4.02 SPRMM1-20-F-M003.PDF

PAGE 1 OF Form Approved ORDER FOR SUPPLIES OR SERVICES OMB No. 0704-0187

Expires Aug 31, 1992 5. CERTIFIED FOR NA- TIONAL DEFENSE UNDER 2. DELIVERY ORDER NO. 4. REQUISITION/PURCH REQUEST NO. 1. CONTRACT/PURCH ORDER NO. 3. DATE OF ORDER DPAS 15 CRF 700

DO

6. ISSUED BY 7. ADMINISTERED BY (If other than 6) CODE CODE 8. DELIVERY FOB

DEST

OTHER

(See Schedule if other)

11.MARK IF BUSINESS IS FACILITY CODE CODE 10. DELIVER TO FOB POINT BY (Date) 9. CONTRACTOR

SMALL

Q Q 12. DISCOUNT TERMS SMALL DISADVANTAGED NAME AND ADDRESS WOMEN-OWNED

13. MAIL INVOICES TO

Q Q

14. SHIP TO 15. PAYMENT WILL BE MADE BY CODE CODE

MARK ALL PACKAGES AND PAPERS WITH CONTRACT OR

ORDER NUMBER

16. T O DELIVERY This delivery order is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract. Y R P D Reference your furnish the following on terms specified herein. E E R PURCHASE O THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE BEEN OR IS NOW ACCEPTANCE. F MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO PERFORM THE SAME.

NAME OF CONTRACTOR SIGNATURE TYPED NAME AND TITLE DATE SIGNED

If this box is marked, supplier must sign Acceptance and return the following number of copies:

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

22. 23. 18. 19. 20. 21. QUANTITY ORDERED/ SCHEDULE OF SUPPLIES/SERVICES UNIT AMOUNT ITEM NO. UNIT PRICE ACCEPTED*

Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gatheringand maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection ofinformation, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0187), Washington, DC 20503. Please DO NOT RETURN your form toeither of these addresses. Send your completed form to the procurement official identified in Item 6.

24. UNITED STATES OF AMERICA 25. TOTAL * If quantity accepted by the Government is same as quantity ordered indicate by X. If different, enter 29. actual quantity accepted below quantity ordered and encircle. DIFFERENCES

BY: CONTRACTING/ORDERING OFFICER

27. SHIP. NO. 26. QUANTITY IN COLUMN 20 HAS BEEN 28. D.O. VOUCHER NO. 30. INITIALS RECEIVED ACCEPTED, AND CONFORMS TO THE INSPECTED CONTRACT EXCEPT AS NOTED PARTIAL 33. AMOUNT VERIFIED CORRECT FOR 32. PAID BY

FINAL

31. PAYMENT 34. CHECK NUMBER DATE SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

COMPLETE 36. I certify this account is correct and proper for payment

PARTIAL 35. BILL OF LADING NO.

FINAL SIGNATURE AND TITLE OF CERTIFYING OFFICER DATE

38. RECEIVED BY 40. TOTAL CONTAINERS 41. S/R ACCOUNT NUMBER 42. S/R VOUCHER NO. 37. RECEIVED AT 39. DATE RECEIVED

CONTRACTOR MUST SUBMIT FOUR COPIES OF INVOICE PREVIOUS EDITIONS ARE OBSOLETE EDADD Form 1155, MAY 90

SPRMM116G0901 SPRMM1-20-F-M003 2020 MAR 31 19249-0097 (MSC )

DO-A3

SPRMM1 S3101A

DLA MARITIME - MECHANICSBURG DCMA SPRINGFIELD

DLR PROCUREMENT OPS DLA-ZI BUILDING 93

P. O. BOX 2020, 5450 CARLISLE PIKE PICATINNY ARS X

MECHANICSBURG,PA 17055-0788 PICATINNY ARSENAL,NJ 07806-0000

BUYER: D. PURVIS/ZIAA10 SCD: B

PHONE: (717) 550-3128

0NJT4 66SP8

SEE SCHEDULE X

RUTA SUPPLIES INC

ATTN: RSUPPLIES2@AOL.COM NET 30 DAYS

66 ELM STREET

DOVER,NJ 07801-2812

POC: (973) 361-1818 SEE BLOCK 15

HQ0337

SEE SCHEDULE DFAS - COLUMBUS CENTER

NORTH ENTITLEMENT OPERATIONS

P O BOX 182317

COLUMBUS,OH 43218-2317

EFT:T

X

SPRMM120QYB46

SEE SECTION G

SEE SCHEDULE

$14,899.00

KLMNOPQRSTA. HAWKINS

PAGES

OFPAGEREFERENCE NO. OF DOCUMENT BEING CONTINUED

NAME OF OFFEROR OR CONTRACTOR

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

SPRMM1-20-F-M003 2 24

RUTA SUPPLIES INC

0001 NSN 7HH 5998-01-298-2874 M1

PRINTED CIRCUIT BOA SHELF LIFE 0-00

MADE TO: 23905

IAW: 949A3163-101C-C

SEE TECHNICAL REQUIREMENTS IN SECTIONS C, D, E, AND ATTACHMENTS

HM QUP ICQ PMT CD PM WM CUD CT UC LP IC UCL SP MK PACK UNIT PKWT UNIT PKCU OPI

N 001 000 GX 1 00 00 LT B ED A 00 B 39 EFF 4.0 0.250 M

PACKAGING IS IN ACCORDANCE WITH MIL-STD-2073

INSPECT AT SOURCE

ACCEPT AT SOURCE

SHIP TO

0001AA SEE CONSIGNMENT INSTRUCTIONS N21621 1 EA $14,899.00

MARK FOR: $14,899.00

RQN: N216219238S697 DO-A3

TP: 2 PROJ: HJ5 RDD: 924

DEL BY: 2020 DEC 07 ACRN: AA

NOTE:

SEE SECTION F OF THIS AWARD FOR TRANSPORTATION INFORMATION

0001AB OPTION QTY UP TO $14,899.00

100% OF ITEM 0001

AWARD NOTES:

This order is being issued against BOA SPRMM1-16-G-0901. The terms and conditions of the BOA take precedence over the terms and conditions of subject order.

AWARD IS BEING ISSUED UNDER SEPA (SPECIAL EMERGENCY PROCUREMENT AUTHORITY).

PLEASE TAKE EVERY MEANS TO EXPEDITE THE SHIPMENT OF THIS MATERIAL TO PROVIDE

OPTIMAL FLEET SUPPORT TO OUR NATIONS WARFIGHTER.

1)Early shipment & partial delivery is requested and authorized at no additional cost to the government.

2)Contact local DCMA office as stated in clause wsstermfz02 for shipping instructions. Transportation/shipment instructions are done through SIR(shipment instructions requests) via DCMA e-tools. Contact DCMA on uctions requests) via DCMA e-tools. Contact DCMA on accessing this system if not already registered. DCMA SIRs website: http://www.dcma.mil/dcmait/cbt/sir/ind ex.cfm

3)If you do not anticipate meeting the required delivery date set forth in this order, please notify the contracting officer immediately so new delivery

CONTINUED ON NEXT PAGE

PAGES

OFPAGEREFERENCE NO. OF DOCUMENT BEING CONTINUED

NAME OF OFFEROR OR CONTRACTOR

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

SPRMM1-20-F-M003 3 24

RUTA SUPPLIES INC

AWARD NOTES:

terms can be established.

4)All contractual documents (contracts, purchase orders, task orders, delivery orders and modifications) related to the instant procurement are considered to be "issued" by the Government when copies are either deposited in the mail, transmitted by facsimile or sent by other electronic methods, such as email.

The Governments acceptance of the contractors proposal constitutes bilateral agreement to "issue" contractual documents as detailed herein.

5)It is recommended that vendors provide contact information to NAVSUP WSS Mechanicsburg to receive automated notifications from Navy Electronic Commerce Online (NECO) when contracts/modifications are issued by DLA Maritime Mechanicsburgand posted on EDA. To receive these notifications, contact:

NAVSUP WSS Code N75, Procurement Systems Design and Contract Support Division via email at NAVSUPWWSSITIMPHelpDesk@navy.mil. Please include the following information with your request: CAGE code, company name and address and POC with phone number and email address.

6)Contractors can view their orders, contracts and modifications at the Electronic Document Access (EDA) web tool. This web tool is located at the Wide Area Workflow (WAWF) web site. It is recommended that contractors registerfor EDA at: https://wawf.eb.mil/. Click on New User and Registration.

7)Contractor POC for this award is:

Larry Freda:

rsupplies2@aol.com

8)Government Post Award POC for this award is:

Ishmael Palmer Ishmael.Palmer@dla.mil 717-550-3151

POC FAX: (717) 550-3231

POC EMAIL: DAVID.PURVIS@DLA.MIL

SPRMM1-20-F-M003

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

WSSTERMBA00

CONTACT INFORMATION

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. PLEASE REFER TO

THE FRONT PAGE BOX 7.

FOR ALL OTHER inquiries and correspondence directed to the Post Award PCO/Contract Specialist should be addressed as follows:

Code: ( <ZIAA5> ) Weapon System LRC: ( <WLL> ) Telephone: ( <717-550-3151> ) E-Mail: ( <ISHMAEL.PALMER@DLA.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.

PART I - THE SCHEDULE

SECTION C

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

CLIN: 0001

NIIN: 012982874 ACTIVITY USE ONLY: TDP VERSION NO.: 003

ITEM NAME: PRINTED CIRCUIT BOA

1. SCOPE

1.1 This contract/purchase order contains the requirements for manufacture and the contract quality requirements for the PRINTED CIRCUIT BOA .

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 PRINTED CIRCUIT BOA furnished under this contract/purchase order shall be the design represented by Cage Code(s) reference number(s). Cage _______ ref. no.

<28199 949A3163-101C-C>

3.2 Marking - This item shall be physically identified in accordance with <MIL-STD-130, REV N, 16 NOV 2012> .

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 NAVICP-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 NAVICP-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.

PART I - THE SCHEDULE

SECTION D

PACKAGING AND MARKING

CLIN: 0001

NIIN: 012982874 ACTIVITY USE ONLY: TDP VERSION NO.: 003

ITEM NAME: PRINTED CIRCUIT BOA

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.

