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					                                                                                     1. REQUISITION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS                                     0010056115
                                                                                                                                                  PAGE 1 OF        35
         OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30
2. CONTRACT NO.                    3. AWARD/EFFECTIVE DATE   4. ORDER NUMBER                     5. SOLICITATION NUMBER                         6. SOLICITATION ISSUE DATE
                                                                                                 W81K00-11-T-0301                               15-Aug-2011
7. FOR SOLICITATION                a. NAME                                                       b. TELEPHONE NUMBER      (No Collect Calls)    8. OFFER DUE DATE/LOCAL TIME
   INFORMATION CALL:               JO A COLLINS                                                                                                 10:00 AM 29 Aug 2011
                                                                                                 210-221-3365
9. ISSUED BY                        CODE                            10. THIS ACQUISITION IS                   11. DELIVERY FOR FOB              12. DISCOUNT TERMS
                                               W81K00
                                                                    X UNRESTRICTED                            DESTINATION UNLESS
GREAT PLAINS REGIONAL CONTRACTING OFFICE
                                                                                                              BLOCK IS MARKED
USA MEDCOM HCAA                                                        SET ASIDE:            % FOR
3851 ROGER BROOKE DR BLDG 3600                                                                                    SEE SCHEDULE
                                                                            SB
210-916-5190
FORT SAM HOUSTON TX 78234-6200                                              HUBZONE SB                            13a. THIS CONTRACT IS A RATED ORDER
                                                                                                                  UNDER DPAS (15 CFR 700)
                                                                            8(A)
                                                                                                              13b. RATING
                                                                            SVC-DISABLED VET-OWNED SB
TEL: 210-916-5190                                                                                             14. METHOD OF SOLICITATION
                                                                            EMERGING SB
FAX: 210-916-3040                                                                                              X RFQ                    IFB                RFP
                                                                    SIZE STD:      19M     NAICS:   811219
15. DELIVER TO                      CODE      W45XTR                16. ADMINISTERED BY                                                    CODE
FORT HOOD
.
US ARMY MEDDAC
MEDICAL SUPPLY OFF DACH
BLDG 36000 RM 0002
FORT HOOD TX 76544-5063
TEL: 738-8765 FAX:


17a.CONTRACTOR/ OFFEROR                        CODE                 18a. PAY MENT WILL BE MADE BY                                              CODE




                                             FACILITY
TEL.                                         CODE

     17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT                  18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK
     SUCH ADDRESS IN OFFER                                          BELOW IS CHECKED         SEE ADDENDUM
  19. ITEM NO.                    20. SCHEDULE OF SUPPLIES/ SERVICES                        21. QUANTITY          22. UNIT       23. UNIT PRICE         24. AMOUNT



                                               SEE SCHEDULE

 25. ACCOUNTING AND APPROPRIATION DATA                                                                            26. TOTAL AWARD AMOUNT (For Gov t. Use Only )




     27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.                ADDENDA            ARE     ARE NOT ATTACHED
 0
     27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED.                          ADDENDA            ARE     ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN             2        COPIES    29. AWARD OF CONTRACT: REFERENCE
     TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS                     OFFER DATED               . Y OUR OFFER ON SOLICITATION
 X                                                                                             (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
     SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS
     SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.                                     SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:


30a. SIGNATURE OF OFFEROR/CONTRACTOR                                   31a.UNITED STATES OF AMERICA          (SIGNATURE OF CONTRACTING OFFICER) 31c. DATE SIGNED




30b. NAME AND TITLE OF SIGNER                    30c. DATE SIGNED      31b. NAME OF CONTRACTING OFFICER              (TYPE OR PRINT)

(TYPE OR PRINT)


                                                                       TEL:                                        EMAIL:


AUTHORIZED FOR LOCAL REPRODUCTION                                                                                             STANDARD FORM 1449 (REV 3/2005)
PREVIOUS EDITION IS NOT USABLE                                                                                                Prescribed by GSA
                                                                                                                              FAR (48 CFR) 53.212
   SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS                                                                                 PAGE 2 OF 35
                   (CONTINUED)
 19. ITEM NO.                      20. SCHEDULE OF SUPPLIES/ SERVICES                   21. QUANTITY    22. UNIT   23. UNIT PRICE      24. AMOUNT


                                          SEE SCHEDULE




32a. QUANTITY IN COLUMN 21 HAS BEEN
   RECEIVED       INSPECTED
                                 ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________
32b. SIGNATURE OF AUTHORIZED GOVERNMENT                  32c. DATE           32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT
     REPRESENTATIVE                                                               REPRESENTATIVE




32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE                 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE



                                                                             32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE




33. SHIP NUMBER           34. VOUCHER NUMBER          35. AMOUNT VERIFIED           36. PAY MENT                            37. CHECK NUMBER
                                                           CORRECT FOR
                                                                                            COMPLETE   PARTIAL     FINAL
    PARTIAL       FINAL
38. S/R ACCOUNT NUMBER       39. S/R VOUCHER NUMBER   40. PAID BY



41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAY MENT 42a. RECEIVED BY (Print)
41b. SIGNATURE AND TITLE OF CERTIFY ING OFFICER    41c. DATE

                                                                     42b. RECEIVED AT (Location)


                                                                     42c. DATE REC'D (YY/MM/DD)    42d. TOTAL CONTAINERS



AUTHORIZED FOR LOCAL REPRODUCTION                                                                       STANDARD FORM 1449 (REV 3/2005) BACK
PREVIOUS EDITION IS NOT USABLE                                                                          Prescribed by GSA
                                                                                                        FAR (48 CFR) 53.212
                                                                               W81K00-11-T-0301

                                                                                     Page 3 of 35

    Section SF 1449 - CONTINUATION SHEET




ITEM NO   SUPPLIES/SERVICES     QUANTITY         UNIT         UNIT PRICE                     AMOUNT
0001                               4            Quarter
                                                (Time)
          MRI LEONARDO SERVICE/MAINTENANCE
          FFP
          NON-PERSONAL SERVICE--CONTRACTOR SHALL PROVIDE ALL
          NECESSARY LABOR, PARTS AND MATERIAL FOR ANNUAL
          SERVICE/MAINTENANCE ON THE MRI LEONARDO SPECTRIS SOLARIS
          INJECTOR, DCS-SMRS, SN # 30696, ECN # 005698. BASE YEAR: 01 OCT 11
          THRU 30 SEP 12.
          FOB: Destination
          PURCHASE REQUEST NUMBER: 0010056115




                                                             NET AMT




ITEM NO   SUPPLIES/SERVICES     QUANTITY        UNIT         UNIT PRICE                      AMOUNT
0002                               4           Quarter
                                               (Time)
          MRI VERIO SERVICE/MAINTENANCE
          FFP
          NON-PERSONAL SERVICE--CONTRACTOR SHALL PROVIDE ALL
          NECESSARY LABOR, PARTS AND MATERIAL FOR ANNUAL
          SERVICE/MAINTENANCE ON THE MRI VERIO SPECTRIS SOLARIS
          INJECTOR, DCS-SMRS, SN # 44569, ECN#27288. BASE YEAR: 01 OCT 11
          THRU 30 SEP 12.
          FOB: Destination
          PURCHASE REQUEST NUMBER: 0010056115




                                                             NET AMT
                                                                            W81K00-11-T-0301

                                                                                  Page 4 of 35

ITEM NO   SUPPLIES/SERVICES     QUANTITY        UNIT         UNIT PRICE                   AMOUNT
0003                               4          Quarter
                                               (Time)
          CT STELLANT D SERVICE/MAINTENANCE
          FFP
          NON-PERSONAL SERVICE--CONTRACTOR SHALL PROVIDE ALL
          NECESSARY LABOR, PARTS AND MATERIAL FOR ANNUAL
          SERVICE/MAINTENANCE ON THE CT STELLANT D INJECTOR, DCS-
          SCTD, SN#27982, ECN#12733. BASE YEAR: 01 OCT 11 THRU 30 SEP 12.
          FOB: Destination
          PURCHASE REQUEST NUMBER: 0010056115




