W912PQ-16-T-0048.pdf

SEE ADDENDUM

(No Collect Calls)

W912PQ-16-T-0048 09-Aug-2016

b. TELEPHONE NUMBER

518 786 0399

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 24 Aug 2016

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W912PQ9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

RICHARD W. POWELL

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

(TYPE OR PRINT)

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

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

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

0010827628

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

W912PQ - USP&FO-NY

ATTN: MNPF-PC

330 OLD NISKAYUNA ROAD

LATHAM NY 12110-3514

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 W56PPG 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

W8BN NYARNG ELE JFHQ FWD 174

W8BN NYARNG ELE JFHQ FWD 174

OPERATION ENDURING FREEDOM

APO AE 09355

TEL: 914-788-7319 FAX:

(518) 786-4985FAX:

TEL: (518) 786-4740 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$32,500,000

NAICS:

721110

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

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

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF48

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.

W912PQ-16-T-0048

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Each 727 MP pre Yellow Ribbon Event

FFP

727 MP pre YRE 9/17/2016 POC: SSG SCHMIDT, ERICH 518-786-4900 FOB: Destination

PURCHASE REQUEST NUMBER: 0010827628

NET AMT

SCOPE OF WORK

727 MP CO Pre Deployment Yellow Ribbon Event

1. Purpose:

a. Yellow Ribbon events are designed to provide Service Members and their Families with Benefits Briefings, Community Resources, and a support network before, during, and after deployment.

2. SCOPE / Available Dates:

a. Under this contract, the contractor will independently provide full range of conference meeting space and other related support services to satisfy the overall Yellow Ribbon Event objectives.

The primary objective is to host the event at a single site that can provide lodging, meeting space, dining space and support services for approximately 80 adults and 20 children. Contractor must have availability from 16-17 September 2016 (Arrival on Friday evening for setup – Departure on Saturday).

b. The New York National Guard (NYNG) is hosting a one day Yellow Ribbon Event for returning service member’s in Westchester or Rockland County area of New York.

c. Below is an example of the day by day breakdown

(1) Friday (overnight lodging for some attendees and staff access to meeting room space for setup)

(2) Saturday (Meeting Space and Meals)

3. Government Contracting Agency:

a. The Government contracting agency for this requirement will be the New York Army National Guard, United States Property and Fiscal Office, Purchasing and Contracting Division

(USP&FO). The agency address is 330 Old Niskayuna Road Latham, New York 12110.

Government contracting personnel will consist of a Procuring Contracting Officer (PCO), Contract Specialist (CS) and Contracting Officer’s Representative (COR).

b. Contracting Requirements:

(1) To be eligible to host a NYARNG event at your facility you need to have a DUNS number, CAGE number, and Federal Tax identification number. Please provide these numbers in your quote. If you do not have a DUNS number or CAGE number you can apply on line: https://www.sam.gov

(2) All meals and lodging must stay within per diem rates. For the Adult attendees, we need the meals to be of substance (ex. Pasta & chicken, deli sandwiches, etc.)

Children’s meals (4-12 years old) must be listed separately should be consistent with, as an example, (Chicken Fingers, Hot Dogs, Burgers, Mac and Cheese, French Fries, pizza etc.) All meals must be approved by Family Programs prior to the event. Since the event is only a one day event, you are authorized 75% of the daily per diem rate. The Per Diem rates can be found at the following website:

http://www.gsa.gov/portal/content/110007

(3) This is not a solicitation for Event Planning Services or 3rd Party Event Planning

Services. For a proposal submitted by an offeror that is not a hotel, the offeror must describe in its quote the approach for the offeror’s services as a prime contractor (copy of subcontractor/agreement, etc) and must also include a copy of all insurance(s) (standard business, liability, extraordinary insurances) in order to submit a complete quote for evaluation purposes. The offeror must have someone at the event to represent the contract. (Again, this is not a solicitation for Event Planning Services. An offer which requires the government to execute a separate agreement with a third party hotel shall be deemed non-responsive)

c. Final Bill and Payment:

(1) We need a copy of the Final Bill sent to the Family Programs Office (contact information below) within 15 days for our records and to report to our Funding Authority. The Final Bill will be paid through the Contracting Office once submitted through the WAWF System. Instructions for payment through the WAWF system will be provided on the USP&FO contract.

