FA821221R0665.pdf

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (Rev. 6-95) Previous edition not usable Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

J

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDEX

1. REQUEST NO.

FA8212-21-R-0665

2. DATE ISSUED

19 MAY 2021

3. REQUISITION/PURCHASE REQUEST NO.

FD20202100665

4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

DO: A1

5a. ISSUED BY CODE: FA8212

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFSC PZABA

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE UT 84056-5825

BUYER: Richard Maynard/AFSC richard.maynard.5@us.af.mil Phone: (801) 586- 1868 Fax: (801) 777-0389 No Collect Calls

6. DELIVERY BY (Date)

SEE SCHEDULE

SCD:C

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME

Richard Maynard

b. COMPANY

TELEPHONE NUMBER

AREA CODE

(801 )

NUMBER

586 -1868

8. TO

a. NAME

7. DELIVERY

FOB DESTINATION OTHER

(See Schedule)

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE e. ZIP CODE

c. STREET ADDRESS

d. CITY e. STATE f. ZIP CODE

10. PLEASE FURNISH QUOTATIONS

TO THE ISSUING OFFICE IN BLOCK

5A ON OR BEFORE CLOSE OF

BUSINESS (Date)

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5A. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

d. CITY e. STATE

c. COUNTY

c. TITLE (Type or print) NUMBER

b. STREET ADDRESS

a. NAME OF QUOTER

CAGE:

13. NAME AND ADDRESS OF QUOTER

NOTE: Additional provisions and representations are are not attached.X

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print) b. TELEPHONE

AREA CODE

d. CALENDAR DAYS

NUMBER PERCENTAGE

c. 30 CALENDAR DAYS (%)b. 20 CALENDAR DAYS (%)a. 10 CALENDAR DAYS (%)12. DISCOUNT FOR PROMPT

PAYMENT

SEE SCHEDULE

ROUTINE

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 90 days.

NAICS CODE: 336413

SIZE STD: 1,250

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (Rev. 6-95) Previous edition not usable Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

FOLD FOLD

SOLICITATION NO. FA821221R0665

DUE: - -

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Richard Maynard/AFSC

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFSC PZABA

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE UT 84056-5825

FA8212-21-R-0665

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

COUNTERFEIT PREVENTION PLAN

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA

DATA IAW DD 1423-1 ATTACHED TO BASIC

Associated Document(s) Line Item(s)

F2DCCW0342A108

FD20202100230 0001AA

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A 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

Type / Ship To Quantity (U/I) IAW DD1423-1 Req No / Pri

Required Delivery

+ IAW1423 1 LO IAW DD1423-1

Proposed Delivery

+ IAW1423 1 LO

6625016766662WF

INSTALLATION KIT

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0002 AC

NSN: 6625-01-676-6662 WF

INSTALLATION KIT,EL

6625016766662WF

INSTALLATION KIT

Replacement power sensors, sensor cables and replacement external power meter.

Aluminium, silicon, steel, nickle, wire Manufacturer Part Number 12436 F005148-201 Associated Document(s) Line Item(s)

F2DCCW0342A108

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.)

IUID Required: Yes

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 069

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

Required Delivery

A SW3210 1 EA *12 Months

Proposed Delivery

A SW3210 1 EA

EARLY DELIVERY IS ACCEPTABLE AT NO ADDITIONAL COST TO THE GOVERNMENT

6625016768829WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

0003 AC

NSN: 6625-01-676-8829 WF

INSTALLATION KIT,EL

Includes power supply, connector housing, pins, and crimp tool.

Aluminum, plastic, steel.

Manufacturer Part Number 12436 F005163-001 Associated Document(s) Line Item(s)

F2DCCW0342A108

Priority: R

6625016768829WF

INSTALLATION KIT

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.)

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 PAH 069

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

Required Delivery

A SW3210 6 EA *12 Months

Proposed Delivery

A SW3210 6 EA

6625016768834WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0004 AC

NSN: 6625-01-676-8834 WF

INSTALLATION KIT,EL

Hardware assembly modifies frequency changer unit assembly (FCU) P/N 2215110-006 into 2215110-007 aluminium Manufacturer Part Number 12436 F005170-001 Associated Document(s) Line Item(s)

F2DCCW0342A108

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.)

