FA821321R3015_______0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8213-21-R-3015-0001

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20202150127

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE UT 84056-5820

BUYER: Sean Ballard/AFLCMC sean.ballard.3@us.af.mil Phone: (801) 777- 4244

7. ADMINISTERED BY (If other than item 6) CODEFA8213

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA821321R3015

9B. DATED (SEE ITEM 11)

3-MAY-2021

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 1 copies to the issuing office.

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

FMS REQUIREMENT

ROUTINE.

EXPEDITED DELIVERY AT NO ADDITIONAL COST TO THE GOVERNMENT IS AUTHORIZED

Award will not be held up for a vendor to become qualified.

Lowest Price, Technically Acceptable

Justification for Qualification Requirements, award will not be held up for a vendor to become qualified.

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

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.

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

Took out targeted price

All other aspects of the solicitation will remain the same.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

The agreed upon pricing matrix has been utilized for the unit prices. The pricing matrix is included in the basic contract.

0.25 SEC DELAY CTG

Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-425-0548 6124100

NSN: 1377-00-238-0552 ES

BASIC LINE ITEM

INITIATOR, GAS TO GAS

DODIC: M720

Manufacturer Part Number 17610 2130300-1 76301 32-72317 93455 6124100 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 93455 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required 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

ISO 9001:2015 01OCT2017

Applicability: None ;

Foreign Military Sales :FMS Case:

Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

IAW MIL-STD-130

Serial Number Required

Applicable SPI: F01-052-8208

South Korea -KS- D-CBO

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

40 EA

CLIN ACRN ACRN Total

0001AA AA

SAME

BASIC LINE ITEM

Same as basic item above Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales :FMS Case:DKSH00 New Material, Surplus Not Acceptable

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DKSH00 ORIGIN

Type / Ship To PACRN Mark For

* DKSH00 DKSH00

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

Required Delivery

* DKSH00 40 EA 31 DEC 2021 DKSH9400905300

Proposed Delivery

* DKSH00 40 EA

Transportation Appropriation Chargeable The Transportation Allotment Identification (TAI) relates directly to assigned Accounting Classification Reference Numbers (ACRNs). For example, the TAI "TAA" is for the sam line items(s) as ACRN "AA." FMS Allotment shall be used only when shipment of Government Bill of Lading is authorized

TAI FMS ALLOTMENT/NOTE_________

TAA:97-11X8242.L009 8401 BE-D-CYK S843000

Transportation Appropriation Chargeable The Transportation Allotment Identification (TAI) relates directly to assigned Accounting Classification Reference Numbers (ACRNs). For example, the TAI "TAA" is for the sam line items(s) as ACRN "AA." FMS Allotment shall be used only when shipment of Government Bill of Lading is authorized

TAI FMS ALLOTMENT/NOTE_________

TAB:97-11X8242.L009 8401 BE-D-CYK S843000

Syria-SR-D-CDA

Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

100 EA

CLIN ACRN ACRN Total

0001AB AB

SAME

BASIC LINE ITEM

Same as basic item above

AIRCRAFT FIRE SUPPRESSION SYSTEM.

Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales :FMS Case:DKSH00 New Material, Surplus Not Acceptable

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DKSH00 ORIGIN

Type / Ship To PACRN Mark For

* DKSH00 DKSH00

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

Required Delivery

* DKSH00 100 EA 31 DEC 2021 DSRP8400905322

Proposed Delivery

* DKSH00 100 EA

Transportation Appropriation Chargeable The Transportation Allotment Identification (TAI) relates directly to assigned Accounting Classification Reference Numbers (ACRNs). For example, the TAI "TAA" is for the sam line items(s) as ACRN "AA." FMS Allotment shall be used only when shipment of Government Bill of Lading is authorized

TAB:Tranportation chargeable to:97-11X8242.L009 8401 SR-D-CDA S843000

Turkey -TK-D-CAU

Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

36 EA

CLIN ACRN ACRN Total

0001AC AC

SAME

BASIC LINE ITEM

Same as basic item above Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales :FMS Case:DKSH00 New Material, Surplus Not Acceptable

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DKSH00 ORIGIN

Type / Ship To PACRN Mark For

* DKSH00 DKSH00

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

Required Delivery

* DKSH00 36 EA 31 DEC 2021 DSZK9470875302

Proposed Delivery

* DKSH00 36 EA

Transportation Appropriation Chargeable The Transportation Allotment Identification (TAI) relates directly to assigned Accounting Classification Reference Numbers (ACRNs). For example, the TAI "TAA" is for the sam line items(s) as ACRN "AA." FMS Allotment shall be used only when shipment of Government Bill of Lading is authorized

