W912MM21Q0016.pdf

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Youth Camp - July Federal contract opportunity
Solicitation number
W912MM21Q0016
Issued by
Department of the Army South Dakota Army National Guard

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SEE ADDENDUM

(No Collect Calls)

W912MM21Q0016 07-May-2021

b. TELEPHONE NUMBER

605-737-6923

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 17 May 2021

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

DOUGLAS W. HARDING

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 ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

USPFO SD PURCHASING & CONTRACTING

2823 WEST MAIN STREET

RAPID CITY SD 57702-8186

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 W56TJS 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

CHILD & YOUTH PROGRAM

SEE SCHEDULE

2823 W. MAIN ST

RAPID CITY SD 57702

TEL: SEE SCHEDULE FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$8,000,000

NAICS:

721214

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 OF20

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.

W912MM21Q0016

Section SF 1449 - CONTINUATION SHEET

PERFORMANCE WORK STATEMENT

Performance Work Statement for the 2021 SD Military Youth Camp: Explore July 19-23, 2021

Including 2022 option year projections for 18-22 July or 25-29 July 2022 - TBD

South Dakota National Guard Child & Youth Program

1. BACKGROUND:

1.1 The South Dakota National Guard Child & Youth Program will be conducting the 2021 SD Military Youth Camp Explore in July. This event provides the opportunity for military youth, ages 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 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 or 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 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 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 2021, we are planning for 50+ campers and 17+ adult volunteers at this time, with registration for camp closing at the end of June, with an approximate total of 70 people at camp.

For 2022, we are planning for possible post-pandemic numbers of 100 campers and 20 adult volunteers, with an approximate total of 120 people at camp.

Specific numbers will be provided to the vendor within two weeks following the close of registration, in order for necessary billing arrangements through this contract and through our community partner.

2. SCOPE:

2.1 The objective of this Statement of Work is to conduct and complete the requirements for the 2021 SD Military Youth Camp: Explore / option year projections for the 2022 SD Military 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 Contracting Officer Representative (COR) to provide to the contractor the event dates and location 60+ days prior to the event. The Child & Youth Program will provide the lodging list to the contractor 1 week prior to the event. The Child & Youth Program staff will provide the numbers for food and outdoor activities to the contractor 1 week prior to the event. The Child & Youth Program staff will also confirm the cabins/lodging rooms and meeting spaces that will be used 1 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 staff will plan and coordinate specific outdoor/challenge activities with the vendor prior to the event as well.

The Child & Youth Program and community partner will be charged for actual numbers of participants and meals during the week of 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.

3. EVENT DATES: July 19-23, 2021 Locations: Rapid city/Sturgis area

3.1 Requirements for Sunday, July 18, 1200 hours – Friday, July 23, 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 70 people.

3) Ability for Child & Youth staff to begin event set-up and preparation the afternoon of 18 July (if needed) and tear down the afternoon of 23 July.

4) 1 General Assembly Meeting Room – 70 people; Area for registration, meeting space, general assembly, dining area, possible evening dance, and as needed.

5) 5-6 indoor/weather-proof meeting breakout areas for five-six teams of 10 people.

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

7) 1 Dining Hall – 70 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.

3.2 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. Meals and sack lunches to be youth-friendly and nutritious. Sack lunches to also include a drink. 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.

3.3 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 19-23 July with access to supply/storage rooms the afternoon of 18 July if needed.

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

4. EVENT DATES: July 18-22 or July 25-29, 2022 (TBD) (numbers reflect post-pandemic projections) Locations: Rapid City/Sturgis area

4.1 Requirements for Sunday, July #, 1200 hours – Friday, July #, 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 120 people.

3) Ability for Child & Youth staff to begin event set-up and preparation the afternoon of Sunday, prior to camp and tear down the afternoon of the Friday of camp.

4) 1 General Assembly Meeting Room – 120 people; Area for registration, meeting space, general assembly, dining area, evening dance, and as needed.

5) 4-5 indoor/weather-proof meeting breakout areas for four teams of 25+ people or possible five teams of 20 people.

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

7) 1 Dining Hall – 120 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.

4.2 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. Meals and sack lunch to be youth-friendly and nutritious. Sack lunches to also include a drink. 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.

4.3 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 18-22 July or 25-29 July (TBD) with access to supply/storage rooms the afternoon of the Sunday prior to camp if needed.

