American Embassy Kyiv

Date: 9.12.2008

# To: Prospective Quoters

Subject: Request for Quotations number SUP300-08-Q-0016

Enclosed is a Request for Quotations (RFQ) for ***Retail Price
Survey.*** If you would like to submit a quotation, follow the
instructions in Section 3 of the solicitation, complete the required
portions of the attached document, and submit it to the address shown on
the Standard Form 1449 that follows this letter.

The U.S. Government intends to award a contract/purchase order to the
responsible company submitting an acceptable quotation at the lowest
price. We intend to award a contract/purchase order based on initial
quotations, without holding discussions, although we may hold
discussions with companies in the competitive range if there is a need
to do so.

Quotations are due by ***9/25/2008.***.

Sincerely,

Russell Baum

Contracting Officer

Enclosure

#### TABLE OF CONTENTS

**Section 1 - The Schedule**

-   SF 18 or SF 1449 cover sheet

-   Continuation To SF-1449, RFQ Number SUP300-08-Q-0016 ***,*** Prices,
    Block 23

-   Continuation To SF-1449, RFQ Number SUP300-08-Q-0016 ***,***
    Schedule Of Supplies/Services, Block 20
    Description/Specifications/Work Statement

-   Attachment 1 to Description/Specifications/Statement of Work, Forms
    DS-2020 through DS-2027.

1 Full Cost of Living Survey (Form DS-2020 through DS-2025)

2 Hotel and Restaurant Report (Form DS-2026)

3 Embassy or Consulate Store Report (Form DS-2027)

### Section 2 - Contract Clauses

-   Contract Clauses

-   Addendum to Contract Clauses - FAR and DOSAR Clauses not Prescribed
    in Part 12

**Section 3 - Solicitation Provisions**

-   Solicitation Provisions

**Section 4 - Reserved**

**Section 5 - Representations and Certifications**

-   Offeror Representations and Certifications

-   Addendum to Offeror Representations and Certifications - FAR and
    DOSAR Provisions not Prescribed in Part 12

#### SECTION 1 - THE SCHEDULE

**CONTINUATION TO SF-1449, RFQ NUMBER SUP300-08-Q-0016, PRICES, BLOCK
23**

##### [SCOPE OF SERVICES]{.underline}

The contractor shall complete all work, including furnishing all labor,
material, transportation, equipment and services, required under this
contract for cost-of-living survey services within the time specified.
The price listed below shall include all labor, materials, overhead, and
profit. In consideration of satisfactory performance of all scheduled
services required under this contract, the Government will pay the
contractor a firm-fixed-price for performing the following survey(s):

[Line Item]{.underline} [Description]{.underline} [Price]{.underline}

\_\_\_\_\_\_\_\_\_

1 Full cost of living survey (Form DS-2020 through DS-2025)\
\_\_\_\_\_\_\_\_\_

2 Hotel and Restaurant Report (Form DS-2026) \_\_\_\_\_\_\_\_\_

3 Embassy or Consulate Store Report (Form DSP-2027) \_\_\_\_\_\_\_\_\_

Total: \_\_\_\_\_\_\_\_\_

(in Ukrainian hrivnas)

**CONTINUATION TO SF-1449, RFQ NUMBER SUP300-08-Q-0016, SCHEDULE OF
SUPPLIES/SERVICES, BLOCK 20 DESCRIPTION/SPECIFICATIONS/WORK STATEMENT**

The contractor shall perform the following survey(s). The contractor
shall be familiar with the local market, American norms, and be able to
read English well enough to follow the instructions provided below and
the forms required to complete the work.

\(1\) [IMPORTANCE OF RETAIL PRICE SURVEY (DS-2020 through
DS-2025)]{.underline}

The full Retail Price Schedule used to measure living cost differences
between locations abroad and Washington, D.C., serves as the basis for
determining:

-   Any \"post\" (cost-of-living) allowance for Federal civilian
    employees;

-   The U.S. Department of Defense cost-of-living allowances (COLA) for
    members of the Uniformed Services; and

-   Cost-of-living comparisons for American business firms and other
    organizations who maintain allowances for private Americans abroad.

[The Hotel and Restaurant Report (Form DS-2026)]{.underline}

The Hotel and Restaurant Report are used to maintain appropriate travel
per diem allowances for U.S. Government personnel (civilian and
uniformed services).

[The Embassy or Consulate Store Report (Form Ds-2027)]{.underline}

The Embassy or Consulate Store Report is used to report prices at
Embassy and Consulate Commissaries or Employee Association Stores. In
locations with such facilities, these prices are an integral part of
determining the cost-of-living.

