3.01_RFQ_Solicitation_N0038326PR0R680.pdf

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

b. TELEPHONE

AREA CODE

NUMBER

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

8. TO:

b. COMPANYa. NAME

c. STREET ADDRESS

d. CITY e. STATE f. ZIP CODE

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE e. ZIP CODE

7. DELIVERY

FOB DESTINATION

OTHER

(See Schedule)

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date)

IMPORTANT: This is a request for information and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or service. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotation must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO.

(a)

SUPPLIES/ SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations are are not attached.

13. NAME AND ADDRESS OF QUOTER

a. NAME OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

PAGE OF PAGES

1. REQUEST NO. 2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY 6. DELIVER BY (Date)

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME TELEPHONE NUMBER

AREA CODE NUMBER

FMS Requirement

Section A - Solicitation/Contract Form

N0038326PR0R680_FMS

This RFQ is for repair. NAVSUP WSS requests that contractors submit a quote that includes either a firm-fixed price or TT&E pricing as well as estimate costs to repair this item.

NAVSUP intends to award this within the T&Cs of BOA N00383-26-G-AB01.

This solicitation is for the procurement of 2 units of National Stock Number (NSN) 7R5841016504230.

Induction Period The induction period for the initial units in this order is 365 calendar days from the date of contract award. The Government reserves the right to extend this period by an additional 365 days, for a total of two years. Any unused induction slots from the initial year may be carried over into the second year.

Pricing and Options The contractor shall propose option pricing for a maximum of 10 units over the entire contract period, inclusive of the initial quantity. If pricing will change after the first 365 days, please provide separate pricing for the second year.

Contract Award The Government reserves the right to place the initial order for any number of units up to the specified maximum. For threshold purposes, the total contract value will be calculated by multiplying the highest proposed unit price by the maximum number of units.

The Government physically does not have in its possession sufficient, accurate, or legible data to contract purchase with other than the current source. These items require Government Source Approval prior to award. If you are not an approved source, you must submit, together with your proposal, the information detailed in the NAVSUP WSS Source Approval Brochure which can be obtained on the internet at https://www.navsup.navy.

mil/navsup/ourteam/navsupwss/business_opps . Offers received which fail to provide all data required by the source approval brochure will not be considered for award under this solicitation. For information or questions regarding this notice, please contact anna.m.kiessling.civ@us.navy.mil.

This contract/delivery order/purchase order/modification is issued by the Government when deposited in the mail, transmitted by facsimile or sent by any electronic commerce method, including email. The Government's acceptance of the contractor's proposal constitutes bilateral agreement to issue this contract/delivery order /purchase order/modification.

N0038326QF148

Section B - Supplies or Services & Prices or Costs

Additional Information/Notes

Item Supplies/Service Quantity Unit Unit Price Amount

Evaluation, Labor, Materials and Parts as may be required to restore the following Government owned articles to operating condition.

Nomenclature: Radar Data Processor (RDP)

NSN: 7R5841016504230

Part Number: FM300A381-0051 FMS Case: SR-P-MAL

National Stock Number: 5841016504230

Option Line Item

0001AA

Reference CLIN 0001

M/F: PSRZE461251386

Serial Number: MYT354 Throughput Constraint: 000/month Induction Exp. Date: TBD / 365 RTAT: 365 days after induction of asset.

Ship to: PSR002 Mark For: PSRZ00

SUPPAD: PA2MAL

NOTE: The requirements in DFARS 252.211-7003, Item Identification and Valuation, are applicable for this line item.

The contractor shall provide DoD unique identification or a DoD recognized unique identification equivalent.

National Stock Number: 5841016504230 Pricing Arrangement: Firm Fixed Price PR Number: NOPR PR Line Item Number: 0001AA

1 Each

Option Line Item

0001AB

Reference CLIN 0001

M/F: PSRZE461311388

Serial Number: MY251200 Throughput Constraint: 000/month Induction Exp. Date: TBD / 365 RTAT: 365 days after induction of asset.

Ship to: DDE005 Mark For: DDEK00

SUPPAD: DA5RAJ

NOTE: The requirements in DFARS 252.211-7003, Item Identification and Valuation, are applicable for this line item.

The contractor shall provide DoD unique identification or a DoD recognized unique identification equivalent.

