Solicitation_Attachments.PDF

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: D001 title: Contractor's Progress, Status, and Management Report sub: Monthly Status Report auth: DI-MGMT-80368A ref: PWS 10.4 req_ofc: 415 SCMS/GUMBB dd250: LT appcode: N/A dist: D freq: MTHLY asof: 7 firstsub: See Blk 16 subsub: See Blk 16 addressee1: 415 SCMS/GUMBB draft1:

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total_draft: 0 total_reg: 1 total_repro: 4 remarks: Changes to names and office symbols, when necessary, shall be made by letter through the CO/ACO without revision to this CDRL.

Block 4: Modify DID para. 2.2 to submit report as either a paper or electronic document (see Block 14 reference below). Modify DID para. 3.2.1.e to include all progress/status on each repair and part number.

Block 9: Data Submittal shall be marked with the following on the cover page: DISTRIBUTION STATEMENT D: Distribution is limited to DoD and DoD contractors only. Reason is administrative or operational use. Other requests for this data shall be referred to 415 SCMS/GUMAA. DESTRUCTION NOTICE: Destroy by any means that will prevent disclosure of contents or reconstruction of document.

Blocks 10, 11, 12 & 13: Contractor shall deliver the Progress, Status, and Management Report monthly at the 10th of each month. First submission 1 month after kickoff. Government comments provided to the contractor within 1 week after receipt, with contractor re-submittal due 1 week after receipt of comments.

Block 14: Document submission shall be made electronically using MS Office 2010 or later format, those documents not compatible with MS Office shall be delivered in Adobe Acrobat PDF format. Addressees:

Electronic copies are preferred and may be sent to:

AFMC OL:H/PZAAA, PCO (TBD) @us.af.mil (For PCO name see contract) david.stephens.6@us.af.mil kimber.covert.1@us.af.mil kendric.hornsby@us.af.mil 415SCMS.EN@us.af.mil

DODAAC: (If Applicable) FY2073 Attn: Kendric Hornsby Engineer

415 SCMS/GUMBB

6012 Fir Ave Bldg 1239 Hill AFB, UT 84056-5820 group: NSP total_price: 0.00 prep_name: Engineer 415 SCMS/GUMBB line_item:

exhibit: B xtdp: Off xtm: Off othercat: ILSS system: AN/MST-T1 (V) / Repairable Parts ctr_no: FD2020-18-01643 contr:

remarksb:

Page2:

Reset:

2019-07-22T14:48:48-0600

HORNSBY.KENDRIC.R.1387611564

prep_date: 7/22/2019 app_by: Bryson Kent 415 SCMS/GUMBB

2018-01-17T12:11:58-0700

KENT.BRYSON.C.1385517986

app_date: 01/17/2018

Page:

of_pages:

app: Adobe Professional 8.0

SECTION L

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS

A. INTRODUCTION:

1. This section provides guidance for preparing proposals and specific instructions on the required format and content. To assure timely and equitable proposal evaluation, offerors shall propose in accordance with this section and all solicitation requirements (i.e. provisions, clauses, appendices, attachments, forms, etc.). Non-conformance with the instructions provided in this section or the requirements and statements of the solicitation may result in an unfavorable evaluation or proposal disqualification (i.e. the offeror was non-responsive to the solicitation requirements).

2. The government representatives identified below shall be the sole points of contact for this acquisition. All questions, comments, and/or concerns shall be directed to the below points of contact.

Contract Specialist Contracting Officer Logan Kashanipour Heike Bell 6050 Gum Lane, Bldg 1215 6050 Gum Lane, Bldg 1215 Hill AFB, UT 84056 Hill AFB, UT 84056 Email: logan.kashanipour@us.af.mil EMAIL: heike.bell.1@us.af.mil Tel: 801-777-8693 Tel: 801-777-9173

3. If an offeror believes that the solicitation contains errors, omissions, or is otherwise unsound (i.e. the offeror is unable to agree to the proposed delivery schedule), the offeror shall immediately notify the aforementioned government representative in writing with supporting rationale. Upon consideration the government may continue, amend, or cancel the solicitation.

4. The government reserves the right to award this effort based on initial proposals, as received, without discussions IAW FAR 52.215-1. However, if the Contracting Officer (CO) determines that entering into discussions is in the best interest of the Government, the CO may do so.

5. The government intends to award the requirement(s) represented in this solicitation to one awardee. However, the Government reserves the right to award no contract at all.