                                                            NET AMT




ITEM NO   SUPPLIES/SERVICES     QUANTITY        UNIT         UNIT PRICE                   AMOUNT
0004
          CONTRACTOR MANPOWER REPORTING
          FFP
          FOB: Destination




                                                            NET AMT
                                                                             W81K00-11-T-0301

                                                                                   Page 5 of 35

ITEM NO   SUPPLIES/SERVICES     QUANTITY         UNIT        UNIT PRICE                    AMOUNT
1001                               4           Quarter
                                                (Time)
OPTION    MRI LEONARDO SERVICE/MAINTENANCE
          FFP
          NON-PERSONAL SERVICE--CONTRACTOR SHALL PROVIDE ALL
          NECESSARY LABOR, PARTS AND MATERIAL FOR ANNUAL
          SERVICE/MAINTENANCE ON THE MRI LEONARDO SPECTRIS SOLARIS
          INJECTOR, SN#30696 ECN #1937. FIRST OPTION YEAR: 01 OCT 12 THRU
          30 SEP 13.
          FOB: Destination
          PURCHASE REQUEST NUMBER: 0010056115




                                                            NET AMT




ITEM NO   SUPPLIES/SERVICES     QUANTITY        UNIT        UNIT PRICE                     AMOUNT
1002                               4           Quarter
                                               (Time)
OPTION    MRI VERIO SERVICE/MAINTENANCE
          FFP
          NON-PERSONAL SERVICE--CONTRACTOR SHALL PROVIDE ALL
          NECESSARY LABOR, PARTS AND MATERIAL FOR ANNUAL
          SERVICE/MAINTENANCE ON THE MRI VERIO SPECTRIS SOLARIS
          INJECTOR, DCS-SMRS, SN # 44569, ECN#27288. FIRST OPTION YEAR: 01
          OCT 12 THRU 30 SEP 13.
          FOB: Destination
          PURCHASE REQUEST NUMBER: 0010056115




                                                            NET AMT
                                                                            W81K00-11-T-0301

                                                                                  Page 6 of 35

ITEM NO   SUPPLIES/SERVICES     QUANTITY        UNIT        UNIT PRICE                    AMOUNT
1003                               4           Quarter
                                               (Time)
OPTION    CT STELLANT D SERVICE/MAINTENANCE
          FFP
          NON-PERSONAL SERVICE--CONTRACTOR SHALL PROVIDE ALL
          NECESSARY LABOR, PARTS AND MATERIAL FOR ANNUAL
          SERVICE/MAINTENANCE ON THE CT STELLANT D INJECTOR, DCS-
          SCTD, SN#27982, ECN#12733. FIRST OPTION YEAR: 01 OCT 12 THRU 30
          SEP 13.
          FOB: Destination
          PURCHASE REQUEST NUMBER: 0010056115




                                                           NET AMT




ITEM NO   SUPPLIES/SERVICES     QUANTITY       UNIT         UNIT PRICE                    AMOUNT
1004
OPTION    CONTRACTOR MANPOWER REPORTING
          FFP
          FOB: Destination




                                                           NET AMT
                                                                        W81K00-11-T-0301

                                                                              Page 7 of 35

ITEM NO   SUPPLIES/SERVICES    QUANTITY        UNIT       UNIT PRICE                  AMOUNT
2001                              4           Quarter
                                              (Time)
OPTION    MRI LEONARDO SERVICE/MAINTENANCE
          FFP
          NON-PERSONAL SERVICE--CONTRACTOR SHALL PROVIDE ALL
          NECESSARY LABOR, PARTS AND MATERIAL FOR ANNUAL
          SERVICE/MAINTENANCE ON THE MRI LEONARDO SPECTRIS SOLARIS
          INJECTOR, SN#30696 ECN #1937. SECOND OPTION YEAR: 01 OCT 13
          THRU 30 SEP 14.
          FOB: Destination
          PURCHASE REQUEST NUMBER: 0010056115




                                                          NET AMT




ITEM NO   SUPPLIES/SERVICES    QUANTITY       UNIT         UNIT PRICE                 AMOUNT
2002                              4          Quarter
                                             (Time)
OPTION    MRI VERIO SERVICE/MAINTENANCE
          FFP
          NON-PERSONAL SERVICE--CONTRACTOR SHALL PROVIDE ALL
          NECESSARY LABOR, PARTS AND MATERIAL FOR
          ANNUALSERVICE/MAINTENANCE ON THE MRI VERIO SPECTRIS
          SOLARIS INJECTOR, DCS-SMRS, SN # 44569, ECN#27288. SECOND
          OPTION YEAR: 01 OCT 13 THRU 30 SEP 14.
          FOB: Destination
          PURCHASE REQUEST NUMBER: 0010056115




                                                          NET AMT
                                                                            W81K00-11-T-0301

                                                                                  Page 8 of 35

ITEM NO     SUPPLIES/SERVICES    QUANTITY        UNIT         UNIT PRICE                  AMOUNT
2003                                4           Quarter
                                                (Time)
OPTION      CT STELLANT D SERVICE/MAINTENANCE
            FFP
            NON-PERSONAL SERVICE--CONTRACTOR SHALL PROVIDE ALL
            NECESSARY LABOR, PARTS AND MATERIAL FOR ANNUAL
            SERVICE/MAINTENANCE ON THE CT STELLANT D INJECTOR, DCS-
            SCTD, SN#27982, ECN#12733. SECOND OPTION YEAR: 01 OCT 13 THRU
            30 SEP 14.
            FOB: Destination
            PURCHASE REQUEST NUMBER: 0010056115




                                                            NET AMT




ITEM NO     SUPPLIES/SERVICES    QUANTITY       UNIT         UNIT PRICE                   AMOUNT
2004
OPTION      CONTRACTOR MANPOWER REPORTING
            FFP
            FOB: Destination




                                                            NET AMT




     DELIVERY INFORMATION

     CLIN    DELIVERY DATE         QUANTITY       SHIP TO ADDRESS                  UIC
                                                                                 W81K00-11-T-0301

                                                                                       Page 9 of 35

0001       POP 01-OCT-2011 TO      N/A               FORT HOOD                          W45XTR
           30-SEP-2012                               .
                                                     US ARMY MEDDAC
                                                     MEDICAL SUPPLY OFF DACH
                                                     BLDG 36000 RM 0002
                                                     FORT HOOD TX 76544-5063
                                                     738-8765
                                                     FOB: Destination

0002       POP 01-OCT-2011 TO      N/A               (SAME AS PREVIOUS LOCATION)        W45XTR
           30-SEP-2012                               FOB: Destination

0003       POP 01-OCT-2011 TO      N/A               (SAME AS PREVIOUS LOCATION)        W45XTR
           30-SEP-2012                               FOB: Destination

0004       POP 01-OCT-2011 TO      N/A               (SAME AS PREVIOUS LOCATION)        W45XTR
           30-SEP-2012                               FOB: Destination

1001       POP 01-OCT-2012 TO      N/A               (SAME AS PREVIOUS LOCATION)        W45XTR
           30-SEP-2013                               FOB: Destination

1002       POP 01-OCT-2012 TO      N/A               (SAME AS PREVIOUS LOCATION)        W45XTR
           30-SEP-2013                               FOB: Destination

1003       POP 01-OCT-2012 TO      N/A               (SAME AS PREVIOUS LOCATION)        W45XTR
           30-SEP-2013                               FOB: Destination

1004       POP 01-OCT-2012 TO      N/A               (SAME AS PREVIOUS LOCATION)        W45XTR
           30-SEP-2013                               FOB: Destination

2001       POP 01-OCT-2013 TO      N/A               (SAME AS PREVIOUS LOCATION)        W45XTR
           30-SEP-2014                               FOB: Destination

2002       POP 01-OCT-2013 TO      N/A               (SAME AS PREVIOUS LOCATION)        W45XTR
           30-SEP-2014                               FOB: Destination

2003       POP 01-OCT-2013 TO      N/A               (SAME AS PREVIOUS LOCATION)        W45XTR
           30-SEP-2014                               FOB: Destination

2004       POP 01-OCT-2013 TO      N/A               (SAME AS PREVIOUS LOCATION)        W45XTR
           30-SEP-2014                               FOB: Destination




CLAUSES INCORPORATED BY REFERENCE


52.212-4            Contract Terms and Conditions--Commercial Items   JUN 2010



CLAUSES INCORPORATED BY FULL TEXT
                                                                                                    W81K00-11-T-0301

                                                                                                           Page 10 of 35




ADDENDUM TO 52.212-4

(u) The non-FAR Part 12 discretionary FAR, DFARS, AFARS, and LOCAL clauses included herein are
incorporated into this contract either by reference or in full text. If incorporated by reference, see clause 52.252-2
herein for locations where full text can be found.




