PR_21-00012.pdf
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- F-16 AFT Seat Hud Monitor
- Solicitation number
- FA8251-21-R-0003
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PURCHASE REQUEST
(Central Procurement and Research Development Test and Evaluation)
PROC ACTY
FA8251
TYPE PR
PRIORITY
R
DATE
18 JUN 2020
SDN PURCHASE REQUEST NUMBER
FD20202100012
AMENDMENT NO.
IM
H
MGR DES
SX
MMAC
WF
LIFE SUPPORT
YES X NO
ASI
YES X NO
PURPOSE
Zero Dollar PR. 5 yr IDIQ repair contract. Follow on for FA825116D0017. F16 AFT Seat Hud Monitor. Unit Cost $5,127.00 for total $589,605.00. First Delivery Order estimated QTY 15 for $76,905.00. Min: 76905 MAX: 589605.
REMARKS
NAME: Mota, Tammy L ORG/OFFICE SYMBOL: 416 SCMS / GUMAA COMM/DSN PHONE: 801-777-3799 / 777-3799 DATE: 24 JUN 2020
The requirement is not an inherently government function.
Repair effort is deemed performance based.
Commodity council is complete
ITEM NO.
DESCRIPTION
1270015142683WF
AMC/AMSC RMC/RMSC
R3 / C
QUANTITY
UNIT
EA
EST UNIT PRICE
$0.00
EST TOTAL PRICE
$0.00
DESCRIPTION
BUY AUTHORITY: B21 NOUN: MONITOR,HEAD-UP DIS REQ CATEGORY: REPAIR / REPAIR CAGE / REFERENCE NUMBER: 79986 / 46431110-30 ERRC: T REQUISITION NUMBER: REQ PRIORITY: REQ PROJECT CODE: INCOMING MIPR NUMBER: INCOMING MIPR LINE ITEM: I&S NSN/ORDER OF USE:
CONTRACT NUMBER: CLIN:
CONTRACT
NEGOTIATED
QUANTITY
CONTRACT QUANTITY
POSITIVE VARIANCE
PERCENTAGE
CONTRACT QUANTITY
NEGATIVE VARIANCE
PERCENTAGE
PRICING
ARRANGEMENT
CONTRACT
NEGOTIATED UNIT
COST
CONTRACT
REMAINING QUANTITY
DELIVERY SCHEDULE
DELIVERY NUMBER: 1 TYPE: Event SHIP TO (DODAAC): SW3210 SUPPLEMENTAL ADDRESS: Perioi
REQUIRED DELIVERY (DATE / EVENT / OTHER):
Deliver 115 unit(s) 60 Days After Receipt of Carcass . Early delivery is acceptable
MARK FOR: account 09
SHIP TO (CUSTOMER): DLA DISTRIBUTION DEPOT HILL
7537 WARDLEIGH RD BLDG 849W
CML 385 519 8898
HILL AFB UT 84056-5734
84056-5734
USA
SHIP TO (REMARKS): Period of Performance will be 60 months after date of award
LINE ITEM REMARKS
BEST EST QTY: ITEM MGR QTY: MISSION ESSENTIAL QTY:
MINIMUM QTY: MEDIUM QTY: MAXIMUM QTY:
NAME: Mota, Tammy L ORG/OFFICE SYMBOL: 416 SCMS / GUMAA COMM/DSN PHONE: 801-777-3799 / 777-3799 DATE: 17 JUN 2020
Repair URC is est 5127.00
GFP: YES GFM: NO GFE: NO ITEM MARKING CODE:
OPTIONS
OPTION NUMBER: TYPE: BEST ESTIMATED QUANTITY:ESTIMATED UNIT COST:
TOTAL OPTION COST:
ALD: AA FUNDING RECOMMENDATION: None DOLLAR BREAKOUT: $0.00
STANDARD AIR FORCE ACCOUNTING CLASSIFICATION (SAFAC)
97X4930.FC04 640 47GH 15F16Z 01K010 00000 UJEFAE 503000 F03000 FSR: 001884 PSR: K22036
001884
FSR PSR
K22036
DSR
CIN: OTHER STATION FUNDS
Page 1 of 3AFMC FORM 36 Generated by PRPS using Jasper Reports on 10 Nov 2020
PROC ACTY
FA8251
TYPE PR
PRIORITY
R
DATE
18 JUN 2020
SDN PURCHASE REQUEST NUMBER
FD20202100012
AMENDMENT NO.
ITEM NO.
