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Crane and Hoist Maintenance


New Mexico, United States
Government : Military
RFP
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This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in

Subpart 12.6, as supplemented with additional information included in this notice. This announcement


constitutes the only solicitation; proposals are being requested and a written solicitation will not be


issued.


The solicitation number for this procurement is FA4855-15-R-0003 and is a Request for Proposal for


Hoist and Crane Maintenance Services for Cannon AFB, New Mexico.


This solicitation document and incorporated provisions and clauses are those in effect through the Federal


Acquisition Circular (FAC) 2005-79, Defense Federal Acquisition Regulation Supplement Change Notice


(DPN) 20141216, and Air Force Acquisition Circular (AFAC) 2014-1001.


This is a Total 100% Small Business Set-Aside. North American Industry Classification System


(NAICS) is 811310, Commercial and Industrial Machinery and Equipment Repair and Maintenance.


Small Business Size Standard is $7.5M.


Award will be made to the responsible bidder, IAW FAR 9.104, with the lowest price technically


acceptable. The Offeror must be an authorized, qualified, and certified vendor and must quote on an all


or none basis. Written quotes are required (oral offers will not be accepted). Only one contract will be


awarded.


Line Item:


SEE PRICE PROPOSAL TEMPLATE (ATTACHMENT 2)


TOTAL CONTRACT PRICE (Base plus option years) $


Our company certifies that it ☐ does ☐does not have the capability to provide the requested service in


accordance with federal, state, and local laws and regulations at the price listed above.


Signature:___________________________ Company:__________________________


Title:_______________________________


Description of Requirement:


See attached Performance Work Statement (PWS).


Place of Performance:


Service is to be performed on Cannon Air Force Base, NM 88103 for a period of performance of 1 Mar


2015 through 28 Feb 2016 plus four one-year options.


Additional Terms and Conditions:


It is the contractor's responsibility to be familiar with applicable provisions and clauses. All FAR


provisions and clauses may be reviewed in full text at the Federal Acquisition Regulation Table of


Contents via the internet at http://farsite.hill.af.mil. The following Provisions and Clauses apply to this


solicitation:


NEW MEXICO GROSS RECEIPTS TAX:


Page 1 of 39


The State of New Mexico assesses a Gross Receipts tax for firms conducting business within the state.


This tax is imposed on the basis of revenue derived from business operations within the state without


regard to the locations of the business entity. You are advised that any offer received will be presumed to


include this cost of business and any request for adjustment of your price as a mistake in bid either before


or after award of a contract will not be considered. The rate of the New Mexico Gross Receipts Tax may


be obtained from the New Mexico Taxation and Revenue Office in Roswell, New Mexico by calling 575-


624-6065 or by visiting http://www.tax.newmexico.gov/gross-receipts-tax-historic-rates.aspx.


THE FOLLOWING PROVISIONS AND CLAUSES APPLY TO THIS SOLICITATION AND


ARE INCORPORATED BY REFERENCE:


52.203-17 Contractor Employee Whistleblower Rights and Requirement to Inform


52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper MAY 2011


52.204-7 System for Award Management JUL 2013


52.204-13 System for Award Management Maintenance JUL 2013


52.209-2 Prohibition on Contracting with Inverted Domestic Corporations--


52.212-1 Instructions to Offerors--Commercial Items APR 2014


52.212-4 Contract Terms and Conditions--Commercial Items DEC 2014


52.223-1 Biobased Product Certification MAY 2012


52.223-2 Affirmative Procurement of Biobased Products Under Service And


52.223-3 Hazardous Material Identification And Material Safety Data JAN 1997


52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011


52.225-25 Prohibition on Contracting with Entities Engaging in Certain Activities


52.232-39 Unenforceability of Unauthorized Obligations JUN 2013


52.233-4 Applicable Law for Breach of Contract Claim OCT 2004


52.237-2 Protection Of Government Buildings, Equipment, And Vegetation APR 1984


52.237-3 Continuity of Services JAN 1991


252.201-7000 Contracting Officer's Representative DEC 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


252.204-7004 Alternate A, System for Award Management FEB 2014


252.204-7011 Alternative Line Item Structure SEP 2011


252.209-7004 Subcontracting with Firms that are Owned or Controlled by the


252.223-7001 Hazard Warning Labels DEC 1991


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


252.232-7003 Electronic Submission of Payment Requests and Receiving Reports JUN 2012


252.232-7010 Levies on Contract Payments DEC 2006


APR 2014


Employees of Whistleblower Rights


DEC 2014


Representation


SEP 2013


Construction Contracts


DEC 2012


or Transactions Relating to Iran-- Representation and Certifications.


