Attch_09_-_LPRD_Draft_Model_Contract_(Task_Order_0001).pdf

ORDER FOR SUPPLIES OR SERVICES

1. CONTRACT/PURCH ORDER/AGREEMENT NO.

FA9453-16-D-0031

2. DELIVERY ORDER/ CALL NO.

3. DATE OF ORDER/CALL

(YYYYMMMDD)

4. REQUISITION/PURCH REQUEST NO.

SEE SCHEDULE

5. PRIORITY

DO-A5

6. ISSUED BY AFRL/RVKDL CODE FA9451 7. ADMINISTERED BY (If Other than 6) CODE 8. DELIVERY FOB

AF RESEARCH LABORATORY (DET 8)

3550 ABERDEEN AVE SE

KIRTLAND AFB, NM 87117-5776

LUISA A. MARTINEZ-MEDINA 505-846-6865

LUISA.MARTINEZ-MEDINA@US.AF.MIL

X DESTINATION

OTHER

(See Schedule if other)

9. CONTRACTOR CODE FAC LITY 10. DELIVER TO FOB POINT BY (Date)

(YYYYMMMDD) SEE SCHEDULE

11. X IFBUSINESS IS

NAME

AND

ADDRESS

SMALL

SMALL DISAD-

VANTAGED

WOMEN-

OWNED

12. DISCOUNT ITEMS

N

13. MAIL INVOICES TO ADDRESS IN BLOCK

SEE BLOCK 15 (PAYMENT OFFICE)

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

MARK ALL

PACKAGES AND

PAPERS WITH

IDENTIFICATION

NUMBERS IN

BLOCKS 1 AND 2.

SEE SCHEDULE

16.

TYPE

OF

ORDER

DELIVERY/

CALL

X

This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract.

PURCHASE Reference your furnish the following on items specified herein.

ACCEPTANCE. THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE

BEEN OR IS NOW MOD FIED, 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(YYYYMMMDD)

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

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

18. ITEM NO. 19. SCHEDULE OF SUPPLIES/SERVICES 20. QUANTITY

ORDERED/

ACCEPTED*

21.

UNIT

22. UNIT PRICE 23. AMOUNT

*If quantity accepted by the Government is same as quantity ordered, indicate by X. If different, enter actual quantity accepted below quantity ordered and encircle.

24. UNITED STATES OF AMERICA

BY:

CONTRACT NG/ORDERING OFFICER

25. TOTAL

29.

DIFFERENCES

26. QUANTITY IN COLUMN 20 HAS BEEN 27. SHIP NO. 28. D.O. VOUCHER NO. 30. INITIALS

INSPECTED RECEIVED ACCEPTED, AND CONFORMS TO THE

CONTRACT EXCEPT AS NOTED

DATE SIGNATURE AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

PARTIAL

FINAL

32. PAID BY 33. AMOUNT VERIFIED CORRECT FOR

32. PAYMENT 34. CHECK NUMBER

36. I CERT FY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT.

DATE SIGNATURE AND TITLE OF CERTIFYING OFFICER

COMPLETE

PARTIAL

FINAL

35. B LL OF LADING

37. RECEIVED

AT

38. RECEIVED BY (Print) 39. DATE RECEIVED

(YYYYMMMDD)

40. TOTAL CON-

TAINERS

41. S/R ACCOUNT NO. 42. S/R VOUCHER NO.

DD FORM 1155, JAN 1998 (EG) ConWrite Version 6.14.7 PREVIOUS EDITION MAY BE USED

BAA-AFRL-RVKD-2016-0001

Attachment 9

DRAFT MODEL CONTACT

(TASK ORDER 0001)

SCHEDULE

FA9453-16-D-0031 0001

1. PART I - THE SCHEDULE, SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS

Qty Unit Price ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount

0001 1 U Lot U

Noun: LASER POD RESEARCH AND DEVELOPMENT (LPRD)

(3600)

PSC: AC52

NSN: N - Not Applicable Contract type: U - COST PLUS FIXED FEE Inspection: DESTINATION Acceptance: DESTINATION

FOB: DESTINATION

Descriptive Data:

The contractor shall conduct the research and development (R&D) reasonably required to accomplish the Contractor's Statement of Work (C-SOW), entitled "TBD", hereby incorporated in Section J, Attachment 1.

