# K.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1988)

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 the following
address: [www.acqnet.gov](http://www.acqnet.gov/) or
[http://farsite.hill.af.mil](http://farsite.hill.af.mil/).

(End Clause)

# K.2 FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES INCORPORATED BY REFERENCE

  ------------ ------------------------------------------------ ----------
  NUMBER       TITLE                                            DATE

  52.222-38    COMPLIANCE WITH VETERAN'S EMPLOYMENT REPORTING   DEC 2001
               REQUIREMENTS                                     
  ------------ ------------------------------------------------ ----------

# K.3 52.203-2 Certificate of Independent Price Determination (Apr 1985)

\(a\) The offeror certifies that-

(1) The prices in this offer have been arrived at independently,
    without, for the purpose of restricting competition, any
    consultation, communication, or agreement with any other offeror or
    competitor relating to-

> \(i\) Those prices;
>
> \(ii\) The intention to submit an offer; or
>
> \(iii\) The methods or factors used to calculate the prices offered.

(2) The prices in this offer have not been and will not be knowingly
    disclosed by the offeror, directly or indirectly, to any other
    offeror or competitor before bid opening (in the case of a sealed
    bid solicitation) or contract award (in the case of a negotiated
    solicitation) unless otherwise required by law; and

(3) No attempt has been made or will be made by the offeror to induce
    any other concern to submit or not to submit an offer for the
    purpose of restricting competition.

\(b\) Each signature on the offer is considered to be a certification by
the signatory that the signatory-

(1) Is the person in the offeror\'s organization responsible for
    determining the prices being offered in this bid or proposal, and
    that the signatory has not participated and will not participate in
    any action contrary to paragraphs (a)(1) through (a)(3) of this
    provision; or

> \(2\) (i) Has been authorized, in writing, to act as agent for the
> following principals
>
> in certifying that those principals have not participated, and will
> not participate in any action contrary to paragraphs (a)(1) through
> (a)(3) of this provision \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
> \[*insert full name of person(s) in the offeror\'s organization
> responsible for determining the prices offered in this bid or
> proposal, and the title of his or her position in the offeror\'s
> organization*\];
>
> \(ii\) As an authorized agent, does certify that the principals named
> in subdivision (b)(2)(i) of this provision have not participated, and
> will not participate, in any action contrary to paragraphs (a)(1)
> through (a)(3) of this provision; and
>
> \(iii\) As an agent, has not personally participated, and will not
> participate, in any action contrary to paragraphs (a)(1) through
> (a)(3) of this provision.

\(c\) If the offeror deletes or modifies paragraph (a)(2) of this
provision, the offeror must furnish with its offer a signed statement
setting forth in detail the circumstances of the disclosure.

(End of provision)

# K.4 52.204-3 Taxpayer Identification (Oct 1998)

\(a\) Definitions.

\"Common parent,\" as used in this provision, means that corporate
entity that owns or controls an affiliated group of corporations that
files its Federal income tax returns on a consolidated basis, and of
which the offeror is a member.

\"Taxpayer Identification Number (TIN),\" as used in this provision,
means the number required by the Internal Revenue Service (IRS) to be
used by the offeror in reporting income tax and other returns. The TIN
may be either a Social Security Number or an Employer Identification
Number.

\(b\) All offerors must submit the information required in paragraphs
(d) through (f) 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 IRS. If the resulting contract is subject to the payment reporting
requirements described in Federal Acquisition Regulation (FAR) 4.904,
the failure or refusal by the offeror to furnish the information may
result in a 31 percent reduction of payments otherwise due under the
contract.

\(c\) 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.

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

\[ \] TIN: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.

\[ \] TIN has been applied for.

\[ \] TIN is not required because:

> \[ \] Offeror is a nonresident alien, foreign corporation, or foreign
> partnership that does not have income effectively connected with the
> conduct of a trade or business in the United States and does not have
> an office or place of business or a fiscal paying agent in the United
> States;

\[ \] Offeror is an agency or instrumentality of a foreign government;

\[ \] Offeror is an agency or instrumentality of the Federal Government.

\(e\) 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 \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.

\(f\) Common parent.

> \[ \] Offeror is not owned or controlled by a common parent as defined
> in paragraph (a) of this provision.

\[ \] Name and TIN of common parent:

> Name \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> TIN \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(End of provision)

# K.5 52.204-5 Women-Owned Business (Other Than Small Business) (May 1999)

\(a\) Definition. \"Women-owned business concern,\" as used in this
provision, means a concern 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; and whose management
and daily business operations are controlled by one or more women.

