FA812121R0012.pdf

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV.2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 J

1. REQUISITION NUMBER

FD20302130011

5. SOLICITATION NUMBER

FA8121-21-R-0012

6. SOLICITATION ISSUE DATE

b. TELEPHONE NUMBER (No collect calls)

(405 ) 739 -3450 ext.

2. CONTRACT NO.

7. FOR SOLICITATION

INFORMATION CALL

3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

a. NAME

Cameron Burton

8. OFFER DUE DATE/LOCAL

TIME

5MAY2021 3:00PM

12. DISCOUNT TERMS11. DELIVERY FOR FOB DEST.

UNLESS BLOCK IS MARKED

SEE SCHEDULE

10. THIS ACQUISITION IS UNRESTRICTED SET ASIDE: % FOR:

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS

HUBZONE SMALL (WOSB)ELIGIBLE UNDER THE WOMEN-OWNED

BUSINESS SMALL BUSINESS PROGRAM

NAICS CODE:

SERVICE-DISABLED EDWOSB 336412

VETERAN-OWNED SIZE STANDARD

SMALL BUSINESS 8 (A) 1,500 :

13a. THIS CONTRACT IS A

RATED ORDER

UNDER DPAS

(15 CFR 700)

13b. RATING

DO: A1 52.211-14, 52.211-15

14. METHOD OF SOLICITATION

RFQ IFB RFP

9. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, AFSC PZAAA

3001 STAFF DR STE 1AF1 98C

TINKER AFB OK 73145-3303

BUYER: Cameron Burton/AFSC/PZAAA cameron.burton@us.af.mil Phone: (405) 739- 3450

15. DELIVER TO CODE

SEE LINE ITEM SCHEDULE

16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR FACILITY

CODE CODE

18a. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS

CHECKED. SEE ELECTRONIC SUBMISSION OF PAYMENT REQUESTS, CLAUSE 252.232-7003.

FA8121

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

FMS REQUIREMENT

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

Repair/Overhaul of the F100‐PW‐220/229 DEEC and EDU

SEE LINE ITEM SCHEDULE

(Attach Additional Sheets as Necessary)

26. AWARD AMOUNT (For Gov’t use only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN COPIES TO ISSUING

OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED HEREIN.

29. AWARD OF CONTRACT: REF. OFFER DATED - - . YOUR OFFER ON

SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

X X

X X

X

25. ACCOUNTING AND APPROPRIATION DATA SEE FUNDS SCHEDULE

X

SCD:B

EFT:T

Total

STANDARD FORM 1449 (REV. 2/2012) BACK

COMPUTER GENERATED 4/5/2021, 4:54 AM

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32b. SIGNATURE OF AUTHORIZED GOV’T REPRESENTATIVE

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

32c. DATE

41c. DATE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER36. PAYMENT

COMPLETE PARTIAL FINAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC’D (YY/MM/DD) 42d. TOTAL CONTAINERS

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

SEE LINE ITEM SCHEDULE

(Attach Additional Sheets as Necessary)

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

FA8121-21-R-0012

SUPPLIES OR SERVICES AND PRICES/COSTS

NOTES:

Exact dates will be added to FAR 52.216‐18 during contract award.

Exact dates will be added to FAR 52.216‐21 during contract award.

NSN: 2995‐01‐504‐0016

Year 1 (Basic Year) ‐‐INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

NSN: 2995‐01‐504‐0016

Year 1 (Basic Year) ‐‐INFORMATIONAL CLIN

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

IUID Required:

Physical Item Markings:

Special Marking Instructions Below

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

Check and Test

Year 1 (Basic Year)

Check, Test, and Repair

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐551‐1078

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

NSN: 2995‐01‐551‐1078

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 1 (Basic)

Scrap

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐497‐7792/2995‐01‐540‐1790

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

NSN: 2995‐01‐497‐7792/2995‐01‐540‐1790

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐551‐1075/2995‐01‐551‐1072

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

NSN: 2995‐01‐551‐1075/2995‐01‐551‐1072

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 1 (Basic Year)

Check and Test

Year 1 (Basic Year) Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐519‐5438