Government of a Country that is a State Sponsor of Terrorism


Materials


DEC 2014


SEP 2014


THE FOLLOWING PROVISIONS AND CLAUSES ARE INCORPORATED BY FULL TEXT


Page 2 of 39


FAR 52.212-1 Addendum Instructions to Offerors - Commercial Items (Apr 2014)


Offerors must complete this combo synopsis/solicitation (and sign above) in addition to submitting the


proposal documents listed in part C. below:


The following addendum is provided to this provision:


Para (b), entitled "Submission of Offers", Offers may only be submitted via email.


Para (c), entitled "Period for acceptance of offer" is tailored as follows: "The offeror agrees to hold the


prices in its offer firm for 30 calendar days form the date specified for receipt of offers.


PROPOSAL PREPARATION INSTRUCTIONS


A. To assure timely and equitable evaluation of the proposal, the offeror must follow the instructions


contained herein. The proposal must be complete, self-sufficient, and respond directly to the requirements


of this solicitation. The response shall consist of three (3) separate parts; Part I - Completed Synopsis,


Part II - Price Proposal, and Part III - Technical Proposal.


B. The contracting officer has determined there is a high probability of adequate price competition in this


acquisition. Upon examination of the initial offers, the contracting officer will review this determination


and if, in the contracting officer's opinion, adequate price competition exists no additional data will be


requested and certification under FAR 15.406-2 will not be required. However, if at any time during this


competition the contracting officer determines that adequate price competition no longer exists; offerors


may be required to submit cost data to the extent necessary for the contracting officer to determine the


reasonableness and affordability of the price.


C. Specific Instructions:


1. PART I - Complete the necessary fill-ins and certifications in the solicitation and return along


with the proposal.


2. PART II - PRICE PROPOSAL - Complete the Price Proposal Template at Attachment 2 and


submit one (1) electronic copy in Microsoft Excel format and one (1) signed copy in PDF format.


a. Insert proposed unit and extended prices in the Price Proposal Worksheet (Attachment 2. The extended


amount must equal the whole dollar unit price multiplied by the number of units. The


proposal(s) must be submitted for a base period plus four (4) Option Years and include a six-month


option period IAW FAR 52.217-8, Option to Extend Services. Provide a price for CLIN 0001, 0002,


0003, and subsequent option years. For CLIN 0003 and subsequent option years, enter a service call rate,


hourly labor rate, and proof load test rate. For evaluation purposes only, the unit price for CLIN 0003


(and subsequent option years) shall be the sum of those rates multiplied by the following estimating


factors:


1) Contractor's proposed service call rate per visit times an estimated 3 unscheduled calls per year.


2) Contractor's proposed hourly service rate times an estimated 24 hours per year.


3) Contractor's proposed proof load test rate times an estimated 3 unscheduled load tests per year.


Note: CLIN 0003 is a Not To Exceed CLIN, however all provided rates will be incorporated in the


contract.


3. PART III - TECHNICAL CAPABILITY -Submit one (1) original plus one (1) redacted* copy


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* Note: Redacted copies shall be submitted in the same manner as original copies. Information to be


redacted shall include all references to the offeror's company, i.e. company names/ key personnel names


and company logs/symbols. A redacted PART I - PRICE PROPOSAL is not required.


Subfactor 1 - Technical Qualifications. Offerors must provide evidence of 2 years experience and


personnel qualifications per the PWS, para. 4.12.3.1.


Subfactor 2 - Mission Essential Contractor Services Plan. Offerors must submit a sound, logical, and


detailed approach to the performance of mission-essential services during a time of emergency crisis (Ref.


