FA8517-24-Q-0008.pdf

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1447 (REV. 8/2016)

PREVIOUS EDITION NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.214(d)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

24. TOTAL AWARD AMOUNT (For Government Use Only)

TELEPHONE NUMBER

UNIQUE ENTITY

IDENTIFIER

CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

NO COLLECT CALLS

4. SOLICITATION NUMBER

FA8517-24-Q-0008

6.SOLICITATION ISSUE DATE

8. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

HUBZONE SMALL

BUSINESS EDWOSB

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS NAICS: 811210

8(A) SIZE STANDARD: $34.00

DATE SIGNED

28. UNITED STATES OF AMERICA (Signature of Contracting Officer)

26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION NUMBER

SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR CHANGES WHICH

ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

ROUTINE

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 30 days.

SEE LINE ITEM SCHEDULE

22.

AMOUNT

16. AUTHORITY FOR USING OTHER THAN 10 USC 2304 41 USC 253

FULL AND OPEN COMPETITION (c) (1 ) (c) ( )

DATE SIGNED

27. SIGNATURE OF OFFEROR/CONTRACTOR

20.

UNIT

21.

UNIT PRICE

19.

QUANTITY

13. CONTRACTOR OFFEROR CODE FACILITY CODE

11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN * ___ CALENDAR DAYS (60 CALENDAR

DAYS UNLESS OFFEROR INSERTS A DIFFERENT PERIOD) FROM THE DATE SET FORTH IN BLOCK 9

ABOVE, THE CONTRACTOR AGREES TO HOLD ITS OFFERED PRICES FIRM FOR THE ITEMS

SOLICITED HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO THE TERMS AND

CONDITIONS STATED HEREIN. *30

RATING

DO: A1

3. AWARD/EFFECTIVE DATE

FA8517

2. CONTRACT NUMBER

X

17.

ITEM NUMBER

12. ADMINISTERED BY CODE

Total

SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK: 14 EFT:T

SCD:B

NAME AND TITLE OF SIGNER (Type or Print) NAME OF CONTRACTING OFFICER

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAYMENT DISCOUNT

25. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SETFORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY CONTINUATION SHEETS SUBJECT

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

10. ITEMS TO BE PURCHASED (Brief Description)

SUPPLIES SERVICES Electronic and Precision Equipment Repair and Maintenance

9. (Agency Use)

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

X

7. ISSUED BY CODE

SUPPORT EQUIPMENT - AUTOMATIC TEST, AFSC/PZAAC

235 BYRON ST BLDG 300 STE 19A

BLDG 300 CML PHN 478 926 7204

ROBINS AFB GA 31098-1670

BUYER: Courtney R. Haynes/PZAAC courtney.haynes.1@us.af.mil Phone: (478) 222- 1088

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)SOLICITATION/CONTRACT

BIDDER/OFFEROR TO COMPLETE BLOCKS 11, 13, 15, 21, 22, & 27.

J

STANDARD FORM 1447 (REV. 8/2016) BACK

NO RESPONSE FOR REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include Zip Code)

WE DO NOT DESIRE TO BE RETAINED ON THE MAILING LIST FOR FUTURE PROCUREMENT OF THE TYPE OF

ITEMS INVOLVED

WE DO

OTHER (Specify)

UNABLE TO IDENTIFY THE ITEM(S)

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

DO NOT REGULARILY MANUFACTURE OR SELL THE TYPE

OF ITEMS INVOLVED

DATE AND LOCAL TIME

SOLICITATION NUMBER FA851724Q0008

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Courtney R Haynes/PZAAC

SUPPORT EQUIPMENT - AUTOMATIC TEST, AFSC/PZAAC

235 BYRON ST BLDG 300 STE 19A

BLDG 300 CML PHN 478 926 7204

ROBINS AFB GA 31098-1670

FA8517-24-Q-0008

SUPPLIES OR SERVICES AND PRICES/COSTS

In accordance with the attached CAV AF Reporting Requirements (see the document listed in Section J), the Contractor shall include a DD1348-1 when assets are shipped. DCMA Quality Assurance Representatives (QARs) will not approve or sign the DD1348-1, but will ensure a DD1348-1 is included with each returned asset. If a DD1348-1 is not included with each returned asset, DCMA will not sign the receiving report (DD250) receiving report (DD250).

