FA8213-23-R-5004_0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA821323R50040001

3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO.

MULTIPLE

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 840565820

BUYER: Elizabeth Dykes/AFLCMC elizabeth.dykes@us.af.mil

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.

FA821323R5004

9B. DATED (SEE ITEM 11)

17MAR2023

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: Applied Energy Technology Corp; cage (57597). Kidde Technologies Inc.; cage (61423)

Clause 52.23218 “Subject to Availability of Funds” is applicable. Restricted to qualified sources. In order to be considered for award, the contractor shall be an approved source by the time of award. A qualification package is required for new sources. See clause 52.2091 and the attached source qualification statement for qualification requirements.

Prospective contractors may submit an offer on supplies bearing different part numbers from those cited in the solicitation. Proposals will not be considered if a qualification package is not submitted with the proposal.

Either a complete and adequate data package is not available to be provided as a part of this solicitation, or special materials, facilities, tooling, or test equipment which may be required for performance are not available from the government. Offers from firms not previously identified as sources for this requirement will only be considered when it can be determined prior to award that the item or services being offered will meet the government's requirements.

There is a First Article on this solicitation. If a a vendor has manufactured the item within the last 60 months, the First Article and its requirements are not required.

Bid A is when a First Article is required. This represents CLINs 0001 and all subCLINs 0001AA/AB/AC/AD/AE. CLIN 0002 and all subCLINS 0002AA/AB/AC/AD/AE/AF/AG. CLIN 0003 and all subCLINS 0003AA/AB/AC/AD/AE/AF.

Bid B is for when a First Article is NOT required. This represents CLIN 0004 and subCLINS 0004AA/AB. CLIN 0005 and all subCLINS 0005AA/AB/AC. CLIN 0006 and subCLINS 0006AA/AB/AC.

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 7540011528070

PREVIOUS EDITION UNUSABLE

30105 STANDARD FORM 30 (REV. 1083)

PRESCRIBED BY GSA

FAR (48 CFR) 53.243

X

X X

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

FA821323R50040001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to add additional required clauses that should have been incluced in original solicitation.

All other terms remain the same including the closing date.

PART I THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

BID A: DCMA and DFAS are required to withhold payment IAW DFAR 252.2277030 until CDRL A001, A005, A006, B001 & B002 have been delivered and/or approved by Hill AFB.

BID B: DCMA and DFAS are required to withhold payment IAW DFAR 252.2277030 until CDRL A001, A005, and A006 have been delivered and/or approved by Hill AFB.

Fire Extinguisher Cartridge

Bid A First Article Required Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012340912 ES 8784932 61423

NSN: 1377016765427 ES

BID AFIRST ARTICLE REQUIRED

FIRE EXT. CARTRIDGE

Manufacturer Part Number 57597 2003304 61423 8784932 Priority: R ROUTINE.

Applicability: None ;

Foreign Military Sales :FMS Case:

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

Serial Number Required

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI: F012552382

BID A FIRST ARTICLE UNITS

Bid A First Article Required Item No.

0001AA

BID A FIRST ARTICLE UNITS

Bid A First Article Required Not Separately Priced Quantity U/I Unit Price

1 LO NSP

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012340912 ES 8784932 61423

NSN: 1377016765427 ES

FIRST ARTICLE TEST PLAN

FIRE EXT. CARTRIDGE

TEST PLAN IAW WITH DD1423

Priority: R ROUTINE.

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

Serial Number Required

FIRST ARTICLE

Bid A First Article Required Item No.

0001AB

Not Separately Priced Quantity U/I Unit Price

10 EA NSP

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012340912 ES 8784932 61423

NSN: 1377016765427 ES

FIRST ARTICLE

FIRE EXT. CARTRIDGE

IAW 260

DODIC: MU92

Manufacturer Part Number 57597 2003304 61423 8784932 Priority: R ROUTINE.

Applicability: None ;

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

Serial Number Required

BID AFIRST ARTICLE INSPECTION REPORT

Bid A First Article Required Item No.

0001AC

Not Separately Priced Quantity U/I Unit Price

1 EA NSP

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012340912 ES 8784932 61423

NSN: 1377016765427 ES

BID AFIRST ARTICLE INSPECTION REPORT

Bid A First Article Required

FIRST ARTICLE TEST/INSPECTION REPORT

FIRE EXT. CARTRIDGE

TEST REPORT IAW WITH DD1423 ATTACHED

Manufacturer Part Number 57597 2003304 61423 8784932 Priority: R ROUTINE.

