7830--Physical Therapy Equipment Set Aside 100% for SDVOSB's

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Subpart 12.6 -- Streamlined Procedures for Evaluation and Solicitation for Commercial Items, in conjunction with FAR -- Part 13 Simplified Acquisition Procedures; and supplemented with additional information included in this notice. This solicitation document and incorporated provisions and clauses are those in effect through the Federal Acquisition Circular 2020-05, dated February 27, 2020. Solicitation 36C26222Q0450 is issued as a Request for Quote (RFQ) for Physical Therapy Equipment and constitutes the only solicitation. The Government intends to award a single Firm-Fixed Price (FFP) purchase order. This procurement will be issued SET ASIDE 100% FOR SDVOSB S. NAICS Code is 339920 and the Small Business Administration s (SBA) size standard 750 Employees. E.1 52.212-1 INSTRUCTIONS TO OFFERORS COMMERCIAL ITEMS (JUNE 2020) Submitting your quote Submit your company s quote in writing to the email address specified in first page of SF1449. You may submit more than one (1) quote. If you do, we will evaluate each separately. Quotes must be limited to no more than 15 (fifteen) pages (not to include pricing schedule). Submission deadline We must receive your quote to by 11:00 AM PST, 03/02/2022. We will not consider any quote that we receive after the deadline unless we receive it before we issue a contract award and considering it will not delay our contract award. Terms and content of your quote Your quote must be based on the terms of this RFQ. Your quote must contain all of the information described below and must address all requirements identified under the price/cost schedule, Statement of Work (SOW) (if applicable), Salient Characteristics (if applicable) and delivery schedule. Business Status In order to submit a quote, you must know whether your company s business size meets the requirement. The business size standard that applies to this purchase is stated in North American Industry Classification System (NAICS) CODE section of the first sheet of this RFQ, along with the NAICS code on which it is based. Company submission Submissions to this solicitation must show clear, compelling and convincing evidence that all equal to items" meet all the salient characteristics. In other words, the quote, as submitted, either meets the acceptability requirements of the criterion, or it doesn t. No other rating or quantitative value other than acceptable or unacceptable will be assigned. The Government intends to evaluate offers and award a contract without discussions with offerors. Therefore, the offeror s initial offer should contain the offeror s best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government may reject any or all offers if such action is in the public interest; accept other than the lowest offer; and waive informalities and minor irregularities in offers received. System for Award Management (SAM) You must register in SAM before we will issue a purchase order to you. If you do not register by the date of award. Once registered, you must remain registered throughout performance until final payment. Go to https://www.acquisition.gov for information on SAM registration and annual confirmation. Authorized Distributor Letter (ADL) Any suppliers, distributors and/or resellers who participate in this solicitation, must be authorized to provide the supplies by the Original Equipment Manufacturer (OEM). An Authorized Distributor Letter (ADL) from the manufacturer shall be included with your response to be considered for award. If the potential Authorized Supplier is not the OEM, the Authorized Supplier must provide an Authorized Distributor Letter from the OEM signed within the last 90 days. The letter must either state specific product(s) quoted or that the quoter is an authorized distributor for all of the manufacturer s products. This letter must be on the manufacturer s letterhead and contain the signature of an authorized official for the manufacturer. Gray Market The Authorized Supplier shall be an OEM authorized dealer, authorized distributor, or authorized reseller for the proposed supplies/equipment/system such that the OEM warranty and service are provided and maintained by the OEM. All warranty and service associated with the supplies/equipment/system shall be in accordance with the OEM terms and conditions. The Authorized Supplier shall provide new supplies ONLY; no remanufactured or "gray market" supplies. All supplies must be covered by the manufacturer's warranty. Salient Characteristics 1 Rack, Crutch/Walker, Wall Mounted Sammons Preston 3 EA 2 Ergometer, Stationary, Stair Clinton Industries 1 EA 3 Parabath Paraffin Wax Heating Unit 1 LT Parabath High Stand 1 EA 4 Chattanooga ColPac Chilling Unit 1 EA 5 Chattanooga Mobile Heating Unit 1 EA Includes 12 standard HotPacs M8120 6 Chattanooga Intelect Legend XT 2 EA 7 Performance Health Cuff & Dumbbell Storage Rack 1 EA 8 TRI W-G Motorized Parallel Bars 1 EA 1 LT 1 Ft. Tapered Extension, Porcelain Base 2 EA 9 Clinton Industries Hi-Low Platform 1 EA 10 Chattanooga TX Traction Packages 1 EA 11 Performa 200 and 250 Two-Section High/Low 1 EA TOTAL COST: $ PHYSICAL CHARACTERISTICS: Equipment must have the physical characteristics to enable the government to perform the capabilities: 1. Rack, Crutch/Walker, Wall Mounted Sammons Preston a) Model Number 7297 b) Wall-mounted