Repair of the Electrical Load Bank

Item No.

Firm Fixed Price Quantity U/I Amount

3 EA

NSN: 6150013858223 KV

LOAD BANK,ELECTRICAL

Manufacturer Part Number 04939 717720650039 Associated Document(s) Line Item(s)

FD20602400099 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAB

Place of Perf Quantity (U/I) *ARO Carcass. Early delivery is acceptable _ Req No / Pri

Required Period of Performance

A SW3119 3 EA *180 Calendar Days

Proposed Period of Performance

A SW3119 3 EA

Early delivery is acceptable

DATA

Item No.

DATA

DATA

DATA IAW DD FORM 14231 ELIN(s) A001, A002, A003, A004, A005, and A006 are applicable to CLIN 0002.

Associated Document(s) Line Item(s)

FD20602400099 0002

Priority: R ROUTINE

Item Unique Identification (IUID) Marking Activity, Validation

Item No.

A001

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

Exhibit A Item Unique Identification (IUID) Marking Activity Validation

ELIN A001

PWS, PARA 4.3.1.2.2

Associated Document(s) Line Item(s)

FD20602400099 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Commercial Asset Visibility (CAV) Reporting

Item No.

A002

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

Exhibit A Commercial Asset Visibility (CAV) Reporting

ELIN A002

PWS, Para. 4.3.3 Associated Document(s) Line Item(s)

FD20602400099 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Commercial Asset Visibility (CAV) Reporting

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

Contract Depot Maintenance (CDM) Monthly Production Report

Item No.

A003

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

Exhibit A Contract Depot Maintenance (CDM) Monthly Production Report

ELIN A003

PWS Paragraph: 4.3.3 Associated Document(s) Line Item(s)

FD20602400099 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Government Property (GP) Inventory Report

Item No.

A004

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

Exhibit A Government Property (GP) Inventory Report

ELIN A004

PWS, PARA. 4.3.3

Associated Document(s) Line Item(s)

FD20602400099 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Counterfeit Prevention Plan

Item No.

A005

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

Exhibit A Counterfeit Prevention Plan

ELIN A005

PWS Paragraph: 4.3.5 Associated Document(s) Line Item(s)

FD20602400099 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Accident/Incident Report

Item No.

A006

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

Exhibit A Accident/Incident Report

ELIN A006

PWS, Para. 5.5.2 Associated Document(s) Line Item(s)

FD20602400099 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS AFB GA 310981887

UNITED STATES

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

AWARD NUMBER:

CONTRACT CLAUSES

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 97X4930.FC04 644 47GR 84328Z 01K010 00000 UJJOHJ 503000 F03000 ALD:AA $0.00

PSR: K35768 FSR: 013720 DSR: 170125

REFERENCE:

AA CIN: F3QL064080A1020000AA

PR: FD20602400099

ACRN TOTAL $ 0.00

TRANSPORTATION APPROPRIATION CHARGEABLE

The Transportation Allotment Identification (TAI) relates directly to the above ACRN(s). For example the TAI "TAA" is for the same line item(s) as ACRN "AA".

FMS TRANSPORTATION ALLOTMENT SHALL BE USED ONLY WHEN SHIPMENT ON GOVERNMENT BILL OF LADING IS AUTHORIZED

Insert 3 if movement via surface mode or 2 if movement via airlift in place of any "#" shown.

Insert last digit of current fiscal year in place of any asterisk "*" shown when material is shipped.

TAI ALLOTMENT

TAA F6RS

(End of clause)

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

Form Number Description/File Name Date Number of Pages 158 Packaging 20MAR2024 2

Performance Work Statement 16

1653 Transportation 19MAR2024 2

Item Description 20MAR2024 1

Wage Determination 06NOV2023 1

14231 Contract Data Requirements List 25JAN2024 18