilities Management Office in order to receive reimbursement.

1050 24 Days OPTION Facility Daily Charge

FFP

Facility Daily Charge Rental Fees are Cost Reimbursable

May 2017 - Apr 2018

If Vendor wishes to rent kitchen facilities for food preparation, coordination must be made at time of award. Vendor must submit a Paid receipt from South Dakota Army National Guard Construction & Facilities Management Office in order to receive reimbursement.

2010 1,440 Each OPTION Catered Lunch Meal

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2018 - Apr 2019

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

2020 1,440 Each OPTION Catered Breakfast Meals

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2018 - Apr 2019

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

2030 1,440 Each OPTION Delivered Sack Lunch

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2018 - Apr 2019

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

2040 1 Each OPTION One Time Facility Rental Fee

FFP

One Time Facility Rental Fee Rental Fee is Cost Reimbursable

May 2018 - Apr 2019 If Vendor wishes to rent kitchen facilities for food preparation, coordination must be made at time of award. Vendor must submit a Paid receipt from South Dakota Army National Guard Construction & Facilities Management Office in order to receive reimbursement.

2050 24 Days OPTION Facility Daily Charge

FFP

Facility Daily Charge Rental Fees are Cost Reimbursable

May 2018 - Apr 2019

If Vendor wishes to rent kitchen facilities for food preparation, coordination must be made at time of award. Vendor must submit a Paid receipt from South Dakota Army National Guard Construction & Facilities Management Office in order to receive reimbursement.

3010 1,440 Each OPTION Catered Lunch Meal

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2019 - Apr 2020

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

3020 1,440 Each OPTION Catered Breakfast Meals

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2019 - Apr 2020

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

3030 1,440 Each OPTION Delivered Sack Lunch

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2019 - Apr 2020

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

3040 1 Each OPTION One Time Facility Rental Fee

FFP

One Time Facility Rental Fee Rental Fee is Cost Reimbursable

May 2019 - Apr 2020 If Vendor wishes to rent kitchen facilities for food preparation, coordination must be made at time of award. Vendor must submit a Paid receipt from South Dakota Army National Guard Construction & Facilities Management Office in order to receive reimbursement.

3050 24 Days OPTION Facility Daily Charge

FFP

Facility Daily Charge Rental Fees are Cost Reimbursable

May 2019 - Apr 2020

If Vendor wishes to rent kitchen facilities for food preparation, coordination must be made at time of award. Vendor must submit a Paid receipt from South Dakota Army National Guard Construction & Facilities Management Office in order to receive reimbursement.

4010 1,440 Each OPTION Catered Lunch Meal

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2020 - Apr 2021

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

4020 1,440 Each OPTION Catered Breakfast Meals

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2020 - Apr 2021

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

4030 1,440 Each OPTION Delivered Sack Lunch

FFP

Services, Non-Personal

***All quantities and menus shall be confirmed one week prior to performance.

Estimated Personal per Month:

120 Warriors/Cadre per month

May 2020 - Apr 2021

Delivery/Serving Point:

803 West National Guard Drive Sioux Falls, SD 54104

***See attached Perfomance Work Statement & Tentative Schedule for complete

4040 1 Each OPTION One Time Facility Rental Fee

FFP

One Time Facility Rental Fee Rental Fee is Cost Reimbursable

May 2020 - Apr 2021 If Vendor wishes to rent kitchen facilities for food preparation, coordination must be made at time of award. Vendor must submit a Paid receipt from South Dakota Army National Guard Construction & Facilities Management Office in order to receive reimbursement.

4050 24 Days OPTION Facility Daily Charge

FFP

Facility Daily Charge Rental Fees are Cost Reimbursable

May 2020 - Apr 2021

If Vendor wishes to rent kitchen facilities for food preparation, coordination must be made at time of award. Vendor must submit a Paid receipt from South Dakota Army National Guard Construction & Facilities Management Office in order to receive reimbursement.

