FA825020R0001.pdf

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

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

SOLICITATION, OFFER AND AWARD J

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15CFR 7900)

RATING

DO: A7

Page of Page

2. CONTRACT NO. 3. SOLICITATION NO.

FA8250-20-R-0001

4. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

7. ISSUED BY

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFSC PZAAA1

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE UT 84056-5825

BUYER: John K. Prather/PZAA john.prather.3@us.af.mil Phone: (801) 586- 3463

FA8250 8. ADDRESS OFFER TO (If other than Item 7)

11. TABLE OF CONTENTS

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

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

X A SOLICITATION/CONTRACT FORM

X B SUPPLIES OR SERVICES AND

C DESCRIPTION/SPECS/WORK STATEMENT

X D PACKAGING AND MARKING

X E INPECTION AND ACCEPTANCE

X F DELIVERIES OR PERFORMANCE

X G CONTRACT ADMINISTRATION DATA

X H SPECIAL CONTRACT REQUIREMENTS

X I CONTRACT CLAUSES

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER

X J LIST OF ATTACHMENTS

X K REPRESENTATIONS, CERTIFICATIONS AND

OTHER STATEMENTS OF OFFERORS

PART IV - REPRESENTATIONS AND INSTRUCTIONS

X L INSTRS., CONDS., AND NOTICES TO OFFERORS

X M EVALUATION AND FACTORS FOR AWARD

OFFER (Must be fully completed by offeror)

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

(SEE ESP CLAUSE 252.232-7003.)

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

(Signature of Contracting Officer)

28. AWARD DATE

X

5. DATE ISSUED

20 DEC 2019

6.REQUISITION/PURCHASE NO

FD20201901224 03

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

9. Sealed offers in original and copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the depository located in until 4:00 (Hour) local time 20-JAN-2020 (Date).

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

10. FOR INFORMATION

CALL:

A. NAME

John K Prather

B. TELEPHONE (NO COLLECT CALLS)

(801 ) 586 -3463

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period. The requirement is not an inherently government function. Repair effort is deemed performance based.Critical Safety Item (CSI) does not 12. In compliance with the above, the undersigned agrees, if this offer is accepted within 90 calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

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

10 CALENDAR DAYS 20 CALENDAR DAYS 30 CALENDAR DAYS CALENDAR DAYS

14. ACKNOWLEDGEMENT OF AMENDMENTS

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

AMENDMENT NO. DATE AMENDMENT NO. DATE

15A. NAME AND

ADDRESS OF

OFFEROR

CODE FACILITY

16. NAME AND TITLE OF PERSON

AUTHORIZED TO SIGN OFFER (Type or print)

15B. TELEPHONE NO.

(Include Area Code)

15C.CHECK IF REMITTANCE ADDRESS

IS DIFFERENT FROM ABOVE-ENTER

SUCH ADDRESS IN SCHEDULE.

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS 20. AMOUNT

21. ACCOUNTING AND APPROPRIATION

SEE SCHEDULE

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN

COMPETITION

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

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

ITEM

SOLICITATION

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

C. E-MAIL ADDRESS

john.prather.3@us.af.mil

FA8250-20-R-0001

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

After evaluation of the repairable items, the contractor shall submit to the DCMA ACO the actual level (Minor, Major, Total Rebuild) of the repair effort in accordance with the PWS.

In no event shall work commence prior to written authorization to proceed is received for the DCMA

ACO.

The firm fixed amount is an administrative amount for each level of repair, based on acquisition cost, therefore DCMA will not need to negotiate the price of each level of repair. The TT&E and Total Rebuild amount will be used for the purpose of funding this effort.

The contract will be modified by the DCMA ACO to determine the level of repair, finalize delivery schedule, and de-obligate any excess funds.

ACO AUTHORITY AND RESPONSIBILITIES:

1) All applicable contract admin functions as outlined in FAR 42.302(a) and DFARS 242.302(a)

2) Definitize order if it does not require supplemental funding.

3) Extend the delivery schedule as required and take consideration if deemed necessary.

4) Upon completion of review of cost information and negotiations, if required, the ACO shall issue definitization modification and approve all invoices for payment.

5) Deobligate excess funds after confirming all required assets have generated and contractor's final invoices are approved.

6) Initiate order close out when actions required in paragraph 4) are completed.

7) ACO is to verify Commercial Asset Visibility Air Force (CAVAF) inputs have been made before authorizing payment on the contract. Inputs can be verified by calling Maxxwell Starks at 801-777-7442 or emailing him at maxxwell.starks.1@us.af.mil.

8) ACO is authorized to take consideration from the contractor for failure to comply with CAVAF inputs.