PWS, Para. 4.10. and Attachment 3 to the RFP).


(End of Addendum)


FAR 52.212-2 Addendum Evaluation - Commercial Item (Oct 2014)


The following addendum is provided to this provision:


(a). Evaluation Factors and Subfactors


This is a competitive best value source selection in which the Government will award a contract resulting


from this solicitation to the responsible offeror (IAW FAR 9.104) whose offer conforming to the


solicitation will be most advantageous to the Government, price, and other factors considered. The


Government intends to make award to the lowest priced technically acceptable offeror. The


Government intends to award without discussions with respective offerors. The Government, however,


reserves the right to conduct discussions if deemed in its best interest. The following evaluation factors


and subfactors will be used to evaluate each proposal. The Government will evaluate proposals for


acceptability, but will not rank the proposals by the non-price factors or subfactors.


Factor 1: Price


Factor 2: Technical Capability


Subfactor 1: Technical Qualifications


Subfactor 2: Mission Essential Contractor Services Plan


(1) Price: The Government will rank all offerors from lowest price to highest price. Beginning with the


offeror with the lowest total evaluated price, the Government will evaluate the offeror's price proposal, to


include all options, for price completeness and reasonableness as described below.


Completeness - The review will determine the adequacy of the contractor's proposal in


addressing and fulfilling the solicitation requirements.


Reasonableness - For a price to be reasonable, it must represent a price to the Government that a


prudent person would pay in the conduct of competitive business.


The Government will evaluate offers for award purposes by adding the total price for all options,


inclusive of a six-month option to Extend Services, to the total price for the basic requirements. The six-


month extension of services is in accordance with FAR 52.217-8, "Option to Extend Services," and will


only be utilized if necessary. The six-month extension of services is not to be considered part of the


option period four and will be a separate option exercised if it is utilized. The Government may determine


that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall


not obligate the Government to exercise the option(s).


Page 4 of 39


For evaluation purposes only, CLIN 0003 and subsequent option years will be evaluated using the


Contractor's proposed service call rate, rate per hour, and proof load test rate times the following


estimating factors:


a. Contractor's proposed service call rate per visit times an estimated 3 unscheduled calls per year.


b. Contractor's proposed hourly service rate times an estimated 24 hours per year.


c. Contractor's proposed proof load test rate times an estimated 3 unscheduled load tests per year.


(2) Technical Capability: Next, the Government's technical evaluation team shall evaluate the lowest


priced offeror's technical proposal on an acceptable or unacceptable basis. Technical acceptability is


achieved when:


Subfactor 1: Technical Qualifications. This requirement is met when the offeror provides


evidence of 2 years experience and personnel qualifications.


Subfactor 2: Mission Essential Contractor Services Plan. The Government will evaluate that the


offeror adequately addressed the elements outlined in paragraph 3 (items A-E) of the plan template


(Attachment 3 to the RFP). This requirement is met if the offeror's plan reflects a sound, logical, and


detailed approach to the performance of mission essential services during a time of emergency crisis.


Only those proposals determined to be technically acceptable, either initially or as a result of discussions,


will be considered for award. However, the offeror is reminded that the Government reserves the right to


award this effort based on the initial proposal, as received, without discussion.


TABLE 1 - TECHNICAL RATINGS


Rating Description


Acceptable Proposal clearly meets the minimum requirements of the solicitation.


Unacceptable Proposal does not clearly meet the minimum requirements of the solicitation.


(b) Options. The Government will evaluate offers for award purposes by adding the total price for all


options to the total price for the basic requirement. The Government may determine that an offer is


unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the


Government to exercise the option(s).


(End of Addendum)


FAR 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS - COMMERCIAL


ITEMS (DEC 2014) ALTERNATE 1 (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


accessed through http://www.acquisition.gov . If the Offeror has not completed the annual representations


and certifications electronically, the Offeror shall complete only paragraphs (c) through (p) of this


provision.


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


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"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 Federal Supply Classes (FSC) 1000-9999,


except-


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


(2) Federal Supply Group (FSG) 87, Agricultural Supplies;


(3) FSG 88, Live Animals;


(4) FSG 89, Food and Related Consumables;


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


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


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


(8) FSC 9610, Ores;


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


Page 6 of 39


(10) FSC 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-


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(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.


