FA821220Q0453_______0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

J

2. AMENDMENT/MODIFICATION NO.

FA8212-20-Q-0453-0001

3. EFFECTIVE DATE

19 FEB 2020

4. REQUISITION/PURCHASE REQ. NO.

FD20202000453

5. PROJECT NO (If applicable)

FA821220Q0453

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFSC PZABA

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE UT 84056-5825

BUYER: Stacey L. Schultz/AFSC stacey.schultz@us.af.mil Phone: (801) 777- 3753 Fax: (801) 777-0389 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8212

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA821220Q0453

9B. DATED (SEE ITEM 11)

18-FEB-2020

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods. ( a ) By completing Items 8 and 15, and returning copies of the amendment; ( b ) By acknowledging receipt of this amendment on each copy of the offer submitted; or ( c ) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

ROUTINE

EXPORT CONTROLLED - NO SURPLUS ALLOWED FOR THIS REQUIREMENT

RESTRICTED TO QUALIFIED SOURCE(S): A Source Approval Request is required from all unqualified contractors. See Clause 52.209-1 in the solicitation and the Qualification Requirements package attached for qualification information. Award will only be made to an approved qualified source. ICORE INTERNATIONAL, INC. (05593) WILLIAMS RDM (27899), DCX CHOL (60118), BAE SYSTEMS (94117), and JO‐KELL INC. (5V049) are the only known approved qualified source(s). Per FAR Clause 9.202(e) the government reserves the right to not delay contract award in order to provide a potential offeror with an opportunity to demonstrate its ability to meet the standards specified for qualification. See attached Section L Instructions, Conditions, and Notices of Offerors and Section M Evaluation Factors for Award.

SEE FOLLOWING PAGE(S) FOR THE PURPOSE OF THIS AMENDMENT.

15A. NAME AND TITLE OF SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR

BY ________________________________________________________

(Signature of person authorized to sign)

15C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16B. UNITED STATES OF AMERICA

BY ____________________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

FACILITY CODE

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE

30-105 STANDARD FORM 30 (REV. 10-83)

PRESCRIBED BY GSA

FAR (48 CFR) 53.243

X

X X

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

FA8212-20-Q-0453-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

THE PURPOSE OF THIS AMENDMENT IS TO ADD VERBIAGE THAT ALL OFFERORS SUBMIT

PRICING FOR BOTH BID A (First Article Required) AND BID B (First Article NOT Required) IN

CASE THE REQUEST FOR FIRST ARTICLE WAIVER IS DENIED BY THE GOVERNMENT COGNIZENT

ENGINEER.

This solicitation requests a quote for BOTH of the following:

BID A - First Article CLIN 0001AA, 0002AA, 0003AA, 0004AA, 0005AA; First Article Test Report 0001AB, 0002AB, 0003AB, 0004AB, 0005AB; and Production Articles 0001AC, 0002AC, 0003AC, 0004AC, 0005AC without First Article waived.

AND

BID B - Production Articles Only CLIN 0001AD, 0002AD, 0003AD, 0004AD, 0005AD with First Article Waived by Government Cognizant Engineer. (See Clause for FA Applicability and/or Conditions for Waiver)

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

THE GOVERNMENT'S REQUIRED DELIVERY SCHEDULE FOR PRODUCTION ARTICLES IS ESSENTIAL TO

SUPPORT MISSION READINESS OF THE MILITARY AIRCRAFT.

Standard consideration terms as denoted herein:

The Contractor is responsible for carrying out its obligations under the contract. If the Contractor fails to meet their obligation in meeting the Governments required delivery and a late delivery is to occur the Contractor is responsible for notifying the Contracting Officer as soon as this is discovered so there is sufficient time to negotiate a revised delivery schedule and modify the contract with the below standard consideration. Furthermore, sufficient time is necessary so that the USAF has enough time to adjust schedules impacted by the late delivery.

