FA821321R3019_______0001.pdf

PDF 138 KB Posted May 3, 2021

Attached to: UWARS Battery Federal contract opportunity
Solicitation number: FA8213-21-R-3019
Issued by: Department of the Air Force Materiel Command Lifecycle Management Center Hill Air Force Base

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

2. AMENDMENT/MODIFICATION NO.

FA8213-21-R-3019-0001

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20202150082

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

9A. AMENDMENT OF SOLICITATION NO.

FA821321R3019

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.

Sources: Cobham Mission Systems Davenport LSS Inc; cage (99251). STRATUS SYSTEMS INC.; cage (3AX04)

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

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

DCMA and DFAS are required to withhold payment IAW DFAR 252.227-7030 until CDRL A001, A004 & A005 have been delivered and/or approved by Hill AFB.

Lithium Coin Battery

Lithium Coin Battery Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Origin 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 9001-2008 2008

Applicability: None ;

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

UWARS Battery

Lithium Coin Battery Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

3,797 EA

CLIN ACRN ACRN Total

UWARS Battery

Lithium Coin Battery

0001AA AA

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

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

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) _ Req No / Pri

Required Delivery

C FV2172 3,797 EA 30 SEP 2022 Non-MilStrip

Proposed Delivery

C FV2172 3,797 EA

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

SPI: MIL-STD-2073-1

MORD: F2DCAE0294NP05

“5713011 H81 LCHN 355100 4E27A1 462FD 78070F 503000 F03000 ALD:AA FSR: 086990 PSR: B94306

DSR: 143788”

Belgium Loa Case # BE-D-CYK

Lithium Coin Battery Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

30 EA

CLIN ACRN ACRN Total

0001AB AB

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:BE-D-CYK Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DBE002 ORIGIN

Type / Ship To PACRN Mark For

* DBE002 09 Account Type / Ship To Quantity (U/I) _ Req No / Pri

Required Delivery

* DBE002 30 EA 30 DEC 2022 Non-MilStrip

Proposed Delivery

* DBE002 30 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

Denmark Loa Case # DE-D-CAE

Lithium Coin Battery Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

60 EA

CLIN ACRN ACRN Total

0001AC AC

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:DE-D-CAE Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DDE002 ORIGIN

Type / Ship To PACRN Mark For

* DDE002 DDED00

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

Required Delivery

* DDE002 60 EA 30 DEC 2022 Non-MilStrip

Proposed Delivery

* DDE002 60 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:97-11X8242.L009 8401 DE-D-CAE S843000

Egypt Loa Case # EG-D-CAA

Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

200 EA

CLIN ACRN ACRN Total

0001AD AD

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:EG-D-CAA Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DEG005 ORIGIN

Type / Ship To PACRN Mark For

* DEG005 DDED00

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

Required Delivery

* DEG005 200 EA 30 DEC 2022 Non-MilStrip

Egypt Loa Case # EG-D-CAA

Lithium Coin Battery Proposed Delivery

* DEG005 200 EA

TAC:97-11X8242.L009 8401 EG-D-CAA S843000

Greece Loa Case # GR-D-QBS

Item No.

0001AE

Firm Fixed Price Quantity U/I Unit Price Amount

129 EA

CLIN ACRN ACRN Total

0001AE AE

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:GR-D-QBS Buy American Act/Balance of Payments Program IUID Required: Yes

Greece Loa Case # GR-D-QBS

Lithium Coin Battery

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DGR002 ORIGIN

Type / Ship To PACRN Mark For

* DGR002 DDED00

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

Required Delivery

* DGR002 129 EA 30 DEC 2022 Non-MilStrip

Proposed Delivery

* DGR002 129 EA

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

Israel Loa Case # IS-D-CBL

Item No.

0001AF

Firm Fixed Price Quantity U/I Unit Price Amount

790 EA

CLIN ACRN ACRN Total

0001AF AF

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

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

Israel Loa Case # IS-D-CBL

Lithium Coin Battery 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 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:IS-D-CBL Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DIS002 ORIGIN

Type / Ship To PACRN Mark For

* DIS002 DDED00

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

Required Delivery

* DIS002 790 EA 30 DEC 2022 Non-MilStrip

Proposed Delivery

* DIS002 790 EA

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

Jordan Loa Case # JO-D-CBY

Item No.

