FA811815R0022.pdf

STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

FA8118-15-R-0022

X

X

6.SOLICITATION ISSUE DATE

12 MAR 2015

8. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: 100 % FOR

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

HUBZONE SMALL

BUSINESS EDWOSB

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS NAICS CODE: 336413

8(A) SIZE STANDARD: 1,000

DATE SIGNED

28. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION NUMBER

SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR CHANGES WHICH

ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

THIS IS A TOTAL SMALL BUSINESS SET-ASIDE.

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 120 days.

SEE LINE ITEM SCHEDULE

22.

AMOUNT

16. AUTHORITY FOR USING OTHER THAN 10 USC 2304 41 USC 253

FULL AND OPEN COMPETITION (c) ( ) (c) ( )

DATE SIGNED

27. SIGNATURE OF OFFEROR/CONTRACTOR

20.

UNIT

21.

UNIT PRICE

19.

QUANTITY

13. CONTRACTOR OFFEROR CODE FACILITY CODE

11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN * ___ CALENDAR DAYS (60 CALENDAR

DAYS UNLESS OFFEROR INSERTS A DIFFERENT PERIOD) FROM THE DATE SET FORTH IN BLK 9

ABOVE, THE CONTRACTOR AGREES TO HOLD ITS OFFERED PRICES FIRM FOR THE ITEMS

SOLICITED HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO THE TERMS AND

CONDITIONS STATED HEREIN. *120

RATING

DO: A1

3. AWARD/EFFECTIVE DATE

FA8118

2. CONTRACT NO.

X

CHECK IF REMITTANCE IS DIFFERENT

AND PUT SUCH ADDRESS IN OFFER

17.

ITEM NO.

12. ADMINISTERED BY CODE

Total

SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK: 14 EFT:T

SCD:B

NAME AND TITLE OF SIGNER (TYPE OR PRINT) NAME OF CONTRACTING OFFICER

24. AWARD AMOUNT (FOR GOVT USE ONLY)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAY DISCOUNT

25. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SETFORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY CONTINUATION SHEETS SUBJECT

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

10. ITEMS TO BE PURCHASED (BRIEF DESCRIPTION)

SUPPLIES SERVICES Other Aircraft Part and Auxiliary Equipment Manufacturing

9.

LATE OFFERS ARE SUBJECT TO LATE PROPOSAL PROVISIONS INCORPORATED HEREIN. ALL OFFERS ARE SUBJECT TO SUCH PROVISIONS, REPRESENTATIONS, CERTIFICATIONS AND SPECIFICATIONS AS ARE ATTACHED OR INCORPORATED BY REFERENCE.

SOLICITATION: OFFERS WILL BE RECEIVED AT THE ISSUING OFFICE UNTIL

14-APR-2015 3:00PM

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

X

7. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, AFSC PZABB

3001 STAFF DR STE 1AC4 99A

TINKER AFB OK 73145-3303

BUYER: Michelle Syth/AFSC/PZABB michelle.syth@us.af.mil Phone: (405) 739- 9444 Fax: (000) 000-0000 No Collect Calls

X

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)SOLICITATION/CONTRACT

BIDDER/OFFEROR TO COMPLETE BLOCKS 11, 13, 15, 21, 22, & 27.

J

SF 1447 (rev 2/2012) BACK

NO RESPONSE FOR THE REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include Zip Code)

WE DO NOT DESIRE TO BE RETAINED ON THE MAILING LIST FOR FUTURE PROCUREMENT OF THE TYPE OF

ITEMS INVOLVED

WE DO

OTHER (Specify)

CANNOT COMPLY WITH SPECIFICATIONS

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

FOLD

FOLD

SOLICITATION NO. FA811815R0022

DUE: 14 APR 2015 3:00 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Michelle Syth/AFSC/PZABB

DEPARTMENT OF THE AIR FORCE, AFSC PZABB

3001 STAFF DR STE 1AC4 99A

TINKER AFB OK 73145-3303

Request for Proposal FA8118-15-R-0022

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

REMANUFACTURE

(a) This is a remanufacture meeting the requirements at FAR 22.1003-6(a)(1).

The contractor shall furnish all material, plant facilities, labor, parts, equipment, and expertise necessary to perform the remanufacture required to restore the piece(s) of equipment to original life expectancy, or nearly so. The contractor shall also accomplish all necessary packing and preservation and packaging. ALL work shall be completed in accordance with the requirements specified herein (including attachments hereto) and at the unit price(s) established at the time of award.

(b) A Pre-Award Survey and/or Initial Production Evaluation (IPE) may be required. Details are provided in Appendix A, paragraphs 1.2 and 1.3 respectively.

(c) Qualification requirements apply. Interested vendors that have not been previously qualified for this acquisition must submit a Source Approval Request (SAR) package to the Source Development, Small Business Office @ 405-739-7243.

As prescribed in FAR 9.202(e), the contracting officer need not delay a proposed award in order to provide a potential offeror with an opportunity to demonstrate its ability to meet the standards specified for qualification.

(d) This acquisition may involve technology that has a military or space application. The only contractors who may participate are those that are certified and registered with the Defense Logistics Information Service (DLIS) (1-800-352-3572) and have a legitimate business purpose. In order to receive any technical data related to this acquisition, offerors must be registered with Federal Business Opportunities (FedBizOpps) www.FBO.Gov.

Requests for data are to be submitted to 558cbss.gbhba.psd@tinker.af.mil for Drawings and directly to the PCO and/or buyer for Technical Orders (TOs). The request shall be on company letterhead and include the applicable solicitation number and the specific data needed (e.g. TO number, drawing number). The request must be accompanied by a copy of the current and approved DD Form 2345. The form, including instructions for completing the form, is available at: http://www.dtic.mil/whs/directives/infomgt/forms/forminfo/forminfopage2220.html The Government is not responsible for incomplete, misdirected, or untimely requests.