Standard Consideration Example:

CLIN Unit Price Percent QTY Months Late Sub Total 0001 $10,000.00 X 0.05 X 10 X 1 = $5,000.00 0002 $15,000.00 X 0.05 X 10 X 1 = $7,500.00

Min Administration Cost

$1,250.00

Consideration $13,750.00

*Please note, at the Contracting Officer’s discretion, consideration can also be negotiated as early delivery on another delivery schedule or contract if it compensates for the late delivery at the benefit of the Government. In addition, the consideration amount may be higher than 5% if the contractor caused the delay and it grounds, or further grounds, a major weapon system or military aircraft.

BID A - FIRST ARTICLE INFORMATION CLIN

F-16 Store System Tester (SST) Cable Assembly Item No.

NSN: 6150-01-555-8880 WF

CABLE ASSEMBLY,SPEC

Wing Weapon Pylon weapon Interface Cable copper, rubber Manufacturer Part Number 05593 300905-9753 94117 8389753 94117 8389753-1 Priority: R

BID A - FIRST ARTICLE

F-16 Store System Tester (SST) Cable Assembly Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AA AA

NSN: 6150-01-555-8880 WF

CABLE ASSEMBLY,SPEC

Wing Weapon Pylon weapon Interface Cable copper, rubber

The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must accompany each First Article which is offered.

Associated Document(s) Line Item(s)

FD20202000453 0002

Priority: R

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

B FB2029 DESTINATION

Type / Ship To PACRN Mark For

B FB2029 PAJ FIRST ARTICLE INSPECTION AND TEST DO NOT POST

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

B FB2029 1 EA *180 Calendar Days

Proposed Delivery

B FB2029 1 EA

Early Delivery is Acceptable at no additional cost to the Government - Notify 30 Calendars Days prior to shipment of First Article.

Container and shipping vouchers shall be conspicuously marked with large red lettering: FIRST ARTICLE, DO

PLACE IN AIR FORCE SUPPLY.

OO-ALC 809 MXSS/MXDEB Delivery Information: Approved First Article will serve as Production Item and will be forwarded to Air Force Supply.

***The contractor will not begin manufacturing until approval of the first article AND after the government has condcuted a physical fit check of the approved first article. The contractor shall not incur any costs, other than first article costs, until the Government has conducted a physical fit of the approved first article and authorized the contractor to begin manufacturing. In the event that the first article does not successfully complete testing, the contract will terminate at that point and follow on production on this contract will not be pursued.***

Bid A - First Article Test Report

F-16 SST Cable Assembly - NSN 6150015558880WF Item No.

0001AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

CLIN ACRN ACRN Total

0001AB AA

First Article Test Report Data First Article Test Report IAW attached Contract Data Requirements List DD Form 1423-1

The price for this CLIN is to be included with the price of the first article and/or production articles.

Associated Document(s) Line Item(s)

FD20202000453 0003

Priority: R

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) IAW DD1423 Req No / Pri

Required Delivery

B 1423 1 LO IAW DD1423

Proposed Delivery

B 1423 1 LO

IAW DD1423

Bid A - Production Articles (First Article Required)

F-16 Store System Tester (SST) Cable Assembly Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0001AC AA

Bid A - Production Articles (First Article Required)

F-16 Store System Tester (SST) Cable Assembly

NSN: 6150-01-555-8880 WF

CABLE ASSEMBLY,SPEC

Wing Weapon Pylon weapon Interface Cable copper, rubber Associated Document(s) Line Item(s)

FD20202000453 0001

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 PAJ Account 09 Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 3 EA 14 SEP 2020

Proposed Delivery

A SW3210 3 EA

Early Delivery is Acceptable at no additional cost to the Government

BID B - Production Articles - First Article NOT Required (Waived)

Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

0001AD AA

NSN: 6150-01-555-8880 WF

CABLE ASSEMBLY,SPEC

Wing Weapon Pylon weapon Interface Cable copper, rubber Associated Document(s) Line Item(s)

FD20202000453 0001

FD20202000453 0002

BID B - Production Articles - First Article NOT Required (Waived)

F-16 Store System Tester (SST) Cable Assembly Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 PAJ Account 09 Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 4 EA 14 SEP 2020

Proposed Delivery

A SW3210 4 EA

BID A - FIRST ARTICLE INFORMATION CLIN

Item No.

