COTS

COMBINED SYNOPSIS/SOLICITATION Combined Synopsis and Solicitation Notice Information 1. This is a combined synopsis/solicitation for commercial items prepared in accordance with FAR 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. 2. Solicitation 95332A18T0036 and is being issued as a Request for Quotes (RFQ). 3. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular {2005-98, effective May 31, 2018}. See www.acquisition.gov/browsefar for this information. 4. The associated NAICS code is 337124 Metal Household Furniture Manufacturing for this procurement: 1 is not being set-aside for small businesses. 0 is being set-aside for small businesses. 5. CNCS intends to award a firm fixed price purchase order for the procurement of folding cots. 6. Specifications Document A. Generic Name of Item: Military Style Cots and Large Size Cots B. Statement of Need, Purpose, and/or Objective: Our program requires the members serve in communities throughout the United States of America and Territories. Our members reside in many different types of lodging depending on the community. Some of the lodging locations require that our members sleep on cots. The cots must be sturdy enough to be used 10 months at a time and used year after year. The cots must also be able to be folded so that they can be easily transported in a 15 passenger van C. Specifications: The cots provided must be name brand or equivalent to the two types of cots listed in letter E. titled Salient characteristics of the of the included specificications document. D. Functional / Performance Specifications The cots must meet all the size and specifications listed as Salient characteristics in section E of the specification document. E. Salient characteristics 1. US GI MILITARY STYLE FOLDING ALUMINUM COT - Pre-fitted double stitched denier nylon cover - Tempered tubular hardened aluminum frame - Holes on all four ends for cot poles - Fitted double stitched nylon cover - Open Measurements: 77" x 25" x 18" - Folded Measurements: 37" x 8" x 5" - Weight: 18lbs - Tested with over 1000lbs 2. TETON SPORTS OUTFITTER XXL COT - Open Dimensions: 85" x 40" x 19" - Folded Dimensions: 42" x 12" x 7" - Pack Weight: 26lbs - Bed: Heavy-duty 600D Poly Canvas - Frame: Aluminum top surround - Legs: Steel Leg Assembly - Storage bag/case with shoulder strap. - Foldable - Supports 600lbs F. Delivery Adderesses and Quantities: Location 1: AmeriCorps NCCC North Central Region NCCC North Central Campus IBSSS 916 West 9th Street Vinton, IA 52349 Cot Type Quantity TETON SPORTS OUTFITTER XXL COT 30 Location 2: AmeriCorps NCCC Pacific Region 3427 Laurel Street, McClellan, CA 95652 Cot Type Quantity US GI MILITARY STYLE FOLDING ALUMINUM COT 100 Location 3: AmeriCorps NCCC Southern Region 2715 Confederate Ave. Vicksburg, MS 39180 Cot Type Quantity US GI MILITARY STYLE FOLDING ALUMINUM COT 200 TETON SPORTS OUTFITTER XXL COT 50 Location 4: AmeriCorps NCCC Southwest Region Attn: Brian Robison 15001 East Oxford Ave. Suite B. Aurora, CO. 80014 Cot Type Quantity US GI MILITARY STYLE FOLDING ALUMINUM COT 100 TETON SPORTS OUTFITTER XXL COT 50 G. Delivery Date: All cots shall be delivered No Later Than September 20, 2018. H. Delivery Acceptance: Items may be delivered in multiple shipments, however, each type of cot must be shipped as the full quantity to each location. I. Period of Performance: N/A J. Option(s): There are no options as this is a onetime purchase. K. Warranty: No warranty is required for these products. 7. The provision at FAR 52.212-1, Instructions to Offerors - Commercial applies to this acquisition and is amended as follows: 52.212-1 (ADDENDUM) ADDITIONAL INSTRUCTIONS TO OFFERORS--COMMERCIAL ITEMS a. This procurement is a FAR Part 12 commercial acquisition being conducted under FAR Part 13 accordingly, simplified acquisitions procedures apply. b. The term "offeror" or "offer" as used in FAR 52.212-1 shall be understood to mean "quoter" and "quote," respectively. Further, the term "award" shall be understood to describe the Government's issuance of an purchase order. c. The following paragraphs in FAR 52.212-1 shall not apply to this RFQ: b, c, d, f (except f(4)), and l. d. SUBMISSION PACKAGE INSTRUCTIONS PAGE RESTRICTIONS: The quotes submitted must be legible, singled-spaced, typewritten (on one side only), in a font size not smaller than 10 point pitch with a one-inch margin on all sides, on paper not larger than eight and a half by eleven inches and not exceeding the page limits established in this quote. Pages in excess of the individual limitations shall not be read, and the quote shall be evaluated as if the excess pages did not exist. A quoter's Technical quote will be evaluated in accordance with the evaluation criteria for Volume 1 technical quote. Clarity and completeness of the quote are of the utmost importance. The quote must be written in a practical, clear, and concise manner. Each Volume must be clearly marked. The following page restrictions by Volume are: Volume 1 technical quote - Technical Quote shall not exceed 10 pages Volume 2 price quote - Price Quote shall not