(2) When you submit the bill into the WAWF system, you must check the box for final bill. If you do not click on final bill, USP&FO will notify you that you failed to click final bill in WAWF and ask your company to resubmit.

(3) A total percentage of 15% of the total bill is authorized with consultation of the Family

Programs Office representatives and or the USP&FO-NY contracting office, for the purposes of covering charges that may have not been anticipated and or an unforeseen increase in the number of authorized attendees. Family Programs representative(s) will confirm authorized attendees. This overage percentage must be coordinated before final billing is submitted to WAAF system and the Family Programs Office.

4. FACILITY REQUIREMENT SUMMARY

The Contractor will provide a facility that meets the following requirement:

a. Event Management: Contractor shall provide an on-site point of contact that will conduct all pre-event planning and on-site execution of the conference in tight coordination with the Government COR and other authorized Government officials

(1) POC for Planning and Duration of the Event: SSG Schmidt will be the primary POC for questions regarding the event both prior to and during the event. If SSG Schmidt is not available, the alternate POC will be provided is:

SSG Erich Schmidt Direct Line: (518) 786-4900 Fax Line: (518) 786-6075 Email: erich.k.schmidt.mil@mail.mil

SFC Joe Cousineau Direct Line (518) 786-4907 Fax Line: (518) 786-6075 Email: maurice.cousineau.mil@mail.mil

b. Security: Contractor must provide a facility that is highly secure from unauthorized individuals and ensure the safety of all conference attendees. Since we will be setting up our equipment that night before the event, we will need all meeting rooms locked after our set up.

c. Lodging: Contractor will provide lodging upon Check date of In 16 September 2016 and Check Out 17 September 2016 for approximately 45 (20 of these rooms will be paid on individual credit cards – staff rooms) Lodging rates must be within Federal Government per diem rate and in accordance with the Joint Travel Regulation. Lodging of all personnel must be located no greater than 5 minute walk to Retreat and meeting areas.

(2) All rooms need to be at government per diem rate. Our office will provide your hotel with a final rooming list and final numbers 96 hours prior to the event.

(3) We will need an online registration code and a call in number and a room block for staff

d. Meeting Rooms: All meeting room space must adequately hold the required number of persons identified without any adverse restrictions on the Yellow Ribbon event attendees, or interference in the meeting process.

(1) OC (Operations Center) Room:

(a) Setup on Friday time TBD, 24-hour hold starting Friday evening Friday evening at 5:00 pm through Saturday at 5:00 pm

(b) Conference table with 10 chairs and a rectangle table with 2 chairs to be used as a work station. We will also require wireless internet access for 5 laptops. The room needs to be lockable to secure equipment during event.

(2) General Session Room:

(a) Setup on Friday time TBD, 24-hour hold starting on Friday evening Friday evening at 5:00 pm through Saturday at 5:00 pm

(b) We need to setup for the event the night prior in order to ensure everything is working and ready for the event on Saturday. Set up for the room is theater style, set for 110 people (80 Adult attendees and 30 open seats for overflow / VIPS)

(c) We would like a quote for:

(1) Audio Sound Patch (so we can plug our soundboard into your audio system)

(2) 1 Rectangular table in back of room with 2 chairs for our AV personnel.

(3) Exhibit Hall/Provider Room/Hallway:

(a) Setup on Friday time TBD, 24-hour hold starting on Friday evening going through Saturday at 5:00 pm

(b). We require enough space to set-up approximately 35 rectangular tables (2 chairs per table) with provider displays (Exhibits), tables can go in the hallway or a separate nearby room. If this area will be in a room, we will set-up the night prior to the event.