rack holds up to twelve 6" or 8" diameter rolls or six of the larger sizes. c) Rolls are hung out of the way by the loops built into each one d) Consists of two bases: each 33"L x 5 1/4" W; extends 16 1/2" from wall e) Latex free f) Includes mounting hardware g) Made of painted steel 2. Ergometer, Stationary, Stair Clinton Industries a) Model Number 4-5500-30 b) Includes one 6 H x 30 W step and two 4 H x 30 W steps c) Requires a minimum 9 ceiling d) Staircase has a 500-pound bariatric load capacity under normal use e) Includes powder coated 2 x 2 steel uprights f) 2 Steps Size of 10" L x 30" W x 4" H 3. Bath, Paraffin, Hand/Foot Parabath Paraffin Wax Heating Unit a) Model Number 081033232 b) Ideal for Hands, Feet and Elbows c) Provides soothing moist heat to warm joints, tissue, and skin for the treatment of arthritis, strains, sprains, and joint stiffness d) The deep oversized stainless-steel tank with insulated outer housing allows easy immersion of the hand and wrist, food and ankle, or elbow e) Each set includes a 5-year limited manufacturer s warranty on the unit and 6 lbs. of unscented paraffin wax that melts into a highly transparent liquid f) Lightweight, portable construction is perfect for use at home or in a clinical setting with a cover to keep the contents secured g) Controlled using a thermostat from 126-134 degrees Fahrenheit and requires 110/120 volts h) Stand Accessory increases the portability of the unit, allowing you to transport it between rooms at home or in the spa. The height adjusts 26-32 inches to accommodate various treatment procedures or users' heights. Tilt the stand back on its two wheels to move, then tilt it back to level to rest on the secure pegs. Includes lower rack to hold accessories and refills. 4. Conditioner, Cold Treatment Pack Chattanooga ColPac Chilling Unit a) Model Number C-5 b) Large capacity chilling unit is ideal for convenient storage and chilling of cold packs for use in cold therapy c) Stainless steel construction is reliable for long-lasting use with closed-cell foam insulation to maintain constant temperature control d) Features a heavy-duty compressor and 3 (8 cm) swivel-type rubber casters that allow for silent, friction-free movement e) Maintains a normal temperature range of -12°C to -6°C (10.4°F to 21.2°) 5. Therapy Unit, Hydroculator Chattanooga Mobile Heating Unit a) Model Number M-2 b) High-quality stainless steel c) Thermostatically controlled temperature d) 3" (8 cm) swivel-type rubber casters for silent, friction-free movement e) Easy maintenance. Simple to fill and drain. No plumbing required f) Heat Up Time to 160°F (71°C) 8 Hrs. g) Cool Down Time from 160°F (71°C) 3 Hrs h) Standard size Hot Packs i) Includes 12 Hot Packs 6. Ultrasound/Neuromuscular Stimulation Combo Unit Chattanooga Intelect Legend XT a) Four-Channel Combination Stimulation/Ultrasound Unit b) Dual frequency ultrasound at 1 or 3.3 MHz, Pulsed or Continuous Cycles (10%, 20%, 50% & 100%) c) Ability to save user-defined protocols d) Waveforms include Interferential, Russian, Symmetrical Biphasic, High Volt, Microcurrent and Premodulated e) Operator remote allows treatment stop, start and pause, as well as change in amplitude at any time during a treatment session f) Includes Cart g) Equipped with patient data cards for customized settings and efficient documentation h) High contrast 5" (13 cm) LCD monochromatic user interface i) Includes 5cm ultrasound applicator j) Includes 9 oz conductor ultrasound gel k) Includes two packs of Dura-Stick electrodes 7. Cart, Weight, Physical Therapy, w/Weights Performance Health Cuff & Dumbbell Storage Rack a) Model Number 081031251 b) Multi-use storage rack contains all physical therapy and exercise equipment in one easy-to-roll, versatile rack. Hang resistance band rolls, line up ankle/wrist weights, and stack dumbbells for easy access whenever you need them. Dual wheel swivel casters let you store up to 500 pounds of weights and easily move them out of the way. Exercise supplies sold separately. c) Vinyl pegboard on two sides 8. Parallel Bars, Physical Therapy TRI W-G Motorized Parallel Bars a) Model Numbers TWG1004.SD / TWG0542.SD b) 600 lb. weight capacity c) Height & weight adjustable d) Fingertip controls, individual and simultaneous operation e) Steel frame f) Bar Range: Horizontal: 15.5 24.5 ; Vertical: 25.25 39.75 g) Width: Platform 48 ; Between Standards: 31.5 h) Must Have Hospital Grade Plug and Dedicated Circuit j) Tapered platform extension 1 ft added 9. Platform, Exercise, w/Mat, Powered Clinton Industries Hi-Low Platform a) Model Number 253-47 b) Hi-Lo mat platform with easy-clean, ABS plastic, fully enclosed base c) Electric power height adjustment with foot control d) Ultra-strong, uni-frame base and top construction e) Heavy duty, all welded, lift mechanism f) Durable powder-coated steel frame g) Self-lubricating pivot points h) Smooth 110-volt electric height adjustment i) Hands-free low voltage foot control j) Easy service, self-contained, electrical components k) Custom bumper strip helps protect top's edges from tears l) 2" ultra-firm padding m) 600 lbs. load capacity under normal use 10. Table, Traction, Physical Therapy Chattanooga TX Traction Packages a) Model 7102888 b) Versatile, four-section traction table features a friction-free gliding lumbar section and a turret-mounted traction pedestal c) The head section has a face slot and lowers to 25° and the table height adjusts from 21.5 to 41.5 d) The adjustable head section allows for comfort in both prone and supine traction when delivering lumbar treatments e) Split-section design allows clinicians to perform treatment with lower intensities than a continuous slab, as well as more effective intermittent traction f) The digital traction unit with touch screen features a digital poundage readout up to 100 and a 1- 90-minute timer, with a 270º Pivoting Interface. 