\(2\) [PREPARATION FOR RETAIL PRICE SURVEY]{.underline}

This survey must accurately reflect foreign living costs for the average
American family. The index numbers computed from the survey are designed
to reflect costs for the average Washington, DC family living in the
foreign area. The contractor must be familiar with the retail outlets
and types of goods and services generally used by an average family.

\(3\) [BASIC SURVEY TECHNIQUES]{.underline}

The contractor shall personally visit the retail outlets covered in the
survey. In addition to personally inspecting the items and their prices,
it is important that the contractor meets the store or department
manager and obtains their cooperation, which is essential for a good
survey. Contractors shall identify themselves as working under contract
to the U.S. Mission and explain the reasons for the survey and its
importance to the American community. The contractor shall ask to
collect the information on his or her own. In a large store, the
contractor shall request the names of the managers of the various
departments.

The contractor shall gather specific information from each retail
source. The forms provide instructions for each section. In order to
accurately compare overseas costs with those in Washington, D.C., it is
important that the contractor follow these specifications as closely as
local conditions permit.

The contractor shall view the actual items rather than relying on an
inventory list from the store manager in order to judge the suitability
of individual items for American employees.

Sometimes it is necessary for contractors to pledge confidentiality or
to place other restrictions on the use of data they collect from a
specific retail establishment. Any such restrictions must be clearly
noted in an attachment to the survey report. This specific proprietary
information will not be subject to disclosure under the Freedom of
Information Act. This is an important point, as the ability of the
program to obtain objective and reliable price data hinges upon the
goodwill and cooperation of the retail merchants participating in the
survey.

\(4\) [SELECTION OF OUTLETS]{.underline}

The contractor shall identify the two most frequently used local retail
establishments at post for the various categories of retail products
(such as, beef, seafood, men's clothes) by tallying page two of the
individual **Living Pattern Questionnaires** completed by employees. The
contractor shall visit these retail establishments to collect
information on the corresponding goods and services. If an establishment
no longer carries a particular product, a substitute outlet that also is
popular among U.S. government and private personnel shall be chosen and
the information collected. The retail establishment must be available to
Government, military, and private personnel. Use the comments section of
the appropriate pages to fully explain why the substitution was
necessary.

\(5\) [SELECTION OF PRICES]{.underline}

The **Retail Price Schedule** lists the names of specific items and
sometimes, specific sizes and requests [The Typical Retail
Price]{.underline} for those items (such as, steak, apples, canned
vegetables (15-17 oz.)).

-   The items priced shall be as close as possible in quality to those
    found in the U.S.

-   If a survey item is available at more than one price and no size is
    specified on the package, report the price for the one that appears
    to be the closest to that requested in the DS-2020 through DS-2025.

-   If a requested size is not available, the closest equivalent size
    shall be selected.

-   If a requested item is not available at the retail outlet, a
    comparable item may be substituted but this substitution must be
    explained in the comments section of the appropriate page of the
    DS-2020 through DS-2025.

-   Embassy commissary prices shall be reported only on DS-2027.

For most survey items, the report also asks for substitute and economy
price items.

-   **The Substitute Price Item** represents the item most often
    purchased as the consumer\'s **second choice** when the typical item
    is unavailable. This item may be more or less expensive than the
    typically priced item. In some cases, it may be an identical price
    but represent a different brand or item variation.

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-   **The Economy Price Item** represents the **least expensive** item
    suitable for use by the American family at the foreign location.

If either the \"typical\" or the \"substitute\" item is also the lowest
price item, it shall be repeated as the economy item. The contractor
shall use its judgment, based upon an average American family's
selection of items and normal budget constraints, to select items which
would represent substitute and economy items.

> The reporting of three price levels where appropriate is important. If
> an item is temporarily out of stock, the price last charged shall be
> listed in the report. Anticipated price changes shall be given
> separately. Every effort shall be made to provide the full price range
> requested for a particular outlet. If either the first or second most
> frequently used outlets do not carry the item requested, the
> contractor shall visit another retail outlet (preferably, the third
> most used outlet as determined by the LPQs) to collect the price data.

All prices in the report shall be those actually paid by Americans. If a
survey item is on sale, the regular price, the special sale price, and
the duration of the sale must be reported. If the reported prices do not
include local retail sales taxes, the amount of tax added to each item
by the merchant (at the time of purchase) shall be clearly reported at
the top of the appropriate pages of the Retail Price Schedule. Special
cash discounts and delivery charges shall be reported in the
"description" or "comments" areas.