Buy American Act/Balance of Payments Program IUID Required: Yes Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 EA

Proposed Delivery

1 EA

FMS CASE Saudi Arabia SRDCDA

Bid A First Article Required Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

0001AD AA

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012340912 ES 8784932 61423

NSN: 1377016765427 ES

Fire Extinguisher CartridgeProduction

FIRE EXT. CARTRIDGE

FIRE SUPPRESSION SYS (LIFE SUPPORT)BALLISTIC DEVICE PREDOMINANT MAT'L STEEL AND ALUMINUM WITH EXPLOSIVE

CHARGE OF 4.6 GRAINS LGTH 1.66 INS AND IS ELECTRICALLY INITIATED.

DODIC: MU92

Manufacturer Part Number 57597 2003304 61423 8784932 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 __ ____

Applicability: None ;

FMS CASE Saudi Arabia SRDCDA

Bid A First Article Required Foreign Military Sales :FMS Case:SRDCDA Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Serial Number Required

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) Specified Date Req No / Pri

Required Delivery

* DSR004 5 EA 29 DEC 2023 DSRP8410345309

Proposed Delivery

* DSR004 5 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI Number: F012552382

Transportation Chargeable To: DFMS

Fire Extinguisher Cartridge

Bid A First Article Required Item No.

0001AE

Firm Fixed Price Quantity U/I Unit Price Amount

858 EA

CLIN ACRN ACRN Total

0001AE AC

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012340912 ES 8784932 61423

NSN: 1377016765427 ES

Fire Extinguisher CartridgeProduction

FIRE EXT. CARTRIDGE

FIRE SUPPRESSION SYS (LIFE SUPPORT)BALLISTIC DEVICE PREDOMINANT MAT'L STEEL AND ALUMINUM WITH EXPLOSIVE

CHARGE OF 4.6 GRAINS LGTH 1.66 INS AND IS ELECTRICALLY INITIATED.

DODIC: MU92

Manufacturer Part Number 57597 2003304 61423 8784932 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Fire Extinguisher Cartridge

Bid A First Article Required

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 __ ____

Applicability: None ;

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

Serial Number Required

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 ACCT

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

Required Delivery

C FV2172 858 EA 29 DEC 2023 NonMilStrip

Proposed Delivery

C FV2172 858 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI Number: F012552382

Transportation Chargeable To: DFMS

Fire Extinguisher Cartridge

Bid A First Article Required Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012258235 ES 8784922

NSN: 1377016767654 ES

BID AFIRST ARTICLE REQUIRED

First Article Test Plan

TEST PLAN IAW WITH DD1423

Fire Extinguisher Cartridge

Bid A First Article Required

DODIC: MU15

Manufacturer Part Number 57597 2003303 61423 8784922 Priority: R ROUTINE.

Applicability: None ;

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

Serial Number Required

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI: F012800272

BID A FIRST ARTICLE TEST PLAN

Bid A First Article Required Item No.

0002AA

Not Separately Priced Quantity U/I Unit Price

1 EA NSP

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012258235 ES 8784922

NSN: 1377016767654 ES

FIRST ARTICLE TEST PLAN

FIRST ARTICLE TEST PLAN

TEST PLAN IAW WITH DD1423

DODIC: MU15

Manufacturer Part Number 57597 2003303 61423 8784922 Priority: R ROUTINE.

Applicability: None ;

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

Serial Number Required

BID A FIRST ARTICLE

Bid A First Article Required Item No.

0002AB

Not Separately Priced

BID A FIRST ARTICLE

Bid A First Article Required Quantity U/I Unit Price

10 EA NSP

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012258235 ES 8784922

NSN: 1377016767654 ES

FIRST ARTICLE

FIRST ARTICLE

IAW 260

DODIC: MU15

Manufacturer Part Number 57597 2003303 61423 8784922 Priority: R ROUTINE.

Applicability: None ;

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

Serial Number Required

BID AINSPECTION REPORT

Bid A First Article Required Item No.

