FA8213-23-R-5008_0002.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA821323R50080002

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.

FA821323R5008

9B. DATED (SEE ITEM 11)

6MAR2023

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. 4MAY2023 5:00 PM

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: Chemring; cage (93455). Rockwell Collins; cage (13499)

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

Clause 52.23218 “Subject to Availability of Funds” is applicable.

Saudi Arabia: SR, Israel: IS, Turkey: TK

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.

FA821323R50080002

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.

Extend the Closing date

From: 25 APRIL 2023

To: 04 May 2023

PART I THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

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

Initiator, GastoGas

Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377002380552 ES 21303001

NSN: 1377014250548 ES

INITIATOR, GAS TO GAS

ACFT EJECTION SYS (LIFE SUPPORT) BALLISTIC DEVICE. PREDOM MAT'L IS ALUMINUM WITH EXPLOSIVE CHARGE OF 0.0003 LBS, LENGTH 4.7 IN, DIAMETER 1.0 IN AND IS BALLISTIC INITIATED.

DODIC: M720

Manufacturer Part Number 17610 21303001 93455 6124100 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:

IAW MILSTD130

Serial Number Required

Initiator, GastoGas

Saudi Arabia SRDCDA Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

80 EA

CLIN ACRN ACRN Total

0001AA AA

NSN: SAME

Same as basic item above

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

Foreign Military Sales :FMS Case:SRDCDA 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) *ARO Contract _ Req No / Pri

Required Delivery

* DSR004 80 EA *18 Months DSRP8420825322

Proposed Delivery

* DSR004 80 EA

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

SPI#: F011676621

TAC: DFMS

Initiator, GastoGas

Israel ISDCBO Item No.

0001AB

Firm Fixed Price

Initiator, GastoGas

Israel ISDCBO Quantity U/I Unit Price Amount

53 EA

Sub CLIN ACRN ACRN Total

000102 AB

SAME

Same as basic item above

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

Foreign Military Sales :FMS Case:ISDCBO IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DIS002 ORIGIN

Type / Ship To PACRN Mark For

* DIS002 DISA00

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

Required Delivery

* DIS002 53 EA *18 Months DISA8N20835330

Proposed Delivery

* DIS002 53 EA

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

SPI#: F011676621

TAC: DFMS

Initiator, GastoGas

Turkey TKDCAX Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

Initiator, GastoGas

Turkey TKDCAX Sub CLIN ACRN ACRN Total

000102 AC

SAME

Same as basic item above

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

Foreign Military Sales :FMS Case:TKDCAX 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) *ARO Contract _ Req No / Pri

Required Delivery

* DTK002 4 EA *18 Months DTKC8420885340

Proposed Delivery

* DTK002 4 EA

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

SPI#: F011676621

TAC: DFMS

Initiator, GastoGas

USAF

Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

112 EA

CLIN ACRN ACRN Total

0001AD AD

SAME

Initiator, GastoGas

USAF

Same as basic item above

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

Foreign Military Sales :FMS Case:

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 112 EA *18 Months

Proposed Delivery

C FV2172 112 EA

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

SPI#: F011676621

TAC: FIRZ

Initiator

Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377016488442 ES 213019002

NSN: 1377014148933 ES

INITIATOR, GAS TO GAS

ACFT EJECTION SYS (LIFE SUPPORT) BALLISTIC DEVICE, PREDOM MAT'L ISALUMINUM WITH EXPLOSIVE CHARGE OF 0.0003 LBS, LENGTH 4.680 IN, DIAMETER 1.0 IN ANDBALLISTIC INITIATED.

Initiator

DODIC: MU78

Manufacturer Part Number 17610 213019002 93455 6121100 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:

IAW MILSTD130

Serial Number Required

Initiator

Saudi Arabia SRDCDA Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

48 EA

CLIN ACRN ACRN Total

0002AA AA

SAME

Same as basic item above Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

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

Foreign Military Sales :FMS Case:SRDCDA IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

Initiator

Saudi Arabia SRDCDA

* DSR004 ORIGIN

Type / Ship To PACRN Mark For

* DSR004 DSRP00

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

Required Delivery

* DSR004 48 EA *18 Months DSRP8420825301

Proposed Delivery

* DSR004 48 EA

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

SPI#: F012717161

TAC: DFMS

Initiator

Israel ISDCBO Item No.