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

5. PERFORMANCE REQUIREMENTS:

3.1 The contractor shall provide all management, labor, cleaning, materials, and supplies necessary to provide the 2021 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 COR 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.

6. 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.

7. OPERATIONS SECURITY:

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.

Rapid City/Sturgis Area Venue 2021 Summary of lodging rooms, meals, and outdoor activities if utilized:

These numbers reflect estimated numbers for the adult volunteers (20) and all Campers (50+). All volunteers and ARNG affiliated campers will be paid for through this contract and SDNG Child & Youth Program funds. Other Service Branch-affiliated campers will be covered separately through a community partner. The contractor will provide meals, lodging, etc. for all participants (approx. 70) with the camp being paid for by two different entities.

Meal/Break Requirements:

Dining Hall:

Dining Hall for up to 70 people for breakfast, lunch, and dinner to be served.

Breakfast - Tuesday - Friday 70 attendees x 4 meals each $_______Per Meal / $_______Total

Lunch - Monday for volunteers arriving prior to camp 20 attendees x 1 meal each $_______Per Meal / $_______Total

Lunch- Tuesday - Thursday 70 attendees x 3 meals each $_______Per Meal / $_______Total If sack lunch is requested due to activity schedule, a drink will also be included

Sack Lunch with drink - Friday for only those that are riding the bus across the state 30 attendees x 1 sack lunch $_______Per Meal / $_______Total

Dinner – Monday – Thursday for all campers and volunteers 70 attendees x 4 meals each $_______Per Meal / $_______Total Snack – Evening snack to be provided on Monday-Thursday evenings as requested. Example – Requesting Ice Cream sundaes (or the like) on Monday evening. $_______Per Snack / $_______Total

Will bill for actual number of Meals ordered.

Access to water and ice to fill water jugs throughout the week.

Lodging Requirements:

Cabins available for check-in on Monday, July 19, and check-out on Friday, July 23.

70 attendees x 4 nights $_______Per Room / $_______Total Campers/staff responsible for bringing own pillows, sleeping bags, linens, and towels.

General Assembly Meeting Room:

Meeting Room for up to 70 people, July 19-23. Area also available for registration, meeting space, general assembly, dining area, evening dance, and as needed.

Meeting Breakout Areas:

Indoor/weather-proof Meeting Breakout areas for five-six teams of 10 people, July 19-23 Supply Room/Medic Room – locked room(s) for storage and medicine $_______Per Room / $_______Total

Access to Flag Pole and outside gathering area, open field for recreation, activities, etc.

Access to fire pit and nearby hiking trails.

Access to Bear Butte for hiking / programming opportunities.

Total Estimate (All Prices for 2021 Camp) $_______

2022 Summary of lodging rooms, meals, and outdoor activities if utilized:

These numbers reflect estimated numbers for the adult volunteers (20) and all Campers (100). All volunteers and ARNG affiliated campers will be paid for through this contract and SDNG Child & Youth Program funds. Other Service Branch-affiliated campers will be covered separately through a community partner. The contractor will provide meals, lodging, etc. for all participants (approx. 120) with the camp being paid for by two different entities.

Meal/Break Requirements:

Dining Hall:

Dining Hall for up to 120 people for breakfast, lunch, and dinner to be served.

Breakfast - Tuesday - Friday 120 attendees x 4 meals each $_______Per Meal / $_______Total

Lunch - Monday for volunteers arriving prior to camp 20 attendees x 1 meal each $_______Per Meal / $_______Total

Lunch- Tuesday - Thursday 120 attendees x 3 meals each $_______Per Meal / $_______Total If sack lunch is requested due to activity schedule, a drink is to be included.

Sack Lunch with drink - Friday for only those that are riding the bus across the state 45 attendees x 1 sack lunch $_______Per Meal / $_______Total

Dinner – Monday – Thursday for all campers and volunteers 120 attendees x 4 meals each $_______Per Meal / $_______Total

Snack – Evening snack to be provided on Monday, Tuesday, and Wednesday evenings as requested. Possible Thursday evening option as well (if we do not have a dance that evening). Example – Requesting Ice Cream sundaes (or the like) on Monday evening. $_______Per Snack / $_______Total

Will bill for actual number of Meals ordered.

Access to water and ice to fill water jugs throughout the week.