0002AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012258235 ES 8784922

NSN: 1377016767654 ES

FIRST ARTICLE TEST/INSPECTION REPORT

INSPECTION REPORT

TEST REPORT IAW WITH DD1423

DODIC: MU15

Manufacturer Part Number 57597 2003303 61423 8784922 Priority: R ROUTINE.

Applicability: None ;

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

Serial Number Required

FMS CASE Saudi Arabia SRDCDA

Bid A First Article Required Item No.

0002AD

Firm Fixed Price Quantity U/I Unit Price Amount

FMS CASE Saudi Arabia SRDCDA

Bid A First Article Required

10 EA

CLIN ACRN ACRN Total

0002AD AA

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012258235 ES 8784922

NSN: 1377016767654 ES

Fire Extinguisher Cartridge FIRE SUPPRESSION SYS (LIFE SUPPORT) BALISTIC DEVICE PREDOMINANT MAT'L STEEL AND ALUMINUM WITH EXPLOSIVE CHRG

OF 4.6 GRAINS LGTH 1.66 INS AND IS ELECTRICALLY INITIATED.

DODIC: MU15

Manufacturer Part Number 57597 2003303 61423 8784922 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 __ ____

Applicability: None ;

Foreign Military Sales :FMS Case:SRDCDA Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Serial Number Required

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) Specified Date _ Req No / Pri

Required Delivery

* DSR004 10 EA 29 DEC 2023 DSRP8420825312

Proposed Delivery

* DSR004 10 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI Number: F002800272

Transportation Chargeable To: DFMS

FMS CASE Turkey TKDCAX

Bid A First Article Required Item No.

0002AE

Firm Fixed Price Quantity U/I Unit Price Amount

12 EA

CLIN ACRN ACRN Total

0002AE AB

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012258235 ES 8784922

NSN: 1377016767654 ES

Fire Extinguisher Cartridge FIRE SUPPRESSION SYS (LIFE SUPPORT) BALISTIC DEVICE PREDOMINANT MAT'L STEEL AND ALUMINUM WITH EXPLOSIVE CHRG

OF 4.6 GRAINS LGTH 1.66 INS AND IS ELECTRICALLY INITIATED.

DODIC: MU15

Manufacturer Part Number 57597 2003303 61423 8784922 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 __ ____

Applicability: None ;

Foreign Military Sales :FMS Case:TKDCAX Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTK002 ORIGIN

Type / Ship To PACRN Mark For

* DTK002 DTKC00

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

Required Delivery

* DTK002 12 EA 29 DEC 2023 DTKC8420885327

Proposed Delivery

* DTK002 12 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI Number: F002800272

Transportation Chargeable To: DFMS

Fire Extinguisher Cartridge

Bid A First Article Required Item No.

0002AF

Firm Fixed Price Quantity U/I Unit Price Amount

279 EA

CLIN ACRN ACRN Total

0002AF AC

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012258235 ES 8784922 61423

NSN: 1377016767654 ES

Fire Extinguisher Cartridge FIRE SUPPRESSION SYS (LIFE SUPPORT) BALISTIC DEVICE PREDOMINANT MAT'L STEEL AND ALUMINUM WITH EXPLOSIVE CHRG

OF 4.6 GRAINS LGTH 1.66 INS AND IS ELECTRICALLY INITIATED.

DODIC: MU15

Manufacturer Part Number 57597 2003303 61423 8784922 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 9001:2015

Applicability: None ;

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

Serial Number Required

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 ACCT

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

Required

C FV2172 279 EA 29 DEC 2023

Fire Extinguisher Cartridge

Bid A First Article Required Proposed Delivery

C FV2172 279 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI Number: F002800272

Transportation Chargeable To: FGIX

Fire Extinguisher Cartridge

Bid A First Article Required Item No.

0002AG

Firm Fixed Price Quantity U/I Unit Price Amount

12 EA

CLIN ACRN ACRN Total

0002AG AG

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012258235 ES 8784922 61423

NSN: 1377016767654 ES

Fire Extinguisher Cartridge FIRE SUPPRESSION SYS (LIFE SUPPORT) BALISTIC DEVICE PREDOMINANT MAT'L STEEL AND ALUMINUM WITH EXPLOSIVE CHRG

OF 4.6 GRAINS LGTH 1.66 INS AND IS ELECTRICALLY INITIATED.