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

39 EA

CLIN ACRN ACRN Total

0002AB AB

SAME

Same as basic item above Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

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

Foreign Military Sales :FMS Case:ISDCBO IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DIS002 ORIGIN

Type / Ship To PACRN Mark For

Initiator

Israel ISDCBO

* DIS002 DISA00

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

Required Delivery

* DIS002 39 EA *18 Months DISA8N20835318

Proposed Delivery

* DIS002 39 EA

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

SPI#: F012717161

TAC: DFMS

Initiator

Turkey TKDCAX Item No.

0002AC

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0002AC AC

SAME

Same as basic item above Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

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

Foreign Military Sales :FMS Case:TKDCAX 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) *ARO Contract _ Req No / Pri

Initiator

Turkey TKDCAX Required Delivery

* DTK002 2 EA *18 Months DTKC8420885339

Proposed Delivery

* DTK002 2 EA

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

SPI#: F012717161

TAC: DFMS

Initiator Cartridge

Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377013187696 ES 31239006

NSN: 1377014148935 ES

INITIATOR CARTRIDGE

ACFT EJECTION SYS (LIFE SUPPORT) BALLISTIC DEVICE. PREDOMINANT MATERIAL IS ALUMINUM WITH EXPLOSIVE CHRGE OF

.0004 LENGTH 4.68 IN, DIAM 1.030 IN GAS INITIATED.

DODIC: MU84

Manufacturer Part Number 17610 31239006 93455 6123100 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:

Initiator Cartridge

Saudi Arabia SRDCDA Item No.

0003AA

Firm Fixed Price Quantity U/I Unit Price Amount

30 EA

CLIN ACRN ACRN Total

0003AA AA

NSN: SAME

Same as basic item above

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

Foreign Military Sales :FMS Case:SRDCDA 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) *ARO Contract _ Req No / Pri

Required Delivery

* DSR004 30 EA *18 Months DSRP8420825319

Proposed Delivery

* DSR004 30 EA

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

SPI#: F011676621

TAC: DFMS

Initiator Cartridge

USAF

Item No.

0003AB

Firm Fixed Price

Initiator Cartridge

USAF

Quantity U/I Unit Price Amount

142 EA

CLIN ACRN ACRN Total

0003AB AD

SAME

Same as basic item above

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

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 142 EA *18 Months

Proposed Delivery

C FV2172 142 EA

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

SPI#: F011676621

TAC: FIRZ

Initiator Cartridge

Item No.

GROUP STOCK NO P/N CAGE

Initiator Cartridge

Group 001 Alternate 1377013187697 ES 31239005

NSN: 1377014148934 ES

INITIATOR CARTRIDGE

ACFT EJECTION SYS (LIFE SUPPORT) BALLISTIC DEVICE. PREDOM MATL ISALUMINUM WITH EXPLOSIVE CHARGE OF .0004, LENGTH 4.68 IN, DIAM 1.030 IN. GAS INITIATED.

DODIC: MU87

Manufacturer Part Number 17610 31239005 93455 6122100 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:

IAW MILSTD130

Serial Number Required

Initiator Cartridge

Saudi Arabia SRDCDA Item No.

0004AA

Firm Fixed Price Quantity U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

0004AA AA

SAME

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

Foreign Military Sales :FMS Case:SRDCDA IUID Required: Yes Physical Item Markings:

Initiator Cartridge

Saudi Arabia SRDCDA

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) *ARO Contract _ Req No / Pri

Required Delivery

* DSR004 10 EA *18 Months DSRP8420825318

Proposed Delivery

* DSR004 10 EA

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

SPI#: F011676621

TAC: DFMS

Initiator Cartridge

USAF

Item No.

0004AB

Firm Fixed Price Quantity U/I Unit Price Amount

159 EA

CLIN ACRN ACRN Total

0004AB AD

SAME

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

Foreign Military Sales :FMS Case:

IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

Initiator Cartridge

USAF

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 159 EA *18 Months

Proposed Delivery

C FV2172 159 EA

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

SPI#: F011676621

TAC: FIRZ

Initiator Cartridge

Saudi Arabia SRDCDA Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

18 EA

CLIN ACRN ACRN Total

0005 AA

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377002991512 ES

NSN: 1377011664265 ES

Initiator, Propellant Actuated ACFT EJECTION SYS (LIFE SUPPORT) BALLISTIC DEVICE. PREDOM MAT'L ISALUMINUM WITH EXPLOSIVE CHARGE OF 0.0007 LBS, LENGTH 4.70 IN, WIDTH 2.45IN AND ISMECHANICAL INITIATED.