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

NSN: 2995‐01‐519‐5438

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 1 (Basic Year)

Check, Test, and Repair

Year 1 (Basic Year)

Scrap

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐520‐3563

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

NSN: 2995‐01‐520‐3563

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 1 (Basic Year)

Scrap

Year 1 (Basic Year)

NSN: 6620‐01‐231‐9731

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

NSN: 6620‐01‐231‐9731

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

NSN: 6620‐01‐323‐6091

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated

NSN: 6620‐01‐323‐6091

Year 1 (Basic Year) ‐‐ INFORMATIONAL CLIN

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 1 (Basic Year)

Check, Test, and Repair

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price Amount

Over and Above

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Data

Year 1 (Basic Year) Item No.

Quantity U/I Unit Price

EXHIBITS:

NSN: 2995‐01‐504‐0016

Year 2 (Option I) ‐‐INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

IUID Required:

Physical Item Markings:

Special Marking Instructions Below

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

NSN: 2995‐01‐504‐0016

Year 2 (Option I) ‐‐INFORMATIONAL CLIN Proposed Delivery

Check and Test

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐551‐1078

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

NSN: 2995‐01‐551‐1078

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 2 (Option I)

Check, Test, and Repair

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐497‐7792/2995‐01‐540‐1790

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Title Number Date Tailoring

NSN: 2995‐01‐497‐7792/2995‐01‐540‐1790

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 2 (Option I)

NSN: 2995‐01‐551‐1075/2995‐01‐551‐1072

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed

NSN: 2995‐01‐551‐1075/2995‐01‐551‐1072

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN

Check and Test

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐519‐5438

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

NSN: 2995‐01‐519‐5438

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 2 (Option I)

Check and Test

Year 2 (Option I)

Check, Test, and Repair

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐520‐3563

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN: 2995‐01‐520‐3563

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 2 (Option I)

Scrap

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

NSN: 6620‐01‐231‐9731

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

NSN: 6620‐01‐231‐9731

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

NSN: 6620‐01‐323‐6091

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN

NSN: 6620‐01‐323‐6091

Year 2 (Option I) ‐‐ INFORMATIONAL CLIN Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 2 (Option I)

Check and Test

Year 2 (Option I)

Check, Test, and Repair

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 2 (Option I) Item No.

Quantity U/I Unit Price Amount

Over and Above

Year 2 (Option I) Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Data

Year 2 (Option I)

Quantity U/I Unit Price

EXHIBITS:

Associated Document(s) Line Item(s)

NSN: 2995‐01‐504‐0016

Year 3 (Option II) ‐‐INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

IUID Required:

Physical Item Markings:

Special Marking Instructions Below

NSN: 2995‐01‐504‐0016

Year 3 (Option II) ‐‐INFORMATIONAL CLIN Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐551‐1078

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated

NSN: 2995‐01‐551‐1078

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Check and Test

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐497‐7792/2995‐01‐540‐1790

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN: 2995‐01‐497‐7792/2995‐01‐540‐1790

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 3 (Option II)

Scrap

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐551‐1075/2995‐01‐551‐1072

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

NSN: 2995‐01‐551‐1075/2995‐01‐551‐1072

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐519‐5438

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated

NSN: 2995‐01‐519‐5438

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Check and Test

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐520‐3563

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

NSN: 2995‐01‐520‐3563

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 3 (Option II)

Check, Test, and Repair

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

NSN: 6620‐01‐231‐9731

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

NSN: 6620‐01‐231‐9731

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 3 (Option II)

Scrap

Year 3 (Option II)

NSN: 6620‐01‐323‐6091

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

NSN: 6620‐01‐323‐6091

Year 3 (Option II) ‐‐ INFORMATIONAL CLIN

Check and Test

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 3 (Option II) Item No.

Quantity U/I Unit Price Amount

Over and Above

Year 3 (Option II) Item No.

Data

Year 3 (Option II) Item No.