0002 1 NSP

Lot NSP

Noun: DATA AND REPORTS

ACRN: U

PSC: AC52

NSN: N - Not Applicable DD1423 is Exhibit: A Contract type: U - COST PLUS FIXED FEE Inspection: DESTINATION Acceptance: DESTINATION

FOB: DESTINATION

Descriptive Data:

The contractor shall furnish data as required by the Contract Data Requirements List (CDRL), DD Form 1423, hereby incorporated in Section J, Exhibit A. This CLIN is Not Separately Priced (NSP).

0003 1 NSP

Lot NSP

Noun: HARDWARE DELIVERABLE

ACRN: U

PSC: AC52

NSN: N - Not Applicable Contract type: U - COST PLUS FIXED FEE Inspection: DESTINATION Acceptance: DESTINATION

FOB: DESTINATION

Descriptive Data:

The contractor shall develop and deliver hardware as set forth in the Contractor's Statement of Work (C-SOW), entitled "TBD", hereby incorporated in Section J, Attachment 1. This CLIN is Not Separately Priced (NSP).

Qty Unit Price ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount

0004 1 NSP

Lot NSP

Noun: SOFTWARE DELIVERABLE

ACRN: U

PSC: AC52

NSN: N - Not Applicable DD1423 is Exhibit: A Contract type: U - COST PLUS FIXED FEE Inspection: DESTINATION Acceptance: DESTINATION

FOB: DESTINATION

Descriptive Data:

The contractor shall develop and deliver software as set forth in the Contractor's Statement of Work (C-SOW), entitled "TBD", hereby incorporated in Section J, Attachment 1. This CLIN is Not Separately Priced (NSP).

2. PART I - THE SCHEDULE, SECTION F - PERFORMANCE OR DELIVERIES

SHIP MARK TRANS

ITEM SUPPLIES SCHEDULE DATA QTY TO FOR PRI DATE

FA9451

FA9451

ASREQ

Noun: LASER POD RESEARCH AND DEVELOPMENT

(LPRD) (3600)

Descriptive Data:

The technical period of performance under CLIN 0001 is Date of Award (DOA) plus 36 months.

The contract period of performance under CLIN 0001 is Date of Award (DOA) plus 39 months.

0002 1 FA9451 FA9451 ASREQ

Noun: DATA AND REPORTS

ACRN: U

Descriptive Data:

The technical period of performance ends Date of Award (DOA) plus 36 months.

The contractor shall deliver the draft version of the Scientific and Technical Report 30 days after end of technical effort.

The Government shall provide comments on the draft Scientific and Technical Report to the contractor 60 days after end of technical effort.

The contractor shall deliver the final version of the Scientific and Technical Report 90 days after end of technical effort.

The final DD Form 882, Patent Report, shall be delivered within 90 days of technical completion.

Delivery date for final report is contingent upon full funding. If, pursuant to FAR 52.232-22 full funding is not provided, the contractor is required to deliver the final report following the timeline outlined above starting with the delivery of the draft final report no later than 30 days after notification from the PCO concerning unavailability of additional funds.

During the life of the contract, the contractor shall continuously reserve sufficient funds from the amount allotted to guarantee the preparation and delivery of said final report.

Shipment information for data and reports:

AFRL/RDLA

ATTN: Theodore Ortiz/Jeffry Heggemeier 3550 Aberdeen Ave SE, Bldg. 401 Kirtland AFB NM 87117 Mark For: Contract No. FA9451-16-D-0031 0001

AFRL/RDLB

ATTN: Marcella Cantu 3550 Aberdeen Ave SE, Bldg. 760

AFRL Det 8/RVKDL ATTN: Luisa Martinez-Medina 3550 Aberdeen Ave SE, Bldg 499

ACO

See Block 7 of the DD Form 1155

0003 1 FA9451 FA9451 ASREQ

Noun: HARDWARE DELIVERABLE

Descriptive Data:

The contractor shall deliver hardware as set forth in the Contractor's Statement of Work (C-SOW), entitled "TBD", hereby incorporated in Section J, Attachment 1.