If prices are significantly lower when purchased with U.S. dollars or
other forms of currency, this shall be reported.

**Note**[:]{.underline} the price information reported on pages 2
through 38 of the retail price schedule must be local retail prices
available to all American residents. These prices are used to develop
and publish living cost comparisons for use by the public.

\(6\) [SUMMARY OF SURVEY PREPARATION GUIDELINES]{.underline}

a\. The contractor shall submit the completed survey to the Contracting
Officer's Representative, who will coordinate the survey with all other
U.S. Government agencies at the post, the senior officer of the
uniformed services, and the American private community.

b\. The contractor shall complete the 2003 version of the Retail Price
Schedule (form DS-2020 through DS-2027).

c.  Reserved

d\. If there has been a previous survey, it must be used as a guide in
preparing the new survey report. To the extent possible, report the
prices of the same type, brand, or model of individual items from survey
to survey. Avoid item substitution beyond that required by the item
specifications or changes in local availability.

e\. The survey shall reflect living costs for the average Washington
family, 3 to 4 persons, living in the foreign location with a base
salary of about \$41,000 (GS-11, Step 5) per year in 1998. The
contractor shall avoid premium or luxury goods this family cannot
afford, even if it can.

f\. Report prices in the currency charged by the individual outlet.
Explain all usage of non-local currency. [The contractor shall not
convert local currency prices into U.S. dollars]{.underline}.

g\. Report local weights and measures for each individual item. [The
contractor shall not convert local weight measures (such as kilos) into
pounds and ounces]{.underline}.

h\. All prices reported on pages 2 through 38 of the DSP-23Y report
shall be local retail prices available to all American residents,
including uniformed military and private U.S. citizens.

i\. Report prices of goods available at Embassy and Consulate
Commissaries on pages 44 -51 of the survey form. These prices are
reported [separately]{.underline} and [in addition]{.underline}
[to]{.underline} the prices at the two most frequently used local retail
outlets.

j\. The finished report shall be submitted to the COR for review for
completeness and accuracy, and then coordinated with the heads of all
civilian agencies at the post and the senior officer of the uniformed
services before submission (see pages 43-44).

\(7\) Due Dates for Deliverables

The contractor shall deliver to the Contracting Officer's Representative
the following report(s) by the date(s) indicated:

[Item]{.underline} [Description]{.underline} [Due Date]{.underline}

1 Full Cost of Living Survey (Form DS-2020 through DS-2025)
[10/17/2008]{.underline}

2 Hotel and Restaurant Report (Form DS-2026) [10/17/2008]{.underline}

3 Embassy or Consulate Store Report (Form DS-2027)
[10/17/2008]{.underline}

\(8\) [REVIEW BEFORE SUBMISSION]{.underline}

######  OMISSIONS

When completed, the contractor shall review the report to ensure that
all the information requested is furnished. While all the items may not
necessarily be used by U.S. Government employees, each represents a
broad class of other goods and services important to Americans. The
omission of any price quotation eliminates the type of expenditure it
represents. In those cases where goods and services are available to
Government employees through special facilities, some local items are
important to living-cost comparisons made for private Americans residing
at the post. In addition, should there be a sudden change in the
availability of special facilities for Federal employees, this local
price information shall enable the Department to make allowance
adjustments without a time-consuming survey of the missing items.

[INCONSISTENCIES WITH PREVIOUS SURVEY]{.underline}

The contractor shall compare all current prices and weights with the
previous survey. If the prices or weights are substantially different,
provide explanations or comments so that it will not be assumed there is
an error in the current report. If errors are discovered in the previous
survey, this shall be reported so that a valid comparison between the
reports can be made.

Attachment 1

Form DS-2020 through DS-2025, Retail Price Schedule

Form DS-2026, Hotel and Restaurant Report

Form DS-2027, Embassy or Consulate Store Report

SECTION 2 - CONTRACT CLAUSES

[FAR 52.212-4, CONTRACT TERMS AND CONDITIONS \-- COMMERCIAL ITEMS (FEB
2007), IS INCORPORATED BY REFERENCE. (SEE SF-1449, BLOCK
27A).]{.underline}

ADDENDUM TO 52.212-4

None

52.212-5 Contract Terms and Conditions Required to Implement Statutes or
Executive Orders - Commercial Items (JUN 2008)

(a) The Contractor shall comply with the following Federal Acquisition
    Regulation (FAR) clauses, which are incorporated in this contract by
    reference, to implement provisions of law or Executive orders
    applicable to acquisitions of commercial items:

    1.  52.233-3, Protest after Award (AUG 1996) (31 U.S.C. 3553).