NOTE: In the event funds on the order are insufficient based on the contractor's proposal and the judgment of the ACO, the ACO will document what is a fair and reasonable price, and provide the pricing documentation to the PCO for action. The PCO will then address funding and supplemental agreement when approved, and will direct the contractor for commencement of work.

In the case of a Beyond Economical Repair (BER) determination, DCMA QAR shall request disposition instructions and/or condemnation approvals from the cognizant USAF Program Manager or customer, and supply disposition/condemnation instructions to the contractor.

Amplifier Subassembly Informational CLIN

For: NSN- 5996-00-572-1617ZR Item No.

AMPLIFIER SUBASSEMB

Associated Document(s) Line Item(s)

FD20201901224 03 0001

Priority: R Applicability: None ;

Amplifier Teardown, Test & Evaluation

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

11 EA

CLIN ACRN ACRN Total

0001AA AA

NSN: 5996-00-572-1617 ZR

AMPLIFIER SUBASSEMB

aerial surveillance varous metals and electronic components Manufacturer Part Number

0SKB3 345D585G01

48306 345D585G01 97942 345D585G01 Associated Document(s) Line Item(s)

FD20201901224 03 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For

+ CNOTE PAA

Type / Ship To Quantity (U/I) *ARO After Receipt of

Carcass Req No / Pri

Required Delivery

Amplifier Teardown, Test & Evaluation

+ CNOTE 11 EA *30 Days

Proposed Delivery

+ CNOTE 11 EA

AT PLANT

Minor Repair

Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

11 EA

CLIN ACRN ACRN Total

0001AB AA

NSN: 5996-00-572-1617 ZR

AMPLIFIER SUBASSEMB

aerial surveillance varous metals and electronic components Manufacturer Part Number

0SKB3 345D585G01

48306 345D585G01 97942 345D585G01 Associated Document(s) Line Item(s)

FD20201901224 03 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For A SW3215 PAA Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required

A SW3215 11 EA *60 Days

Minor Repair

Proposed Delivery

A SW3215 11 EA

Major Repair

Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

11 EA

CLIN ACRN ACRN Total

0001AC AA

NSN: 5996-00-572-1617 ZR

AMPLIFIER SUBASSEMB

aerial surveillance varous metals and electronic components Manufacturer Part Number

0SKB3 345D585G01

48306 345D585G01 97942 345D585G01 Associated Document(s) Line Item(s)

FD20201901224 03 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For A SW3215 PAA Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3215 11 EA *120 Days

Proposed

A SW3215 11 EA

Power Supply Informational CLIN

For: NSN: 6130-00-826-8284ZR Item No.

NSN: J061

Depot Contractor Logistic Support Associated Document(s) Line Item(s)

FD20201901224 03 0004

Priority: R Applicability: None ;

Teardown, Test & Evaluation

Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

0002AA AA

NSN: 6130-00-826-8284 ZR

POWER SUPPLY

aerial surveillance Various metals and electronic components Manufacturer Part Number

0SKB3 336D468G01

48306 336D468G01 97942 336D468G01 Associated Document(s) Line Item(s)

FD20201901224 03 0004

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For

+ CNOTE PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of

Carcass Req No / Pri

Teardown, Test & Evaluation

Required Delivery

+ CNOTE 5 EA *30 Days

Proposed Delivery

+ CNOTE 5 EA

Minor repair

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

0002AB AA

NSN: 6130-00-826-8284 ZR

POWER SUPPLY

aerial surveillance Various metals and electronic components Manufacturer Part Number

0SKB3 336D468G01

48306 336D468G01 97942 336D468G01 Associated Document(s) Line Item(s)

FD20201901224 03 0005

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For A SW3215 PAD Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Minor repair

A SW3215 5 EA *60 Days

Proposed Delivery

A SW3215 5 EA

Major repair

Item No.

0002AC

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

0002AC AA

NSN: 6130-00-826-8284 ZR

POWER SUPPLY

aerial surveillance Various metals and electronic components Manufacturer Part Number

0SKB3 336D468G01

48306 336D468G01 97942 336D468G01 Associated Document(s) Line Item(s)

FD20201901224 03 0006

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For A SW3215 PAD Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3215 5 EA *120 Days

Proposed

Major repair

A SW3215 5 EA

Radar Set SubAssembly Informational CLIN

For: NSN 5840-01-483-0555ZR Item No.

NSN: J058

Contractor Acquired Property IAW PWS, para 3.1. This line will be used to support Depot Level Logistics Services and Catastrpohic Events.

Associated Document(s) Line Item(s)

FD20201901224 03 0010

Priority: R Applicability: None ;

Teardown, Test&Evaluation

Item No.

