COMBINED SYNOPSIS SOLICITATION i. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. ii. 36C10E23Q0015 The solicitation incorporates provisions and clauses in effect through Federal Acquisition Circular 2022-07, dated 08-10-2022. This solicitation is set-aside exclusively for Service-Disabled Veteran-Owned Small Business concerns. To be considered for award prospective offerors must be System for Award Registered Active and Veterans a verified SDVOB concern in the VA Center for Verification and Evaluation (CVE) Veteran Information Pages (VIP) verified at the date and time set for receipt of offers. An Offeror, who is not SAM, registered or a VIP verified SDVOB concern at the date and time set for receipt of offers will have their offer rejected as non-responsive and will not be considered for award. The applicable NAICS Code for this solicitation is 624190 , Small Business Size Standard 1,250 employees. Applicable wage determination 2015-5075 Revision 22 dated 12 July 2022 is hereby incorporated. Contractor shall provide quote for EAP Services. ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT SV PRICE AMOUNT 0001 The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, and other items and non-personal services necessary to provide EAP Services. Base Year. POP Begin: 12-01-2022 POP End: 11-30-2023 1 SV $______ $________ 1001 The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, and other items and non-personal services necessary to provide EAP Services. POP Begin: 12-01-2023 POP End: 11-30-2024. Option 1 1.00 SV $_______ $_________ 2001 The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, and other items and non-personal services necessary to provide EAP Services. POP Begin: 12-01-2024 POP End: 11-30-2025 Option 2 1.00 SV $_________ $__________ 3001 The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, and other items and non-personal services necessary to provide EAP Services. POP Begin: 12-01-2025 POP End: 11-30-2026 Option 3 1.00 SV $________ $_______ 4001 The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, and other items and non-personal services necessary to provide EAP Services. POP Begin: 12-01-2026 POP End: 11-30-2027 Option 4 1.00 SV $_________ $________ GRAND TOTAL ALL YEARS $____________ Description of Requirement : EAP SERVICES BASE PLUS FOUR OPTIONS Department of Veterans Affairs STATEMENT OF WORK (SOW) Employee Assistance Program General Information Background: The Department of Veterans Affairs (VA), Veterans Benefits Administration (VBA) St. Louis Regional Office (VARO) has a requirement to provide Employee Assistance Program (EAP) services to employees and their immediate families. The EAP program will be available to all employees and their immediate families since problems at home may affect work. Immediate family is defined as spouse, children, including adopted children and employee's parents. All records and discussions of personal problems shall be confidential and shall not jeopardize an employee's job security, promotional opportunities, or reputation. These records shall be kept by the designated counseling resource; furthermore, an individual's specific records shall not be reported to the VARO. Verification of usage shall be accomplished through VA auditors, auditors suggested by the contractor or independent auditors selected by the VA, ensuring confidentiality is maintained for the user. Supervisors may use the program to obtain guidance when personal problems of subordinate staff cause unsatisfactory job performance and/or to refer employees to the program. It is the policy of the VARO to intervene only when problems affect job performance or reflect discredit to the VARO. Employees in treatment or rehabilitation shall be eligible for sick leave on the same basis as is granted for other health problems; if sick leave is not available, annual leave or leave without pay shall be considered. This policy does not alter nor replace existing administrative policy or contractual agreements but serves to assist in their utilization. To assure adequate acceptability and utilization of these diagnostic and referral services, the VA agrees to participate in program exposure and employee education of the services available. Mailings to employees shall be at the expense of the VARO. Scope of work: This Statement of Work delineates the various tasks, deliverables, and activities required for individual, face-to-face, and as needed counseling of employees and their immediate family members on a host of personal and job-related matters. Problem areas shall include, but are not limited to, alcohol/drug abuse, trauma, mental illness, relationship/family conflicts, financial, stress, and job problems. The contractor shall provide crisis intervention, assessment, information, referral, short- term counseling, and follow-up monitoring. Period of Performance: Base Year from December 1, 2022, to November 30, 2022, with four consecutive 12-month option years. Place of Performance: VBA St. Louis Regional Office 9700 Page Avenue, St. Louis, MO 63132. VBA Regional Office s Hours of Operation: Services shall be performed during VBA St. Louis Regional Office s normal business hours from 6:00 AM to 6:00 