(4) Child Care room for 0 to 2 year olds:

(a) Setup on Friday time TBD, 24-hour hold starting on Friday evening going through Saturday at 5:00 pm

(b) Set up requirements:

(1) 2 cribs and 2 cots for napping

(2) 1 round table with 6 chairs

(3) Comfortable Chair /Rocking Chair

(4) 2 Garbage Cans and 1 small cocktail table with a chair for sign-in/out

(5) Child Care room for 3 to 5 year olds:

(a) Setup on Friday time TBD, 24-hour hold starting on Friday evening Friday evening at 5:00 pm 5:00 pm through Saturday at 5:00 pm

(b) Set up requirements:

(c) 2 round tables with 8 chairs at each table

(1) 1 rectangular table for set up

(2) Large enough space for children to run around and play with the tables

(3) 2 Garbage Cans and 1 small cocktail table with a chair for sign-in out children

(4) Water Pitchers and plastic cups throughout the day

(1) Youth Room for 6 to 18 year olds:

(a) Setup on Friday time TBD, 24-hour hold starting on Friday evening going through Saturday at 5:00 pm

(b) Set up Requirements:

(1) round tables with 8 chairs at each table

(2) 1 rectangular tables for room accessories

(3) Large enough space for youth to participate in arts and craft

(4) activities (tables), set up an Xbox with video games (we provide), and group wide team building activities

(5) 2 Garbage Cans with lines and a small cocktail table for sign-in/out

(6) Water pitchers and plastic cups throughout the day

(2) Additional Youth Requirements:

(a) Day Care room and Youth room located close to one another/on the same floor or level and close to bathrooms. No doors in the day care or youth room that lead to the outside that can’t be locked. Microwave, will be needed in the room or close by, to heat up bottles.

(3) Registration Area:

(a) Setup on Saturday time 7:00 am, 24-hour hold starting Friday evening at 5:00 pm Saturday going through Saturday at 5:00 pm

(b) The location of the Registration area needs to be near the lobby or a hallway near the conference space.

(c). Set up:

(1) 4 tables (6 feet long with 2 chairs per table) with access to power supply and wireless internet access.

(2) Registration setup will remain in place all day since it is also used for sign-out at the end of the event

(4) Meal room / Breakout Briefing Room:

(a) Setup on Saturday time 7:00 am, 24-hour hold starting Friday evening at

5:00 pm Saturday going through Saturday at 5:00 pm

(b) This room is used for lunch and dinner on Saturday,as well as classes

(c) Set up:

(1) Banquet rounds, seating for all attendees (including children) plus room for staff and VIP’s to sit with attendees

(2) Set-up for approx. 130 (100 total attendees and 30 empty seats as a buffer)

(3) AV requirements (please provide quote): 2-10’ or larger screens, 2 projectors, Sound patch, Podium

(5) Counseling/VIP Meeting Room:

(a) Setup on Saturday time 7:00 am, 24 hour hold starting Friday evening at 5:00 pm Saturday going to Saturday at 5:00 pm

(b) Private room set is 1 table with 4 chairs

(6) DEERS / RAPIDS Room:

(a) Setup on Friday time TBD, 24-hour hold starting on Friday

(b) Evening Friday evening at 5:00 pm through Saturday at 5:00 pm

(c) We will need a room, near Registration with a hard line internet connection without any fire wall. The DEERS / Rapids machine will not work if there is any interference. This will be one of the first rooms to be set up to ensure we have proper connectivity.