NSN: 6150-01-555-8898 WF

CABLE ASSEMBLY,SPEC

Manufacturer Part Number 05593 300905-9761 94117 8389761-1 Priority: R

BID A - FIRST ARTICLE

F-16 Store System Tester (SST) Cable Assembly Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

BID A - FIRST ARTICLE

F-16 Store System Tester (SST) Cable Assembly

1 EA

CLIN ACRN ACRN Total

0002AA AA

NSN: 6150-01-555-8898 WF

CABLE ASSEMBLY,SPEC

Adapter Assy Aluminum, copper

The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must accompany each First Article which is offered.

Associated Document(s) Line Item(s)

FD20202000453 0005

Priority: R

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

B FB2029 DESTINATION

Type / Ship To PACRN Mark For

B FB2029 PAC FIRST ARTICLE INSPECTION AND TEST DO NOT POST

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

B FB2029 1 EA *180 Calendar Days

Proposed Delivery

B FB2029 1 EA

Early Delivery is Acceptable at no additional cost to the Government - Notify 30 Calendars Days prior to shipment of First Article.

Container and shipping vouchers shall be conspicuously marked with large red lettering: FIRST ARTICLE, DO

PLACE IN AIR FORCE SUPPLY.

OO-ALC 809 MXSS/MXDEB Delivery Information: Approved First Article will serve as Production Item and will be forwarded to Air Force Supply.

***The contractor will not begin manufacturing until approval of the first article AND after the government has condcuted a physical fit check of the approved first article. The contractor shall not incur any costs, other than first article costs, until the Government has conducted a physical fit of the approved first article and authorized the contractor to begin manufacturing. In the event that the first article does not successfully complete testing, the contract will terminate at that point and follow on production on this contract will not be pursued.***

F-16 SST Cable Assembly - NSN 6150015558898WF Item No.

0002AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

CLIN ACRN ACRN Total

0002AB AA

First Article Test Report Data First Article Test Report IAW attached Contract Data Requirements List DD Form 1423-1

The price for this CLIN is to be included with the price of the first article and/or production articles.

Associated Document(s) Line Item(s)

FD20202000453 0006

Priority: R

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) IAW DD1423 Req No / Pri

Required Delivery

1 LO IAW DD1423

Proposed Delivery

1 LO

Item No.

0002AC

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0002AC AA

NSN: 6150-01-555-8898 WF

CABLE ASSEMBLY,SPEC

Bid A - Production Articles (First Article Required)

F-16 Store System Tester (SST) Cable Assembly Adapter Assy Aluminum, copper Associated Document(s) Line Item(s)

FD20202000453 0004

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 PAC Account 09 Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 2 EA 29 JAN 2021

Proposed Delivery

A SW3210 2 EA

Item No.

0002AD

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0002AD AA

NSN: 6150-01-555-8898 WF

CABLE ASSEMBLY,SPEC

Adapter Assy Aluminum, copper Associated Document(s) Line Item(s)

FD20202000453 0004

FD20202000453 0005

BID B - Production Articles - First Article NOT Required (Waived)

F-16 Store System Tester (SST) Cable Assembly

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 PAC Account 09 Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 3 EA 29 JAN 2021

Proposed Delivery

Item No.

NSN: 6150-01-555-9771 WF

CABLE ASSEMBLY,SPEC

Cable Assy, SST I/U J2 Extension Manufacturer Part Number 05593 300855-7616 94117 3107616 Priority: R

BID A - FIRST ARTICLE

F-16 Store System Tester (SST) Cable Assembly Item No.