0003AA

Firm Fixed Price Quantity U/I Unit Price Amount

11 EA

CLIN ACRN ACRN Total

0003AA AA

NSN: 5840-01-483-0555 ZR

RADAR SET SUBASSEMB

REGULATOR ASSEMBLY, PFN

STEEL, COPPER, ALUMIUM

Manufacturer Part Number

0SKB3 1366839

2F259 1366839 97942 1366839 Associated Document(s) Line Item(s)

FD20201901224 03 0010

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

Teardown, Test&Evaluation

+ CNOTE ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For

+ CNOTE PAB

Type / Ship To Quantity (U/I) *ARO After Receipt of

Carcass Req No / Pri

Required Delivery

+ CNOTE 11 EA *30 Days

Proposed Delivery

+ CNOTE 11 EA

0003AB

Firm Fixed Price Quantity U/I Unit Price Amount

11 EA

CLIN ACRN ACRN Total

0003AB AA

NSN: 5840-01-483-0555 ZR

RADAR SET SUBASSEMB

REGULATOR ASSEMBLY, PFN

STEEL, COPPER, ALUMIUM

Manufacturer Part Number

0SKB3 1366839

2F259 1366839 97942 1366839 Associated Document(s) Line Item(s)

FD20201901224 03 0011

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Class I ODS Substance Application/Use Quantity none none none

Minor Repair

Type / Ship To PACRN Mark For A SW3215 PAB Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3215 11 EA *60 Days

Proposed Delivery

A SW3215 11 EA

Major Repair

Item No.

0003AC

Firm Fixed Price Quantity U/I Unit Price Amount

11 EA

CLIN ACRN ACRN Total

0003AC AA

NSN: 5840-01-483-0555 ZR

RADAR SET SUBASSEMB

REGULATOR ASSEMBLY, PFN

STEEL, COPPER, ALUMIUM

Manufacturer Part Number

0SKB3 1366839

2F259 1366839 97942 1366839 Associated Document(s) Line Item(s)

FD20201901224 03 0012

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For A SW3215 PAB Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study

Major Repair

Required Delivery

A SW3215 11 EA *120 Days

Proposed Delivery

A SW3215 11 EA

Radar Set Subassembly Informational CLIN

For: NSN 5840-01-481-7460ZR Item No.

NSN: J058

Contractor Acquired Property Associated Document(s) Line Item(s)

FD20201901224 03 0013

Priority: R Applicability: None ;

Teardown, Test & Evaluation

Item No.

0004AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0004AA AA

NSN: 5840-01-481-7460 ZR

RADAR SET SUBASSEMB

aerial surveillance Various metals and elctronic components Manufacturer Part Number

0SKB3 1366840

2F259 1366840 97942 1366840 Associated Document(s) Line Item(s)

FD20201901224 03 0013

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes

Teardown, Test & Evaluation

Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For

+ CNOTE PAH

Type / Ship To Quantity (U/I) *ARO After Receipt of

Carcass Req No / Pri

Required Delivery

+ CNOTE 1 EA *30 Days

Proposed Delivery

+ CNOTE 1 EA

0004AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0004AB AA

NSN: 5840-01-481-7460 ZR

RADAR SET SUBASSEMB

aerial surveillance Various metals and elctronic components Manufacturer Part Number

0SKB3 1366840

2F259 1366840 97942 1366840 Associated Document(s) Line Item(s)

FD20201901224 03 0014

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Minor Repair

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For A SW3215 PAH Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3215 1 EA *60 Days

Proposed Delivery

A SW3215 1 EA

Major Repair

Item No.

0004AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0004AC AA

NSN: 5840-01-481-7460 ZR

RADAR SET SUBASSEMB

aerial surveillance Various metals and elctronic components Manufacturer Part Number

0SKB3 1366840

2F259 1366840 97942 1366840 Associated Document(s) Line Item(s)

FD20201901224 03 0015

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Major Repair

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For A SW3215 PAH Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3215 1 EA *120 Days

Proposed Delivery

A SW3215 1 EA

Antenna Informational CLIN

For: NSN 5985-01-027-0040ZR Item No.

NSN: J059

Maint & Repair of Eq/Electrical & Elct Equip Comps Associated Document(s) Line Item(s)

FD20201901224 03 0019

Priority: R Applicability: None ;

Teardown, Test & Evaluation

Item No.