    2.  52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004)
        (Public L. 108-77, 108-78).

\(b\) The Contractor shall comply with the FAR clauses in this paragraph
(b) that the contracting officer has indicated as being incorporated in
this contract by reference to implement provisions of law or Executive
orders applicable to acquisitions of commercial items:

+---+------------------------------------------------------------------+
|   | ## Clause Number and Title                                       |
+---+------------------------------------------------------------------+
|   | \(1\) 52.203-6, Restrictions on Subcontractor Sales to the       |
|   | Government, with Alternate I (41 U.S.C. 253g and 10 U.S.C. 2402) |
|   | (SEPT 2006). *\[Check if order exceeds \$100,000\]*              |
+---+------------------------------------------------------------------+
|   | \(2\) -- (16) \[Reserved\].                                      |
+---+------------------------------------------------------------------+
|   | \(17\) 52.222-19, Child Labor -- Cooperation with Authorities    |
|   | and Remedies (JUN 2008) (E.O. 13126). *\[Check if order is for   |
|   | supplies and exceeds the micro-purchase threshold\]*             |
+---+------------------------------------------------------------------+
|   | \(18\) 52.222-21, Prohibition of Segregated Facilities (FEB      |
|   | 1999). *\[Check if the following apply: for supplies, the order  |
|   | exceeds \$10,000 and is awarded to a U.S. firm. For services,    |
|   | the order exceeds \$10,000 and is awarded to a U.S. firm whose   |
|   | employees who will be performing the work were recruited within  |
|   | the U.S.\]*                                                      |
+---+------------------------------------------------------------------+
|   | \(19\) 52.222-26, Equal Opportunity (MAR 2007) (E.O. 11246).     |
|   | *\[Check if the following apply: for supplies, the order exceeds |
|   | \$10,000 and is awarded to a U.S. firm. For services, the order  |
|   | exceeds \$10,000 and is awarded to a U.S. firm whose employees   |
|   | who will be performing the work were recruited within the        |
|   | U.S.\]*                                                          |
+---+------------------------------------------------------------------+
|   | \(20\) 52.222-35, Equal Opportunity for Special Disabled         |
|   | Veterans, Veterans of the Vietnam Era, and Other Eligible        |
|   | Veterans (SEPT 2006) (38 U.S.C. 4212). *\[Check if the following |
|   | apply: for supplies, the order exceeds \$10,000 and is awarded   |
|   | to a U.S. firm. For services, the order exceeds \$10,000 and is  |
|   | awarded to a U.S. firm whose employees who will be performing    |
|   | the work were recruited within the U.S.\]*                       |
+---+------------------------------------------------------------------+
|   | \(21\) 52.222-36, Affirmative Action for Workers with            |
|   | Disabilities (JUN 1998) (29 U.S.C. 793). *\[Check if the         |
|   | following apply: for supplies, the order exceeds \$10,000 and is |
|   | awarded to a U.S. firm. For services, the order exceeds \$10,000 |
|   | and is awarded to a U.S. firm whose employees who will be        |
|   | performing the work were recruited within the U.S.\]*            |
+---+------------------------------------------------------------------+
|   | \(22\) 52.222-37, Employment Reports on Special Disabled         |
|   | Veterans, Veterans of the Vietnam Era, and Other Eligible        |
|   | Veterans (SEPT 2006)) (38 U.S.C. 4212). *\[Check if you have     |
|   | included the clause 52.222-35\]*                                 |
+---+------------------------------------------------------------------+
|   | \(23\) 52.222-39, Notification of Employee Rights Concerning     |
|   | Payment of Union Dues or Fees (DEC 2004) (E.O. 13201). *\[check  |
|   | if over \$100,000\]*                                             |
+---+------------------------------------------------------------------+
|   | (24)(i) 52.222-50 Combating Trafficking in Persons (AUG 2007)    |
+---+------------------------------------------------------------------+
|   | \(ii\) Alternate I (AUG 2007) of 52.222-50 *\[Check if local law |
|   | identifies "off limit establishments"\]*                         |
+---+------------------------------------------------------------------+
|   | (25)-(29) Reserved                                               |
+---+------------------------------------------------------------------+
|   | \(30\) 52.225-5, Trade Agreements (NOV 2007) (19 U.S.C. 2501, et |
|   | seq., 19 U.S.C. 3301 note). \[Check if the order is for supplies |
|   | and the amount exceeds \$193,000\]                               |
+---+------------------------------------------------------------------+
| X | \(31\) 52.225-13 Restrictions on Certain Foreign Purchases (JUN  |
|   | 2008) (E.O.s, proclamations, and statutes administered by the    |
|   | Office of Foreign Assets Control of the Department of the        |
|   | Treasury). \[Check if the order is for either supplies or        |
|   | services and the amount exceeds the micro-purchase threshold,    |
|   | unless authorized by OFAC\]                                      |
+---+------------------------------------------------------------------+
|   | (32-35) Reserved                                                 |
+---+------------------------------------------------------------------+
|   | \(36\) 52.232-33, Payment by Electronic Funds Transfer --        |
|   | Central Contractor Registration (OCT 2003) (31 U.S.C. 3332).     |
|   | \[Check if payment will be made by EFT and the contractor has    |
|   | registered in the CCR\]                                          |
+---+------------------------------------------------------------------+
| X | \(37\) 52.232-34, Payment by Electronic Funds Transfer -- Other  |
|   | than Central Contractor Registration (MAY 1999) (31 U.S.C.       |
|   | 3332). \[Check if payment will be made by either EFT or other    |
|   | means, e.g., check, and the contractor has not registered in the |
|   | CCR\]                                                            |
+---+------------------------------------------------------------------+
|   | (38-39) Reserved                                                 |
+---+------------------------------------------------------------------+
|   | (40))(i) 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). \[Check if the order is for supplies that may      |
|   | involve ocean transportation: at least 50% of the gross tonnage  |
|   | must be transported on privately owned U.S.-flag commercial      |
|   | vessels to the extent that such vessels are available at rates   |
|   | that are fair and reasonable for U.S.-flag commercial vessels\]  |
+---+------------------------------------------------------------------+
|   | \(ii\) Alternate I (APR 2003) of 52.247-64. \[Check if 100% of   |
|   | the supplies will be transported on privately owned U.S.-flag    |
|   | commercial vessels\]                                             |
+---+------------------------------------------------------------------+