MIL-STD 2073 PACKAGING APPLIES AS FOUND ELSEWHERE IN THE SCHEDULE

252.211-7006

PASSIVE RADIO FREQUENCY IDENTIFICATION (DEC 2019)

(a) Definitions. As used in this clause--

"Advance shipment notice" means an electronic notification used to list the contntents of a shipment of goods as well as additional information relating to the shipment, such as passive radio frequency identification (RFID) or item unique identification (IUID) information, order information, product description, physical characteristics, type of packaging, marking, carrier information, and configuration of goods within the transportation equipment.

"Bulk commodities" means the following commodities, when shipped in rail tank cars, tanker trucks, trailers, other bulk wheeled conveyances, or pipelines:

(1) Sand.

(2) Gravel.

(3) Bulk liquids (water, chemicals, or petroleum products).

(4) Ready-mix concrete or similar construction materials.

(5) Coal or combustibles such as firewood.

(6) Agricultural products such as seeds, grains, or animal feed.

"Case" means either a MIL-STD-129 defined exterior container within a palletized unit load or a MIL-STD-129 defined individual shipping container.

"Electronic Product Code (EPC)" means an identification scheme for universally identifying physical objects via RFID tags and other means. The standardized EPC data consists of an EPC (or EPC identifier) that uniquely identifies an individual object, as well as an optional filter value when judged to be necessary to enable effective and efficient reading of the EPC tags. In addition to this standardized data, certain classes of EPC tags will allow user-defined data. The EPC Tag Data Standards will define the length and position of this data, without defining its content.

"EPCglobal" means a subscriber-driven organization comprised of industry leaders and organizations focused on creating global standards for the adoption of passive RFID technology.

"Exterior container" means a MIL-STD-129 defined container, bundle, or assembly that is sufficient by reason of

252.211-7006 (CONT)

PASSIVE RADIO FREQUENCY IDENTIFICATION (DEC 2019)

material, design, and construction to protect unit packs and intermediate containers and their contents during shipment and storage. It can be a unit pack or a container with a combination of unit packs or intermediate containers. An exterior container may or may not be used as a shipping container.

"Palletized unit load" means a MIL-STD-129 defined quantity of items, packed or unpacked, arranged on a pallet in a specified manner and secured, strapped, or fastened on the pallet so that the whole palletized load is handled as a single unit. A palletized or skidded load is not considered to be a shipping container. A loaded 463L System pallet is not considered to be a palletized unit load. Refer to the Defense Transportation Regulation, DoD 4500.9-R, Part II, Chapter 203, for marking of 463L System pallets.

"Passive RFID tag" means a tag that reflects energy from the reader/interrogator or that receives and temporarily stores a small amount of energy from the reader/interrogator signal in order to generate the tag response. The only acceptable tags are EPC Class 1 passive RFID tags that meet the EPCglobal Class 1 Geneeration 2 standard.

"Radio frequency identification (RFID)" means an automatic identification and data capture technology comprising one or more reader/interrogators and one or more radio frequency transponders in which data transfer is achieved by means of suitably modulated inductive or radiating electromagnetic carriers.

"Shipping container" means a MIL-STD-129 defined exterior container that meets carrier regulations and is of sufficient strength, by reason of material, design, and construction, to be shipped safely without further packing (e.g., woodenboxes or crates, fiber and metal drums, and corrugated and solid fiberboard boxes).

(b)(1) Except as provided in paragraph (b)(2) of this clause, the Contractor shall affix passive RFID tags, at the case- and palletized-unit-load packaging levels, for shipments of items that --

(i) Are in any of the following classes of supply, as defined in DoD Manual 4140.01, Volume 6, DoD Supply Chain Materiel Management Procedures: Materiel Returns, Retention, and Disposition:

(A) Subclass of Class I - Packaged operational rations.

(B) Class II - Clothing, individual equipment, tentage, organizationnal tool kits, hand tools, and administrative and housekeeping supplies and equipment.

(C) Class IIIP - Packaged petroleum, lubricants, oils, preservatives, chemicals, and additives.

(D) Class IV - Construction and barrier materials.

(E) Class VI - Personal demand items (non-military sales items).

(F) Subclass of Class VIII - Medical materials (excluding pharmaceuticals, biologicals, and reagents -suppliers should limit the mixing of excluded and non-excluded materials).

(G) Class IX - Repair parts and components including kits, assembliees and subassemblies, reparable and consumable items required for maintenance support of all equipment, excluding medical-peculiar repair parts; and:

(ii) Are being shipped to one of the locations listed at https://www.acq.osd.mil/log/sci/RFID_ship-to-locations.html or to--

(A) A location outside the contiguous United States when the shipment has been assigned Transportation

Priority 1, or to--

(B) The following location(s) deemed necessary by the requiring activity:

Contract Line, Subline, or Exhibit Line Item Number Location City State DoDAAC

(2) The following are excluded from the requirements of paragraph (b)(1)of this clause:

(i) Shipments of bulk commodities.

(ii) Shipments to locations other than Defense Distribution Depots when the contract includes the clause at

FAR 52.213-1, Fast Payment Procedures.