(e) Some units of items listed in Section B may, upon disassembly and/or inspection, be determined to be beyond the remanufacture limits specified in the Work Specification and/or Technical Orders. Any cost for work performed by the Contractor prior to determination that such equipment is beyond these limits, shall be included in the unit price(s) of the listed item(s).

(f) Condemned units shall not be counted as production.

(g) Offerors must clearly identify all proposed deviations from the solicitation requirements and/or exceptions to the terms and conditions. Offerors must also provide complete rationale for all proposed deviations and/or exceptions.

See section L, paragraph L-03(b) of INSTRUCTIONS, CONDITIONS, AND NOTICES TO RESPONDENTS FOR PROPOSAL PREPARATION USING LOWEST PRICE TECHNICALLY ACCEPTABLE (LPTA) PROCEDURES.

(h) GOVERNMENT PROPERTY FURNISHED FOR REPAIR (FAR 16.503(c)) Failure of the Government to furnish such items in the amounts or quantities described in the Schedule as “estimated” or “maximum” will not entitle the contractor to any equitable adjustment in price under the Government Property clause of the contract.

REMANUFACTURE - F15 INTERCONNECT FUEL SHUTOFF VALVE - BASIC YEAR

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Total Price

5 EA

NSN: 2915-01-140-5873 RK

INTERCONNECT FUEL SHUTOFF VALVE

Controls fuel flow based on fuel level and allows fuel to flow whenever pressure supplied to the inlet port is less than 2psi above inlet port external pressure.

Aluminum alloy

PCS: 2915

Manufacturer Part Number

0PXV4 765900-211

29242 765900-211 58078 765900-211 96124 765900-211 Associated Document(s) Line Item(s)

FD20301500727 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF Quality Assurance: Standard Inspection Applicability: None ;

North American Free Trade Agreement (NAFTA) Physical Item Markings:

IAW MIL-STD-130

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBD ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBD PAA

Type / Ship To Quantity (U/I) *ARO Funded

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBD 2 EA *30 Calendar Days

Proposed Delivery

A TBD 2 EA

REQUIRED DELIVERY: 2EA due 30 calendar days ARO order or Reparable Assets (Whichever is Later), followed by 2EA every 30 calendar days until all quantities are delivered.

DATA - BASE YEAR

Item No.

Firm Fixed Price

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423, ATTACHED AND MADE A

PART HEREOF.

EXHIBIT A

RELATED LINE ITEM 0001

ITEM NO. ITEM DESCRIPTION

Best

Estimated

QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

A001 CAV AF End Item Reporting TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. The Government reserves the right to delete from the bid price each line item of data and/or reports that the Government does not desire prior to and after final award.

Associated Document(s) Line Item(s)

FD20301500727 0002

Priority: R

OVER & ABOVE - BASIC YEAR

Item No.

Firm Fixed Price

Over and above work shall be performed IAW the Appendix A ( SOW), DFARS clause 252.217-7028, and Section H, “Additional Over and Above Work Procedures”.

FIXED PRICED ITEMS: At any time during contract performance, when sufficient data becomes available on a repetitive task being performed, either the Contractor or the Contracting Officer (Administrative or Procuring) may request a negotiation to establish a firm-fixed-price for that item for the remaining life of the contract. Fixed priced items shall be defined as they are negotiated.

OVER AND ABOVE WORK

Item No.

0003AA

Firm Fixed Price Best Estimated Quantity

U/I Unit Price Estimated Total Price

1 LO To be Negotiated To be Negotiated

OVER AND ABOVE WORK

Item No.

0003AB

Firm Fixed Price Best Estimated Quantity

U/I Unit Price Estimated Total Price

1 EA To be Negotiated To be Negotiated

Associated Document(s) Line Item(s)

FD20301500727 0003

REMANUFACTURE - F15 INTERCONNECT FUEL SHUTOFF VALVE - OPTION I

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Total Price

5 EA

NSN: 2915-01-140-5873 RK

INTERCONNECT FUEL SHUTOFF VALVE

Controls fuel flow based on fuel level and allows fuel to flow whenever pressure supplied to the inlet port is less than 2psi above inlet port external pressure.

Aluminum alloy

PCS: 2915

Manufacturer Part Number

0PXV4 765900-211

29242 765900-211 58078 765900-211 96124 765900-211 Associated Document(s) Line Item(s)

FD20301500727 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF Quality Assurance: Standard Inspection Applicability: None ;

North American Free Trade Agreement (NAFTA) Physical Item Markings:

IAW MIL-STD-130

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBD ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBD PAA

Type / Ship To Quantity (U/I) *ARO Funded

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBD 2 EA *30 Calendar Days

Proposed

REQUIRED DELIVERY: 2EA due 30 calendar days ARO order or Reparable Assets (Whichever is Later), followed

DATA - OPTION I

Firm Fixed Price

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423, ATTACHED AND MADE A

PART HEREOF.

EXHIBIT A

RELATED LINE ITEM 1001

ITEM NO. ITEM DESCRIPTION

Best

Estimated

QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

B001 CAV AF End Item Reporting TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. The Government reserves the right to delete from the bid price each line item of data and/or reports that the Government does not desire prior to and after final award.

Associated Document(s) Line Item(s)

OVER & ABOVE - OPTION I

Item No.

Firm Fixed Price

Over and above work shall be performed IAW the Appendix A ( SOW), DFARS clause 252.217-7028, and Section H, “Additional Over and Above Work Procedures”.