National Stock Number: 5841016504230 Pricing Arrangement: Firm Fixed Price PR Number: NOPR PR Line Item Number: 0001AB

1 Each

Additional Regulation or Supplemental Clauses Incorporated by Full Text

WSSTERMBA00 CONTACT INFORMATION (Dec 2020)

When a DCMA office is shown on a Contract/Purchase Order, the Administrative Contracting Officer (ACO) is the primary point of contact and all inquiries shall initially be directed to that office for necessary action.

Inquiries and correspondence directed to the Post Award PCO should be addressed as follows:

Code N732.78 Weapon System LRC: FMS H60

Telephone: 771-229-0483

E-Mail: anna.m.kiessling.civ@us.navy.mil

In the event that the listed PCO contact information is no longer valid and a follow-on PCO cannot be identified, contact itimp.wss.

fct@navy.mil.

N0038326QF148

mailto:itimp.wss.fct@navy.mil mailto:itimp.wss.fct@navy.mil

Section C - Description/Specifications/Statement of Work

CLIN: 0001

NIIN: 016504230

Item Name: Radar Data Processor (RDP)

1. SCOPE

1.1 This contract/purchase order contains the requirements for repair and the contract quality requirements for the Radar .Data Processor (RDP)

2. APPLICABLE DOCUMENTS

2.1 Applicable Documents - The document(s) listed below form a part of this contract/purchase order including modifications or exclusions.

2.1.1 "Document References" listed below must be obtained by the Contractor. Ordering information is included as an attachment to this contract/purchase order.

3. REQUIREMENTS

3.1 Cage Code/Reference Number Items - The repaired under this contract/purchase order Radar Data Processor (RDP) shall meet the operational and functional requirements as represented by the Cage Code(s) and reference number(s) listed below.

All repair work shall be performed in accordance with the contractor's repair/overhaul standard practices, manuals and directives including but not limited to drawings, technical orders, manufacturing operations, tooling instructions, approved repair standards and any other contractor or government approved documents developed to provide technical repair procedures.

CAGE: 03640; PN FM300A381-0051

3.2 Marking - PACKAGING AND MARKING SHALL BE IN ACCORDANCE WITH BEST STANDARD

COMMERCIAL PACKAGING FOR OVERSEAS SHIPMENT.

3.3 Changes in Design, Material Servicing, or Part Number - Except for a Code 1 change, which shall be processed as provided in the code statement shown below, no substitution of items shall be made until the NAVSUP-WSS- MECH Contracting Officer has notified and approval has been given by issuance of a written change order. When any change in design, material, servicing or part number is made to replace or substitute any item to be furnished on this contract/purchase order, the Contractor shall furnish, for the substituting/replacement item, a drawing and an explanation of the reason for the change, explaining the reason therefor. If finished detail drawings are not available, shop drawings in the form used by the manufacturer will be acceptable for Government evaluation. When notifying the Procurement Contracting Officer of the reasons for making substitutions, the type of change shall be indicated by code number in accordance with one of the following statements:

Code 1: PART NUMBER CHANGE ONLY - If the Manufacturer's Part Number indicated thereon has changed, but the parts are identical in all respects, supply the item and advise NAVSUP-WSS-MECH immediately of the new part number.

Code 2: Assembly (or set or kit) not furnished - Used following detail parts.

Code 3: Part not furnished separately - Use assembly.

Code 4: Part redesigned - Old and new parts are completely interchangeable. Code 5: Part redesigned - New part replaces old.

Old part cannot replace new. Code 6: Part redesigned - Parts not interchangeable.

Requirements

NSN: 7R5841016504230

PN : FM300A381-0051

NOMENCLATURE : Radar Data Processor (RDP)

Section D - Packaging and Marking

NIIN: 016504230

ITEM NAME: Radar Data Processor (RDP)

5. PACKAGING

5.1 Preservation, Packaging, Packing and Marking - Preservation, Packaging, Packing and Marking shall be in accordance with the Contract/Purchase Order Schedule and as specified below.

Marking - PACKAGING AND MARKING SHALL BE IN ACCORDANCE WITH BEST STANDARD COMMERCIAL

PACKAGING FOR OVERSEAS SHIPMENT.