Page 8 of 39


"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 SAM website.


(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 (p) 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.


Page 9 of 39


(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.


Page 10 of 39


(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).


Page 11 of 39


___ 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."


Page 12 of 39


(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


 


 


Page 13 of 39


 


[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:


Page 14 of 39


(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."


Page 15 of 39


(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 of these offenses enumerated in paragraph (h)(2) of


this clause; and


(4) [_] Have, [_] have not, within a three-year period preceding this offer, been notified of any


delinquent Federal taxes in an amount that exceeds $3,000 for which the liability remains


unsatisfied.


Page 16 of 39


(i) Taxes are considered delinquent if both of the following criteria apply:


(A) The tax liability is finally determined. The liability is finally determined if it


has been assessed. A liability is not finally determined if there is a pending


administrative or judicial challenge. In the case of a judicial challenge to the


liability, the liability is not finally determined until all judicial appeal rights have


been exhausted.


(B) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the


taxpayer has failed to pay the tax liability when full payment was due and


required. A taxpayer is not delinquent in cases where enforced collection action


is precluded.


(ii) Examples.


(A) The taxpayer has received a statutory notice of deficiency, under I.R.C.


§6212, which entitles the taxpayer to seek Tax Court review of a proposed tax


deficiency. This is not a delinquent tax because it is not a final tax liability.


Should the taxpayer seek Tax Court review, this will not be a final tax liability


until the taxpayer has exercised all judicial appear rights.


(B) The IRS has filed a notice of Federal tax lien with respect to an assessed tax


liability, and the taxpayer has been issued a notice under I.R.C. §6320 entitling


the taxpayer to request a hearing with the IRS Office of Appeals Contesting the


lien filing, and to further appeal to the Tax Court if the IRS determines to sustain


the lien filing. In the course of the hearing, the taxpayer is entitled to contest the


underlying tax liability because the taxpayer has had no prior opportunity to


contest the liability. This is not a delinquent tax because it is not a final tax


liability. Should the taxpayer seek tax court review, this will not be a final tax


liability until the taxpayer has exercised all judicial appeal rights.


(C) The taxpayer has entered into an installment agreement pursuant to I.R.C.


§6159. The taxpayer is making timely payments and is in full compliance with


the agreement terms. The taxpayer is not delinquent because the taxpayer is not


currently required to make full payment.


(D) The taxpayer has filed for bankruptcy protection. The taxpayer is not


delinquent because enforced collection action is stayed under 11 U.S.C. §362


(the Bankruptcy Code).


(i) Certification Regarding Knowledge of Child Labor for Listed End Products (Executive Order 13126).


[The Contracting Officer must list in paragraph (i)(1) any end products being acquired under this


solicitation that are included in the List of Products Requiring Contractor Certification as to Forced or


Indentured Child Labor, unless excluded at 22.1503(b).]


(1) Listed End Product


Listed End Product: Listed Countries of Origin:


Page 17 of 39


 


 


 


(2) Certification. [If the Contracting Officer has identified end products and countries of origin in


paragraph (i)(1) of this provision, then the offeror must certify to either (i)(2)(i) or (i)(2)(ii) by


checking the appropriate block.]


[_] (i) The offeror will not supply any end product listed in paragraph (i)(1) of this


provision that was mined, produced, or manufactured in the corresponding country as


listed for that product.


[_] (ii) The offeror may supply an end product listed in paragraph (i)(1) of this provision


that was mined, produced, or manufactured in the corresponding country as listed for that


product. The offeror certifies that is has made a good faith effort to determine whether


forced or indentured child labor was used to mine, produce, or manufacture any such end


product furnished under this contract. On the basis of those efforts, the offeror certifies


that it is not aware of any such use of child labor.


(j) Place of manufacture. (Does not apply unless the solicitation is predominantly for the acquisition of


manufactured end products.) For statistical purposes only, the offeror shall indicate whether the place of


manufacture of the end products it expects to provide in response to this solicitation is predominantly-


(1) [_] In the United States (Check this box if the total anticipated price of offered end products


manufactured in the United States exceeds the total anticipated price of offered end products


manufactured outside the United States); or


(2) [_] Outside the United States.