0003AA

BID A - FIRST ARTICLE

F-16 Store System Tester (SST) Cable Assembly

1 EA

CLIN ACRN ACRN Total

0003AA AA

NSN: 6150-01-555-9771 WF

CABLE ASSEMBLY,SPEC

copper, aluminum

The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must accompany each First Article which is offered.

Associated Document(s) Line Item(s)

FD20202000453 0008

Priority: R

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

B FB2029 DESTINATION

Type / Ship To PACRN Mark For

B FB2029 PAG FIRST ARTICLE INSPECTION AND TEST DO NOT POST

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

B FB2029 1 EA *180 Calendar Days

Proposed Delivery

B FB2029 1 EA

Early Delivery is Acceptable at no additional cost to the Government - Notify 30 Calendars Days prior to shipment of First Article.

Container and shipping vouchers shall be conspicuously marked with large red lettering: FIRST ARTICLE, DO

PLACE IN AIR FORCE SUPPLY.

OO-ALC 809 MXSS/MXDEB Delivery Information: Approved First Article will serve as Production Item and will be forwarded to Air Force Supply.

***The contractor will not begin manufacturing until approval of the first article AND after the government has condcuted a physical fit check of the approved first article. The contractor shall not incur any costs, other than first article costs, until the Government has conducted a physical fit of the approved first article and authorized the contractor to begin manufacturing. In the event that the first article does not successfully complete testing, the contract will terminate at that point and follow on production on this contract will not be pursued.***

F-16 SST Cable Assembly - NSN 6150015559771WF Item No.

0003AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

CLIN ACRN ACRN Total

0003AB AA

First Article Test Report Data First Article Test Report IAW attached Contract Data Requirements List DD Form 1423-1

The price for this CLIN is to be included with the price of the first article and/or production articles.

Associated Document(s) Line Item(s)

FD20202000453 0009

Priority: R

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) IAW DD1423 Req No / Pri

Required Delivery

1 LO IAW DD1423

Proposed Delivery

Item No.

0003AC

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

0003AC AA

NSN: 6150-01-555-9771 WF

CABLE ASSEMBLY,SPEC

Cable Assy, SST I/U J2 Extension copper, aluminum Associated Document(s) Line Item(s)

Bid A - Production Articles (First Article Required)

F-16 Store System Tester (SST) Cable Assembly

FD20202000453 0007

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 PAG Account 09 Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 5 EA 18 SEP 2020

Proposed Delivery

A SW3210 5 EA

Item No.

0003AD

Firm Fixed Price Quantity U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

0003AD AA

NSN: 6150-01-555-9771 WF

CABLE ASSEMBLY,SPEC

Cable Assy, SST I/U J2 Extension copper, aluminum Associated Document(s) Line Item(s)

FD20202000453 0007

FD20202000453 0008

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required through WAWF

BID B - Production Articles - First Article NOT Required (Waived)

F-16 Store System Tester (SST) Cable Assembly Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 PAG Account 09 Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 6 EA 18 SEP 2020

Proposed Delivery

A SW3210 6 EA

Item No.

NSN: 6150-01-555-9783 WF

CABLE ASSEMBLY,SPEC

Wing Weapon Pylon MAU-12 Breeches Cable Assembly copper, Rubber, aluminum Manufacturer Part Number 05593 300855-7687 94117 3107687 94117 3107687P001 94117 3107687P1 Priority: R IUID Required: Yes Physical Item Markings:

BID A - FIRST ARTICLE

F-16 Store System Tester (SST) Cable Assembly Item No.

0004AA

BID A - FIRST ARTICLE

F-16 Store System Tester (SST) Cable Assembly

1 EA

CLIN ACRN ACRN Total

0004AA AA

NSN: 6150-01-555-9783 WF

CABLE ASSEMBLY,SPEC

Wing Weapon Pylon MAU-12 Breeches Cable Assembly copper, Rubber, aluminum

The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must accompany each First Article which is offered.

