W912MM-16-P-0060.doc

Section SF 1449 - CONTINUATION SHEET

Portable Latrine Services

FFP

Services, Non-Personal

Portable Chemical Latrines with Hand Sanitizers and daily service per the attached locations and quantities.

It is the responsibility of the contractor to coordinate with the appointed Governmnet POC 48 hours prior to initial delivery of chemical latrines and each day thereafter. The contractor is required to annotate the date and time delivery accomplished for the latrines and submit a copy of final totals to the purchasing and Contracting Office for approval prior to submitting invoice in WAWF.

***See attached Performance Work Statement for complete details.***

*Please see attached price list per location*

Government POC:

CPT Amber Symonds

Phone: 605-737-6969

Email: amber.a.symonds.mil@mail.mil

DA Form 3953 # W90YD8-6075-0100

FOB: Destination

PURCHASE REQUEST NUMBER: 0010879631

ACRN AA

CIN: GFEBS001087963100001

$38,551.00

Handwash Stations

Services, Non-Personal

Handwash Stations and daily service per the attached locations and quantities.

It is the responsibility of the contractor to coordinate with the appointed Governmnet POC 48 hours prior to initial delivery of handwash stations and each day thereafter. The contractor is required to annotate the date and time delivery accomplished for the handwash stations and submit a copy of final totals to the purchasing and Contracting Office for approval prior to submitting invoice in WAWF.

***See attached Performance Work Statement for complete details.***

*Please see attached price list per location*

Government POC:

CPT Amber Symonds

Phone: 605-737-6969

Email: amber.a.symonds.mil@mail.mil

ACRN AA

CIN: GFEBS001087963100002

$3,770.00

Grey Water Disposal

Services, Non-Personal

This CLIN is for any Grey Water removal required upon request.

Military Personal are not authorized to have the contractor remove grey water beyond 400 gallons at $.25 a gallon without coordination through Purchasing and Contracting Office first.

***See attached Performance Work Statement for complete details.***

*Please provide cost per Removal.*

ACRN AA

CIN: GFEBS001087963100003

$100.00

Latrine Relocation

Services, Non-Personal

This CLIN is for any additional Latrine Relocation required above what is specified in the Performance Work Statement.

Military Personal are not authorized to have the contractor relocate latrines beyond 250 miles at $2 a mile without coordination through Purchasing and Contracting Office first.

***See attached Performance Work Statement for complete details.***

*Please provide cost per Reloccation.*

ACRN AA

CIN: GFEBS001087963100004

$500.00

NSP

Contractor Manpower Report

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 W045.

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.

NET AMT

PERFORMANCE WORK STATEMENT

Chemical Latrines with Hand Sanitizers

Performance Work Statement – Services- Non personal

The SDARNG has a requirement for chemical latrines and Grey Water removal during the period 10 June 2016 -24 June 2016.

The Contractor shall provide all labor, material and equipment to perform the following:

PORTABLE LATRINES - Deliver, place and prepare for use portable chemical latrines with hand sanitizer dispensers with daily servicing and all necessary paper products.

Daily Service - For the purpose of this document, daily service shall include removal of all waste products, rinsing the interior of the latrine unit with water and placement of the necessary chemical products. Daily service is defined as one (1) service for each 24-hr period of the performance period. No service is required on day of removal.

Price is to include all delivery set-up, pick-up and mileage charges for servicing the various locations and rental periods. See the following schedules for the individual line items and pertinent information regarding location, quantity and dates. The Government intends to pay for latrine services only on dates listed in the schedule. Latrines are to be placed “No Later Than” 0700 on the 1st day and removed “No Earlier Than” 1600 on the Last Day.

Contractor shall coordinate with Government Point Of Contact (POC) upon award.

If valid complaints are received regarding delivery / servicing, the Contracting Officer will contact the contractor. If necessary, the Contracting Officer will coordinate the delivery / servicing with another firm, with all expenses incurred being assessed to the original contractor. The costs incurred shall be deducted from the contractor’s invoice prior to the invoice being approved for payment.

HANDWASH STATIONS - Handwash Stations and daily service per the attached locations and quantities.