DODIC: MH64

Manufacturer Part Number 17610 22715001 93455 6028200 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 ;

Initiator Cartridge

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

IAW MILSTD130

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) *ARO Contract _ Req No / Pri

Required Delivery

* DSR004 18 EA *18 Months DSRP8420825302

Proposed Delivery

* DSR004 18 EA

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

SPI#: F001383770

TAC: DFMS

DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA IAW DD 14231 ATTACHED HERE TO EXHIBIT A

Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection

CDRLs included in this CLIN include the following:

A001Ammunition Data Card (ADC)

A002Engineering Change Proposal (ECP)

A003Notice of Revision (NOR)

A004Request for Variance (RFV)

A005 Acceptance Test Plan

A006Test/Inspection Report

A007Failure Summary and Analysis Report

A008Obsolescence Alert Notice

A009Report of Receipts, Inventory, Adjustments and Shipments of Government Property

SHIP TO / PLACE OF PERFORMANCE

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: * DIS002

SUPPLEMENTAL ADDRESS CODE: DZ2CBO

FMS CASE CODE/LOA: ISDCBO

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: * 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 D

PACKAGING AND MARKING

MILSTD130: Items shall be marked in accordance with MILSTD130. The National Stock Number (NSN), and when assigned, the Configuration Item Identifier (CII), serial number, and military type designation information shall be marked on major assemblies, units, groups, and sets. Special attention must be given to requirements governing the application of the actual manufacturer's Federal Supply Code for Manufacturers (FSCM) to the physical item. Items which are excluded in accordance with paragraph 1.1 of MILSTD130, Revision M, shall be marked in accordance with the appropriate document.

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

MILSTD129/ASTMD3951:

a. Interior packages and shipping containers shall be marked in accordance with MILSTD129 when Military packing is specified and ASTMD3951 when commercial packaging is specified. The requirements of paragraph 2.h apply regardless of which packaging is utilized.

(1) Design manufacturer's name, trademark or manufacturer's code (from Cataloging Handbook H41 or H42), identifying number, and serial number, when applicable, shall be included in the identification marking.

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

b. Tags and labels, when required, shall be contractor's tags or labels conforming to the requirements of MILSTD129 or as approved by the procuring activity. Contractor's forms which indicate serviceable condition shall not be any shade of green or red. Labels are authorized to be used on metal containers. Items requiring technical order (T.O.)

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

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

d. All interior packages and shipping containers for articles and materials classified as hazardous or restricted under provisions of Title 49, Code of Federal Regulations, or AFR 714/DLAM 4145.3/TM 38250/NAVSUP PUB 505/MCO P

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

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

e. On shipments of firearms regardless of mode of transportation, selected elements of identification and contractor data markings shall be omitted or obliterated in accordance with the requirements of MILSTD129 regarding sensitive items and packing lists shall be placed only inside the containers.

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

MILSTD129.

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

CONTAINERS."

h. Bar code markings in accordance with MILSTD129 shall apply to all units, intermediate and exterior containers for all items going into stock regardless of package size or levels of package specified (including commercial packaging). In addition to the NSN/NATO stock number, the exterior shipping container shall include the 13 digit contract number (plus, if applicable, the four digit call number). Excluded from Bar Code Marking are:

(1) Foreign Military Sales.

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

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

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

i. Shipments of wheeled items weighing 2,000 pounds or more and scheduled for transportation by military aircraft will be marked with the individual axle weights in accordance with MILSTD129.

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

a. Container markings shall be as specified in MILSTD129. The period or conditions of the warranty shall be specifically stated, i.e., landings, flight hours, operating hours, days from shipping date, etc.

b. Items shall be marked in accordance with requirements of MILSTD130. Markings shall be located in a manner so as to be conspicuous to the person removing the item from service. When no deleterious effect or functional degradation is caused, the markings shall be black letters on yellow FEDSTD595 color 13655) background. The marking shall include the same period or condition required on the containers.

PART I THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

52.246-2 INSPECTION OF SUPPLIES--FIXED-PRICE (AUG 1996)

(IAW FAR 46.302)

52.246-11 HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT (DEC 2014)

(IAW FAR 46.311, DFARS 246.202-4(1))

(a) The Contractor shall comply with the 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)

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 FILLIN]

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.