\(c\) \[Reserved\]

\(d\) *Comptroller General Examination of Record.* The Contractor shall
comply with the provisions of this paragraph (d) 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.

\(2\) 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.

(e)(1) *\[This paragraph applies only if award is made to a U.S. firm\]*
Notwithstanding the requirements of the clauses in paragraphs (a), (b),
(c) and (d) of this clause, the Contractor is not required to flow down
any FAR clause, other than those in paragraphs (i) through (vi) of this
paragraph in a subcontract for commercial items. Unless otherwise
indicated below, the extent of the flow down shall be as required by the
clause --

\(i\) 52.219-8, Utilization of Small Business Concerns (SEPT 2006) (15
U.S.C. 637(d)(2) and (3)), in all subcontracts that offer subcontracting
opportunities. If the subcontract (except subcontracts to small business
concerns) exceeds \$550,000 (\$1,000,000 for construction of any public
facility), the subcontractor must include 52.219-8 in lower tier
subcontracts that offer subcontracting opportunities.

\(ii\) 52.222-26, Equal Opportunity (APR 2002) (E.O. 11246).

\(iii\) 52.222-35, Equal Opportunity for Special Disabled Veterans,
Veterans of the Vietnam Era, and Other Eligible Veterans (DEC 2001) (38
U.S.C. 4212).

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

\(v\) 52.222-39, Notification of Employee Rights Concerning Payment of
Union Dues or Fees (DEC 2004) (E.O. 13201).

\(vi\) \[Reserved\].

\(vii\) 52.2222-50, Combating Trafficking in Persons (AUG 2007)(22 USC
7104(g)). Flow down required in accordance with paragraph (f) of
52.222-50.

\(viii\) 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).

**ADDENDUM TO CONTRACT CLAUSES FAR AND DOSAR CLAUSES NOT PRESCRIBED IN
PART 12**

2.  [CLAUSES INCORPORATED BY REFERENCE (FEB 1998)]{.underline}

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:

http://acquisition.gov/far/index.html or,
http://farsite.hill.af.mil/search.htm

These addresses are subject to change. If the Federal Acquisition
Regulation (FAR) is not available at the locations indicated above, use
the Dept. of State Acquisition Website at
[http://www.statebuy.state.gov](http://www.statebuy.gov/home.htm) to see
the links to the FAR. You may also use an Internet "search engine" (such
as, Yahoo, Excite, Alta Vista, etc.) to obtain the latest location of
the most current FAR.