Quantity U/I Unit Price

EXHIBITS:

Associated Document(s) Line Item(s)

NSN: 2995‐01‐504‐0016

Year 4 (Option III) ‐‐INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

NSN: 2995‐01‐504‐0016

Year 4 (Option III) ‐‐INFORMATIONAL CLIN

IUID Required:

Physical Item Markings:

Special Marking Instructions Below

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 4 (Option III)

NSN: 2995‐01‐551‐1078

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required

NSN: 2995‐01‐551‐1078

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN Proposed Delivery

Check and Test

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐497‐7792/2995‐01‐540‐1790

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

NSN: 2995‐01‐497‐7792/2995‐01‐540‐1790

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 3 (Option II)

Check, Test, and Repair

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐551‐1075/2995‐01‐551‐1072

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

NSN: 2995‐01‐551‐1075/2995‐01‐551‐1072

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 4 (Option III)

NSN: 2995‐01‐519‐5438

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

NSN: 2995‐01‐519‐5438

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN Required Delivery

Proposed Delivery

Check and Test

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐520‐3563

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

NSN: 2995‐01‐520‐3563

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Check and Test

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

NSN: 6620‐01‐231‐9731

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

NSN: 6620‐01‐231‐9731

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 4 (Option III)

Check, Test, and Repair

Year 4 (Option III)

Scrap

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

NSN: 6620‐01‐323‐6091

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

NSN: 6620‐01‐323‐6091

Year 4 (Option III) ‐‐ INFORMATIONAL CLIN Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 4 (Option III) Item No.

Quantity U/I Unit Price Amount

Over and Above

Year 4 (Option III)

Over and Above

Year 4 (Option III)

Associated Document(s) Line Item(s)

Data

Year 4 (Option III) Item No.

Quantity U/I Unit Price

EXHIBITS:

Associated Document(s) Line Item(s)

NSN: 2995‐01‐504‐0016

Year 5 (Option IV) ‐‐INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN: 2995‐01‐504‐0016

Year 5 (Option IV) ‐‐INFORMATIONAL CLIN

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

IUID Required:

Physical Item Markings:

Special Marking Instructions Below

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 5 (Option IV)

Check, Test, and Repair

Year 5 (Option IV)

Scrap

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐551‐1078

Year 5 (Option IV) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

NSN: 2995‐01‐551‐1078

Year 5 (Option IV) ‐‐ INFORMATIONAL CLIN

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 5 (Option IV)

NSN: 2995‐01‐497‐7792/2995‐01‐540‐1790

Year 5 (Option IV) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Check and Test

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐551‐1075/2995‐01‐551‐1072

Year 5 (Option IV) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

NSN: 2995‐01‐551‐1075/2995‐01‐551‐1072

Year 5 (Option IV) ‐‐ INFORMATIONAL CLIN Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 5 (Option IV)

Check, Test, and Repair

Year 5 (Option IV)

Scrap

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

NSN: 2995‐01‐519‐5438

Year 5 (Option IV) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

NSN: 2995‐01‐519‐5438

Year 5 (Option IV) ‐‐ INFORMATIONAL CLIN

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 5 (Option IV)

NSN: 2995‐01‐520‐3563

Year 5 (Option IV) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

NSN: 2995‐01‐520‐3563

Year 5 (Option IV) ‐‐ INFORMATIONAL CLIN Required Delivery

Proposed Delivery

Check and Test

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

NSN: 6620‐01‐231‐9731

Year 5 (Option IV) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

NSN: 6620‐01‐231‐9731

Year 5 (Option IV) ‐‐ INFORMATIONAL CLIN

GROUP STOCK NO P/N CAGE

NSN:

Associated Document(s) Line Item(s)

Limitations of Liability:

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Title Number Date Tailoring

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 5 (Option IV)

Check and Test

Year 5 (Option IV)

Check, Test, and Repair

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

NSN: 6620‐01‐323‐6091

Year 5 (Option IV) ‐‐ INFORMATIONAL CLIN Item No.