Associated Document(s) Line Item(s)

FD20202000453 0011

Priority: R

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

B FB2029 DESTINATION

Type / Ship To PACRN Mark For

B FB2029 PAI FIRST ARTICLE INSPECTION AND TEST DO NOT POST

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

B FB2029 1 EA *180 Calendar Days

Proposed Delivery

B FB2029 1 EA

Early Delivery is Acceptable at no additional cost to the Government - Notify 30 Calendars Days prior to shipment of First Article.

Container and shipping vouchers shall be conspicuously marked with large red lettering: FIRST ARTICLE, DO

PLACE IN AIR FORCE SUPPLY.

OO-ALC 809 MXSS/MXDEB Delivery Information: Approved First Article will serve as Production Item and will be forwarded to Air Force Supply.

***The contractor will not begin manufacturing until approval of the first article AND after the government has condcuted a physical fit check of the approved first article. The contractor shall not incur any costs, other than first article costs, until the Government has conducted a physical fit of the approved first article and authorized the contractor to begin manufacturing. In the event that the first article does not successfully complete testing, the contract will terminate at that point and follow on production on this contract will not be pursued.***

F-16 SST Cable Asembly - NSN 6150015559783WF Item No.

0004AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

CLIN ACRN ACRN Total

0004AB AA

First Article Test Report Data First Article Test Report IAW attached Contract Data Requirements List DD Form 1423-1

The price for this CLIN is to be included with the price of the first article and/or production articles.

Associated Document(s) Line Item(s)

FD20202000453 0012

Priority: R

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) IAW DD1423 Req No / Pri

Required Delivery

1 LO IAW DD1423

Proposed Delivery

Item No.

0004AC

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0004AC AA

NSN: 6150-01-555-9783 WF

Wing Weapon Pylon MAU-12 Breeches Cable Assembly

Bid A - Production Articles (First Article Required)

F-16 Store System Tester (SST) Cable Assembly copper, Rubber, aluminum Associated Document(s) Line Item(s)

FD20202000453 0010

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 PAI Account 09 Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 3 EA 15 SEP 2020

Proposed Delivery

Item No.

0004AD

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

0004AD AA

NSN: 6150-01-555-9783 WF

CABLE ASSEMBLY,SPEC

Wing Weapon Pylon MAU-12 Breeches Cable Assembly copper, Rubber, aluminum Associated Document(s) Line Item(s)

FD20202000453 0010

FD20202000453 0011

BID B - Production Articles - First Article NOT Required (Waived)

F-16 Store System Tester (SST) Cable Assembly

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 PAI Account 09 Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 4 EA 15 SEP 2020

Proposed Delivery

A SW3210 4 EA

Item No.

NSN: 6150-01-555-9789 WF

CABLE ASSEMBLY,SPEC

W66 cable used for LAU-129 Launcher I-Lvl testing in Arm Shop.

gold, silver and paltinum may be used Manufacturer Part Number 05593 300855-7679 94117 3107679P1 Priority: R IUID Required: Yes Physical Item Markings:

BID A - FIRST ARTICLE

F-16 Store System Tester (SST) Cable Assembly Item No.

0005AA

BID A - FIRST ARTICLE

F-16 Store System Tester (SST) Cable Assembly Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0005AA AA

NSN: 6150-01-555-9789 WF

CABLE ASSEMBLY,SPEC

W66 cable used for LAU-129 Launcher I-Lvl testing in Arm Shop.

gold, silver and paltinum may be used

The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must accompany each First Article which is offered.

Associated Document(s) Line Item(s)

FD20202000453 0014

Priority: R

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

B FB2029 DESTINATION

Type / Ship To PACRN Mark For

B FB2029 PAD FIRST ARTICLE INSPECTION AND TEST DO NOT POST

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

B FB2029 1 EA *180 Calendar Days

Proposed Delivery

B FB2029 1 EA

Early Delivery is Acceptable at no additional cost to the Government - Notify 30 Calendars Days prior to shipment of First Article.

