5810 Non Recording Patient Camera

Work Detail

This Is A Request For Quote Rfq 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 36C26220q0954 Is Issued As A Request For Quote Rfq And Constitutes The Only Solicitation The Government Intends To Award A Single Firm Fixed Price Ffp Award Contract This Procurement Will Be Issued Under As A Small Business Set Aside Naics Code Is 561621 And The Small Business Administration S Sba Size Standard 22 Million The Government Is Seeking A Contract To Acquire Identical Installation Of Non Recording Patient Monitoring Cameras In Two Separate High Risk Areas To Allow Patients To Be Viewed By A Nurse Remotely This Solicitation Is Seeking The Following Systems And Components As Brand Name Or Equal To Products Salient Characteristics Please See Attachment Brand Name Or Equal To Non Recording Patient Monitoring Cameras Item Number Description Of Supplies Services Quantity Unit Unit Price Amount 0001 2 00 Ea Network Video Decoder For 4Se 0002 16 00 Ea M 3046V Interior Camera For 4Se Brand Name Or Equal 0003 2 00 Ea Computer Monitor Flat Screen For 4Se 0004 5 00 Ea Cat6 Cable Box For 4Se 0005 1 00 Ea Patch Panel For 4Se 0006 16 00 Ea Camera Installation Kit For 4Se 0007 2 00 Ea Decoder Power Supply For 4Se 0008 1 00 Ea Cisco Network Switch For 4Se 0009 2 00 Ea Network Video Decoder For 2Sw 0010 16 00 Ea M 3046V Interior Camera For 2Sw Brand Name Or Equal 0011 2 00 Ea Computer Monitor Flat Screen For 2Sw 0012 5 00 Ea Cat6 Cable Box For 2Sw 0013 1 00 Ea Patch Panel For 2Sw 0014 16 00 Ea Camera Installation Kit For 2Sw 0015 2 00 Ea Decoder Power Supply For 2Sw 0016 1 00 Ea Cisco Network Switch For 4Se 0017 1 00 Jb Labor 4Se 0018 1 00 Jb Labor 2Sw 0019 1 00 Ea Overhead 0020 1 00 Ea Vendor Profit Grand Total 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 Loma Linda Healthcare System 11201 Benton Street Loma Linda Ca 92357 Period Of Performance Within 90 Days Of Placing Order Or Sooner If Available 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 Submit All Question S To Anette Doan At Anette Doan Va Gov No Later Than June 23 2020 12 00 Pm Pacific Daylight Time Pdt Ensure To Reference Solicitation 36C26220q0954 Within Subject Line Of The Email Quotes Must Be Received By June 25 2020 By 12 00 Pm Pdt Email Your Quote To Anette Doan At Anette Doan Va Gov Ensure To Reference Solicitation 36C26220q0954 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 End Of Provision 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 An Officer Or Employee Of Any Agency A Member Of Congress An Officer Or Employee Of Congress Or An Employee Of A Member Of Congress On His Or Her Behalf In Connection With The Award Of Any Resultant Contract If Any Registrants Under The Lobbying Disclosure Act Of 1995 Have Made A Lobbying Contact On Behalf Of The Offeror With Respect To This Contract The Offeror Shall Complete And Submit With Its Offer Omb Standard Form Lll Disclosure Of Lobbying Activities To Provide The Name Of The Registrants The Offeror Need Not Report Regularly Employed Officers Or Employees Of The Offeror To Whom Payments Of Reasonable Compensation Were Made F Buy American Certificate Applies Only If The Clause At Federal Acquisition Regulation Far 52 225 1 Buy American Supplies Is Included In This Solicitation 1 The Offeror Certifies That Each End Product Except Those Listed In Paragraph F 2 Of This Provision Is A Domestic End Product And That For Other Than Cots Items The Offeror Has Considered Components Of Unknown Origin To Have Been Mined Produced Or Manufactured Outside The United States The Offeror Shall List As Foreign End Products Those End Products Manufactured In The United States That Do Not Qualify As Domestic End Products I E An End Product That Is Not A Cots Item And Does Not Meet The Component Test In Paragraph 2 Of The Definition Of Domestic End Product The Terms Commercially Available Off The Shelf Cots Item Component Domestic End Product End Product Foreign End Product And United States Are Defined In The Clause Of This Solicitation Entitled Buy American Supplies 2 Foreign End Products Line Item No Country Of Origin List As Necessary 3 The Government Will Evaluate Offers In Accordance With The Policies And Procedures Of Far Part 25 G 1 Buy American Free Trade Agreements Israeli Trade Act