FIXED PRICED ITEMS: At any time during contract performance, when sufficient data becomes available on a repetitive task being performed, either the Contractor or the Contracting Officer (Administrative or Procuring) may request a negotiation to establish a firm-fixed-price for that item for the remaining life of the contract. Fixed priced items shall be defined as they are negotiated.

OVER AND ABOVE WORK

Item No.

1003AA

Firm Fixed Price Best Estimated Quantity

U/I Unit Price Estimated Total Price

1 LO To be Negotiated To be Negotiated

OVER AND ABOVE WORK

Item No.

1003AB

Firm Fixed Price Best Estimated Quantity

U/I Unit Price Estimated Total Price

1 EA To be Negotiated To be Negotiated

Associated Document(s) Line Item(s)

REMANUFACTURE - F15 INTERCONNECT FUEL SHUTOFF VALVE - OPTION II

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Total Price

5 EA

NSN: 2915-01-140-5873 RK

INTERCONNECT FUEL SHUTOFF VALVE

Controls fuel flow based on fuel level and allows fuel to flow whenever pressure supplied to the inlet port is less than 2psi above inlet port external pressure.

Aluminum alloy

PCS: 2915

Manufacturer Part Number

0PXV4 765900-211

29242 765900-211 58078 765900-211 96124 765900-211 Associated Document(s) Line Item(s)

FD20301500727 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF Quality Assurance: Standard Inspection Applicability: None ;

North American Free Trade Agreement (NAFTA) Physical Item Markings:

IAW MIL-STD-130

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBD ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBD PAA

Type / Ship To Quantity (U/I) *ARO Funded

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBD 2 EA *30 Calendar Days

Proposed

REQUIRED DELIVERY: 2EA due 30 calendar days ARO order or Reparable Assets (Whichever is Later), followed

DATA - OPTION II

Firm Fixed Price

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423, ATTACHED AND MADE A

PART HEREOF.

EXHIBIT A

RELATED LINE ITEM 2001

ITEM NO. ITEM DESCRIPTION

Best

Estimated

QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

C001 CAV AF End Item Reporting TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. The Government reserves the right to delete from the bid price each line item of data and/or reports that the Government does not desire prior to and after final award.

Associated Document(s) Line Item(s)

OVER & ABOVE - OPTION II

Item No.

Firm Fixed Price

Over and above work shall be performed IAW the Appendix A ( SOW), DFARS clause 252.217-7028, and Section H, “Additional Over and Above Work Procedures”.

FIXED PRICED ITEMS: At any time during contract performance, when sufficient data becomes available on a repetitive task being performed, either the Contractor or the Contracting Officer (Administrative or Procuring) may request a negotiation to establish a firm-fixed-price for that item for the remaining life of the contract. Fixed priced items shall be defined as they are negotiated.

OVER AND ABOVE WORK

Item No.

2003AA

Firm Fixed Price Best Estimated Quantity

U/I Unit Price Estimated Total Price

1 LO To be Negotiated To be Negotiated

OVER AND ABOVE WORK

Item No.

2003AB

Firm Fixed Price Best Estimated Quantity

U/I Unit Price Estimated Total Price

1 EA To be Negotiated To be Negotiated

Associated Document(s) Line Item(s)

REMANUFACTURE - F15 INTERCONNECT FUEL SHUTOFF VALVE - OPTION III

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Total Price

5 EA

NSN: 2915-01-140-5873 RK

INTERCONNECT FUEL SHUTOFF VALVE

Controls fuel flow based on fuel level and allows fuel to flow whenever pressure supplied to the inlet port is less than 2psi above inlet port external pressure.

Aluminum alloy

PCS: 2915

Manufacturer Part Number

0PXV4 765900-211

29242 765900-211 58078 765900-211 96124 765900-211 Associated Document(s) Line Item(s)

FD20301500727 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF Quality Assurance: Standard Inspection Applicability: None ;

North American Free Trade Agreement (NAFTA) Physical Item Markings:

IAW MIL-STD-130

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBD ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBD PAA

Type / Ship To Quantity (U/I) *ARO Funded

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBD 2 EA *30 Calendar Days

Proposed

REQUIRED DELIVERY: 2EA due 30 calendar days ARO order or Reparable Assets (Whichever is Later), followed

DATA - OPTION III

Firm Fixed Price

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423, ATTACHED AND MADE A

PART HEREOF.

EXHIBIT A

RELATED LINE ITEM 3001

ITEM NO. ITEM DESCRIPTION

Best

Estimated

QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

D001 CAV AF End Item Reporting TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. The Government reserves the right to delete from the bid price each line item of data and/or reports that the Government does not desire prior to and after final award.

Associated Document(s) Line Item(s)

OVER & ABOVE - OPTION III

Item No.

Firm Fixed Price

Over and above work shall be performed IAW the Appendix A ( SOW), DFARS clause 252.217-7028, and Section H, “Additional Over and Above Work Procedures”.

FIXED PRICED ITEMS: At any time during contract performance, when sufficient data becomes available on a repetitive task being performed, either the Contractor or the Contracting Officer (Administrative or Procuring) may request a negotiation to establish a firm-fixed-price for that item for the remaining life of the contract. Fixed priced items shall be defined as they are negotiated.

OVER AND ABOVE WORK

Item No.

3003AA

Firm Fixed Price Best Estimated Quantity

U/I Unit Price Estimated Total Price

1 LO To be Negotiated To be Negotiated

OVER AND ABOVE WORK

Item No.