Best Estimated Qty

U/I

GROUP STOCK NO P/N CAGE

GROUP STOCK NO P/N CAGE

NSN:

Limitations of Liability:

NSN: 6620‐01‐323‐6091

Year 5 (Option IV) ‐‐ INFORMATIONAL CLIN

Inspection:

Acceptance:

Inspection/Acceptance Report:

Quality Assurance:

Transportation From Continental United States CONUS (CONUS) Sources

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

Proposed Delivery

Check and Test

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

Check, Test, and Repair

Year 5 (Option IV) Item No.

Quantity U/I Unit Price Amount

Scrap

Year 4 (Option III)

Scrap

Year 4 (Option III)

Over and Above

Year 5 (Option IV) Item No.

Quantity U/I Unit Price

Associated Document(s) Line Item(s)

Data

Year 5 (Option IV) Item No.

Quantity U/I Unit Price

EXHIBITS:

Associated Document(s) Line Item(s)

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE:

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

AWARD NUMBER:

CONTRACT CLAUSES

252.203‐7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES (JAN 2021)

(IAW DFARS 204.2105(c))

252.205-7000 PROVISION OF INFORMATION TO COOPERATIVE AGREEMENT HOLDERS

(DEC 1991)

(IAW DFARS 205.470, DFARS 212.301(f)(x))

252.211-7003 ITEM UNIQUE IDENTIFICATION AND VALUATION (MAR 2016)

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

Unique item identifier.

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS--COMMERCIAL ITEMS (JAN 2021)

(IAW FAR 12.301(b)(4))

52.203‐19

[Contracting Officer check as appropriate.] X 52.203‐6

Alternate I

52.203‐13, 52.203‐15

X 52.204‐10

52.204‐14

52.204‐15, X 52.209‐6

X 52.209‐9, 52.219‐3

Alternate I

52.219‐4

Alternate I

52.219‐6

Alternate I

52.219‐7

Alternate I

X 52.219‐8

X 52.219‐9

Alternate I

Alternate II

Alternate III

Alternate IV

52.219‐13

Alternate I

52.219‐14

X 52.219‐16

52.219–27

X 52.219‐28

Alternate I

52.219‐29

52.219‐30, 52.219‐32

52.219‐33

X 52.222‐3

52.222‐19

X 52.222‐21

X 52.222‐26

Alternate I

X 52.222‐35

Alternate I

X 52.222‐36

Alternate I

X 52.222‐37

X 52.222‐40

X 52.222‐50

Alternate I

52.222‐54

52.223‐9

Alternate I

52.223‐11

52.223‐12

52.223‐13

Alternate I

52.223‐14

Alternate I

52.223‐15

52.223‐16

Alternate I

X 52.223‐18

X 52.223‐20

52.223‐21

X 52.224‐3

Alternate I

52.225‐1

52.225‐3

Alternate I

Alternate II

Alternate III

52.225‐5 et seq.

X 52.225‐13

52.225‐26

52.226‐4

52.226‐5

X 52.229–12

52.232‐29

52.232‐30

X 52.232‐33

52.232‐34

52.232‐36

52.239‐1

X 52.242‐5

52.247‐64

Alternate I

Alternate II

[Contracting Officer check as appropriate.] X 52.222‐41 X 52.222‐42

X 52.222‐43

52.222‐44

52.222‐51

52.222‐53

X 52.222‐55 X 52.222‐62 52.226‐6

Comptroller General Examination of Record

52.203‐13 52.203‐19

52.204‐23

X

252.219-7003 SMALL BUSINESS SUBCONTRACTING PLAN (DoD CONTRACTS) (DEC 2019) (IAW DFARS 219.708(b)(1)(A), DFARS 219.708(b)(1)(A)(1))

252.219-7003 SMALL BUSINESS SUBCONTRACTING PLAN (DoD CONTRACTS)--ALTERNATE I

(DEC 2019)

(IAW DFARS 219.708(b)(1)(A)(2), DFARS 219.708(b)(1)(A)(1))

252.219-7004 SMALL BUSINESS SUBCONTRACTING PLAN (TEST PROGRAM) (MAY 2019)

(IAW DFARS 219.708(b)(1)(B))

252.223-7008 PROHIBITION OF HEXAVALENT CHROMIUM (JUN 2013)