Section E - Inspection and Acceptance

NIIN: 016504230

ITEM NAME: Radar Data Processor (RDP)

4. QUALITY ASSURANCE PROVISIONS

4.1 Responsibility for Inspection - Unless otherwise specified in the contract/purchase order, the Contractor is responsible for the performance of all inspection requirements as specified herein. Except as otherwise specified in the contract/purchase order, the Contractor may use his own or any other facilities suitable for the performance of the inspection requirements specified herein, unless disapproved by the Government. The Government reserves the right to perform any of the inspections set forth in the specification where such inspections are deemed necessary to assure supplies and services conform to prescribed requirements.

4.2 Responsibility for Compliance - All items must meet all requirements of this contract/purchase order. The inspection set forth in this specification shall become a part of the Contractor's overall inspection system or quality program. The absence of any inspection requirements shall not relieve the Contractor of the responsibility of assuring that all products or supplies submitted to the Government for acceptance comply with all requirements of the contract/purchase order. Sampling in quality conformance does not authorize submission of known defective material, either indicated or actual, nor does it commit the Government to acceptance of defective material.

4.3 Records - Records of all inspection work by the Contractor shall be kept complete and available to the Government during the performance of contract/purchase order and for a period of 365 calendar days after final delivery of supplies.

4.4 Inspection/Testing Repaired Items - The Contractor shall perform all inspection and testing requirements as specified in the original manufacturer's specifications and drawings.

Section F - Deliveries or Performance

Line Item Delivery Schedule Quantity Address and POC

Option Line Item

0001AA

Delivery Schedule From date of lead time event to delivery 365 Calendar Days Date of Induction

Period of Performance From 23 Jun 2026 To 24 Aug 2026

1 Each Ship To

MAPAC: PSR002

CountryCode: USA

NEW YORK FORWARDING SERVICES INC

ATTN SAUDI PROJECT MANAGER, COLLEEN MICELE TEL

908-363-5207

BERKELEY HEIGHTS, NJ 07922-1505

UNITED STATES

TBD, TBD

Email: TBD Telephone: TBD

Option Line Item

0001AB

Delivery Schedule From date of lead time event to delivery 365 Calendar Days Date of Award

Period of Performance From 23 Jun 2026 To 24 Aug 2026

1 Each Ship To

MAPAC: PSR002

CountryCode: USA

NEW YORK FORWARDING SERVICES INC

ATTN SAUDI PROJECT MANAGER, COLLEEN MICELE TEL

908-363-5207

BERKELEY HEIGHTS, NJ 07922-1505

UNITED STATES

TBD, TBD

Email: TBD Telephone: TBD

Additional Regulation or Supplemental Clauses Incorporated by Full Text

WSSTERMFZ05 FMS DELIVERY AND SHIPPING INSTRUCTIONS (rev. 1) (Feb 2004)

Material to be delivered FOB Origin at or near contractor's plant in the manner specified below. Use of Agency Official Indicia mail by contractors is not authorized. Quantities will not be divided into mailable lots for the express purpose of avoiding movement by other modes of transportation.

Consignment instructions provided herein are subject to change. In order to obtain the most current "Ship To" and "Mark For" information, the contractor is required to contact the cognizant DCMA Transportation Office ten days prior to shipment.

MATERIAL/TRANSPORTATION DATA:

If shipment qualifies as a small parcel under current specifications, ship via a Mode 5 small parcel carrier within the Continental United States (CONUS). Contractor will add prepaid transportation charges as a separate item on the invoice for reimbursement purposes.

If shipment does not qualify as a small parcel (Mode 5) shipment, ship to the Freight Forwarder on a collect commercial Bill of Lading.

International FMS Parcel Post (PP) shipments destined for the Government of Canada will be made via "Certificate of Mailing" using United States Postal Service (USPS) Form 3817, 3877 or 3877A.

If an X appears in the following parentheses (NA), ship on a Prepaid Commercial Bill of Lading (CBL). Request transportation instructions from the cognizant DCMA transportation Office. Transportation Account Code (TAC) (NA) applies.

SPECIAL MARKINGS:

For record accounting identification purposes, the Document Number, National Stock Number (NSN), and Supplementary Address, which appear under each line item(s) subclin, must be referenced in all Contracts, Invoices, Shipping, Inspection, and Financial Documents.