Certificate Applies Only If The Clause At Far 52 225 3 Buy American Free Trade Agreements Israeli Trade Act Is Included In This Solicitation I The Offeror Certifies That Each End Product Except Those Listed In Paragraph G 1 Ii Or G 1 Iii Of This Provision Is A Domestic End Product And That For Other Than Cots Items The Offeror Has Considered Components Of Unknown Origin To Have Been Mined Produced Or Manufactured Outside The United States The Terms Bahrainian Moroccan Omani Panamanian Or Peruvian End Product Commercially Available Off The Shelf Cots Item Component Domestic End Product End Product Foreign End Product Free Trade Agreement Country Free Trade Agreement Country End Product Israeli End Product And United States Are Defined In The Clause Of This Solicitation Entitled Buy American Free Trade Agreements Israeli Trade Act Ii The Offeror Certifies That The Following Supplies Are Free Trade Agreement Country End Products Other Than Bahrainian Moroccan Omani Panamanian Or Peruvian End Products Or Israeli End Products As Defined In The Clause Of This Solicitation Entitled Buy American Free Trade Agreements Israeli Trade Act Free Trade Agreement Country End Products Other Than Bahrainian Moroccan Omani Panamanian Or Peruvian End Products Or Israeli End Products Line Item No Country Of Origin List As Necessary Iii The Offeror Shall List Those Supplies That Are Foreign End Products Other Than Those Listed In Paragraph G 1 Ii Of This Provision As Defined In The Clause Of This Solicitation Entitled Buy American Free Trade Agreements Israeli Trade Act The Offeror Shall List As Other Foreign End Products Those End Products Manufactured In The United States That Do Not Qualify As Domestic End Products I E An End Product That Is Not A Cots Item And Does Not Meet The Component Test In Paragraph 2 Of The Definition Of Domestic End Product Other Foreign End Products Line Item No Country Of Origin List As Necessary Iv The Government Will Evaluate Offers In Accordance With The Policies And Procedures Of Far Part 25 2 Buy American Free Trade Agreements Israeli Trade Act Certificate Alternate I If Alternate I To The Clause At Far 52 225 3 Is Included In This Solicitation Substitute The Following Paragraph G 1 Ii For Paragraph G 1 Ii Of The Basic Provision G 1 Ii The Offeror Certifies That The Following Supplies Are Canadian End Products As Defined In The Clause Of This Solicitation Entitled Buy American Free Trade Agreements Israeli Trade Act Canadian End Products Line Item No List As Necessary 3 Buy American Free Trade Agreements Israeli Trade Act Certificate Alternate Ii If Alternate Ii To The Clause At Far 52 225 3 Is Included In This Solicitation Substitute The Following Paragraph G 1 Ii For Paragraph G 1 Ii Of The Basic Provision G 1 Ii The Offeror Certifies That The Following Supplies Are Canadian End Products Or Israeli End Products As Defined In The Clause Of This Solicitation Entitled Buy American Free Trade Agreements Israeli Trade Act Canadian Or Israeli End Products Line Item No Country Of Origin List As Necessary 4 Buy American Free Trade Agreements Israeli Trade Act Certificate Alternate Iii If Alternate Iii To The Clause At Far 52 225 3 Is Included In This Solicitation Substitute The Following Paragraph G 1 Ii For Paragraph G 1 Ii Of The Basic Provision G 1 Ii The Offeror Certifies That The Following Supplies Are Free Trade Agreement Country End Products Other Than Bahrainian Korean Moroccan Omani Panamanian Or Peruvian End Products Or Israeli End Products As Defined In The Clause Of This Solicitation Entitled Buy American Free Trade Agreements Israeli Trade Act Free Trade Agreement Country End Products Other Than Bahrainian Korean Moroccan Omani Panamanian Or Peruvian End Products Or Israeli End Products Line Item No Country Of Origin List As Necessary 5 Trade Agreements Certificate Applies Only If The Clause At Far 52 225 5 Trade Agreements Is Included In This Solicitation I The Offeror Certifies That Each End Product Except Those Listed In Paragraph G 5 Ii Of This Provision Is A U S Made Or Designated Country End Product As Defined In The Clause Of This Solicitation Entitled Trade Agreements Ii The Offeror Shall List As Other End Products Those End Products That Are Not U S Made Or Designated Country End Products Other End Products