6625016768834WF

INSTALLATION KIT

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 069

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

Required Delivery

A SW3210 1 EA *12 Months

Proposed Delivery

6625016768838WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0005 AC

NSN: 6625-01-676-8838 WF

INSTALLATION KIT,EL

Hardware replacement assembly for modification of the IPA.

copper, aluminium Manufacturer Part Number 12436 F005152-101 Associated Document(s) Line Item(s)

F2DCCW0342A108

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.)

6625016768838WF

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 PAL 069

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

Required Delivery

A SW3210 2 EA *12 Months

Proposed Delivery

A SW3210 2 EA

6625016772061WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0006 AD

NSN: 6625-01-677-2061 WF

INSTALLATION KIT,EL

Provides interface and control to the Advanced AIS CI Station Aluminum, CAT 5/6 cabling, nickle, brass Manufacturer Part Number 12436 F005116-001 Associated Document(s) Line Item(s)

F2DCCW0342A108

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.)

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For

6625016772061WF

INSTALLATION KIT

A SW3210 PAK 069

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

Required Delivery

A SW3210 1 EA *12 Months

Proposed Delivery

6625016772062WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0007 AD

NSN: 6625-01-677-2062 WF

INSTALLATION KIT,EL

Replaces the U3 bay in a Advanced AIS RF Station Wire, aluminium, plastic, steel, microciruits, silicon, solder Manufacturer Part Number 12436 F005119-001 Associated Document(s) Line Item(s)

F2DCCW0342A108

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.)

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 PAB 069

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

Required Delivery

A SW3210 1 EA *12 Months

6625016772062WF

INSTALLATION KIT

Proposed Delivery

6625016772066WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0008 AD

NSN: 6625-01-677-2066 WF

INSTALLATION KIT,EL

Hardware assembly modifies spare computer assembly P/N 2218004-104 into a P/N 2218504-101.

alumiunim, copper Manufacturer Part Number 12436 F005177-001 Associated Document(s) Line Item(s)

F2DCCW0342A108

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.)

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For

A SW3210 PAE 069

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

Required Delivery

A SW3210 1 EA *12 Months

Proposed Delivery

6625016773279WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0009 AD

NSN: 6625-01-677-3279 WF

INSTALLATION KIT,EL

Replaces the U3 bay in a Advanced AIS DI Station Wire, aluminium, plastic, steel, microciruits, silicon, solder Manufacturer Part Number 12436 F005117-001 Associated Document(s) Line Item(s)

F2DCCW0342A108

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.)

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 PAB 069

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

Required Delivery

A SW3210 1 EA *12 Months

Proposed Delivery

6625016778310WF

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

6625016778310WF

CLIN ACRN ACRN Total

0010 AC

NSN: 6625-01-677-8310 WF

INSTALLATION KIT,EL

Hardware assembly modifies microwave unit assembly P/N 22165980-005 into 2216890-006 Aluminium,Nickel,Copper Manufacturer Part Number 12436 F005173-001 Associated Document(s) Line Item(s)

F2DCCW0342A108

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.)

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For

A SW3210 PAB 069

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

Required Delivery

A SW3210 1 EA *12 Months

Proposed Delivery

6625016772067WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0011 AD

NSN: 6625-01-677-2067 WF

INSTALLATION KIT,EL

Computer workstation hardware replacement assembly P/N 2218004-005 into a 2218504-001.

aluminuim, copper Manufacturer Part Number

6625016772067WF

INSTALLATION KIT

12436 F005176-002 Associated Document(s) Line Item(s)

F2DCCW0342A108

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.)

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 PAF 069

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

Required Delivery

A SW3210 1 EA *12 Months

Proposed Delivery

662501672491WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0012 AC

NSN: 6625-01-676-2491 WF

INSTALLATION KIT,EL

Replaces the U3 bay in a Advanced AIS PP Station Wire, aluminium, plastic, steel, microciruits, silicon, solder Manufacturer Part Number 12436 F005118-001 Associated Document(s) Line Item(s)

F2DCCW0342A108

Priority: R

662501672491WF

INSTALLATION KIT

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.)

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 069

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

Required Delivery

A SW3210 1 EA *12 Months

Proposed Delivery

6625016768831WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0013 AE

NSN: 6625-01-676-8831 WF

INSTALLATION KIT,EL

Includes power supply, connector housing, pins, and crimp tool.

Aluminum, plastic, steel Manufacturer Part Number 12436 F005164-001 Associated Document(s) Line Item(s)

F2DCCW1014A103

FD20202100366 0001

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: RECEIVING REPORT REQUIRED THROUGH WAWF

6625016768831WF

INSTALLATION KIT

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.)