(k) Certificates regarding exemptions from the application of the Service Contract Labor Standards.


(Certification by the offeror as to its compliance with respect to the contract also constitutes its


certification as to compliance by its subcontractor if it subcontracts out the exempt services.) [The


contracting officer is to check a box to indicate if paragraph (k)(1) or (k)(2) applies.]


(1) [_] Maintenance, calibration, or repair of certain equipment as described in FAR 22.1003-


4(c)(1). The offeror [_] does [_] does not certify that-


(i) The items of equipment to be serviced under this contract are used regularly for other


than Governmental purposes and are sold or traded by the offeror (or subcontractor in the


case of an exempt subcontract) in substantial quantities to the general public in the course


of normal business operations;


Page 18 of 39


(ii) The services will be furnished at prices which are, or are based on, established catalog


or market prices (see FAR 22.1003-4(c)(2)(ii)) for the maintenance, calibration, or repair


of such equipment; and


(iii) The compensation (wage and fringe benefits) plan for all service employees


performing work under the contract will be the same as that used for these employees and


equivalent employees servicing the same equipment of commercial customers.


(2) [_] Certain services as described in FAR 22.1003-4(d)(1). The offeror [_] does [_] does not


certify that-


(i) The services under the contract are offered and sold regularly to non-Governmental


customers, and are provided by the offeror (or subcontractor in the case of an exempt


subcontract) to the general public in substantial quantities in the course of normal


business operations;


(ii) The contract services will be furnished at prices that are, or are based on, established


catalog or market prices (see FAR 22.1003-4(d)(2)(iii));


(iii) Each service employee who will perform the services under the contract will spend


only a small portion of his or her time (a monthly average of less than 20 percent of the


available hours on an annualized basis, or less than 20 percent of available hours during


the contract period if the contract period is less than a month) servicing the Government


contract; and


(iv) The compensation (wage and fringe benefits) plan for all service employees


performing work under the contract is the same as that used for these employees and


equivalent employees servicing commercial customers.


(3) If paragraph (k)(1) or (k)(2) of this clause applies-


(i) If the offeror does not certify to the conditions in paragraph (k)(1) or (k)(2) and the


Contracting Officer did not attach a Service Contract Labor Standards wage


determination to the solicitation, the offeror shall notify the Contracting Officer as soon


as possible; and


(ii) The Contracting Officer may not make an award to the offeror if the offeror fails to


execute the certification in paragraph (k)(1) or (k)(2) of this clause or to contact the


Contracting Officer as required in paragraph (k)(3)(i) of this clause.


(l) Taxpayer identification number (TIN) (26 U.S.C. 6109, 31 U.S.C. 7701). (Not applicable if the offeror


is required to provide this information to the SAM database to be eligible for award.)


(1) All offerors must submit the information required in paragraphs (l)(3) through (l)(5) of this


provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d),


reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations


issued by the Internal Revenue Service (IRS).


Page 19 of 39


(2) The TIN may be used by the government to collect and report on any delinquent amounts


arising out of the offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the


resulting contract is subject to the payment reporting requirements described in FAR 4.904, the


TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror's


TIN.


(3) Taxpayer Identification Number (TIN).


[_] TIN:_____________________.


[_] TIN has been applied for.


[_] TIN is not required because:


[_] Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not


have income effectively connected with the conduct of a trade or business in the United


States and does not have an office or place of business or a fiscal paying agent in the


United States;


[_] Offeror is an agency or instrumentality of a foreign government;


[_] Offeror is an agency or instrumentality of the Federal Government;


(4) Type of organization.


[_] Sole proprietorship;


[_] Partnership;


[_] Corporate entity (not tax-exempt);


[_] Corporate entity (tax-exempt);


[_] Government entity (Federal, State, or local);


[_] Foreign government;


[_] International organization per 26 CFR 1.6049-4;


[_] Other ____________________.


(5) Common parent.