\(b\) Representation. \[Complete only if the offeror is a women-owned
business concern and has not represented itself as a small business
concern in paragraph (b)(1) of FAR 52.219-1, Small Business Program
Representations, of this solicitation.\] The offeror represents that it
\[ \] is a women-owned business concern.

(End of provision)

# K.6 52.209-5 Certification Regarding Debarment, Suspension, Proposed Debarment, and Other Responsibility Matters (Dec 2001)

\(a\) (1) The Offeror certifies, to the best of its knowledge and
belief, that-

> \(i\) The Offeror and/or any of its Principals-

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

(B) 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 public
    (Federal, state, or local) 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, or receiving stolen property; and

(C) Are \[ \] are not \[ \] presently indicted for, or otherwise
    criminally or civilly charged by a governmental entity with,
    commission of any of the offenses enumerated in paragraph
    (a)(1)(i)(B) of this provision.

> \(ii\) The Offeror has \[ \] has not \[ \], within a three-year period
> preceding this offer, had one or more contracts terminated for default
> by any Federal agency.

(2) \"Principals,\" for the purposes of this certification, means
    officers; directors; owners; partners; and, persons having primary
    management or supervisory responsibilities within a business entity
    (*e.g*., general manager; plant manager; head of a subsidiary,
    division, or business segment, and similar positions).

This Certification Concerns a Matter Within the Jurisdiction of an
Agency of the United States and the Making of a False, Fictitious, or
Fraudulent Certification May Render the Maker Subject to Prosecution
Under Section 1001, Title 18, and United States Code.

\(b\) The Offeror shall provide immediate written notice to the
Contracting Officer if, at any time prior to contract award, the Offeror
learns that its certification was erroneous when submitted or has become
erroneous by reason of changed circumstances.

\(c\) A certification that any of the items in paragraph (a) of this
provision exists will not necessarily result in withholding of an award
under this solicitation. However, the certification will be considered
in connection with a determination of the Offeror\'s responsibility.
Failure of the Offeror to furnish a certification or provide such
additional information as requested by the Contracting Officer may
render the Offeror nonresponsible.

\(d\) Nothing contained in the foregoing shall be construed to require
establishment of a system of records in order to render, in good faith,
the certification required by paragraph (a) of this provision. The
knowledge and information of an Offeror is not required to exceed that
which is normally possessed by a prudent person in the ordinary course
of business dealings.

\(e\) The certification in paragraph (a) of this provision is a material
representation of fact upon which reliance was placed when making award.
If it is later determined that the Offeror knowingly rendered an
erroneous certification, in addition to other remedies available to the
Government, the Contracting Officer may terminate the contract resulting
from this solicitation for default.

(End of provision)

# K.7 52.215-6 Place of Performance (Oct 1997)

\(a\) The offeror or respondent, in the performance of any contract
resulting from this solicitation, \[ \] intends, \[ \] does not intend
\[*check applicable block*\] to use one or more plants or facilities
located at a different address from the address of the offeror or
respondent as indicated in this proposal or response to request for
information.

\(b\) If the offeror or respondent checks \"intends\" in paragraph (a)
of this provision, it shall insert in the following spaces the required
information:

  ---------------------- ------------------------------------------------
  Place of Performance\  Name and Address of Owner and Operator of the
  (Street Address,       Plant or Facility if Other than Offeror or
  City,\                 Respondent
  State, County, Zip     
  Code)                  

                         

                         

                         

                         

                         
  ---------------------- ------------------------------------------------

(End of provision)

# K.8 52.215-7 Annual Representations and Certifications-Negotiation (Oct 1997)

The offeror has \[check the appropriate block\]:

\(a\) \[ \] Submitted to the contracting office issuing this
solicitation, annual representations and certifications dated
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \[insert date of signature on
submission\] that are incorporated herein by reference, and are current,
accurate, and complete as of the date of this proposal, except as
follows \[insert changes that affect only this proposal; if \"none,\" so
state\]:

\(b\) \[ \] Enclosed its annual representations and certifications.

(End of Provision)

# K.9 52.219-1 Small Business Program Representations (Apr 2002)

(a) \(1\) The North American Industry Classification System (NAICS) code
    for this acquisition is 518210.