(a) All hardware deliverables shall be packaged in accordance with established commercial practices.

(b) All hardware deliverables shall be delivered to:

AFRL/LMCA

Marked for: FA9451-16-D-0031 0001 Theodore Ortiz, AFRL/RDLTS, 505-846-9468 3550 Aberdeen Ave SE Kirtland AFB NM 87117

(c) When special delivery and/or handling instructions are required, all boxes and/or crates must contain the following statement in plain sight and in bold letters:

INSTRUCTION TO RECEIVING OFFICE - DO NOT OPEN; CONTENTS ARE

SENSITIVE TO DAMAGE WHEN IMPROPERLY OPENED OR HANDLED. CONTACT

THE RESPONSIBLE TECHNICAL PROJECT OFFICER IMMEDIATELY UPON

RECEIPT. CONTACT: Theodore Ortiz, AFRL/RDLTS, 505-846-9468

0004 1 FA9451 FA9451 ASREQ

Noun: SOFTWARE DELIVERABLE

Descriptive Data:

The contractor shall deliver software as set forth in the Contractor's Statement of Work (C-SOW), entitled "TBD", hereby incorporated in Section J, Attachment 1 and in accordance with the Contract Data Requirements List (CDRL), DD Form 1423, hereby incorporated in Section J, Exhibit A.

3. PART I - THE SCHEDULE, SECTION G - CONTRACT ADMINISTRATION DATA

4. PART II - CONTRACT CALUSES, SECTION I - CONTRACT CLAUSES

52.223-03 HAZARDOUS MATERIAL IDENTIFICATION AND MATERIAL SAFETY DATA (JAN 1997)

Para (b), Material Identification No: 'TBD'

52.244-02 SUBCONTRACTS (OCT 2010)

Para (d), approval required on subcontracts: 'TBD' Para (j), Insert subcontracts evaluated during negotiations. 'TBD'

252.211-7003 ITEM UNIQUE IDENTIFICATION AND VALUATION (DEC 2013)

Para (c)(1)(i). Insert Contract Line, Subline, or Exhibit Line Item Number and Item Description or n/a.

'TBD'

Para (c)(1)(ii). Identify Contract Line, Subline, or Exhibit Line Item Nr and Item Description. If items are identified in the Schedule, insert "See Schedule" 'TBD' Para (c)(1)(iii). Attachment Nr. 'TBD' Para (c)(1)(iv). Attachment Nr. 'N/A' Para (f)(2)(iii). Line item number or n/a. 'N/A'

252.234-7002 EARNED VALUE MANAGEMENT SYSTEM (DEVIATION 2015-O0017) (SEP 2015)

Para (k)(1). 'TBD' Para (k)(2). 'TBD'

LIST OF ATTACHMENTS

DOCUMENT PGS DATE TITLE

EXHIBIT A

LIST OF APPLICABLE CONTRACT DATA

REQUIREMENTS LIST (CDRL), DD FORM 1423

ATTACHMENT 1 TBD CONTRACTOR'S STATEMENT OF WORK (C-

SOW), ENTITLED "TBD"

ATTACHMENT 2 TBD ASSERTION OF DATA RIGHTS (DFARS 252.227-

7017)

ATTACHMENT 3 TBD SCHEDULED GOVERNMENT FURNISHED

PROPERTY (GFP)

FA9451-16-D-0031 TO 0001

Exhibit A

List of Applicable Contract Data Requirements List (CDRL)

DD Form 1423

CDRL A001: Systems Engineering Management Plan (SEMP) CDRL A002: Contract Work Breakdown Structure (CWBS) CDRL A003: Status Report CDRL A004: Presentation Material CDRL A005: Integrated Program Management Report (IPMR) CDRL A006: Design Review Information Package (DRIP) CDRL A007: Test Plan CDRL A008: Scientific and Technical Report CDRL A009: Technical Reports – Study/Services CDRL A010: Development Design Drawings/Models and Associated Lists CDRL A011: Computer Software Product End Items CDRL A012: Software User Manual (SUM) CDRL A013: Physical Inventories Report CDRL A014: Airworthiness Certification Criteria Report CDRL A015: Airworthiness Specification