Section SF 1449 - CONTINUATION SHEET CONTACT INFORMATION Contracting Officer (CO) U.S. Army Medical Research Acquisition Activity (USAMRAA) ATTN: MCMR-AAA-B (Ms. Tonya Kreps) 820 Chandler Street Fort Detrick, MD 21702-5014 E-mail:
contact@example.gov Contract Specialist (CS) U.S. Army Medical Research Acquisition Activity (USAMRAA) ATTN: MCMR-AAA-B (Mr. Ryan Jorgensen) 820 Chandler Street Fort Detrick, MD 21702-5014 E-mail:
contact@example.gov Phone:
+1 (555) 000-0000 Questions regarding this order should be directed to Mr. Jorgensen. Point of Contact at USAMRIID U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID) ATTN: Julia Biggins 1425 Porter Street Fort Detrick, MD 21702-5014 E-mail:
contact@example.gov Phone:
+1 (555) 000-0000 MINIMMUM ESSENTIAL CHARACTERIS Minimum Essential Characteristics (MEC) for the Illumina Mouse WG-6 v2 Expression BeadChip Array: 1. Should provide simplified and comprehensive whole genome hybridization-based array. 2. Arrays designed using bead array technology constructed by introducing oligonucleotide bearing 3-micron beads to micro-wells etched into the surface of a slide-sized silicon substrate. ? Beads should contain hundreds of thousands of copies of covalently-attached, full-length oligonucleotide probes and is represented with an average 30-fold redundancy. 3. Array should be based on the MEEBO set and a publically available 70mer oligonucleotide probe sequence. ? Derived from constitutively expressed exons allowing the interrogation of almost 25,000 genes. ? Allows differentiation between constitutively expressed versus alternatively expressed exons. 4. Should utilize multiple methods to assure oligonucleotide quality including: ? Real-Time Digital Trityl Monitoring ? Capillary Electrophoresis (CE) ? Optical Density (OD260) Analysis - Oligo yield is quantitated by measurement of UV absorbance at 260 nm 5. Critical Chip Specifications: ? Probe Length: 50mer gene specific probe plus 29mer address sequence ? Probes: 48,318 (MouseWG-6) ? Sensitivity: ? 1:250,000 ? Dynamic Range: ? 3 logs ? Precision: ? 1.35 fold ? Starting Material: 50-100 ng ? Hybridization Volume: 30ul Minimum Essential Characteristics (MEC) for the Affymetrix GeneChip Mouse Genome 430 2.0 Array: 1. Array should provide complete coverage of the Mouse Expression Set 430 for analysis of over 39,000 transcripts on a single array and variants from over 34,000 well-characterized mouse genes. 2. Probe sets should be derived from GenBank, dbEST, and RefSeq. ? The sequence clusters should be created from the UniGene database the refined by analysis and comparison to the Whitehead Institute of Genome Research. ? All probes should be complementary to each corresponding sequence and synthesized in situ on the array. 3. Eleven pairs of oligonucleotide probes should be used to measure the level of transcription of each sequence represented on the GeneChip Mouse Genome 430 2.0 array. 4. Arrays should utilize the GeneChip Operating Software (GCOS) software with the GeneChip Scanner 3000 High resolution Scanning Patch and the GeneChip Scanner 3000 enabled for High-resolution scanning. 5. Critical Chip Specifications: ? Numbers of arrays in set: 1 ? Numbers of probe sets: >45,000 ? Feature Size: 11um ? Oligonucleotide probe length: 25-mer ? Control sequences include: o Hybridization controls: bioB, bioC, bioD, cre o Poly-A controls: dap, lys, phe, and thr o Normalization Control Set: 100 probe sets o Housekeeping/Control gene: GAPDH, Beta-Actin, transferring receptor, pyruvate carboxylase ? Detection sensitivity: 1:100,000 ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 12 Each AFFYMETRIX 3 IVT Base Year FFP AFFYMETRIX 3 IVT SERVICE - 3 ARRAYS. FOB: Destination MILSTRIP: W23MYC1152N320 PURCHASE REQUEST NUMBER: W23MYC1152N320 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002 12 Each AFFYMETRIX GENECHIP Base Year FFP AFFYMETRIX GENECHIP MOUSE GENOME 430 2.0 ARRAY FOB: Destination MILSTRIP: W23MYC1152N322 PURCHASE REQUEST NUMBER: W23MYC1152N322 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003 20 Each RNA ISOLATION Base year FFP RNA ISOLATION - RNEASY BIOANALYZER FOB: Destination MILSTRIP: W23MYC1152N323 PURCHASE REQUEST NUMBER: W23MYC1152N323 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004 