    2.  The small business size standard is \$21M.

    3.  The small business size standard for a concern which submits an
        offer in its own name, other than on a construction or service
        contract, but which proposes to furnish a product which it did
        not itself manufacture, is 500 employees.

\(b\) Representations.

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

(2) \[*Complete only if the offeror represented itself as a small
    business concern in paragraph (b)(1) of this provision*.\] The
    offeror represents, for general statistical purposes, that it \[ \]
    is, \[ \] is not, a small disadvantaged business concern as defined
    in 13 CFR 124.1002.

(3) \[*Complete only if the offeror represented itself as a small
    business concern in paragraph (b)(1) of this provision*.\] The
    offeror represents as part of its offer that it \[ \] is, \[ \] is
    not a women-owned small business concern.

(4) \[*Complete only if the offeror represented itself as a small
    business concern in paragraph (b)(1) of this provision*.\] The
    offeror represents as part of its offer that it \[ \] is, \[ \] is
    not a veteran-owned small business concern.

(5) \[*Complete only if the offeror represented itself as a
    veteran-owned small business concern in paragraph (b)(4) of this
    provision*.\] The offeror represents as part of its offer that it \[
    \] is, \[ \] is not a service-disabled veteran-owned small business
    concern.

(6) *\[Complete only if the offeror represented itself as a small
    business concern in paragraph (b)(1) of this provision*.\] The
    offeror represents, as part of its offer, that-

> \(i\) It \[ \] is, \[ \] is not a HUBZone small business concern
> listed, on the date of this representation, on the List of Qualified
> HUBZone Small Business Concerns maintained by the Small Business
> Administration, and no material change in ownership and control,
> principal office, or HUBZone employee percentage has occurred since it
> was certified by the Small Business Administration in accordance with
> 13 CFR part 126; and
>
> \(ii\) It \[ \] is, \[ \] is not a joint venture that complies with
> the requirements of 13 CFR part 126, and the representation in
> paragraph (b)(6)(i) of this provision is accurate for the HUBZone
> small business concern or concerns that are participating in the joint
> venture. \[*The offeror shall enter the name or names of the HUBZone
> small business concern or concerns that are participating in the joint
> venture:\_\_\_\_\_\_\_\_\_\_*.\] Each HUBZone small business concern
> participating in the joint venture shall submit a separate signed copy
> of the HUBZone representation.

\(c\) Definitions. As used in this provision-

\"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 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 the size
standard in paragraph (a) of this provision.

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

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

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-

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

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

\(d\) Notice.

(1) If this solicitation is for supplies and has been set aside, in
    whole or in part, for small business concerns, then the clause in
    this solicitation providing notice of the set-aside contains
    restrictions on the source of the end items to be furnished.

(2) Under 15 U.S.C. 645(d), any person who misrepresents a firm\'s
    status as a small, HUBZone small, small disadvantaged, or
    women-owned small business concern in order to obtain a contract to
    be awarded under the preference programs established pursuant to
    section 8(a), 8(d), 9, or 15 of the Small Business Act or any other
    provision of Federal law that specifically references section 8(d)
    for a definition of program eligibility, shall-

> \(i\) Be punished by imposition of fine, imprisonment, or both;
>
> \(ii\) Be subject to administrative remedies, including suspension and
> debarment; and
>
> \(iii\) Be ineligible for participation in programs conducted under
> the authority of the Act.

(End of provision)

**K.10 Deleted**.

# K.11 52.222-22 Previous Contracts and Compliance Reports (Feb 1999)

The offeror represents that-

\(a\) It \[ \] has, \[ \] has not participated in a previous contract or
subcontract subject the Equal Opportunity clause of this solicitation;

\(b\) It \[ \] has, \[ \] has not filed all required compliance reports;
and

\(c\) Representations indicating submission of required compliance
reports, signed by proposed subcontractors, will be obtained before
subcontract awards.

(End of provision)

# K.12 52.222-25 Affirmative Action Compliance (Apr 1984)

The offeror represents that-

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

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

(End of provision)

# K.13 52.223-13 Certification of Toxic Chemical Release Reporting (Aug 2003)

\(a\) Executive Order 13148, of April 21, 2000, Greening the Government
through Leadership in Environmental Management, requires submission of
this certification as a prerequisite for contract award.