0001AG

Firm Fixed Price Quantity U/I Unit Price Amount

30 EA

CLIN ACRN ACRN Total

0001AG AG

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

Jordan Loa Case # JO-D-CBY

Lithium Coin Battery

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:JO-D-CBY Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DJO002 ORIGIN

Type / Ship To PACRN Mark For

* DJO002 DDED00

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

Required Delivery

* DJO002 30 EA 30 DEC 2022 Non-MilStrip

Proposed Delivery

* DJO002 30 EA

TAF:97-11X8242.L009 8401 JO-D-CBY S843000

Korea, South Loa Case # KS-D-CBM

Item No.

0001AH

Firm Fixed Price Quantity U/I Unit Price Amount

Korea, South Loa Case # KS-D-CBM

Lithium Coin Battery

1,200 EA

CLIN ACRN ACRN Total

0001AH AH

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:KS-D-CBM Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DKS005 ORIGIN

Type / Ship To PACRN Mark For

* DKS005 DDED00

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

Required Delivery

* DKS005 1,200 EA 30 DEC 2022 Non-MilStrip

Proposed Delivery

* DKS005 1,200 EA

TAG:97-11X8242.L009 8401 KS-D-CBMS843000

Niue Loa Case # NE-D-CAQ

Lithium Coin Battery Item No.

0001AJ

Firm Fixed Price Quantity U/I Unit Price Amount

100 EA

CLIN ACRN ACRN Total

0001AJ AJ

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:NE-D-CAQ Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DNE002 ORIGIN

Type / Ship To PACRN Mark For

* DNE002 DDED00

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

Required Delivery

* DNE002 100 EA 30 DEC 2022 Non-MilStrip

Proposed Delivery

* DNE002 100 EA

TAH:97-11X8242.L009 8401 NE-D-CAQ S843000

Poland Loa Case # PL-D-QZV

Item No.

0001AK

Firm Fixed Price Quantity U/I Unit Price Amount

102 EA

CLIN ACRN ACRN Total

0001AK AK

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:PL-D-QZV Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DPLW00 ORIGIN

Type / Ship To PACRN Mark For

* DPLW00 DDED00

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

Required Delivery

* DPLW00 102 EA 30 DEC 2022 Non-MilStrip

Proposed

* DPLW00 102 EA

TAI:97-11X8242.L009 8401 PL-D-QZV S843000

Saudi Arabia Loa Case # SR-D-CDA

Item No.

0001AL

Firm Fixed Price Quantity U/I Unit Price Amount

510 EA

CLIN ACRN ACRN Total

0001AL AL

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:SR-D-CDA Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSR004 ORIGIN

Type / Ship To PACRN Mark For

* DSR004 DDED00

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

Required

Saudi Arabia Loa Case # SR-D-CDA

Lithium Coin Battery

* DSR004 510 EA 30 DEC 2022 Non-MilStrip

Proposed Delivery

* DSR004 510 EA

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

Taiwan Loa Case # TW-D-CAQ

Item No.

0001AM

Firm Fixed Price Quantity U/I Unit Price Amount

88 EA

CLIN ACRN ACRN Total

0001AM AM

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:TW-D-CAQ Buy American Act/Balance of Payments Program IUID Required: Yes

Taiwan Loa Case # TW-D-CAQ

Lithium Coin Battery

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTW004 ORIGIN

Type / Ship To PACRN Mark For

* DTW004 DDED00

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

Required Delivery

* DTW004 88 EA 30 DEC 2022 Non-MilStrip

Proposed Delivery

* DTW004 88 EA

TAK:97-11X8242.L009 8401 TW-D-CAQ S843000

Taiwan Loa Case # TW-D-CAB

Item No.