1 Each Shipping Base Year FFP HANDLING AND SHIPPING - SPECIMAN RETURN FOB: Destination MILSTRIP: W23MYC1152N324 PURCHASE REQUEST NUMBER: W23MYC1152N324 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0005 12 Each ILLUMINA 3 IVT SERVICE Base Year FFP ILLUMINA 3 IVT SERVICE FOB: Destination MILSTRIP: W23MYC1152N325 PURCHASE REQUEST NUMBER: W23MYC1152N325 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0006 20 Each RNA ISOLATION Base Year FFP RNA ISOLATION - RNEASY BIOANALYZER FOB: Destination MILSTRIP: W23MYC1152N327 PURCHASE REQUEST NUMBER: W23MYC1152N327 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0007 1 Each SHIPPING AND HANDLING Base Year FFP SHIPPING AND HANDLING - SPECIMAN RETURN FOB: Destination MILSTRIP: W23MYC1152N328 PURCHASE REQUEST NUMBER: W23MYC1152N328 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0008 12 Each ILLUMINA MOUSE Base Year FFP ILLUMINA MOUSE WG-6 V2 EXPRESSION BEADCHIP ARRAYS FOB: Destination MILSTRIP: W23MYC1152N326 PURCHASE REQUEST NUMBER: W23MYC1152N326 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0009 Contractor Manpower Reporting Base year FFP Costs associated with the input of the Accounting for Contract Services information in the website operated and maintained by the Assistant Secretary of the Army (Manpower & Reserve Affairs). See Contract Manpower Clause in Section I of this solicitation for specific reporting information. Note: Unit Identification Code W4GPAA will be designated on each individual order. FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 1001 OPTION AFFYMETRIX 3 IVT SERVICE Option Year 1 FFP AFFYMETRIX 3 IVT SERVICE - 3 ARRAYS. FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 1002 OPTION AFFYMETRIX GENECHIP MOUSE Option Year 2 FFP AFFYMETRIX GENECHIP MOUSE GENOME 430 2.0 ARRAY FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 1003 OPTION RNA ISOLATION - RNEASY BIO Option year 1 FFP RNA ISOLATION - RNEASY BIOANALYZER FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 1004 HANDLING AND SHIPPING - SPECIMAN year 1 FFP HANDLING AND SHIPPING - SPECIMAN RETURN FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 1005 ILLUMINA 3 IVT SERVICE Option Year 1 FFP ILLUMINA 3 IVT SERVICE Base Year FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 1006 CLIN 6 Option year 1 FFP RNA ISOLATION - RNEASY BIOANALYZER FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 1007 SHIPPING AND HANDLING - SP Option year 1 FFP SHIPPING AND HANDLING - SPECIMAN RETURN Option year 1 FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 1008 Illumina Option year 1 FFP ILLUMINA MOUSE WG-6 V2 EXPRESSION BEADCHIP ARRAYS FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 1009 CMR Option year 1 FFP Costs associated with the input of the Accounting for Contract Services information in the website operated and maintained by the Assistant Secretary of the Army (Manpower & Reserve Affairs). See Contract Manpower Clause in Section I of this solicitation for specific reporting information. Note: Unit Identification Code W4GPAA will be designated on each individual order. FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 2001 AFFYMETRIX 3 IVT SERVICE Option Year 2 FFP AFFYMETRIX 3 IVT SERVICE - 3 ARRAYS. FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 2002 Clin 2 Option year 2 FFP AFFYMETRIX 3 IVT SERVICE - 3 ARRAYS. FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 2003 RNA ISOLATION Option2 FFP RNA ISOLATION - RNEASY BIOANALYZER FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 2004 HANDLING AND SHIPPING - Option year 2 FFP HANDLING AND SHIPPING - SPECIMAN RETURN FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 2005 ILLUMINA 3 IVT SERVICE Option year 2 FFP ILLUMINA 3 IVT SERVICE FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 2006 RNA ISOLATION Option year 2 FFP RNA ISOLATION - RNEASY BIOANALYZER FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 2007 SHIPPING AND HANDLING - Option Year 2 FFP SHIPPING AND HANDLING - SPECIMAN RETURN FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 2008 ILLUMINA MOUSE WG-6 V2 EXP Option year 2 FFP ILLUMINA MOUSE WG-6 V2 EXPRESSION BEADCHIP ARRAYS FOB: Destination NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 