11. M8320 - Performa 200 and 250 Two-Section High/Low Two-Section High/Low Treatment Tables feature a contour foam face cushion that have slow-recovery foam around the anatomically designed face opening. The foam molds to the features of the users face, reducing pressure over the sensitive sinus area. Also included is a power- assisted caster system that allows the front wheel to be engaged or disengaged with the push of a finger for secure, stable, bounce-free treatment. Tables are protected by vinyl protective coating, that offers a barrier against germs, abrasions, and stains while guarding against surface growth of fungus, mold, and mildew spores. The information identified above is intended to be descriptive, not restrictive and to indicate the quality that will be satisfactory. The interested parties bear full responsibility to ensure their submission demonstrates to the government that they can provide the brand name or equal to supplies being requested. Place of Performance: VA Greater Los Angeles Healthcare System, VA Ventura CBOC 5250 Ralston St, Ventura, CA 93003 Shipment of equipment shall be on or before: (July 25 Aug 19) Provisions 52.212-1, Instructions to Offerors Commercial and 52.212-2, Evaluation Commercial Items are applicable to this acquisition. Furthermore, Provision 52.212-2 is utilizing the lowest price on an Acceptable/Unacceptable evaluation process. Submitting Quote: Offeror(s) shall submit their quote on company letterhead and shall include the completed pricing forms, along with name, address, telephone number of the offeror, firm s DUNS#, total price and a completed copy of FAR Clause 52.212-3 Offerors Representations and Certifications - Commercial Items or a copy of offeror s annual offeror representations and certifications (ORCA) document from www.sam.gov as required by FAR Clause 52.212-3 Offerors Representations and Certifications - Commercial Items. 52.211-6 Brand Name or Equal. As prescribed in 11.107(a), Submit all question(s) to John Harrison at contact@example.gov no later than 02/23/2022, 11:00 AM Pacific Standard Time (PST). Ensure to reference solicitation # 36C26222Q0450 within subject line of the email. Quotes must be received by 03/02/2022, 11:00 AM Pacific Standard Time (PST). Email your quote to John Harrison and contact@example.gov. Ensure to reference solicitation # 36C26222Q0450 within subject line of the email. Quote(s)/offer(s) received after the prescribed deadline, shall be considered non-responsive and will not be considered for award. CONTRACT CLAUSES AND PROVISIONS 52.212-2 EVALUATION COMMERCIAL ITEMS (OCT 2014) (a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers: Technical acceptability shall be established by review of each submitted quote, attachments, and/or information by the designated technical evaluator/s and verification that any brand name or equal to items" meet all the salient characteristics included in this solicitation. No other rating or quantitative value other than acceptable or unacceptable will be assigned. Once technical acceptability has been established, the Contracting Officer shall award to the lowest price. (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. 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS COMMERCIAL ITEMS (NOV 2017) The Offeror shall complete only paragraph (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; (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. Predecessor means an entity that is replaced by a successor and includes any predecessors of the predecessor. 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. Successor means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term successor does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances. 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 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 access through http://www.acquisition.gov. After reviewing the SAM 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. (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 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. (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. Note: Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold. (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 change in ownership and control, principal office, or HUBZone employee percentage has occurred since it was certified by the Small Business Administration in accordance with 13 CFR Part 126; and (ii) It [ ] is, [ ] is not a 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 the HUBZone small business concern or concerns that are participating in the joint venture. [The offeror shall enter the name or names of the HUBZone small business concern or concerns that are participating in the joint venture:____________.] Each HUBZone small business concern participating in the joint venture shall submit a separate signed copy of the HUBZone representation. (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 a...