0001AN

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

0001AN AN

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

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

Taiwan Loa Case # TW-D-CAB

Lithium Coin Battery 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 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:TW-D-CAB Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTWU00 ORIGIN

Type / Ship To PACRN Mark For

* DTWU00 DDED00

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

Required Delivery

* DTWU00 5 EA 30 DEC 2022 Non-MilStrip

Proposed Delivery

* DTWU00 5 EA

TAL:97-11X8242.L009 8401 TW-D-CAB S843000

Taiwan Loa Case # TW-D-CAB

Item No.

0001AP

Firm Fixed Price Quantity U/I Unit Price Amount

22 EA

CLIN ACRN ACRN Total

0001AP AN

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

Taiwan Loa Case # TW-D-CAB

Lithium Coin Battery

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:TW-D-CAB Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTWV00 ORIGIN

Type / Ship To PACRN Mark For

* DTWV00 DDED00

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

Required Delivery

* DTWV00 22 EA 30 DEC 2022 Non-MilStrip

Proposed Delivery

* DTWV00 22 EA

TAM:97-11X8242.L009 8401 TW-D-CAB S843000

Taiwan Loa Case # TW-D-CCR

Item No.

0001AQ

Firm Fixed Price Quantity U/I Unit Price Amount

Taiwan Loa Case # TW-D-CCR

Lithium Coin Battery

5 EA

CLIN ACRN ACRN Total

0001AQ AP

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-625-5022 ES 01-0=012

NSN: 1377-01-571-5244 ES

DODIC:JN18

Manufacturer Part Number

3AX04 01-0-012

99251 1914-031-02 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:TW-D-CAB Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTWU00 ORIGIN

Type / Ship To PACRN Mark For

* DTWU00 DDED00

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

Required Delivery

* DTWU00 5 EA 30 DEC 2022 Non-MilStrip

Proposed Delivery

* DTWU00 5 EA

TAN:97-11X8242.L009 8401 TW-D-CCR S843000

Item No.

Not Separately Priced Quantity U/I Unit Price

LO NSP

NSN: DATA

DATA

DATA IAW DD 1423-1 ATTACHED TO BASIC

SHIP TO / PLACE OF PERFORMANCE

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:

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DBE002

SUPPLEMENTAL ADDRESS CODE: DA2CYK

FMS CASE CODE/LOA: BE-D-CYK

MAPAC SHIP TO CODE: DBE002

MAPAC MARK FOR: DBEP00

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

AWARD NUMBER:

TYPE/CODE: * DDE002

SUPPLEMENTAL ADDRESS CODE: DA2CAE

FMS CASE CODE/LOA: DE-D-CAE

MAPAC SHIP TO CODE: DDE002

MAPAC MARK FOR: DED00

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

AWARD NUMBER:

TYPE/CODE: * DEG005

SUPPLEMENTAL ADDRESS CODE: DA5CAA

FMS CASE CODE/LOA: EG-D-CAA

MAPAC SHIP TO CODE: DEG005

MAPAC MARK FOR: DEG200

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

AWARD NUMBER:

TYPE/CODE: * DGR002

SUPPLEMENTAL ADDRESS CODE: DA2QBS

FMS CASE CODE/LOA: GR-D-QBS

MAPAC SHIP TO CODE: DGR002

MAPAC MARK FOR: DGRQ00

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

AWARD NUMBER:

TYPE/CODE: * DIS002

SUPPLEMENTAL ADDRESS CODE: DA2CBL

FMS CASE CODE/LOA: IS-D-CBL

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: * DJO002

SUPPLEMENTAL ADDRESS CODE: DZ2CBY

FMS CASE CODE/LOA: JO-D-CBY

MAPAC SHIP TO CODE: DJO002

MAPAC MARK FOR: DJOB00

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

AWARD NUMBER:

TYPE/CODE: * DKS005

SUPPLEMENTAL ADDRESS CODE: DA5CBM

FMS CASE CODE/LOA: KS-D-CBM

MAPAC SHIP TO CODE: DKS005

MAPAC MARK FOR: DKSH00

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

AWARD NUMBER:

TYPE/CODE: * DNE002

SUPPLEMENTAL ADDRESS CODE: DZ2CAQ

FMS CASE CODE/LOA: NE-D-CAQ

MAPAC SHIP TO CODE: DNE002

MAPAC MARK FOR: DNEM00

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

AWARD NUMBER:

TYPE/CODE: * DPLW00

SUPPLEMENTAL ADDRESS CODE: DXXQAV

FMS CASE CODE/LOA: PL-D-QZV

MAPAC SHIP TO CODE: DPLW00

MAPAC MARK FOR: DPLW00

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

AWARD NUMBER:

TYPE/CODE: * DSR004

SUPPLEMENTAL ADDRESS CODE: DA4CDA

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: * DTW004

SUPPLEMENTAL ADDRESS CODE: DA4CAAQ

FMS CASE CODE/LOA: TW-D-CAQ

MAPAC SHIP TO CODE: DTW004

MAPAC MARK FOR: DTW700

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

AWARD NUMBER:

TYPE/CODE: * DTWU00

SUPPLEMENTAL ADDRESS CODE: DXXCAB

FMS CASE CODE/LOA: TW-D-CAB

MAPAC SHIP TO CODE: DTWU00

MAPAC MARK FOR: DTWU00

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

AWARD NUMBER:

TYPE/CODE: * DTWV00

SUPPLEMENTAL ADDRESS CODE: DXXCCR

FMS CASE CODE/LOA: TW-D-CAB

MAPAC SHIP TO CODE: DTWV00

MAPAC MARK FOR: DTWV00

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.]*

Title Number Date Tailoring *See Individual Line Item Schedule

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) Government Contract Quality Assurance Inspection and Acceptance will be at (Final):

[CONTRACTOR FILL-IN]

Item No(s): See schedule for items with the following code(s) listed below :

Inspection Code and Address:

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

52.211-8 TIME OF DELIVERY (JUN 1997)

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

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

(IAW FAR 11.404(a)(2))

(b) the Government will make award by .

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)) (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 Storage Compatibility Group

DOT Marking DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0001AA

Hazardous Class Division Storage Compatibility Group

DOT Marking DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0001AB

Hazardous Class Division Storage Compatibility Group

DOT Marking DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0001AC

Hazardous Class Division Storage Compatibility Group

DOT Marking DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0001AD

Hazardous Class Division Storage Compatibility Group

DOT Marking DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0001AE

Hazardous Class Division Storage Compatibility Group

DOT Marking DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0001AF

Hazardous Class Division Storage Compatibility Group

DOT Marking DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0001AG

Hazardous Class Division Storage Compatibility Group

DOT Marking DOT Class

DOT Label UN Serial No

UN Proper Ship Name Freight Classification

Line Item 0001AH Hazardous Class Division

Storage Compatibility Group DOT Marking

DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0001AJ

Hazardous Class Division Storage Compatibility Group

DOT Marking DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0001AK

Hazardous Class Division Storage Compatibility Group

DOT Marking DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0001AL

Hazardous Class Division Storage Compatibility Group

DOT Marking DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0001AM

Hazardous Class Division Storage Compatibility Group

DOT Marking DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0001AN

Hazardous Class Division Storage Compatibility Group

DOT Marking DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification

Line Item 0001AP Hazardous Class Division

Storage Compatibility Group DOT Marking

DOT Class DOT Label

UN Serial No UN Proper Ship Name

Freight Classification Line Item 0001AQ

Hazardous Class Division Storage Compatibility Group

DOT Marking DOT Class DOT Label

UN Serial No UN Proper Ship Name

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 57 X3011 . H8 X LC HN 355105 4E27A1 63681 78070F 503000 F03000 $0.00