(c) The Contractor shall --

(1) Ensure that the data encoded on each passive RFID tag are globally unique (i.e., the tag ID is never repeated across two or more RFID tags and conforms to the requirements in paragraph (d) of this clause;

(2) Use passive tags that are readable; and

(3) Ensure that the passive tag is affixed at the appropriate location on the specific level of packaging, in accordance with MIL-STD-129 (Section 4.9.2) tag placement specifications.

252.211-7006 (CONT)

PASSIVE RADIO FREQUENCY IDENTIFICATION (DEC 2019)

(d) Data syntax and standards. The Contractor shall encode an approved RFID tag using the instructions provided in the EPC Tag Data Standards in effect at the time of contract award. The EPC Tag Data Standards are available at http://www.gs1.org/epc-rfid.

(1) If the Contractor is an EPCglobal subscriber and possesses a unique EPC company prefix, the Contractor may use any of the identifiers and encoding instructions described in the most recent EPC Tag Data Standards document to encode tags.

(2) If the Contractor chooses to employ the DoD identifier, the Contractor shall use its previously assigned Commercial and Government Entity (CAGE) code and shall encode the tags in accordance with the tag identifier details located in the DoD Suppliers' Passive RFID Information Guide at http://www.acq.osd.mil/log/sci/ait.html. If the Contractor uses a third-party packaging house to encode its tags, the CAGE code of the third-party packaging house is acceptable.

(3) Regardless of the selected encoding scheme, the Contractor with which the Department holds the contract is responsible for ensuring that the tag ID encoded on each passive RFID tag is globally unique, per the requirements in paragraph (c)(1).

(e) Advance shipment notice. The Contractor shall use Wide Area WorkFlow (WAWF), as required by DFARS 252.232-7003, Electronic Submission of Payment Requests, to electronically submit advance shipment notice(s) with the RFID tag ID(s) (specified in paragraph (d) of this clause) in advance of the shipment in accordance with the procedures at https://wawf.eb.mil/.

WSSTERMDZ03

PRESERVATION, PACKAGING, PACKING AND MARKING

The contractor shall preserve, package, pack and mark all items as cited below. Where specifications or standards are cited herein the latest revision of that specification or standard shall apply.

1. PRESERVATION REQUIREMENTS

a. SYSTEM STOCK SHIPMENTS - The contractor shall preserve all items intended to enter the military distribution system for stock in accordance with the MIL-STD-2073-1, "Standard Practice for Military Packaging", Packaging Requirements Code specified in the Schedule. When a Specialized Preservation Code/Method of Preservation (MOP) (Table J-Ia) is specified, and one or more of the following packaging fields (WM, CUD, CT, UC) value is a 00 (numeric), the Specialized Preservation/MOP procedure and materials takes precedence. Contractors should disregard the LP field and third digit of the PACK field and use the Unit Container Level (UCL) to identify the level of packing protection the unit container meets for packing requirements. When HM = D, the item is regulated in accordance with Title 49 Code of Federal Regulations (CFR); when HM = N the item is not regulated for transportation.

1) When a specified packaging material has an associated Qualified Products List (QPL), the contractor shall use only packaging materials produced by a manufacturer listed on the applicable QPL. Barrier materials that have QPLs are MIL-PRF-131, MIL-PRF-81705, MIL-PRF-22191, MIL-PRF-3420 and MIL-PRF-22019. Sources for QPL material can be obtained from the Qualified Products Database at http://qpldocs.dla.mil/.

b. IMMEDIATE USE/INSTALLATION AND PART NUMBER BUY SHIPMENTS - Government PCO or ACO approval is required to use the packaging standards outlined in this paragraph. Any national stock numbered (NSN) item required for immediate use (used or consumed within 7 days of receipt) or direct installation, or part numbered item (authority granted to ship without NSN) shall be preserved and packed in accordance with ASTM D3951, "Standard Practice for Commercial Packaging", for all shipments to a Continental United States (CONUS) government activity or contractor-owned facility. All material destined for overseas shipment (OCONUS) shall be preserved in accordance with MIL-STD-2073-1.

c. GOVERNMENT-OWNED MATERIAL - In the event that the contract expires, is terminated, or completed, and Government-owned material is to be returned to the supply system, the contractor shall preserve and package this material in accordance with the requirements of paragraph 1.a.

2. PROTECTION FROM DEGRADATION DUE TO ELECTROSTATIC (ES)/ELECTROMAGNETIC (EM) FORCES

a. When ASTM D3951 is authorized for packaging and the item is considered ESD Sensitive (ESDS), protection shall be in accordance with ANSI/ESD S20.20-2014, "For the Development of an ESD Control Program for - Protection of Electrical and Electronic Parts, Assemblies and Equipment (Excluding Electrically Initiated Explosive Devices)."

b. When MIL-STD-2073-1 is specified and the preservation method code (PMT) in the solicitation does not specify ESD/EM protection (PMT = GX) and the contractor's proposed item of supply is subject to degradation from ES/EM forces, contractors shall provide recommended packaging data with their proposals/quotes.

3. PACKING REQUIREMENTS - The contractor shall pack as follows:

Domestic Shipments (CONUS): Level B

WSSTERMDZ03 (CONT)

PRESERVATION, PACKAGING, PACKING AND MARKING

Overseas Shipments (OCONUS) (including Navy ships at sea):

Via air, FPO, APO Level B VIA freight forwarder Level B Via surface Level A

Exterior shipping containers for Packing Levels A and B are listed in MIL-STD-2073-1, Appendix C, Table C.II.