Line Item No Country Of Origin List As Necessary Iii The Government Will Evaluate Offers In Accordance With The Policies And Procedures Of Far Part 25 For Line Items Covered By The Wto Gpa The Government Will Evaluate Offers Of U S Made Or Designated Country End Products Without Regard To The Restrictions Of The Buy American Statute The Government Will Consider For Award Only Offers Of U S Made Or Designated Country End Products Unless The Contracting Officer Determines That There Are No Offers For Such Products Or That The Offers For Such Products Are Insufficient To Fulfill The Requirements Of The Solicitation H Certification Regarding Responsibility Matters Executive Order 12689 Applies Only If The Contract Value Is Expected To Exceed The Simplified Acquisition Threshold The Offeror Certifies To The Best Of Its Knowledge And Belief That The Offeror And Or Any Of Its Principals 1 Are Are Not Presently Debarred Suspended Proposed For Debarment Or Declared Ineligible For The Award Of Contracts By Any Federal Agency 2 Have Have Not Within A Three Year Period Preceding This Offer Been Convicted Of Or Had A Civil Judgment Rendered Against Them For Commission Of Fraud Or A Criminal Offense In Connection With Obtaining Attempting To Obtain Or Performing A Federal State Or Local Government Contract Or Subcontract Violation Of Federal Or State Antitrust Statutes Relating To The Submission Of Offers Or Commission Of Embezzlement Theft Forgery Bribery Falsification Or Destruction Of Records Making False Statements Tax Evasion Violating Federal Criminal Tax Laws Or Receiving Stolen Property 3 Are Are Not Presently Indicted For Or Otherwise Criminally Or Civilly Charged By A Government Entity With Commission Of Any Of These Offenses Enumerated In Paragraph H 2 Of This Clause And 4 Have Have Not Within A Three Year Period Preceding This Offer Been Notified Of Any Delinquent Federal Taxes In An Amount That Exceeds 3 500 For Which The Liability Remains Unsatisfied I Taxes Are Considered Delinquent If Both Of The Following Criteria Apply A The Tax Liability Is Finally Determined The Liability Is Finally Determined If It Has Been Assessed A Liability Is Not Finally Determined If There Is A Pending Administrative Or Judicial Challenge In The Case Of A Judicial Challenge To The Liability The Liability Is Not Finally Determined Until All Judicial Appeal Rights Have Been Exhausted B The Taxpayer Is Delinquent In Making Payment A Taxpayer Is Delinquent If The Taxpayer Has Failed To Pay The Tax Liability When Full Payment Was Due And Required A Taxpayer Is Not Delinquent In Cases Where Enforced Collection Action Is Precluded Ii Examples A The Taxpayer Has Received A Statutory Notice Of Deficiency Under I R C Sec 6212 Which Entitles The Taxpayer To Seek Tax Court Review Of A Proposed Tax Deficiency This Is Not A Delinquent Tax Because It Is Not A Final Tax Liability Should The Taxpayer Seek Tax Court Review This Will Not Be A Final Tax Liability Until The Taxpayer Has Exercised All Judicial Appeal Rights B The Irs Has Filed A Notice Of Federal Tax Lien With Respect To An Assessed Tax Liability And The Taxpayer Has Been Issued A Notice Under I R C Sec 6320 Entitling The Taxpayer To Request A Hearing With The Irs Office Of Appeals Contesting The Lien Filing And To Further Appeal To The Tax Court If The Irs Determines To Sustain The Lien Filing In The Course Of The Hearing The Taxpayer Is Entitled To Contest The Underlying Tax Liability Because The Taxpayer Has Had No Prior Opportunity To Contest The Liability This Is Not A Delinquent Tax Because It Is Not A Final Tax Liability Should The Taxpayer Seek Tax Court Review This Will Not Be A Final Tax Liability Until The Taxpayer Has Exercised All Judicial Appeal Rights C The Taxpayer Has Entered Into An Installment Agreement Pursuant To I R C Sec 6159 The Taxpayer Is Making Timely Payments And Is In Full Compliance With The Agreement Terms The Taxpayer Is Not Delinquent Because The Taxpayer Is Not Currently Required To Make Full Payment D The Taxpayer Has Filed For Bankruptcy Protection The Taxpayer Is Not Delinquent Because Enforced Collection Action Is Stayed Under 11 U S C 362 The Bankruptcy Code I Certification Regarding Knowledge Of Child Labor For Listed End Products Executive Order 13126 1 Listed End