TAI FMS ALLOTMENT/NOTE_________

TAC: 97-11X8242.L009 8401 TK-D-CAU S843000

USAF

Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

USAF

218 EA

CLIN ACRN ACRN Total

0001AD AF

SAME

Same as basic item above Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales :FMS Case:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

C FV2172 ORIGIN

Type / Ship To PACRN Mark For C FV2172 09 Account Type / Ship To Quantity (U/I) On or Before _ Req No / Pri

Required Delivery

C FV2172 218 EA 31 DEC 2021

Proposed Delivery

C FV2172 218 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 1 May 2019.

MORD:5713011 H81 LCHN 355100 4E27A1 462FD 78070F 503000

0.25 SEC DELAY CTG

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-414-8933 ES 6121100

NSN: 1377-01-648-8442 ES

BASIC LINE ITEM

INITIATIOR, .75 SEC TIME DELAY

0.25 SEC DELAY CTG

This is an informational CLIN for line items 0005AA through 0005AC DODIC: M679 and MU78 Manufacturer Part Number 17610 21301900-2 93455 6010600 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 93455 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required 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

ISO 9001:2015 01OCT2017

Applicability: None ;

Foreign Military Sales :FMS Case:

Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

IAW MIL-STD-130

Applicable SPI: F011676621

Greece - GR-D-QBS

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

40 EA

CLIN ACRN ACRN Total

0002AA AD

SAME

Same as basic item above

AIRCRAFT FIRE SUPPRESSION SYSTEM.

Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales :FMS Case:DTK002

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

Greece - GR-D-QBS

* DTK002 ORIGIN

Type / Ship To PACRN Mark For

* DTK002 TKC00

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

Required Delivery

* DTK002 40 EA 31 DEC 2021 DGRQ9400905306

Proposed Delivery

* DTK002 40 EA

Transportation Appropriation Chargeable The Transportation Allotment Identification (TAI) relates directly to assigned Accounting Classification Reference Numbers (ACRNs). For example, the TAI "TAA" is for the sam line items(s) as ACRN "AA." FMS Allotment shall be used only when shipment of Government Bill of Lading is authorized

TAD: 97-11X8242.L009 8401 GR-D-QBS S843000

Saudi Arabia SR-D-CDA

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

0002AB AB

SAME

Same as basic item above

AIRCRAFT FIRE SUPPRESSION SYSTEM.

Priority: R ROUTINE.

Foreign Military Sales :FMS Case:SR-D-CDA

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSR004 ORIGIN

Type / Ship To PACRN Mark For

* DSR004 DSRP00

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

Required Delivery

* DSR004 5 EA 31 DEC 2021 DSRP8400905316

Proposed Delivery

* DSR004 5 EA

Transportation Appropriation Chargeable

The Transportation Allotment Identification (TAI) relates directly to assigned Accounting Classification Reference Numbers (ACRNs). For example, the TAI "TAA" is for the sam line items(s) as ACRN "AA." FMS Allotment shall be used only when shipment of Government Bill of Lading is authorized

TAE:97-11X8242.L009 8401 SR-D-CDA S843000

USAF

0002AC

Firm Fixed Price Quantity U/I Unit Price Amount

45 EA

CLIN ACRN ACRN Total

0002AC AB

SAME

Same as basic item above

EXPLOSIVE CHARGE OF .0003LBS, LENGTH 4.680 IN AND IS BALLISTIC INITIATED

Priority: R ROUTINE.

Foreign Military Sales :FMS Case:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

C FV2172 ORIGIN

Type / Ship To PACRN Mark For C FV2172 09 Account Type / Ship To Quantity (U/I) On or Before _ Req No / Pri

Required Delivery

C FV2172 45 EA 31 DEC 2021

Proposed Delivery

C FV2172 45 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 1 May 2019.