Container and shipping vouchers shall be conspicuously marked with large red lettering: FIRST ARTICLE, DO

PLACE IN AIR FORCE SUPPLY.

OO-ALC 809 MXSS/MXDEB Delivery Information: Approved First Article will serve as Production Item and will be forwarded to Air Force Supply.

***The contractor will not begin manufacturing until approval of the first article AND after the government has condcuted a physical fit check of the approved first article. The contractor shall not incur any costs, other than first article costs, until the Government has conducted a physical fit of the approved first article and authorized the contractor to begin manufacturing. In the event that the first article does not successfully complete testing, the contract will terminate at that point and follow on production on this contract will not be pursued.***

F-16 SST Cable Assembly - NSN 6150015559789WF Item No.

0005AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

CLIN ACRN ACRN Total

0005AB AA

First Article Test Report Data First Article Test Report IAW attached Contract Data Requirements List DD Form 1423-1

The price for this CLIN is to be included with the price of the first article and/or production articles.

Associated Document(s) Line Item(s)

FD20202000453 0015

Priority: R

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) IAW DD1423 Req No / Pri

Required Delivery

1 LO IAW DD1423

Proposed Delivery

Item No.

0005AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0005AC AA

NSN: 6150-01-555-9789 WF

W66 cable used for LAU-129 Launcher I-Lvl testing in Arm Shop.

Bid A - Production Articles (First Article Required)

F-16 Store System Tester (SST) Cable Assembly gold, silver and paltinum may be used Associated Document(s) Line Item(s)

FD20202000453 0013

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 PAD Account 09 Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 1 EA 3 OCT 2020

Proposed Delivery

A SW3210 1 EA

Item No.

0005AD

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0005AD AA

NSN: 6150-01-555-9789 WF

CABLE ASSEMBLY,SPEC

W66 cable used for LAU-129 Launcher I-Lvl testing in Arm Shop.

gold, silver and paltinum may be used Associated Document(s) Line Item(s)

FD20202000453 0013

FD20202000453 0014

BID B - Production Articles - First Article NOT Required (Waived)

F-16 Store System Tester (SST) Cable Assembly

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required through WAWF Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

AS9100 9100

Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 PAD Account 09 Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 2 EA 3 OCT 2020

Proposed Delivery

A SW3210 2 EA

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3210

DLA DISTRIBUTION DEPOT HILL

7537 WARDLEIGH RD BLDG 849W

CML 385 519 8898

HILL AFB UT 84056-5734

HILL AFB UT 84056-5734 UT 84056-5734

USA

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

AWARD NUMBER:

TYPE/CODE: B 1423

IAW DD FORM 1423

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

AWARD NUMBER:

TYPE/CODE: B FB2029

809 MXSS/MXDEB

BLDG 849 ATTN: NON-ACCOUNTABLE BAY

(DEAR JOHN BAY)

TRANSPORTATION OFFICE

HILL AIR FORCE BASE UT 84056-5713

UNITED STATES

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

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

FIRST ARTICLE TEST, CERTIFICATION AND DISPOSITION REQUIREMENTS (FEB 1998)

(IAW FAR 9.308-2)

Test criteria are as follows:

Lot/Item Government Test/Inspection Requirements 0001AA (See Below) 0002AA (See Below) 0003AA (See Below) 0004AA (See Below) 0005AA (See Below)

Lot/Item Contractor Test/Inspection Requirements 0001AA (See Below) 0002AA (See Below)

0003AA (See Below) 0004AA (See Below) 0005AA (See Below)

Performance or other characteristics which the First Articles must meet are in Conformance with all drawings and "Attachment A", cable mating test to be performed.

Disposition of the First Article shall be as follows:

Lot/Item Approved 0001AA Forwarded to: Supply 0002AA Forwarded to: Supply 0003AA Forwarded to: Supply 0004AA Forwarded to: Supply 0005AA Forwarded to: Supply

Lot/Item Disapproved 0001AA Retained by: MXDEB pending instructions from contractor.

