W912QR18T0011.pdf

SEE ADDENDUM

(No Collect Calls)

W912QR18T0011 08-Feb-2018

b. TELEPHONE NUMBER

502.315.7406

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 02 Mar 2018

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.

W912QR9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

TRAVIS I DUNN

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

(TYPE OR PRINT)

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

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

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

U. S. ARMY ENGINEER DISTRICT, LOUISVILLE

600 DR. MARTIN LUTHER KING, JR. PLACE

ROOM 821

LOUISVILLE KY 40202-2239

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 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

502.315.6195 OR 6193FAX:

TEL: 502.315.6172 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$20,500,000

NAICS:

621498

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.

X

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)

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.

W912QR18T0011

Section SF 1449 - CONTINUATION SHEET

SPECIAL INSTRUCTIONS

The intent of this Request for Quote (RFQ) is to select up to four (4) contractors to provide professional services of Registered Nurses to assist the government Occupational Health Nurse in the U.S. Army Corps of Engineers Louisville District Occupational Health Unit. Up to four (4) Firm Fixed Price awards will be made from this solicitation. One (1) award for providing professional services of a Registered Nurse for four (4) days (equaling thirty two (32) hours) per week, one (1) award for providing these services for three (3) days (equaling twenty four

(24) hours) per week, and two (2) awards for providing these services on an 'As-Needed’ basis (PRN).

Quote items are included for each position. Interested parties may submit quotes on as many of these positions as desired. If an offeror is the successful offeror at more than one position and the offeror is an individual person, the position selected will be the most advantageous to the government.

This procurement is 100% set-aside for Women-Owned Small Business (WOSB), NAICS 621498 ($20.5 million).

Method of Payment under this contract will be Electronic Funds Transfer (EFT) to a commercial bank account specified by the Contractor.

Note: The contracts awarded will be based on Low Price to the Government. In addition to the completed price breakout schedule/price quote, the Offeror must complete their Representations and Certifications located in the solicitation and provide documentation to show that the Education, Experience, License and Certifications Requirements listed in the Scopes of Work are met. Proof of insurance must also be provided in accordance with FAR Clause 52.237-7 Indemnification and Medical Liability Insurance.

Quotes are due on 02 March 2018 at 10:00 AM Eastern Time.

Submit Quotes to: U.S. Army Corps of Engineers Room 821, ATTN: Travis Dunn 600 Dr. Martin Luther King, Jr. Place Louisville, KY 40202

Electronic submittals will be accepted. You may submit your quote to travis.i.dunn@usace.army.mil. Fax submittals will NOT be accepted.

For contractual/technical questions, please contact Travis Dunn at (502) 315-7406 or by e-mail at travis.i.dunn@usace.army.mil.

All contractors must be registered in the System for Award Management (www.SAM.gov) prior to award of a contract. All proposed contractors are highly encouraged to review FAR Clause 52.232-33 Payments by Electronic Funds Transfer – System for Award Management, which indicates “All payments by the Government under this contract shall be made by electronic funds transfer (EFT).” Those not currently registered can obtain registration by going to the website http://www.SAM.gov. The process can usually be completed from 24 to 48 hours after submission. Contractors will need to obtain a Unique Entity Identifier (previously DUNS NUMBER) for processing their registration. If you do not already have a Unique Entity Identifier, one can be obtained from Dun and Bradstreet by calling 1-800-333-0505. Refer to www.SAM.gov for information formerly found in CCR, EPLS, ORCA and FedReg.

Please begin the registration process immediately in order to avoid delay of the contract award should your firm be selected.

PLEASE NOTE: SAM is completely free of charge for both registrants and users.

Note: Page numbering in this document may not be accurate.

mailto:travis.i.dunn@usace.army.mil.

mailto:travis.i.dunn@usace.army.mil.