MORD:5713011 H81 LCHN 355100 4E27A1 462FD 78070F 503000

0.25 SEC DELAY CTG

0.25 SEC DELAY CTG

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-414-8935 ES 6123100

NSN: 1377-01-318-7696 ES

BASIC LINE ITEM

INITIATOR CARTRIDGE

This is an informational CLIN for line items 0006AA through 0006AB DODIC: MT15 and MU84 Manufacturer Part Number 17610 3123900-6 76301 68B710650-105 93455 6010600 93455 6123100 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 93455 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required 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

ISO 9001:2015 01OCT2017

Applicability: None ;

Foreign Military Sales :FMS Case:

Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

IAW MIL-STD-130

Serial Number Required Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

Proposed Delivery

Applicable SPI: F01-167-6621

0003AA

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

Saudi Arabia SR-D-CDA

CLIN ACRN ACRN Total

0003AA AB

SAME

Same as basic item above

AIRCRAFT FIRE SUPPRESSION SYSTEM.

Priority: R ROUTINE.

Foreign Military Sales :FMS Case:SR-D-CDA

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSR004 ORIGIN

Type / Ship To PACRN Mark For

* DSR004 DSRP00

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

Required Delivery

* DSR004 5 EA 31 DEC 2021 DSRP8400905318

Proposed Delivery

* DSR004 5 EA

Transportation Appropriation Chargeable The Transportation Allotment Identification (TAI) relates directly to assigned Accounting Classification Reference Numbers (ACRNs). For example, the TAI "TAA" is for the sam line items(s) as ACRN "AA." FMS Allotment shall be used only when shipment of Government Bill of Lading is authorized

0003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AB AB

SAME

Same as basic item above

AIRCRAFT FIRE SUPPRESSION SYSTEM.

Priority: R ROUTINE.

Foreign Military Sales :FMS Case:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FK2805 ORIGIN

Type / Ship To PACRN Mark For

Saudi Arabia SR-D-CDA

A FK2805 NASA ARMSTRONG

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

Required Delivery

A FK2805 1 EA 31 DEC 2021 DSRP8400905318

Proposed Delivery

A FK2805 1 EA

NASA

0003AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AC AB

SAME

Same as basic item above

AIRCRAFT FIRE SUPPRESSION SYSTEM.

Priority: R ROUTINE.

Foreign Military Sales :FMS Case:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FK2805 ORIGIN

Type / Ship To PACRN Mark For

A FK2805 NASA ARMSTRONG

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

Required Delivery

A FK2805 1 EA 31 DEC 2021 DSRP8400905318

Proposed Delivery

A FK2805 1 EA

NASA

The agreed upon pricing matrix has been utilized for the unit prices. The pricing matrix is included in the basic contract.

0.25 SEC DELAY CTG

Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-414-8934 6122100

NSN: 1377-01-318-7697 ES

BASIC LINE ITEM

INITIATOR CARTRIDGE

DODIC: MT14 and MU87 Manufacturer Part Number 17610 3123900-5 76301 68B710650-103 93455 6122100 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 93455 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required 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

ISO 9001:2015 01OCT2017

Applicability: None ;

Foreign Military Sales :FMS Case:

Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

IAW MIL-STD-130

Applicable SPI: F01-167-6621

Israel - IS-D-CBL

0004AA

Firm Fixed Price Quantity U/I Unit Price Amount

51 EA

CLIN ACRN ACRN Total

0004AA AE

SAME

Same as basic item above

AIRCRAFT FIRE SUPPRESSION SYSTEM.

Israel - IS-D-CBL

Priority: R ROUTINE.

Foreign Military Sales :FMS Case:IS- D-CB

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DIS002 ORIGIN

Type / Ship To PACRN Mark For

* DIS002 DISA00

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

Required Delivery

* DIS002 51 EA 31 DEC 2021 DISA8N00905316

Proposed Delivery

* DIS002 51 EA

Transportation Appropriation Chargeable The Transportation Allotment Identification (TAI) relates directly to assigned Accounting Classification Reference Numbers (ACRNs). For example, the TAI "TAA" is for the sam line items(s) as ACRN "AA." FMS Allotment shall be used only when shipment of Government Bill of Lading is authorized

TAI FMS ALLOTMENT/NOTE_________

TAF:97-11X8242.L009 8401 IS-D-CBL S843000

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 1 May 2019.

Saudi Arabia - SR-D-CDA

Item No.

0004AB

Firm Fixed Price Quantity U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

0004AB AB

SAME

Same as basic item above

AIRCRAFT FIRE SUPPRESSION SYSTEM.

