Attachment V Source of Repair Instruction.pdf

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Attached to
USS RAFAEL PERALTA (DDG-115) FY26 SIA BUNDLE #1
Solicitation number
N6264926RA036
Issued by

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Page of Source of Repair Instructions

OR

Shipping Address for Warranty Returns Warranty Repair Source Code Warranty Repair Source Identifier Name Address Line 1 Address Line 2 City / County State / Province Postal Code Country Instructions

Guidelines for submitting this form:

* You need to have Adobe Acrobat Standard DC or Adobe Acrobat Pro DC (or later) installed on your computer to use this form. If required, download the latest version of Adobe Acrobat.

* When you open the PDF for the first time, there will be a button at the top of the page labeled "Enable All Features." You must click this button for the PDF to function correctly.

* Some fields in this form display a tool-tip when you hover your mouse pointer over them. Hover over the Enterprise Identifier field to see an example. For fields within the table, hover over the first row fields for tool-tips.

* You will be able to save this form only after you've filled in all the mandatory fields. Some mandatory fields will be highlighted in red.

* To add a blank row, click the "Add" button.

* To copy an existing row, enter the number of copies you wish to make in the field labeled "#" at the front of each Item Row, and click the "Copy" button at the top of that column.

* To delete a row, click the "X" button at the beginning of that row.

* Click the "Save" button to save this form on your computer.

* Do not Submit this form via email.

* How to Submit: Include this PDF as a Contract Attachment in each appropriate solicitation.

* If you need help completing this form, please contact the help desk at: webptsmh@navy.mil (207) 438-1690 or DSN 684-1690.

false Rajan Vora 2.1 false

2.1 Modified: 03/16/2022

CurrentPage:
PageCount:
The numerical sequence number of the attachment in accordance with PGI 204.7105(b)(5):
RECORDTYPE: SRI1774500531763
Two character extension denoting a sub line item. (Range AA-ZZ, except letters I or O).:
A generic code that identifies the entity that issued the procurement instrument:
Code that identifies the two digit year.:
One digit code that identifies the type of procurement instrument. (see list):
Value that separates this procurement instrument from all other procurement instruments with the same Enterprise Identifier, Year, and Procurement Instrument Type Code.:
The release, delivery, or task order number.:
The type of line Item. (see list):
The first four numbers of the line item. (Range 0001 to 9999):
Enter the first (A-Z) or first two (AA-ZZ) characters of the exhibit line itme. Do not use the letter I or O.:
Use when the procurement instrument is non-Department of Defense and cannot be mapped using the separate fields under Contract Number:
Contract Number is a required field that must be exactly 13 alphanumeric characters. Positions 7 and 8 must be numeric and position 9 must be an alpha character excluding I and O.:
Order Number/PIID is an optional field that must be exactly 4, 13, 17 or 26 alphanumeric characters. Positions 7, 8, 20, 21 must be numeric and positions 9 and 22 must be an alpha character excluding I and O.:
ResetButton1:
Button1:
Add Line:
To copy one or more rows in this table, enter the desired number of copies after the "#" symbol in that row. This value may be blank or 0. The copies will be inserted just after the original row. The "Repeat Number" field is the second tab in each data row. :
Delete Line:
The desired number of copies of this row. Can be left blank or zero.:
Indicates what type of code was used in the Enterprise Identifier. (see list):
Identifies the Enterprise. If you entered "DoDAAC" as the code type, you must enter a valid DoDAAC in this field.:
Company Name of the Warranty Repair Source.:
The first line of the address:
The second line of the address if needed. :
City and/or County of address. :
The Symbol used to represent the State, Province, or territory within a country.:
The designator that distinguishes one POSTAL-ZONE from another.:
The three alpha character code of the country. See ISO 3166 from the International Organization for Standardization for the correct values.:
Additional instructions such as web site where prepaid shipping labels may be obtained. :
VersionNo:

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