exceed 5 pages Items not included within the page restriction count are as follows: System for Award Management (SAM), cover pages, cover letters, table of contents, blank section dividers, resumes, charts, graphs, and glossary of terms, exhibits, drawings, sample formats, and items of an illustrative nature. Together, any attached charts, graphs, glossary of terms, exhibits, drawings, sample formats, or other illustrative documents shall not exceed 10 pages. A. Technical Capability Proposal must be for the cots provided or must be brand name or equal to the two types of cots identified in the specification document. Volume 1 Technical Quote must address ALL of the following technical capability evaluation criteria: - Ability of Vendor to provide all quantities for each location - Meet/exceed the salient characteristics listed in the specifications document - If submitted proposal is for an or equal to the cots listed in the specifications documents, the vendor must provide the following: o To be considered for award any or equal product submitted must meet the salient physical, functional, or performance characteristic specified in this specifications document. Product literature must be included, and clearly state and identify that the quoted or equal product meets all of the product specifications listed in the specifications document. o Submitted product literature must clearly identify the brand name, if any; and make or model number; o If submitted product literature does not identify that the or equal product meets all of the salient characteristics listed in the specifications document, the quoted or equal product will be considered unacceptable as evaluation will be conducted on the basis of the information furnished by the offeror or identified in the offer. The Contracting Officer is not responsible for locating or obtaining any information not identified in the offer. - Unless the offeror clearly indicates in its offer that the product being offered is an "equal" product, the offeror shall provide the brand name product referenced in the specifications document. B. Volume 2 Price The price quote shall contain the following: Volume 2 price quote shall contain the following in the table provided. The following pricing guidelines must be adhered to: i. Price quote which identifies the requested item(s) unit price, extended price. ii. Total Price for all items iii. Remittance address, Tax identification Number, DUNS number and Cage Code iv. Prices must include shipping for the quantity and to the locations identified in letter F of the specifications document. v. Rounding up or rounding down is unacceptable. The government does not round up/down; vi. Volume 2 must be submitted in the below table format vii. Pricing quotes that are not submitted in the below format will not be accepted CLIN item descriptions Unit of Issue Qty. unit price extended price CLIN 0001 -TETON SPORTS OUTFITTER XXL COT Ea. 130 CLIN 0002 - US GI MILITARY STYLE FOLDING ALUMINUM COT Ea. 400 Total Price for all items: All quoters must include a completed copy of FAR 52.212-3, Offeror Representations and Certifications - Commercial Items with its offer. C. QUESTION DUE DATE: All questions shall be submitted no later than Wednesday, August 8, 2018 at 1:00 p.m. Eastern Standard Time (EST) via email to mbrooks@cns.gov . Questions submitted after this date and time shall not be answered. D. QUOTE DUE DATE: Quotes in response to this solicitation shall be received no later than Wednesday, August 15, 2018 at 1:00PM EST. Responses received after this date and time will be considered non-responsive, in accordance with (IAW), Federal Acquisition Regulation (FAR) 52.214-7, Late Submissions, Modifications, and Withdrawals of Bids. E. The points of contact for this requirement is Marilyne Brooks and Jessie Garcia at mbrooks@cns.gov and jgarcia@cns.gov. For all email correspondences, PLEASE REFERENCE THE SOLICITATION NUMBER IN THE SUBJECT LINE- 95332A18T0036. F. Offers/quotes submitted in response to this solicitation shall not contain nor be subject to the offeror's/vendor's standard commercial terms and conditions. Any offer/quote submitted in response to this solicitation which includes the offeror's/vendor's standard commercial terms and conditions may be considered a material defect and may be rejected as being non-responsive to the solicitation. G. Any data previously submitted in response to another solicitation, or market research will be assumed unavailable to the Contracting Officer, and this data must not be incorporated into the technical offer by reference. 