0002AA Retained by: MXDEB pending instructions from contractor.

0003AA Retained by: MXDEB pending instructions from contractor.

0004AA Retained by: MXDEB pending instructions from contractor.

0005AA Retained by: MXDEB pending instructions from contractor.

(The above Clause/Provision has been modified.)

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

(IAW FAR 46.302)

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

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

(a) The Contractor shall comply with the higher-level quality standard(s) listed below. [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) 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

52.211-8 TIME OF DELIVERY (JUN 1997)

(IAW FAR 11.404(a)(2)) DELIVERY FOR EACH ITEM IS ANNOTATED IN THE SCHEDULE (PART I SECTION B) UNDER EACH LINE ITEM.

52.211-8 TIME OF DELIVERY -- ALTERNATE I (APR 1984)

(IAW FAR 11.404(a)(2))

(b) the Government will make award by 00 0000 .

52.242-17 GOVERNMENT DELAY OF WORK (APR 1984)

(IAW FAR 42.1305(c))

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

(IAW FAR 47.303-1(c))

52.247-30 F.O.B. ORIGIN, CONTRACTOR'S FACILITY (FEB 2006)

(IAW FAR 47.303-2(c))

52.247-34 F.O.B. DESTINATION (NOV 1991)

(IAW FAR 47.303-6(c))

52.247-48 F.O.B. DESTINATION--EVIDENCE OF SHIPMENT (FEB 1999)

(IAW FAR 47.305-4(c)) Applicable Item No(s)

0001AA 0002AA 0003AA 0004AA 0005AA

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)) Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address

[CONTRACTOR FILL-IN]

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

TRANSPORTATION APPROPRIATION CHARGEABLE (AFMC) (OCT 2008)

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 FRS3 ACRN AA

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))

(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 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.

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 97 X4930 .FC04 64 0 47 GH 15F16Z 01N000 00000 ERRCNP 503000 F03000 $0.00

PSR: K21849 FSR: 001679 DSR: 277578 CIN: F2DCCW0028B103

REFERENCE:

AA FD20202000453

ACRN TOTAL $ 0.00

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

5352.201-9101 OMBUDSMAN (JUN 2016)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, the interested party may contact the ombudsman, Lisette K. LeDuc at 801 777 -6549 , FAX 000 000 -0000 , email lisette.leduc@us.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU/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.

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY

AGREEMENTS OR STATEMENTS (JAN 2017)

(IAW FAR 3.909-3 (b))

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)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (OCT 2018)

(IAW FAR 4.1403(a))

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (OCT 2018)

(IAW FAR 4.1105(b))

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (JUL 2016)

(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 2019)

(IAW 4.2105(b))

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

(IAW DFARS 204.7104-1(b)(3)(iv))

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

(IAW DFARS 204.404-70(b))

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))

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES (DEC 2019)

(IAW DFARS 204.2105(c))

52.209-1 QUALIFICATION REQUIREMENTS (FEB 1995)

(IAW FAR 9.206-2)

(b)

Item No Agency Name/Address

0001 DEPARTMENT OF THE AIR FORCE

AFSC PZABA

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE, UT 84056-5825

(801) 777-3753 stacey.schultz@us.af.mil

0002 DEPARTMENT OF THE AIR FORCE

AFSC PZABA

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE, UT 84056-5825

(801) 777-3753 stacey.schultz@us.af.mil

0003 DEPARTMENT OF THE AIR FORCE

AFSC PZABA

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE, UT 84056-5825

(801) 777-3753 stacey.schultz@us.af.mil

0004 DEPARTMENT OF THE AIR FORCE

AFSC PZABA

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE, UT 84056-5825

(801) 777-3753 stacey.schultz@us.af.mil

0005 DEPARTMENT OF THE AIR FORCE

AFSC PZABA

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE, UT 84056-5825

(801) 777-3753 stacey.schultz@us.af.mil

(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)

52.209-4 FIRST ARTICLE APPROVAL--GOVERNMENT TESTING (SEP 1989)

(IAW FAR 9.308-2(a)(1), FAR 9.308-2(b)(1))

(a) The Contractor shall deliver ** units(s) of Lot/Item * within *** calendar days from the date of this contract to the Government at **** for first article tests. The shipping documentation shall contain this contract number and the Lot/Item identification. The characteristics that the first article must meet and the testing requirements are specified elsewhere in this contract.