For FMS shipments only, regardless of size, the shipper shall bar code and apply the below listed identification with the appropriate bar coding format as specified in the MILSTD-129-P (disregarding 4.4.1.2) based on the packaging standard used.

The Bar Code Lines should read as shown below.

(NOTE: The 14-15 position Requisition Number, which can be found under each line item(s) subclin, shall be bar coded vice the Contract number.)

Bar Code Line 1:

National Stock Number (NSN) or CAGE and Part Number (if no NSN)

Bar Code Line 2:

Requisition Number(s) (be sure to include each Requisition Number in the multi-pack)

Bar Code Line 3:

Unit of Issue, Quantity, Unit Price, Supplementary Address

The information to be bar coded is reflected in the DD250 as follows:

Block 13 Supplementary Address (6 position alphanumeric code)

Block 16 National Stock Number (NSN) or CAGE/Part Number

Block 17 Quantity

Block 18 Unit (of Issue)

Block 19 Unit Price

DISTRIBUTION OF MATERIAL INSPECTION AND RECEIVING REPORTS (DD250) AND BILLS OF LADING

(1) Attach four (4) copies of DD250 in waterproof envelope outside of shipping container.

(2) Forward two (2) copies of DD250 annotated by carrier as proof of shipment to NAVSUP WSS-PHIL, 700 Robbins Avenue, Philadelphia, PA 19111, Code N524, at the time of shipment.

(3) Forward three (3) copies of DD250 to designated Freight Forwarder.

(4) Where NAVSUP WSS -PHIL is the status control activity, forward two (2) copies of DD250 to the attention of NAVSUP WSS PHIL Code N842.

Where the status control activity is other than NAVSUP WSS -PHIL, forward one (1) copy of DD250 to NAVSUP WSS -PHIL Code N842 and one

(1) copy of DD250 to the status control activity.

(5) Forward one (1) copy of DD250 to NAVSUP WSS -PHIL Code N52 (Diemhang Bui-Nguyen, NAVSUP WSS International ProgramsLogistics ) Management Specialist, N52213.32Email: Diemhang.l.bui-nguyen.civ@us.navy.mil

Section G - Contract Administration Data

DFARS Clauses Incorporated by Full Text

252.232-7006 Wide Area WorkFlow Payment Instructions. (Jan 2023)

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

(a) As used in this clause- Definitions.

"Department of Defense Activity Address Code (DoDAAC)" is a six position code that uniquely identifies a unit, activity, or organization.

"Document type" means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

"Local processing office (LPO)" is the office responsible for payment certification when payment certification is done external to the entitlement system.

"Payment request" and "receiving report" are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as Electronic invoicing.

authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) To access WAWF, the Contractor shall- WAWF access.

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice WAWF training.

Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the "Web Based Training" link on the WAWF home page at https://wawf.eb.mil/

(e) Document submissions may be via web entry, Electronic Data Interchange, or File Transfer WAWF methods of document submission.

Protocol.

(f) The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF payment instructions.

WAWF for this contract or task or delivery order:

(1) The Contractor shall submit payment requests using the following document type(s): Document type.

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items-

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

Invoice and Receiving Report (Combo Type Accepted)

(Contracting Officer: Insert applicable invoice and receiving report document type(s) for fixed price line items that require shipment of a deliverable.)

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

(Contracting Officer: Insert either "Invoice 2in1" or the applicable invoice and receiving report document type(s) for fixed price line items for services.)

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial financing, submit a commercial financing request.

(2) ) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

[Note: The Contractor may use a WAWF "combo" document type to create some combinations of invoice and receiving report in one step.]

(3) The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF Document routing.

when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC TBD

Issue By DoDAAC N00383

Admin DoDAAC TBD

Inspect By DoDAAC See schedule

Ship To Code See schedule

Ship From Code TBD

Mark For Code TBD

Service Approver (DoDAAC) ____

Service Acceptor (DoDAAC) ____

Accept at Other DoDAAC ____

LPO DoDAAC ____

DCAA Auditor DoDAAC ____

Other DoDAAC(s) ____

(*Contracting Officer: Insert applicable DoDAAC information. If multiple ship to/acceptance locations apply, insert "See Schedule" or "Not applicable.")

(**Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)

(4) The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in Payment request.

accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F. Receiving report.

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.