PSR: B94327 FSR: 086990 DSR: 255635

AB 9711X8242.0002 4FX 47HN CCYKBE 20M4R1 63681 003000 503000 F03000 $0.00

PSR: G46933 FSR: 056871 DSR: 042383

AC 9711X8242.0002 4FX LCHN CCAEDE 20M4R1 63681 003000 503000 F03000 $0.00

PSR: 578621 FSR: 062137 DSR: 042777

AD 9711X8242.0002 4FX LCHN CCAAEG 20M4R1 63681 003000 503000 F03000 $0.00

PSR: 363529 FSR: 059178 DSR: 042864

AE 9711X8242.0002 4FX 47HN CQBSGR 20M4R1 63681 051000 503000 F03000 $0.00

PSR: 680328 FSR: 074131 DSR: 042912

AF 9711X8242.0002 4FX LCHN CCBLIS 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 654426 FSR: 086201 DSR: 043250

AG 9711X8242.0002 4FX LCHN CCBYJO 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 654879 FSR: 086203 DSR: 043281

AH 9711X8242.0002 4FX LCHN CCBMKS 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 459629 FSR: 061774 DSR: 043939

AJ 9711X8242.0002 4FX 47HN CCAQNE 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 448851 FSR: 027752 DSR: 044077

AK 9711X8242.0002 4FX LCHN CQAVPL 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 121230 FSR: 005186 DSR: 044144

AL 9711X8242.0002 4FX LCHN CCDASR 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 358905 FSR: 059176 DSR: 044157

AM 9711X8242.0002 4FX LCHN CCAQTW 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 581854 FSR: 069247 DSR: 044272

AN 9711X8242.0002 4FX 47HN CCABTW 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 304803 FSR: 046137 DSR: 044466

AP 9711X8242.0002 4FX 47HN CCCRTW 20M4R1 63681 001000 503000 F03000 $0.00

PSR: G46941 FSR: 074136 DSR: 044500

REFERENCE:

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA CIN:F2DCDE0262A101

PR:FD20202150082

ACRN:AA

AB CIN:F2DCDE1063A1020000AA PR:FD20202150083 ACRN:AB

AC CIN:F2DCDE1063A1020000AA PR:FD20202150083 ACRN:AC

AD CIN:F2DCDE1063A1020000AA PR:FD20202150083 ACRN:AD

AE CIN:F2DCDE1063A1020000AA PR:FD20202150083 ACRN:AE

AF CIN:F2DCDE1063A1020000AA PR:FD20202150083 ACRN:AF

AG CIN:F2DCDE1063A1020000AA PR:FD20202150083 ACRN:AG

AH CIN:F2DCDE1063A1020000AA PR:FD20202150083 ACRN:AH

AJ CIN:F2DCDE1063A1020000AA PR:FD20202150083 ACRN:AJ

AK CIN:F2DCDE1063A1020000AA PR:FD20202150083 ACRN:AK

AL CIN:F2DCDE1063A1020000AA PR:FD20202150083 ACRN:AL

AM CIN:F2DCDE1063A1020000AA PR:FD20202150083 ACRN:AM

AN CIN:F2DCDE1063A1020000AA PR:FD20202150083 ACRN:AN

AP CIN:F2DCDE1063A1020000AA PR:FD20202150083 ACRN:AP

ACRN TOTAL $ 0.00

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

5352.201-9101 OMBUDSMAN (OCT 2019)

(IAW AFFARS 5301.9103)

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))

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

0001AA DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AB DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AC DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AD DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AE DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AF DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AG DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AH DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AJ DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AK DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AL DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AM DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AN DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AP DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

0001AQ DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 84056-5820

(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

(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)

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:1377015715244ES

0001AA NSN:1377015715244ES

0001AB NSN:1377015715244ES

0001AC NSN:1377015715244ES

0001AD NSN:1377015715244ES

0001AE NSN:1377015715244ES

0001AF NSN:1377015715244ES

0001AG NSN:1377015715244ES

0001AH NSN:1377015715244ES

0001AJ NSN:1377015715244ES

0001AK NSN:1377015715244ES

0001AL NSN:1377015715244ES

0001AM NSN:1377015715244ES

0001AN NSN:1377015715244ES

0001AP NSN:1377015715244ES

0001AQ NSN:1377015715244ES

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 .

(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…

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File details come from the government source that posted it. Updated May 3, 2021.