0005AA

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0005AA AA

NSN: 5985-01-027-0040 ZR

ANTENNA

OMNIDIRECTIONAL BACKFILL RADIATOR, MAT-ALUMINUM & FIBERGLASS, FUNCTION-SUPPLEMENTS ANTENNA

ALUMINUM & FIBERGLASS, DIM-

Manufacturer Part Number 18323 349D822G01 48306 349D822G01 97942 349D822 97942 349D822G01 Associated Document(s) Line Item(s)

FD20201901224 03 0019

Priority: R

Teardown, Test & Evaluation

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For

+ CNOTE PAE

Type / Ship To Quantity (U/I) *ARO After Receipt of

Carcass Req No / Pri

Required Delivery

+ CNOTE 2 EA *30 Days

Proposed Delivery

+ CNOTE 2 EA

0005AB

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0005AB AA

NSN: 5985-01-027-0040 ZR

ANTENNA

OMNIDIRECTIONAL BACKFILL RADIATOR, MAT-ALUMINUM & FIBERGLASS, FUNCTION-SUPPLEMENTS ANTENNA

ALUMINUM & FIBERGLASS, DIM-

Manufacturer Part Number 18323 349D822G01 48306 349D822G01 97942 349D822 97942 349D822G01 Associated Document(s) Line Item(s)

FD20201901224 03 0020

Priority: R

Minor Repair

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For A SW3215 PAE Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3215 2 EA *60 Days

Proposed Delivery

A SW3215 2 EA

Major Repair

Item No.

0005AC

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0005AC AA

NSN: 5985-01-027-0040 ZR

ANTENNA

OMNIDIRECTIONAL BACKFILL RADIATOR, MAT-ALUMINUM & FIBERGLASS, FUNCTION-SUPPLEMENTS ANTENNA

ALUMINUM & FIBERGLASS, DIM-

Manufacturer Part Number 18323 349D822G01 48306 349D822G01 97942 349D822 97942 349D822G01 Associated Document(s) Line Item(s)

FD20201901224 03 0021

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection

Major Repair

Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For A SW3215 PAE Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3215 2 EA *120 Days

Proposed Delivery

A SW3215 2 EA

Circuit Card Assembly Informational CLIN

For: NSN 5998-01-157-9336ZR Item No.

NSN: J059

Maint & Repair of Eq/Electrical & Elct Equip Comps Associated Document(s) Line Item(s)

FD20201901224 03 0025

Priority: R Applicability: None ;

Teardown, Test & Evaluation

Item No.

0006AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0006AA AA

NSN: 5998-01-157-9336 ZR

CIRCUIT CARD ASSEMB

aerial surveillance

Teardown, Test & Evaluation

Varous metals and electronic components Manufacturer Part Number 48306 1D18183G01 97942 1D18183G01 Associated Document(s) Line Item(s)

FD20201901224 03 0025

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For

+ CNOTE PAF

Type / Ship To Quantity (U/I) *ARO After Receipt of

Carcass Req No / Pri

Required Delivery

+ CNOTE 1 EA *30 Days

Proposed Delivery

+ CNOTE 1 EA

0006AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0006AB AA

NSN: 5998-01-157-9336 ZR

CIRCUIT CARD ASSEMB

aerial surveillance Varous metals and electronic components Manufacturer Part Number 48306 1D18183G01 97942 1D18183G01

Minor Repair

Associated Document(s) Line Item(s)

FD20201901224 03 0026

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For A SW3215 PAF Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3215 1 EA *60 Days

Proposed Delivery

A SW3215 1 EA

Major Repair

Item No.

0006AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0006AC AA

NSN: 5998-01-157-9336 ZR

CIRCUIT CARD ASSEMB

aerial surveillance Varous metals and electronic components Manufacturer Part Number 48306 1D18183G01 97942 1D18183G01 Associated Document(s) Line Item(s)

FD20201901224 03 0027

Priority: R

Inspection: Origin Acceptance: Origin

Major Repair

Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For A SW3215 PAF Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3215 1 EA *120 Days

Proposed Delivery

A SW3215 1 EA

CAV AF A001, A002, A003

Item No.

Not Separately Priced Quantity U/I Unit Price

1 EA NSP

Data IAW DD Form 1423-1 Data Item No. A001, AOO2, AOO3.

Associated Document(s) Line Item(s)

FD20201901224 03 0040

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FB2029 DESTINATION

Type / Ship To Quantity (U/I) IAW DD Form 1423-1. Req No / Pri

CAV AF A001, A002, A003

A FB2029 1 EA IAW DD Form 1423-1.

Proposed Delivery

A FB2029 1 EA

The prices of not-separately-priced DATA are included in the price of the individual Repair CLINs.

Failure to comply with contract data requirements may result in the withholding of payment on the Repair CLINs. This allows the government to withhold payment on the repairs if the contractor does not deliver the required data. The data is a material requirement of the contract.

IAW DD Form 1423-1.