5000 1 Each

CMR

FFP

CONTRACTOR MANPOWER REPORTING

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

https://contractormanpower.army.pentagon.mil or https://cmra.army.mil

The required information includes:

1. Contracting Office and Contracting Officer

2. Contract number, including task and delivery order number (if applicable)

3. Beginning and ending dates covered by reporting period

4. Contractor name, address, phone number, e-mail address, identity of contractor

5. Estimated direct labor hours (including subcontractors)

6. Estimated direct labor dollars paid this reporting period (including subcontractors)

7. Total payments (including subcontractors)

8. Predominant Federal Service Code (FSC) reflecting services provided by contractor (and separate predominant FSC for each subcontractor if different) FSC Code S203

9. Estimated data collection cost

10. Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the contractor with its UIC for the purposes of reporting this information)

11. Locations where contractor and subcontractors (if applicable) perform the work (specified by zip code in the United States and nearest city, country, when in an overseas location, using standardized nomenclature provided on website)

12. Presence of deployment or contingency contract language

13. Number of contractor and subcontractor employees deployed in theater this reporting period.

As part of its submission, the contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. Contractors may use a direct XML data transfer to the database server or fill in the fields on the website.

The XML direct transfer is a format for transferring files from a contractor's systems to the secure website without the need for separate data entries for each required data element at the web site. The specific formats for the XML direct transfer may be downloaded from the web site.

The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the Department of Army CMRA 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. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk at http://www.ecmra.mil/

PWS

Performance Work Statement The Recruit Sustainment Program (RSP) and South Dakota Army National Guard (SDARNG) has a requirement to support scheduled monthly Guard Drills with meals. The requirement is for contractor delivered and served meals at the following location:

803 West National Guard Drive Sioux Falls, SD 57104

The specifications are as follows:

Vendor will deliver/prepare and serve meals to soldiers, to ensure food does not run short. It will also be the vendor's responsibility to coordinate with the SDARNG point of contact (POC), to make sure every soldier has been served before leaving the premise.

The Government will provide the facility for serving meals. The Government can provide a facility for the initial preparation and storage of food, if requested in advance, at an estimated rate of $52.00/day and a onetime fee of $50.00 per SDNG Pam 405-70. The charge is a separate action from this solicitation and will only apply if the vendor uses the kitchen for food preparation and shall be paid in advance to SDARNG POC.

The vendor shall provide all subsistence, supplies, disposable plates, napkins, cups, disposable utensils and labor for commercial meals. The vendor is responsible for ensuring facilities are restored to the condition in which received, fair wear and tear accepted to be determined at termination or completion of the contract. The vendor is responsible for the collection and disposal of any trash resulting from the meals served.

Approximately one week in advance, the SDARNG POC will coordinate serving times and provide the vendor with the number of troops expected for the meals. SDARNG will be responsible for the number of meals ordered. This will be a Not-To-Exceed Award meaning the final award amount will be equal to or less than the amount of estimated meals.

The vendor shall provide a sample menu and any past performance with their quote.

Vendor to submit an electronic invoice via Wide Area Work Flow (WAWF) for the services provided. Instructions will be included in the award for invoicing. Vendor will complete the Contractor’s Manpower Report found at https://contractormanpower.army.pentagon.mil or https://cmra.army.mil. Vendor can charge the Government a fee for completing the Contractor’s Manpower Report but shall include it as a separate line on their price quote.

Meal Requirements

Each Catered Lunch Meal shall consist of:

One meat (4-6 oz for whole meats such as roast beef, chicken breast, pork chop, or hamburger patty) (1 cup for ground meat in sauce: spaghetti, beef stroganoff, etc)

a. One main entrée (starch) (1/2 cup to 2/3 cup)

b. Salad(1/2 cup for prepared salad – coleslaw, potato salad, etc. 1 cup for lettuce salads)

c. Vegetable, hot (3/4 Cup)

d. Dessert (2 cookies, 1 piece of cake)

e. Juice (100% fruit juice not concentrate.)*

f. Milk (1% low fat.)*

g. Suitable condiments to include salt and pepper, ketchup, mustard, topical sauces, assorted salad dressings, sugar, etc. as appropriate