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSR004 ORIGIN

Type / Ship To PACRN Mark For

* DSR004 DSRP00

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

Required Delivery

* DSR004 6 EA 31 DEC 2021 DSRP8400905317

Saudi Arabia - SR-D-CDA

Proposed Delivery

* DSR004 6 EA

Transportation Appropriation Chargeable The Transportation Allotment Identification (TAI) relates directly to assigned Accounting Classification Reference Numbers (ACRNs). For example, the TAI "TAA" is for the sam line items(s) as ACRN "AA." FMS Allotment shall be used only when shipment of Government Bill of Lading is authorized

0004AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0004AC AG

SAME

Same as basic item above

AIRCRAFT FIRE SUPPRESSION SYSTEM.

Priority: R ROUTINE.

Foreign Military Sales :FMS Case:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FK2805 ORIGIN

Type / Ship To PACRN Mark For

A FK2805 NASA ARMSTRONG

Type / Ship To Quantity (U/I) Specified Date _ Req No / Pri

Required Delivery

A FK2805 1 EA 30 SEP 2021

Proposed Delivery

0.25 SEC DELAY CTG

Item No.

NSN: 1377-00-299-1512 ES

BASIC LINE ITEM

INITIATOR

DODIC: MC61 and MH64 Manufacturer Part Number 17610 2271500-1 76301 32-72317 93455 6028200 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 93455 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required 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

ISO 9001:2015 01OCT2017

Applicability: F-15 ;

Foreign Military Sales :FMS Case:

Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

IAW MIL-STD-130

Applicable SPI: F01-052-8208

0005AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0005AA AG

SAME

Same as basic item above

AIRCRAFT FIRE SUPPRESSION SYSTEM.

Priority: R ROUTINE.

NASA

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FK2805 ORIGIN

Type / Ship To PACRN Mark For

A FK2805 NASA ARMSTRONG

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

Required Delivery

A FK2805 1 EA 30 SEP 2021

Proposed Delivery

0005AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0005AB AG

SAME

Same as basic item above

AIRCRAFT FIRE SUPPRESSION SYSTEM.

Priority: R ROUTINE.

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FK2805 ORIGIN

Type / Ship To PACRN Mark For

A FK2805 NASA ARMSTRONG

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

Required Delivery

A FK2805 1 EA 30 SEP 2021

Proposed Delivery

DATA - Ordering Period 1

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA IAW DD 1423-1 ATTACHED HERE TO EXHIBIT A

Priority: R ROUTINE.

Exhibit: A

CDRLs included in this CLIN include the following:

A001 AMMUNITION DATA CARD (ADC)

A002 ENGINEERING CHANGE PROPOSAL (ECP)

A003 NOTICE OF REVISION (NOR)

A004 REQUEST FOR VARIANCE (RFV)

A006 TEST/INSPECTION REPORT

A007 FAILURE SUMMARY & ANALYSIS REPORT

A008 POST AWARD CONFERENCE

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A FK2805

412 AMXS MXABW

104 MISSILE RD

EDWARDS AIR FORCE BASE CA 93524-0001

UNITED STATES

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

AWARD NUMBER:

TYPE/CODE: C FV2172

649 MUNS MXW

6024 PINE LANE

BLDG 1377 BAY 2

HILL AIR FORCE BASE UT 84056-5707

UNITED STATES

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

AWARD NUMBER:

649 MUNS MXW

6024 Pine LN BLDG 1377 BAY 2

HILL AFB UT 84056

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DGRQ00

SUPPLEMENTAL ADDRESS CODE: DGRQ00

FMS CASE CODE/LOA: DGRQ00

MAPAC SHIP TO CODE: DGRQ00

MAPAC MARK FOR: DGRQ00

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

AWARD NUMBER:

TYPE/CODE: * DIS002

SUPPLEMENTAL ADDRESS CODE: DZ2CBL

FMS CASE CODE/LOA: IS- D-CB

MAPAC SHIP TO CODE: DIS002

MAPAC MARK FOR: DISA00

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

AWARD NUMBER:

TYPE/CODE: * DKSH00

SUPPLEMENTAL ADDRESS CODE: DXXCBO

FMS CASE CODE/LOA: DKSH00

MAPAC SHIP TO CODE: DKSH00

MAPAC MARK FOR: DKSH00

REQUISITION NUMBER: (See Individual Line Item)

REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER:

TYPE/CODE: * DSR004

SUPPLEMENTAL ADDRESS CODE: DZ4CDA

FMS CASE CODE/LOA: SR-D-CDA

MAPAC SHIP TO CODE: DSR004

MAPAC MARK FOR: DSRP00

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

AWARD NUMBER:

TYPE/CODE: * DTK002

SUPPLEMENTAL ADDRESS CODE: DTK002

FMS CASE CODE/LOA: DTK002

MAPAC SHIP TO CODE: DTK002

MAPAC MARK FOR: DTKC00

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

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION D

PACKAGING AND MARKING

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

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

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

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

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

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

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

certification shall be annotated on inner and outer container tags or label with T.O. compliance.