RIIR B001

Not Separately Priced Quantity U/I Unit Price

1 EA NSP

Data IAW DD Form 1423 Data Item No. B001 RIIR Associated Document(s) Line Item(s)

FD20201901224 03 0041

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FY2073 DESTINATION

Type / Ship To Quantity (U/I) *ARO Contractor shall deliver the Reparable Item Inspection Report within 7 days after the completion of

Req No / Pri

Required Delivery

A FY2073 1 EA *7 Calendar Days

RIIR B001

A FY2073 1 EA

The prices of not-separately-priced DATA are included in the price of the individual Repair CLINs.

Failure to comply with contract data requirements may result in the withholding of payment on the Repair CLINs. This allows the government to withhold payment on the repairs if the contractor does

Counterfeit Prevention Plan C001

Not Separately Priced Quantity U/I Unit Price

1 EA NSP

Data IAW DD Form 1423 Data Item No. C001 Contractor's Counterfeit Prevention Plan Associated Document(s) Line Item(s)

FD20201901224 03 0042

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FY2073 DESTINATION

Type / Ship To Quantity (U/I) *ARO Contractor shall deliver the Counterfeit Prevention Plan within 30 days of contract award

Req No / Pri

Required Delivery

A FY2073 1 EA *30 Calendar Days

Proposed Delivery

A FY2073 1 EA

The prices of not-separately-priced DATA are included in the price of the individual Repair CLINs.

Failure to comply with contract data requirements may result in the withholding of payment on the Repair CLINs. This allows the government to withhold payment on the repairs if the contractor does

Circuit Card Assembly Informational CLIN

For: NSN 5998-01-326-8767ZR Item No.

NSN: J059

Maint & Repair of Eq/Electrical & Elct Equip Comps Associated Document(s) Line Item(s)

FD20202000142 0001

Priority: R Applicability: None ;

Teardown, Test & Evaluation

Item No.

0010AA

Firm Fixed Price Quantity U/I Unit Price Amount

14 EA

CLIN ACRN ACRN Total

0010AA AA

NSN: 5998-01-326-8767 ZR

CIRCUIT CARD ASSEMB

A/D Converter Various Electronic Components Manufacturer Part Number

0SKB3 3D56988G01

48306 3D56988G01 97942 3D56988 97942 3D56988G01 Associated Document(s) Line Item(s)

FD20202000142 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAC

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass

Teardown, Test & Evaluation

Required Delivery

+ CNOTE 14 EA *30 Calendar Days

Proposed Delivery

+ CNOTE 14 EA

AT Plant

0010AB

Firm Fixed Price Quantity U/I Unit Price Amount

14 EA

CLIN ACRN ACRN Total

0010AB AA

NSN: 5998-01-326-8767 ZR

CIRCUIT CARD ASSEMB

A/D Converter Various Electronic Components Manufacturer Part Number

0SKB3 3D56988G01

48306 3D56988G01 97942 3D56988 97942 3D56988G01 Associated Document(s) Line Item(s)

FD20202000142 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For A SW3215 PAD Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Minor Repair

A SW3215 14 EA *60 Days

Proposed Delivery

A SW3215 14 EA

Major Repair

Item No.

0010AC

Firm Fixed Price Quantity U/I Unit Price Amount

14 EA

CLIN ACRN ACRN Total

0010AC AA

NSN: 5998-01-326-8767 ZR

CIRCUIT CARD ASSEMB

A/D Converter Various Electronic Components Manufacturer Part Number

0SKB3 3D56988G01

48306 3D56988G01 97942 3D56988 97942 3D56988G01 Associated Document(s) Line Item(s)

FD20202000142 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3215 ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For A SW3215 PAE Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3215 14 EA *120 Days

Major Repair

A SW3215 14 EA

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + CNOTE

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

AWARD NUMBER:

TYPE/CODE: A FB2029

OO ALC DDHU CNTRL RCV

CP 385 519 8898

5851 F AVE BLDG 849W

HILL AFB UT 84056

HILL AFB UT 84056 UT 84056-5713

USA

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

AWARD NUMBER:

TYPE/CODE: A FY2073

FY2073 OO ALC 502 CBSS GBMAA

CP 801 586 1368

6012 FIR AVE BLDG 1239 RM 2

HILL AFB UT 84056 84056-4056

USA

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

AWARD NUMBER:

TYPE/CODE: A SW3215

DLA DISTRIBUTION BARSTOW

CENTRAL RECEIVING WHSE 7

REC OFFICER 760 577 6442

BARSTOW CA 92311-5014 CA 92311-5014

USA

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

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

52.246-1 CONTRACTOR INSPECTION REQUIREMENTS (APR 1984)

(IAW FAR 46.301)

52.246-4 INSPECTION OF SERVICES--FIXED-PRICE (AUG 1996)

(IAW FAR 46.304)

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

INSPECTION AND ACCEPTANCE (SEP 1999)

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

[CONTRACTOR FILL-IN]

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

Inspection Code and Address:

Government Contract Quality Assurance Inspection and Acceptance will be at destination(s) specified herein (Final).