\(b\) By signing this offer, the offeror certifies that-

\(1\) As the owner or operator of facilities that will be used in the
performance of this contract that are subject to the filing and
reporting requirements described in section 313 of the Emergency
Planning and Community Right-to-Know Act of 1986 (EPCRA) (42 U.S.C.
11023) and section 6607 of the Pollution Prevention Act of 1990 (PPA)
(42 U.S.C. 13106), the offeror will file and continue to file for such
facilities for the life of the contract the Toxic Chemical Release
Inventory Form (Form R) as described in sections 313(a) and (g) of EPCRA
and section 6607 of PPA; or

\(2\) None of its owned or operated facilities to be used in the
performance of this contract is subject to the Form R filing and
reporting requirements because each such facility is exempt for at least
one of the following reasons: \[*Check each block that is applicable*.\]

\[ \] (i) The facility does not manufacture, process, or otherwise use
any toxic chemicals listed in 40 CFR 372.65;

\[ \] (ii) The facility does not have 10 or more full-time employees as
specified in section 313(b)(1)(A) of EPCRA, 42 U.S.C. 11023(b)(1)(A);

\[ \] (iii) The facility does not meet the reporting thresholds of toxic
chemicals established under section 313(f) of EPCRA, 42 U.S.C. 11023(f)
(including the alternate thresholds at 40 CFR 372.27, provided an
appropriate certification form has been filed with EPA);

\[ \] (iv) The facility does not fall within the following Standard
Industrial Classification (SIC) codes or their corresponding North
American Industry Classification System sectors:

\(A\) Major group code 10 (except 1011, 1081, and 1094.

\(B\) Major group code 12 (except 1241).

\(C\) Major group codes 20 through 39.

\(D\) Industry code 4911, 4931, or 4939 (limited to facilities that
combust coal and/or oil for the purpose of generating power for
distribution in commerce).

\(E\) Industry code 4953 (limited to facilities regulated under the
Resource Conservation and Recovery Act, Subtitle C (42 U.S.C. 6921, *et
seq*.), or 5169, or 5171, or 7389 (limited to facilities primarily
engaged in solvent recovery services on a contract or fee basis); or

\[ \] (v) The facility is not located in the United States or its
outlying areas.

(End of provision)

# K.14 52.225-2 Buy American Act Certificate (June 2003)

(a) The offeror certifies that each end product, except those listed in
paragraph (b) 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 offeror shall
list as foreign end products those end products manufactured in the
United States that do not qualify as domestic end products. The terms
\"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.\"

(b) Foreign End Products:

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

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

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

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

*\[List as necessary\]*

(c) The Government will evaluate offers in accordance with the policies
    and procedures of Part 25 of the Federal Acquisition Regulation.

(End of provision)

# K.15 52.227-15 Representation of Limited Rights Data and Restricted Computer Software (May 1999)

\(a\) This solicitation sets forth the work to be performed if a
contract award results, and the Government\'s known delivery
requirements for data (as defined in FAR 27.401). Any resulting contract
may also provide the Government the option to order additional data
under the Additional Data Requirements clause at 52.227-16 of the FAR,
if included in the contract. Any data delivered under the resulting
contract will be subject to the Rights in Data-General clause at
52.227-14 that is to be included in this contract. Under the latter
clause, a Contractor may withhold from delivery data that qualify as
limited rights data or restricted computer software, and deliver form,
fit, and function data in lieu thereof. The latter clause also may be
used with its Alternates II and/or III to obtain delivery of limited
rights data or restricted computer software, marked with limited rights
or restricted rights notices, as appropriate. In addition, use of
Alternate V with this latter clause provides the Government the right to
inspect such data at the Contractor\'s facility.

\(b\) As an aid in determining the Government\'s need to include
Alternate II or Alternate III in the clause at 52.227-14, Rights in
Data-General, the offeror shall complete paragraph (c) of this provision
to either state that none of the data qualify as limited rights data or
restricted computer software, or identify, to the extent feasible, which
of the data qualifies as limited rights data or restricted computer
software. Any identification of limited rights data or restricted
computer software in the offeror\'s response is not determinative of the
status of such data should a contract be awarded to the offeror.

\(c\) The offeror has reviewed the requirements for the delivery of data
or software and states \[*offeror check appropriate block*\]-

\[ \] None of the data proposed for fulfilling such requirements
qualifies as limited rights data or restricted computer software.

\[ \] Data proposed for fulfilling such requirements qualify as limited
rights data or restricted computer software and are identified as
follows:

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

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

Note: \"Limited rights data\" and \"Restricted computer software\" are
defined in the contract clause entitled \"Rights in Data-General.\"

(End of provision)

# K.16 52.230-1 Cost Accounting Standards Notices and Certification (June 2000)

Note: This notice does not apply to small businesses or foreign
governments. This notice is in three parts, identified by Roman numerals
I through III.