3003AB

Firm Fixed Price Best Estimated Quantity

U/I Unit Price Estimated Total Price

1 EA To be Negotiated To be Negotiated

Associated Document(s) Line Item(s)

REMANUFACTURE - F15 INTERCONNECT FUEL SHUTOFF VALVE - OPTION IV

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Total Price

5 EA

NSN: 2915-01-140-5873 RK

INTERCONNECT FUEL SHUTOFF VALVE

Controls fuel flow based on fuel level and allows fuel to flow whenever pressure supplied to the inlet port is less than 2psi above inlet port external pressure.

Aluminum alloy

PCS: 2915

Manufacturer Part Number

0PXV4 765900-211

29242 765900-211 58078 765900-211 96124 765900-211 Associated Document(s) Line Item(s)

FD20301500727 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF Quality Assurance: Standard Inspection Applicability: None ;

North American Free Trade Agreement (NAFTA) Physical Item Markings:

IAW MIL-STD-130

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBD ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBD PAA

Type / Ship To Quantity (U/I) *ARO Funded

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBD 2 EA *30 Calendar Days

Proposed

REQUIRED DELIVERY: 2EA due 30 calendar days ARO order or Reparable Assets (Whichever is Later), followed

DATA - OPTION IV

Firm Fixed Price

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423, ATTACHED AND MADE A

PART HEREOF.

EXHIBIT A

RELATED LINE ITEM 4001

ITEM NO. ITEM DESCRIPTION

Best

Estimated

QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

E001 CAV AF End Item Reporting TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. The Government reserves the right to delete from the bid price each line item of data and/or reports that the Government does not desire prior to and after final award.

Associated Document(s) Line Item(s)

OVER & ABOVE - OPTION IV

Item No.

Firm Fixed Price

Over and above work shall be performed IAW the Appendix A ( SOW), DFARS clause 252.217-7028, and Section H, “Additional Over and Above Work Procedures”.

FIXED PRICED ITEMS: At any time during contract performance, when sufficient data becomes available on a repetitive task being performed, either the Contractor or the Contracting Officer (Administrative or Procuring) may request a negotiation to establish a firm-fixed-price for that item for the remaining life of the contract. Fixed priced items shall be defined as they are negotiated.

OVER AND ABOVE WORK

Item No.

4003AA

Firm Fixed Price Best Estimated Quantity

U/I Unit Price Estimated Total Price

1 LO To be Negotiated To be Negotiated

OVER AND ABOVE WORK

Item No.

4003AB

Firm Fixed Price Best Estimated Quantity

U/I Unit Price Estimated Total Price

1 EA To be Negotiated To be Negotiated

Associated Document(s) Line Item(s)

FD20301500727 0003

Priority: R

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A TBD

TO BE DETERMINED 00000-0000

MARK FOR: (See Individual Line Item) REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER:

Shipping instructions to be provided by congnizant PMS.

PART I - THE SCHEDULE

SECTION C

DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

252.211-7005 SUBSTITUTIONS FOR MILITARY OR FEDERAL SPECIFICATIONS AND STANDARDS

(NOV 2005)

(IAW DFARS 211.273-4)

(b) Offerors are encouraged to propose SPI processes in lieu of military or Federal specifications and standards cited in the solicitation. A listing of SPI processes accepted at specific facilities is available via the Internet at http://guidebook.dcma.mil/20/guidebook_process.htm (paragraph 4.2).

(d) (Offeror insert information for each SPI process)

SPI Process: _____________________________________________________

Facility: _________________________________________________________

Military or Federal Specification or Standard: ____________________________

Affected Contract Line Item Number, Subline Item Number, Component, or Element:

(Applicable when procuring previously developed items that exceed the micro-purchase threshold)

PART I - THE SCHEDULE

SECTION D

PACKAGING AND MARKING

ITEM IDENTIFICATION MARKING AND SHELF LIFE ITEM PROVISIONS (FEB 1998)

(IAW AFMCI 23-102 Chapter 6 Para 6.2.7.3) Requirements set forth below shall apply to any contract issued thereon and will take precedence over other inconsistent requirements herewith. All standards, bulletins, and publications referenced herein shall be of the issue in effect on the date of this document.

1. PHYSICAL MARKING OF ITEMS:

MIL-STD-130: Items shall be marked in accordance with MIL-STD-130. The National Stock Number (NSN), and when assigned, the Configuration Item Identifier (CII), serial number, and military type designation information shall be marked on major assemblies, units, groups, and sets. Special attention must be given to requirements governing the application of the actual manufacturer's Federal Supply Code for Manufacturers (FSCM) to the physical item. Items which are excluded in accordance with paragraph 1.1 of MIL-STD-130, Revision M, shall be marked in accordance with the appropriate document.

2. PACKAGE AND CONTAINER MARKING: Shipments will not be made until the NSN has been assigned, unless specifically authorized by the Contracting Officer.

MIL-STD-129/ASTM-D-3951:

a. Interior packages and shipping containers shall be marked in accordance with MIL-STD-129 when Military packing is specified and ASTM-D-3951 when commercial packaging is specified. The requirements of paragraph 2.h apply regardless of which packaging is utilized.

(1) Design manufacturer's name, trademark or manufacturer's code (from Cataloging Handbook H4-1 or H4-2), identifying number, and serial number, when applicable, shall be included in the identification marking.

(2) When applicable, the Air Force project designator code shall be included as the last line of the address marking and the project name related to the project code shall be marked in the clear on the exterior shipping container.

b. Tags and labels, when required, shall be contractor's tags or labels conforming to the requirements of MIL-STD-129 or as approved by the procuring activity. Contractor's forms which indicate serviceable condition shall not be any shade of green or red. Labels are authorized to be used on metal containers.