PRICE BREAKOUT SCHEDULE

4 Days per Week - RN Price Breakout Schedule

Base Year 01 April 2018 - 31 March 2019

Item Description Qty U/M Unit Cost Total Cost 0001 Professional Services of a Registered

Nurse not to exceed 32hrs/wk 1600 hrs

Base Year Total

Option Year 1 01 April 2019 - 31 March 2020

Item Description Qty U/M Unit Cost Total Cost 0002 Professional Services of a Registered

Nurse not to exceed 32hrs/wk

Option Year 1 Total

Option Year 2 01 April 2020 - 31 March 2021

Item Description Qty U/M Unit Cost Total Cost 0003 Professional Services of a Registered

Nurse not to exceed 32hrs/wk

Option Year 2 Total

Option Year 3 01 April 2021 - 31 March 2022

Item Description Qty U/M Unit Cost Total Cost 0004 Professional Services of a Registered

Nurse not to exceed 32hrs/wk

Option Year 3 Total

Option Year 4 01 April 2022 - 31 March 2023

Item Description Qty U/M Unit Cost Total Cost 0005 Professional Services of a Registered

Nurse not to exceed 32hrs/wk 1600 hrs

Option Year 4 Total

Total Options

Total Base Plus Options

3 Days per Week - RN Price Breakout Schedule

Item Description Qty U/M Unit Cost Total Cost 0001 Professional Services of a Registered

Nurse not to exceed 24hrs/wk 1200 hrs

Item Description Qty U/M Unit Cost Total Cost 0002 Professional Services of a Registered

Nurse not to exceed 24hrs/wk

Item Description Qty U/M Unit Cost Total Cost 0003 Professional Services of a Registered

Nurse not to exceed 24hrs/wk

Item Description Qty U/M Unit Cost Total Cost 0004 Professional Services of a Registered

Nurse not to exceed 24hrs/wk

Item Description Qty U/M Unit Cost Total Cost 0005 Professional Services of a Registered

Nurse not to exceed 24hrs/wk 1200 hrs

Option Year 4 Total

PRN Price Breakout Schedule

Item Description Qty U/M Unit Cost Total Cost 0001 Professional Services of a Registered

Nurse on an 'As-Needed" Basis 300 hrs

Item Description Qty U/M Unit Cost Total Cost 0002 Professional Services of a Registered

Nurse on an 'As-Needed" Basis

Item Description Qty U/M Unit Cost Total Cost 0003 Professional Services of a Registered

Nurse on an 'As-Needed" Basis

Item Description Qty U/M Unit Cost Total Cost 0004 Professional Services of a Registered

Nurse on an 'As-Needed" Basis

Item Description Qty U/M Unit Cost Total Cost 0005 Professional Services of a Registered

Nurse on an 'As-Needed" Basis 300 hrs

Option Year 4 Total

SCOPE OF WORK- 4 DAY RN

CHARACTER AND EXTENT OF SERVICES

The Contractor will provide professional services as a Registered Nurse approximately thirty two (32) hours every week for a one year period as directed by the government nurse in the U.S. Army Corps of Engineers, Louisville District Occupational Health Unit, located in Louisville, Kentucky in the Ron Mazzoli Federal Building, Rm. 138.

These medical services are for all government employees in the participating agencies and others in an emergency situation.

The Contractor will work under the technical direction of the government nurse and under the administrative control of the Occupational Health and Safety Office, U.S. Army Corps of Engineers, Louisville District.

Services will be performed eight (8) hours per day, four (4) days per week. The hours are from 8:00 a.m. - 4:30 p.m.

Eastern Time, Monday – Friday. During holidays, such as Christmas and Thanksgiving, the contractor may not be called in for the entire week.

Payment will be made on actual hours worked with no accumulation of sick leave, annual leave or holiday compensation. Contractor must agree to be paid electronically and be responsible for all taxes, workman’s compensation, social security and professional liability and health insurance.

The Government is obligated only to the extent of such requests as are actually made against this contract. The Government will give the Contractor a reasonable notice, except under extreme emergency conditions, prior to when service is required to be performed. If the Contractor cannot perform when notified under an emergency condition, services will be procured elsewhere.

Quantities should not exceed 1600 hours per year. The contract will be for the base period from 01 April 2018 through 31 March 2019 and include options to extend the period of services for four (4) one-year periods. Total contract amount is estimated.

REQUIREMENTS

All Offerors shall provide documentation as proof for the following requirements or their offer will NOT be considered:

Education:

Minimum educational requirement is an Associate Degree (ADN) or Diploma Program in Nursing.