It is the responsibility of the contractor to coordinate with the appointed Governmnet POC 48 hours prior to initial delivery of handwash stations and each day thereafter. The contractor is required to annotate the date and time delivery accomplished for the handwash stations and submit a copy of final totals to the purchasing and Contracting Office for approval prior to submitting invoice in WAWF.

GREY WATER REMOVAL – Grey water removal may be required at some locations during the period of performance. Grey Water Removal will be completed on an as needed basis. The contractor is to check with the Government POC while servicing the location.

LATRINE RELOCATION(S) – It may become necessary to relocate a latrine(s) during the exercise. Military Personal are not authorized to have the contractor relocate latrines beyond 10 times without coordination through Purchasing and Contracting Office first.

During the performance period of 10-24 June 2016, the contractor must contact the Purchasing/ Contracting Office on any problems. The contractor shall routinely make contact with the Government POC as a minimum contact will be made on a weekly basis. Any changes requested that will affect the price of the contract will be coordinated through Purchasing / Contracting Office (P&C). The P&C representative is Shawn Harwood @ 605-737-6614, shawn.h.harwood.mil@mail.mil or Mr. Monty Eisenbraun @ 605-737-6738, monty.c.eisenbraun.mil@mail.mil.

If adverse weather conditions arise prior to or during the performance period, the military personnel must fulfill their training requirements. Therefore, it is critical that the contractor be able to accomplish the delivery and daily servicing of the latrine units as stipulated in the contract even under adverse weather conditions.

The Contractor is required to contact the Government POC at least 48 hours prior to initial delivery to get delivery instructions and any maps from the Government POC regarding latrines / hand wash stations for each service location. Military personnel will be available at the time of latrine delivery to assist the contractor(s) with questions, concerns and placement location in the field. It is the contractor’s responsibility to have adequate personnel to complete the actual placement of the latrines.

Pricing Information:

~ Individual Latrines are _______________per latrine / day ~ Individual Handwash Stations are _______________per handwash station / day

~ Charge to move latrine. __________________ per latrine ~ Charge for Grey Water Disposal: ______________

REMINDER: The contractor(s) and military personnel are reminded that any/all changes to the locations, dates, servicing requirements and quantities of latrines listed for the line items must be coordinated through the Purchasing/Contracting Office 605-737-6614 or 605-737-6738. Military personnel are not authorized to move any latrines or have the contractor move any latrines beyond the 10 latrine relocacitons without coordinating through Purchasing & Contracting office first. If the contractor(s) needs assistance in resolving a problem, they are to contact the Contracting Office. Quantities and locations are provided in a separate attachment.

All contractors/vendors wishing to contract with the Government for services or supplies must register in System for Award Management (SAM). This must be accomplished before any prospective contractor can receive a contract award. Visit https://www.sam.gov/sam/ to register. See Clause 52.204-99 (Dev) in the clause section for more information.

CONTRACTOR MANPOWER REPORTING - The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the 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, beginning with 2015. Contractors may direct questions to the help desk at http://www.ecmra.mil/

ELECTRONIC INVOICING - This contract requires invoicing to be accomplished through Wide Area Work Flow (WAWF), the Government Point of Entry. Vendors will be required to register with WAWF to accomplish invoicing. Details to accomplish invoicing in WAWF will be published with the award document.

EVALUATION - The Government will award a contract(s) resulting from this solicitation to the responsible offeror(s) whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The Government reserves the right to issue one or multiple contracts.

CONTRACTOR’S RESPONSE –

The contracting officer may determine a Contractor’s Quote or offer noncompliant with the terms and conditions of the solicitation if the contractor does not provide the information requested, specifically:

QASP

CONTRACTOR’s SERVICE DELIVERY SCHEDULE

-Complaint

Cleaning

-Latrine is cleaned daily -Latrine is restocked with paper products

-Complaint

-Complaint

Other

-Daily inspections and spot checks -Complaint

QUALITY CONTROL AND QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

The Government will monitor/perform surveillance 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/COR 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. Government surveillance of tasks not listed on the QASP or by methods other than those listed herein may occur during the performance of the contract. Any action taken by the Contracting Officer as a result of surveillance will be in accordance with the terms of the contract.

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:

* Government POC/COR 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.

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" below.