B. PROPOSAL FORMAT:

1. A digital proposal is required; however, offerors may submit a hardcopy proposal in addition to the digital proposal.

a. Email to the aforementioned government representative(s) is the preferred method for delivering digital proposals.

b. Hardcopy proposals shall be submitted via courier to the aforementioned government representative(s).

2. Offerors shall fill in their proposed prices and delivery dates in Part I Section B of the Solicitation.

3. Offerors shall fill in the Inspection and Acceptance clause, as well as the F.O.B Origin clause in Part I Section E of the solicitation.

4. Offerors shall fill in their representations, certifications, and other statements as in Part IV Section K of the solicitation.

SECTION M

EVALUATION FACTORS FOR AWARD

1 GENERAL

1.1 Basis for Contract Award

This is a Price only source selection conducted in accordance with Federal Acquisition

Regulation (FAR) Part 15, Contracting by Negotiation, as supplemented by the Defense Federal

Acquisition Regulation Supplement (DFARS), the Air Force Federal Acquisition Regulation

Supplement (AFFARS), and Air Force Mandatory Procedures 5315.3. The Government will select the proposals with the lowest evaluated price from among those that are qualified on the

Air Force Form 762.

1.2 Contract(s) may be awarded to the offeror(s) who is/are deemed responsible in accordance with FAR Part 9.1, as supplemented, whose proposal conforms to the solicitation’s requirements

(to include all stated terms, conditions, representations, certifications, and all other information required by Section L of this solicitation) and is judged, based on the evaluation factors and subfactors, to represent the best priced proposal. While the Government will strive for maximum objectivity, the source selection process, by its nature, is subjective; therefore, professional judgment is implicit throughout the entire process.

1.3 Number of Contracts to be Awarded

The Government targets one indefinite-delivery, indefinite-quantity IDIQ contract awards for the

Mini Mutes program, however the Government reserves the right to award more or fewer contracts at its discretion.

1.4 Correction Potential of Proposals

The Government will consider, throughout the evaluation, the "correction potential" of any deficiency. The judgment of such "correction potential" is within the sole discretion of the

Government. If an aspect of an offeror's proposal does not meet the Government's requirements and is not considered correctable, the offeror may be eliminated from the competitive range.

1.5 Discussions

If, during the evaluation period, it is determined to be in the best interest of the Government to hold discussions, offeror responses to Evaluation Notices (ENs) and the Final Proposal Revision

(FPR) will be considered in making the source selection decision. If the offeror’s proposal has been evaluated as Acceptable at the time discussions are closed, any changes or exceptions in the

Final Proposal Revision are subject to evaluation and may introduce risk that the offeror’s proposal be determined Unacceptable and, thus, ineligible for award.

1.6 Solicitation Requirements, Terms and Conditions

Offerors are required to meet all solicitation requirements, such as terms and conditions, representations and certifications, and technical requirements, in addition to those identified as factors or subfactors. Failure to comply with the terms and conditions of the solicitation may http://farsite.hill.af.mil/vffara.htm http://farsite.hill.af.mil/vfdfara.htm http://farsite.hill.af.mil/vfdfara.htm http://farsite.hill.af.mil/vfaffara.htm http://farsite.hill.af.mil/vfaffara.htm http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/af_afmc/affars/MP5315.3.htm#TopOfPage result in the offeror being ineligible for award. Offerors must clearly identify any exception to the solicitation terms and conditions and must provide complete supporting rationale. The

Government reserves the right to determine any such exceptions unacceptable and the proposal, therefore, ineligible for award.

2 EVALUATION FACTORS

2.1 Evaluation Factor

After verifying that the proposed offereror is qualified on the Air Force form 762, the following evaluation factor will be used to evaluate each proposal.

Factor 1: Price

2.2 Price Factor

Price proposals will be evaluated for (1) completeness, (2) reasonableness, (3) unbalanced pricing, and (4) Total Evaluated Price. Offerors whose price is determined to be incomplete or unreasonable will not be considered for award. Additionally, an offer may be rejected if the contracting officer determines unbalanced pricing poses an unacceptable risk to the Government.

2.2.1 Completeness: The Government will review Attachment titled Price Matrix for completeness. To be complete the Offeror must provide a Test, Teardown & Evaluation (TT&E) price as well as a repair price for all NSNs, in all calendar years as indicated in the instructions.