5. Meals during event (Saturday):

(a) Morning BREAK consisting of coffee, Juices, and pastries/fruit/etc, from 8:30 am - 10:00 am (needs to be available near meal room)

(b) Require Lunch for 80 adults(billing separately) and 20 Children(billing separately). We anticipate that Children meals will be less than that charged for adults. Lunch set-up should be around 11:30 am, in a location that will not interrupt the General Session. The contractor shall provide small plates for children and child friendly food choices. (Examples are; but not all inclusive such as macaroni and cheese, chicken nuggets, and pizza) for at least 20 children.

(c)Afternoon BREAK will be around 2 pm and include Drinks, Dessert, and healthy items (no nut products). During Breaks, Child Friendly snacks (no nuts) must be offered near the Youth/Childcare Rooms as well.

(1) Coffee and Tea must be available all day

(2) Request Cold Beverages and Soft Drinks, as well as Juice, milk, or lemonade for children

(3) All meals must be within government per diem rate (see paragraph 3b (2)

6. Agenda / Time Line:

a. Agenda:

1. An example Agenda is part of the Statement of Work (SOW) packet.

2. The event will take place from 10:00 am – 5:00 pm on Saturday

3. Registration begins at 8:30 am and check out is 5:00 pm.

b. Event Time Line:

1. Friday, we request rooms to be available at 5:00 pm (if possible)

2. Saturday, we request the rooms available at 6:00 am (final setup) to 5:00 pm (cleanup and departure)

7. Location:

a. Facility must be either in Rockland or Westchester County

b. Facility must have on-site parking capable of holding up to 100 NYNG attendee’s vehicles and approximately 50 support staff. All parking must be within a 10 minute walk of the event site.

8. Performance Objectives:

Service Performance Objective PWS Para Performance Threshold

1. Provide breakfast on time 5.a. 100% visual inspection

2. Provide lunch on time 5.b 100% visual inspection

3. Provide correct number of lodging rooms 16 September 2016 4.d 1 -11& 5 a.-c.

100% visual inspection

4 Provide meeting rooms with all set up according to our SOW.

4.d., 5.b. & 5.d.

100% visual inspection

BILLING INSTRUCTIONS

Purchase is exempt from all Federal, State and Local Sales Taxes.

TAX IDENTIFICATION NUMBER 11-6002464

BILLING INSTRUCTIONS-IMPORTANT PLEASE READ

In order to be paid in a timely manner, please assist us by following the instructions listed below:

1. Establish this account for the New York Army National Guard:

US Property and Fiscal Office - New York

ATTN: MNPF-VP

330 Old Niskayuna Road Latham, New York 12110-3514

2. Please verify:

a. The vendor’s name & address (BLOCK 17A) specified on the Standard Form 1449, SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS (SF 1449), must match those on the invoice.

BLOCK 9 on DD1155, BLOCK 15A on SF 30.

b. Total cost billed cannot exceed the dollar amount on the SF 1449, DD1155, or SF 30. Do not exceed the amounts shown on the purchase order/contract without prior approval of the Contracting Officer. If you exceed your dollar amounts without the Contracting Officer’s approval you will not get paid your additional money. ONLY

CONTRACTING PERSONNEL HAVE THE AUTHORITY TO CHANGE OR MODIFY THIS

PURCHASE/DELIVERY ORDER. UNIT PERSONNEL DO NOT HAVE THE AUTHORITY TO CHANGE

THIS PURCHASE/DELIVERY ORDER. THERE ARE NO EXCEPTIONS.

3. A separate invoice is required for each SF 1449, DD1155, or SF 30 (cannot accept statements):

a. Electronically submit invoices via Wide Area Work Flow (WAWF).

b. Invoices should not be submitted until after the time period specified on the SF 1449, DD1155, or SF 30

c. Each invoice must reflect the DODACC (HQ0670).

d. Each invoice MUST have a vendor invoice number.

4. Any CONTRACTING QUESTIONS concerning this purchase/delivery order should be directed to the Purchasing Office ATTN: Connie Riley (Contract Officer) (518) 786-4747, Mark Walsh (Contract Officer) (518) 786-4986, MAJ Richard Powell, (518) 786-0399, or ATTN: Larry Merwin, (518) 786-4740 The purchasing /contracting office Supervisor is COL Andrew Stewart (518) 786-4739.