Experience:

Minimum of five (5) years working as a Registered Nurse in an Urgent Care, Ambulatory Care, or Occupational Health clinical setting.

License and Certifications:

Current, full, active, and unrestricted license as a Registered Nurse in the Commonwealth of Kentucky.

Current/Valid American Heart Association Basic Life Support (BLS) Card.

Current certification as an American Heart Association Heartsaver First Aid, Cardiopulmonary Resuscitation (CPR), and automated external defibrillator (AED) instructor.

RESPONSIBILITIES

Triage and provide appropriate care for employee injuries and illnesses following medical protocols.

Conduct pre-physical screening and instruct employees about pre-physical lab testing.

Perform diagnostic tests such as Electrocardiograms (EKG), Snellen eye tests, glucose testing, strep screens, urine dip tests and hemoccult testing.

Administer vaccinations, over the counter medications and allergy injections per medical protocols.

Recognize clinical abnormalities and follow up with appropriate action per medical protocols.

Counsel employees on preventative health measures and procedures.

Provide first aid and CPR in emergency situations following BLS protocols.

Report and follow-up on needle stick and body fluid exposures, including detailed record of occurrences.

Collect and document employee data and information according to empirical data, history and clinical findings.

Maintain employee medical files within federal guidelines, ensuring confidentiality and privacy of health and personal information.

Transcription of physician dictated encounters.

Schedule comprehensive employee health maintenance examinations.

Maintain a daily census and a log of activities including medical service or assistance rendered.

Coordinate with the physician and government nurse to provide high quality patient care in a caring and professional manner.

SCOPE OF WORK- 3 DAY RN

The Contractor will provide professional services as a Registered Nurse approximately twenty four (24) hours every week for a one year period as directed by the government nurse in the U.S. Army Corps of Engineers, Louisville District Occupational Health Unit, located in Louisville, Kentucky in the Ron Mazzoli Federal Building, Rm. 138.

These medical services are for all government employees in the participating agencies and others in an emergency situation.

The Contractor will work under the technical direction of the government nurse and under the administrative control of the Occupational Health and Safety Office, U.S. Army Corps of Engineers, Louisville District.

Services will be performed eight (8) hours per day, four (4) days per week. The hours are from 8:00 a.m. - 4:30 p.m.

Eastern Time, Monday – Friday. During holidays, such as Christmas and Thanksgiving, the contractor may not be called in for the entire week.

Payment will be made on actual hours worked with no accumulation of sick leave, annual leave or holiday compensation. Contractor must agree to be paid electronically and be responsible for all taxes, workman’s compensation, social security and professional liability and health insurance.

The Government is obligated only to the extent of such requests as are actually made against this contract. The Government will give the Contractor a reasonable notice, except under extreme emergency conditions, prior to when service is required to be performed. If the Contractor cannot perform when notified under an emergency condition, services will be procured elsewhere.

Quantities should not exceed 1200 hours per year. The contract will be for the base period from 01 April 2018 through 31 March 2019 and include options to extend the period of services for four (4) one-year periods. Total

All Offerors shall provide documentation as proof for the following requirements or their offer will NOT be considered:

Education:

Minimum educational requirement is an Associate Degree (ADN) or Diploma Program in Nursing.

Experience:

Minimum of five (5) years working as a Registered Nurse in an Urgent Care, Ambulatory Care, or Occupational Health clinical setting.

License and Certifications:

Current, full, active, and unrestricted license as a Registered Nurse in the Commonwealth of Kentucky.

Current/Valid American Heart Association Basic Life Support (BLS) Card.

Current certification as an American Heart Association Heartsaver First Aid, Cardiopulmonary Resuscitation (CPR), Perform diagnostic tests such as Electrocardiograms (EKG), Snellen eye tests, glucose testing, strep screens, urine dip tests and hemoccult testing.

Administer vaccinations, over the counter medications and allergy injections per medical protocols.

Recognize clinical abnormalities and follow up with appropriate action per medical protocols.

Counsel employees on preventative health measures and procedures.

Provide first aid and CPR in emergency situations following BLS protocols.

Report and follow-up on needle stick and body fluid exposures, including detailed record of occurrences.

Collect and document employee data and information according to empirical data, history and clinical findings.