DESCRIPTION
1270DTG200831WF
AMC/AMSC RMC/RMSC QUANTITY
UNIT
LT
EST UNIT PRICE
$0.00
EST TOTAL PRICE
$0.00
DESCRIPTION
BUY AUTHORITY: Data PSEUDO NSN REFERENCE: 1270DTG20082FWF RELATED NSNs:
DESCRIPTION: A001 CAV AF REPORT, A002 CONTRACT MAINTENANCE PRODCTION REPORT, A003 GOVERNMENT PROPERTY INVENTORY REPORT, A004 MAINTENANCE DATA COLLECTION REPORT. REQ CATEGORY: OTHER / DATA CAGE / REFERENCE NUMBER: / ERRC: REQUISITION NUMBER: REQ PRIORITY: REQ PROJECT CODE: INCOMING MIPR NUMBER: INCOMING MIPR LINE ITEM:
CONTRACT NUMBER: CLIN:
CONTRACT
NEGOTIATED
QUANTITY
CONTRACT QUANTITY
POSITIVE VARIANCE
PERCENTAGE
CONTRACT QUANTITY
NEGATIVE VARIANCE
PERCENTAGE
PRICING
ARRANGEMENT
CONTRACT
NEGOTIATED UNIT
COST
CONTRACT
REMAINING QUANTITY
DELIVERY SCHEDULE
DELIVERY NUMBER: 1 TYPE: Other SHIP TO (DODAAC): SUPPLEMENTAL ADDRESS:
REQUIRED DELIVERY (DATE / EVENT / OTHER):
Deliver 1 unit(s) IAW DD1423-1 . Early delivery is acceptable
MARK FOR:
SHIP TO (CUSTOMER):
SHIP TO (REMARKS): IAW DD1423-1
LINE ITEM REMARKS
BEST EST QTY: ITEM MGR QTY: MISSION ESSENTIAL QTY:
MINIMUM QTY: MEDIUM QTY: MAXIMUM QTY:
GFP: NO GFM: NO GFE: NO ITEM MARKING CODE:
OPTIONS
OPTION NUMBER: TYPE: BEST ESTIMATED QUANTITY:ESTIMATED UNIT COST:
TOTAL OPTION COST:
ALD: AA FUNDING RECOMMENDATION: None DOLLAR BREAKOUT: $0.00
STANDARD AIR FORCE ACCOUNTING CLASSIFICATION (SAFAC)
97X4930.FC04 640 47GH 15F16Z 01K010 00000 UJEFAE 503000 F03000 FSR: 001884 PSR: K22036
001884
FSR PSR
K22036
DSR
CIN: OTHER STATION FUNDS
ITEM NO.
DESCRIPTION
1270DTG200832WF
AMC/AMSC RMC/RMSC QUANTITY
UNIT
LT
EST UNIT PRICE
$0.00
EST TOTAL PRICE
$0.00
DESCRIPTION
BUY AUTHORITY: Data PSEUDO NSN REFERENCE: 1270DTG20082FWF RELATED NSNs:
DESCRIPTION: B001 CPP-COUNTERFIET PREVENTION PLAN REQ CATEGORY: OTHER / DATA CAGE / REFERENCE NUMBER: / ERRC: REQUISITION NUMBER: REQ PRIORITY: REQ PROJECT CODE: INCOMING MIPR NUMBER: INCOMING MIPR LINE ITEM:
CONTRACT NUMBER: CLIN:
CONTRACT
NEGOTIATED
QUANTITY
CONTRACT QUANTITY
POSITIVE VARIANCE
PERCENTAGE
CONTRACT QUANTITY
NEGATIVE VARIANCE
PERCENTAGE
PRICING
ARRANGEMENT
CONTRACT
NEGOTIATED UNIT
COST
CONTRACT
REMAINING QUANTITY
Page 2 of 3AFMC FORM 36 Generated by PRPS using Jasper Reports on 10 Nov 2020
PROC ACTY
FA8251
TYPE PR
PRIORITY
R
DATE
18 JUN 2020
SDN PURCHASE REQUEST NUMBER
FD20202100012
AMENDMENT NO.
DELIVERY SCHEDULE
DELIVERY NUMBER: 1 TYPE: Other SHIP TO (DODAAC): SUPPLEMENTAL ADDRESS:
REQUIRED DELIVERY (DATE / EVENT / OTHER):
Deliver 1 unit(s) IAW DD1423-1 . Early delivery is acceptable
MARK FOR:
SHIP TO (CUSTOMER):
SHIP TO (REMARKS): IAW DD1423-1
LINE ITEM REMARKS
BEST EST QTY: ITEM MGR QTY: MISSION ESSENTIAL QTY:
MINIMUM QTY: MEDIUM QTY: MAXIMUM QTY:
GFP: NO GFM: NO GFE: NO ITEM MARKING CODE:
OPTIONS
OPTION NUMBER: TYPE: BEST ESTIMATED QUANTITY:ESTIMATED UNIT COST:
TOTAL OPTION COST:
ALD: AA FUNDING RECOMMENDATION: None DOLLAR BREAKOUT: $0.00
STANDARD AIR FORCE ACCOUNTING CLASSIFICATION (SAFAC)
97X4930.FC04 640 47GH 15F16Z 01K010 00000 UJEFAE 503000 F03000 FSR: 001884 PSR: K22036
001884
FSR PSR
K22036
DSR
CIN: OTHER STATION FUNDS
INCREASE DECREASE GRAND TOTAL
$0.00
PREPARED BY (Name, User Role/Type, Org/Office Symbol, Phone (Comm/DSN), Date Prepared)
Mota, Tammy L Production Management Specialist - Seller
416 SCMS / GUMAA 801-777-3799 / 777-3799 18 JUN 2020
APPROVALS (Name, User Role/Type, Org/Office Symbol, Phone (Comm/DSN), Date Coordinated)
Hidalgo, Cody M Resource Advisor 448 SCMW / FMR 801-777-9178 / 777-9178 14 OCT 2020
(Funds Coordinated: AA)
Rees, Emmalou E Contracting Officer OL-H / PZACA 801-775-4640 / 775-4640 10 NOV 2020
CERTIFYING OFFICIAL (Name, User Role/Type, Org/Office Symbol, Phone (Comm/DSN), Date Certified)
Zero Dollar PR - no certification required
COMPLETE OFFICIAL (Name, User Role/Type, Org/Office Symbol, Phone (Comm/DSN), Date Completed)
//ELECTRONICALLY SIGNED//
Mota, Tammy L Production Management Specialist - Seller
416 SCMS / GUMAA 801-777-3799 / 777-3799 10 NOV 2020
Page 3 of 3AFMC FORM 36 Generated by PRPS using Jasper Reports on 10 Nov 2020
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