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 PAB 09

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 1 EA 1 DEC 2021

Proposed Delivery

6625016768832WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0014 AF

NSN: 6625-01-676-8832 WF

INSTALLATION KIT,EL

Hardware replacement assembly for modification of the freguency changer unit (FCU).

aluminium, copper, nickel Manufacturer Part Number 12436 F005169-001 Associated Document(s) Line Item(s)

F2DCCW1014A103

FD20202100366 0002

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.)

6625016768832WF

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 PAB 09

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 1 EA 1 DEC 2021

Proposed Delivery

6625016772068WF

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0015 AF

NSN: 6625-01-677-2068 WF

INSTALLATION KIT,EL

Computer hardware replacement assembly P/N 2218004-105 into a 2218504-101.

Aluminium, Copper Manufacturer Part Number 12436 F005177-002 Associated Document(s) Line Item(s)

F2DCCW1014A103

FD20202100366 0003

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.)

6625016772068WF

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 PAB 09

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 1 EA 1 DEC 2021

Proposed Delivery

6625016768839WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

17 EA

CLIN ACRN ACRN Total

0016 AA

NSN: 6625-01-676-8839 WF

INSTALLATION KIT,EL

IPA REPLACEMENT HARDWARE ASSEMBLY.

ALUMINIUM, COPPER

Manufacturer Part Number 12436 F005152-102 Associated Document(s) Line Item(s)

F2DCCW1132A102

FD20202100665 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.)

Applicability: None ;

6625016768839WF

INSTALLATION KIT

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 PAB 09 Account Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 17 EA 28 AUG 2022

Proposed Delivery

A SW3210 17 EA

6625016772065WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0017 AB

NSN: 6625-01-677-2065 WF

INSTALLATION KIT,EL

Hardware assembly modifies computer workstation asembly P/N 2218004-004 into P/N 2218504-001 Aluminium, Copper Manufacturer Part Number 12436 F005176-001 Associated Document(s) Line Item(s)

F2DCCW1132A102

FD20202100665 0002

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.)

6625016772065WF

INSTALLATION KIT

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 09 Account Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 3 EA 28 AUG 2022

Proposed Delivery

A SW3210 3 EA

6625016773280WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

0018 AB

NSN: 6625-01-677-3280 WF

INSTALLATION KIT,EL

IPA Hardware replacement assembly Aluminium, Copper Manufacturer Part Number 12436 F005142-101 Associated Document(s) Line Item(s)

F2DCCW1132A102

FD20202100665 0003

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.)

6625016773280WF

INSTALLATION KIT

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 09 Account Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 4 EA 28 AUG 2022

Proposed Delivery

A SW3210 4 EA

6625016778309WF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

13 EA

CLIN ACRN ACRN Total

0019 AB

NSN: 6625-01-677-8309 WF

INSTALLATION KIT,EL

Includes power supply, connector housing, pins, and crimp tool.

Aluminum, plastis, steel Manufacturer Part Number 12436 F005162-001 Associated Document(s) Line Item(s)

F2DCCW1132A102

FD20202100665 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.)

TYPE / SHIP TO CODE F.O.B.

6625016778309WF

INSTALLATION KIT

A SW3210 ORIGIN

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

Required Delivery

A SW3210 13 EA 28 AUG 2022

Proposed Delivery

A SW3210 13 EA

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + IAW1423

416 SCMS/GUEAA

6070 Gum LN Bldg. 1213 Hill AFB, UT UT 84056-5826

USA

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

AWARD NUMBER:

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 49 84056-5734

USA

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

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.]*

*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:

Government Contract Quality Assurance Inspection and Acceptance will be at destination(s) specified herein (Final).

Item No(s): 0001

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

(IAW FAR 11.703(b))

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1))

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))

52.247-65 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

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))

(a) Definitions. As used in this clause— “Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in Wide Area WorkFlow

(WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

“Payment request” and “receiving report” are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall—

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/ .

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

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

(1) Document type. The Contractor shall submit payment requests using the following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items—

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

__________________________combo_________________________________

(Contracting Officer: Insert applicable invoice and receiving report document type(s) for fixed price line items that require shipment of a deliverable.)

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

(Contracting Officer: Insert either “Invoice 2in1” or the applicable invoice and receiving report document type(s) for fixed price line items for services.)