Long-life reusable containers and wood containers are shipping containers which do not require overpacking for shipment.

4. MARKING REQUIREMENTS - All unit, intermediate and shipping containers shall be marked in accordance with MIL-STD-129. In addition, the following specific requirements apply:

a. ADDITIONAL MARKING FOR SPARES ONLY - Each MIL-STD-129 label shall also include the following:

1) Procurement Instrument Identifier (PIID) - the 13-digit contract order number,

2) Contract Line Item Number (CLIN) - the 4-digit individual line item number (e.g. 0001, 0002, etc.), and

3) SubCLIN - the 6-digit sub line item number (e.g. 0001AA, 0001AB, 0002AA, 0002AB, etc.).

b. DEPOT LEVEL REPAIRABLE (DLR) LABELS

1) Items identified with a Cognizance (COG) Code of either "7" or an even number preceding the NSN, excluding

6A, 6H and 6X COGs (e.g. 7RH 5826-014289999), are defined as Depot Level Repairable (DLR) items. DLR items require that a DLR label be placed on the outside of the unit, intermediate and shipping containers as close to the bar code label as possible.

2) Labels are available via the Naval Forms Online website: https://forms.documentservices.dla.mil/order/.

The website will advise the procedures for ordering and establishing an account.

NSN DESCRIPTION QUANTITY APPLICATION FORM NUMBER

PER UNIT

PACKAGE

0108LF5055300 DLR Label 100 Unit NAVSUP 1397-1

2in.x3in. Container 0108LF5055000 DLR Label 100 Intermediate NAVSUP 1397

3inx5in. Shipping Container

Labels may also be obtained by faxing a copy of the contract page containing the DLR label requirement to 215-697-2424.

c. SPECIAL MATERIAL IDENTIFICATION CODE (SMIC) FOR NAVSUP WSS MARITIME REQUIREMENTS ONLY

1) Certain Program-related items are identified by a two-position SMIC, which appears as a suffix to the NSN

(e.g. 1H 4730 009001317 L1), and require special markings. Containers shall be marked with letters, maximum two inches high on two (2) sides and two (2) ends as follows:

SMIC MARKINGS COLOR TYPE CONTAINER

L1 LEVEL 1 RED Unit, intermediate and shipping

(size permitting) S1 SURFACE RED Unit, intermediate and shipping

LEVEL 1 (size permitting) D4/D5/D7 DSS-SOC RED Unit, intermediate and shipping

(size permitting) C1* LEVEL 1 SPECIAL Green Unit, intermediate and shipping

CLEAN 02-N2

CP/VG* SPECIAL CLEAN GREEN Unit, intermediate and shipping

02-N2

WSSTERMDZ03 (CONT)

PRESERVATION, PACKAGING, PACKING AND MARKING

D0/D6/D8* DSS-SOC Green Unit, intermediate and shipping

SPECIAL CLEAN

O2-N2

VU FBW SFCC VU BLUE Unit, intermediate and shipping

(size permitting) SW FBW SFCC SW BLUE Unit, intermediate and shipping

(size permitting) Q3/Q5 Q3 or Q5 RED Unit, intermediate and shipping *denotes Oxygen Clean requirements in accordance with MIL-STD-1330 "Precision Cleaning and Testing of Shipboard Oxygen, Helium-Oxygen, Nitrogen, and Hydrogen Systems."

5. PALLETIZATION. Palletization of shipments shall be accomplished in accordance with MIL-STD-147 "DOD Standard Practice: Palletized Unit Loads." Failure to meet these palletization/packaging requirements and measures, without a written waiver from the PCO or ACO, may result in charges back to the contractor for repalletization and/or repackaging of items. Pallets shall conform to the requirements of American National Standards Institute, Material Handling-MH1-2016, Pallets, Slip Sheets, and Other Bases for Unit Loads. MH1-2016 may be obtained at the following website: http://www.mhi.org.

a. General Purpose Unit Loads - When shipping directly to a Navy afloat unit, pallets meeting MH1-2016, Part No.

MH1/9-02SW4048 or MH1/9-10BW4048 for unit loads under 1,500 pounds and MH1/9-03SW4048 for unit loads over 1,500 pounds shall be used.

b. Hazardous Material Unit Loads - Unless otherwise specified in the contract or purchase order hazardous material containers, except cylinders and 55 gallon drums, shall be palletized utilizing MH1-2016 Part No. MH1/9-07S W4848 pallets.

c. Use of nonstandard commercial pallets is prohibited.

6. WOOD PACKAGING MATERIAL (WPM). All shipments destined to the DOD must be treated and marked in accordance with the International Standards for Phytosanitary Measures Guidelines for Regulating Wood Packaging Material in International Trade (ISPM 15) for OCONUS shipments.

a. For all WPM furnished under this contract the contractor shall ensure the American Lumber Standards Committee (ALSC) approved mark is applied to every shipment regardless of destination.

b. Failure to comply with the requirements of ISPM 15 may result in refusal, destruction or treatment of WPM at the point of receipt and the associated costs charged back to the contractor.