Item No(s): 0007, 0008, 0009

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

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))

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

(IAW FAR 47.303-6(c))

52.247-48 F.O.B. DESTINATION--EVIDENCE OF SHIPMENT (FEB 1999)

(IAW FAR 47.305-4(c)) Applicable Item No(s) 0007 0008 0009

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

(IAW FAR 47.303-17(f))

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b)) Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address

[CONTRACTOR FILL-IN]

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

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

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

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

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

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

Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (stand-alone) and “Receiving Report” (stand-alone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

(Contracting Officer: Insert inspection and acceptance locations or “Not applicable.”)

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table* Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC Issue By DoDAAC Admin DoDAAC Inspect By DoDAAC Ship To Code Ship From Code Mark For Code Service Approver (DoDAAC) Service Acceptor (DoDAAC) Accept at Other DoDAAC LPO DoDAAC DCAA Auditor DoDAAC Other DoDAAC(s) (*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g.

timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the e-mail address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

(Contracting Officer: Insert applicable email addresses or “Not applicable.”)

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

(Contracting Officer: Insert applicable information or “Not applicable.”)

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 97 X4930 .FC04 64 0 47 GH 8M407L 01K010 00000 UJEPAQ 503000 F03000 $0.00

PSR: K21998 FSR: 001884 DSR: 181038 PCN: 8 CIN: F2DCCW9204B104, F2DCCW9322B103

ACRN TOTAL $ 0.00

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

252.201-7000 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 1991)

(IAW DFARS 201.602-70)

5352.201-9101 OMBUDSMAN (JUN 2016)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, the interested party may contact the ombudsman, Lisette K. LeDuc at 801 777 -6549 , FAX 000 000 -0000 , email lisette.leduc@us.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU/SMC ombudsman level, may be brought by the interested party for further consideration to the Air Force ombudsman, Associate Deputy Assistant Secretary (ADAS) (Contracting), SAF/AQC, 1060 Air Force Pentagon, Washington DC 20330-1060, phone number (571) 256-2395, facsimile number (571) 256-2431.

52.202-1 DEFINITIONS (NOV 2013)

(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 (SEP 2006)

(IAW FAR 3.503-2)

52.203-7 ANTI-KICKBACK PROCEDURES (MAY 2014)

(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

(OCT 2010)

(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 (OCT 2018)

(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 (JUL 2016)

(IAW FAR 4.1804(c), FAR 12.301(d))

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(JUN 2016)

(IAW FAR 4.1903)

52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES

DEVELOPED OR PROVIDED BY KASPERSKY LAB AND OTHER COVERED

ENTITIES (JUL 2018)

(IAW FAR 4.2004)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2019)

(IAW 4.2105(b))

252.204-7000 DISCLOSURE OF INFORMATION (OCT 2016)

(IAW DFARS 204.404-70(a))

252.204-7002 PAYMENT FOR SUBLINE ITEMS NOT SEPARATELY PRICED (DEC 1991)

(IAW DFARS 204.7104-1(b)(3)(iv))

252.204-7003 CONTROL OF GOVERNMENT PERSONNEL WORK PRODUCT (APR 1992)

(IAW DFARS 204.404-70(b))

252.204-7006 BILLING INSTRUCTIONS (OCT 2005)

(IAW DFARS 204.7109)

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (OCT 2016)

(IAW DFARS 204.7304(c))

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

(IAW DFARS 204.7403(c), DFARS 212.301(f)(ix))

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

0001AA 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

(801) 586-1407 val.klemm@us.af.mil

0001AB 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0001AC 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0002AA 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0002AB 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0002AC 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0003AA 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0003AB 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0003AC 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0004AA 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0004AB 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0004AC 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0005AA 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0005AB 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0005AC 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0006AA 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0006AB 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0006AC 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0010AB 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

0010AC 415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE, UT 84056-5820

(c) If an offeror, manufacturer, source, product or service covered by a qualification requirement has already met the standards specified, the relevant information noted below should be provided.

Offeror's Name _____________________________

Manufacturer's Name ________________________

Source's Name _____________________________

Item Name _________________________________

Service Identification _________________________

Test Number _______________________________ (to the extent known)

52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN SUBCONTRACTING WITH

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(OCT 2015)

(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)

52.211-5 MATERIAL REQUIREMENTS (AUG 2000)

(IAW FAR 11.304)

52.211-15 DEFENSE PRIORITY AND ALLOCATION REQUIREMENTS (APR 2008)

(IAW FAR 11.604(b)) This is a rated order certified for national defense , emergency preparedness, and energy program use, and the Contractor shall follow all the requirements of the Defense Priorities and Allocations System regulation (15 CFR 700).