(IAW DFARS 223.7306, DFARS 212.301(f)(xxi))

252.225-7001 BUY AMERICAN AND BALANCE OF PAYMENTS PROGRAM--BASIC (DEC 2017)

(IAW DFARS 225.1101(2)(i) and (2)(ii))

252.225-7012 PREFERENCE FOR CERTAIN DOMESTIC COMMODITIES (DEC 2017)

(IAW DFARS 225.7002-3(a))

252.225-7021 TRADE AGREEMENTS--BASIC (DEVIATION 2020-O0019) (JUL 2020)

(IAW Deviation 2020-O0019)

252.225-7027 RESTRICTION ON CONTINGENT FEES FOR FOREIGN MILITARY SALES

(APR 2003)

(IAW DFARS 225.7307(a))

252.225-7028 EXCLUSIONARY POLICIES AND PRACTICES OF FOREIGN GOVERNMENTS

(APR 2003)

(IAW DFARS 225.7300, DFARS 225.7307(b))

252.225-7972 PROHIBITION ON THE PROCUREMENT OF FOREIGN-MADE UNMANNED AIRCRAFT

SYSTEMS (DEVIATION 2020-O0015) (MAY 2020)

(IAW Deviation 2020-O0015)

252.226-7001 UTILIZATION OF INDIAN ORGANIZATIONS, INDIAN-OWNED ECONOMIC

ENTERPRISES, AND NATIVE HAWAIIAN SMALL BUSINESS CONCERNS

(APR 2019)

(IAW DFARS 226.104)

252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND RECEIVING REPORTS

(DEC 2018)

(IAW DFARS 232.7004(a))

Definitions e.g.

252.232-7010 LEVIES ON CONTRACT PAYMENTS (DEC 2006)

(IAW DFARS 232.7102)

252.232-7017 ACCELERATING PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS -

PROHIBITION ON FEES AND CONSIDERATION (APR 2020)

(IAW DFARS 232.009-2)

252.237-7010 PROHIBITION ON INTERROGATION OF DETAINEES BY CONTRACTOR

PERSONNEL (JUN 2013)

(IAW DFARS 237.173-5)

252.243-7002 REQUESTS FOR EQUITABLE ADJUSTMENT (DEC 2012)

(IAW DFARS 243.205-71)

252.244-7000 SUBCONTRACTS FOR COMMERCIAL ITEMS AND COMMERCIAL COMPONENTS

(DOD CONTRACTS) (FEB 2021)

(IAW DFARS 244.403)

252.246-7003 NOTIFICATION OF POTENTIAL SAFETY ISSUES (JUN 2013)

(IAW DFARS 246.370(a), DFARS 212.301(f)(xii))

252.246-7007 CONTRACTOR COUNTERFEIT ELECTRONIC PART DETECTION AND AVOIDANCE

SYSTEM (AUG 2016)

(IAW DFARS 246.870-3(a))

252.246-7008 SOURCES OF ELECTRONIC PARTS (MAY 2018)

(IAW DFARS 246-870-3(b))

252.247-7028 APPLICATION FOR U.S. GOVERNMENT SHIPPING

DOCUMENTATION/INSTRUCTIONS (JUN 2012)

(IAW DFARS 247.207)

252.201-7000 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 1991)

(IAW DFARS 201.602-70)

5352.201-9101 OMBUDSMAN (OCT 2019)

(IAW AFFARS 5301.9103)

AFSC/PZC

405 736 3273 000 000 0000

52.203-3 GRATUITIES (APR 1984)

(IAW FAR 3.202)

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (AUG 2020)

(IAW FAR 4.1804(c), FAR 12.301(d))

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(JUN 2016)

(IAW FAR 4.1903)

52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES

DEVELOPED OR PROVIDED BY KASPERSKY LAB AND OTHER COVERED

ENTITIES (JUL 2018)

(IAW FAR 4.2004)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2020)

(IAW 4.2105(b))

252.204-7002 PAYMENT FOR SUBLINE ITEMS NOT SEPARATELY PRICED (APR 2020)

(IAW DFARS 204.7109(a))

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (DEC 2019)

(IAW DFARS 204.7304(c))

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

(IAW DFARS 204.7403(b), DFARS 212.301(f)(i)(F))

252.204-7020 NIST SP 800-171 DOD ASSESSMENT REQUIREMENTS (NOV 2020)

(IAW DFARS 204.7304(e))

252.209-7010 CRITICAL SAFETY ITEMS (AUG 2011)

(IAW DFARS 209.270-5)

Identification of critical safety items.