PM. The contractor shall not perform services during Federal holidays observed by the Department of Veterans Affairs. References/Applicable Rules, Policies, Regulations: OPM Handbook: Federal Employee Assistance Programs, Guiding Principles, Framework and Definitions. Safety Requirements: While in performance of the resultant contract, the contractor shall maintain safety and health standards compliant with requirements of the Occupational Safety and Health Administration (OSHA) and adhere to VAAR 852.237-70 Contractor responsibilities. Security Requirements: Contractor personnel shall be required to contact the government designated point of contact upon arrival when reporting for service calls or delivering supplies. Current rules and regulations applicable to the premises, where the work shall be performed, shall apply to the contractor and its employees while working on the premises. These regulations include but are not limited to, escort by VBA officials, presenting valid identification, smoking restrictions, and any safety procedures as outlined in the site regulations. Services shall not require connection to the VA network. The Certification and Accreditation of network/application (C&A) requirements do not apply, and a Security Accreditation Package is not required. Confidentiality of Records and Referrals: The contractor shall not disclose or cause to disseminate any information concerning operations of the Department of Veterans Affairs. Such action(s) could result in violation of the contract and possible legal actions. Contractor shall ensure no VA employee nor family member shall be assigned for diagnosis; referral or counseling to a VA affiliated person unless specifically requested by the employee. Contractor agrees to comply with requirements relating to the confidential nature of patient's records in accordance with 42 USC Section 290dd-2. The VARO agrees to provide contractor with a copy of these requirements upon request. Contractor shall maintain counseling records which comply with the Privacy Act, and which are accurate and complete. Contractor shall ensure the physical security and prevention of disclosure of the records, reports, or other private information regarding VARO employees and family members. This information, even with the VA employee s or family member s informal or written consent, cannot be used without the VA's approval. These records must be maintained and secured to ensure no information is released without documented authorization. All inquiries, comments, or complaints arising from any matter observed, experienced, or learned of as a result of or in connection with the performance of the contract, the resolution of which may require the dissemination of official information, shall be directed to the government s designated representative. See attached VA Handbook 6500.6, Contract Security Appendix C. No background investigation is required. Non-Personal Services: These services are non-personal. Contractor personnel are not subject to the supervision and control of a government officer or employee in accordance with (IAW) Federal Acquisition Regulation (FAR) 37.104(a) (1) (ii). Rather, contractor personnel perform their duties IAW specific tasks outlined in the SOW. Supervisory functions such as hiring, directing, counseling, and firing of contractor personnel are not performed by the Government. The contractor personnel who furnish services under this contract are subject to Government technical oversight of the services provided. The Government retains the right to reject services and or fees for contractual nonperformance. Invoices: Contractor shall email invoices monthly in arrears to the email address listed on page one (1) block 18a of the contract includes the following information: Contract and obligation numbers; Company name, address and phone number and invoice number and invoice date. Definition and Acronyms: N/A Government-Furnished Items and Services. N/A Contractor-Furnished Items and Services: Performance Outcome Objective. Contractor shall provide the necessary intake staff and other resources to conduct a successful EAP. The contractor shall maintain a 5% utilization rate for traditional EAP counseling services. The contractor shall provide an initial screening and up to three hours of counseling sessions, if needed, each contract year, to each employee or family member who wishes to utilize this contract. Payment for any additional sessions shall be the responsibility of the employee or family member and shall not be considered part of this contract. The program utilization rate is determined by dividing the number of clients who have been clinically serviced by the program by the total number (1206) of eligible employees (plus family members). Specific Contractor Tasks: Diagnostic Services: Problem assessment visits (unlimited) and initial counseling directed toward identifying and assessing the complexity of personal problems which may affect job performance. Issues requiring counseling include but are not limited to alcohol/drug abuse, trauma, mental illness, relationship/family conflicts, financial, stress, and job problems. Short-Term Counseling Services: Performed in-house