Items requiring technical order (T.O.) certification shall be annotated on inner and outer container tags or label with T.O. compliance.

c. When dummy containers are used in a unitized load, the dummy containers shall be clearly marked "DUMMY CONTAINER" and located in the load so that the marking will be plainly visible to receiving and storage personnel.

d. All interior packages and shipping containers for articles and materials classified as hazardous or restricted under provisions of Title 49, Code of Federal Regulations, or AFR 71-4/DLAM 4145.3/TM 38-250/NAVSUP PUB 505/MCO P 4030.19 shall be marked, regardless of exemption for mode of transportation, with proper shipping name of item; flash point of all liquids having a flash point of 200 degrees F. or below; and percentage concentration of acids and corrosive liquids. In addition, the quantity of each hazardous or restricted material included in a container shall be annotated adjacent to the shipping name of the item, e.g., Acetic Acid (80% concentration) -- 1 qt.

e. On shipments of firearms regardless of mode of transportation, selected elements of identification and contractor data markings shall be omitted or obliterated in accordance with the requirements of MIL-STD-129 regarding sensitive items and packing lists shall be placed only inside the containers.

f. Special markings for packages and containers when specified on AFMC Form 158 shall be complied with as a part of MIL-STD-129.

g. All special coated terneplate containers shall be marked with the legend "CAUTION--DO NOT REUSE AS

FOOD CONTAINERS."

h. Bar code markings in accordance with MIL-STD-129 shall apply to all units, intermediate and exterior containers for all items going into stock regardless of package size or levels of package specified (including commercial packaging). In addition to the NSN/NATO stock number, the exterior shipping container shall include the 13 digit contract number (plus, if applicable, the four digit call number). Excluded from Bar Code Marking are:

(1) Foreign Military Sales.

(2) Direct Vendor Delivery (DVD)/Government Furnished Equipment (GFE) shipments.

(3) Multipack Exterior Shipping Containers. (Unit and intermediate containers do require a bar coded NSN/NATO stock number. However, the next container (unit or intermediate) inside the multipack will also require a bar coded NSN/NATO stock number and contract number with call number, if applicable, in the lower right hand corner).

(4) All unpacked or uncrated items; e.g., vehicles, tires, etc.

i. Shipments of wheeled items weighing 2,000 pounds or more and scheduled for transportation by military aircraft will be marked with the individual axle weights in accordance with MIL-STD-129.

3. WARRANTED ITEMS: When the contract contains warranty requirements, warranty information shall be applied on containers and items as follows:

a. Container markings shall be as specified in MIL-STD-129. The period or conditions of the warranty shall be specifically stated, i.e., landings, flight hours, operating hours, days from shipping date, etc.

b. Items shall be marked in accordance with requirements of MIL-STD-130. Markings shall be located in a manner so as to be conspicuous to the person removing the item from service. When no deleterious effect or functional degradation is caused, the markings shall be black letters on yellow FED-STD-595 color 13655) background. The marking shall include the same period or condition required on the containers.

4. SHELF LIFE ITEMS

a. MARKING

(1) Shelf life items shall be marked in accordance with MIL-STD-129.

(2) Mark items controlled in MIL-STD-1523, or in specifications furnished as a part of the contract or purchase order, with the cure or assembly dates specified therein.

b. DELIVERY. Unless specified otherwise in the contract, shelf life items shall have a minimum of 90% of the "storage period" remaining at the time of delivery to the Government.

D.01 PACKAGING REQUIREMENTS

WOODEN LUMBER, WOODEN PALLET AND PACKAGING/CONTAINER STATEMENT

(In accordance with AFMC form 158)

The following statement is in compliance with the United Nations-Implemented restrictions on wood packaging material (WPM). This requirement is specifically concerned with invasive species such as the pinewood nematode. WPM is defined as wood pallets, skids, load boards, pallet collars, wooden boxes, reels, dunnage, crates, frames, and cleats. The statement below cites the requirements in detail and covers lumber for building containers and pallets used for deliveries resulting in shipments worldwide (direct, or through Air Logistics Centers, container consolidations points, or other bases).

All wooden lumber, wooden pallets, and wooden containers produced entirely or in part of wood packaging material (WPM) shall be constructed from debarked wood in addition to the application of heat-treated (HT) material (HT 56 degrees centigrade or 133 degrees Fahrenheit for 30 minutes). Certification/marking is required by an accredited agency recognized by the American Lumber Standards committee (ALSC). For reference documentation, see latest revision of “International Standards for Phytosanitary Measures (ISPM) No. 15, “Regulation of wood packaging material in international trade.”

MIL-STD 129 REVISION: R MIL-STD 2073-1 REVISION: E

PACRN: PKG REQUIREMENT: PRESERVATION

LEVEL:

PACKING

LEVEL:

SPI: SPI REV: SPI DATE

AA MIL LONG LINE PKG MIL B

CODED DATA:

Coded requirements shall be interpreted in accordance with MIL-STD 129_

PACRN QUP ICQ

PRES

METH

C D

PRES

MTL

WRAP

MTL

CUSH

DUNN

C T

UNIT

CONT

INT

CONT

UCL SPEC

MKG

AA 1 000 41 1 00 JA NA A ED 00 B ZZ

PACRN

(con’t)

UNIT

PACK

WEIGHT

UNIT PACK SIZE

UNIT PACK CUBE

O P

ILENGTH WIDTH DEPTH

AA 2.90 6.3 6.3 6.5 .149 O

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

ITEMS W/RESIDUAL FUEL USE SPI F WF-117-2012;

ZZ MARKINGS=IAW AFI 24-203,4.3.3

VENDOR PACKAGING INSTRUCTIONS:

Shipping Container Marking

Shipping containers shall be marked meeting the following criteria:

(a) MIL-STD-129, Standard Practice for Military Marking.