2009 CMR Option year 2 FFP Costs associated with the input of the Accounting for Contract Services information in the website operated and maintained by the Assistant Secretary of the Army (Manpower & Reserve Affairs). See Contract Manpower Clause in Section I of this solicitation for specific reporting information. Note: Unit Identification Code W4GPAA will be designated on each individual order. FOB: Destination NET AMT INSPECTION AND ACCEPTANCE TERMS Supplies/services will be inspected/accepted at: CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY 0001 N/A N/A N/A Government 0002 N/A N/A N/A Government 0003 N/A N/A N/A Government 0004 N/A N/A N/A Government 0005 N/A N/A N/A Government 0006 N/A N/A N/A Government 0007 N/A N/A N/A Government 0008 N/A N/A N/A Government 0009 N/A N/A N/A Government 1001 N/A N/A N/A Government 1002 N/A N/A N/A Government 1003 N/A N/A N/A Government 1004 N/A N/A N/A Government 1005 N/A N/A N/A Government 1006 N/A N/A N/A Government 1007 N/A N/A N/A Government 1008 N/A N/A N/A Government 1009 N/A N/A N/A Government 2001 N/A N/A N/A Government 2002 N/A N/A N/A Government 2003 N/A N/A N/A Government 2004 N/A N/A N/A Government 2005 N/A N/A N/A Government 2006 N/A N/A N/A Government 2007 N/A N/A N/A Government 2008 N/A N/A N/A Government 2009 N/A N/A N/A Government DELIVERY INFORMATION CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC 0001 31-MAY-2011 12 USA MED RESEARCH INST OF INFECTIOUS DISE 1425 PORTER STREET FORT DETRICK MD 21702-5011 FOB: Destination W23MYC 0002 31-MAY-2011 12 (SAME AS PREVIOUS LOCATION) FOB: Destination W23MYC 0003 31-MAY-2011 20 (SAME AS PREVIOUS LOCATION) FOB: Destination W23MYC 0004 31-MAY-2011 1 (SAME AS PREVIOUS LOCATION) FOB: Destination W23MYC 0005 31-MAY-2011 12 (SAME AS PREVIOUS LOCATION) FOB: Destination W23MYC 0006 31-MAY-2011 20 (SAME AS PREVIOUS LOCATION) FOB: Destination W23MYC 0007 31-MAY-2011 1 (SAME AS PREVIOUS LOCATION) FOB: Destination W23MYC 0008 31-MAY-2011 12 (SAME AS PREVIOUS LOCATION) FOB: Destination W23MYC 0009 N/A N/A N/A N/A 1001 N/A N/A N/A N/A 1002 N/A N/A N/A N/A 1003 N/A N/A N/A N/A 1004 N/A N/A N/A N/A 1005 N/A N/A N/A N/A 1006 N/A N/A N/A N/A 1007 N/A N/A N/A N/A 1008 N/A N/A N/A N/A 1009 N/A N/A N/A N/A 2001 N/A N/A N/A N/A 2002 N/A N/A N/A N/A 2003 N/A N/A N/A N/A 2004 N/A N/A N/A N/A 2005 N/A N/A N/A N/A 2006 N/A N/A N/A N/A 2007 N/A N/A N/A N/A 2008 N/A N/A N/A N/A 2009 N/A N/A N/A N/A CLAUSES INCORPORATED BY REFERENCE 52.202-1 Definitions JUL 2004 52.203-12 Limitation On Payments To Influence Certain Federal Transactions OCT 2010 52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards JUL 2010 52.211-6 Brand Name or Equal AUG 1999 52.212-1 Instructions to Offerors--Commercial Items JUN 2008 52.212-4 Contract Terms and Conditions--Commercial Items JUN 2010 52.217-5 Evaluation Of Options JUL 1990 52.217-8 Option To Extend Services NOV 1999 52.217-9 Option To Extend The Term Of The Contract MAR 2000 52.246-4 Inspection Of Services--Fixed Price AUG 1996 CLAUSES INCORPORATED BY FULL TEXT 52.212-2 EVALUATION--COMMERCIAL ITEMS (JAN 1999) (a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers: 1) Lowest Price 2) Technically Acceptable (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). (c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. (End of provision) 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (MAY 2011) An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual representations and certifications electronically at http://orca.bpn.gov. If an offeror has not completed the annual representations and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (c) through (o) 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. Inverted domestic corporation, as used in this section, means a foreign incorporated entity which is treated as an inverted domestic corporation under 6 U.S.C. 395(b), i.e., a corporation that used to be incorporated in the United States, or used to be a partnership in the United States, but now is incorporated in a foreign country, or is a subsidiary whose parent corporation is incorporated in a foreign country, that meets the criteria specified in 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c). An inverted domestic corporation as herein defined does not meet the definition of an inverted domestic corporation as defined by the Internal Revenue Code at 26 U.S.C. 7874. 