[_] Offeror is not owned or controlled by a common parent:


[_] Name and TIN of common parent:


Page 20 of 39


Name ____________________________________


TIN ______________________________________


(m) Restricted business operations in Sudan. By submission of its offer, the offeror certifies that the


offeror does not conduct any restricted business operations in Sudan.


(n) Prohibition on Contracting with Inverted Domestic Corporations-


(1) Government agencies are not permitted to use appropriated (or otherwise made available)


funds for contracts with either an inverted domestic corporation, or a subsidiary of an inverted


domestic corporation, unless the exception at 9.108-2(b) applies or the requirement is waived in


accordance with the procedures at 9.108-4.


(2) Representation. By submission of its offer, the offeror represents that-


(i) It is not an inverted domestic corporation; and


(ii) It is not a subsidiary of an inverted domestic corporation.


(o) Prohibition on contracting with entities engaging in certain activities or transactions relating to Iran.


(1) The offeror shall email questions concerning sensitive technology to the Department of State


at [email protected].


(2) Representation and Certification. Unless a waiver is granted or an exception applies as


provided in paragraph (o)(3) of this provision, by submission of its offer, the offeror-


(i) Represents, to the best of its knowledge and belief, that the offeror does not export any


sensitive technology to the government of Iran or any entities or individuals owned or


controlled by, or acting on behalf or at the direction of, the government of Iran;


(ii) Certifies that the offeror, or any person owned or controlled by the offeror, does not


engage in any activities for which sanctions may be imposed under section 5 of the Iran


Sanctions Act; and


(iii) Certifies that the offeror, and any person owned or controlled by the offeror, does not


knowingly engage in any transaction that exceeds $3,000 with Iran's Revolutionary


Guard Corps or any of its officials, agents, or affiliates, the property and interests in


property of which are blocked pursuant to the International Emergency Economic Powers


Act (50(U.S.C. 1701 et seq.) (see OFAC's Specially Designated Nationals and Blocked


Persons List at http://www.treasury.gov/ofac/downloads/t11sdn.pdf).


(3) The representation and certification requirements of paragraph (o)(2) of this provision do not


apply if-


Page 21 of 39


(i) This solicitation includes a trade agreements certification (e.g., 52.212-3(g) or a


comparable agency provision); and


(ii) The offeror has certified that all the offered products to be supplied are designated


country end products.


(p) Ownership or Control of Offeror. (Applies in all solicitations when there is a requirement to be


registered in SAM or a requirement to have a DUNS Number in the solicitation.


(1) The Offeror represents that it [ ] has or [ ] does not have an immediate owner. If the Offeror


has more than one immediate owner (such as a joint venture), then the Offeror shall respond to


paragraph (2) and if applicable, paragraph (3) of this provision for each participant in the joint


venture.


(2) If the Offeror indicates "has" in paragraph (p)(1) of this provision, enter the following


information:


Immediate owner CAGE code:_____________________________________________


Immediate owner legal name:______________________________________________


(Do not use a "doing business as" name)


Is the immediate owner owned or controlled by another entity:


[ ] Yes or [ ] No.


(3) If the Offeror indicates "yes" in paragraph (p)(2) of this provision, indicating that the


immediate owner is owned or controlled by another entity, then enter the following information:


Highest level owner CAGE code:_____________________________________________


Highest level owner legal name:______________________________________________


(Do not use a "doing business as" name)


(End of Provision)


FAR 52.212-4 ADDENDUM CONTRACT TERMS AND CONDITIONS - COMMERCIAL


ITEMS (DEC 2014)


(c) Changes. Changes in terms and conditions of this contract may be made only by written agreement of


the parties with the exception of administrative changes such as changes in paying office, appropriations


data, etc., which may be changed unilaterally by the Government.


 


Page 22 of 39


52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT


STATUTES OR EXECUTIVE ORDERS--COMMERCIAL ITEMS (DEC 2014)


(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which


are incorporated in this contract by reference, to implement provisions of law or Executive orders


applicable to acquisitions of commercial items:


(1) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Dec 2014)


(2) 52.222-50, Combating Trafficking in Persons (FEB 2009) (22 U.S.C. 7104(g)).