Maintain employee medical files within federal guidelines, ensuring confidentiality and privacy of health and personal information.

Transcription of physician dictated encounters.

Schedule comprehensive employee health maintenance examinations.

Maintain a daily census and a log of activities including medical service or assistance rendered.

Coordinate with the physician and government nurse to provide high quality patient care in a caring and professional

SCOPE OF WORK- PRN

The Contractor will provide professional services as a Registered Nurse not to exceed 300 hours for a one year period as directed by the government nurse in the U.S. Army Corps of Engineers, Louisville District Occupational Health Unit, located in Louisville, Kentucky in the Ron Mazzoli Federal Building, Rm. 138. These medical services are for all government employees in the participating agencies and others in an emergency situation.

The Contractor will work under the technical direction of the government nurse and under the administrative control of the Occupational Health and Safety Office, U.S. Army Corps of Engineers, Louisville District.

Services will be performed eight (8) hours per day, four (4) days per week. The hours are from 8:00 a.m. - 4:30 p.m.

Eastern Time, Monday – Friday. During holidays, such as Christmas and Thanksgiving, the contractor may not be called in for the entire week.

Payment will be made on actual hours worked with no accumulation of sick leave, annual leave or holiday compensation. Contractor must agree to be paid electronically and be responsible for all taxes, workman’s compensation, social security and professional liability and health insurance.

The Government is obligated only to the extent of such requests as are actually made against this contract. The Government will give the Contractor a reasonable notice, except under extreme emergency conditions, prior to when service is required to be performed. If the Contractor cannot perform when notified under an emergency condition, services will be procured elsewhere.

Quantities should not exceed 300 hours per year. The contract will be for the base period from 01 April 2018 through 31 March 2019 and include options to extend the period of services for four (4) one-year periods. Total

All Offerors shall provide documentation as proof for the following requirements or their offer will NOT be considered:

Education:

Minimum educational requirement is an Associate Degree (ADN) or Diploma Program in Nursing.

Experience:

Minimum of five (5) years working as a Registered Nurse in an Urgent Care, Ambulatory Care, or Occupational Health clinical setting.

License and Certifications:

Current, full, active, and unrestricted license as a Registered Nurse in the Commonwealth of Kentucky.

Current/Valid American Heart Association Basic Life Support (BLS) Card.

Current certification as an American Heart Association Heartsaver First Aid, Cardiopulmonary Resuscitation (CPR), Perform diagnostic tests such as Electrocardiograms (EKG), Snellen eye tests, glucose testing, strep screens, urine dip tests and hemoccult testing.

Administer vaccinations, over the counter medications and allergy injections per medical protocols.

Recognize clinical abnormalities and follow up with appropriate action per medical protocols.

Counsel employees on preventative health measures and procedures.

Provide first aid and CPR in emergency situations following BLS protocols.

Report and follow-up on needle stick and body fluid exposures, including detailed record of occurrences.

Collect and document employee data and information according to empirical data, history and clinical findings.

Maintain employee medical files within federal guidelines, ensuring confidentiality and privacy of health and personal information.

Transcription of physician dictated encounters.

Schedule comprehensive employee health maintenance examinations.

Maintain a daily census and a log of activities including medical service or assistance rendered.

Coordinate with the physician and government nurse to provide high quality patient care in a caring and professional

GENERAL REQUIREMENTS

UAI Subpart 5122.13 – Equal Opportunity for Veterans

Veterans Employment Emphasis for U.S. Army Corps of Engineers Contracts

In addition to complying with the requirements outlined in FAR Part 22.13, FAR Clause 52.222-35, FAR Clause 52.222-37, DFARS 222.13 and Department of Labor regulations, U.S. Army Corps of Engineers (USACE) contractors and subcontractors at all tiers are encouraged to promote the training and employment of U.S. veterans while performing under a USACE contract. While no set-aside, evaluation preference, or incentive applies to the solicitation or performance under the resultant contract, USACE contractors are encouraged to seek out highly qualified veterans to perform services under this contract.