CLAUSES INCORPORATED BY REFERENCE


52.204-9              Personal Identity Verification of Contractor Personnel       JAN 2011
52.204-10             Reporting Executive Compensation and First-Tier SubcontractJUL 2010
                      Awards
52.209-6              Protecting the Government's Interest When Subcontracting     DEC 2010
                      With Contractors Debarred, Suspended, or Proposed for
                      Debarment
52.222-3              Convict Labor                                                JUN 2003
52.222-19             Child Labor -- Cooperation with Authorities and Remedies     JUL 2010
52.222-21             Prohibition Of Segregated Facilities                         FEB 1999
52.222-26             Equal Opportunity                                            MAR 2007
52.222-36             Affirmative Action For Workers With Disabilities             OCT 2010
52.222-43             Fair Labor Standards Act And Service Contract Act - Price SEP 2009
                      Adjustment (Multiple Year And Option)
52.222-50             Combating Trafficking in Persons                             FEB 2009
52.222-51             Exemption from Application of the Service Contract act to    NOV 2007
                      Contracts for Maintenance, Calibration, or Repair of Certain
                      Equipment--Requirements
52.223-18             Encouraging Contractor Policies To Ban Text Messaging        AUG 2011
                      While Driving
52.225-13             Restrictions on Certain Foreign Purchases                    JUN 2008
52.232-18             Availability Of Funds                                        APR 1984
52.232-33             Payment by Electronic Funds Transfer--Central Contractor     OCT 2003
                      Registration
52.233-3              Protest After Award                                          AUG 1996
52.233-4              Applicable Law for Breach of Contract Claim                  OCT 2004
252.201-7000          Contracting Officer's Representative                         DEC 1991
252.203-7000          Requirements Relating to Compensation of Former DoD          JAN 2009
                      Officials
252.203-7002          Requirement to Inform Employees of Whistleblower Rights JAN 2009
252.204-7000          Disclosure Of Information                                    DEC 1991
252.204-7003          Control Of Government Personnel Work Product                 APR 1992
252.204-7008          Export-Controlled Items                                      APR 2010
252.232-7003          Electronic Submission of Payment Requests and Receiving MAR 2008
                      Reports
252.232-7010          Levies on Contract Payments                                  DEC 2006
252.243-7001          Pricing Of Contract Modifications                            DEC 1991
                                                                                                     W81K00-11-T-0301

                                                                                                            Page 11 of 35




CLAUSES INCORPORATED BY FULL TEXT


52.217-8      OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the
contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary
of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder
shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor
within 15 days of contract expiration date.

(End of clause)




CLAUSES INCORPORATED BY FULL TEXT


52.217-9      OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 15 days of the
end of the period of performance; provided that the Government gives the Contractor a preliminary written notice of
its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the
Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 36
months.

(End of clause)



CLAUSES INCORPORATED BY FULL TEXT


52.252-2      CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses 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://farsite.hill.af.mil


(End of clause)
                                                                                                 W81K00-11-T-0301

                                                                                                       Page 12 of 35

52.252-6    AUTHORIZED DEVIATIONS IN CLAUSES (APR 1984)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an
authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this solicitation or contract of any DoD FAR Supplement (48 CFR Chapter 2) clause with an
authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

(End of clause)



252.212-7001 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR
EXECUTIVE ORDERS APPLICABLE TO DEFENSE ACQUISITIONS OF COMMERCIAL ITEMS (DEC 2010)
(DEVIATION)

(a) In addition to the clauses listed in paragraph (b) of the Contract Terms and Conditions Required to Implement
Statutes or Executive Orders--Commercial Items clause of this contract (FAR 52.212-5) (OCT 2010)
(DEVIATION), the Contractor shall include the terms of the following clause, if applicable, in subcontracts for
commercial items or commercial components, awarded at any tier under this contract:

           252.237-7010            Prohibition on Interrogation of Detainees by Contractor Personnel
                                   (NOV 2010) (Section 1038 of Pub. L. 111-84).
           252.237-7019            Training for Contractor Personnel Interacting with Detainees (SEP
                                   2006) (Section 1092 of Pub. L. 108-375).
           252.247-7003            Pass-Through of Motor Carrier Fuel Surcharge Adjustment to the Cost
                                   Bearer (JUL 2009) (Section 884 of Public Law 110-417)
           252.247-7023            Transportation of Supplies by Sea (MAY 2002) (10 U.S.C. 2631)
           252.247-7024            Notification of Transportation of Supplies by Sea (MAR 2000) (10
                                   U.S.C. 2631)

(End of clause)




WIDE AREA WORKFLOW (WAWF) ARMY ELECTRONIC INVOICING INSTRUCTIONS

                  Electronic Submission of Payment Request


Contractor shall submit payment request using the following method as mutually agreed to by the Contractor, the
Contracting Officer, the contract administration office, and the payment office.

_X__ Wide Area Workflow –Receipt and Acceptance (WAWF-RA) (see instructions below)
                          WAWF customer svc phone: 1 (801) 605-7095

___ Web Invoicing System (WInS)

___ American National Standards Institute (ANSI) X.12 electronic data interchange (EDI) formats

___ Other (please specify)____________________________________

DFAS POC and Phone: DFAS/INDY VP GFEBS, Customer Service (888) 332-7366 Opt 2 Opt 2
                                                                                            W81K00-11-T-0301

                                                                                                   Page 13 of 35

Paying Office code: HQ0490        Office Hrs: 07:30am/eastern to 4:30 pm/eastern.
Fax#877-701-5069

WAWF-RA is the method to electronically process vendor request for payment. This application allows DOD
vendors to submit and track Invoices and Receipt/Acceptance documents electronically. Contractor electing to use
WAWF-RA shall (i) register to use WAWF-RA at https://wawf.eb.mil and (ii) ensure an electronic business point of
contract (POC) is designated in the Central Contractor Registration site at http://www.ccr.gov within ten (10)
calendar days after award of this contract/order.

WAWF- RA Instructions

Questions concerning payments should be directed to the Defense Finance and Accounting Service (Block 18a of
your purchase order/contract) at

DFAS – INDY VP GFEBS (HQ0490)
8899 E 56th STREET
INDIANAPOLIS IN 46249-3800
TEL: (801) 605-7095                          PAYMENT OFFICE FISCAL STATION CODE: 021001

Please have your purchase order/contract number ready when calling about payments.

You can easily access payment and receipt information using the DFAS web site at
http://www.dfas.mil/money/vendor. Your purchase order/contract number or invoice number will be required to
inquire status of your payment.

The following codes and information will be required to assure successful flow of WAWF-RA documents.