First Article Item **Quantity ***Calendar Days ****Type/Location

0001AA 1 180 FB2029

0002AA 1 180 FB2029

0003AA 1 180 FB2029

0004AA 1 180 FB2029

0005AA 1 180 FB2029

(b) Within ** calendar days after the Government receives the first article, the Contracting Officer shall notify the Contractor, in writing, of the conditional approval, approval, or disapproval of the first article. The notice of conditional approval or approval shall not relieve the Contractor from complying with all requirements of the specifications and all other terms and conditions of this contract. A notice of conditional approval shall state any further action required of the Contractor.

A notice of disapproval shall cite reasons for the disapproval.

*Lot/Item **Approval Days ELIN No.

0001AA 120

0002AA 120

0003AA 120

0004AA 120

0005AA 120

(c) If the first article is disapproved, the Contractor, upon Government request, shall submit an additional first article for testing. After each request, the Contractor shall make any necessary changes, modifications, or repairs to the first article or select another first article for testing. All costs related to these tests are to be borne by the Contractor, including any and all costs for additional tests following a disapproval. The Contractor shall furnish any additional first article to the Government under the terms and conditions and within the time specified by the Government. The Government shall act on this first article within the time limit specified in paragraph (b) above. The Government reserves the right to require an equitable adjustment of the contract price for any extension of the delivery schedule or for any additional costs to the Government related to these tests.

(d) If the Contractor fails to deliver any first article on time, or the Contracting Officer disapproves any first article, the Contractor shall be deemed to have failed to make delivery within the meaning of the Default clause of this contract.

(e) Unless otherwise provided in the contract, the Contractor—

(1) May deliver the approved first article as a part of the contract quantity, provided it meets all contract requirements for acceptance and was not consumed or destroyed in testing; and

(2) Shall remove and dispose of any first article from the Government test facility at the Contractor's expense.

(f) If the Government does not act within the time specified in paragraph (b) or (c) above, the Contracting Officer shall, upon timely written request from the Contractor, equitably adjust under the Changes clause of this contract the delivery or performance dates and/or the contract price, and any other contractual term affected by the delay.

(g) The Contractor is responsible for providing operating and maintenance instructions, spare parts support, and repair of the first article during any first article test.

(h) Before first article approval, the acquisition of materials or components for, or the commencement of production of, the balance of the contract quantity is at the sole risk of the Contractor. Before first article approval, the costs thereof shall not be allocable to this contract for

(1) progress payments, or

(2) termination settlements if the contract is terminated for the convenience of the Government.

(i) The Government may waive the requirement for first article approval test where supplies identical or similar to those called for in the schedule have been previously furnished by the Offeror/Contractor and have been accepted by the Government. The Offeror/Contractor may request a waiver.

(The above Clause/Provision has been modified.)

52.209-4 FIRST ARTICLE APPROVAL--GOVERNMENT TESTING -- ALTERNATE I (JAN 1997)

(IAW FAR 9.308-2(a)(2), FAR 9.308-2(b)(2))

52.209-4 FIRST ARTICLE APPROVAL--GOVERNMENT TESTING -- ALTERNATE II (SEP 1989)

(IAW FAR 9.308-2(a)(3), FAR 9.308-2(b)(3))

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

52.211-5 MATERIAL REQUIREMENTS (AUG 2000)

(IAW FAR 11.304)

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).

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

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

(a) Definitions. As used in this clause—

“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 .

“Unique item identifier type” means a designator to indicate which method of uniquely identifying a part has been used.