____ Alternate I (AUG 2007) of 52.222-50 (22 U.S.C. 7104(g)).


(3) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).


(4) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Public Laws 108-77,


108-78 (19 U.S.C. 3805 note)).


(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the contracting officer


has indicated as being incorporated in this contract by reference to implement provisions of law or


Executive orders applicable to acquisitions of commercial items:


[Contracting Officer check as appropriate.]


___ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with


Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).


___ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Apr 2010) (41 U.S.C.


3509).


___ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment


Act of 2009 (Jun 2010) (Section 1553 of Pub L. 111-5) (Applies to contracts funded by the


American Recovery and Reinvestment Act of 2009).


_X__ (4) 52.204-10, Reporting Executive compensation and First-Tier Subcontract Awards (Jul


2013) (Pub. L. 109-282) (31 U.S.C. 6101 note).


___ (5) [Reserved]


___ (6) 52.204-14, Service Contract Reporting Requirements (Jan 2014) (Pub. L. 111-117,


section 743 of Div. C).


___ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts


(Jan 2014) (Pub. L. 111-117, section 743 of Div. C).


___ (8) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors


Debarred, Suspended, or Proposed for Debarment (Aug 2013) (31 U.S.C. 6101 note).


Page 23 of 39


___ (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters


(Jul 2013) (41 U.S.C. 2313).


_X__ (10) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (May


2012) (section 738 of Division C of Public Law 112-74, section 740 of Division C of Pub. L.


111-117, section 743 of Division D of Pub. L. 111-8, and section 745 of Division D of Pub. L.


110-161).


___ (11) (i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Nov 2011) (15


U.S.C. 657a).


___ (ii) Alternate I (Nov 2011) of 52.219-3.


___ (12) (i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business


Concerns (Oct 2011) (if the offeror elects to waive the preference, it shall so indicate in its


offer)(15 U.S.C. 657a).


___ (ii) Alternate I (Jan 2011) of 52.219-4.


___ (13) [Reserved]


_X__ (14) (i) 52.219-6, Notice of Total Small Business Aside (Nov 2011) (15 U.S.C. 644).


___ (ii) Alternate I (Nov 2011).


___ (iii) Alternate II (Nov 2011).


___ (15) (i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).


___ (ii) Alternate I (Oct 1995) of 52.219-7.


___ (iii) Alternate II (Mar 2004) of 52.219-7.


_X__ (16) 52.219-8, Utilization of Small Business Concerns (Oct 2014) (15 U.S.C. 637(d)(2) and


(3)).


___ (17) (i) 52.219-9, Small Business Subcontracting Plan (Oct 2014) (15 U.S.C. 637 (d)(4)).


___ (ii) Alternate I (Oct 2001) of 52.219-9.


___ (iii) Alternate II (Oct 2001) of 52.219-9.


___ (iv) Alternate III (Oct 2014) of 52.219-9.


___ (18) 52.219-13, Notice of Set-Aside of Orders (Nov 2011) (15 U.S.C. 644(r)).


Page 24 of 39


_X__ (19) 52.219-14, Limitations on Subcontracting (Nov 2011) (15 U.S.C. 637(a)(14)).


___ (20) 52.219-16, Liquidated Damages-Subcontracting Plan (Jan 1999) (15 U.S.C.


637(d)(4)(F)(i)).


___ (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (Nov


2011) (15 U.S.C. 657f).


_X__ (22) 52.219-28, Post Award Small Business Program Representation (Jul 2013) (15 U.S.C.


632(a)(2)).


___ (23) 52.219-29, Notice of Set-Aside for Economically Disadvantaged Women-Owned Small


Business (EDWOSB) Concerns (Jul 2013) (15 U.S.C. 637(m)).


___ (24) 52.219-30, Notice of Set-Aside for Women-Owned Small Business (WOSB) Concerns


Eligible Under the WOSB Program (Jul 2013) (15 U.S.C. 637(m)).


_X__ (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755).


___ (26) 52.222-19, Child Labor-Cooperation with Authorities and Remedies (Jan 2014) (E.O.


13126).


___ (27) 52.222-21, Prohibition of Segregated Facilities (Feb 1999).

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