Line Item Description

52.211-8 TIME OF DELIVERY (JUN 1997)

(IAW FAR 11.404(a)(2))

252.211-7007 REPORTING OF GOVERNMENT-FURNISHED PROPERTY (AUG 2012)

(IAW DFARS 211.274-6(b), DFARS 212.301(f)(iv))

(See Individual Line Item)

52.212-4 CONTRACT TERMS AND CONDITIONS--COMMERCIAL ITEMS (OCT 2018)

(IAW FAR 12.301(b)(3))

52.216-18 ORDERING (AUG 2020)

(IAW FAR 16.506(a))

52.216-19 ORDER LIMITATIONS (OCT 1995)

(IAW FAR 16.506(b))

Minimum order quantity of 1

Maximum order quantity of 18 quantity of 25 i.e

52.216-21 REQUIREMENTS (OCT 1995)

(IAW FAR 16.506(d)(1))

00‐0000

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(IAW FAR 17.208(g))

30 Days

5 Years

252.217-7000 EXERCISE OF OPTION TO FULFILL FOREIGN MILITARY SALES

COMMITMENTS--BASIC (NOV 2014)

(IAW DFARS 217.208-70(a))

252.217-7028 OVER AND ABOVE WORK (DEC 1991)

(IAW DFARS 217.7702)

THE FOLLOWING IS FILL‐IN DATA FOR CLAUSE 52.212‐5 PARA (b)(22):

52.219‐28 POST‐AWARD SMALL BUSINESS PROGRAM REREPRESENTATION

[ ] is, [ ] is not _____________

Contractor to sign and date and insert authorized signer's name and title

52.222-1 NOTICE TO THE GOVERNMENT OF LABOR DISPUTES (FEB 1997)

(IAW FAR 22.103-5(a), AFFARS 5322.101-1)

52.222-29 NOTIFICATION OF VISA DENIAL (APR 2015)

(IAW FAR 22.810(g))

THE FOLLOWING IS FILL‐IN DATA FOR CLAUSE 52.212‐5 PARA (c)(2):

52.222‐42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES

This Statement is for Information Only:

It is not a Wage Determination

252.225-7002 QUALIFYING COUNTRY SOURCES AS SUBCONTRACTORS (DEC 2017)

(IAW DFARS 225.1101(3))

252.225-7013 DUTY-FREE ENTRY (DEVIATION 2020-O0019) (JUL 2020)

(IAW Deviation 2020-O0019)

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)

(IAW DFARS 225.7901-4)

252.225-7052 RESTRICTION ON THE ACQUISITION OF CERTAIN MAGNETS, TANTALUM, AND

TUNGSTEN (OCT 2020)

(IAW DFARS 225.7018-5)

52.229-4 FEDERAL, STATE, AND LOCAL TAXES (STATE AND LOCAL ADJUSTMENTS)

(FEB 2013)

(IAW FAR 29.401-3(b))

52.230-6 ADMINISTRATION OF COST ACCOUNTING STANDARDS (JUN 2010)

(IAW FAR 30.201-4(d)(1))

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS (JUN 2013)

(IAW FAR 32.706-3)

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS (DEC 2013)

(IAW FAR 32.009-2)

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

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

WAWF payment instructions

Document type

(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.)

Inspection/acceptance location

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

Field Name in WAWF Data to be entered in WAWF

(*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

Payment request and supporting documentation.

e.g

WAWF email notifications

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

WAWF point of contact.