Each catered Breakfast shall consist of:

a. One meat

b. Single serving of either eggs, french toast, waffle, pancake, or starch

c. Oatmeal

d. Assorted fresh fruit

e. Yogurt

f. Juice (100% fruit juice not concentrate.)*

g. Milk (1% or 2% low fat.)*

i. Suitable condiments to include salt and pepper, ketchup, mustard, topical sauces, syrup, sugar, etc. as appropriate

Each Sack Lunch shall consist of:

a. One six inch hoagie sandwich or two regular sandwiches

b. Chips

c. Snack bar

d. Fruit

e. Drink

*All portions should be well balanced, generous in size and in accordance with USDA my plate guidance- http://www.chosemyplate.gov *

QASP

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 Deliverable/Tasks Performance Standard Acceptable

Quality Level Method Used/ Frequency

Meal -Food is hot, warm, fresh as appropriate -Portions are sufficient size -Meal includes all components, entrée, 95% of time -Daily inspections and spot checks starch, salad, vegetable, desert and drink -Meal plates and utensils are provided

-Complaint

Food Serving and Transportation

-Food is transported in food safe containers -Food is transported IAW food handling regulations -Food items are served at proper temperatures -Prepared to serve by scheduled time -Contractor ensures all troops are fed prior to departing

100% of time -Daily spot checks -Complaint

Cleanliness -Maintains cleanliness of serving equipment -Maintains cleanliness of dining area -Maintains cleanliness of kitchen -Trash is removed

95% of time -Daily spot checks -Complaint

Contractor Personnel -Contractor personnel have proper hygiene

- Contractor personnel wear proper serving attire

95% of time -Daily inspections and spot checks -Complaint

GOVERNMENT - QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

The Government will conduct routine evaluations/inspections without advance notification to the Contractor. The Government will monitor the Contractor’s performance using the Quality Assurance Surveillance Plan (QASP). Government personnel will record all surveillance observations. When an observation indicates substandard performance (i.e. yellow or red ratings), the Government POC must annotate their findings on the QASP form and must immediately acquire the Contractor’s initials, or their representative at the site, on the completed QASP. The initialing does not necessarily constitute concurrence with the observation, only acknowledgement that the Contractor or their representative has been made aware of the substandard performance. Any action taken by the Contracting Officer as a result of surveillance will be in accordance with the terms of the contract.

QUALITY ASSURANCE SURVEILLANCE PLAN (QASP) WORKSHEET

Instructions for Performance Rating – Within the elements listed below, the evaluator must “check” the applicable rating and annotate any/all sub-standard performances. Additional elements may be noted in the "other" area of the form.

Deliverable/Service

Quality Rating

Causative Factors

Effect on Mission

Action Required / Date

Meal Green Comments Unnecessary for “Green” Rating.

Yellow Red

Food transporting and storage

Green Comments Unnecessary for “Green” Rating.

Yellow Red

Timeliness Green Comments Unnecessary for “Green” Rating.

Yellow

Red Cleanliness Green Comments Unnecessary for “Green” Rating.

Yellow

Red Contractor Personnel

Green Comments Unnecessary for “Green” Rating.

Yellow Red

Other Green Comments Unnecessary for “Green” Rating.

Yellow Red

With each receiver’s report, the Government POC must submit a completed QASP worksheet for the requirements within this contract.