The following Federal Acquisition Regulation clauses are incorporated by
reference:

[CLAUSE]{.underline} [TITLE]{.underline} [DATE]{.underline}

52.225-14 INCONSISTENCY BETWEEN ENGLISH

VERSION AND TRANSLATION OF CONTRACT FEB 2000

4.  WORKERS' COMPENSATION AND WAR-HAZARD

INSURANCE OVERSEAS APR 1984

[652.232-70 PAYMENT SCHEDULE AND INVOICE SUBMISSION (FIXED-PRICE) (AUG
1999)]{.underline}

\(a\) General. The Government shall pay the contractor as full
compensation for all work required, performed, and accepted under this
contract the firm fixed-price stated in this contract.

\(b\) Invoice Submission. The contractor shall submit invoices in an
original to the office identified in Block 18b of the SF-1449. To
constitute a proper invoice, the invoice shall include all the items
required by FAR 32.905(e).

\(c\) Contractor Remittance Address. The Government will make payment to
the contractor's address stated on the cover page of this contract,
unless a separate remittance address is shown below:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

[652.242-70 CONTRACTING OFFICER\'S REPRESENTATIVE (COR) (AUG
1999)]{.underline}

\(a\) The Contracting Officer may designate in writing one or more
Government employees, by name or position title, to take action for the
Contracting Officer under this contract. Each designee shall be
identified as a Contracting Officer's Representative (COR). Such
designation(s) shall specify the scope and limitations of the authority
so delegated; provided, that the designee shall not change the terms or
conditions of the contract, unless the COR is a warranted Contracting
Officer and this authority is delegated in the designation.

\(b\) The COR for this contract is ***Management Assistant.***

[652.242-73 AUTHORIZATION AND PERFORMANCE (AUG 1999)]{.underline}

\(a\) The contractor warrants the following:

\(1\) That is has obtained authorization to operate and do business in
the country or countries in which this contract will be performed;

\(2\) That is has obtained all necessary licenses and permits required
to perform this contract; and,

\(3\) That it shall comply fully with all laws, decrees, labor
standards, and regulations of said country or countries during the
performance of this contract.

\(b\) If the party actually performing the work will be a subcontractor
or joint venture partner, then such subcontractor or joint venture
partner agrees to the requirements of paragraph (a) of this clause.

#### SECTION 3 - SOLICITATION PROVISIONS

[52.212-1, INSTRUCTIONS TO OFFERORS \-- COMMERCIAL ITEMS (JUN 2008), IS
INCORPORATED BY REFERENCE. (SEE SF-1449, BLOCK 27A).]{.underline}

ADDENDUM TO 52.212-1

None

**ADDENDUM TO SOLICITATION PROVISIONS**

**FAR AND DOSAR PROVISIONS NOT PRESCRIBED IN PART 12**

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. Also, the full text of a clause may be accessed
electronically at:

http://acquisition.gov/far/index.html/ or
http://farsite.hill.af.mil/search.htm

These addresses are subject to change. IF the FAR is not available at
the locations indicated above, use of an Internet "search engine" (e.g.,
Yahoo, Infoseek, Alta Vista, etc.) is suggested to obtain the latest
location of the most current FAR provisions.

The following Federal Acquisition Regulation solicitation provisions are
incorporated by reference:

[CLAUSE]{.underline} [TITLE AND DATE\
]{.underline}

52.204-6 Data Universal Numbering System (DUNS) Number (APR 2008)

52.214-34 Submission of Offers in the English Language (APR 1991)

####### ACQUISITION METHOD

The Government is conducting this acquisition using the simplified
acquisition procedures in Part 13 of the Federal Acquisition Regulation
(FAR).

**SECTION 4 - Reserved**

The Government intends to award a contract/purchase order resulting from
this solicitation to the lowest priced, technically acceptable
offeror/quoter who is a responsible contractor.

**SECTION 5** - OFFEROR REPRESENTATIONS AND CERTIFICATIONS

52.212-3 Offeror Representations and Certifications---Commercial Items
(June 2008)

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

\(a\) ReservedDefinitions. 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.

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

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

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

\(3\) FSG 88, Live Animals;

\(4\) FSG 89, Food and Related Consumables;

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

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

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

\(8\) FSC 9610, Ores;

\(9\) FSC 9620, Minerals, Natural and Synthetic; and

\(10\) FSC 9630, Additive Metal Materials.