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial item financing, submit a commercial item financing request.

(2) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

(f) [Note: The Contractor may use a WAWF “combo” document type to create some combinations of invoice and receiving report in one step.]

(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 FA8212 Admin DoDAAC Inspect By DoDAAC Ship To Code SW3210 Ship From Code CONTRACTOR FACILITY Mark For Code SEE SCHEDULE 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.”)

(**Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)

(4) Payment request. The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) Receiving report. The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F.

(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.

_____________________________brian.fisher.2@us.af.mil__________________________________ (Contracting Officer: Insert applicable information or “Not applicable.”)

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed

(The above Clause/Provision has been modified.)

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 97 X4930 .FC04 64 1 47 GH 159999 01N000 00000 ERRCNP 503000 F03000 $0.00

PSR: K24805 FSR: 001679 DSR: 290261 CIN: F2DCCW1132A1020000AA

AB 97 X4930 .FC04 64 1 47 GH 15F16Z 01N000 00000 ERRCNP 503000 F03000 $0.00

PSR: K24830 FSR: 001679 DSR: 290274 CIN: F2DCCW1132A1020000AB

AC 97 X4930 .FC04 64 1 47 GH 159999 01N000 00000 ERRCNP 503000 F03000 $0.00

PSR: K24805 FSR: 001679 DSR: 125719 CIN: F2DCCW0342A1080000AA

AD 97 X4930 .FC04 64 1 47 GH 15F16Z 01N000 00000 ERRCNP 503000 F03000 $0.00

PSR: K24830 FSR: 001679 DSR: 125868 CIN: F2DCCW0342A1080000AB

AE 97 X4930 .FC04 64 1 47 GH 159999 01N000 00000 ERRCNP 503000 F03000 $0.00

PSR: K24805 FSR: 001679 DSR: 335771 CIN: F2DCCW1014A1030000AA

AF 97 X4930 .FC04 64 1 47 GH 15F16Z 01N000 00000 ERRCNP 503000 F03000 $0.00

PSR: K24830 FSR: 001679 DSR: 335770 CIN: F2DCCW1014A1030000AB

REFERENCE:

AA

AB

ACRN TOTAL $ 0.00

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

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

(IAW DFARS 201.602-70)

5352.201-9101 OMBUDSMAN (OCT 2019)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, the interested party may contact the ombudsman, Melinda M.

Schmidt at 801 777 -6549 , FAX 000 000 -0000 , email melinda.schmidt@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.

52.202-1 DEFINITIONS (JUN 2020)

(IAW FAR 2.201)

52.203-3 GRATUITIES (APR 1984)

(IAW FAR 3.202)

52.203-5 COVENANT AGAINST CONTINGENT FEES (MAY 2014)

(IAW FAR 3.404)

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT (JUN 2020)

(IAW FAR 3.503-2)

52.203-7 ANTI-KICKBACK PROCEDURES (JUN 2020)

(IAW FAR 3.502-3)

52.203-8 CANCELLATION, RESCISSION, AND RECOVERY OF FUNDS FOR ILLEGAL OR

IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(a))

52.203-10 PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(b))

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(JUN 2020)

(IAW FAR 3.808(b))

52.203-13 CONTRACTOR CODE OF BUSINESS ETHICS AND CONDUCT (JUN 2020)

(IAW FAR 3.1004(a))

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))

252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER

DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)

(IAW DFARS 203.570-3)

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

252.203-7003 AGENCY OFFICE OF THE INSPECTOR GENERAL (AUG 2019)

(IAW DFARS 203.1004(a), DFARS 212.301(f)(iii))

252.203-7004 DISPLAY OF HOTLINE POSTERS (MAY 2019)

(IAW DFARS 203.1004(b)(2)(ii))

52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED PAPER (MAY 2011)

(IAW FAR 4.303)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (JUN 2020)

(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 (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))

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

(IAW DFARS 204.404-70(b))

252.204-7006 BILLING INSTRUCTIONS (OCT 2005)

(IAW DFARS 204.7109(b))

252.204-7009 LIMITATIONS ON THE USE OR DISCLOSURE OF THIRD-PARTY CONTRACTOR

REPORTED CYBER INCIDENT INFORMATION (OCT 2016)

(IAW DFARS 204.7304(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 (JAN 2021)

(IAW DFARS 204.2105(c))

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

(IAW DFARS 204.7304(e))

252.208-7000 INTENT TO FURNISH PRECIOUS METALS AS GOVERNMENT-FURNISHED

MATERIAL (DEC 1991)

(IAW DFARS 208.7305(a))

(b) The Offeror shall cite the type (silver, gold, platinum, palladium, iridium, rhodium, and ruthenium) and quantity in whole troy ounces of precious metals required in the performance of this contract (including precious metals required for any first article or production sample), and shall specify the national stock number (NSN) and nomenclature, if known, of the deliverable item requiring precious metals.