Government Representative Name (print) Contractor’s Representative Name (print)

Government Representative Signature Date Contractor’s Representative Signature Date

OPERATIONAL SECURITY

OPERATIONAL SECURITY REQUIRMENTS

THE CONTRACTOR WILL PROTECT CONTROLLED UNCLASSIFIED INFORMATION (I.E. TRAINING

TIMES, NUMBER OF PERSONNEL, ETC.) PERTAINING TO DAILY OPERATIONS. THE COR/POC WILL

BRIEF THE VENDOR ON WHAT INFORMATION NEEDS TO BE PROTECTED, WHY IT NEEDS TO BE

PROTECTED, AND HOW TO PROTECT IT. IF CONTRACTOR IS NOT SUPRIVISED BY A

GOVERNMENT EMPLOYEE, A NATIONAL CRIMINAL INFORMATION CENTER (NCIC) BACKROUND

CHECK IS REQUIRED. CONTRACTOR WILL ALSO PROVIDE AN EMPLOYEE LIST NO LATER THAN 30

DAYS PRIOR TO PERFORMANCE.

WAGE DETERMINATION

No. 2015-5367, Revision No. 1 dated 19 February 2016

WAGE DETERMINATION

The Service Contract Act states that employees must be paid in accordance to Department of Labor’s (DOL) prevailing labor rates. The prevailing determination for this requirement is No. 2015-5367, Revision 1 dated 19 February 2016. The following listing is an excerpt of the prevailing wage determination and provides information regarding Food Service only. Additional work occupations and information are listed within Determination 2015- 5367. Although the following is only an excerpt of the prevailing wage determination, the Contractor is required to comply with the complete document, to include health, welfare, vacation, holidays, uniform, etc.

If Contractor anticipates utilizing any other occupations such as janitor, laborer, etc., he should immediately contact the Contracting Officer for the additional minimum hourly wage and benefits information. The Contractor shall post a copy of the wage information in accordance with the contract document. The Government reserves the right to complete on-the-spot labor interviews of the Contractor’s personnel. The Contractor shall maintain complete payroll documentation which is to be made available upon request by the Government.

Note: Executive Order (EO) 13658 establishes an hourly minimum wage of $10.15 for calendar year 2016 that applies to all contracts subject to the Service Contract Act for which the solicitation is issued on or after January 1, 2015. If this contract is covered by the EO, the contractor must pay all workers in any classification listed on this wage determination at least $10.15 (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract. The EO minimum wage rate will be adjusted annually. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

OCCUPATION CODE AND TITLE MINIMUM HOURLY WAGE

07010 - Baker 11.46 07041 - Cook I 11.28 07042 - Cook II 13.06 07070 - Dishwasher 8.57 07130 - Food Service Worker 9.31

FRINGE BENEFITS:

In addition to the hourly wage rates listed above, employees are to receive the following fringe benefits for ALL occupations included within Wage Determination 2015-5367, Revision 16, dated 19 February 2016.

HEALTH & WELFARE: $4.27 per hour or $170.80 per week or $740.13 per month

VACATION AND HOLIDAYS are also addressed within the wage determination.

UNIFORM ALLOWANCE: IT IS NOT A FEDERAL GOVERNMENT REQUIREMENT THAT EMPLOYEES

UNDER THIS CONTRACT WEAR UNIFORMS. The prevailing wage determination contains explicit instructions regarding uniform benefits. If employees are required to wear uniforms in the performance of this contract (either by the terms of the Government contract, by the employer, by the state or local law, etc.), the cost of furnishing such uniforms and maintaining (by laundering or dry cleaning) such uniforms is an expense that may not be borne by an employee where such cost reduces the hourly rate that are required by the wage determination. If it is determined that uniforms are to be worn, you are strongly urged to obtain a copy of the complete wage determination from the Contracting Officer.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0000 N/A N/A Destination Government 0010 N/A N/A Destination Government 0020 N/A N/A Destination Government 0030 N/A N/A Destination Government 0040 N/A N/A Destination Government 0050 N/A N/A Destination Government 1010 N/A N/A Destination Government 1020 N/A N/A Destination Government 1030 N/A N/A Destination Government 1040 N/A N/A Destination Government 1050 N/A N/A Destination Government 2010 N/A N/A Destination Government 2020 N/A N/A Destination Government 2030 N/A N/A Destination Government 2040 N/A N/A Destination Government 2050 N/A N/A Destination Government 3010 N/A N/A Destination Government 3020 N/A N/A Destination Government 3030 N/A N/A Destination Government 3040 N/A N/A Destination Government 3050 N/A N/A Destination Government 4010 N/A N/A Destination Government 4020 N/A N/A Destination Government 4030 N/A N/A Destination Government 4040 N/A N/A Destination Government 4050 N/A N/A Destination Government 5000 N/A N/A Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

0000 N/A N/A N/A N/A

0010 POP 15-MAY-2016 TO

30-APR-2017

N/A W91NZ4 - RRM

R.S.P.