2.2.2 Reasonableness: The offeror’s Price proposal will be evaluated, using one or more of the techniques defined in FAR 15.404, in order to determine if it is reasonable. For a price to be reasonable, it must represent a price to the Government that a prudent person would pay in the conduct of competitive business.

2.2.3 Unbalanced Pricing: The Government will analyze each proposal to determine whether unbalanced pricing exists with respect to TT&E versus repair prices.

2.2.4 Total Evaluated Price (TEP): The government assumes it will order 1 each of all

NSNs in each year identified in Attachment titled Price Matrix. The total evaluated price will be the summation of all offeror priced fields and will be calculated and visible to the offeror in

Attachment titled Price Matrix.

DD FORM 1423-1, FEB 2001

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: E001 title: Test Procedure sub:

auth: DI-NDTI-80603A ref: PWS Para 11.5 req_ofc: 415 SCMS/GUMBB dd250: LT appcode: A dist: D freq: One/R asof: N/A firstsub: Block 16 subsub: Block 16 addressee1: 415 SCMS/GUMBB draft1:

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total_draft: 0 total_reg: 1 total_repro: 2 remarks: Changes to names and office symbols, when necessary, shall be made by letter through the CO/ACO without revision to this CDRL.

Block D:

NSN, Nomenclature, Part Number, System 5840-01-480-4328, Radar Modulator, A26161-000 (8M906), AN/MST-T1(V) 5895-01-477-7341, Equipment Communication Interface Unit, A26142-000 (8M906), AN/MST-T1(V) 5895-01-480-9021, Equipment Communication Interface Unit, A27987-000(8M906), AN/MST-T1(V) 5985-01-480-6043, Waveguide Assembly, A27984-000 (8M906), AN/MST-T1(V) 5985-01-477-9573, Waveguide Assembly, A26057-000 (8M906), AN/MST-T1(V) 5895-01-499-2005, Waveguide Assembly, A26362-000 (8M906), AN/MST-T1(V) 6110-01-478-4043, Electrical System Protection Panel, A26144-000 (8M906), AN/MST-T1(V) 6110-01-478-3509, Voltage Regulator Assembly, A26366-000 (8M906), AN/MST-T1(V) 5895-01-480-3308, Radio Frequency Tuning Unit, A27969-000 (8M906), AN/MST-T1(V) 6110-01-481-1994, Distribution Box, A26367-000 (8M906), AN/MST-T1(V) 6130-01-478-2106, Power Supply Assembly, A28018-000 (8M906), AN/MST-T1(V)

Block 8:

Government approval is required. The government will require 20 days to review the document and provide comments or approval. Approval is contingent on incorporation or reconciliation of comments.

Block 12: Contractor shall deliver the Test Procedure no later than 14 days before the start of testing.

Block 13: Revised Test Procedure shall be due 10 days after receipt of government comments.

group:

total_price:

prep_name: Kendric Hornsby line_item:

exhibit: F xtdp: Off xtm: Off othercat: NDTI system: See Block 16 ctr_no: FD2020-18-01643 contr:

remarksb: Block 14a: Addressees:

AFMC 415 SCMS/GUMBB, Kendric Hornsby, kendric.hornsby@us.af.mil Engineering group email box, 415SCMS.EN@us.af.mil OL:H/PZA, PCO (TBD) @us.af.mil (For PCO name see contract)

Address Line 1: FY2073 415 SCMS GUMA Address Line 2: BLDG 1239 CP 801-586-1368 Address Line 3: 6012 FIR AVE Address Line 4: HILL AFB UT 84056-5820

Page2:

Reset:

2019-09-04T15:24:37-0600

HORNSBY.KENDRIC.R.1387611564

prep_date: 9/4/2019 app_by: Bryson Kent

2019-09-05T08:27:16-0600

KENT.BRYSON.C.1385517986

app_date: 9/5/2019

Page:

of_pages:

app: Adobe Professional 8.0

ATTACHMENT

STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES

Service Contract Act IAW FAR 22.1016

PROJECT DESCRIPTION: FD2020-18-01643 | 5840-01-480-4328, 5895-01-477-7341, 5895-01-480-3308, 5895-01-480-9021, MONETARY FRINGE

TITLE GRADE WAGE BENEFITS

Electronics Technician, Maintenance I WG-8 X

Electronics Technician, Maintenance III WG-10 X Scheduler, Maintenance GS-4 X Shipping/Receiving Clerk WG-4 X Tools and Parts Attendant WG-5 X Quality Assurance/Configuration Management Analyst GS-11 X

Wages paid white collar employees shall be an hourly rate for each class. The rate shall be obtained by dividing the general pay schedule step one biweekly rate by 80.