directed toward clients whose problems can be addressed in one visit. Counseling shall be face-to-face, as needed for a maximum of three sessions. Evaluation and counseling services shall be performed at the contractor's facility or virtually. The contractor s facility must be within the vicinity of the St. Louis VARO. If additional counseling is necessary, a referral to a community facility or the patient s primary care physician shall be provided. St. Louis VARO employees and family members shall be responsible for payment of any referred services. Referral Services: Motivational counseling and referral to competent care and follow-up directed toward appropriate community resources for employees and dependents whose problems warrant specialized and/or longer-term counseling. The contractor shall contact the employee or family member 14 calendar days after the referral is given to ascertain its appropriateness. Work-Related Issues: Issues covering job dissatisfaction and/or work-related problems shall be referred to the VA's EAP Coordinator(s). Diagnostic and referral services shall be available from a minimum of one location in and around the St. Louis metropolitan area. A 1-800 number shall be available for local and out-based employees. Contractor shall have referral capability in the out based areas. Emergency (crisis capability with psychiatric/psychological backup) and after-hours EAP calls must be responded to by a professional staff member on a 24-hour daily basis. Contractor to forward medical emergency calls to 911 or 988 when applicable. Appointments shall be made so the client shall be seen within three (3) working days or sooner as appropriate. Contractor shall provide the St. Louis VARO, yearly updated statistical reports and cumulative utilization data summarizing diagnostic and referral activity. No identifying data on individual employees or their dependents shall be provided to the VARO. Upon request, contractor shall provide St. Louis VARO with program evaluation data obtained by contractor through the seeking and evaluation of client and/or supervisory feedback of services rendered. Such evaluation must pertain to diagnostic and referral services provided as well as services provided by referral sources. This follow-up activity with clients and/or supervisors may be conducted on a quarterly basis for one year following initial intake. Contractor s staffing shall include, but not be limited to, the following: Experienced (minimum of two years) Chemical Dependency Counselor, Mental Health Counselor/Social Worker (or related field). The contractor must have access to psychologists and/or psychiatrists for referrals. Contractor shall have ability to administer/manage program staff, respond to and maintain compliance with applicable regulations, rules and policies; provide efficient and effective liaison with the St. Louis VARO s EAP Coordinator, and assess established health insurer's programs or services of other social service agencies for referral potential. Upon request, the contractor shall provide the VA brochures, posters, and other materials to promote and maintain employee awareness, to familiarize employees and supervisors with services available through the EAP, and to enhance employee and supervisory understanding of how personal problems can affect job performance. Upon request, the contractor shall provide two virtual training and education services per year of one hour in duration. These sessions shall explain to the government employees the purpose of EAP as it relates to early identification and prevention of personal, family, and work-related problems. It should also explain the full range of services offered by EAP and their potential costs. Quality Control Program: The Contractor shall maintain and follow its own established Quality Assurance and Surveillance Plan (QASP). The Government shall monitor the Contractor s performance under this contract utilizing customer complaints and re-performance of requirements at no cost to the government. The Contractor is responsible for complying with all appropriate regulations and guidelines of OSHA and any other pertinent federal, state and local laws. The contractor shall obtain and maintain all necessary licenses, permits, insurance and applicable health and safety program. The contractor shall maintain malpractice coverage on any clinical staff involved in this contract and is solely responsible for all clinical recommendations. The contractor shall hold and save the Government free from damages due to the provision of counseling services in connection with EAP, except for damages due to the fault or negligence of the Government Government Point of Contact: Eric Davidson eric.davidson@va.gov Changes to the Statement of Work (SOW): Any changes to this SOW shall be authorized and approved only through written correspondence from the Contracting Officer. Costs incurred by the contractor through the actions of parties other than the Contracting Officer shall be borne by the contractor. Period of Performance: Base year with four (4) one year option years. FOB Destination. FAR 52.212-1, Instructions to Offerors Commercial Items (NOV 2021), applies to this