252.211-7003 ITEM UNIQUE IDENTIFICATION AND VALUATION (MAR 2016)

(IAW DFARS 211.274-6(a)(1), DFARS 212.301(f)(xii))

(a) Definitions. As used in this clause—

“DoD recognized unique identification equivalent” means a unique identification method that is in commercial use and has been recognized by DoD. All DoD recognized unique identification equivalents are listed at http://www.acq.osd.mil/dpap/pdi/uid/iuid/equivalents.html .

“Unique item identifier type” means a designator to indicate which method of uniquely identifying a part has been used. The current list of accepted unique item identifier types is maintained at http://www.acq.osd.mil/dpap/pdi/uid/uii_types.html .

(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 252.232-7003. 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 (AUG 2012)

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

52.215-2 AUDIT AND RECORDS--NEGOTIATION (OCT 2010)

(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))

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

CONCERNS (DEVIATION 2019-O0003) (APR 2019)

(IAW Deviation 2019-O0003)

52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS (OCT 2018)

(IAW FAR 19.708(a))

52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN (DEVIATION 2018-O0018)

(AUG 2018)

(IAW DARS TRCKING # 2018-O0018)

52.219-16 LIQUIDATED DAMAGES--SUBCONTRACTING PLAN (JAN 1999)

(IAW FAR 19.708(b)(2))

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (JUL 2013)

(IAW FAR 19.309(c))

(g) If the Contractor does not have representations and certifications in SAM, or does not have a representation in SAM for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

The Contractor represents that it [ ] is, [ ] is not a small business concern under NAICS Code _____________ assigned to contract number ______________________________.

[Contractor to sign and date and insert authorized signer's name and title].

252.219-7003 SMALL BUSINESS SUBCONTRACTING PLAN (DoD CONTRACTS) (MAY 2019)

(IAW DFARS 219.708(b)(1)(A), DFARS 219.708(b)(1)(A)(1))

252.219-7003 SMALL BUSINESS SUBCONTRACTING PLAN (DoD CONTRACTS)--ALTERNATE I

(MAY 2019)

(IAW DFARS 219.708(b)(1)(A)(2), DFARS 219.708(b)(1)(A)(1))

252.219-7004 SMALL BUSINESS SUBCONTRACTING PLAN (TEST PROGRAM) (MAY 2019)

(IAW DFARS 219.708(b)(1)(B))

52.222-1 NOTICE TO THE GOVERNMENT OF LABOR DISPUTES (FEB 1997)

(IAW FAR 22.103-5(a), AFFARS 5322.101-1)

52.222-3 CONVICT LABOR (JUN 2003)

(IAW FAR 22.202)

52.222-21 PROHIBITION OF SEGREGATED FACILITIES (APR 2015)

(IAW FAR 22.810(a)(1))

52.222-26 EQUAL OPPORTUNITY (SEP 2016)

(IAW FAR 22.810(e))

52.222-35 EQUAL OPPORTUNITY FOR VETERANS (OCT 2015)

(IAW FAR 22.1310(a)(1), DFARS 222.1310(a)(1))

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUL 2014)

(IAW FAR 22.1408(a))

52.222-37 EMPLOYMENT REPORTS ON VETERANS (FEB 2016)

(IAW FAR 22.1310(b))

52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR

RELATIONS ACT (DEC 2010)

(IAW FAR 22.1605)

52.222-41 SERVICE CONTRACT LABOR STANDARDS (AUG 2018)

(IAW FAR 22.1006(a))

52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 2014)

(IAW FAR 22.1006(b)) This Statement is for Information Only:

It is not a Wage Determination

Employee Class Monetary Wage Fringe Benefits Electronic Technician Maintenance III 24.35 36.25% Material Handling Laborer 14.14 36.25% Production Control Clerk 19.82 36.25% Scheduler Maintenance 19.82 36.25% Shipping/Receiving Clerk 15.58 36.25% Supply Technican 19.82 36.25% Warehouse Specialist (Warehouse Worker)

17.07 36.25%

52.222-44 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT LABOR

STANDARDS--PRICE ADJUSTMENT (MAY 2014)

(IAW FAR 22.1006(c)(2))

52.222-50 COMBATING TRAFFICKING IN PERSONS (JAN 2019)

(IAW FAR 22.1705(a)(1))

52.222-55 MINIMUM WAGES UNDER EXECUTIVE ORDER 13658 (DEC 2015)