DATE: 13 March 2019

& 6130-01-478-2106

5895-01-499-2005, 5985-01-477-9573, 5985-01-480-6043, 6110-01-478-3509, 6110-01-478-4043, 6110-01-481-1994, PROJECT DESCRIPTION: FD2020-18-01643 | 5840-01-480-4328, 5895-01-477-7341, 5895-01-480-3308, 5895-01-480-9021, For the best experience, open this PDF portfolio in

Acrobat X or Adobe Reader X, or later.

Get Adobe Reader Now!

http://www.adobe.com/go/reader

ITEM DESCRIPTION

NSN

5895014777341FD

CAGE

8M906

REFERENCE NUMBER

A26142-000

NOUN

INTERFACE UNIT,COMM

END ITEM TCTO NUMBER TO NUMBER

31P8-4-66-2

CRITICALITY CODE

X

DEMILITARIZATION CODE

D

SECURITY CODE

Y

MDC

ZRS

ES CODE

Z4

REMARKS

INITIATOR

NAME

STEVEN.K.OSWALT

ORGANIZATION / OFFICE SYMBOL

415 SCMS / GUMAA

DSN PHONE

777-8708

COMMERCIAL PHONE

801-777-8708

ITEM DESCRIPTION DATA

LENGTH ( IN )

26.0000

WIDTH ( IN )

12.0000

HEIGHT ( IN )

12.0000

WEIGHT ( LB )

5.0000

OTHER DIMENSIONS

ITEM MATERIAL

Aluminum/Plastic

ITEM FUNCTION

System Control Panel

SAFETY CRITICAL SCREW

THREADED COMPONENT

ESD CEMS SENSITIVE DATA

STATEMENT OF HELIUM CONTENT (%) 0 PRECIOUS METAL INDICATOR CODE

GFM REQUIRED GFE REQUIRED GFP REQUIRED

JEWEL BEARING JEWEL BEARING RELATED

LEGACY ITEM DESCRIPTION

Page 1 of 1ITEM DESCRIPTION Version 2Generated by PRPS using Jasper Reports on 14 Jun 2019

5985014779573FD

A26057-000

WAVEGUIDE ASSEMBLY

31P8-4-64-1

37.5000

32.5000

27.0000

257.0000 unknown

RF Energy Transfer

ESD X CEMS SENSITIVE DATA

Page 1 of 1ITEM DESCRIPTION Version 4Generated by PRPS using Jasper Reports on 14 Jun 2019

6130014782106FD

A28018-000

POWER SUPPLY SUBASS

END ITEM

AN/MST-T1(V)

TCTO NUMBER TO NUMBER

ZRB

13.0000

7.0000

7.0000

5.0000

Metallic

Power Supply Subassembly

Page 1 of 1ITEM DESCRIPTION Version 1Generated by PRPS using Jasper Reports on 14 Jun 2019

6110014784043FD

A26144-000

PANEL,PROTECTION,EL

B

U

ANGELA.MOSS

777-6598

801-777-6598

24.5000

10.5000

24.0000

RF Protection Assembly

Panel Protection

5840014804328FD

A26161-000

MODULATOR,RADAR

AN/MST-T1(V)

31P8-4-66-1 and 31P8-4-66-2

King, Kevin JNAME: 24 JUN 2009DATE:

This is a new item and is not in the T.O. yet.

22.5000

22.5000

12.5000

32.0000

Unknown

Radar Heater/Modulator Assy-supplies the Klystron with heater voltage, controls the grid, supplies near zero volts to turn the tube on, and supplies negative voltage of the 3kV to turn the tube off.

5985014806043FD

A27984-000

31P8-4-66-1

36.0000

32.0000

18.0000

183.0000

Various metals

5895014809021FD

A27987-000

INTERFACE UNIT,COMM

25.0000

25.0000

13.0000

38.0000

Interface Unit, Comm

Communications

6110014811994FD

A26367-000

DISTRIBUTION BOX

Transmitter 35

41.5000

34.5000

46.0000

530.0000

Various metals

Responsible for generating the high voltage required for the operation of the radiation source within the transmitter.