Products Listed End Product Listed Countries Of Origin 2 Certification If The Contracting Officer Has Identified End Products And Countries Of Origin In Paragraph I 1 Of This Provision Then The Offeror Must Certify To Either I 2 I Or I 2 Ii By Checking The Appropriate Block I The Offeror Will Not Supply Any End Product Listed In Paragraph I 1 Of This Provision That Was Mined Produced Or Manufactured In The Corresponding Country As Listed For That Product Ii The Offeror May Supply An End Product Listed In Paragraph I 1 Of This Provision That Was Mined Produced Or Manufactured In The Corresponding Country As Listed For That Product The Offeror Certifies That It Has Made A Good Faith Effort To Determine Whether Forced Or Indentured Child Labor Was Used To Mine Produce Or Manufacture Any Such End Product Furnished Under This Contract On The Basis Of Those Efforts The Offeror Certifies That It Is Not Aware Of Any Such Use Of Child Labor J Place Of Manufacture Does Not Apply Unless The Solicitation Is Predominantly For The Acquisition Of Manufactured End Products For Statistical Purposes Only The Offeror Shall Indicate Whether The Place Of Manufacture Of The End Products It Expects To Provide In Response To This Solicitation Is Predominantly 1 In The United States Check This Box If The Total Anticipated Price Of Offered End Products Manufactured In The United States Exceeds The Total Anticipated Price Of Offered End Products Manufactured Outside The United States Or 2 Outside The United States K Certificates Regarding Exemptions From The Application Of The Service Contract Labor Standards Certification By The Offeror As To Its Compliance With Respect To The Contract Also Constitutes Its Certification As To Compliance By Its Subcontractor If It Subcontracts Out The Exempt Services The Contracting Officer Is To Check A Box To Indicate If Paragraph K 1 Or K 2 Applies 1 Maintenance Calibration Or Repair Of Certain Equipment As Described In Far 22 1003 4 C 1 The Offeror Does Does Not Certify That I The Items Of Equipment To Be Serviced Under This Contract Are Used Regularly For Other Than Governmental Purposes And Are Sold Or Traded By The Offeror Or Subcontractor In The Case Of An Exempt Subcontract In Substantial Quantities To The General Public In The Course Of Normal Business Operations Ii The Services Will Be Furnished At Prices Which Are Or Are Based On Established Catalog Or Market Prices See Far 22 1003 4 C 2 Ii For The Maintenance Calibration Or Repair Of Such Equipment And Iii The Compensation Wage And Fringe Benefits Plan For All Service Employees Performing Work Under The Contract Will Be The Same As That Used For These Employees And Equivalent Employees Servicing The Same Equipment Of Commercial Customers 2 Certain Services As Described In Far 22 1003 4 D 1 The Offeror Does Does Not Certify That I The Services Under The Contract Are Offered And Sold Regularly To Non Governmental Customers And Are Provided By The Offeror Or Subcontractor In The Case Of An Exempt Subcontract To The General Public In Substantial Quantities In The Course Of Normal Business Operations Ii The Contract Services Will Be Furnished At Prices That Are Or Are Based On Established Catalog Or Market Prices See Far 22 1003 4 D 2 Iii Iii Each Service Employee Who Will Perform The Services Under The Contract Will Spend Only A Small Portion Of His Or Her Time A Monthly Average Of Less Than 20 Percent Of The Available Hours On An Annualized Basis Or Less Than 20 Percent Of Available Hours During The Contract Period If The Contract Period Is Less Than A Month Servicing The Government Contract And Iv The Compensation Wage And Fringe Benefits Plan For All Service Employees Performing Work Under The Contract Is The Same As That Used For These Employees And Equivalent Employees Servicing Commercial Customers 3 If Paragraph K 1 Or K 2 Of This Clause Applies I If The Offeror Does Not Certify To The Conditions In Paragraph K 1 Or K 2 And The Contracting Officer Did Not Attach A Service Contract Labor Standards Wage Determination To The Solicitation The Offeror Shall Notify The Contracting Officer As Soon As Possible And Ii The Contracting Officer May Not Make An Award To The Offeror If The Offeror Fails To Execute The Certification In Paragraph K 1 Or K 2 Of This Clause Or To