(b) Bar code format shall conform to bar code symbology Format 3 of 9, Code 39 as specified in

MIL-STD-129.

(c) Additional marking and/or bar coding requirements exceeding those of MIL-STD-129 (e.g., unit serial numbers, original equipment manufacturer's (OEM) name, or OEM model number, as specified on the AFMC Form 158.

Military Packaging and Marking

Items shall be packaged in accordance with MIL-STD-2073-1, Standard Practice for Military Packaging. Shipping and storage markings shall be in accordance with MIL-STD-129, Standard Practice for Military Marking.

D.02 TRANSPORTATION APPROPRIATION CHARGEABLE

The Transportation Allotment Identification (TAI) relates directly to the above ACRN(s). For example, the TAI “TAA” is for the same line item(s) as ACRN “AA”.

FMS TRANSPORTATION ALLOTMENT SHALL BE USED ONLY WHEN SHIPMENT ON GOVERNMENT BILL OF

LADING IS AUTHORIZED.

Insert 3 if movement via surface mode or 2 if movement via airlift in place of any “#” shown. Insert last digit of current fiscal year in place of any asterisk “*” shown when material is shipped.

TAI ATAC FMS ALLOTMENT/NOTE

TAA F2RS

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

52.246-2 INSPECTION OF SUPPLIES--FIXED-PRICE (AUG 1996)

(IAW FAR 46.302)

(Applicable for supplies, services furnishing of supplies, fixed-price and exceeds the simplified acquisition threshold)

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

(Applicable to the furnishing of supplies, services involving the furnishing of supplies, or research and development, when a fixed-price contract is contemplated and the contract amount is expected to exceed the simplified acquisition threshold)

252.246-7000 MATERIAL INSPECTION AND RECEIVING REPORT (MAR 2008)

(IAW DFARS 246.370)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) (Applicable to all orders issued hereunder)

Government Contract Quality Assurance Inspection and Acceptance will be at (Final):

[CONTRACTOR FILL-IN]

Item No(s): See schedule for items with the following code(s) listed below :

Inspection Code and Address:

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

(IAW FAR 11.703(b)) (Applicable when fixed-price supplies are furnished)

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1)) (Applicable for supplies, services, or research and development)

52.242-17 GOVERNMENT DELAY OF WORK (APR 1984)

(IAW FAR 42.1305(c)) (Applicable to fixed-price for supplies other than commercial or modified-commercial items)

52.247-29 F.O.B. ORIGIN (FEB 2006)

(IAW FAR 47.303-1(c)) (Applicable when specifying f.o.b. origin)

52.247-55 F.O.B. POINT FOR DELIVERY OF GOVERNMENT-FURNISHED PROPERTY

(JUN 2003)

(IAW FAR 47.305-12(a)(2))

(Applicable when Government property is furnished and Government will be responsible for transportation arrangements and cost)

52.247-65 F.O.B. ORIGIN, PREPAID FREIGHT--SMALL PACKAGE SHIPMENTS (JAN 1991)

(IAW FAR 47.303-17(f)) (Applicable when specifying f.o.b. origin)

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b)) Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address

[CONTRACTOR FILL-IN]

(Applicable when delivery term is f.o.b. origin)

F.01 VENDOR TRANSPORTATION INSTRUCTIONS

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(IAW DFARS 232.7004(b), PGI 232.7004(b)(1), DFARS 212.301(f)(liii))

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

(1) Document type. The Contractor shall use the following document type(s).

(Contracting Officer: Insert applicable document type(s).

Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (stand-alone) and “Receiving Report” (stand-alone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

(Contracting Officer: Insert inspection and acceptance locations or “Not applicable.”)

(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

SHIPMENTS BY FAST

TRANSPORTATION

The Contracting Officer may at any time during performance under this contract/order, by written authorization through the ACO, authorize Fast Transportation for the total contract/order quantity or any portion thereof. The authorization will specify method of transportation to be used and quantity of end items effected. Transportation methods include but are not limited to those discussed in (a) and (b) below.

(a) Transportation for end items on this contract are authorized to ship via air/land utilizing a Government approved carrier.

(b) End Items may be shipped by one of the methods listed below:

(1) Domestic Shipments – Ship overnight/Next Day Service.

(2) International Shipments – Ship via a carrier who can provide door-to-door priority service to include delivery with two to three days and customs clearance to final destination(s).

(c) Foreign Military Sales (FMS) Shipments are excluded from the above procedures.

Contact DCMA Transportation

Contact DCMA Transportation on ALL "DCMA Administered" contracts prior to shipment for shipping instructions using the DCMA Shipment Instruction Request (SIR) eTool System, at http://www.dcma.mil for ALL FOB: Origin, Foreign Military Sales (FMS), and FOB: Destination OCONUS/Export movements to obtain the appropriate DOD regulatory clearances, shipping documentation and instructions from your cognizant DCMA Transportation Office. If you are new to DCMA, and do not already have a SIR eTool account, you will first need to request an account via DCMA External Web Access Management (EWAM) application which can be accessed at http://www.dcma.mil. If you need additional assistance, email DCMA Transportation Group at: Transportation.Division@dcma.mil. Do not move any freight to a water or aerial port prior to contacting DCMA. Failure to contact the responsible DCMA may result in vendor incurring additional expenditures.

ACCELERATED

DELIVERIES

While the normal delivery process is based on inventory considerations which would dictate that the Government places orders at normal lead time ahead of need and the contractor meets this contract delivery schedule, it is recognized by both parties that circumstances can exist which may result in the need for accelerated delivery. In recognition of these circumstances, the contractor is authorized to exceed the delivery rate, and/or to complete the performance of this contract prior to the time set forth in the schedule.