(IAW FAR 22.1906)

52.222-62 PAID SICK LEAVE (EXECUTIVE ORDER 13706) (JAN 2017)

(IAW FAR 22.2110)

252.222-7006 RESTRICTIONS ON THE USE OF MANDATORY ARBITRATION AGREEMENTS

(DEC 2010)

(IAW DFARS 222.7405)

52.223-6 DRUG-FREE WORKPLACE (MAY 2001)

(IAW FAR 23.505)

52.223-11 OZONE-DEPLETING SUBSTANCES AND HIGH GLOBAL WARMING POTENTIAL

HYDROFLUOROCARBONS (JUN 2016)

(IAW FAR 23.804(a)(1))

(b) The Contractor shall label products which contain or are manufactured with ozone-depleting substances in the manner and to the extent required by 42 U.S.C. 7671j(b), (c), (d), and (e) and 40 CFR Part 82, Subpart E, as follows:

WARNING

Contains (or manufactured with, if applicable) ________________________*, a substance(s) which harm(s) public health and environment by destroying ozone in the upper atmosphere.

* The Contractor shall insert the name of the substance(s).

52.223-12 MAINTENANCE, SERVICE, REPAIR, OR DISPOSAL OF REFRIGERATION

EQUIPMENT AND AIR CONDITIONERS (DEC 2016)

(IAW FAR 23.804(a)(2))

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (AUG 2011)

(IAW FAR 23.1105)

52.223-20 AEROSOLS (JUN 2016)

(IAW FAR 23.804(a)(3))

52.223-21 FOAMS (JUN 2016)

(IAW FAR 23.804(a)(4))

252.223-7008 PROHIBITION OF HEXAVALENT CHROMIUM (JUN 2013)

(IAW DFARS 223.7306, DFARS 212.301(f)(xxi))

5352.223-9000 ELIMINATION OF USE OF CLASS I OZONE DEPLETING SUBSTANCES (ODSs)

(NOV 2012)

(IAW AFFARS 5323.804-90)

52.224-3 PRIVACY TRAINING (JAN 2017)

(IAW FAR 24.302(a))

52.225-13 RESTRICTIONS ON CERTAIN FOREIGN PURCHASES (JUN 2008)

(IAW FAR 25.1103(a))

252.225-7001 BUY AMERICAN AND BALANCE OF PAYMENTS PROGRAM--BASIC (DEC 2017)

(IAW DFARS 225.1101(2)(i) and (2)(ii))

252.225-7002 QUALIFYING COUNTRY SOURCES AS SUBCONTRACTORS (DEC 2017)

(IAW DFARS 225.1101(3))

252.225-7012 PREFERENCE FOR CERTAIN DOMESTIC COMMODITIES (DEC 2017)

(IAW DFARS 225.7002-3(a))

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)

(IAW DFARS 225.7901-4)

252.225-7052 RESTRICTION ON THE ACQUISITION OF CERTAIN MAGNETS AND TUNGSTEN

(APR 2019)

(IAW DFARS 225.7018-5)

252.226-7001 UTILIZATION OF INDIAN ORGANIZATIONS, INDIAN-OWNED ECONOMIC

ENTERPRISES, AND NATIVE HAWAIIAN SMALL BUSINESS CONCERNS

(APR 2019)

(IAW DFARS 226.104)

52.227-1 AUTHORIZATION AND CONSENT (DEC 2007)

(IAW FAR 27.201-2(a)(1))

52.227-2 NOTICE AND ASSISTANCE REGARDING PATENT AND COPYRIGHT

INFRINGEMENT (DEC 2007)

(IAW FAR 27.201-2(b))

252.227-7030 TECHNICAL DATA--WITHHOLDING OF PAYMENT (MAR 2000)

(IAW DFARS 227.7103-6(e)(2), DFARS 227.7104(e)(4))

(a) the Contracting Officer may until such data is accepted by the Government, withhold payment to the Contractor of ten percent (10%) of the total contract price or amount

52.229-3 FEDERAL, STATE, AND LOCAL TAXES (FEB 2013)

(IAW FAR 29.401-3(a))

52.232-1 PAYMENTS (APR 1984)

(IAW FAR 32.111(a)(1))

52.232-8 DISCOUNTS FOR PROMPT PAYMENT (FEB 2002)

(IAW FAR 32.111(b)(1))

52.232-11 EXTRAS (APR 1984)

(IAW FAR 32.111(c)(2))

52.232-17 INTEREST (MAY 2014)

(IAW FAR 32.611(a), FAR 32.611(b))

52.232-23 ASSIGNMENT OF CLAIMS (MAY 2014)

(IAW FAR 32.806(a)(1))

52.232-25…