Contact The Contracting Officer As Required In Paragraph K 3 I Of This Clause L Taxpayer Identification Number Tin 26 U S C 6109 31 U S C 7701 Not Applicable If The Offeror Is Required To Provide This Information To The Sam Database To Be Eligible For Award 1 All Offerors Must Submit The Information Required In Paragraphs L 3 Through L 5 Of This Provision To Comply With Debt Collection Requirements Of 31 U S C 7701 C And 3325 D Reporting Requirements Of 26 U S C 6041 6041A And 6050M And Implementing Regulations Issued By The Internal Revenue Service Irs 2 The Tin May Be Used By The Government To Collect And Report On Any Delinquent Amounts Arising Out Of The Offeror s Relationship With The Government 31 U S C 7701 C 3 If The Resulting Contract Is Subject To The Payment Reporting Requirements Described In Far 4 904 The Tin Provided Hereunder May Be Matched With Irs Records To Verify The Accuracy Of The Offeror s Tin 3 Taxpayer Identification Number Tin Tin Tin Has Been Applied For Tin Is Not Required Because Offeror Is A Nonresident Alien Foreign Corporation Or Foreign Partnership That Does Not Have Income Effectively Connected With The Conduct Of A Trade Or Business In The United States And Does Not Have An Office Or Place Of Business Or A Fiscal Paying Agent In The United States Offeror Is An Agency Or Instrumentality Of A Foreign Government Offeror Is An Agency Or Instrumentality Of The Federal Government 4 Type Of Organization Sole Proprietorship Partnership Corporate Entity Not Tax Exempt Corporate Entity Tax Exempt Government Entity Federal State Or Local Foreign Government International Organization Per 26 Cfr 1 6049 4 Other 5 Common Parent Offeror Is Not Owned Or Controlled By A Common Parent Name And Tin Of Common Parent Name Tin M Restricted Business Operations In Sudan By Submission Of Its Offer The Offeror Certifies That The Offeror Does Not Conduct Any Restricted Business Operations In Sudan N Prohibition On Contracting With Inverted Domestic Corporations 1 Government Agencies Are Not Permitted To Use Appropriated Or Otherwise Made Available Funds For Contracts With Either An Inverted Domestic Corporation Or A Subsidiary Of An Inverted Domestic Corporation Unless The Exception At 9 108 2 B Applies Or The Requirement Is Waived In Accordance With The Procedures At 9 108 4 2 Representation The Offeror Represents That I It Is Is Not An Inverted Domestic Corporation And Ii It Is Is Not A Subsidiary Of An Inverted Domestic Corporation O Prohibition On Contracting With Entities Engaging In Certain Activities Or Transactions Relating To Iran 1 The Offeror Shall Email Questions Concerning Sensitive Technology To The Department Of State At Cisada106 State Gov 2 Representation And Certifications Unless A Waiver Is Granted Or An Exception Applies As Provided In Paragraph O 3 Of This Provision By Submission Of Its Offer The Offeror I Represents To The Best Of Its Knowledge And Belief That The Offeror Does Not Export Any Sensitive Technology To The Government Of Iran Or Any Entities Or Individuals Owned Or Controlled By Or Acting On Behalf Or At The Direction Of The Government Of Iran Ii Certifies That The Offeror Or Any Person Owned Or Controlled By The Offeror Does Not Engage In Any Activities For Which Sanctions May Be Imposed Under Section 5 Of The Iran Sanctions Act And Iii Certifies That The Offeror And Any Person Owned Or Controlled By The Offeror Does Not Knowingly Engage In Any Transaction That Exceeds 3 500 With Iran S Revolutionary Guard Corps Or Any Of Its Officials Agents Or Affiliates The Property And Interests In Property Of Which Are Blocked Pursuant To The International Emergency Economic Powers Act 50 U S C 1701 Et Seq See Ofac S Specially Designated Nationals And Blocked Persons List At Http Www Treasury Gov Ofac Downloads T11sdn Pdf 3 The Representation And Certification Requirements Of Paragraph O 2 Of This Provision Do Not Apply If I This Solicitation Includes A Trade Agreements Certification E G 52 212 3 G Or A Comparable Agency Provision And Ii The Offeror Has Certified That All The Offered Products To Be Supplied Are Designated Country End Products P Ownership Or Control Of Offeror Applies In All Solicitations When There Is A Requirement To Be Registered In Sam Or A Requirement To Have A Unique Entity Identifier