Precious Metal* Quantity Deliverable Item (NSN and Nomenclature)

*If platinum or palladium, specify whether sponge or granules are required.

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

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(JUN 2020)

(IAW FAR 9.409)

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

252.209-7004 SUBCONTRACTING WITH FIRMS THAT ARE OWNED OR CONTROLLED BY THE

GOVERNMENT OF A COUNTRY THAT IS A STATE SPONSOR OF TERRORISM

(MAY 2019)

(IAW DFARS 209.409)

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. The current list of accepted unique item identifier types is maintained at http://www.acq.osd.mil/dpap/pdi/uid/uii_types.html .

(c) Unique item identifier.

(1) The Contractor shall provide a unique item identifier for the following:

(i) Delivered items for which the Government’s unit acquisition cost is $5,000 or more, except for the following line items:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

See Schedule as Applicable

(ii) Items for which the Government’s unit acquisition cost is less than $5,000 that are identified in the Schedule or the following table:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

*Items less than $5000, which require UID, will be specifically identified in the schedule.

See Schedule as Applicable

(iii) Subassemblies, components, and parts embedded within delivered items, items with warranty requirements, DoD serially managed reparables and DoD serially managed nonreparables as specified in Attachment Number _____( or See Schedule as Applicable).

(iv) Any item of special tooling or special test equipment as defined in FAR 2.101 that have been designated for preservation and storage for a Major Defense Acquisition Program as specified in Attachment Number _____( or See Schedule as Applicable).

(v) Any item not included in paragraphs (c)(1)(i), (ii), (iii), or (iv) of this clause for which the contractor creates and marks a unique item identifier for traceability.

(f) The Contractor shall submit the information required by paragraphs (d) and (e) of this clause as follows:

(1) End items shall be reported using the receiving report capability in Wide Area WorkFlow (WAWF) in accordance with the clause at 252.232-7003. If WAWF is not required by this contract, and the contractor is not using WAWF, follow the procedures at http://dodprocurementtoolbox.com/site/uidregistry/ .

(2) Embedded items shall be reported by one of the following methods—

(i) Use of the embedded items capability in WAWF;

(ii) Direct data submission to the IUID Registry following the procedures and formats at http://dodprocurementtoolbox.com/site/uidregistry/; or

(iii) Via WAWF as a deliverable attachment for exhibit line item number ______, Unique Item Identifier Report for Embedded Items, Contract Data Requirements List, DD Form 1423.

52.215-2 AUDIT AND RECORDS--NEGOTIATION (JUN 2020)

(IAW FAR 15.209(b)(1))

52.215-8 ORDER OF PRECEDENCE--UNIFORM CONTRACT FORMAT (OCT 1997)

(IAW FAR 15.209(h), AFFARS 53.15.209(h))

52.215-14 INTEGRITY OF UNIT PRICES (JUN 2020)

(IAW FAR 15.408(f)(1))

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (NOV 2020)

(IAW FAR 19.309(c))

(h) If the Contractor does not have representations and certifications in SAM, or does not have a representation in SAM for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

(1) The Contractor represents that it [ ] is, [ ] is not a small business concern under NAICS Code ________ assigned to contract number _______________.

(2) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(3) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a women-owned small business concern.

(4) Women-owned small business (WOSB) concern eligible under the WOSB Program.

[Complete only if the Contractor represented itself as a women-owned small business concern in paragraph (h)(3) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ] is, [ ] is not is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(4)(i) of this clause is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture.

[The Contractor 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: _______________________________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(5) Economically disadvantaged women-owned small business (EDWOSB) concern.

[Complete only if the Contractor represented itself as a women-owned small business concern eligible under the WOSB Program in (h)(4) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not an EDWOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(5)(i) of this clause is accurate for each EDWOSB concern participating in the joint venture.

[The Contractor shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ___________________________________.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

(6) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a veteran-owned small business concern.