solicitation. The following provisions and clauses are added as addenda: Complete VAAR 852.219-77 and submit with quote. Government request most favored customer pricing If using a subcontractor(s) include the companies ; name, address, phone, email, website, point of contact, UEI and a less than one page explanation of what their role they will perform for your company on the eventual contract. No phone calls will be taken in regard to this RFQ, submit any questions via email to eric.davidson@va.gov and by 11/14/2022 and an amendment with response if needed. Offerors are reminded it is your responsibility to check the official site for contracting opportunities. No questions by email will be responded to after the amendment with responses is posted. It is Offeror s responsibility to review the RFQ before submitting any questions that can be or are already in the RFQ. Schedule page shows SV, your quote that you submit should be for monthly services as stared in the SOW FAR 52.252-1 Solicitation Provisions Incorporated By Reference (FEB 1998) FAR 52.212-2 Evaluation Commercial Items (NOV 2021), applies to this solicitation. Offers will be evaluated on 1. Technical 2. Past Performance 3. Price. Technical & Past Performance when combined is more important than price. FAR 52.212-3 Offeror Representations and Certifications Commercial Items (MAY 2022) applies to this solicitation. Offerors shall submit a completed copy of FAR 52.212-3 with its Offer. FAR 52.212-4, Contract Terms and Conditions Commercial Items (NOV 2021) applies to this solicitation. The following provisions and clauses are added as addenda: FAR 52.252-2, Clauses Incorporated By Reference (FEB 1998) This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): https://www.acquisition.gov/browse/index/far https://www.va.gov/oal/library/vaam/index.asp https://www.va.gov/oal/library/vaam/index.asp 52.204-9 Personal Identity Verification of Contractor Personnel (JAN 2011) 52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE ( OCT 2018) 52.209-6 Protecting the Government s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (NOV 2021) 52.222-19 Child Labor-Cooperation with Authorities & Remedies ( Jan 2022 ) The Government will take no action to enforce the clause implementing requirements of Executive Order 14042, absent further written notice from the contracting officer, where the place of performance identified in the contract is in a U.S. state or outlying area subject to a court order prohibiting the application of requirements pursuant to the Executive Order (hereinafter, Excluded State or Outlying Area ). In all other circumstances, the Government will enforce the clause, except for contractor employees who perform substantial work on or in connection with a covered contract in an Excluded State or Outlying Area, or in a covered contractor workplace located in an Excluded State or Outlying Area. A current list of such Excluded States and Outlying Areas is maintained at Safer Federal Workforce for Federal Contractors. For Federal Contractors | Safer Federal Workforce Guidance documents issued by the Safer Federal Workforce Task Force or OMB, related to the Task Force s mission The Contractor shall, at its own expense, provide and maintain during the entire performance of this contract, at least the kinds and minimum amounts of insurance required in the Schedule or elsewhere in the contract. Before commencing work under this contract, the Contractor shall notify the Contracting Officer in writing that the required insurance has been obtained. The policies evidencing required insurance shall contain an endorsement to the effect that any cancellation or any material change adversely affecting the Government s interest shall not be effective- For such period as the laws of the State in which this contract is to be performed prescribe; or Until 30 days after the insurer or the Contractor gives written notice to the Contracting Officer, whichever period is longer. (End of clause) 52.232-18 Availability of Funds ( APR1984)JUN 2020) 52.232-39 Unenforceability of Unauthorized Obligations (JUN 2013) 52.232.40 Providing Accelerated Payments to Small Business Subcontractors (NOV 2021) 52.232-23 Assignment of Claims (MAY 2014) 52.232-39 Unenforceability of Unauthorized Obligations (JUN 2013) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (NOV 2021) 52.233-1 Disputes (MAY 2014) 52.233-4 Applicable Law for Breach of Contract Claims (OCT 2004) 52.237-2 Protection of Government Buildings, Equipment and Vegetation (APR 1984) VAAR 852.212-70 Provisions and Clauses Applicable to VA Acquisition of Commercial Items (APR 2020) (a) The Contractor agrees to comply with any provision or clause that is incorporated herein by reference to implement agency policy applicable to acquisition of commercial items or components. The following provisions and clauses that have been checked by the Contracting Officer are incorporated by reference. _X_ 852.203-70, Commercial Advertising. 852.209-70, Organizational Conflicts of Interest. _X_852.211-70, Equipment Operation and Maintenance Manuals. 852.214-71, Restrictions on Alternate Item(s). 852.214-72, Alternate Item(s). [Note: this is a fillable clause.] 