803 WEST NATIONAL GUARD DRIVE

SIOUX FALLS SD 57104

605-357-2844

W91NZ4

0020 POP 15-MAY-2016 TO

30-APR-2017

N/A (SAME AS PREVIOUS LOCATION)

0030 POP 15-MAY-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0040 POP 15-MAY-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

0050 POP 15-MAY-2016 TO

N/A (SAME AS PREVIOUS LOCATION)

1010 POP 01-MAY-2017 TO

30-APR-2018

N/A (SAME AS PREVIOUS LOCATION)

1020 POP 01-MAY-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1030 POP 01-MAY-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1040 POP 01-MAY-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1050 POP 01-MAY-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

2010 POP 01-MAY-2018 TO

30-APR-2019

N/A (SAME AS PREVIOUS LOCATION)

2020 POP 01-MAY-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2030 POP 01-MAY-2018 TO

01-APR-2019

N/A (SAME AS PREVIOUS LOCATION)

2040 POP 01-MAY-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2050 POP 01-MAY-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

3010 POP 01-MAY-2019 TO

30-APR-2020

N/A (SAME AS PREVIOUS LOCATION)

3020 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3030 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3040 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3050 POP 01-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4010 POP 01-MAY-2020 TO

30-APR-2021

N/A (SAME AS PREVIOUS LOCATION)

4020 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4030 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4040 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4050 POP 01-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

5000 N/A N/A N/A N/A

CLAUSES INCORPORATED BY REFERENCE

52.202-1 Definitions NOV 2013 52.203-5 Covenant Against Contingent Fees MAY 2014 52.203-6 Restrictions On Subcontractor Sales To The Government SEP 2006 52.203-7 Anti-Kickback Procedures MAY 2014 52.204-7 System for Award Management JUL 2013 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

OCT 2015

52.204-13 System for Award Management Maintenance JUL 2013 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.208-9 Contractor Use of Mandatory Sources of Supply or Services MAY 2014 52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for Debarment

OCT 2015

52.212-1 Instructions to Offerors--Commercial Items OCT 2015

52.212-3 Alt I Offeror Representations and Certifications--Commercial Items (APR 2016) Alternate I

OCT 2014

52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015 52.212-5 (Dev) Contract Terms and Conditions Required to Implement

Statutes or Executive Orders--Commercial Items (Deviation 2013-O0019)

MAR 2016

52.219-1 Small Business Program Representations OCT 2014 52.219-6 Notice Of Total Small Business Set-Aside NOV 2011 52.219-28 Post-Award Small Business Program Rerepresentation JUL 2013 52.222-3 Convict Labor JUN 2003 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-22 Previous Contracts And Compliance Reports FEB 1999 52.222-25 Affirmative Action Compliance APR 1984 52.222-26 Equal Opportunity APR 2015 52.222-36 Equal Opportunity for Workers with Disabilities JUL 2014 52.222-41 Service Contract Labor Standards MAY 2014 52.222-42 Statement Of Equivalent Rates For Federal Hires MAY 2014 52.222-43 Fair Labor Standards Act And Service Contract Labor

Standards - Price Adjustment (Multiple Year And Option Contracts)

MAY 2014

52.222-50 Combating Trafficking in Persons MAR 2015 52.222-55 Minimum Wages Under Executive Order 13658 DEC 2015 52.223-2 Affirmative Procurement of Biobased Products Under Service and Construction Contracts

SEP 2013

52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.225-13 Restrictions on Certain Foreign Purchases JUN 2008 52.225-25 Prohibition on Contracting with Entities Engaging in Certain

Activities or Transactions Relating to Iran-- Representation and Certifications.