7. NAVY SHELF-LIFE PROGRAM. Navy shelf-life requirements are listed under the item description in a 3-digit alpha/numeric code. Position one (1) is the DOD shelf-life code, defining the type of shelf-life for an item (Type I, non -extendible or Type II, extendible), and the number of months an item can remain ready for issue in a Navy specified package. Positions two (2) and three (3) combined form the Navy-unique shelf-life action codes used by storage activities, and do not impose any requirements on the contractor. The contractor shall use the applicable shelf-life paragraphs and table in MIL-STD-129 to apply either Type I or Type II shelf-life markings to an item's unit, intermediate and shipping containers. Contractors will ensure that at least eighty-five percent (85%) of the Navy shelf-life requirement is remaining when received by the first government activity.

8. 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 CONTAINERS FOR NAVSUP WSS, MARITIME REQUIREMENTS - Reusable NSN containers for maritime material (designated by a COG Code of "7E", "7G" and "7H") shall be provided as contractor-furnished material (CFM).

b. REUSABLE CONTAINERS FOR NAVSUP WSS, AVIATION REQUIREMENTS - 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 submit the Container Request Form available at https://www.navsup.navy.mil/site/public/wss/documents/business_opps/local_claus es_contracts/container_request_form.pdf. Email the completed form to NAVSUPCRF.fct@navy.mil at least 90 days prior to the anticipated shipping date (monthly for repair contracts). If the Navy's Container Management Area (CMA) informs the contractor that containers are unavailable, the following alternate packaging requirements apply. The unavailability of reusable containers shall not be an excusable delivery delay

ALTERNATE PACKAGING REQUIREMENTS FOR ITEMS ASSIGNED THE FOLLOWING CONTAINERS

Container Container Alternate Packaging Code

WSSTERMDZ03 (CONT)

PRESERVATION, PACKAGING, PACKING AND MARKING

NSN Part Number (80132) IAW MIL-STD-2073-1 8145 002609548 P069-2 }

8145 002609556 P069-1 } GX10000LTBED

8145 002609559 P069-3 } (QUP = 001)

8145 002609562 P069-4 } ICQ = 000)

8145 010124088 P069-6 } 8145 010140440 P069-5 } 8145 011644073 P069-7 } 8145 012622982 15450-1 } If MOP/PMT = GX

-----------------------------------------} GX100K3GHFED

8145 012622983 15450-2 } (QUP = 001)

-----------------------------------------} (ICQ = 000)

8145 012622984 15450-3 } For all other MOPs/PMTs

-----------------------------------------} 51100EAGHFED

8145 012622985 15450-4 } (QUP = 001)(ICQ = 000)

8145 012622986 15450-5 } 8145 012622987 15450-6 } 8145 012622988 15450-7 }

c. All excess empty reusable shipping and storage containers shall be turned-in to the nearest Container Reuse and Refurbishment Center (CRRC). CRRC locations/points of contact: Program Manager - 215-697-2063

Norfolk, VA-757-445-9099 ext.124 Yokosuka, Japan-011-81-46-816-6304 Cherry point, NC-252-466-2331 Lemoore, CA-559-998-0220 Jacksonville, FL-904-542-1014 Okinawa, JAPAN-011-81-46-816-6304 San Diego, CA-619-545-8360 Iwakuni, JAPAN-011-81-46-816-6304 Puget Sound, WA-306-476-9777 Bahrain-011-318-439-9553

d. The stock-numbered, long-life, reusable containers identified herein as GFM are property of the U.S. Navy and only shall be used to fulfill orders from the Navy and U.S. Marine Corps; these containers shall not be used to fulfill orders from the U.S. Army, U.S. Air Force, any other agency of the U.S.Government or Foreign Military Sales (FMS) customer.

9. REUSABLE NSN CONTAINERS FOR FOREIGN MILITARY SALES (FMS), JOINT PROGRAM OFFICE (JPO) OR OTHER FOREIGN FORCES

ACQUISITION

a. Reusable shipping and storage containers shall be provided as CONTRACTOR-FURNISHED MATERIAL (CFM), unless otherwise specified.

b. Contractors may tender offers including alternate, non-reusable, packaging methods and be considered responsive.

10. HAZARDOUS MATERIALS. This section applies when items to be delivered under this contract are considered hazardous materials as defined by 49 CFR, FED-STD-313, or by the Government's technical representative.

a. Packaging and marking for hazardous materials shall comply with applicable requirements for Performance Oriented Packaging (POP) contained in 49 CFR and the international modal regulations. All performance test requirements shall be supported by test certificates and reports attesting to the date and the results obtained from performance oriented packaging testing. The contractor shall be responsible for assuring that sources providing performance testing services are registered with the U.S. Department of Transportation (DOT). The contractor's signed

WSSTERMDZ03 (CONT)

PRESERVATION, PACKAGING, PACKING AND MARKING

certification that the packaged configuration meets the applicable modal regulation shall be incorporated on the Wide Area Workflow Receiving Report (WAWF RR), DD Form 250, Material Inspection and Receiving Report, or other related acceptance documents if a WAWF RR, DD Form 250 is not used. The Shipper's Declaration for Dangerous Goods (SDDG) must be included for all air shipments. All test certificates, reports and training records shall be available for inspection by authorized Government representatives for a period of three years.

b. When a contract/order for hazardous material requires shipment to a military aerial port or through a military container consolidation point including DODAACs SW3225, SW3123, SW3142, N45627, FB4427, FB9150, FB4497, FY8910, FY9125, FB4418, FY4462, FB4484, FY4494, those shipments shall comply with NAVSUP PUB 505/AFMAN 24-204, Preparing Hazardous Materials for Military Air Shipment.