TYPE OF DOCUMENT [X the appropriate block]

___ Commercial Item Financing

___ Construction Invoice (Contractor Only)

___ Invoice (Contractor Only)

___ Invoice and Receiving Report (COMBO)

_X__ Invoice as 2-in-1 (Services Only)

___ Performance Based Payment (Government Only)

___ Progress Payment (Government Only)

___ Cost Voucher (Government Only)


___ Receiving Report (Government Only)

___ Receiving Report With UID Data (Government Only)

___ Summary Cost Voucher (Government Only)

        CAGE CODE:       [Enter Contractor Cage Code here] _______
                                                                                                   W81K00-11-T-0301

                                                                                                          Page 14 of 35

         ISSUE BY DODAAC: [Enter Contracting Office DODAAC here] W81K00

         ADMIN BY DODAAC: [Enter office administering contract here] W81K00

         INSPECT BY DODAAC: [Enter Inspector’s DODAAC here if applicable] _______

         ACCEPT BY DODAAC: [Enter Acceptor’s DODAAC here if applicable] _______

         SHIP TO DODAAC: [Enter Ship to DODAAC(s) here] _______

         LOCAL PROCESSING OFFICE DODDAC: [Enter LPO DODAAC here if applicable]
                                        _____________________________

         PAYMENT OFFICE FISCAL STATION CODE: [Enter Fiscal Station CODE] 021001

         Paying Office: HQ0490 DFAS/INDY

         EMAIL POINTS OF CONTACT LISTING: (Use Group e-mail accounts if applicable)

         INSPECTOR: [Enter Inspector’s email address here] _______

         ACCEPTOR: [Enter Acceptor’s email address here] _______

         RECEIVING OFFICE POC: [Enter receiving office POC email address here]
                             _______

         CONTRACT ADMINISTRATOR: JO.COLLINS2@AMEDD.ARMY.MIL

         CONTRACTING OFFICER: MELISSA.OLIVA@AMEDD.ARMY.MIL

         ADDITIONAL CONTACT: [Enter email address(es) here] _________________________

         For more information contact: JO COLLINS, 210-221-3365


                                              (End of clause)


END OF ADDENDUM TO FAR 52.212-4




52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR
EXECUTIVE ORDERS--COMMERCIAL ITEMS (AUG 2011) (DEVIATION)

(a) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph
(a) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and
does not contain the clause at 52.215-2, Audit and Records-Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall
have access to and right to examine any of the Contractor's directly pertinent records involving transactions related to
this contract.
                                                                                                   W81K00-11-T-0301

                                                                                                           Page 15 of 35

(2) The Contractor shall make available at its offices at all reasonable times, the records, materials, and other
evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any
shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If
this contract is completely or partially terminated, the records relating to the work terminated shall be made available
for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to
litigation or the settlement of claims arising under or relating to this contract shall be made available until such
appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data,
regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that
the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(b)(1) Notwithstanding the requirements of any other clause in this contract, the Contractor is not required to flow
down any FAR clause, other than those in this paragraph (b)(i) in a subcontract for commercial items. Unless
otherwise indicated below, the extent of the flow down shall be as required by the clause-

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (APR 2010) (Pub. L. 110-252, Title VI, Chapter 1
(41 U.S.C. 251 note).

(ii) 52.219-8, Utilization of Small Business Concerns (DEC 2010) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts
that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns)
exceeds $650,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in
lower tier subcontracts that offer subcontracting opportunities.

(iii) Reserved.

(iv) 52.222-26, Equal Opportunity (MAR 2007) (E.O. 11246).

(v) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible
Veterans (SEP 2006) (38 U.S.C. 4212).

(vi) 52.222-36, Affirmative Action for Workers with Disabilities (JUN 1998) (29 U.S.C. 793).

(vii) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (DEC 2010) (E.O. 13496).
Flow down required in accordance with paragraph (f) of FAR clause 52.222-40.

(viii) 52.222-41, Service Contract Act of 1965 (Nov 2007) (41 U.S.C. 351, et seq.).

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

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

(x) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration,
or Repair of Certain Equipment--Requirements (Nov 2007) (41 U.S.C. 351, et seq.).

(xi) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services--
Requirements (FEB 2009) (41 U.S.C. 351, et seq.).

(xii) 52.222-54, Employment Eligibility Verification (JAN 2009).

(xiii) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations. (MAR 2009) (Pub. L. 110-247). Flow
down required in accordance with paragraph (e) of FAR clause 52.226-6.
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                                                                                                        Page 16 of 35

(xiv) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (FEB 2006) (46 U.S.C. Appx
1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the contractor may include in its subcontracts for commercial items a minimal number of
additional clauses necessary to satisfy its contractual obligations.

(End of clause)