Offerors shall examine each part and provide the requested information
in order to determine Cost Accounting Standards (CAS) requirements
applicable to any resultant contract.

If the offeror is an educational institution, Part II does not apply
unless the contemplated contract will be subject to full or modified CAS
coverage pursuant to 48 CFR 9903.201-2(c)(5) or 9903.201-2(c)(6),
respectively.

I. Disclosure Statement-Cost Accounting Practices and Certification

\(a\) Any contract in excess of \$500,000 resulting from this
solicitation will be subject to the requirements of the Cost Accounting
Standards Board (48 CFR Chapter 99), except for those contracts which
are exempt as specified in 48 CFR 9903.201-1.

\(b\) Any offeror submitting a proposal which, if accepted, will result
in a contract subject to the requirements of 48 CFR Chapter 99 must, as
a condition of contracting, submit a Disclosure Statement as required by
48 CFR 9903.202. When required, the Disclosure Statement must be
submitted as a part of the offeror\'s proposal under this solicitation
unless the offeror has already submitted a Disclosure Statement
disclosing the practices used in connection with the pricing of this
proposal. If an applicable Disclosure Statement has already been
submitted, the offeror may satisfy the requirement for submission by
providing the information requested in paragraph (c) of Part I of this
provision.

Caution: In the absence of specific regulations or agreement, a practice
disclosed in a Disclosure Statement shall not, by virtue of such
disclosure, be deemed to be a proper, approved, or agreed-to practice
for pricing proposals or accumulating and reporting contract performance
cost data.

\(c\) Check the appropriate box below:

> \[ \] (1) Certificate of Concurrent Submission of Disclosure
> Statement. The offeror hereby certifies that, as a part of the offer,
> copies of the Disclosure Statement have been submitted as follows:
>
> \(i\) Original and one copy to the cognizant Administrative
> Contracting Officer (ACO) or cognizant Federal agency official
> authorized to act in that capacity (Federal official), as applicable;
> and
>
> \(ii\) One copy to the cognizant Federal auditor.
>
> (Disclosure must be on Form No. CASB DS-1 or CASB DS-2, as applicable.
> Forms may be obtained from the cognizant ACO or Federal official
> and/or from the loose-leaf version of the Federal Acquisition
> Regulation.)

Date of Disclosure Statement: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\
Name and Address of Cognizant ACO or Federal Official Where Filed:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

The offeror further certifies that the practices used in estimating
costs in pricing this proposal are consistent with the cost accounting
practices disclosed in the Disclosure Statement.

> \[ \] (2) Certificate of Previously Submitted Disclosure Statement.
> The offeror hereby certifies that the required Disclosure Statement
> was filed as follows:

Date of Disclosure Statement: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\
Name and Address of Cognizant ACO or Federal Official Where Filed:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

The offeror further certifies that the practices used in estimating
costs in pricing this proposal are consistent with the cost accounting
practices disclosed in the applicable Disclosure Statement.

> \[ \] (3) Certificate of Monetary Exemption. The offeror hereby
> certifies that the offeror, together with all divisions, subsidiaries,
> and affiliates under common control, did not receive net awards of
> negotiated prime contracts and subcontracts subject to CAS totaling
> \$50 million or more in the cost accounting period immediately
> preceding the period in which this proposal was submitted. The offeror
> further certifies that if such status changes before an award
> resulting from this proposal, the offeror will advise the Contracting
> Officer immediately.
>
> \[ \] (4) Certificate of Interim Exemption. The offeror hereby
> certifies that
>
> \(i\) the offeror first exceeded the monetary exemption for
> disclosure, as defined in (3) of this subsection, in the cost
> accounting period immediately preceding the period in which this offer
> was submitted and
>
> \(ii\) in accordance with 48 CFR 9903.202-1, the offeror is not yet
> required to submit a Disclosure Statement. The offeror further
> certifies that if an award resulting from this proposal has not been
> made within 90 days after the end of that period, the offeror will
> immediately submit a revised certificate to the Contracting Officer,
> in the form specified under paragraph (c)(1) or (c)(2) of Part I of
> this provision, as appropriate, to verify submission of a completed
> Disclosure Statement.