11. SAFETY DATA SHEETS. As required by clauses FAR 52.223-3 "Hazardous Material Identification and Material Safety Data" and DFARS 252.223-7001 "Hazard Warning Labels" the contractor/offeror is required to list any hazardous material to be delivered under the resultant contract by the submission of Safety Data Sheets (SDSs) and Globally Harmonized System (GHS) compliant product label, when applicable, to the NAVSUP WSS or DLA Contracting Officer prior to award. An electronic copy in PDF format of the SDS and GHS product label must also be emailed to NAVSUP WSS Code N242 at hazmat.navsupwss@navy.mil. Please include the NSN, CAGE, Part Number, contract number, and point of contact for hazardous material questions in the body of the email.

12. REPACKAGING TO CORRECT PACKAGING DEFICIENCIES

a. Notwithstanding inspection and acceptance by the Government of items furnished under this contract, or any condition of this contract concerning the conclusiveness thereof, the contractor guarantees that the preservation, packaging, packing and marking (PPP&M), and the preparation of, and method of shipment of such items will conform to the requirements of this contract.

b. Items that do not conform to the PPP&M requirements of this contract may have a Supply Discrepancy Report (SDR, SF-364) written against the contractor.

c. The Government may at the option of the PCO or ACO, correct PPP&M deficiencies, without prior contractor notification, and require an equitable adjustment in the contract price to cover labor and material when corrective actions are warranted, or return the non-conforming material to the contractor for repackaging at the contractor's expense.

(11-19)

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

CLIN: 0001

NIIN: 012982874 ACTIVITY USE ONLY: TDP VERSION NO.: 003

ITEM NAME: PRINTED CIRCUIT BOA

4. QUALITY ASSURANCE

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, not 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.

WSSTERMEZ05

INSPECTION AND ACCEPTANCE OF SUPPLIES

<X> 1. Inspection of Supplies shall be performed at the contractor location shown on Page One by the Contract Administration Office (CAO) also shown on Page One, unless otherwise specified below:

< > Manufacturing Site at < > by the Manufacturing Site CAO < > .

< > Subcontractor's Sites at < > by the Subcontractor Site CAO < > .

<X> Packaging Site at <66SP8> by the Packaging Site CAO <S3101A> .

< > DCMA Naval Special Emphasis Operations < > .

<X> 2. Final Acceptance of Supplies and Packaging shall be performed at the contractor's location on Page One by the Contract Administration Office (CAO) also shown on Page One, unless otherwise specified below:

< > Manufacturing Site at < > by the Manufacturing Site CAO < > .

< > Subcontractor's Site at < > by the Subcontractor Site CAO < > .

<X> Packaging Site at <66SP8> by the Packaging Site CAO <S3101A> .

< > DCMA Naval Special Emphasis Operations < > < > Destination.

< > 3. Inspection and Acceptance of Supplies will be performed by the consignee at Destination. (4-15)

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

ACRN GN/GRNT BGN/END SYMBL SBHD OBJ BCN SA AAA TT PAA COST-CODE AMOUNT TAC

AA 97 00 XX XX 4930 NC1A 000 81004 0 050120 7R 000000 8PMH00000000 $14,899.00 NUHK

252.232-7006

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(a) Definitions. As used in this clause--

"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) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

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

(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) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting

252.232-7006 (CONT)

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

the Webb Based Training link on the WAWF home page at https://wawf.eb.mil/

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

(f) WAWF payment instructions. The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

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

(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)> )(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.

( <N/A> )(Contracting Officer: Insert either Invoice 2in1 or the applicable invoicece 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 item financing, submit a commercial item financing request.

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

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

(3)Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF 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 ( <HQ0337> ) Issue By DoDAAC ( <SPRMM1> ) Admin DoDAAC ( <S3101A> ) Inspect By DoDAAC ( <S3101A> ) Ship To Code ( <SEE SCHEDULE PAGE> ) Ship From Code ( <66SP8> ) Mark For Code ( < > ) Service Approver (DoDAAC) ( < > ) Service Acceptor (DoDAAC) ( <S3101A> ) 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

252.232-7006 (CONT)

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

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) Payment request. The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

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

(g) WAWF point of contact.

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

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

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

WSSTERMGZ02

NOTE FOR CONTRACTOR/ADMINISTRATIVE CONTRACTING OFFICER

Telephone inquiries should be made only in cases of extreme urgency and must be confirmed in writing within 48 hours.

If the inquiry involves technical questions (drawing, specification, etc.) inquiry should be submitted in accordance with the procurement specification.

( < > ) NOTE FOR CONTRACTORS FURNISHING LEVEL I/SUBSAFE MATERIAL:

Material certifications must be addressed to the Post Award Procurement Contracting Officer. Mailing envelope must be plainly marked "DELIVER UNOPENED TO CODE < > , POST AWARD PCO.