PERFORMANCE WORK STATEMENT
PERFORMANCE WORK STATEMENT

1. General:
   Non-personal service--Contractor shall provide scheduled and unscheduled maintenance to include parts, labor on
   the MEDRAD injector equipment located at C.R. Darnall Army Medical Center (CRDAMC), Fort Hood, Texas,
   76544.
2. Scope of Work:
   The contractor shall provide all necessary trained experienced personnel, labor, tools, diagnostic equipment and
   software, material, supplies, transportation, parts and equipment, excluding expendable items to perform repair
   support of the MEDRAD injector equipment. The maintenance agreement shall consist of replacement and repair
   of equipment and two preventive maintenance services of the MEDRAD injector equipment. Telephonic technical
   support provided 8-5 Monday through Friday 800-633-7231.
   2.1. Normal Duty Hours: Monday through Friday 7:30 am. to 4:30 p.m., excluding national holidays and
   weekends.
   2.2. Contractor shall report or telephonically notify the Medical Maintenance Branch Contracting Officer’s
   Representative or Alternate Contracting Officer’s Representative, (254) 288-8810/8811 CRDAMC Bldg 36000
   Room 0004.
   2.3. After Duty Hours: Contractor shall report to the Administrative Officer of the Day (AOD) at the front desk of
   the hospital to be escorted to the appropriate work area.
3. Personnel Qualifications:
   The contractor shall provide documentation that the field service technicians are qualified and manufacture
   trained on the MEDRAD injector equipment. In addition to this training, the technicians must have proof of two
   years of working experience, effective with the current date. The contractor prior to service commencing shall
   present documented proof of successful completion of such training.
4. Contract Representative (POC).
   The contractor shall provide in writing on the contract start date, the name and telephone number of a primary and
   alternate individual to act as their representative to be responsible for the coordination of the contract with the
   government. The contractor’s designated representative shall be the point of contact with the government and
   shall have the authority to act or make decisions for the contractor on all matters pertaining to the contract. The
   Medical Maintenance Branch Contracting Officer’s Representative or Alternate Contracting Officer’s
   Representative shall be notified in writing within 72 hours, whenever changes are made.
5. Quality Control:
   5.l. The contractor shall establish and maintain a Quality Control Plan to ensure that the quality of service and
   material provided meet or exceed the specifications, terms and conditions of the contract. All repairs or
   modifications that are made shall be in compliance with the manufacturer’s specification and Food and Drug
   Administration guidance.
   5.2. The government will establish and maintain a Quality Assurance Plan to ensure that the quality of service is
   being provided and meet and exceed the specifications, terms and conditions of the contract.
6. Definitions:
   6.1. Scheduled Maintenance: The scheduled care and servicing of equipment for the purpose of the equipment in
   a serviceable condition in accordance with the manufacturer’s specifications.
   6.2. Unscheduled Maintenance: Repair action necessary to return the equipment to a totally operational condition
   as it was designed to operate in accordance with the manufacturer’s specifications.
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   6.3. Quality Control Plan: The contractors’ written plan describes how he will ensure the performance of the
   services required by the contract are met or exceeded. At a minimum, the contractor’s Quality Control Plan will
   include:
   1. Method for acquiring acceptable replacement parts.
   2. Inspection intervals and a copy of the checklist to be used by the contractors QA Inspector.
   6.4. Replacement Part: A component or module of the existing system or approved upgraded/modified system
   requiring replacement through a fault developed through normal use or normal wear and tear. Replacement parts
   do not include consumable supplies. Replacement parts include components that are installed solely for cosmetic
   appearance i.e. cowlings, molding, keyboard keypads (when the key designation is work off), etc.
   6.5. OEM: Original Equipment Manufacturer.
7. Government Furnished Services:
   7.1. Equipment: The equipment covered under this contract will be made available to the contractor for the
   purpose of scheduled or unscheduled service. The contractor shall obtain Medical Maintenance Branch
   Contracting Officer’s Representative or Alternate Contracting Officer’s Representative approval for the time and
   duration of the service to be conducted and shipping instructions if necessary and warranted.
   7.2. Property: The contractor shall not use property provided by the government for any purpose other than in the
   performance of this contract.
   7.3. Utilities: Reasonable amounts of electric power and other utilities will be provided to the contractor to
   perform required services. The contractor is responsible for conserving utilities while working in the installation.
   7.4. Contractor Furnished: Only the property and services referenced in paragraph 7.1 and 7.2 will be provided to
   the contractor to perform required services. All other property and services required in the performance of this
   contract shall be furnished by the contractor. For example:
   7.4.1. Tools
   7.4.2. Test equipment
   7.4.3. Current service manuals with guaranteed ability to provide product updates, guaranteed to provide factory
   mandated instrument modifications, schematics, wiring diagrams and troubleshooting guides (failure to provide
   product updates or factory mandated modifications is grounds for contract termination).
   7.4.4. All other items necessary to perform service such as common hardware, connectors, tubing and etc.
8. Replacement Parts:
   The contractor shall have ready access to unique and/or high mortality replacement parts. All parts supplies shall
   be compatible with the MEDRAD injector equipment.
   8.1. All replacement parts shall become the property of the government and the replaced malfunctioning part shall
   become the property of the contractor.
   8.2. Freight, postage and storage charges associated with shipment and receipt of replacement parts and the return
   of work or defective parts shall be the responsibility of the contractor.
   8.3. The contractor shall use only new or reconditioned parts for which the quality is equal to or better than the
   Original Equipment Manufacturer (OEM’s) original part. Any parts provided by the contractors that are
   considered by the OEM to be substandard may be replaced at the contractor’s cost. When discrepancies occur, the
   Medical Maintenance Branch Contracting Officer’s Representative or Alternate Contracting Officer’s
   Representative will make the final determination about whether a replacement part is of equal or better quality.
   8.4. The contractor shall provide all replacements and service necessary to restore the equipment to 100%
   operational condition as specified by the OEM.
9. Coordination for scheduled and unscheduled services:
   Preventive maintenance shall be performed in accordance with the manufacturer’s specifications during the
   specified month. The contractor shall coordinate 15 days in advance with the Medical Maintenance Branch
   Contracting Officer’s Representative or Alternate Contracting Officer’s Representative, (254) 288-8810/8811 for
   preventive maintenance, certification, and calibration. The service technician shall provide online/internet support
   (IF APPLICABLE) within twenty-four (24) hours of notification. Government request for remedial repairs will be
   placed telephonically by the Medical Maintenance Branch Contracting Officer’s Representative or Alternate
   Contracting Officer’s Representative or his/her designated representative to the contractor’s POC. The
   contractor’s response to requests for remedial repairs may include a telephone consultation between the
   equipment user/operator or Government’s Service Technician and a contractor’s FSE. The purpose of this
   telephone consultation shall be:
   9.1. To determine the most likely cause of the problem.
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   9.2. To determine if resolution of the problem requires the dispatch of a FSE once determination has been made
   that a contractor’s FSE is required on site. The contractor’s FSE shall have 48 hours to be on-site from the time of
   notification by the Medical Maintenance Branch Contracting Officer’s Representative or Alternate Contracting
   Officer’s Representative to the contractor and restored fully operational within 72 hours.
   9.3. To identify replacement parts if any likely to be required in order to return the equipment to 100%
   operational condition as specified by the OEM.
   9.4. The Government and the contractor will exchange hazard communication information before the
   commencement of any repair.
   9.5. When required, the contractor will comply with the OSHA lockout/tagout standard while performing
   maintenance on electrical equipment.
10. Scheduled/Unscheduled Maintenance documentation:
      All scheduled and unscheduled maintenance shall be documented on a service report. This form will be
      furnished upon completion of service within five working days to the Medical Maintenance Branch Contracting
      Officer’s Representative karan.bilyeu@amedd.army.mil or Alternate Contracting Officer’s Representative via
      email or fax 254-287-7690.
  10.1 Service Reports:
      The contractor shall prepare a service report for each job performed. During duty hours, the service reports
      will be authenticated with the Medical Maintenance Branch Medical Maintenance Branch Contracting Officer’s
      Representative or Alternate Contracting Officer’s Representative during normal duty hours and with the AOD
      after normal duty hours. The service reports shall include the following information as a minimum:
     1. Government contract number
     2. Equipment identification data
     3. System nomenclature, room number, location, model and serial number
     4. Purpose of service (scheduled service or unscheduled service call)
     5. Start date/time and completion date/time
     6. Description of defect and corrective action taken
     7. List of parts and cost. Total cost of service to include labor and parts
     8. Explanations of any deferred or delayed repair action with an
        estimated get well date.
   10.2. Calibration Documentation; All calibration services shall be documented by the contractor on the service
   report and a DD 2163 Calibration/Verification Certification label is attached to the medication management
   system if needed. The verification shall be affixed to the units with the service date, initials and date next service
   due annotated. If the contractor does not have labels, the medical maintenance shop will furnish the government
   form DD 2163 Verification/Certification.
   10.3. Maintenance Logs: A maintenance log will be maintained with the service technician for the system. The log
   will be documented for any service performed. The log will remain on-site with the system.
   10.4. Scheduled Maintenance documentation: All scheduled maintenance shall be documented on a service
   contract. This form will be furnished upon completion of service to the Medical Maintenance Branch Contracting
   Officer’s Representative or Alternate Contracting Officer’s Representative.
11. Equipment Modification/Alteration/Upgrades:
   11.1. The contractor shall perform/incorporate only OEM specified modifications, alterations, and upgrades.
   Approval shall be obtained from the Medical Maintenance Branch Contracting Officer’s Representative or
   Alternate Contracting Officer’s Representative prior to the contractor’s installation of the modification, alteration,
   or upgrade.
   11.2. The contractor shall perform or cause to be performed all OEM field
   modifications and safety alert inspections.
   11.3. The contractor shall maintain contact with the OEM to determine the requirement for field modifications
and to ensure accomplishment of these field modifications are in accordance with the time schedule set forth by the
OEM.
   11.4. The contractor will make known to the Medical Maintenance Branch Contracting Officer’s Representative
   or Alternate Contracting Officer’s Representative of minor or routine OEM software upgrades when they become
   available by the manufacturer.
  11.5. Hardware and software changes not supported by the OEM are not authorized.
12. Contractor Reporting Requirements:
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                                                                                                         Page 19 of 35