852.214-73, Alternate Packaging and Packing. 852.214-74, Marking of Bid Samples. 852.215-70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors. 852.215-71, Evaluation Factor Commitments. 852.216-71, Economic Price Adjustment of Contract Price(s) Based on a Price Index. 852.216-72, Proportional Economic Price Adjustment of Contract Price(s) Based on a Price Index. 852.216-73, Economic Price Adjustment State Nursing Home Care for Veterans. 852.216-74, Economic Price Adjustment Medicaid Labor Rates. 852.216-75, Economic Price Adjustment Fuel Surcharge. 852.219-9, VA Small Business Subcontracting Plan Minimum Requirements. _X_ 852.219-10, VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside. 852.219-11, VA Notice of Total Veteran-Owned Small Business Set-Aside. _X_ 852.219-77, VA Notice of Limitation on Subcontracting- Certificate of Compliance for Services and Construction ( SEP 2021) (Deviation) 852.222-70, Contract Work Hours and Safety Standards Nursing Home Care for Veterans. 852.228-70, Bond Premium Adjustment. 852.228-71, Indemnification and Insurance. 852.228-72, Assisting Service-Disabled Veteran-Owned and Veteran-Owned Small Businesses in obtaining Bonds. _X_ 852.232-72, Electronic Submission of Payment Requests. 852.233-70, Protest Content/Alternative Dispute Resolution. 852.233-71, Alternate Protest Procedure. 852.237-70, Indemnification and Medical Liability Insurance. 852.246-71, Rejected Goods. 852.246-72, Frozen Processed Foods. 852.246-73, Noncompliance with Packaging, Packing, and/or Marking Requirements. _X_ 852.270-1, Representatives of Contracting Officers. 852.271-72, Time Spent by Counselee in Counseling Process. 852.271-73, Use and Publication of Counseling Results. 852.271-74, Inspection. 852.271-75, Extension of Contract Period. 852.273-70, Late Offers. 852.273-71, Alternative Negotiation Techniques. 852.273-72, Alternative Evaluation. 852.273-73, Evaluation Health-Care Resources. _X_ 852.273-74, Award without Exchanges. (End of clause) VAAR 852.273-74 Award Without Exchanges (NOV 2021) The Government intends to evaluate proposals and award a contract without exchanges with offerors. Therefore, each initial offer should contain the offeror s best terms from a cost or price and technical standpoint. However, the Government reserves the right to conduct exchanges if later determined by the contracting officer to be necessary. (End of provision) VAAR 852.219-74 Limitations on Subcontracting (JUL 2018) (DEVIATION) This solicitation includes VAAR 852.219-10 VA Notice of Total Service-Disabled Veteran-Owned Small Business Set- Aside Accordingly, any contract resulting from this solicitation is subject to the limitation on subcontracting requirements in 13 CFR 125.6. The Contractor is advised that in performing contract administration functions, the Contracting Officer may use the services of a support contractor(s) retained by VA to assist in assessing the Contractor s compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to Contractor s offices where the Contractor s business records, or other proprietary data are retained and to review such business records regarding the Contractor s compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement to ensure the Contractor s business records or other proprietary data reviewed or obtained in the course of assisting the Contracting Officer in assessing the Contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the Contractor to protect proprietary information as required by FAR 9.505-4, Obtaining access to proprietary information, paragraph (b). The Contractor is required to cooperate fully and make available any records as may be required to enable the Contracting Officer to assess the Contractor s compliance with the limitations on subcontracting or percentage of work performance requirement. (End of clause) VAAR 852.219-77 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (SEP 2021) (DEVIATION) Pursuant to 38 U.S.C. 8127(k)(2), the offeror certifies that If awarded a contract (see FAR 2.101 definition), it will comply with the limitations on subcontracting requirement as provided in the solicitation and the resultant contract, as follows: [Contracting Officer check the appropriate box below based on the predominant NAICS code assigned to the instant acquisition as set forth in FAR 19.102.] [ ] Services. In the case of a contract for services (except construction), the contractor will not pay more than 50% of the amount paid by the government to it to firms that are not VIP-listed SDVOSBs as set forth in 852.219-10 or VOSBs as set forth in 852.219-11. Any work that a similarly situated VIP-listed subcontractor further subcontracts will count towards the 50% subcontract amount that cannot be exceeded. Other direct costs may be excluded to the extent they are not the principal purpose of the acquisition and small business concerns do not provide the service as set forth in 13 CFR 125.6. [ ] General construction. In the case of a contract for general construction, the contractor will not pay more than 85% of the amount paid by the government to it to firms that are not VIP-listed SDVOSBs as set forth in 852.219-10 or VOSBs as set forth in 852.219-11. Any work