The following resources are available to assist USACE contractors in their outreach efforts:

U.S. Department of Labor Veterans employment: www.vets.gov/ Federal veteran employment information: www.fedshirevets.gov/index.aspx Veterans’ Employment and Training Service (VETS): http://www.dol.gov/vets/ Veterans Opportunity to Work (VOW) Program: http://benefits.va.gov/vow/ U.S. Army Warrior Transition Command Employment Index:

wtc.army.mil/modules/employers/index.html Hiring Our Heroes initiative: www.uschamberfoundation.org/hiring-our-heroes http://www.vets.gov/ http://www.fedshirevets.gov/index.aspx http://www.dol.gov/vets/ http://benefits.va.gov/vow/ http://www.wtc.army.mil/modules/employers/index.html http://www.uschamberfoundation.org/hiring-our-heroes

REPS AND CERTS

REPRESENTATIONS & CERTIFICATIONS

COMPANY NAME AND ADDRESS: _______________________________________

PHONE NUMBER ________________ FAX NUMBER ________________

EMAIL ADDRESS ______________________________________________________

BUSINESS SIZE (select one)

Large Business _____ Small Business_____ HUBZone Business_____ 8A _____ Woman-Owned ____ Service-Disabled Veteran-Owned ____

Contractor is registered with SAM: _____ YES _____ NO (See FAR 52.204-7)

TAX ID # ______________________

INDICATE Unique Entity Identifier (previously DUNS NUMBER) ___________________ CAGE NO. _________ (Note: See FAR 52.204-7. Unique Entity Identifier is a 9 digit numeric code.) (FAR 52.204-7)

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984 52.203-6 Alt I Restrictions On Subcontractor Sales To The Government

(Sep 2006) -- Alternate I

OCT 1995

52.203-12 Limitation On Payments To Influence Certain Federal Transactions

OCT 2010

52.203-17 Contractor Employee Whistleblower Rights and Requirement To Inform Employees of Whistleblower Rights

APR 2014

52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements

JAN 2017

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper

MAY 2011

52.204-7 System for Award Management OCT 2016 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

OCT 2016

52.204-13 System for Award Management Maintenance OCT 2016 52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 52.204-21 Basic Safeguarding of Covered Contractor Information

Systems

JUN 2016

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

OCT 2015

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.212-1 Instructions to Offerors--Commercial Items JAN 2017 52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017 52.215-1 Instructions to Offerors--Competitive Acquisition JAN 2017 52.217-5 Evaluation Of Options JUL 1990 52.219-6 Notice Of Total Small Business Set-Aside NOV 2011 52.219-14 Limitations On Subcontracting JAN 2017 52.222-3 Convict Labor JUN 2003 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity SEP 2016 52.222-37 Employment Reports on Veterans FEB 2016 52.222-41 Service Contract Labor Standards MAY 2014 52.222-43 Fair Labor Standards Act And Service Contract Labor

Standards - Price Adjustment (Multiple Year And Option Contracts)

MAY 2014

52.222-50 Combating Trafficking in Persons MAR 2015 52.222-55 Minimum Wages Under Executive Order 13658 DEC 2015 52.222-62 Paid Sick Leave Under Executive Order 13706 JAN 2017 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011 52.223-6 Drug-Free Workplace MAY 2001 52.223-10 Waste Reduction Program MAY 2011 52.223-17 Affirmative Procurement of EPA-Designated Items in Service and Construction Contracts

MAY 2008

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

AUG 2011

52.225-13 Restrictions on Certain Foreign Purchases JUN 2008 52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

JUL 2013

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

DEC 2013

52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.237-1 Site Visit APR 1984 52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.242-13 Bankruptcy JUL 1995 52.253-1 Computer Generated Forms JAN 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 252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7004 Alt A System for Award Management Alternate A FEB 2014 252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

252.204-7011 Alternative Line Item Structure SEP 2011 252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

OCT 2016

252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support

MAY 2016

252.223-7008 Prohibition of Hexavalent Chromium JUN 2013 252.225-7048 Export-Controlled Items JUN 2013 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 252.243-7002 Requests for Equitable Adjustment DEC 2012 252.244-7000 Subcontracts for Commercial Items JUN 2013 252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (NOV 2017)

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 (u) 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;

https://www.sam.gov/portal

(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 (u) 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— https://www.acquisition.gov/

(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…