   During normal duty hours, the contractor’s FSE shall notify the Medical Maintenance Branch Contracting
   Officer’s Representative or Alternate Contracting Officer’s Representative in person upon arrival at the
   government site and again prior to departure. Contractor representative shall sign in and out at the Medical
   Maintenance Branch, room 0004, basement, Building 36000. The contractor is not authorized to perform services
   beyond the normal duty hours without prior estimate of services to be performed and authorization from the
   Contracting Officer’s Representative or Alternate Contracting Officer’s Representative. In the event that the
   contractor performs service beyond the normal duty hours, he shall sign-in and out with the Administrative
   Officer of the Day (AOD) at the information desk located on the main floor in the front lobby.
13. Repair Parts:
   All repair parts shall meet exact manufacturer’s specifications and be the most current revision level. All parts
   shall be new or remanufactured by the manufacturer of the instruments.
14. Services beyond the scope of the performance work statement:
   The contractor shall immediately, but not later than 24 consecutive hours after discovery, notify the Medical
   Maintenance Branch Contracting Officer’s Representative or Alternate Contracting Officer’s Representative (in
   writing) of the existence or development of any defects in/or repairs required to the equipment covered under this
   contract especially which the contractor considers they are not responsible under the terms of the contract. At the
   same time of the notification, the contractor shall furnish the Medical Maintenance Branch Contracting Officer’s
   Representative or Alternate Contracting Officer’s Representative with a written estimate of the cost to make the
   necessary repairs.
15. Conduct of Personnel:
   The Medical Maintenance Branch Contracting Officer’s Representative or Alternate Contracting Officer’s
   Representative may require the Contractor to remove from the job site any employee working under this contract
   for reasons of misconduct, security, or found to be or suspected to be under the influence of alcohol, drugs or
   other incapacitating agent. Contractor employees shall be subject to dismissal from the premises upon
   determination by the Medical Maintenance Branch Contracting Officer’s Representative or Alternate Contracting
   Officer’s Representative that such action is necessary and in the interest of the Government. In accordance with
   applicable directives and 18 U.S.C. 1382 (1972), the Installation Commander has the authority to bar individuals
   from the installation. The removal from the job site or dismissal from the premises shall not relieve the contractor
   of the requirement to provide sufficient personnel to perform the services as required by this work statement.
16. Security Requirements:
  16.1. Contractor personnel or any representative of the contractor entering Fort Hood Army Installation shall abide
  by all security regulations and shall be subject to security checks.
  16.2. Contractor personnel and property shall be subject to search and seizure upon entering the confines of Fort
  Hood Army Installation and while on the installation in accordance with AR 190-13 (The Army Physical Security
  Program).
17. Identification Badge:
  Contractor personnel shall wear a vendor identification badge at all times when performing services at the
  Government site. Identification badges shall be worn in a clearly visible area of the Field Service Engineers
  (FSE’s) outer garment. The badge will be furnished at the Medical Maintenance Branch during duty hours and by
  the Administrative Officer of the Day (AOD) after duty hours.
18. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP) for –
  Non Personal maintenance services for the MEDRAD injector equipment located at CRDAMC

   ECN 5698 SN # 30696
   ECN 18729 SN # 27982
   ECN 29934 SN # 44569

 The following minimum Quality Assurance Surveillance Plan applies. The Government may modify
 inspection methods in accordance with site specific requirements

PERFORMANCE OBJECTIVE              PERFORMANCE                       REF PWS                     METHOD OF
                                   STANDARD                                                      ASSESSMENT
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                                                                                                         Page 20 of 35

Provide documentation that          Comply 100% of the time                     3.0               COR Maintain File
field service technicians are
qualified and manufacture
trained on the Amega
Laboratory System.
All scheduled and unscheduled       Comply 100% of the time                     10.0              COR Maintain File
maintenance shall be
documented on a service report
which is submitted to the COR
W/I five working days of
service completion.
Perform/incorporate only OEM        Comply 100% of the time                     11.0              COR maintain log
specified modifications,
alterations and upgrades to the
system.

STANDARD            MEASUREMENT            PAST PERFORMANCE ASSESSMENT
99% to 100%         Excellent              Document Past Performance
96% to 98%          Very Good              Assessment Report, paying
95%                 Satisfactory           particular attention to
91% to 94%          Marginal               performance that exceeds
90% or Less         Unsatisfactory         the standard


CONTRACTOR MANAGEMENT REPORTING (CMR)
"ACCOUNTING FOR CONTRACT SERVICES-The Office of the Assistant Secretary of the Army (Manpower &
Reserve Affairs) operates and maintains a secure Army data collection site where the contractor will report ALL
contractor manpower (including subcontractor manpower) required for performance of this contract. The contractor
is required to completely fill in all the information in the format using the following web address
―https://cmra.army.mil.‖ The required information includes: (1) Contracting Office, Contracting Officer,
Contracting Officer’s Technical Representative; (2) Contract number, including task and delivery order number; (3)
Beginning and ending dates covered by reporting period; (4) Contractor name, address, phone number, e-mail
address, identity of contractor employee entering data; (5) Estimated direct labor hours (including sub-contractor);
(6) Estimated direct labor dollars paid this reporting period (including sub-contractor); (7) Total payments
(including sub-contractor); (8) Predominant Federal Service Code (FSC) reflecting services provided by contractor
(and separate predominant FSC for each sub-contractor if different); (9) Organizational title associated with the Unit
Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing
the contractor with its UIC for the purposes of reporting this information); (10) Locations where contractor and sub-
contractors perform the work (specified by zip code in the United States and nearest City, Country, when in an
overseas location, using standardized nomenclature provided on website); (11) Presence of deployment or
contingency contract language, and, (12) Number of contractor and sub-contractor employees deployed in theater
this reporting period (by country). (13) As part of its submission, the contractor will also provide the estimated total
cost (if any) incurred to comply with this reporting requirement. Reporting period will be the period of performance
not to exceed 12 months ending September 30 of each government fiscal year and must be reported by 31 October of
each calendar year. The contractor shall notify the Contracting Officer’s Representative (COR) by the 5th working
day of November whether or not they have completed this report. If the COR is unavailable, the contractor will
notify the Contracting Officer."


(END OF PWS)
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                                                                                                             Page 21 of 35


CLAUSES INCORPORATED BY REFERENCE


52.212-1                Instructions to Offerors--Commercial Items                      JUN 2008


CLAUSES INCORPORATED BY FULL TEXT


ADDENDUM TO 52.212-1

 (m) The non-FAR Part 12 discretionary FAR, DFARS, AFARS, and LOCAL provisions included herein are
incorporated into this solicitation either by reference or in full text. If incorporated by reference, see provision
52.252-1 herein for locations where full text can be found.




CLAUSES INCORPORATED BY REFERENCE


52.225-25               Prohibition on Engaging in Sanctioned Activities Relating to SEP 2010
                        Iran--Certification.


CLAUSES INCORPORATED BY FULL TEXT


52.252-1      SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

This solicitation incorporates one or more solicitation 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. The offeror is
cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its
quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by
paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a
solicitation provision may be accessed electronically at this/these address(es):

http://farsite.hill.af.mil


(End of provision



52.252-5      AUTHORIZED DEVIATIONS IN PROVISIONS (APR 1984)

(a) The use in this solicitation of any Federal Acquisition Regulation (48 CFR Chapter 1) provision with an
authorized deviation is indicated by the addition of"(DEVIATION)" after the date of the provision.

(b) The use in this solicitation of any DoD FAR Supplement (48 CFR Chapter 2) provision with an authorized
deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.
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                                                                                                           Page 22 of 35

(End of provision)



52.212-2      EVALUATION--COMMERCIAL ITEMS (JAN 1999)

(a) See ADDENDUM TO 52.212-2

(b) 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)



ADDENDUM TO 52.212-2

Paragraph (a) is hereby replaced with the following:

     a. The Government will award a contract resulting from this solicitation to the responsible
quoter whose quote, conforming to the solicitation, is Lowest Priced, Technically Acceptable (LPTA). The
following factors will be used to evaluate quotes:

Technical acceptability and price

             1. Technical acceptability: Explain your firm’s capability, to include any processes currently in place,
           that will ensure the specifications identified in Performance Work Statement, are met. Statements that the
           offeror understands, can or will comply with all specifications, or statements paraphrasing the specification
           of parts thereof, or phrases such as ―standard procedures will be used‖ or ―well-known techniques will be
           used‖, will be considered insufficient.

           Candidate for this contract must:
               Must be factory trained in providing service on Analyzer Point of Care equipment.
               Must provide training certificate.
               Must have a minimum of two years experience in providing service on Medrad Injector equipment.