Pay Official DoDAAC Issue By DoDAAC Admin DoDAAC Inspect By DoDAAC Ship To Code Ship From Code Mark For Code Service Approver (DoDAAC) Service Acceptor (DoDAAC) Accept at Other DoDAAC LPO DoDAAC DCAA Auditor DoDAAC Other DoDAAC(s) (*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the e-mail address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

(Contracting Officer: Insert applicable email addresses or “Not applicable.”)

(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.

(Contracting Officer: Insert applicable information or “Not applicable.”)

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

(Applicable when 252.232-7003 is used and neither 232.7003(b) nor (c) apply)

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA TO BE CITED ON EACH INDIVIDUAL ORDER $0.00

ACRN TOTAL $ 0.00

ACTIVITY ADDRESS CODE/ROUTING IDENTIFIER CODE (RIC) (MAR 2010)

(IAW AFI 24-230, DoD 4000.25-6M)

(a) The Contractor shall identify any existing Activity Address Code with the designated activity type [EZ, EY, EJ, EB, ED or EP) code, which applies to Contractor's approved F.O.B point when receiving, taking custody, issuing, or shipping DoD assets, and which matches the address identified in AFMCFARS 5352.247-9017 “F.o.b. Point for Delivery of Government-Furnished Property.” Include existing Routing Identifier Code (RIC), which may be required for accessing Government Data Systems.

(b) Offeror shall insert the existing Activity Address Code and RIC Code as listed in DoD Directory, DoD 4000.25-6M, or identify that the Contracting Officer will need to obtain an Activity Address Code and/or Routing Identifier Code (RIC) on contractor’s behalf.

Existing Activity Address Code __________________

Existing Routing Identifier Code (RIC) ________________

[ ] I currently do not possess an Activity Address Code for the designated activity type. Use the address I have designated on AFMCFARS 5352.247-9017 “F.o.b. Point for Delivery of Government-Furnished Property” herein to obtain the Activity Address Code

[ ] I currently do not possess a Routing Identifier Code (RIC) for the designated activity type.

PART I - THE SCHEDULE

SECTION H

SPECIAL CONTRACT REQUIREMENTS

GOVERNMENT PROPERTY FURNISHED FOR REPAIR (JUN 2004)

(IAW FAR 16.503(c)) Failure of the Government to furnish such items in the amounts or quantities described in the Schedule as "estimated" or "maximum" will not entitle the contractor to any equitable adjustment in price under the Government Property clause of the contract.

H.01 ADDITIONAL OVER AND ABOVE WORK PROCEDURES

(a) Negotiations on proposed over and above work should be completed prior to commencement of work, but in no case later than the time when 40 percent of the work is completed.

(b) For fixed hourly rate items, the price negotiated by the Administrative Contracting Officer shall be based on "hands on" labor hours multiplied by the contract hourly rate. The number of "hands on" labor hours required shall be negotiated by the Contractor and Administrative Contracting Officer. The fixed hourly rate includes charges for "hands on" labor, any labor cost which is not considered "hands on" for which the Contractor accounts as direct labor, burdens, general and administrative expenses, and other allowable costs and profit.

(c) At any time during contract performance, when sufficient data becomes available on a repetitive task being performed in the fixed hourly rate category, either the Contractor or the Procuring Contracting Officer may request a negotiation to establish a firm-fixed-price for that item for the remaining life of the contract.

The Administrative Contracting Officer shall advise the Procuring Contracting Officer of all such agreements in order that changes can be incorporated in periodic contract modifications.

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

5352.201-9101 OMBUDSMAN (NOV 2014)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, interested party may contact the ombudsman, AFSC/PZC at 405 736 -3273 , FAX 000 000 -0000 , email . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU/HQ AFICA/SMC ombudsman level, may be brought by the interested party for further consideration to the Air Force ombudsman, Associate Deputy Assistant Secretary (ADAS) (Contracting), SAF/AQC, 1060 Air Force Pentagon, Washington DC 20330-1060, phone number (571) 256-2395, facsimile number (571) 256-2431.

(Applicable to all solicitations and contracts)

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

(IAW DFARS 203.171-4(a), DFARS 212.301(f)(ii))

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

252.203-7999 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN

INTERNAL CONFIDENTIALITY AGREEMENTS (DEVIAITON 2015-O0010) (FEB 2015)

(IAW DARS Tracking # 2015-O0010)

(Applicable to solicitations and contracts, including commercial under FAR part 12, that will use FY 2015 appropriations)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (JUL 2013)

(IAW FAR 4.1403(a))

(Applicable over $25,000, unless not required to be reported in FPDS)

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (NOV 2014)

(IAW FAR 4.1804(c), FAR 12.301(d)) (Applicable when there is a requirement to be registered in SAM or to have a DUNS Number)

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

252.204-7000 DISCLOSURE OF INFORMATION (AUG 2013)

(IAW DFARS 204.404-70(a))

252.204-7002 PAYMENT FOR SUBLINE ITEMS NOT SEPARATELY PRICED (DEC 1991)

(IAW DFARS 204.7104-1(b)(3)(iv)) (Applicable to all not separately priced subline items)

252.204-7003 CONTROL OF GOVERNMENT PERSONNEL WORK PRODUCT (APR 1992)

(IAW DFARS 204.404-70(b)) (Applicable to all orders issued hereunder)

252.204-7012 SAFEGUARDING OF UNCLASSIFIED CONTROLLED TECHNICAL INFORMATION

(NOV 2013)