Lodging Requirements:

Cabins available for check-in on Monday, July 18 or 22, and check-out on Friday, July 25 or 29.

120 attendees x 4 nights $_______Per Room / $_______Total Campers/staff responsible for bringing own pillows, sleeping bags, linens, and towels.

Will bill for actual number overnight attendees

General Assembly Meeting Room:

Meeting Room for up to 120 people, July 18-22 or July 25-29 (TBD). Area also available for registration, meeting space, general assembly, dining area, evening dance, and as needed.

Meeting Breakout Areas:

Indoor/weather-proof meeting breakout areas for four teams of 25+ people or possible five teams of 20 people, July 18-22 or July 25-29 (TBD).

Supply Room/Medic Room – locked room(s) for storage and medicine, July 18-22 or July 25-29 (TBD).

$_______Per Room / $_______Total

Access to Flag Pole and outside gathering area, open field for recreation, activities, etc.

Access to fire pit and nearby hiking trails.

Access to Bear Butte for hiking / programming opportunities.

Total Estimate (All Prices for 2022 Camp) $_______

SERVICE DELIVERY SCHEDULE

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.

100% of time -Complaint

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 -Special dietary needs are accommodated for

- Meals prepared for in time/ accordance to schedule

95% of time -Complaint

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

95% of time

100% of time

-Complaint

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

95% of time -Complaint

WAGE DETERMINATION

REGISTER OF WAGE DETERMINATIONS UNDER | U.S. DEPARTMENT OF LABOR

THE SERVICE CONTRACT ACT | EMPLOYMENT STANDARDS ADMINISTRATION

By direction of the Secretary of Labor | WAGE AND HOUR DIVISION

| WASHINGTON D.C. 20210

| Wage Determination No.: 2015-5367 Daniel W. Simms Division of | Revision No.: 14 Director Wage Determinations| Date Of Last Revision: 12/21/2020 Note: Under Executive Order (EO) 13658 an hourly minimum wage of $10.95 for calendar year 2021 applies to all contracts subject to the Service Contract Act for which the contract is awarded (and any solicitation was 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 $10.95 per hour (or the applicable wage rate listed on this wage determination if it is higher) for all hours spent performing on the contract in calendar year 2021. The EO minimum wage rate will be adjusted annually. Additional information on contractor requirements and worker protections under the EO is available at ww.dol.gov/whd/govcontracts.

State: South Dakota

Area: South Dakota Counties of Custer Meade Pennington _____________________________________________________________________________________**Fringe

Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE FOOTNOTE RATE

07041 – Cook I 13.44 07042 – Cook II 15.57 07070 – Dishwasher 10.14 07130 – Food Service Worker 10.25 07260 – Waiter/Waitress 9.81 11122 – Housekeeping Aide 12.10 28510 - Recreation Aide/Health Facility Attendant 17.06 28515 - Recreation Specialist 25.91

Note: Executive Order (EO) 13706 Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Service Contract Act for which the contract is awarded (and any solicitation was issued) on or after January 1 2017. If this contract is covered by the EO the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work up to 56 hours of paid sick leave each year. Employees must be permitted to use paid sick leave for their own illness injury or other health-related needs including preventive care; to assist a family member (or person who is like family to the employee) who is ill injured or has other health-related needs including preventive care; or for reasons resulting from or to assist a family member (or person who is like family to the employee) who is the victim of domestic violence sexual assault or stalking. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS:

HEALTH & WELFARE: $4.54 per hour up to 40 hours per week or $181.60 per week or $786.93 per month

HEALTH & WELFARE EO 13706: $4.22 per hour up to 40 hours per week or $168.80 per week or $731.47 per month*

*This rate is to be used only when compensating employees for performance on an SCA-covered contract also covered by EO 13706 Establishing Paid Sick Leave for Federal Contractors. A contractor may not receive credit toward its SCA obligations for any paid sick leave provided pursuant to EO 13706.