           2. Price.
                       Contractors must submit their proposals to the following address:

                       Great Plains Regional Contracting Office
                       MCCA-GP BAMC / Attn: Ms Jo A. Collins
                       3551 Roger Brooke Drive, L31-9V
                       Fort Sam Houston, TX 78234-6200

           Proposals must be submitted to the mailing address above; by fax: (210)221-3446, Attn: Jo Collins; or by
           email: jo.collins2@amedd.army.mil

Evaluation Process: All quotes will be evaluated on their price and technical acceptability. The award decision will
be based on the lowest priced technically acceptable quote.


(End of provision)
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                                                                                                         Page 23 of 35




52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (MAY 2011)
ALTERNATE I (APR 2011)


An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual representations
and certifications electronically at http://orca.bpn.gov. If an offeror has not completed the annual representations
and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (b) through (i) of
this provision.

(a) Definitions. As used in this provision:

"Emerging small business" means a small business concern whose size is no greater than 50 percent of the numerical
size standard for the NAICS code designated.

"Forced or indentured child labor" means all work or service-

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for
which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be
accomplished by process or penalties.

Inverted domestic corporation, as used in this section, means a foreign incorporated entity which is treated as an
inverted domestic corporation under 6 U.S.C. 395(b), i.e., a corporation that used to be incorporated in the United
States, or used to be a partnership in the United States, but now is incorporated in a foreign country, or is a
subsidiary whose parent corporation is incorporated in a foreign country, that meets the criteria specified in 6 U.S.C.
395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c). An inverted domestic corporation as
herein defined does not meet the definition of an inverted domestic corporation as defined by the Internal Revenue
Code at 26 U.S.C. 7874.

―Manufactured end product‖ means any end product in Federal Supply Classes (FSC) 1000-9999, except—

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

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

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

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

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

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

(8) FSC 9610, Ores;

(9) FSC 9620, Minerals, Natural and Synthetic; and
                                                                                                    W81K00-11-T-0301

                                                                                                            Page 24 of 35


(10) FSC 9630, Additive Metal Materials.

―Place of manufacture‖ means the place where an end product is assembled out of components, or otherwise made or
processed from raw materials into the finished product that is to be provided to the Government. If a product is
disassembled and reassembled, the place of reassembly is not the place of manufacture.

Restricted business operations means business operations in Sudan that include power production activities, mineral
extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the
Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include
business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment
Act of 2007) conducting the business can demonstrate--

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of
the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such
authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian
organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

Service-disabled veteran-owned small business concern--

(1) Means a small business concern--

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any
publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled
veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans
or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver
of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-
connected, as defined in 38 U.S.C. 101(16).

"Small business concern" means a concern, including its affiliates, that is independently owned and operated, not
dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business
under the criteria in 13 CFR Part 121 and size standards in this solicitation.

Subsidiary means an entity in which more than 50 percent of the entity is owned--

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

Veteran-owned small business concern means a small business concern--
                                                                                                       W81K00-11-T-0301

                                                                                                               Page 25 of 35


(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 small business concern" means a small business concern--

(1) That is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least
51 percent of its stock is owned by one or more women; or

(2) Whose management and daily business operations are controlled by one or more women.

"Women-owned business concern" means a concern which is at least 51 percent owned by one or more women; or in
the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women;
and whose management and daily business operations are controlled by one or more women.

(b) (1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this
provision do not automatically change the representations and certifications posted on the Online Representations
and Certifications Application (ORCA) website.

(2) The offeror has completed the annual representations and certifications electronically via the ORCA website at
http://orca.bpn.gov. After reviewing the ORCA database information, the offeror verifies by submission of this offer
that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations
and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate,
complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code
referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR
4.1201), except for paragraphs ----------.

(Offeror to identify the applicable paragraphs at (c) through (n) of this provision that the offeror has completed for
the purposes of this solicitation only, if any.)

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate,
and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the
representations and certifications posted on ORCA.]


(c) Offerors must complete the following representations when the resulting contract will be performed in the United
States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it ( ) is, ( ) is not a small business
concern.

(2) Veteran-owned small business concern. (Complete only if the offeror represented itself as a small business
concern in paragraph (c)(1) of this provision.) The offeror represents as part of its offer that it ( ) is, ( ) is not a
veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. (Complete only if the offeror represented itself as a
veteran-owned small business concern in paragraph (c)(2) of this provision.) The offeror represents as part of its
offer that it ( ) is, ( ) is not a service-disabled veteran-owned small business concern.
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(4) Small disadvantaged business concern. (Complete only if the offeror represented itself as a small business
concern in paragraph (c)(1) of this provision.) The offeror represents, for general statistical purposes, that it ( ) is, (
) is not a small disadvantaged business concern as defined in 13 CFR 124.1002.

(5) Women-owned small business concern. (Complete only if the offeror represented itself as a small business
concern in paragraph (c)(1) of this provision.) The offeror represents that it ( ) is, ( ) is not a women-owned small
business concern.

Note to paragraphs (c)(8) and (9): Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to
exceed the simplified acquisition threshold.

(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-
owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that--

(i) It * is, * is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to
the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its
eligibility; and

(ii) It ( ) is, ( ) is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation
in paragraph (c)(6)(i) of this provision is accurate in reference to the WOSB concern or concerns that are
participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern or concerns that
are participating in the joint venture: .] Each WOSB concern participating in the joint venture shall submit a separate
signed copy of the WOSB representation.

(7) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the offeror
represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.] The offeror
represents that--

(i) It ( ) is, ( ) is not an EDWOSB concern eligible under the WOSB Program, has provided all the required
documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that
affects its eligibility; and

(ii) It ( ) is, ( ) is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation
in paragraph (c)(7)(ii) of this provision is accurate in reference to the EDWOSB concern or concerns that are
participating in the joint venture. The offeror shall enter the name or names of the EDWOSB concern or
concerns that are participating in the joint venture: ------------. Each EDWOSB concern participating in the joint
venture shall submit a separate signed copy of the EDWOSB representation.

(8) Women-owned business concern (other than small business concern). (Complete only if the offeror is a women-
owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this
provision.) The offeror represents that it ( ) is, a women-owned business concern.

(9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may
identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror
or first-tier subcontractors) amount to more than 50 percent of the contract price:

_____________________________________________

(10) Small Business Size for the Small Business Competitiveness Demonstration Program and for the Targeted
Industry Categories under the Small Business Competitiveness Demonstration Program. (Complete only if the
offeror has represented itself to be a small business concern under the size standards for this solicitation.)
                                                                                                  W81K00-11-T-0301

                                                                                                         Page 27 of 35

(i) (Complete only for solicitations indicated in an addendum as being set-aside for emerging small businesses in one
of the designated industry groups (DIGs).) The offeror represents as part of its offer that it ( ) is, ( ) is not an
emerging small business.

(ii) (Complete only for solicitations indicated in an addendum as being for one of the targeted industry categories
(TICs) or designated industry groups (DIGs).) Offeror represents as follows:

(A) Offeror's number of employees for the past 12 months (check the Employees column if size standard stated in the
solicitation is expressed in terms of number of employees); or

(B) Offeror's average annual gross revenue for the last 3 fiscal years (check the Average Annual Gross Number of
Revenues column if size standard stated in the solicitation is expressed in terms of annual receipts).

(Check one of the following):

Average Annual

Number of Employees Gross Revenues

___ 50 or fewer ___ $1 million or less

___ 51 - 100 ___ $1,000,001 - $2 million

___ 101 - 250 ___ $2,000,001 - $3.5 million

___ 251 - 500 ___ $3,500,001 - $5 million

___ 501 - 750 ___ $5,000,001 - $10 million

___ 751 - 1,000 ___ $10,000,001 - $17 million

___ Over 1,000 ___ Over $17 million

(11) (Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment
for Small Disadvantaged Business Concerns or FAR 52.219-25, Small Disadvantaged Business Participation
Program-Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.)