ESD X CEMS SENSITIVE DATA

5985014992005FD

A26362-000

AN/MST-T1(V) Mini-MUTES

43D7-19-3-4

KEVIN.J.KING1

586-3744

801-586-3744

36.0000

27.0000

28.5000

180.0000

Unknown

TRANSPORTATION DATA FOR SOLICITATIONS

COMMODITY: See Continuation

PURCHASE INSTRUMENT NUMBER:

FD20201801643-00

DATE INITIATED:

17 JUN 2019

STOCK NUMBER: See Continuation

X ORIGIN DESTINATION X OTHER X DATA / FIRST ARTICLE F.O.B. DESTINATION(Specify)

F.O.B. TERMS RECOMMENDED AS BEST SUITED FOR THIS PROCUREMENT

TRANSPORTATION PROVISIONS / CLAUSES FAR CITATION

F.O.B. Origin 52.247-29 Freight Classification Description 52.247-53 Contact DCMA Transportation Contact DCMA Transportation on ALL "DCMA Administered" contracts prior to shipment for shipping instructions using the DCMA Shipment Instruction Request (SIR) eTool System, at http://www.dcma.mil <http://www.dcma.mil/> for ALL FOB:

Origin, Foreign Military Sales (FMS), and FOB: Destination OCONUS/Export movements to obtain the appropriate DOD regulatory clearances, shipping documentation and instructions from your cognizant DCMA Transportation Office. If you are new to DCMA, and do not already have a SIR eTool account, you will first need to request an account via DCMA External Web Access Management (EWAM) application which can be accessed at http://www.dcma.mil. If you need additional assistance, email DCMA Transportation Group at: Transportation.Division@dcma.mil. Do not move any freight to a water or aerial port prior to contacting DCMA or it will become frustrated. Failure to contact the responsible DCMA may result in vendor incurring additional expenditures.

Vendor Transportation Instructions

IAW BASIC CONTRACT FD20201801643-00

TACRN:

AAA

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 649 47GH 8M816L 01K010 00000 UJENTD 503000 F03000 FSR: 001884 PSR: K18563

First Destination Transportation Account Code:

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code: F3RS

FMS LOA:

Additional Funding Information:

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 5998RPG19000F

Purchase Instrument Line Item Number: 0002

Ship to (DoDAAC / MAPAC): SW3210

Mark For:

Ship To (Address):

WPOD:

APOD:

BBP / CCP:

RIC:

Requisition Number:

Supplemental Address:

FMS Case:

Ship To (Remarks):

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

OTHER TRANSPORTATION DATA:

ZERO DOLLAR PR TO EST 5 YR CONTRACT

AAB

Page 1 of 4DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 20 Jun 2019

Purchase Instrument Line LOA: 97X4930.FC04 649 47GH 8M816L 01K010 00000 UJENTD 503000 F03000 FSR: 001884 PSR: K18563

Second Destination Transportation Account Code:

NSN / Pseudo NSN: 6110DTG180A60

Purchase Instrument Line Item Number: 0005

Ship to (DoDAAC / MAPAC): FY2073

Ship To (Address): FY2073 OO ALC 502 CBSS GBMAA

6012 FIR AVE BLDG 1239 RM 2

HILL AFB UT 84056, UT

84056 - 4056

USA

CP 801 586 1368

NSN / Pseudo NSN: 6110DTG190572

Purchase Instrument Line Item Number: 0006

Ship to (DoDAAC / MAPAC): FY2073

Ship To (Address): FY2073 OO ALC 502 CBSS GBMAA

6012 FIR AVE BLDG 1239 RM 2

HILL AFB UT 84056, UT

84056 - 4056

USA

CP 801 586 1368

AAC

Page 2 of 4DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 20 Jun 2019

Purchase Instrument Line LOA: 97X4930.FC04 649 47GH 8M816L 01K010 00000 UJENTD 503000 F03000 FSR: 001884 PSR: K18563

Second Destination Transportation Account Code:

NSN / Pseudo NSN: 5998RPG190010

Purchase Instrument Line Item Number: 0001

Ship to (DoDAAC / MAPAC):

Ship To (Remarks): At Plant

NSN / Pseudo NSN: 6720OAG190057

Purchase Instrument Line Item Number: 0003

Ship To (Remarks): TBD

NSN / Pseudo NSN: 5998DTG190571

Purchase Instrument Line Item Number: 0004

Ship To (Remarks): See DD Form 1423 CAV AF.