8. EVALUATION CRITERIA A. BASIS FOR AWARD : Award will be made to the responsible, technically acceptable quoter, whose quote, conforming to the Request for Quotation, offers the lowest evaluated price on the following elements: (1) Technical Capability; (2) Price; (3) Past Performance. To be considered Technically Acceptable, the vendor must meet ALL of the items listed in the Volume 1 Technical capability factor and evaluation will be conducted on the basis of the information furnished by the offeror or identified in the offer. The Contracting Officer is not responsible for locating or obtaining any information not identified in the offer. B. EVALUATION CRITERIA FOR COTS Factor 1-Technical Capability Factor Any technical quotes that do not receive an acceptable rating for ALL of the evaluation criteria will receive an unacceptable rating for the technical quote. Award will be made to the lowest-priced, technically acceptable, responsible contractor. Volume 1 Technical Quote must address ALL of the following technical capability evaluation criteria: Evaluation Criteria The Vendor will be selected by Lowest Cost Technically Acceptable. To be considered Technically Acceptable, the vendor must meet ALL of the below evaluation factors. - Ability of Vendor to provide all quantities for each location - Meet/exceed the salient characteristics listed in the specifications document - If submitted proposal is for an or equal to the cots listed in the specifications documents, the vendor must provide the following: o To be considered for award any or equal product submitted must meet the salient physical, functional, or performance characteristic specified in this specifications document. Product literature must be included, and clearly state and identify that the quoted or equal product meets all of the product specifications listed in the specifications document. o Submitted product literature must clearly identify the brand name, if any; and make or model number; o If submitted product literature does not identify that the or equal product meets all of the salient characteristics listed in the specifications document, the quoted or equal product will be considered unacceptable as evaluation will be conducted on the basis of the information furnished by the offeror or identified in the offer. The Contracting Officer is not responsible for locating or obtaining any information not identified in the offer. - Unless the offeror clearly indicates in its offer that the product being offered is an "equal" product, the offeror shall provide the brand name product referenced in the specifications document. Factor 2-Price Volume 2 Price will be evaluated for completeness and reasonableness. For a price to be considered reasonable, it must represent a price to the Government that a prudent person would pay when consideration is given to prices in the market. Normally, price reasonableness is established through adequate price competition, but may also be determined through cost and price analysis techniques as described in FAR 15.404. Offeror(s) shall submit firm fixed prices for all items listed in the SPECIFICATIONS DOCUMENT. This requirement, will be awarded as a Firm Fixed Price (FFP) Task Order, using the Lowest Price Technically Acceptable (LPTA) methodology. Quotation submittal and all other required documents must be submitted in accordance with the Request for quote. Failure to submit the aforementioned information correctly shall deem your quote as non-responsive; thus, it shall not receive consideration for award. Any questions regarding this RFQ shall be submitted to Marilyne Brooks at mbrooks@cns.gov. The contractor found technically acceptable with the lowest overall price will be ranked accordingly. Factor 3-Past Performance Past performance: Quoters' past performance information will be evaluated based on information obtained from the Government database called Past Performance Information Retrieval System (PPIRS) located at www.ppirs.gov. The government will assess the relative risks associated with each quoter. Performance risks are those associated with a quoter's likelihood of success in performing the acquisition requirements as indicated by that quoter's record of past performance. The assessment of performance risk is not intended to be a product of a mechanical or mathematical analysis of a quoter's performance on a list of contracts but rather the product of subjective judgment by the Government after it considers relevant information. When assessing performance risks, the Government will focus on the past performance of the quoter as it relates to all acquisition requirements, such as the quoter's record of performing according to specifications, including standards of good workmanship; the quoter's record of controlling and forecasting costs; the quoter's adherence to contract schedules, including the administrative aspects of performance; the quoter's reputation for reasonable and cooperative behavior and commitment to customer satisfaction; and generally, the quoter's business-like concern for the interest of the customer. The Government will consider the recency and relevance of the information, source of the information, context of the data, and general trends in the quoter's performance. The lack of a relevant performance record may result in an unknown performance risk assessment, which will result in the Quoter being evaluated neither favorably nor unfavorably for past performance and the quoter will receive a neutral rating. Past Performance will receive one of the following: PASS (P): Based on the offeror's recent/relevant performance record, the Government has a high expectation that the offeror will successfully perform the required effort. FAIL (F): Based on the offeror's recent/relevant performance record, the Government has no expectation that the offeror will be able to successfully perform the required effort. NEUTRAL (N): No recent/relevant performance record is available or the offeror's performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned. Past performance: Quoters' past performance information will be evaluated based on information obtained from the Government database called Past Performance Information Retrieval System (PPIRS). (End of Addendum) 9. 