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

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

AA

ACRN TOTAL $ 0.00

52.242-2 PRODUCTION PROGRESS REPORTS (APR 1991)

(IAW FAR 42.1107)

252.243-7001 PRICING OF CONTRACT MODIFICATIONS (DEC 1991)

(IAW DFARS 243.205-70)

252.243-7999 SECTION 3610 REIMBURSEMENT (DEVIATION 2020-O0021) (AUG 2020)

(IAW Deviation 2020-O0021 Rev. 2)

52.245-1 GOVERNMENT PROPERTY (JAN 2017)

(IAW FAR 45.107(a), DFARS 237.7003(c), DFARS 245.107)

252.245-7001 TAGGING, LABELING, AND MARKING OF GOVERNMENT-FURNISHED PROPERTY

(APR 2012)

(IAW DFARS 245.107(3))

252.245-7002 REPORTING LOSS OF GOVERNMENT PROPERTY (JAN 2021)

(IAW DFARS 245.107(4))

252.245-7003 CONTRACTOR PROPERTY MANAGEMENT SYSTEM ADMINISTRATION (APR 2012)

(IAW DFARS 245.107(5))

252.245-7004 REPORTING, REUTILIZATION, AND DISPOSAL (DEC 2017)

(IAW DFARS 245.107(5))

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

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

52.246-11 HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT (DEC 2014)

(IAW FAR 46.311, DFARS 246.202-4(1))

If more than one standard is listed, the offeror shall indicate its selection by checking the appropriate block.

Title Number Date Tailoring

*See Individual Line Item Schedule

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503)

[CONTRACTOR FILL‐IN]

See schedule for items with the following code(s) listed below :

Inspection Code and Address:

52.247-1 COMMERCIAL BILL OF LADING NOTATIONS (FEB 2006)

(IAW FAR 47.104-4(a), FAR 47.104-4(b))

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

(IAW FAR 47.303-1(c))

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

(IAW FAR 47.303-17(f))

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b))

F.O.B. Address

[CONTRACTOR FILL‐IN]

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

(IAW FAR 52.107(f))

Defense Federal Acquisition Regulation Supplement Chapter 2

SOLICITATION PROVISIONS

REPRESENTATIONS, INSTRUCTIONS AND EVALUATIONS

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS

(FEB 2021)

(IAW FAR 12.301(b)(2))

Definitions.

Covered telecommunications equipment or services

“Economically disadvantage women‐owned small business (EDWOSB) concern”

Forced or indentured child labor”

“Highest‐level owner”

“Immediate owner”

“Inverted domestic corporation”

“Manufactured end product”

“Place of manufacture”

“Predecessor” Reasonable inquiry

“Restricted business operations”

Sensitive technology”

“Service‐disabled veteran‐owned small business concern”

“Small business concern”—

Affiliates

Small disadvantaged business concern, consistent with 13 CFR 124.1002,”

“Subsidiary”

Successor

“Veteran‐owned small business concern”

"Women‐owned business concern"

“Women‐owned small business concern”

“Women‐owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127),”

Small business concern [ ] is, [ ] is not

Veteran‐owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] [ ] is, [ ] is not

Service‐disabled veteran‐owned small business concern. [Complete only if the offeror represented itself as a veteran‐owned small business concern in paragraph (c)(2) of this provision.]

[ ] is, [ ] is not Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] [ ] is, [ ] is not

Women‐owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.]

[ ] is, [ ] is not Note:

WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women‐owned small business concern in paragraph (c)(5) of this provision.]

[ ] is, [ ] is not

[ ] is, [ ] is not

[The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ______________.]

Economically disadvantaged women‐owned small business (EDWOSB) concern. [Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.]

[ ] is, [ ] is not

[ ] is, [ ] is not

[The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ______________.]

Women‐owned business concern (other than small business concern). [Complete only if the offeror is a women‐owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.] [ ] is

Tie bid priority for labor surplus area concerns.

HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.]

[ ] is, [ ] is not

[ ] is, [ ] is not

[The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: ____________.]

Representations required to implement provisions of Executive Order 11246‐‐

[ ] has, [ ] has not

[ ] has, [ ] has not Affirmative Action Compliance.

[ ] has [ ] has not

[ ] has not

Certification Regarding Payments to Influence Federal…