DODIC: MJ15

Manufacturer Part Number 57597 2003303 61423 8784922 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 9001:2015

Applicability: None ;

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

Serial Number Required

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Transportation Chargeable To:

Fire Extinguisher Cartridge

Bid A First Article Required Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377016729909 ES 8784922

NSN: 1377013915415 ES

BID AFIRST ARTICLE REQUIRED

First Article Test Plan

TEST PLAN IAW WITH DD1423

DODIC: MD61

Manufacturer Part Number 57597 201230 61423 4461611 Priority: R ROUTINE.

Applicability: None ;

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

Serial Number Required

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI: F012552382

BID A FIRST ARTICLE TEST PLAN

Bid A First Article Required Item No.

0003AA

Not Separately Priced Quantity U/I Unit Price

1 EA NSP

NSN: 1377013915415 ES

FIRST ARTICLE TEST PLAN

First Article Test Plan

TEST PLAN IAW WITH DD1423

DODIC: MD61

Manufacturer Part Number 57597 201230 61423 4461611

BID A FIRST ARTICLE TEST PLAN

Bid A First Article Required Priority: R ROUTINE.

Applicability: None ;

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

Serial Number Required

BID A FIRST ARTICLE

Bid A First Article Required Item No.

0003AB

Not Separately Priced Quantity U/I Unit Price

10 EA NSP

NSN: 1377013915415 ES

FIRST ARTICLE

First Article Test Plan

TEST PLAN IAW WITH DD1423

DODIC: MD61

Manufacturer Part Number 57597 201230 61423 4461611 Priority: R ROUTINE.

Applicability: None ;

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

Serial Number Required

BID A FIRST ARTICLE

Bid A First Article Required Item No.

0003AC

Not Separately Priced Quantity U/I Unit Price

1 EA NSP

NSN: 1377013915415 ES

FIRST ARTICLE TEST/INSP

First Article Test/ Inspection Report

TEST PLAN IAW WITH DD1423

DODIC: MD61

Manufacturer Part Number 57597 201230 61423 4461611 Priority: R ROUTINE.

Applicability: None ;

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

BID A FIRST ARTICLE

Bid A First Article Required Physical Item Markings:

Serial Number Required

BID A FIRST ARTICLE

Bid A First Article Required Item No.

0003AD

Firm Fixed Price Quantity U/I Unit Price Amount

27 EA

CLIN ACRN ACRN Total

0003AD AD

NSN: 1377013915415 ES

Fire Ext. Cart CYLINDRICAL CARTRIDGE. HOUSING IS STAINLESS STEEL WITH THREEPINELECTRICAL CONNECTOR ON ONE END AND A

PROPELLANT CUP ON OTHER END.

DODIC: MD61

Manufacturer Part Number 57597 201230 61423 4461611 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 90012008 2008

Applicability: None ;

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

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DATU00 ORIGIN

Type / Ship To PACRN Mark For

* DATU00 DATU00

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

Required Delivery

* DATU00 27 EA *12 Months DATU9420895304

Proposed

* DATU00 27 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI: F012552382

Transportation Chargeable To: DFMS

BID A FIRST ARTICLE

Bid A First Article Required Item No.

0003AE

Firm Fixed Price Quantity U/I Unit Price Amount

45 EA

CLIN ACRN ACRN Total

0003AE AE

NSN: 1377013915415 ES

Fire Ext. Cart CYLINDRICAL CARTRIDGE. HOUSING IS STAINLESS STEEL WITH THREEPINELECTRICAL CONNECTOR ON ONE END AND A

PROPELLANT CUP ON OTHER END.

DODIC: MD61

Manufacturer Part Number 57597 201230 61423 4461611 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 90012008 2008

Applicability: None ;

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

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DQAC00 ORIGIN

Type / Ship To PACRN Mark For

* DQAC00 DQAC00

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

Required Delivery

* DQAC00 45 EA *12 Months DQAC9410345308

Proposed

BID A FIRST ARTICLE

Bid A First Article Required

* DQAC00 45 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI: F012552382

Transportation Chargeable To: DFMS

BID A FIRST ARTICLE

Bid A First Article Required Item No.

0003AF

Firm Fixed Price Quantity U/I Unit Price Amount

47 EA

CLIN ACRN ACRN Total

0003AF AF

NSN: 1377013915415 ES

Fire Ext. Cart CYLINDRICAL CARTRIDGE. HOUSING IS STAINLESS STEEL WITH THREEPINELECTRICAL CONNECTOR ON ONE END AND A

PROPELLANT CUP ON OTHER END.