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 (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. 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. 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 stock of which 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 its stock is owned by one or more women; or (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 Online Representations and Certifications Application (ORCA) website. (2) The offeror has completed the annual representations and certifications electronically via the ORCA website at http://orca.bpn.gov. After reviewing the ORCA database information, the offeror verifies by submission of this offer that the representations 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 (o) 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 on ORCA.] (c) Offerors must complete the following representations when the resulting contract will 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, for general statistical purposes, 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 to paragraphs (c)(8) and (9): 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 in reference to the WOSB concern or concerns that are participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern or concerns that are participating in the joint venture:__________ .] Each WOSB concern 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 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)(7)(i) of this provision is accurate in reference to the EDWOSB concern or concerns that are participating in the joint venture. The offeror shall enter the name or names of the EDWOSB concern or concerns 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) (Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns or FAR 52.219-25, Small Disadvantaged Business Participation Program-Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.) (i) General. The offeror represents that either-- (A) It ( ) is, ( ) is not certified by the Small Business Administration as a small disadvantaged business concern and identified, on the date of this representation, as a certified small disadvantaged business concern in the CCR Dynamic Small Business Search database maintained by the Small Business Administration, and that no material change in disadvantaged ownership and control has occurred since its certification, and, where the concern is owned by one or more individuals claiming disadvantaged status, the net worth of each individual upon whom the certification is based does not exceed $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); or (B) It ( ) has, ( ) has not submitted a completed application to the Small Business Administration or a Private Certifier to be certified as a small disadvantaged business concern in accordance with 13 CFR 124, Subpart B, and a decision on that application is pending, and that no material change in disadvantaged ownership and control has occurred since its application was submitted. (ii) Joint Ventures under the Price Evaluation Adjustment for Small Disadvantaged Business Concerns. The offeror represents, as part of its offer, that it is a joint venture that complies with the requirements in 13 CFR 124.1002(f) and that the representation in paragraph (c)(10)(i) of this provision is accurate for the small disadvantaged business concern that is participating in the joint venture. (The offeror shall enter the name of the small disadvantaged business concern that is participating in the joint venture: ____________.) (11) 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)(11)(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. (d) Certifications and 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 either to the Equal Opportunity clause of this solicitation, the 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 Subparts 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 Act Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American Act --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 Act--Supplies." (2) Foreign End Products: Line Item No. Country of Origin ...