Attachment_H_Fact_Sheet_on_Procurement_Restrictions_-_Annex_1.docx
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- Attached to
- GLOBAL ADVISORY AND SUPPORT SERVICES Federal contract opportunity
- Solicitation number
- 19AQMM19R0193
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Attachment H PKO Restrictions Annex 1
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Fact Sheet: Procurement Restrictions Under the Foreign Assistance Act Annex 1 – 636 (i) Templates - VEHICLES Equipment Component Origin Reporting Template Offerors shall complete the template below for each type of vehicle proposed and include it in the technical proposal:
Receiving Country: ________________ Vehicle Make and Model: ___________ Quantity to Procure: _______________
| Component |
| Source Company and Location |
| Manufacture Origin |
| % of Vehicle by Cost |
Chassis:
Frame:
Axles:
Transfer Case:
Engine:
Electrical
Glass
Armor (if applicable)
Body
Integration and Assembly Labor
| U.S. Origin Percentage: |
| % |
| Non- U.S. Origin Percentage: |
| % |
If U.S. Origin content value is less than 80%, then the proposed equipment does not meet the Vehicle and Equipment Procurement Standard. If Offeror is seeking to waive the restrictions in the Fact Sheet: Vehicle and Equipment Procurement Restrictions Under the Foreign Assistance Act, then Offeror shall report on all alternatives that meet these restrictions and clearly state how they do not meet the solicitation’s requirements and shall use the template provided on the next page in the technical proposal.
| Vendor |
| Location of Equipment |
| 636(i) Compliant |
| Present in Vendor Inventory |
| Meets Task Order Solicitation Specifications |
| Explanations for Deviations and Waivers |
| Specification/Availability Issues |
| Timeliness Issues |
| Cost Variance |
| A |
| United States |
| Yes |
| N/A |
| No |
| Explanation |
(e.g. not right hand drive, not dirty diesel compatible, no local vendor/source for post-delivery support/spare parts)
| Explanation (e.g. will arrive 90 days later than Government requires in Task Order) |
| Explanation |
| B |
| Recipient Country |
| Yes |
| No |
| No |
| Explanation |
Explanation
Explanation (e.g. cost will be 25% cheaper than procuring from USG)
| C |
| Other non-Advanced Developing Country |
| Yes |
| Yes |
| No |
| Explanation |
Explanation
Explanation
| D |
| Other non-Advanced Developing Country |
| Yes |
| Yes |
| No |
| Explanation |
Explanation
Explanation
| E |
| Other non-Advanced Developing Country |
| No |
| Yes |
| Yes |
| Explanation |
| Explanation (e.g. will arrive within Governments delivery date requirement Government Task Order) |
| Explanation |
| F |
| Proposed location |
| TBD |
| TBD |
| Yes |
| Explanation |
| Explanation |
| Explanation |
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