DODIC: MD61

Manufacturer Part Number 57597 201230 61423 4461611 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 90012008 2008

Applicability: None ;

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

Serial Number Required

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) *ARO Contract Req No / Pri

Required

BID A FIRST ARTICLE

Bid A First Article Required C FV2172 47 EA *12 Months

Proposed Delivery

C FV2172 47 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI: F012552382

Transportation Chargeable To: DFMS BID A: DCMA and DFAS are required to withhold payment IAW DFAR 252.2277030 until CDRL A001, A005, A006, B001 & B002 have been delivered and/or approved by Hill AFB.

BID B: DCMA and DFAS are required to withhold payment IAW DFAR 252.2277030 until CDRL A001, A005, and A006 have been delivered and/or approved by Hill AFB.

Fire Extinguisher Cartridge

Bid B First Article NOT Required Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012340912 ES 8784932 61423

NSN: 1377016765427 ES

Fire Extinguisher Cartridge

FIRE EXT. CARTRIDGE

Manufacturer Part Number 57597 2003304 61423 8784932 Priority: R ROUTINE.

Applicability: None ;

Foreign Military Sales :FMS Case:

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

Serial Number Required

Applicable SPI: F012552382

FMS CASE Saudi Arabia SRDCDA

Bid B First Article NOT Required Item No.

0004AA

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012340912 ES 8784932 61423

NSN: 1377016765427 ES

BASIC LINE ITEM

FIRE EXT. CARTRIDGE

FIRE SUPPRESSION SYS (LIFE SUPPORT)BALLISTIC DEVICE PREDOMINANT MAT'L STEEL AND ALUMINUM WITH EXPLOSIVE

CHARGE OF 4.6 GRAINS LGTH 1.66 INS AND IS ELECTRICALLY INITIATED.

DODIC: MU92

Manufacturer Part Number 57597 2003304 61423 8784932 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 __ ____

Applicability: None ;

Foreign Military Sales :FMS Case:SRDCDA Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Serial Number Required

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) Specified Date Req No / Pri

Required Delivery

* DSR004 5 EA 29 DEC 2023 DSRP8410345309

Proposed Delivery

* DSR004 5 EA

Applicable SPI Number: F012552382

Transportation Chargeable To: DFMS

Fire Extinguisher Cartridge

Bid B First Article NOT Required Item No.

0004AB

Firm Fixed Price Quantity U/I Unit Price Amount

858 EA

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012340912 ES 8784932 61423

NSN: 1377016765427 ES

Fire Extinguisher Cartridge

FIRE EXT. CARTRIDGE

FIRE SUPPRESSION SYS (LIFE SUPPORT)BALLISTIC DEVICE PREDOMINANT MAT'L STEEL AND ALUMINUM WITH EXPLOSIVE

CHARGE OF 4.6 GRAINS LGTH 1.66 INS AND IS ELECTRICALLY INITIATED.

DODIC: MU92

Manufacturer Part Number 57597 2003304 61423 8784932 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 __ ____

Applicability: None ;

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

Serial Number Required

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 ACCT

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

Required Delivery

C FV2172 858 EA 29 DEC 2023 NonMilStrip

Proposed

Fire Extinguisher Cartridge

Bid B First Article NOT Required

C FV2172 858 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI Number: F012552382

Transportation Chargeable To: FGIX

Fire Extinguisher Cartridge

Bid B First Article NOT Required Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012258235 ES 8784922

NSN: 1377016767654 ES

Fire Extinguisher Cartridge First Article Test Plan

TEST PLAN IAW WITH DD1423

DODIC: MU15

Manufacturer Part Number 57597 2003303 61423 8784922 Priority: R ROUTINE.

Applicability: None ;

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

Serial Number Required

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI: F012800272

FMS CASE Saudi Arabia SRDCDA

Bid B First Article NOT Required Item No.