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

d. All interior packages and shipping containers for articles and materials classified as hazardous or restricted under provisions of Title 49, Code of Federal Regulations, or AFR 71-4/DLAM 4145.3/TM 38-250/NAVSUP PUB 505/MCO P

4030.19 shall be marked, regardless of exemption for mode of transportation, with proper shipping name of item;

flash point of all liquids having a flash point of 200 degrees F. or below; and percentage concentration of acids and corrosive liquids. In addition, the quantity of each hazardous or restricted material included in a container shall be annotated adjacent to the shipping name of the item, e.g., Acetic Acid (80% concentration) -- 1 qt.

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

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

MIL-STD-129.

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

CONTAINERS."

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

(1) Foreign Military Sales.

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

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

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

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

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

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

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

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.]*

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 II (APR 1984)

(IAW FAR 11.404(a)(2))

(b) the successful offeror will receive notice of award by .

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)) (Applicable when specifying f.o.b. origin)

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

(IAW FAR 47.303-2(c))

52.247-33 F.O.B. ORIGIN, WITH DIFFERENTIALS (FEB 2006)

(IAW FAR 47.303-5(c))

(c) (4) Offeror's differentials in cents for each 100 pounds for optional mode of transportation, types of vehicle, transportation within a mode, or place of delivery, specified by the Government at the time of shipment and not included in the f.o.b. origin price indicated in the Schedule by the offeror, are as follows:

_____________________(carload, truckload, less-load, _____________________wharf, flatcar, driveaway, etc.)

(Applicable when specifying f.o.b. origin, with differentials)

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

(IAW FAR 47.303-6(c)) (Applicable when delivery term is f.o.b. destination)

52.247-52 CLEARANCE AND DOCUMENTATION REQUIREMENTS--SHIPMENTS TO DOD AIR

OR WATER TERMINAL TRANSSHIPMENT POINTS (FEB 2006)

(IAW FAR 47.305-6(f)(2))

(Applicable when shipments will be consigned to DOD air or water terminal transshipment points)

52.247-58 LOADING, BLOCKING, AND BRACING OF FREIGHT CAR SHIPMENTS (APR 1984)

(IAW FAR 47.305-15(a)(2)) (Applicable when supplies may be shipped in carload lots by rail)

(Does not apply to foreign contractors)

52.247-59 F.O.B. ORIGIN-CARLOAD AND TRUCKLOAD SHIPMENTS (APR 1984)

(IAW FAR 47.305-16(a)) (Applicable when f.o.b. origin shipment in carloads or truckloads)

(Does not apply to foreign contractors)

52.247-61 F.O.B. ORIGIN-MINIMUM SIZE OF SHIPMENTS (APR 1984)

(IAW FAR 47.305-16(c)) (Applicable when f.o.b. origin and volume rates apply)

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]

HAZARDOUS CLASSIFICATION (MAY 1998)

(IAW FAR 47.305-9(c)) For the purpose of identifying commodity description and freight classification of explosives and other dangerous supplies, the following applies.

Hazardous Classification Line Item 0001

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking Cartridges, Power Device DOT Class 1.4 DOT Label Explosive 1.4C

UN Serial No UN0276 UN Proper Ship Name Cartridges, Power Device

Freight Classification Line Item 0002

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking Cartridges, Power Device DOT Class 1.4 DOT Label Explosive 1.4C

UN Serial No 0276 UN Proper Ship Name Cartridges, Power Device

Freight Classification Line Item 0003

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking Cartridges, Power Device DOT Class 1.4 DOT Label Explosive 1.4C

UN Serial No 0276 UN Proper Ship Name Cartridges, Power Device

Freight Classification Line Item 0004

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking Cartridges, Power Device DOT Class 1.4 DOT Label Explosive 1.4C

UN Serial No 0276 UN Proper Ship Name Cartridges, Power Device

Freight Classification Line Item 0004AA

Hazardous Class Division

Storage Compatibility Group DOT Marking

DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0005

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking Cartridges, Power Device DOT Class 1.4 DOT Label Explosive 1.4C