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

"Restricted business operations" means business operations in Sudan that
include power production activities, mineral extraction activities,
oil-related activities, or the production of military equipment, as
those terms are defined in the Sudan Accountability and Divestment Act
of 2007 (Pub. L. 110-174). Restricted business operations do not include
business operations that the person 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)](http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t37t40+200+2++(38)  AND ((38) ADJ USC)%3ACITE         ),
with a disability that is service-connected, as defined in
[38 U.S.C. 101(16)](http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t37t40+200+2++(38)  AND ((38) ADJ USC)%3ACITE         ).

"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.

"Veteran-owned small business concern" means a small business concern---

\(1\) Not less than 51 percent of which is owned by one or more veterans
(as defined at
[38 U.S.C. 101(2)](http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t37t40+200+2++(38)  AND ((38) ADJ USC)%3ACITE         ))
or, in the case of any publicly owned business, not less than 51 percent
of the stock of which is owned by one or more veterans; and

\(2\) The management and daily business operations of which are
controlled by one or more veterans.

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

"Women-owned small business concern" means a small business concern---

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

\(1\) 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](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](http://acquisition.gov/far/current/html/Subpart 4_12.html#wp1073667)),
except for paragraphs \_\_\_\_\_\_\_\_\_\_\_\_\_\_.

\[Offeror to identify the applicable paragraphs at (c) through (m) 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-d) Reserved

\(e\) Certification Regarding Payments to Influence Federal Transactions
([31 ]{.underline}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.

\(f\) Reserved.

(g)(1) Buy American Act---Free Trade Agreements---Israeli Trade Act
Certificate. (Applies only if the clause at
FAR [52.225-3](http://acquisition.gov/far/current/html/52_223_226.html#wp1169038),
Buy American Act---Free Trade Agreements---Israeli Trade Act, is
included in this solicitation.)

\(i\) The offeror certifies that each end product, except those listed
in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic
end product and that the offeror has considered components of unknown
origin to have been mined, produced, or manufactured outside the United
States. The terms "Bahrainian or Moroccan end product," "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 or Moroccan 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 or
Moroccan End Products) or Israeli End Products:

  -------------------------------- --------------------------------------
  Line Item No.                    Country of Origin

  \_\_\_\_\_\_\_\_\_\_\_\_\_\_     \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  \_\_\_\_\_\_\_\_\_\_\_\_\_\_     \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  \_\_\_\_\_\_\_\_\_\_\_\_\_\_     \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
  -------------------------------- --------------------------------------

\[List as necessary\]

\(iii\) The offeror shall list those supplies that are foreign end
products (other than those listed in paragraph (g)(1)(ii) of this
provision) as defined in the clause of this solicitation entitled "Buy
American 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.

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](http://acquisition.gov/far/current/html/FARTOCP25.html#wp225048).

\(2\) Buy American Act---Free Trade Agreements---Israeli Trade Act
Certificate, Alternate I. If Alternate I to the clause at
FAR [52.225-3](http://acquisition.gov/far/current/html/52_223_226.html#wp1169038)
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. If Alternate II to the clause at
FAR [52.225-3](http://acquisition.gov/far/current/html/52_223_226.html#wp1169038)
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](http://acquisition.gov/far/current/html/52_223_226.html#wp1169151),
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:

  -------------------------------- --------------------------------------
  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](http://acquisition.gov/far/current/html/FARTOCP25.html#wp225048).
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---

\(1\) o Are, o are not presently debarred, suspended, proposed for
debarment, or declared ineligible for the award of contracts by any
Federal agency;

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

\(3\) o Are, o 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

\(4\) o Have, o 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. §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. §6320 entitling the taxpayer to request a hearing with the IRS
Office of Appeals contesting the lien filing, and to further appeal to
the Tax Court if the IRS determines to sustain the lien filing. In the
course of the hearing, the taxpayer is entitled to contest the
underlying tax liability because the taxpayer has had no prior
opportunity to contest the liability. This is not a delinquent tax
because it is not a final tax liability. Should the taxpayer seek tax
court review, this will not be a final tax liability until the taxpayer
has exercised all judicial appeal rights.

\(C\) The taxpayer has entered into an installment agreement pursuant to
I.R.C. §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). \[The Contracting Officer must list in
paragraph (i)(1) any end products being acquired under this solicitation
that are included in the List of Products Requiring Contractor
Certification as to Forced or Indentured Child Labor, unless excluded at
[22.1503](http://acquisition.gov/far/current/html/Subpart 22_15.html#wp1088086)(b).\]

\(1\) Listed end products.

  ---------------------------------------- ----------------------------------------
  Listed End Product                       Listed Countries of Origin

  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_   \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_   \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
  ---------------------------------------- ----------------------------------------

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

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

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

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

\(1\) o 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

\(2\) o Outside the United States.