CHANGES TO THIS PURCHASE ORDER

THE ABOVE LISTED CONTRACTING OFFICERS ARE THE ONLY PERSONS

AUTHORIZED TO CHANGE OR MODIFY THIS PURCHASE/DELIVERY ORDER. NO

OTHER UNIT INDIVIDUAL HAS THE AUTHORITY TO CHANGE THIS

PURCHASE/DELIVERY ORDER. REPEAT, NO OTHER INDIVIDUAL BUT THE

CONTRACTING OFFICER LISTED IN THIS PARAGRAPH HAVE THE AUTHORITY

TO CHANGE THIS PURCHASE/DELIVERY ORDER. THERE ARE NO EXCEPTIONS.

6. Inquiries on PAYMENT should be directed to the Voucher Processing Office, SPC Jennifer Kumpel

(518) 786-4719. Mr. Robert June is the Vendor Pay Supervisor (518) 786-4368. You must have your contract number or purchase order number for assistance. The Financial Manger is LTC Michael Murphy (518) 786-4687.

ALL VENDORS NEED TO BE REGISTERED AND ACTIVE IN SYSTEM for AWARD MANAGEMENT (SAM) (www.sam.gov) SO ELECTRONIC PAYMENT (EFT) IS

ROUTED CORRECTLY.

7. ELECTRONIC INVOICING (WIDE AREA WORKFLOW-WAWF) HAS BEEN IMPLEMENTED IN THE

ARMY NATIONAL GUARD. VENDORS ARE ENCOURAGED TO view AT THE WAWF WEB SITE TO BETTER UNDERSTAND THE SYSTEM http://www.wawftraining.com. .

Additional Wide Area Workflow (WAWF) Information:

WAWF Production site: https://wawf.eb.mil WAWF Help: http://www.dfas.mil/ecommerce/wawf/info Invoice Pay Information: https://myinvoice.csd.disa.mil/index Contract Information: http://eda.ogden.disa.mil/usersguide/contact/hlp001

8. All vendors have to be currently registered in System Award Management, http://www.sam.gov.

9. DELIVERY and TECHNICAL questions should be directed toSSG Erich Schmidt. 518-786-4900.

erich.k.schmidt.mil@mail.mil

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

0001 POP 17-SEP-2016 TO

18-SEP-2016

N/A W8BN NYARNG ELE JFHQ FWD 174

W8BN NYARNG ELE JFHQ FWD 174

OPERATION ENDURING FREEDOM

APO AE 09355

914-788-7319 FOB: Destination

W56PPG

CLAUSES INCORPORATED BY REFERENCE

52.209-2 Prohibition on Contracting with Inverted Domestic

Corporations--Representation

NOV 2015

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.212-1 Instructions to Offerors--Commercial Items OCT 2015 52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015 52.219-6 Notice Of Total Small Business Set-Aside NOV 2011 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity APR 2015 52.222-50 Combating Trafficking in Persons MAR 2015 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.225-13 Restrictions on Certain Foreign Purchases JUN 2008 52.225-20 Prohibition on Conducting Restricted Business Operations in

Sudan--Certification

AUG 2009

52.232-33 Payment by Electronic Funds Transfer--System for Award Management

JUL 2013

52.233-3 Protest After Award AUG 1996 52.242-15 Stop-Work Order AUG 1989 52.247-34 F.O.B. Destination NOV 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.225-7001 Buy American And Balance Of Payments Program-- Basic

(Nov 2014)

NOV 2014

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991

CLAUSES INCORPORATED BY FULL TEXT

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS (DEC

2014)

The Contractor's representations and certifications, including those completed electronically via the System for Award Management (SAM), are incorporated by reference into the contract.