OCT 2015

52.232-1 Payments APR 1984 52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

JUL 2013

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.233-2 Service Of Protest SEP 2006 52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.243-1 Changes--Fixed Price AUG 1987 52.244-6 Subcontracts for Commercial Items FEB 2016 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 252.204-7004 Alt A System for Award Management Alternate A FEB 2014 252.204-7009 Limitations on the Use or Disclosure of Third-Party

Contractor Reported Cyber Incident Information

DEC 2015

252.204-7012 (Dev) Safeguarding Covered Defense Information and Cyber Incident Reporting

OCT 2015

252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or Hazardous Materials

SEP 2014

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

NOV 2014

252.225-7031 Secondary Arab Boycott Of Israel JUN 2005

252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7006 Wide Area WorkFlow Payment Instructions MAY 2013 252.232-7010 Levies on Contract Payments DEC 2006 252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

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

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

(i) Technical capability of the item offered to meet the Government requirement;

(ii) Price;

(iii) Past performance

Technical and past performance, when combined, are significantly more important than cost or price.

IAW FAR 15.305(a)(2)iii, In the case of an offeror without a record of relevant past performance or for whom information on past performance is not available, the offeror may not be evaluated favorably or unfavorably on past performance.

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

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of Provision)

52.216-20 DEFINITE QUANTITY. (OCT 1995)

(a) This is a definite-quantity, indefinite-delivery contract for the supplies or services specified, and effective for the period stated, in the Schedule.

(b) The Government shall order the quantity of supplies or services specified in the Schedule, and the Contractor shall furnish them when ordered. Delivery or performance shall be at locations designated in orders issued in accordance with the Ordering clause and the Schedule.

(c) Except for any limitations on quantities in the Order Limitations clause or in the Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the effective period of this contract and not completed within that time shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period; provided, that the Contractor shall not be required to make any deliveries under this contract after 30 April 2021.

(End of clause)

52.216-22 INDEFINITE QUANTITY. (OCT 1995)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum". The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum".

(c) Except for any limitations on quantities in the Order Limitations clause or in the Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period; provided, that the Contractor shall not be required to make any deliveries under this contract after 30 Apr 2021.

52.217-5 EVALUATION OF OPTIONS (JUL 1990)

Except when it is determined in accordance with FAR 17.206(b) not to be in the Government's best interests, the Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. Evaluation of options will not obligate the Government to exercise the option(s).

(End of provision)

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 Days.

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days period provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 5 years.

52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

This solicitation incorporates one or more solicitation provisions 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. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):

www.arnet.gov www.acq.osd.mil www.deskbook.osd.mil

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):

www.arnet.gov www.acq.osd.mil www.deskbook.osd.mil

252.209-7991 REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID DELINQUENT TAX

LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW—FISCAL YEAR 2016

APPROPRIATIONS (DEVIATION 2016-O0002) (OCT 2015)

(a) In accordance with section 101(a) of the Continuing Appropriations Act, 2016 (Pub. L. 114-53) and any subsequent FY 2016 appropriations act that extends to FY 2016 funds the same restrictions as are contained in sections 744 and 745 of division E, title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), none of the funds made available by this or any other Act may be used to enter into a contract with any corporation that—

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless the agency has considered suspension or debarment of the corporation and made a determination that this further action is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless the agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that—

(1) It is [ ___ ] is not [ ___ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability,

(2) It is [ ___ ] is not [ ___ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

Enter Vendor Name:

Please Check the above two statements and return to me.

SFC Amanda Galdo Procurement Technician Purchasing & Contracting South Dakota Army National Guard Office:(605) 737-6739

FAX:(605)-737-6752

DSN:747-6739

amanda.j.galdo.mil@mail.mil