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (Apr 2016) 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 (r) of this provision. (a) Definitions. As used in this provision-- "Economically disadvantaged women-owned small business (EDWOSB) concern" means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program. "Forced or indentured child labor" means all work or service- (1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or (2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties. "Highest-level owner" means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner. "Immediate owner" means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: Ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees. "Inverted domestic corporation," means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c). "Manufactured end product" means any end product in product and service codes (PSCs) 1000-9999, except- (1) PSC 5510, Lumber and Related Basic Wood Materials; (2) Product or Service Group (PSG) 87, Agricultural Supplies; (3) PSG 88, Live Animals; (4) PSG 89, Subsistence; (5) PSC 9410, Crude Grades of Plant Materials; (6) PSC 9430, Miscellaneous Crude Animal Products, Inedible; (7) PSC 9440, Miscellaneous Crude Agricultural and Forestry Products; (8) PSC 9610, Ores; (9) PSC 9620, Minerals, Natural and Synthetic; and (10) PSC 9630, Additive Metal Materials. "Place of manufacture" means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture. "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 the its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women. "Women-owned small business concern" means a small business concern -- (1) That is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and (2) Whose management and daily business operations are controlled by one or more women. "Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127)," means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States. (b) (1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the SAMwebsite. (2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representation and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications-Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ____________. [Offeror to identify the applicable paragraphs at (c) through (r) of this provision that the offeror has completed for the purposes of this solicitation only, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.] (c) Offerors must complete the following representations when the resulting contract is to be performed in the United States or its outlying areas. Check all that apply. (1) Small business concern. The offeror represents as part of its offer that it [_] is, [_] is not a small business concern. (2) Veteran-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it [_] is, [_] is not a veteran-owned small business concern. (3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that it [_] is, [_] is not a service-disabled veteran-owned small business concern. (4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [_] is, [_] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002. (5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [_] is, [_] is not a women-owned small business concern. Note: Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold. (6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that- (i) It [_] is, [_] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and (ii) It [_] is, [_] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: _________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation. (7) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.] The offeror represents that- (i) It [_] is, [_] is not an EDWOSB concern, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and (ii) It [_] is, [_] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: _____________.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation. (8) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [_] is, a women-owned business concern. (9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price: ___________________________________________ (10) HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that-- (i) It [_] is, [_] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and (ii) It [_] is, [_] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: __________.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation. (d) Representations requ...