Page 3 of 4DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 20 Jun 2019

NSN / Pseudo NSN: 5960DTG19056C

Purchase Instrument Line Item Number: 0007

Ship To (Remarks): Email Address on 1423

TEST TEARDOWN

Langford-Scott, Dorothy A

ORGANIZATION / OFFICE

SYMBOL

406 SCMS / GULAA

COMMERCIAL / DSN

PHONE

478-327-6592 / 497-6593

SIGNATURE

//SIGNED//Langford-Scott, Dorothy A

DATE

17 JUN 2019

Page 4 of 4DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 20 Jun 2019

CAVAF Reporting Requirements, v2, September 2018, page 1

CAVAF REPORTING REQUIREMENTS

The purpose of this attachment is to provide Contract Depot Maintenance (CDM) guidance for contractor technical responsibilities and reporting requirements of the Commercial Asset Visibility Air Force (CAV AF) system. CAV AF shall be the primary system of record for providing daily status of all Government owned assets located at contractor repair facilities.

Reporting within CAV AF shall not be limited to end items subject to repair but are to include assets stored at a contractor Inventory Control Point (ICP). Any CAV AF system down-time will be identified on the CAV AF home page banner. Contractors are responsible for ensuring current User Guides are utilized by their CAV AF reporters. NOTE: Contractor User’s Guide may be accessed from the CAV AF homepage.

CAVAF FAMILIARIZATION TRAINING:

1. Familiarization training for CAV AF reporting will be requested by the contractor via the applicable ICP CAV AF system administrator (SA). For assistance, guidance or questions to specific contract transactionsl reporting requirements may be addressed to the CAV AF contract monitor (CM). ICP CAV AF (SA and/or CM) points of contact (See Contractor Responsibility Item #4).

CONTRACTOR RESPONSIBILITY:

1. Contractor CAV AF reporting requirements shall be accomplished daily and/or within one (1) business day of a maintenance action occurrence IAW the applicable CAV AF CDRL and CAV AF system, version 8.0.1 or higher. Accurate and timely reporting of maintenance transactions into CAV AF is critical to the management of repair requirements and the management of world-wide asset distribution. Contractor shall ensure asset record in CAV AF is an accurate reflection of physical assets on hand at all times. (note a valid PKI is required prior to accomplishing # 2 and #3 of contractor responsibilities)

2. Each CAV AF reporter shall submit a completed System Authorization Access Request, DD Form 2875, per instructions within 10 days after contract award date. All DD Form 2875(s) shall be digitally signed. There “must be two CAV AF reporters” for the contractual reporting requirements to ensure there is no possibility of a lapse in reporting coverage.

3. User(s) shall complete initial DoD Information Assurance (IA) Cyberawareness Challenge training and submit a course completion certificate with the DD Form 2875. IA Cyberawareness Challenge course completion certification shall be accomplished annually. Users shall access IA training on the CyberAwareness Challenge website, under the Department of Defense Employees section, click hyperlink; “Launch New CyberAwareness Challenge Department of Defense Version” using the following website:

https://iase.disa.eta/cyberchallenge/launchPage.htm

CAVAF Reporting Requirements, v2, September 2018, page 2

a. First time CAV AF users will email initial IA Cyberawareness Challenge course completion certificates, AF Form 4394, AF User Agreement Statement, and completed DD Form 2875 to point of contact at applicable ICP (see item #4).

b. All following annual course completion certificates shall be completed before lapse in certification occurs and will be emailed to respective ICP identified in paragraph 4a, 4b, and 4c below.

c. Product Functionality Caution: To meet technical functionality requirements, this awareness product was developed to function with Windows operating systems (Wingdow 7, VISTA, and XP), when configured correctly) using either the Internet Explorer (IE) or Firefox browsers. Users employing other operating systems or browser may experience difficulties and may not be able to complete the training or print the certificate of completion. The Cyber Awareness Challenge course completion is a contractual requirement and the contractor must comply.

4. Reporters requiring the default password or password resets should contact their applicable ICP CAV AF System Administrator POC listed below:

a. Robins AFB, GA, call (478) 327-6602 or 327-6603, or send email request to:

406scms.cav.af.ar@us.af.mil

b. Hill AFB, UT, call (801) 586-3736, or send email request to:

420scms.cdm@us.af.mil

c. Tinker AFB, OK, call (405) 739-3229, or send email request to:

420.scms.tinker.cdm.workflow@us.af.mil

5. To access the CAV AF system, contractor and subcontractor reporters shall follow “initial log-in procedures” as prescribed within the Contractors User’s Guide.