(7) [Complete only if the Contractor represented itself as a veteran-owned small business concern in paragraph (h)(6) of this clause.] The Contractor represents that it [ ] is, [ ] is not a service-disabled veteran-owned small business concern.

(8) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [ ] is, [ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (h)(8)(i) of this clause is accurate for each HUBZone small business concern participating in the HUBZone joint venture.

[The Contractor shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: _________________________________________.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

[Contractor to sign and date and insert authorized signer’s name and title.]

52.222-19 CHILD LABOR COOPERATION WITH AUTHORITIES AND REMEDIES (DEVIATION

2020-O0019) (JUL 2020)

(IAW Deviation 2020-O0019 Revision 1)

52.222-20 CONTRACTS FOR MATERIALS, ARTICLES, AND EQUIPMENT (JUN 2020)

(IAW FAR 22.610)

52.222-21 PROHIBITION OF SEGREGATED FACILITIES (APR 2015)

(IAW FAR 22.810(a)(1))

52.222-26 EQUAL OPPORTUNITY (SEP 2016)

(IAW FAR 22.810(e))

52.222-35 EQUAL OPPORTUNITY FOR VETERANS (JUN 2020)

(IAW FAR 22.1310(a)(1), DFARS 222.1310(a)(1))

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUN 2020)

(IAW FAR 22.1408(a))

52.222-37 EMPLOYMENT REPORTS ON VETERANS (JUN 2020)

(IAW FAR 22.1310(b))

52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR

RELATIONS ACT (DEC 2010)

(IAW FAR 22.1605)

52.222-50 COMBATING TRAFFICKING IN PERSONS (OCT 2020)

(IAW FAR 22.1705(a)(1))

52.223-6 DRUG-FREE WORKPLACE (MAY 2001)

(IAW FAR 23.505)

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (JUN 2020)

(IAW FAR 23.1105)

252.223-7008 PROHIBITION OF HEXAVALENT CHROMIUM (JUN 2013)

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

5352.223-9000 ELIMINATION OF USE OF CLASS I OZONE DEPLETING SUBSTANCES (ODS)

(OCT 2019)

(IAW AFFARS 5323.804-90)

52.224-3 PRIVACY TRAINING (JAN 2017)

(IAW FAR 24.302(a))

52.225-13 RESTRICTIONS ON CERTAIN FOREIGN PURCHASES (FEB 2021)

(IAW FAR 25.1103(a))

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

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

252.225-7009 RESTRICTION ON ACQUISITION OF CERTAIN ARTICLES CONTAINING SPECIALTY

METALS (DEC 2019)

(IAW DFARS 225.7003-5(a)(2), DFARS 212.301(f)(xxv))

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

(IAW DFARS 225.7002-3(a))

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)

(IAW DFARS 225.7901-4)

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)

52.227-1 AUTHORIZATION AND CONSENT (JUN 2020)

(IAW FAR 27.201-2(a)(1))

52.227-2 NOTICE AND ASSISTANCE REGARDING PATENT AND COPYRIGHT

INFRINGEMENT (JUN 2020)

(IAW FAR 27.201-2(b))

252.227-7000 NON-ESTOPPEL (OCT 1966)

(IAW DFARS 227.7009-1(e))

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

(FEB 2013)

(IAW FAR 29.401-3(b))

52.232-1 PAYMENTS (APR 1984)

(IAW FAR 32.111(a)(1))

52.232-8 DISCOUNTS FOR PROMPT PAYMENT (FEB 2002)

(IAW FAR 32.111(b)(1))

52.232-11 EXTRAS (APR 1984)

(IAW FAR 32.111(c)(2))

52.232-17 INTEREST (MAY 2014)

(IAW FAR 32.611(a), FAR 32.611(b))

52.232-23 ASSIGNMENT OF CLAIMS (MAY 2014)

(IAW FAR 32.806(a)(1))

52.232-25 PROMPT PAYMENT (JAN 2017)

(IAW FAR 32.908(c))

(a) Invoice payments—

(5) Computing penalty amount. The Government will compute the interest penalty in accordance with the Office of Management and Budget prompt payment regulations at 5 CFR part 1315.