52.211-17 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))

52.247-55 F.O.B. POINT FOR DELIVERY OF GOVERNMENT-FURNISHED PROPERTY

(JUN 2003)

(IAW FAR 47.305-12(a)(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 ____________________________

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))

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 FILLIN]

HAZARDOUS CLASSIFICATION (MAY 1998)

(IAW FAR 47.305-9(c))

For the purpose of identifying commodity description and freight classification of explosives and other dangerous supplies, the following applies.

Hazardous Classification Line Item 0001

Hazardous Class Division 1.4

Storage Compatibility Group C DOT Marking EX1988050717A

DOT Class 1.4 DOT Label Explosive 1.4C

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

Freight Classification Line Item 0001AA

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1988050717A DOT Class 1.4C DOT Label Explosive 1.4C

UN Serial No 0276 UN Proper Ship Name CARTRIDGES, POWER DEVICE

Freight Classification Line Item 0001AB

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1988050717A DOT Class 1.4C DOT Label Explosive 1.4C

UN Serial No 0276 UN Proper Ship Name CARTRIDGES, POWER DEVICE

Freight Classification Line Item 0001AC

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1988050717A DOT Class 1.4C DOT Label Explosive 1.4C

UN Serial No 0276 UN Proper Ship Name CARTRIDGES, POWER DEVICE

Freight Classification Line Item 0001AD

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1988050717A DOT Class 1.4C DOT Label Explosive 1.4C

UN Serial No 0276 UN Proper Ship Name CARTRIDGES, POWER DEVICE

Freight Classification Line Item 0002

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1988050719B DOT Class 1.4 DOT Label EXPLOSIVE 1.4C

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

Freight Classification Line Item 0002AA

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1988050719B DOT Class 1.4C DOT Label Explosive 1.4C

UN Serial No 0276 UN Proper Ship Name CARTRIDGES, POWER DEVICE

Freight Classification Line Item 0002AB

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1988050719B DOT Class 1.4C DOT Label Explosive 1.4C

UN Serial No 0276 UN Proper Ship Name CARTRIDGES, POWER DEVICE

Freight Classification Line Item 0002AC

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1988050719B DOT Class 1.4C DOT Label Explosive 1.4C

UN Serial No 0276 UN Proper Ship Name CARTRIDGES, POWER DEVICE

Freight Classification Line Item 0003

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1992110174A DOT Class 1.4 DOT Label EXPLOSIVE 1.4C

UN Serial No 0276 UN Proper Ship Name CARTRIDES, POWER DEVICE

Freight Classification Line Item 0003AA

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1992110174A DOT Class 1.4C DOT Label Explosive 1.4C

UN Serial No 0276 UN Proper Ship Name CARTRIDGES, POWER DEVICE

Freight Classification Line Item 0003AB

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1992110174A DOT Class 1.4C DOT Label Explosive 1.4C

UN Serial No 0276 UN Proper Ship Name CARTRIDGES, POWER DEVICE

Freight Classification Line Item 0004

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1992110173A DOT Class 1.4 DOT Label Explosive 1.4C

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

Freight Classification Line Item 0004AA

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1992110173A DOT Class 1.4C DOT Label EXPLOSIVE 1.4C

UN Serial No 0276 UN Proper Ship Name CARTRIDGES, POWER DEVICE

Freight Classification Line Item 0004AB

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1992110173A DOT Class 1.4C DOT Label EXPLOSIVE 1.4C

UN Serial No 0276 UN Proper Ship Name CARTRIDGES, POWER DEVICE

Freight Classification Line Item 0005

Hazardous Class Division 1.4 Storage Compatibility Group C

DOT Marking EX1988080375 DOT Class 1.4 DOT Label EXPLOSIVE 1.4C

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

Freight Classification

PART I THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(IAW DFARS 232.7004(b), PGI 232.7004(b)(1), DFARS 212.301(f)(liii))

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

(1) Document type. The Contractor shall use the following document type(s).

(Contracting Officer: Insert applicable document type(s).

Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (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: 229757

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

PSR: 107479 FSR: 014436 DSR: 229962

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

PSR: 426778 FSR: 054301 DSR: 230081

AD 57 S3011 . H8 3 LC HN 355101 4E27A1 63681 78070F 503000 F03000 $0.00

PSR: C28125 FSR: 090838

REFERENCE:

AA PR: FD20202350080

CIN: F2DCDE3011A1010000AA

AB PR: FD20202350080

CIN: F2DCDE3011A1010000AB

AC PR: FD20202350080

CIN: F2DCDE3011A1010000AC

AD PR# FD20202350079

CIN: F2DCDE3005A1010000AA

ACRN TOTAL $ 0.00

ACTIVITY ADDRESS CODE/ROUTING IDENTIFIER CODE (RIC) (MAR 2010)

(IAW AFI 24-230, DoD 4000.25-6M)

The Contractor shall use Activity Address Code (EZ/EY/EJ/ED/EB/EP) ____*__________, when receiving, taking custody, issuing, or shipping DoD assets. Contractor will use Routing Identifier Code (RIC) __**__ for accessing Government Data Systems.

*Activity Address Code **RIC City State

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 (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

(NOV 2021)

(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

(NOV 2021)

(IAW FAR 4.2004)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

(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 (MAR 2022)

(IAW DFARS 204.7304(e))

252.204-7022 EXPEDITING CONTRACT CLOSEOUT (MAY 2021)

(IAW DFARS 204.804-70)

252.205-7000 PROVISION OF INFORMATION TO COOPERATIVE AGREEMENT HOLDERS

(DEC 1991)

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

52.209-1 QUALIFICATION REQUIREMENTS (FEB 1995)

(IAW FAR 9.206-2)

(b)

Item No Agency Name/Address

0001 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0001AA DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0001AB DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0001AC DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0001AD DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0002 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0002AA DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0002AB DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0002AC DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0003 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0003AA DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0003AB DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0004 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0004AA DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0004AB DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

0005 DEPARTMENT OF THE AIR FORCE

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE, UT 840565820

(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

(NOV 2021)

(IAW FAR 9.409)

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING RESPONSIBILITY

MATTERS (OCT 2018)

(IAW FAR 9.104-7(c))

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

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

GOVERNMENT OF A COUNTRY THAT IS A STATE SPONSOR OF TERRORISM

(MAY 2019)

(IAW DFARS 209.409)

252.209-7009 ORGANIZATIONAL CONFLICT OF INTEREST--MAJOR DEFENSE ACQUISITION

PROGRAM (MAY 2019)

(IAW DFARS 209.571-8(b))

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: 1377014250548ES

0001AA NSN: 1377014250548ES

0001AB NSN: 1377014250548ES

0001AC NSN: 1377014250548ES

0001AD NSN: 1377014250548ES

0002 NSN: 1377014148933ES

0002AA NSN: 1377014148933ES

0002AB NSN: 1377014148933ES

0002AC NSN: 1377014148933ES

0003 1377014148935ES

0003AA NSN: 1377014148935ES

0003AB NSN: 1377014148935ES

0004 NSN: 1377014148934ES

0004AA NSN: 1377014148934ES

0004AB NSN: 1377014148934ES

0005 NSN: 1377011664265ES

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 2022)

(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 https://www.acq.osd.mil/asda/dpc/ce/ds/uniqueid.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 https://www.acq.osd.mil/asda/dpc/ce/ds/uniqueid.html.

(c) Unique item identifier.

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

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

Contract Line, Subline, or Exhibit Line Item Number

Item Description

See Schedule as Applicable

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

Contract Line, Subline, or Exhibit Line Item Number

Item Description

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

See Schedule as Applicable

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

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

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

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

(1) End items shall be reported using the receiving report capability in Wide Area WorkFlow (WAWF) in accordance with the clause at 252.2327003. If WAWF is not required by this contract, and the contractor is not using WAWF, follow the procedures at http://dodprocurementtoolbox.com/site/uidregistry/ .

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

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

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

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

252.211-7007 REPORTING OF GOVERNMENT-FURNISHED PROPERTY (MAR 2022)

(IAW DFARS 211.274-6(b), DFARS 212.301(f)(iv))

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

(IAW FAR 15.209(b)(1))

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

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

52.215-14 INTEGRITY OF UNIT PRICES (NOV 2021)

(IAW FAR 15.408(f)(1))

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

CONCERNS (OCT 2022)

(IAW FAR 19.1309(b))

(b) Waiver of evaluation preference.

__ Offeror elects to waive the evaluation preference.

52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS (OCT 2022)

(IAW FAR 19.708(a))

52.219…