(End of clause)

52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY OR A

FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not 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 an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment 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 an 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; and

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

(End of provision)

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

ALTERNATE I (OCT 2014)

The offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site located at https://www.sam.gov/portal . If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (r) of this provision.

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

“Economically disadvantaged women-owned small business (EDWOSB) concern” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

“Forced or indentured child labor” means all work or service—

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

“Highest-level owner” means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

“Immediate owner” means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: Ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

“Inverted domestic corporation,” means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

“Manufactured end product” means any end product in product and service codes (PSCs) 1000-9999, except—

(1) PSC 5510, Lumber and Related Basic Wood Materials;

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

(5) PSC 9410, Crude Grades of Plant Materials;

(6) PSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) PSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) PSC 9610, Ores;

(9) PSC 9620, Minerals, Natural and Synthetic; and

(10) PSC 9630, Additive Metal Materials.

“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

Sensitive technology—

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically—

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).

“Service-disabled veteran-owned small business concern”—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

“Small business concern” means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.

“Small disadvantaged business concern, consistent with 13 CFR 124.1002,” means a small business concern under the size standard applicable to the acquisition, that--

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by--

(i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

“Subsidiary” means an entity in which more than 50 percent of the entity is owned—

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

“Veteran-owned small business concern” means a small business concern—

(1) Not less than 51 percent of which is owned by one or more veterans(as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

“Women-owned business concern” means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

“Women-owned small business concern” means a small business concern --

(1) That is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and

(2) Whose management and daily business operations are controlled by one or more women.

“Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127),” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States.

(b)

(1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the SAMwebsite.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representation and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ___ . [Offeror to identify the applicable paragraphs at (c) through (q) of this provision that the offeror has completed for the purposes of this solicitation only, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

___ Black American.

___ Hispanic American.

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

___ Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, Republic of Palau, Republic of the Marshall Islands, Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).

___ Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal).

___ Individual/concern, other than one of the preceding.

(d) Representations required to implement provisions of Executive Order 11246 --

(1) Previous contracts and compliance. The offeror represents that --

(i) It [ ___ ] has, [ ___ ] has not, participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and

(ii) It [ ___ ] has, [ ___ ] has not, filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that --

(i) It [ ___ ] has developed and has on file, [ ___ ] has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR parts 60-1 and 60-2), or

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

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

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

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

(2) Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

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

(g)

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

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

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

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

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

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

Other Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

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

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

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

Canadian End Products:

Line Item No.:

[List as necessary]

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

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

Canadian or Israeli End Products:

Line Item No.: Country of Origin:

[List as necessary]

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

(g)(1)(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Korean, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements—Israeli Trade Act”:

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

Line Item No.: Country of Origin:

[List as necessary]

(5) Trade Agreements Certificate. (Applies only if the clause at FAR 52.225-5, Trade Agreements, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(5)(ii) of this provision, is a U.S.-made or designated country end product as defined in the clause of this solicitation entitled “Trade Agreements.”

(ii) The offeror shall list as other end products those end products that are not U.S.-made or designated country end products.

Other End Products

Line Item No.: Country of Origin:

[List as necessary]

(iii) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25. For line items covered by the WTO GPA, the Government will evaluate offers of U.S.-made or designated country end products without regard to the restrictions of the Buy American statute. The Government will consider for award only offers of U.S.-made or designated country end products unless the Contracting Officer determines that there are no offers for such products or that the offers for such products are insufficient to fulfill the requirements of the solicitation.

(h) Certification Regarding Responsibility Matters (Executive Order 12689). (Applies only if the contract value is expected to exceed the simplified acquisition threshold.) The offeror certifies, to the best of its knowledge and belief, that the offeror and/or any of its principals--

(1) [ ___ ] Are, [ ___ ] are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;

(2) [ ___ ] Have, [ ___ ] have not, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property; and

(3) [ ___ ] Are, [ ___ ] are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any…