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Purchase Order Instructions: Fill in the yellow boxes only. All other numbers will automatically calculate. If your company has any additional charges or fees, prompt payment discounts, etc., clearly state what these are in your quotation. If you have any questions when completing this worksheet, please contact MRR.PROCUREMENT@uscg.mil, attention Michelle Monds.
| Line Item | ITEM DESCRIPTION | QTY | UNIT OF ISSUE | UNIT PRICE | EST AMOUNT |
| 1 | RING | 1 | EA | | $0.00 |
| P/N: TBD | | | | |
| Reference P/N: 975-554-1-4 | | | | |
| SUBJECT TO FORM, FIT & FUNCTION (FF&F) IAW FAR 52.209-4 | | | | |
2 Non-Recurring Engineering (NRE) Charge on CLIN 1 1 EA $0.00
| 3 | RING | 5 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-554-1-4 | | | |
| DO NOT PROCEED UNTIL FF&F ON CLIN 1 IS APPROVED BY ORDER MODIFICATION | | | |
| FAR 52.217-6 Option for Increased Qty (MAR 1989) Five (5) Additional Items - Max Qty Ten (10) | | | |
| 4 | FITTING ASSY | 1 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-108 | | | |
| SUBJECT TO FORM, FIT & FUNCTION (FF&F) IAW FAR 52.209-4 | | | |
5 Non-Recurring Engineering (NRE) Charge on CLIN 4 1 EA $0.00
| 6 | FITTING ASSY | 6 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-108 | | | |
| DO NOT PROCEED UNTIL FF&F ON CLIN 4 IS APPROVED BY ORDER MODIFICATION | | | |
| FAR 52.217-6 Option for Increased Qty (MAR 1989) Twelve (12) Additional Items - Max Qty Eighteen (18) | | | |
| 7 | BRACKET | | | |
| P/N: TBD | 1 | EA | $0.00 |
| Reference P/N: 975-302-1 | | | |
| SUBJECT TO FORM, FIT & FUNCTION (FF&F) IAW FAR 52.209-4 | | | |
8 Non-Recurring Engineering (NRE) Charge on CLIN 7 1 EA $0.00
| 9 | BRACKET | 4 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-302-1 | | | |
| DO NOT PROCEED UNTIL FF&F ON CLIN 7 IS APPROVED BY ORDER MODIFICATION | | | |
| FAR 52.217-6 Option for Increased Qty (MAR 1989) Ten (10) Additional Items - Max Qty Fourteen (14) | | | |
| 10 | UPR PLATE, RST, PROBE | 1 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-143 | | | |
| SUBJECT TO FORM, FIT & FUNCTION (FF&F) IAW FAR 52.209-4 | | | |
11 Non-Recurring Engineering (NRE) Charge on CLIN 10 1 EA $0.00
| 12 | UPR PLATE, RST, PROBE | 6 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-143 | | | |
| DO NOT PROCEED UNTIL FF&F ON CLIN 10 IS APPROVED BY ORDER MODIFICATION | | | |
| FAR 52.217-6 Option for Increased Qty (MAR 1989) Twelve (12) Additional Items - Max Qty Eighteen (18) | | | |
| 13 | FLIR BRACKET | 1 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-553-81-7 | | | |
| SUBJECT TO FORM, FIT & FUNCTION (FF&F) IAW FAR 52.209-4 | | | |
14 Non-Recurring Engineering (NRE) Charge on CLIN 13 1 EA $0.00
| 15 | FLIR BRACKET | 5 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-553-81-7 | | | |
| DO NOT PROCEED UNTIL FF&F ON CLIN 13 IS APPROVED BY ORDER MODIFICATION | | | |
| FAR 52.217-6 Option for Increased Qty (MAR 1989) TEN (10) Additional Items - Max Qty Fifteen (15) | | | |
| 16 | FITTING ASSY | 1 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-76-3 | | | |
| SUBJECT TO FORM, FIT & FUNCTION (FF&F) IAW FAR 52.209-4 | | | |
17 Non-Recurring Engineering (NRE) Charge on CLIN 15 1 EA $0.00
| 18 | FITTING ASSY | 6 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-76-3 | | | |
| DO NOT PROCEED UNTIL FF&F ON CLIN 16 IS APPROVED BY ORDER MODIFICATION | | | |
| FAR 52.217-6 Option for Increased Qty (MAR 1989) Twelve (12) Additional Items - Max Qty Eighteen (18) | | | |
| 19 | GUIDE | 1 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-554-1-3 | | | |
| SUBJECT TO FORM, FIT & FUNCTION (FF&F) IAW FAR 52.209-4 | | | |
20 Non-Recurring Engineering (NRE) Charge on CLIN 19 1 EA $0.00
| 21 | GUIDE | 3 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-554-1-3 | | | |
| DO NOT PROCEED UNTIL FF&F ON CLIN 19 IS APPROVED BY ORDER MODIFICATION | | | |
| FAR 52.217-6 Option for Increased Qty (MAR 1989) Six (6) Additional Items - Max Qty Nine (9) | | | |
| 22 | CORNER BRACKET | 1 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 985-524-13-3 | | | |
| SUBJECT TO FORM, FIT & FUNCTION (FF&F) IAW FAR 52.209-4 | | | |
23 Non-Recurring Engineering (NRE) Charge on CLIN 22 1 EA $0.00
| 24 | CORNER BRACKET | 12 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 985-524-13-3 | | | |
| DO NOT PROCEED UNTIL FF&F ON CLIN 22 IS APPROVED BY ORDER MODIFICATION | | | |
| FAR 52.217-6 Option for Increased Qty (MAR 1989) Thirty (30) Additional Items - Max Qty Forty-Two (42) | | | |
| 25 | BRACKET | 1 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-554-1-5 | | | |
| SUBJECT TO FORM, FIT & FUNCTION (FF&F) IAW FAR 52.209-4 | | | |
26 Non-Recurring Engineering (NRE) Charge on CLIN 25 1 EA $0.00
| 27 | BRACKET | 1 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-554-1-5 | | | |
| DO NOT PROCEED UNTIL FF&F ON CLIN 25 IS APPROVED BY ORDER MODIFICATION | | | |
| FAR 52.217-6 Option for Increased Qty (MAR 1989) Three (3) Additional Items - Max Qty Four (4) | | | |
| 28 | BRACKET, HOIST, PEND. | 1 | EA | $0.00 |
| P/N: TBD | | | |
| Reference P/N: 975-525-16 | | | |
| SUBJECT TO FORM, FIT & FUNCTION (FF&F) IAW FAR 52.209-4 | | | |
29 Non-Recurring Engineering (NRE) Charge on CLIN 28 1 EA $0.00
| 30 | BRACKET, HOIST, PEND. | 15 | EA | | $0.00 |
| P/N: TBD | | | | |
| Reference P/N: 975-525-16 | | | | |
| DO NOT PROCEED UNTIL FF&F ON CLIN 28 IS APPROVED BY ORDER MODIFICATION | | | | |
| FAR 52.217-6 Option for Increased Qty (MAR 1989) Thirty (30) Additional Items - Max Qty Forty-Five (45) | | | | |
| | | | TOTAL | $0.00 |
| &"Arial,Bold"&12Attachment 1 - Schedule |
| 70Z03820QJ0000011 | &"Arial,Bold" |