(IAW DFARS 204.7304, DFARS 212.301(f)(vi))

252.204-7014 LIMITATIONS ON THE USE OR DISCLOSURE OF INFORMATION BY LITIGATION

SUPPORT CONTRACTORS (FEB 2014)

(IAW DFARS 204-7403(b), DFARS 212.301(f)(viii))

252.204-7015 DISCLOSURE OF INFORMATION TO LITIGATION SUPPORT CONTRACTORS

(FEB 2014)

(IAW DFARS 204.7403(c), DFARS 212.301(f)(ix))

(Applicable to solicitations and contracts that involve litigation support services when 252.204-7014 is not included)

52.209-1 QUALIFICATION REQUIREMENTS (FEB 1995)

(IAW FAR 9.206-2)

(b)

Item No Agency Name/Address

0001 AFSC/SB

3001 STAFF DR STE 1AG85A

TINKER AFB, OK 73135-3009

1001 AFSC/SB

3001 STAFF DR STE 1AG85A

TINKER AFB, OK 73135-3009

2001 AFSC/SB

3001 STAFF DR STE 1AG85A

TINKER AFB, OK 73135-3009

3001 AFSC/SB

3001 STAFF DR STE 1AG85A

TINKER AFB, OK 73135-3009

4001 AFSC/SB

3001 STAFF DR STE 1AG85A

TINKER AFB, OK 73135-3009

(c) If an offeror, manufacturer, source, product or service covered by a qualification requirement has already met the standards specified, the relevant information noted below should be provided.

Offeror's Name _____________________________

Manufacturer's Name ________________________

Source's Name _____________________________

Item Name _________________________________

Service Identification _________________________

Test Number _______________________________ (to the extent known)

(Applicable when the acquisition is subject to a qualification requirement)

52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN SUBCONTRACTING WITH

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(AUG 2013)

(IAW FAR 9.409)

(Applicable when exceeding $30,000)

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(DEC 2014)

(IAW FAR 9.108-5(b))

52.211-5 MATERIAL REQUIREMENTS (AUG 2000)

(IAW FAR 11.304)

(Applicable to supplies that are not commercial items)

52.211-15 DEFENSE PRIORITY AND ALLOCATION REQUIREMENTS (APR 2008)

(IAW FAR 11.604(b)) This is a rated order certified for national defense , emergency preparedness, and energy program use, and the Contractor shall follow all the requirements of the Defense Priorities and Allocations System regulation (15 CFR 700).

(Applicable to all rated orders)

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

(IAW DFARS 211.274-6(a)(1), DFARS 212.301(f)(xii))

(a) Definitions. As used in this clause— “Automatic identification device” means a device, such as a reader or interrogator, used to retrieve data encoded on machine-readable media.

“Concatenated unique item identifier” means—

(1) For items that are serialized within the enterprise identifier, the linking together of the unique identifier data elements in order of the issuing agency code, enterprise identifier, and unique serial number within the enterprise identifier; or

(2) For items that are serialized within the original part, lot, or batch number, the linking together of the unique identifier data elements in order of the issuing agency code; enterprise identifier; original part, lot, or batch; and serial number within the original part, lot, or batch number.

“Data matrix” means a two-dimensional matrix symbology, which is made up of square or, in some cases, round modules arranged within a perimeter finder pattern and uses the Error checking and Correction 200 (ECC200) specification found within International Standards Organization (ISO)/International Electrotechnical Commission (IEC) 16022.

“Data qualifier” means a specified character (or string of characters) that immediately precedes a data field that defines the general category or intended use of the data that follows.

“DoD recognized unique identification equivalent” means a unique identification method that is in commercial use and has been recognized by DoD. All DoD recognized unique identification equivalents are listed at http://www.acq.osd.mil/dpap/pdi/uid/iuid/equivalents.html .

“DoD item unique identification” means a system of marking items delivered to DoD with unique item identifiers that have machine-readable data elements to distinguish an item from all other like and unlike items. For items that are serialized within the enterprise identifier, the unique item identifier shall include the data elements of the enterprise identifier and a unique serial number. For items that are serialized within the part, lot, or batch number within the enterprise identifier, the unique item identifier shall include the data elements of the enterprise identifier; the original part, lot, or batch number; and the serial number.

“Enterprise” means the entity (e.g., a manufacturer or vendor) responsible for assigning unique item identifiers to items.

“Enterprise identifier” means a code that is uniquely assigned to an enterprise by an issuing agency.

“Government’s unit acquisition cost” means—

(1) For fixed-price type line, subline, or exhibit line items, the unit price identified in the contract at the time of delivery;

(2) For cost-type or undefinitized line, subline, or exhibit line items, the Contractor’s estimated fully burdened unit cost to the Government at the time of delivery; and

(3) For items produced under a time-and-materials contract, the Contractor’s estimated fully burdened unit cost to the Government at the time of delivery.

“Issuing agency” means an organization responsible for assigning a globally unique identifier to an enterprise (i.e., Dun & Bradstreet’s Data Universal Numbering System (DUNS) Number, GS1 Company Prefix, Allied Committee 135 NATO Commercial and Government Entity (NCAGE)/Commercial and Government Entity (CAGE) Code, or the Coded Representation of the North American Telecommunications Industry Manufacturers, Suppliers, and Related Service Companies (ATIS-0322000) Number), European Health Industry Business Communication Council (EHIBCC) and Health Industry Business Communication Council (HIBCC)), as indicated in the Register of Issuing Agency Codes for ISO/IEC 15459, located at http://www.nen.nl/Normontwikkeling/Certificatieschemas-en-keurmerken/Schemabeheer/ISOIEC-15459.htm .

“Issu…