( < > ) NOTE FOR NAVY REQUISITIONING AND NAVY MONITORING ACTIVITIES:

Forward status and expediting inquiries to NAVSUP WSS as follows:

CASREPT/OTHER - DSN 430-2460 or 2461

FBM - DSN 430-4490

(01-18)

PART I - THE SCHEDULE

SECTION H

SPECIAL CONTRACT REQUIREMENTS

SUPTXT203-1106-1

NAVY USE OF ABILITYONE SUPPORT CONTRACTOR - RELEASE OF OFFEROR INFORMATION (3-1

8)

NAVSUP < > (activity) may utilize contractor support through the AbilityOne Program, as needed, toperform contract closeout functions for this acquisition. Information,including business sensitive/confidential or proprietary data, that theofferor provides to the Government or information already in the possessionof the Government may be viewed and utilized by the AbilityOne Programsupport contractor personnel during the course of its contract performance. The information that may be made available to the support contractor may include, for example, pricing and technical proposals, historical contract,pricing and performance information, Commercial Asset Visibility (CAV)reporting information and similar data/information.

By submission of a proposal in response to this solicitation, the offeror and its subcontractors consent to a release of their business sensitive/confidential or proprietary data to the Government's AbilityOne Program support contractor will have in place with the Government a Non-Disclosure/Non-Use Agreement in accordance with the terms of the AbilityOne Program support contract.

SUPTXT203-1106-1 (CONT)

NAVY USE OF ABILITYONE SUPPORT CONTRACTOR - RELEASE OF OFFEROR INFORMATION (3-1

8)

Offerors may execute their own Non-Disclosure Agreement with the AbilityOne Program (AbilityOne contact information available from the contracting pointof contact). The support contractor must provide copies of the executedagreements to the Contracting Officer and the Contracting Officer'sRepresentative (COR) for the support contract; and the offeror/contractorfor this acquisition must provide copies of the executed Agreement to the Contracting Officer for this acquisition. If the offeror/contractor seekssuch a Non-Disclosure Agreement with the AbilityOne Program supportcontractor, the Agreement must be executed no later than the date of finaldelivery under the resulting NAVSUP < > activity) contract.

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

52.219-28

POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (JUL 2013)

(a) Definitions. As used in this clause- "Long-term contract" means a contract of more than five years in duration, including options. However, the term does not include contracts that exceed five years in duration because the period of performance has been extended for a cumulative period not to exceed six months under the clause at 52.217-8, OPTION TO EXTEND SERVICES, OR

OTHER APPROPRIATE AUTHORITY.

"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 contract, and qualified as a small business under the criteria in 13 CFR part 121 and the size standard in paragraph (c) of this clause. Such a concern is "not dominant in its field of operation" when it does not exercise a controlling or major influence on a national basis in a kind of business activity in which a number of business concerns are primarily engaged. In determining whether dominance exists, consideration shall be given to all appropriate factors, including volume of business, number of employees, financial resources, competitive status or position, ownership or control of materials, processes, patents, license agreements, facilities, sales territory, and nature of business activity.

(b) If the Contractor represented that it was a small business concern prior to award of this contract, the Contractor shall rerepresent its size status according to paragraph (e) of this clause or, if applicable, paragraph

(g) of this clause, upon the occurrence of any of the following:

(1) Within 30 days after execution of a novation agreement or within 30 days after modification of the contract to include this clause, if the novation agreement was executed prior to inclusion of this clause in the contract.

(2) Within 30 days after execution of a novation agreement or within 30 days after modification of the contract to include this clause, if the merger or acquisition occurred prior to inclusion of this clause in the contract.

(3) For long-term contracts-

(i) Within 60 to 120 days prior to the end of the fifth year of the contract; and

(ii) Within 60 to 120 days prior to the date specified in the contract for exercising any option thereafter.

(c) The Contractor shall rerepresent its size status in accordance with the size standard in effect at the time of this rerepresentation that corresponds to the North American Industry Classification System (NAICS) code assigned to this contract. The small business size standard corresponding to this NAICS code can be found at:

http://www.sba.gov/content/table-small-business-size-standards .

(d) The small business size standard for a Contractor providing a product which it does not manufacture itself, for a contract other than a construction or service contract, is 500 employees.

(e) Except as provided in paragraph (g) of this clause, the Contractor shall make the representation required by paragraph (b) of this clause by validating or updating all its representations in the Representations and Certifications section of the System for Award Management (SAM) and its other data in SAM as necessary, to ensure that they reflect the Contractor's current status. The Contractor shall notify the contracting office in writing within the timeframes specified in paragraph (b) of this clause, that the data have been validated or updated, and provide the date of the validation or update.

52.219-28 (CONT)

POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (JUL 2013)

(f) If the Contractor represented that it was other than a small business concern prior to award of this contract, the Contract may, but is not required to, take the actions required by paragraphs (e) or (g) of this clause.

(g) If the Contractor does not have representations and certifications in SAM, or does not have a representation in SAM for the NAICS code applicable to this contract, the Contractor is required to complete the following itcontract number and…