6. Contractor shall ensure accountability of all Government Furnished Property (GFP) within their Enterprise Resource Planning (ERP) or Commercial Off-the-Shelf (COTS) system, which must be reported accurately for same GFP records within CAV AF at all times.

7. Contractual Induction-at-Risk of end items is prohibited on all repair contracts.

8. Contract/Delivery Order Closure Disposition– Government will provide disposition instructions to contractor’s reporter. Contractor shall begin shipping assets within 10 days of receiving government disposition instructions and have completed all shipping actions 30 days thereafter. Contractor shall be fully responsible to ensure all corresponding CAV AF reporting actions associated with disposition occur within one (1) business day of related shipment action.

9. All NSNs identified as Nuclear Weapon Related Materiel (NWRM) shall require contractor CAV AF reporting for production management, to track and report NWRM end items in repair with Serial Number identification within one (1) business day for asset visibility and serial number tracking. When receipted, Contractor’s reporter shall capture each NWRM asset’s Serial Number when reparable is received. Contractors shall follow all NWRM management

CAVAF Reporting Requirements, v2, September 2018, page 3 requirements outlined in AFI 20-110, NWRM Management, to include, but not limited to packaging, marking, labeling, storage, transportation and receipt of all NWRM assets, with emphasis on Positive Inventory Control (PIC) and records management by the contractor and government to assure compliance. The successful application of these procedures requires the full cooperation of all personnel associated with the storage, shipping, transshipping and receiving of all NWRM assets.

SPECIFIC CAVAF CONTRACTOR TRANSACTIONAL REPORTING

REQUIREMENTS:

1. “Not-on-Contract” (NOC) receipt transactions apply to assets which are associated to a contractor facility DoDAAC and not an active contract delivery order. Regardless of asset condition code status, Not-on-contract shall be used for the following reporting actions:

a. Discrepancy Items – Are identified as misrouted shipments, misidentified shipments, or damaged end items. Contractor’s reporter will verify resolution weekly to acquire resolution to discrepancy within 30-days of receipt transaction. The contractor shall comply with disposition instructions provided by the Government within 10-days and complete all associated reporting actions within same period. Contractor reporting actions shall be resolved using reversals of individual record control document numbers (RCDN) or may be accomplished utilizing a ‘bulk’ shipment action of RCDN.

b. Inventory Control Point Items – are identified as assets stored at contractor facility and are not repair end items or discrepancies items. Movement of assets from “Not-on- Contract” category shall be resolved using reversals of individual record control document numbers (RCDN) or may be accomplished utilizing a ‘bulk’ shipment action of

RCDN.

NOTE: Contractor is responsible for all “Not-on-Contract” assets ensuring physical asset balances are reflected and CAV AF reporting actions occur within one (1) business day of occurrence.

2. CAV AF receipt or reporting actions will not be utilized for quality deficiency report (QDR) items, as there is a separate process and tracking mechanism for them.

3. All Contract Line Item Number (CLIN) repairable assets shall be receipted in CAV AF under Receipt Type: On Contract (F). CAV AF generates an RCDN for each unit receipted and allows the reporter to assign a reference or serialization number for tracking purposes. Where no reference or serialization numbers are utilized,the oldest RCDNs (listed first) shall always be processed first. Any reversal actions shall be accomplished using the last RCDNs processed.

4. The “Complete Date” entered into CAV AF cannot be dated prior to the DD250 date entered in the same screen. Contractor will validate that the DD250 shipment number and date entered into CAVAF are accurate. This requirement is also applicable to Condition Code H (Condemned) only when specifically directed by the contract.

CAVAF Reporting Requirements, v2, September 2018, page 4

5. Proper usage of DD Form 1348-1A, Issue Release/Receipt Document in relation to CAV AF reporting requirements.

a. Receipt Actions: Contractor’s reporter will use government issued shipment document numbers for CAV AF end item receipt transaction reporting only in the absence of missing DD Form 1348-1A or shipment document number. Contractors are not authorized to generate pseudo shipment document numbers for receipt transactions because this creates disconnects in shipment tracking within government inventory systems. Note: If the DD Form 1348-1A is missing or no shipment document number is available, contractors are to immediately contact Production Management Specialist (PMS), who will acquire government issued shipment document number from the Inventory Management Specialist (IMS).