In The Solicitation 1 The Offeror Represents That It Has Or Does Not Have An Immediate Owner If The Offeror Has More Than One Immediate Owner Such As A Joint Venture Then The Offeror Shall Respond To Paragraph 2 And If Applicable Paragraph 3 Of This Provision For Each Participant In The Joint Venture 2 If The Offeror Indicates Has In Paragraph P 1 Of This Provision Enter The Following Information Immediate Owner Cage Code Immediate Owner Legal Name Do Not Use A Doing Business As Name Is The Immediate Owner Owned Or Controlled By Another Entity Yes Or No 3 If The Offeror Indicates Yes In Paragraph P 2 Of This Provision Indicating That The Immediate Owner Is Owned Or Controlled By Another Entity Then Enter The Following Information Highest Level Owner Cage Code Highest Level Owner Legal Name Do Not Use A Doing Business As Name Q Representation By Corporations Regarding Delinquent Tax Liability Or A Felony Conviction Under Any Federal Law 1 As Required By Sections 744 And 745 Of Division E Of The Consolidated And Further Continuing Appropriations Act 2015 Pub L 113 235 And Similar Provisions If Contained In Subsequent Appropriations Acts The Government Will Not Enter Into A Contract With Any Corporation That I Has Any Unpaid Federal Tax Liability That Has Been Assessed For Which All Judicial And Administrative Remedies Have Been Exhausted Or Have Lapsed And That Is Not Being Paid In A Timely Manner Pursuant To An Agreement With The Authority Responsible For Collecting The Tax Liability Where The Awarding Agency Is Aware Of The Unpaid Tax Liability Unless An Agency Has Considered Suspension Or Debarment Of The Corporation And Made A Determination That Suspension Or Debarment Is Not Necessary To Protect The Interests Of The Government Or Ii Was Convicted Of A Felony Criminal Violation Under Any Federal Law Within The Preceding 24 Months Where The Awarding Agency Is Aware Of The Conviction Unless An Agency Has Considered Suspension Or Debarment Of The Corporation And Made A Determination That This Action Is Not Necessary To Protect The Interests Of The Government 2 The Offeror Represents That I It Is Is Not A Corporation That Has Any Unpaid Federal Tax Liability That Has Been Assessed For Which All Judicial And Administrative Remedies Have Been Exhausted Or Have Lapsed And That Is Not Being Paid In A Timely Manner Pursuant To An Agreement With The Authority Responsible For Collecting The Tax Liability And Ii It Is Is Not A Corporation That Was Convicted Of A Felony Criminal Violation Under A Federal Law Within The Preceding 24 Months R Predecessor Of Offeror Applies In All Solicitations That Include The Provision At 52 204 16 Commercial And Government Entity Code Reporting 1 The Offeror Represents That It Is Or Is Not A Successor To A Predecessor That Held A Federal Contract Or Grant Within The Last Three Years 2 If The Offeror Has Indicated Is In Paragraph R 1 Of This Provision Enter The Following Information For All Predecessors That Held A Federal Contract Or Grant Within The Last Three Years If More Than One Predecessor List In Reverse Chronological Order Predecessor Cage Code Or Mark Unknown Predecessor Legal Name Do Not Use A Doing Business As Name S Reserved T Public Disclosure Of Greenhouse Gas Emissions And Reduction Goals Applies In All Solicitations That Require Offerors To Register In Sam 52 212 1 K 1 This Representation Shall Be Completed If The Offeror Received 7 5 Million Or More In Contract Awards In The Prior Federal Fiscal Year The Representation Is Optional If The Offeror Received Less Than 7 5 Million In Federal Contract Awards In The Prior Federal Fiscal Year 2 Representation Offeror To Check Applicable Block S In Paragraph T 2 I And Ii I The Offeror Itself Or Through Its Immediate Owner Or Highest Level Owner Does Does Not Publicly Disclose Greenhouse Gas Emissions I E Makes Available On A Publicly Accessible Web Site The Results Of A Greenhouse Gas Inventory Performed In Accordance With An Accounting Standard With Publicly Available And Consistently Applied Criteria Such As The Greenhouse Gas Protocol Corporate Standard Ii The Offeror Itself Or Through Its Immediate Owner Or Highest Level Owner Does Does Not Publicly Disclose A Quantitative Greenhouse Gas Emissions Reduction Goal I E Make Available On A Publicly Accessible