(i) General. The offeror represents that either--

(A) It ( ) is, ( ) is not certified by the Small Business Administration as a small disadvantaged business concern and
identified, on the date of this representation, as a certified small disadvantaged business concern in the CCR
Dynamic Small Business Search Database maintained by the Small Business Administration, and that no material
change in disadvantaged ownership and control has occurred since its certification, and, where the concern is owned
by one or more individuals claiming disadvantaged status, the net worth of each individual upon whom the
certification is based does not exceed $750,000 after taking into account the applicable exclusions set forth at 13
CFR 124.104(c)(2); or

(B) It ( ) has, ( )( has not submitted a completed application to the Small Business Administration or a Private
Certifier to be certified as a small disadvantaged business concern in accordance with 13 CFR 124, Subpart B, and a
decision on that application is pending, and that no material change in disadvantaged ownership and control has
occurred since its application was submitted.

(ii) Joint Ventures under the Price Evaluation Adjustment for Small Disadvantaged Business Concerns. The offeror
represents, as part of its offer, that it is a joint venture that complies with the requirements in 13 CFR 124.1002(f)
                                                                                                    W81K00-11-T-0301

                                                                                                            Page 28 of 35

and that the representation in paragraph (c)(9)(i) of this provision is accurate for the small disadvantaged business
concern that is participating in the joint venture. (The offeror shall enter the name of the small disadvantaged
business concern that is participating in the joint venture: ____________.)


(12) Complete if the offeror has represented itself as disadvantaged in paragraph (c)(4) or (c)(10) of this provision.)

(The offeror shall check the category in which its ownership falls):

____Black American.

____Hispanic American.

____Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians).

____Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei,
Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, U.S. Trust Territory of the
Pacific Islands (Republic of Palau), Republic of the Marshall Islands, Federated States of Micronesia, the
Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu,
or Nauru).

____Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri
Lanka, Bhutan, the Maldives Islands, or Nepal).

____Individual/concern, other than one of the preceding.

(d) Certifications and representations required to implement provisions of Executive Order 11246--

(1) Previous Contracts and Compliance. The offeror represents that--

(i) It ( ) has, ( ) has not, participated in a previous contract or subcontract subject either to the Equal Opportunity
clause of this solicitation, the and

(ii) It ( ) has, ( ) has not, filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that--

(i) It ( ) has developed and has on file, ( ) has not developed and does not have on file, at each establishment,
affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR Subparts 60-1 and
60-2), or

(ii) It ( ) has not previously had contracts subject to the written affirmative action programs requirement of the rules
and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the
contract is expected to exceed $100,000.) 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.
                                                                                                    W81K00-11-T-0301

                                                                                                            Page 29 of 35

(f) Buy American Act--Balance of Payments Program Certificate. (Applies only if the clause at Federal Acquisition
Regulation (FAR) 52.225-1, Buy American Act--Balance of Payments Program--Supplies, is included in this
solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic
end product and that for other than COTS items, the offeror has considered components of unknown origin to have
been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those
end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that
is not a COTS item and does not meet the component test in paragraph (2) of the definition of ―domestic end
product.‖ The terms ―commercially available off-the-shelf (COTS) item,‖ ―component,‖ ―domestic end product,‖
―end product,‖ ―foreign end product,‖ and ―United States‖ are defined in the clause of this solicitation entitled ―Buy
American Act--Supplies.‖

(2) Foreign End Products:

     LINE ITEM NO.                                           COUNTRY OF ORIGIN




(List as necessary)

(3) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(g)
(1) Buy American Act -- Free Trade Agreements -- Israeli Trade Act Certificate. (Applies only if the clause at FAR
52.225-3, Buy American Act -- Free Trade Agreements -- Israeli Trade Act, is included in this solicitation.)

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, 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 Act-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, or Peruvian end products) or Israeli end products as defined in the clause of this
solicitation entitled ``Buy American Act--Free Trade Agreements--Israeli Trade Act'':

Free Trade Agreement Country End Products (Other than Bahrainian, Moroccan, Omani, or Peruvian End Products)
or Israeli End Products:

     LINE ITEM NO.                                           COUNTRY OF ORIGIN




[List as necessary]
                                                                                                      W81K00-11-T-0301

                                                                                                             Page 30 of 35

(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii)
or this provision) as defined in the clause of this solicitation entitled ―Buy American Act—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 Act—Free Trade Agreements—Israeli Trade Act Certificate, Alternate I (Jan 2004). 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 Act—Free Trade Agreements—Israeli Trade Act‖:

Canadian End Products:
Line Item No.:
___________________________________________
[List as necessary]

(3) Buy American Act—Free Trade Agreements—Israeli Trade Act Certificate, Alternate II (Jan 2004). 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 Act--Free Trade Agreements--Israeli Trade Act'':

Canadian or Israeli End Products:
    Line Item No.:                                           Country of Origin:




[List as necessary]

(4) 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)(4)(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
                                                                                                       W81K00-11-T-0301

                                                                                                              Page 31 of 35

   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 Act. 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; and

(2) ( ) Have, ( ) have not, within a three-year period preceding this offer, been convicted of or had a civil judgment
rendered against them for: Commission of fraud or a criminal offense in connection with obtaining, attempting to
obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state
antitrust statutes relating to the submission of offers; or Commission of embezzlement, theft, forgery, bribery,
falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or
receiving stolen property; and

(3) ( ) Are, ( ) are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with,
commission of any of these offenses enumerated in paragraph (h)(2) of this clause; and
(4) [ballot] Have, [ballot] have not, within a three-year period preceding this offer, been notified of any delinquent
Federal taxes in an amount that exceeds $3,000 for which the liability remains unsatisfied.

(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
                                                                                                       W81K00-11-T-0301

                                                                                                              Page 32 of 35

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). (The
Contracting Officer must list in paragraph (i)(1) any end products being acquired under this solicitation that are
included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, unless
excluded at 22.1503(b).)

(1) Listed End Product
                         Listed End Product                          Listed Countries of Origin:
                                                            
                                                            
                                                            

(2) Certification. (If the Contracting Officer has identified end products and countries of origin in paragraph (i)(1)
of this provision, then the offeror must certify to either (i)(2)(i) or (i)(2)(ii) by checking the appropriate block.)

( )(i) The offeror will not supply any end product listed in paragraph (i)(1) of this provision that was mined,
produced, or manufactured in the corresponding country as listed for that product.

( ) (ii) The offeror may supply an end product listed in paragraph (i)(1) of this provision that was mined, produced,
or manufactured in the corresponding country as listed for that product. The offeror certifies that is has made a good
faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture any
such end product furnished under this contract. On the basis of those efforts, the offeror certifies that it is not aware
of any such use of child labor.

(j) Place of manufacture. (Does not apply unless the solicitation is predominantly for the acquisition of
manufactured end products.) For statistical purposes only, the offeror shall indicate whether the place of manufacture
of the end products it expects to provide in response to this solicitation is predominantly—

(1) ( )In the United States (Check this box if the total anticipated price of offered end products manufactured in the
United States exceeds the total anticipated price of offered end products manufactured outside the United States); or

(2) ( ) Outside the United States.

(k) Certificates regarding exemptions from the application of the Service Contract Act. (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--
                                                                                                    W81K00-11-T-0301

                                                                                                           Page 33 of 35


(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 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 Act 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 a central contractor registration 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).
                                                                                                   W81K00-11-T-0301

                                                                                                          Page 34 of 35

( ) 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) Relation to Internal Revenue Code. An inverted domestic corporation as herein defined does not meet the
definition of an inverted domestic corporation as defined by the Internal Revenue Code 25 U.S.C. 7874.

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

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

(ii) It is not a subsidiary of an inverted domestic corporation.
                     W81K00-11-T-0301

                          Page 35 of 35


(End of provision)

				
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