that a similarly situated VIP-listed subcontractor further subcontracts will count towards the 85% subcontract amount that cannot be exceeded. Cost of materials are excluded and not considered to be subcontracted. Special trade construction contractors. In the case of a contract for special trade contractors, the contractor will not pay more than 75% of the amount paid by the government to it to firms that are not VIP-listed SDVOSBs as set forth in 852.219-10 or VOSBs as set forth in 852.219-11. Any work that a similarly situated subcontractor further subcontracts will count towards the 75% subcontract amount that cannot be exceeded. Cost of materials are excluded and not considered to be subcontracted. The offeror acknowledges that this certification concerns a matter within the jurisdiction of an Agency of the United States. The offeror further acknowledges that this certification is subject to Title 18, United States Code, Section 1001, and, as such, a false, fictitious, or fraudulent certification may render the offeror subject to criminal, civil, or administrative penalties, including prosecution. If VA determines that an SDVOSB/VOSB awarded a contract pursuant to 38 U.S.C. 8127 did not act in good faith, such SDVOSB/VOSB shall be subject to any or all of the following: Referral to the VA Suspension and Debarment Committee; A fine under section 16(g)(1) of the Small Business Act (15 U.S.C. 645(g)(1)); and Prosecution for violating section 1001 of title 18. The offeror represents and understands that by submission of its offer and award of a contract it may be required to provide copies of documents or records to VA that VA may review to determine whether the offeror complied with the limitations on subcontracting requirement specified in the contract. The Contracting Officer may, at their discretion, require the Contractor to demonstrate its compliance with the limitations on subcontracting at any time during performance and upon completion of a contract if the information regarding such compliance is not already available to the Contracting Officer. Evidence of compliance includes, but is not limited to, invoices, copies of subcontracts, or a list of the value of tasks performed. The offeror further agrees to cooperate fully and make available any documents or records as may be required to enable VA to determine compliance with the limitations on subcontracting requirement. The offeror understands that failure to provide documents as requested by VA may result in remedial action as the Government deems appropriate. Offeror completed certification/fill-in required. The formal certification must be completed, signed, and returned with the offeror s bid, quotation, or proposal. The Government will not consider offers for award from offerors that do not provide the certification, and all such responses will be deemed ineligible for evaluation and award. Certification: I hereby certify that if awarded the contract, [insert name of offeror] will comply with the limitations on subcontracting specified in this clause and in the resultant contract. I further certify that I am authorized to execute this certification on behalf of [insert name of offeror]. Printed Name of Signee: Printed Title of Signee: Signature: Date: Company Name and Address: (End of clause) 52.212-5, Terms and Conditions Required to Implement Executive Orders Commercial Items (MAY 2022), applies to this solicitation. The following provisions and clauses are selected as appropriate to this solicitation: Paragraph b clauses applicable: (4) 52.204-10 Reporting Executive Compensation & First Tier Subcontracting Awards (JUN 2020) (8) 52.209-6 Protecting the Government s Interest When Subcontracting With Contractors Debarred, Suspended, or Proposed for Debarment (NOV 2021) 31 USC 6101) (9) 52.209-9 Update of Publicly Available Information Regarding Responsibility Matters ( OCT 2018) (41USC.2313) (22) 52.219-28 Post-Award Small Business Program Representation (SEP 2021) (27) 52.222-3 Convict Labor (JUN 2003) (E.O. 11755) (28) 52.222-19 Child Labor-Cooperation with Authorities & Remedies ( Jan 2022 ) (29) 52.222-21 Prohibition of Segregated Facilities (APR 2015) (30) 52.222-26 Equal Opportunity (SEP 2016) (E.O. 11246) (32) 52.222-36 Equal Opportunity for Workers with Disabilities (JUN 2020) (35) 52.222-50 Combating Trafficking in Persons (NOV 2021) (44) 52.223-18 Encouraging Contractor Policies to Ban Text Messaging While Driving (JUN 2020) (51) 52.225-13 Restrictions on Certain Foreign Purchases (JUN 2008) (58) 52.232-33 Payment by Electronic Funds Transfer System for Award Management (OCT 2018) 52.222-41 Service Contract Labor Standards (AUG 2018) 52.222-42 Statement of Equivalent Rates for Federal Hires (MAY 2014FARFAR) (THIS IS NOT A WAGE DETERMINATION) EMPLOYEE CLASS WAGE + FRINGE BENEFITS 52.222-55 Minimum Wages Under Executive Order 13658 (JAN 2022) 52.222-62 Paid Sick Leave Under Executive Order 13706 (JAN 2022) N/A N/A Offers are due not later than 25 November 2022 3:00 PM Eastern Offers must be submitted electronically ( email) to eric.davidson@va.gov. For additional information, please contact the Contracting Officer, Eric Davidson, by e-mail to eric.davidson@va.gov.