DISA.GLOBAL.SERVICEDESK.MBX.EB-TICKET-REQUESTS@MAIL.MIL

(Contracting Officer: Insert applicable information or "Not applicable.")

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.

(End of clause)

Section H - Special Contract Requirements

Section I - Contract Clauses

Section J - List of Attachments

Attachments:

Number Attachment Name Attachment Description Reference Identifier

Date

01 N0038326PR0R681_42 General correspondence, not elsewhere listed 18 Jun

Section K - Representations, Certification, & Other Statements

Section L - Instructions, Conditions, & Notices to Offerors or Quoters

Section M - Evaluation Factors for Award

SECTION D/Clause WSSTERMDZ03 -

PRESERVATION, PACKAGING, PACKING AND MARKING REQUIREMENTS

PAGE

REQUISITION, CONTRACT OR ORDER NUMBER

N0038326PR0R680

PRESERVATION, PACKAGING, PACKING AND MARKING REQUIREMENTS

General – All specifications applicable to these requirements shall be of the issue in effect on the date of the invitation for bid or original negotiation. Packaging terms, levels of protection, etc. used in this exhibit are defined in MIL-STD-2073-1E. Marking shall be in accordance with MIL-STD-129.

Additional requirements stated in clause WSSTERMDZ03 apply.

Reusable NSN Containers: An item that has an NSN assigned in the “Container NSN” field (e.g. 8145 012622982) requires shipment in a reusable shipping and storage container.

a. Reusable NSN containers for maritime material (designated by a COG Code of “7E”, “7G” or “7H”) shall be provided as contractor-furnished material (CFM).

b. Reusable NSN containers (excluding fiberboard and most wood) for aviation material (designated by a COG Code of “7R”, “6K” or “0R”) shall be provided as government-furnished material (GFM). Fast pack containers will not be provided as GFM. To obtain GFM reusable containers, the contractor must request via email usn.philadelphia.navsupwssphil.mbx.navsupcrf@us.navy.mil at least 90 days prior to the anticipated shipping date for new procurements, 30 days prior for repair contracts.

c. Reusable NSN containers for Foreign Military Sales (FMS), Joint Program Office (JPO), or other Foreign Forces Acquisition shall be provided as contractor-furnished material (CFM)

ITEM NUMBER(s): (COG-NSN-SMIC)

7R 5841-01-650-4230

HAZMAT QUP ICQ

PRESERVATION

METHOD

CLEAN / DRY

PRESERVATIVE

MATERIAL

WRAPPING

MATERIAL

CUSHIONING

MATERIAL

CUSHIONING

THICKNESS

UNIT CONTAINER

N 001 000 51 1 00 JA AD 0 F2

LEVEL OF

PROTECTION

INTERMEDIATE

CONTAINER

UNIT CONTAINER

LEVEL

SPECIAL

MARKING

PACKING CODE SPI NUMBER SPI REVISION SPI DATE CONTAINER NSN OPI

A 00 A 03 FFF M

SHELF LIFE

SHELF-LIFE

ACTION CODE

SUPPLEMENTAL INSTRUCTIONS

METHOD

CLEAN / DRY

PRESERVATIVE

MATERIAL

WRAPPING

MATERIAL

CUSHIONING

MATERIAL

CUSHIONING

THICKNESS

UNIT CONTAINER

LEVEL OF

PROTECTION

INTERMEDIATE

CONTAINER

UNIT CONTAINER

LEVEL

SPECIAL

MARKING

PACKING CODE SPI NUMBER SPI REVISION SPI DATE CONTAINER NSN OPI

SHELF LIFE

SHELF-LIFE

METHOD

CLEAN / DRY

PRESERVATIVE

MATERIAL

WRAPPING

MATERIAL

CUSHIONING

MATERIAL

CUSHIONING

THICKNESS

UNIT CONTAINER

LEVEL OF

PROTECTION

INTERMEDIATE

CONTAINER

UNIT CONTAINER

LEVEL

SPECIAL

MARKING

PACKING CODE SPI NUMBER SPI REVISION SPI DATE CONTAINER NSN OPI

SHELF LIFE

SHELF-LIFE

NAVICP-4030/1 (Rev. 3-2025)

PHILADELPHIA, 700 ROBBINS AVENUE PHILADELPHIA, PA 19111-5098 UNITED STATES