Caution: Offerors currently required to disclose because they were
awarded a CAS-covered prime contract or subcontract of \$50 million or
more in the current cost accounting period may not claim this exemption
(4). Further, the exemption applies only in connection with proposals
submitted before expiration of the 90-day period following the cost
accounting period in which the monetary exemption was exceeded.

II\. Cost Accounting Standards-Eligibility for Modified Contract
Coverage

If the offeror is eligible to use the modified provisions of 48 CFR
9903.201-2(b) and elects to do so, the offeror shall indicate by
checking the box below. Checking the box below shall mean that the
resultant contract is subject to the Disclosure and Consistency of Cost
Accounting Practices clause in lieu of the Cost Accounting Standards
clause.

\[ \] The offeror hereby claims an exemption from the Cost Accounting
Standards clause under the provisions of 48 CFR 9903.201-2(b) and
certifies that the offeror is eligible for use of the Disclosure and
Consistency of Cost Accounting Practices clause because during the cost
accounting period immediately preceding the period in which this
proposal was submitted, the offeror received less than \$50 million in
awards of CAS-covered prime contracts and subcontracts. The offeror
further certifies that if such status changes before an award resulting
from this proposal, the offeror will advise the Contracting Officer
immediately.

Caution: An offeror may not claim the above eligibility for modified
contract coverage if this proposal is expected to result in the award of
a CAS-covered contract of \$50 million or more or if, during its current
cost accounting period, the offeror has been awarded a single
CAS-covered prime contract or subcontract of \$50 million or more.

III\. Additional Cost Accounting Standards Applicable to Existing
Contracts

The offeror shall indicate below whether award of the contemplated
contract would, in accordance with paragraph (a)(3) of the Cost
Accounting Standards clause, require a change in established cost
accounting practices affecting existing contracts and subcontracts.

\[ \] Yes \[ \] No

(End of provision)

# K.17 1052.203-11 CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS (APR 1991) (DEVIATION)

The definitions and prohibitions contained in the clause, at FAR
52.203-12, Limitations on Payments to Influence Certain Federal
Transactions, included in this solicitation, are hereby incorporated by
reference in paragraph (b) of this certification.

The offeror, by signing its offer, hereby certifies to the best of his
or her knowledge and belief that on or after December 23, 1989,\-- (1)
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 awarding of a Federal contract resulting from this
solicitation; (2) If any funds other than Federal appropriated funds
(including profit or fee received under a covered Federal transaction)
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 this
solicitation, the offeror shall complete and submit, with its offer, OMB
standard form LLL, Disclosure of Lobbying Activities, to the Contracting
Officer; and (3) He or she will include the language of this
certification in all subcontract awards at any tier and require that all
recipients of subcontract awards in excess of \$100,000 shall certify
and disclose accordingly.

Submission of this certification and disclosure is a prerequisite for
making or entering into this contract imposed by section 1352, title 31,
United States Code. Any person who makes an expenditure prohibited under
this provision or who fails to file or amend the disclosure form to be
file or amended by this provision, shall be subject to a civil penalty
of not less than \$10,000, and not more than \$100,000, for each such
failure.

(End of provision)

**K.18 [LIMITATIONS ON SUBCONTRACTING]{.underline}**

*This provision should only be completed by HUBZone firms proposing as a
Prime under this acquisition and is claiming the Price Evaluation
Preference.*

In support of the performance requirements stated in FAR clause
52.219-14, Limitations on Subcontracting, the following information
shall be provided in the space below. If not enough room has been
provided below, please submit an attachment to Section K detailing the
information required.

At least 50 percent of the cost of contract performance incurred for
personnel shall be expended for employees of ([Insert Name of Offeror\'s
Company or Firm]{.underline})
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}
.

Employees of ([Insert Name of Offeror\'s Company or Firm]{.underline})
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
will provide the following services in fulfilling the contract
requirements. List the services and estimated cost of performance
incurred for personnel, and provide brief narrative description.

*For supplies (other than procurement from a regular dealer in such
supplies) add:*

The ([Insert Name of Offeror\'s Company or Firm]{.underline})
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
shall perform work for at least 50 percent of the cost of manufacturing
the supplies, not including the cost of materials.

Employees of ([Insert Name of Offeror\'s Company or Firm]{.underline})
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
will perform the following work in fulfilling the manufacturing
requirements. List the items and estimated cost of manufacturing, not
including materials, and provide brief narrative description.