0005AA

Firm Fixed Price Quantity U/I Unit Price Amount

FMS CASE Saudi Arabia SRDCDA

Bid B First Article NOT Required

10 EA

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012258235 ES 8784922

NSN: 1377016767654 ES

Fire Extinguisher Cartridge FIRE SUPPRESSION SYS (LIFE SUPPORT) BALISTIC DEVICE PREDOMINANT MAT'L STEEL AND ALUMINUM WITH EXPLOSIVE CHRG

OF 4.6 GRAINS LGTH 1.66 INS AND IS ELECTRICALLY INITIATED.

DODIC: MU15

Manufacturer Part Number 57597 2003303 61423 8784922 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 __ ____

Applicability: None ;

Foreign Military Sales :FMS Case:SRDCDA Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Serial Number Required

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) Specified Date _ Req No / Pri

Required Delivery

* DSR004 10 EA 29 DEC 2023 DSRP8420825312

Proposed Delivery

* DSR004 10 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Transportation Chargeable To: DFMS

FMS CASE Turkey TKDCAX

Bid B First Article NOT Required Item No.

0005AB

Firm Fixed Price Quantity U/I Unit Price Amount

12 EA

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012258235 ES 8784922

NSN: 1377016767654 ES

Fire Extinguisher Cartridge FIRE SUPPRESSION SYS (LIFE SUPPORT) BALISTIC DEVICE PREDOMINANT MAT'L STEEL AND ALUMINUM WITH EXPLOSIVE CHRG

OF 4.6 GRAINS LGTH 1.66 INS AND IS ELECTRICALLY INITIATED.

DODIC: MU15

Manufacturer Part Number 57597 2003303 61423 8784922 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 __ ____

Applicability: None ;

Foreign Military Sales :FMS Case:TKDCAX Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTK002 ORIGIN

Type / Ship To PACRN Mark For

* DTK002 DTKC00

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

Required Delivery

* DTK002 12 EA 29 DEC 2023 DTKC8420885327

Proposed Delivery

* DTK002 12 EA

Transportation Chargeable To: DFMS

Fire Extinguisher Cartridge

Bid B First Article NOT Required Item No.

0005AC

Firm Fixed Price Quantity U/I Unit Price Amount

279 EA

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012258235 ES 8784922 61423

NSN: 1377016767654 ES

Fire Extinguisher Cartridge Fire Extinguisher Cartridge FIRE SUPPRESSION SYS (LIFE SUPPORT) BALISTIC DEVICE PREDOMINANT MAT'L STEEL AND ALUMINUM WITH EXPLOSIVE CHRG

OF 4.6 GRAINS LGTH 1.66 INS AND IS ELECTRICALLY INITIATED.

DODIC: MU15

Manufacturer Part Number 57597 2003303 61423 8784922 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 9001:2015

Applicability: None ;

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

Serial Number Required

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 ACCT

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

Required Delivery

C FV2172 279 EA 29 DEC 2023

Proposed

C FV2172 279 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI Number: F002800272

Transportation Chargeable To: FGIX

Fire Extinguisher Cartridge

Bid B First Article NOT Required Item No.

0005AD

Firm Fixed Price Quantity U/I Unit Price Amount

12 EA

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377012258235 ES 8784922 61423

NSN: 1377016767654 ES

Fire Extinguisher Cartridge Fire Extinguisher Cartridge FIRE SUPPRESSION SYS (LIFE SUPPORT) BALISTIC DEVICE PREDOMINANT MAT'L STEEL AND ALUMINUM WITH EXPLOSIVE CHRG

OF 4.6 GRAINS LGTH 1.66 INS AND IS ELECTRICALLY INITIATED.

DODIC: MJ15

Manufacturer Part Number 57597 2003303 61423 8784922 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 9001:2015

Applicability: None ;

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

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

Required Delivery

12 EA *12 Months

Proposed Delivery

12 EA

Transportation Chargeable To:

Fire Extinguisher Cartridge

Bid B First Article NOT Required Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

27 EA

NSN: 1377013915415 ES

Fire Extinguisher Cartridge Fire Ext. Cart CYLINDRICAL CARTRIDGE. HOUSING IS STAINLESS STEEL WITH THREEPINELECTRICAL CONNECTOR ON ONE END AND A

PROPELLANT CUP ON OTHER END.

DODIC: MD61

Manufacturer Part Number 57597 201230 61423 4461611 Priority: R ROUTINE.

Applicability: None ;

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

Serial Number Required

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI: F012552382

Transportation Chargeable To: DFMS

Fire Extinguisher Cartridge

Bid B First Article NOT Required Item No.