b. Shipping Actions: DD Form 1348-1A shall be used as the shipping document for shipment transactions of all end items. A DD Form 1348-1A is also applicable to all Consolidated Serviceable Inventory/Consolidated Reparable Inventory (CSI/CRI) assets regardless of tracking or reporting purposes. A Material Inspection and Receiving Report, DD Form 250 or Requisition and Invoice/Shipping Document, DD Form 1149 are not authorized as a shipment document, and shall not accompany any material shipments on repair contracts. CAVAF provides a DD Form 1348-1A in a Portable Document Format (PDF). DD Form 1348-1A shipping documents will be prepared for each NSN shipment from contractor’s facility, regardless of destination. The entire form, complete with bar coding, will be printed on a laser printer as specified under technical considerations. It is recommended the PDF be saved at the contractor’s facility prior to printing (note: The DD1348-1A forms are not saved/stored in CAV AF and cannot be reproduced by the system). The Contractor shall print three copies as required for shipping. Place one copy on the outside of the shipment container, one copy inside the shipment container, and retain the third copy for the contractor’s records. For end item shipments the DD Form 1348-1A shipment document number shall be comprised as one of the following actions:

i. Back to Depot Shipments:

(1) For a “single” unit NSN shipment, the default shipment document number will be the CAV AF record control document number (RCDN) of item being shipped.

(2) For “multiple” quantity shipments, it is recommended the CAV AF RCDN of the lead item of the shipment be used as the shipment document number.

ii. Ammended Shipping Instructions (ASI): Are used to divert material that is due-in from a contractor to a requisitioner. Government disposition instructions will provide a shipment document number to the contractor to be utilized for CAV AF shipment transaction reporting and the DD Form 1348-1A.

c. In the event CAV AF system is inoperable or is on a scheduled downtime:

CAVAF Reporting Requirements, v2, September 2018, page 5

i. The DD Form 1348-1A shall be manually completed and generated (printed) by contractor, using the AFPUBS website.

ii. When CAV AF is again operational, the contractor shall resume with transactional reporting actions in a timely and accurate manner, including completing a DD Form 1348-1A (printing not required if manual DD1348-1A PDF file utilized) and the shipment process in CAV AF.

6. Upon contract expiration and/or becoming production complete, the contractor will complete a 100% physical inventory inspection. Any assets remaining at the facility within 30-days must be noted in an email request to the contracting officer (CO) and PMS for disposition instructions by the government. If none is provided, assets are to be returned to the depot and reported within CAV AF, shipping to the following addresses according to each national stock number (NSN) inventory management location by source of supply (SOS) code:

a. FHZ – Tinker AFB, the ship for disposition address to SW3211:

TYPE/CODE: A SW3211

DEF DISTRIBUTION DEPOT OF OKLAHOMA

CEN REC 3301 F AVE

BLDG 506, DR 22

TINKER AFB, OK, 73145-8000

b. FGZ – Ogden AFB, the ship for disposition address to SW3210:

TYPE/CODE: A SW3210

DLA DISTRIBUTION DEPOT HILL

7537 WARDLEIGH RD

BLDG 849W

HILL AFB, UT 84056-5734

c. FLZ – Robins AFB, the ship for disposition address to SW3119:

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET

BLDG 376

ROBINS AFB, GA 31098-1887

7. Systemic data problems created by contractor’s failure to report data accurately or in a timely manner are subject to immediate Program Management Review (PMR). Examples of documented system data problems include but are not limited to:

a. Timely reporting means compliance with 24 hour requirement for all contractor CAV AF reporting of maintenance transactions. Actual date information is required for all reporting actions. Contractor’s are not authorized to report all receipt, induction, complete and ship transactions the same day to ‘catch-up’ due to periodic reporting. This

CAVAF Reporting Requirements, v2, September 2018, page 6 affects government inventory management systems and balances creating D035 Stock Control Supply System (SCSS) controlled exceptions (associated with same day reporting issue).

b. Contractors not using government issued DD Form 1348-1A document numbers on CAV AF contractor reporting on end item receipt transactions. This creates a data variance disconnect with government inventory D035 Stock Control System (SCS). Contractors are required to use DD Form 1348-1A document numbers for end item receipt transactions. NOTE: If the DD Form 1348-1A is missing or no shipment document number is available, contractors are to immediately contact Production Management Specialist (PMS) and acquire government issued shipment document number from Inventory Management Specialist (IMS).

c.