FA821321R3017.pdf

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 33 (REV. 9-97)

PREVIOUS EDITION NOT USABLE Prescribed by GSA – FAR (48 CFR) 53/214(c)

SOLICITATION, OFFER AND AWARD J

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15CFR 7900)

RATING

DO: A6

Page of Page

2. CONTRACT NO. 3. SOLICITATION NO.

FA8213-21-R-3017

4. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

7. ISSUED BY

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE UT 84056-5820

BUYER: Ryan Mitchell/AFLCMC ryan.mitchell.21@us.af.mil Phone: (000

FA8213 8. ADDRESS OFFER TO (If other than Item 7)

11. TABLE OF CONTENTS

(X) SEC. DESCRIPTON PAGE(S) (X) Sec. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

X A SOLICITATION/CONTRACT FORM

X B SUPPLIES OR SERVICES AND

C DESCRIPTION/SPECS/WORK STATEMENT

D PACKAGING AND MARKING

E INPECTION AND ACCEPTANCE

F DELIVERIES OR PERFORMANCE

X G CONTRACT ADMINISTRATION DATA

H SPECIAL CONTRACT REQUIREMENTS

X I CONTRACT CLAUSES

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER

J LIST OF ATTACHMENTS

K REPRESENTATIONS, CERTIFICATIONS AND

OTHER STATEMENTS OF OFFERORS

PART IV - REPRESENTATIONS AND INSTRUCTIONS

L INSTRS., CONDS., AND NOTICES TO OFFERORS

M EVALUATION AND FACTORS FOR AWARD

OFFER (Must be fully completed by offeror)

24. ADMINISTERED BY (If other than Item 7) SCD:B 25. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

26. NAME OF CONTRACTING OFFICER (Type or print) 27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

28. AWARD DATE

X

5. DATE ISSUED 6.REQUISITION/PURCHASE NO

NOTE: In sealed bid solicitations “offer” and “offeror” mean “bid” and “bidder”.

9. Sealed offers in original and copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the depository located in until 4:00 (Hour) local time 8-FEB-2021 (Date).

CAUTION- LATE Submissions, Modifications, and Withdrawals: Section L, Provision No 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this section.

10. FOR INFORMATION

CALL:

A. NAME

Ryan Mitchell

B. TELEPHONE (NO COLLECT CALLS)

(000 ) *** -****

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within 120 calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT(See Section I, Clause No 52.232-8)

10 CALENDAR DAYS 20 CALENDAR DAYS 30 CALENDAR DAYS CALENDAR DAYS

14. ACKNOWLEDGEMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated:

AMENDMENT NO. DATE AMENDMENT NO. DATE

15A. NAME AND

ADDRESS OF

OFFEROR

CODE FACILITY

16. NAME AND TITLE OF PERSON

AUTHORIZED TO SIGN OFFER (Type or print)

15B. TELEPHONE NO.

(Include Area Code)

15C.CHECK IF REMITTANCE ADDRESS

IS DIFFERENT FROM ABOVE-ENTER

SUCH ADDRESS IN SCHEDULE.

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS 20. AMOUNT

$ 1,181,000.00

21. ACCOUNTING AND APPROPRIATION

SEE SCHEDULE

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN

COMPETITION

10 U.S.C. 2304 (c) ( 1 ) 41 U.S.C. 253 (c) X

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

ITEM

SOLICITATION

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

C. E-MAIL ADDRESS

ryan.mitchell.21@us.af.mil

FA8213-21-R-3017

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Canopy Remover Cartridge

Item No.

NSN: 1377-01-202-9195 ES

CANOPY REMOVER CARTRIDGE

CARTRIDGE,IMPULSE|F-15 ACFT|EXWT|1377-MJ19|UN0276|EX1988080379|0.0529 STORAGE POUNDS AND

0.0529 TRANSPORTATION POUNDS|1.4|1.4 DEPARTMENT OF DEFENSE HAZARD CLASS

DIVISION|CARTRIDGES, POWER DEVICE|1.4C

DODIC: MJ19. This is an informational CLIN that covers SUBCLINs 0001AA through 0001AE.

Manufacturer Part Number 17610 2404800-1 Priority: R ROUTINE.

Foreign Military Sales :FMS Case:

Buy American Act/Balance of Payments Program

USAF

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

50 EA

NSN: SAME

Same as basic item above Associated Document(s) Line Item(s)

FD20202150122 0002

Priority: R ROUTINE.

NASA

Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: SAME

Same as basic item above

FMS Case: SN-D-CAH

FMS

Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

16 EA

NSN: SAME

Associated Document(s) Line Item(s)

FD20202150123 0002

Priority: R ROUTINE.

FMS Case:SR-D-CDA

Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

20 EA

NSN: SAME

Same as basic item above Associated Document(s) Line Item(s)

FD20202150122 0003

Priority: R ROUTINE.

FMS Case: KS-D-CBO

Item No.

0001AE

Firm Fixed Price Quantity U/I Unit Price Amount

10 EA

NSN: SAME

Same as basic item above Foreign Military Sales :FMS Case:

FMS Case: IS-D-CBL Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

37 EA

NSN: 1377-01-648-8443 ES

Canopy Remover Cartridge ACFT EJCT SYS (LIFE SUPPORT) BALLISTIC DEVICE. PRED MATL IS ALUMINUM WITH EXPL CHG OF .0303

LB, LENGTH 3.50 IN, WIDTH 1.97 IN AND IS PROPAGATION INITIATED.

DODIC: MT86

Manufacturer Part Number 17610 2297800-1 Associated Document(s) Line Item(s)

FD20202150122 0005

Priority: R ROUTINE.

Foreign Military Sales :FMS Case:

FMS Case: IS-D-CBL Buy American Act/Balance of Payments Program

Data CLIN

Item No.

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

DATA

DATA IAW DD 1423-1 ATTACHED TO BASIC

Priority: R ROUTINE.

Exhibit: AA