0006AA

Firm Fixed Price Quantity U/I Unit Price Amount

27 EA

CLIN ACRN ACRN Total

0006AA AD

NSN: 1377013915415 ES

Fire Extinguisher Cartridge Fire Ext. Cart CYLINDRICAL CARTRIDGE. HOUSING IS STAINLESS STEEL WITH THREEPINELECTRICAL CONNECTOR ON ONE END AND A

PROPELLANT CUP ON OTHER END.

DODIC: MD61

Manufacturer Part Number 57597 201230 61423 4461611 Priority: R ROUTINE.

Fire Extinguisher Cartridge

Bid B First Article NOT Required

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 90012008 2008

Applicability: None ;

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

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DATU00 ORIGIN

Type / Ship To PACRN Mark For

* DATU00 DATU00

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

Required Delivery

* DATU00 27 EA *12 Months DATU9420895304

Proposed Delivery

* DATU00 27 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI: F012552382

Transportation Chargeable To: DFMS

Fire Extinguisher Cartridge

Bid B First Article NOT Required Item No.

0006AB

Firm Fixed Price Quantity U/I Unit Price Amount

45 EA

CLIN ACRN ACRN Total

0006AB AE

NSN: 1377013915415 ES

Fire Extinguisher Cartridge Fire Ext. Cart CYLINDRICAL CARTRIDGE. HOUSING IS STAINLESS STEEL WITH THREEPINELECTRICAL CONNECTOR ON ONE END AND A

PROPELLANT CUP ON OTHER END.

Fire Extinguisher Cartridge

Bid B First Article NOT Required

DODIC: MD61

Manufacturer Part Number 57597 201230 61423 4461611 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 90012008 2008

Applicability: None ;

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

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DQAC00 ORIGIN

Type / Ship To PACRN Mark For

* DQAC00 DQAC00

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

Required Delivery

* DQAC00 45 EA *12 Months DQAC9410345308

Proposed Delivery

* DQAC00 45 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI: F012552382

Transportation Chargeable To: DFMS

Fire Extinguisher Cartridge

Bid B First Article NOT Required Item No.

0006AC

Firm Fixed Price Quantity U/I Unit Price Amount

47 EA

CLIN ACRN ACRN Total

0006AC AF

Fire Extinguisher Cartridge

Bid B First Article NOT Required

NSN: 1377013915415 ES

Fire Extinguisher Cartridge Fire Ext. Cart CYLINDRICAL CARTRIDGE. HOUSING IS STAINLESS STEEL WITH THREEPINELECTRICAL CONNECTOR ON ONE END AND A

PROPELLANT CUP ON OTHER END.

DODIC: MD61

Manufacturer Part Number 57597 201230 61423 4461611 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 90012008 2008

Applicability: None ;

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

Serial Number Required

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) *ARO Contract Req No / Pri

Required Delivery

C FV2172 47 EA *12 Months

Proposed Delivery

C FV2172 47 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

Applicable SPI: F012552382

Transportation Chargeable To: FGIX

BID B FIRST ARTICLE NOT REQUIRED

Bid B First Article NOT Required Item No.

Not Separately Priced

BID B FIRST ARTICLE NOT REQUIRED

Bid B First Article NOT Required Quantity U/I Unit Price

1 LO NSP

DATA

Data

BID B DATA

DATA IAW DD 14231 ATTACHED TO BASICA001AMUNITION DATA CARDA002ENGINEERING CHANGE PROPOSALA003NOTICE OF REVISIONA004REQUEST FOR VARIANCEA005LOT ACCEPTANCE TEST PLANA006TEST/INSPECTION REPORTA007FAILURE SUMMARY AND ANALYSIS REPORTB001First Article Test Inspection Report ,Contractor TestB002Test Plan and Procedures Priority: R ROUTINE.