UN Serial No 0276 UN Proper Ship Name Cartridges, Power Device

Freight Classification

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))

(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 9711X8242 .0002 4F X LC HN CCBOKS 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 579566 FSR: 069030 DSR: 175162

AB 9711X8242 .0002 4F X LC HN CCDASR 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 358905 FSR: 059176 DSR: 175439

AC 9711X8242 .0002 4F X LC HN CCAUTK 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 459507 FSR: 061773

AD 9711X8242 .0002 4F X 47 HN CQBSGR 20M4R1 63681 001000 503000 F03000 $0.00

PSR: G46146 FSR: 057367 DSR: 175540

AE 9711X8242 .0002 4F X LC HN CCBLIS 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 654426 FSR: 086201 DSR: 175586

AF 97 X8242 . H8 X LC HN 355107 4E27A1 63681 78070F 503000 F03000 $0.00

PSR: 690261 FSR: 037433

AG 24310A/6100.2530/24/FC501533/107210.02.13.02/2530/24/AERX22020D/479H PR 4200735333 $0.00

REFERENCE:

AA PR:FD20202150127 ACRN:AA

CIN:F2DCDE0227A101

AB PR:FD20202150127 ACRN:AB

CIN:F2DCDE0227A101

AC PR:FD20202150127 ACRN:AC

CIN:F2DCDE0227A101

AD PR:FD20202150127 ACRN:AD

CIN:F2DCDE0227A101

AE PR:FD20202150127 ACRN:AE

CIN:F2DCDE0227A101

AF PR:FD20202150126 ACRN:AA

CIN:F2DCDF016A109

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AG PR:80AFRC20T0032 ACRN:AA

CIN:MIPR412IN536

Billing Info: The Contractor shall submit all invoices through the Invoice Processing Platform website

ACRN TOTAL $ 0.00

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

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))

52.203-19 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)

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))

252.204-7012 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))

252.205-7000 PROVISION OF INFORMATION TO COOPERATIVE AGREEMENT HOLDERS

(DEC 1991)

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

52.209-1 QUALIFICATION REQUIREMENTS (FEB 1995)

(IAW FAR 9.206-2)

(b)

Item No Agency Name/Address

0001 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

(801) 777-4343 roger.mott@us.af.mil

0002 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

(801) 777-4343 katie.gill@us.af.mil

0003 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

(801) 777-4343 Roger.ott@us.af.mil

0004 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

(801) 777-4343 Roger.Mott@us.af.mil

0004AA DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0005 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

(801) 777-4343 Roger.Mott@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)

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

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(IAW FAR 9.409)

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING RESPONSIBILITY

MATTERS (OCT 2018)

(IAW FAR 9.104-7(c))

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)

252.209-7010 CRITICAL SAFETY ITEMS (AUG 2011)

(IAW DFARS 209.270-5)

(b) Identification of critical safety items. One or more of the items being procured under this contract is an aviation or ship critical safety item. The following items have been designated aviation critical safety items or ship critical safety items by the designated design control activity:

Line Item Description

0001 NSN: 1377-00-238-0552ES ALT: 1377-01-425-0548ES

0002 NSN: 1377-01-648-8442ES ALT: 1377-01-414-8933ES

0003 NSN: 1377-01-318-7696ES ALT: 1377-01-414-8935ES

0004 NSN: 1377-01-318-7697ES ALT: 1377-01-414-8934ES

0005 NSN: 1377-00-299-1512ES ALT: 1377-01-166-4265ES

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))

52.219-4 NOTICE OF PRICE EVALUATION PREFERENCE FOR HUBZONE SMALL BUSINESS

CONCERNS (DEVIATION 2020-O0008) (MAR 2020)

(IAW Deviation 2020-O0008 Rev. 2)

(c) Waiver of evaluation preference. A HUBZone small business concern may elect to waive the evaluation preference, in which case the factor will be added to its offer for evaluation purposes. The agreements in paragraphs (e) and (f) of this clause do not apply if the Offeror has waived the evaluation preference.

__ Offeror elects to waive the evaluation preference.

52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS (OCT 2018)

(IAW FAR 19.708(a))

52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN (DEVIATION 2018-O0018) (AUG 2018)

(IAW DARS TRCKING # 2018-O0018)

52.219-16 LIQUIDATED DAMAGES--SUBCONTRACTING PLAN (JAN 1999)

(IAW FAR 19.708(b)(2))

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…