Placement/cleaning were done on assigned dates

Yellow

Red

Cleanliness of latrines and refill of hand sanitizers

Yellow

Red

Filling/cleanliness of hand wash stations

Yellow

Red

Daily Cleaning

Yellow

Red

Other

Yellow

Red

Government POC/COR must submit a completed QASP worksheet with each DD250/SF1449 receiver’s report.

Gov’t POC/COR Name (print) Contractor’s Representative Name (print)

Signature of Gov’t POC/COR Date Signature of Contractor’s Representative 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.

CHECKLIST FOR LATRINE SERVICE

CHECKLIST FOR LATRINE SERVICING

**Government POC and vendor required to complete line item checklist each time latrine servicing is completed. Also record any changes (as approved by the Contracting Officer) on this form.

**Government POC: This form to be returned to P&C **VENDOR: This form to be returned to P&C with invoices

LOCATIONS AND QUANTITIES

# of handwash stations

55 latrines

5 handwash stations 6/10/2016 - 6/22/2016

2 handwash stations 6/10/2016 - 6/22/2016

11 Latrines

2 handwash stations 6/10/2016 - 6/22/2016

N/A

N/A

N/A

N/A

N/A

N/A

Sturgis, SD

N/A

N/A

Custer, SD 57730 Custer, SD

N/A

Custer, SD 57730 Custer, SD

N/A

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

24-JUN-2016

AMBER SYMONDS

SEE SCHEDULE

CAMP RAPID SD 57702

W90YD8

24-JUN-2016

W90YD8

24-JUN-2016

W90YD8

24-JUN-2016

W90YD8

W90YD8

ACCOUNTING AND APPROPRIATION DATA

AA: 02120162016206500001111132580040120850 6100.9000021001

COST CODE: A18SX

AMOUNT: $42,921.00

CIN GFEBS001087963100001: $38,551.00

CIN GFEBS001087963100002: $3,770.00

CIN GFEBS001087963100003: $100.00

CIN GFEBS001087963100004: $500.00

CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

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 June 24, 2016.

(End of clause)

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/FAR

WWW.ACQ.OSD.MIL

WWW.DESKBOOK.OSD.MIL

(End of clause)

252.209-7999 REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID DELINQUENT TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW (DEVIATION 2012-O0004) (JAN 2012)

(a) In accordance with sections 8124 and 8125 of Division A of the Consolidated Appropriations Act, 2012,(Pub. L. 112-74) none of the funds made available by that 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.

(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 [ X ] 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 [ X ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

(End of provision)

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(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.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by 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.acquisition.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 must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

2 IN 1

When selecting the CLINS that you are billing for – Do not select CLIN 0050 Contractor Manpower Report as this is a “NSP – Not Separately Priced” CLIN. Selecting it will cause the invoice to be rejected and delay payment.

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

NOT APPLICABLE

WAWF ACCEPTORS:

MSG Jon Albers

SFC Josh Wermers

(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

Inspect By DoDAAC

W90YD8

Ship To Code

W90YD8

Ship From Code

Mark For Code

Service Approver (DoDAAC)

Service Acceptor (DoDAAC)

W90YD8

Accept at Other DoDAAC

LPO DoDAAC

DCAA Auditor DoDAAC

Other DoDAAC(s)

AWARD W912MM-16-P-0060

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

jon.a.albers.mil@mail.mil joshua.j.wermers.mil@mail.mil lance.j.huber.mil@mail.mil kevin.r.kabrud.civ@mail.mil shawn.h.harwood.mil@mail.mil

(g) WAWF point of contact. (1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.

Visit http://www.aptac-us.org to find your local Procurement Technical Assistance or Helpdesk@dfas.mil or call (800) 456-4571, option 6.

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

(End of clause)

WAGE DETERMINATION

No. 2005-2485, Revision No. 16 dated 29 December 2015

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. 2005-2485, Revision 16 dated 29 Dec 2015. The following listing is an excerpt of the prevailing wage determination and provides information regarding the Truck driver occupations only. Additional work occupations and information are listed within Determination 2005-2485. 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 $10.10 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 $10.10 (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

31361 - Truckdriver, Light

13.61

31362 - Truckdriver, Medium

14.53

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 2005-2485, Revision 16, dated 29 Dec 15.

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.