Exhibit: A

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: B 1423

IAW DD FORM 1423

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

AWARD NUMBER:

TYPE/CODE: C FV2172

649 MUNS MXW

6024 PINE LANE

BLDG 1377 BAY 2

HILL AIR FORCE BASE UT 840565707

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: * DAER00

SUPPLEMENTAL ADDRESS CODE: DXXCAA

FMS CASE CODE/LOA:

MAPAC SHIP TO CODE: DAER00

MAPAC MARK FOR: DAER00

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

AWARD NUMBER:

TYPE/CODE: * DATU00

SUPPLEMENTAL ADDRESS CODE: DXXQAJ

FMS CASE CODE/LOA: ATDQAJ

MAPAC SHIP TO CODE: DATU00

MAPAC MARK FOR: DATU00

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

AWARD NUMBER:

TYPE/CODE: * DQAC00

SUPPLEMENTAL ADDRESS CODE: DXXQAI

FMS CASE CODE/LOA: QADQAI

MAPAC SHIP TO CODE: DQAC00

MAPAC MARK FOR: DQAC00

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: SRDCDA

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: DZ2CAX

FMS CASE CODE/LOA: TKDCAX

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 C

DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

SPECIFICATIONS, STANDARDS AND DRAWINGS (MAY 1993)

(IAW FAR 11.201)

Specifications, standards or drawings (as applicable) are furnished/listed below or are listed in Section J herein. The contractor shall perform in accordance with those specifications and/or the attachments listed in Section J:

ITEM NR SPECIFICATIONS, STANDARDS AND/OR ATTACHMENTS

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 higherlevel 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)

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.

52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

(IAW FAR 11.703(b))

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1))

52.242-17 GOVERNMENT DELAY OF WORK (APR 1984)

(IAW FAR 42.1305(c))

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

(IAW FAR 47.303-1(c))

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

(IAW FAR 47.303-2(c))

52.247-33 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, lessload, _____________________wharf, flatcar, driveaway, etc.)

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

(IAW FAR 47.303-6(c))

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))

52.247-57 TRANSPORTATION TRANSIT PRIVILEGE CREDITS (APR 1984)

(IAW FAR 47.305-13(b)(4))

(d) The rate per CWT quoted will be used by the Government to evaluate the offered f.o.b. origin price unless a lower rate is applicable on the date of bid opening (or closing date specified for receipt of offers). To have the offer evaluated on this basis, the offeror must insert below the remaining transportation charges that the offeror agrees to pay, including any transit charges, subject to reimbursement by the Government, as explained in this clause, to destinations listed in the Schedule as follows:

RATE PER CWT IN CENTS ____________________

TO DESTINATION ____________________________

(Applicable when potential transit credits may apply)

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

(IAW FAR 47.305-15(a)(2))

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

(IAW FAR 47.305-16(a))

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

(IAW FAR 47.305-16(c))

52.247-65 F.O.B. ORIGIN, PREPAID FREIGHT--SMALL PACKAGE SHIPMENTS (JAN 1991)

(IAW FAR 47.303-17(f))

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” (standalone) and “Receiving Report” (standalone) 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 backup 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 email 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 8666185988.

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

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

PSR: 358905 FSR: 059176 DSR: 393011

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

PSR: 426778 FSR: 054301 DSR: 393014

AC 57 23011 . H8 2 LC HN 355104 4E27A1 63681 78070F 503000 F03000 $0.00

PSR: C36520 FSR: 093074 DSR: 245919

AD 9711X8242 .0002 4F X LC HN CQAJAT 20M4R1 63681 038000 503000 F03000 $0.00

PSR: 357352 FSR: 034931 DSR: 075157

AE 9711X8242 .0002 4F X LC HN CQAIQA 20M4R1 63681 039000 503000 F03000 $0.00

PSR: 534240 FSR: 070585 DSR: 075205

AF 57 33011 . H8 3 LC HN 355104 4E27A1 63681 78070F 503000 F03000 $0.00

PSR: C28130 FSR: 090838

AG NAVY $0.00

REFERENCE:

AA CIN: F2DCDE2299A1010000AA

PR: FD20202250041 F2DCDE2299A101

AB CIN: F2DCDE2299A1010000AB

PR: FD20202250041 F2DCDE2299A101

AC CIN: F2DCDE2265A1010000AA

PR: FD20202250040 F2DCDE2265A101

AD CIN: F2DCDE2262A1010000AA

PR: FD20202250044 F2DCDE2262A101

AE CIN: F2DCDE2262A1010000AB

PR: FD20202250044 F2DCDE2262A101

AF PR: FD20202350072

CIN: TEMP42869940000AA

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 203301060, phone number (571) 2562395, facsimile number (571) 2562431.

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…