Web Site A Target To Reduce Absolute Emissions Or Emissions Intensity By A Specific Quantity Or Percentage Iii A Publicly Accessible Web Site Includes The Offeror S Own Web Site Or A Recognized Third Party Greenhouse Gas Emissions Reporting Program 3 If The Offeror Checked Does In Paragraphs T 2 I Or T 2 Ii Of This Provision Respectively The Offeror Shall Provide The Publicly Accessible Web Site S Where Greenhouse Gas Emissions And Or Reduction Goals Are Reported U 1 In Accordance With Section 743 Of Division E Title Vii Of The Consolidated And Further Continuing Appropriations Act 2015 Pub L 113 235 And Its Successor Provisions In Subsequent Appropriations Acts And As Extended In Continuing Resolutions Government Agencies Are Not Permitted To Use Appropriated Or Otherwise Made Available Funds For Contracts With An Entity That Requires Employees Or Subcontractors Of Such Entity Seeking To Report Waste Fraud Or Abuse To Sign Internal Confidentiality Agreements Or Statements Prohibiting Or Otherwise Restricting Such Employees Or Subcontractors From Lawfully Reporting Such Waste Fraud Or Abuse To A Designated Investigative Or Law Enforcement Representative Of A Federal Department Or Agency Authorized To Receive Such Information 2 The Prohibition In Paragraph U 1 Of This Provision Does Not Contravene Requirements Applicable To Standard Form 312 Classified Information Nondisclosure Agreement Form 4414 Sensitive Compartmented Information Nondisclosure Agreement Or Any Other Form Issued By A Federal Department Or Agency Governing The Nondisclosure Of Classified Information 3 Representation By Submission Of Its Offer The Offeror Represents That It Will Not Require Its Employees Or Subcontractors To Sign Or Comply With Internal Confidentiality Agreements Or Statements Prohibiting Or Otherwise Restricting Such Employees Or Subcontractors From Lawfully Reporting Waste Fraud Or Abuse Related To The Performance Of A Government Contract To A Designated Investigative Or Law Enforcement Representative Of A Federal Department Or Agency Authorized To Receive Such Information E G Agency Office Of The Inspector General End Of Provision 52 211 6 Brand Name Or Equal Aug 1999 A If An Item In This Solicitation Is Identified As Brand Name Or Equal The Purchase Description Reflects The Characteristics And Level Of Quality That Will Satisfy The Government s Needs The Salient Physical Functional Or Performance Characteristics That Equal Products Must Meet Are Specified In The Solicitation B To Be Considered For Award Offers Of Equal Products Including Equal Products Of The Brand Name Manufacturer Must 1 Meet The Salient Physical Functional Or Performance Characteristic Specified In This Solicitation 2 Clearly Identify The Item By I Brand Name If Any And Ii Make Or Model Number 3 Include Descriptive Literature Such As Illustrations Drawings Or A Clear Reference To Previously Furnished Descriptive Data Or Information Available To The Contracting Officer And 4 Clearly Describe Any Modifications The Offeror Plans To Make In A Product To Make It Conform To The Solicitation Requirements Mark Any Descriptive Material To Clearly Show The Modifications C The Contracting Officer Will Evaluate Equal Products On The Basis Of Information Furnished By The Offeror Or Identified In The Offer And Reasonably Available To The Contracting Officer The Contracting Officer Is Not Responsible For Locating Or Obtaining Any Information Not Identified In The Offer D 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 Solicitation End Of Clause This Contract Incorporates One Or More Clauses And Provisions By Reference With The Same Force And Effect As If They Were Given In Full Text Upon Request The Contracting Officer Will Make Their Full Text Available Also The Full Text Of A Clause May Be Accessed Electronically At This These Address Es Http Www Acquisition Gov Far Index Html Http Www Va Gov Oal Library Vaar Http Farsite Hill Af Mil Vmfara Htm Far 52 212 1 Instructions To Offerors Commercial Items Far 52 212 4 Contract Terms And Conditions Commercial Items Vaar 852 203 70 Commercial Advertising Vaar 852 211 73 Brand Name Or Equal Vaar 852 232 72 Electronic Submission Of Payments Vaar 852 246 71 Rejection Of Goods End Of Clause

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