(i) For the sole purpose of computing an interest penalty that might be due the Contractor, Government acceptance is deemed to occur constructively on the 7th day (unless otherwise specified in this contract) after the Contractor delivers the supplies or performs the services in accordance with the terms and conditions of the contract, unless there is a disagreement over quantity, quality, or Contractor compliance with a contract provision. If actual acceptance occurs within the constructive acceptance period, the Government will base the determination of an interest penalty on the actual date of acceptance. The constructive acceptance requirement does not, however, compel Government officials to accept supplies or services, perform contract administration functions, or make payment prior to fulfilling their responsibilities.

52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER--SYSTEM FOR AWARD

MANAGEMENT (OCT 2018)

(IAW FAR 32.1110(a)(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)

252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND RECEIVING REPORTS

(DEC 2018)

(IAW DFARS 232.7004(a))

(a) Definitions. As used in this clause—

(1) “Contract financing payment” and “invoice payment” have the meanings given in section 32.001 of the Federal Acquisition Regulation.

(2) “Electronic form” means any automated system that transmits information electronically from the initiating system to all affected systems. Facsimile, e-mail, and scanned documents are not acceptable electronic forms for submission of payment requests. However, scanned documents are acceptable when they are part of a submission of a payment request made using Wide Area WorkFlow (WAWF) or another electronic form authorized by the Contracting Officer.

(3) “Payment request” means any request for contract financing payment or invoice payment submitted by the Contractor under this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests and receiving reports using WAWF, in one of the following electronic formats that WAWF accepts: Electronic Data Interchange, Secure File Transfer Protocol, or World Wide Web input. Information regarding WAWF is available on the Internet at https://wawf.eb.mil/ .

(c) The Contractor may submit a payment request and receiving report using other than WAWF only when—

(1) The Contracting Officer authorizes use of another electronic form. With such an authorization, the Contractor and the Contracting Officer shall agree to a plan, which shall include a timeline, specifying when the Contractor will transfer to WAWF;

(2) DoD is unable to receive a payment request or provide acceptance in electronic form;

(3) The Contracting Officer administering the contract for payment has determined, in writing, that electronic submission would be unduly burdensome to the Contractor. In such cases, the Contractor shall include a copy of the Contracting Officer’s determination with each request for payment; or

(4) DoD makes a payment for commercial transportation services provided under a Government rate tender or a contract for transportation services using a DoD-approved electronic third party payment system or other exempted vendor payment/invoicing system (e.g., PowerTrack, Transportation Financial Management System, and Cargo and Billing System).

(d) The Contractor shall submit any non-electronic payment requests using the method or methods specified in Section G of the contract.

(e) In addition to the requirements of this clause, the Contractor shall meet the requirements of the appropriate payment clauses in this contract when submitting payment requests.

252.232-7004 DOD PROGRESS PAYMENT RATES (DEVIATION 2020-O0010) (MAR 2020)

(IAW Deviation 2020-O0010)

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)

52.233-1 DISPUTES (MAY 2014)

(IAW FAR 33.215)

52.233-3 PROTEST AFTER AWARD (AUG 1996)

(IAW FAR 33.106(b))

52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM (OCT 2004)

(IAW FAR 33.215(b))

52.242-13 BANKRUPTCY (JUL 1995)

(IAW FAR 42.903)

52.243-1 CHANGES--FIXED-PRICE (AUG 1987)

(IAW FAR 43.205(a)(1))

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)

52.244-6 SUBCONTRACTS FOR COMMERCIAL ITEMS (NOV 2020)

(IAW FAR 44.403)

252.244-7000 SUBCONTRACTS FOR COMMERCIAL ITEMS AND COMMERCIAL COMPONENTS

(DOD CONTRACTS) (FEB 2021)

(IAW DFARS 244.403)

52.246-23 LIMITATION OF LIABILITY (FEB 1997)

(IAW FAR 46.805(a)(1))

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

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

252.247-7023 TRANSPORTATION OF SUPPLIES BY SEA--BASIC (FEB 2019)

(IAW DFARS 247.574(b))

252.247-7028 APPLICATION FOR U.S. GOVERNMENT SHIPPING

DOCUMENTATION/INSTRUCTIONS (JUN 2012)

(IAW DFARS 247.207)

52.248-1 VALUE ENGINEERING (JUN 2020)

(IAW FAR 48.201(b), FAR 48.201(f))

52.249-1 TERMINATION FOR CONVENIENCE OF THE GOVERNMENT (FIXED-PRICE) (SHORT

FORM) (APR 1984)

(IAW FAR 49.502(a)(1))

52.249-2 TERMINATION FOR…