\(k\) Reserved

\(l\) Taxpayer Identification Number (TIN) ([26 U.S.C.
6109](http://uscode.house.gov/), [31 U.S.C.
7701](http://uscode.house.gov/)). (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)](http://uscode.house.gov/), reporting requirements of [26 U.S.C.
6041, 6041A, and 6050M](http://uscode.house.gov/), 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)](http://uscode.house.gov/)). If the
resulting contract is subject to the payment reporting requirements
described in FAR
[4.904](http://acquisition.gov/far/current/html/Subpart 4_9.html#wp1091081),
the TIN provided hereunder may be matched with IRS records to verify the
accuracy of the offeror's TIN.

\(3\) Taxpayer Identification Number (TIN).

o  TIN:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.

o  TIN has been applied for.

o  TIN is not required because:

o  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;

o  Offeror is an agency or instrumentality of a foreign government;

o  Offeror is an agency or instrumentality of the Federal Government.

\(4\) Type of organization.

o  Sole proprietorship;

o  Partnership;

o  Corporate entity (not tax-exempt);

o  Corporate entity (tax-exempt);

o  Government entity (Federal, State, or local);

o  Foreign government;

o  International organization per 26 CFR 1.6049-4;

o  Other
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.

\(5\) Common parent.

o  Offeror is not owned or controlled by a common parent;

o  Name and TIN of common parent:

Name \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.

TIN \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.

\(m\) Restricted business operations in Sudan. By submission of its
offer, the offeror certifies that it does not conduct any restricted
business operations in Sudan.

652.228-70 DEFENSE BASE ACT -- COVERED CONTRACTOR EMPLOYEES (JUN 2006)

\(a\) Bidders/offerors shall indicate below whether or not any of the
following categories of employees will be employed on the resultant
contract, and, if so, the number of such employees:

+-------------------------------------+-------+-----------------------+
| Category                            | Y     | Number                |
|                                     | es/No |                       |
+-------------------------------------+-------+-----------------------+
| \(1\) United States citizens or     |       |                       |
| residents                           |       |                       |
+-------------------------------------+-------+-----------------------+
| \(2\) Individuals hired in the      |       |                       |
| United States, regardless of        |       |                       |
| citizenship                         |       |                       |
+-------------------------------------+-------+-----------------------+
| \(3\) Local nationals or third      |       | Local nationals:      |
| country nationals where contract    |       | \_\_\_\_\_\_\_\_      |
| performance takes place in a        |       |                       |
| country where there are no local    |       | Third Country         |
| workers' compensation laws          |       | Nationals:            |
|                                     |       |                       |
|                                     |       | \_\_\_\_\_\_\_\_\_    |
+-------------------------------------+-------+-----------------------+
|                                     |       |                       |
+-------------------------------------+-------+-----------------------+
| \(4\) Local nationals or third      |       | Local nationals:      |
| country nationals where contract    |       | \_\_\_\_\_\_\_\_      |
| performance takes place in a        |       |                       |
| country where there are local       |       | Third Country         |
| workers' compensation laws          |       | Nationals:            |
|                                     |       |                       |
|                                     |       | \_\_\_\_\_\_\_\_\_    |
+-------------------------------------+-------+-----------------------+

\(b\) The contracting officer has determined that for performance in the
country of *\[contracting officer insert country of performance and
check the appropriate block below\]* --

-   Workers' compensation laws exist that will cover local nationals and
    third country nationals.

-   Workers' compensation laws do not exist that will cover local
    nationals and third country nationals.

> \(c\) If the bidder/offeror has indicated "yes" in block (a)(4) of
> this provision, the bidder/offeror shall not purchase Defense Base Act
> insurance for those employees. However, the bidder/offeror shall
> assume liability toward the employees and their beneficiaries for
> war-hazard injury, death, capture, or detention, in accordance with
> the clause at FAR 52.228-4.
>
> \(d\) If the bidder/offeror has indicated "yes" in blocks (a)(1), (2),
> or (3) of this provision, the bidder/offeror shall compute Defense
> Base Act insurance costs covering those employees pursuant to the
> terms of the contract between the Department of State and the
> Department's Defense Base Act insurance carrier at the rates specified
> in DOSAR 652.228-74, Defense Base Act Insurance Rates -- Limitation.
> If DOSAR provision 652.228-74 is not included in this solicitation,
> the bidder/offeror shall notify the contracting officer before the
> closing date so that the solicitation can be amended accordingly.
>
> (End of provision)