VACATION: 2 weeks paid vacation after 1 year of service with a contractor or successor 3 weeks after 10 years and 4 weeks after 15 years. Length of service includes the whole span of continuous service with the present contractor or successor wherever employed and with the predecessor contractors in the performance of similar work at the same Federal facility. (See 29 CFR 4.173)

HOLIDAYS: A minimum of ten paid holidays per year: New Year's Day Martin Luther King Jr.'s Birthday Washington's Birthday Memorial Day Independence Day Labor Day Columbus Day Veterans' Day Thanksgiving Day and Christmas Day. (A contractor may substitute for any of the named holidays another day off with pay in accordance with a plan communicated to the employees involved.) (See 29 CFR 4.174)

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0010 1 Job Youth Camp - July 2021

FFP

Servicies, Non-Personal

***See Statement of Work for details.***

GOV POC: To Be Announced

Vendor POC: To Be Announced FOB: Destination

PSC CD: G099

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0020 1 Job OPTION Youth Camp - July 2022

FFP

Servicies, Non-Personal

***See Statement of Work for details.***

GOV POC: To Be Announced

Vendor POC: To Be Announced

PSC CD: G099

NET AMT

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

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0010 POP 19-JUL-2021 TO

23-JUL-2021

N/A CHILD & YOUTH PROGRAM

SEE SCHEDULE

2823 W. MAIN ST

RAPID CITY SD 57702

SEE SCHEDULE

W56TJS

0020 POP 18-JUL-2022 TO

29-JUL-2022

N/A (SAME AS PREVIOUS LOCATION)

W56TJS

CLAUSES INCORPORATED BY REFERENCE

52.203-5 Covenant Against Contingent Fees MAY 2014 52.203-6 Restrictions On Subcontractor Sales To The Government JUN 2020 52.203-7 Anti-Kickback Procedures JUN 2020 52.204-7 System for Award Management OCT 2018 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 52.204-16 Commercial and Government Entity Code Reporting AUG 2020 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.212-1 Instructions to Offerors--Commercial Items JUN 2020 52.212-3 Offeror Representations and Certifications--Commercial

Items

FEB 2021

52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.212-5 (Dev) Contract Terms and Conditions Required to Implement

Statutes or Executive Orders--Commercial Items (Deviation 2018-O0021)

JAN 2021

52.217-8 Option To Extend Services NOV 1999 52.219-1 Small Business Program Representations NOV 2020 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 52.222-42 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)

AUG 2018

52.222-50 Combating Trafficking in Persons OCT 2020 52.222-55 Minimum Wages Under Executive Order 13658 NOV 2020 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

JUN 2020

52.225-13 Restrictions on Certain Foreign Purchases FEB 2021 52.225-25 Prohibition on Contracting with Entities Engaging in Certain

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

JUN 2020

52.232-1 Payments APR 1984 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

DEC 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 52.244-6 Subcontracts for Commercial Items 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 SEP 2013 252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

DEC 2019

252.209-7999 (Dev) Representation by Corporations Regarding an Unpaid Delinquent Tax Liability or a Felony Conviction under any Federal Law (Deviation)

JAN 2012

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 DEC 2017 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

DEC 2018

252.232-7006 Wide Area WorkFlow Payment Instructions DEC 2018 252.232-7010 Levies on Contract Payments DEC 2006 252.247-7023 Transportation of Supplies by Sea FEB 2019

CLAUSES INCORPORATED BY FULL TEXT

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services-- Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications- Commercial Items. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision-

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(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. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

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

(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. 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. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

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

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services."

(d) Representations. The Offeror represents that--

(1) It [] will, [] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that--

It [] does, [] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of provision)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2020)

(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 items.

(End of clause)

52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES--REPRESENTATION (OCT

2020)

(a) Definitions. As used in this provision, “covered telecommunications equipment or services” and "reasonable inquiry" have the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services”.

(c) Representations.

(1) The Offeror represents that it [ ___ ] does, [ ___ ] does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

(2) After conducting a reasonable inquiry for purposes of this representation, the offeror represents that it [ ___ ] does, [ ___ ] does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services.

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:

Price Past Performance Technical

Factor 1 – Price. Price will be evaluated based on the offeror’s completion of all priced items within the Statement of Work and/or CLINS. The Government will award to best value offeror and reserves a right to award to other than low offer.

Factor 2 – Past Performance. The Government will evaluate the offeror’s record of past performance to determine acceptability. In accordance with FAR 13.106-2(b), the Government may use data provided in the offeror’s quote and data obtained from other sources such as:

The Government’s knowledge of previous contractor performance The Government-wide Contract Performance Assessment Reporting System (CPARS), System for award Management (SAM), or other Government…

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