FA851713R00535_20131022.pdf

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Repair of Circuits Cards and Power Supplies
Solicitation number
FA8517-13-R-00535
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STANDARD FORM 1447 (2/2012)

Prescribed by GSA FAR (48 CFR) 53.215-1(d)

4. SOLICITATION NUMBER

FA8517-13-R-00535

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 CODE: 811219

8(A) SIZE STANDARD: $19.00

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 120 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 BLK 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. *120

RATING

DO: C3

3. AWARD/EFFECTIVE DATE

FA8517

2. CONTRACT NO.

X

CHECK IF REMITTANCE IS DIFFERENT

AND PUT SUCH ADDRESS IN OFFER

17.

ITEM NO.

12. ADMINISTERED BY CODE

Total

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

SCD:C

NAME AND TITLE OF SIGNER (TYPE OR PRINT) NAME OF CONTRACTING OFFICER

24. AWARD AMOUNT (FOR GOVT USE ONLY)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAY 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 Other Electronic and Precision Equipment Repair and Maintenance

9.

Offers will be received at the issuing office until the date and time specified below.

6-DEC-2013 4:00PM

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 EQPT - AUTOMATIC TEST, AFSC/PZAAC

460 RICHARD RAY BLVD STE 200

BLDG 301 CML PHN 478 222 3749

ROBINS AFB GA 31098-1813

BUYER: Tony Barfield/AFSC/PZAAC Tony.Barfield@robins.af.mil Phone: (478) 222- 5176 Fax: (478) 222-7498 No Collect Calls

X

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)SOLICITATION/CONTRACT

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

J

SF 1447 (rev 2/2012) BACK

NO RESPONSE FOR THE 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)

CANNOT COMPLY WITH SPECIFICATIONS

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

FOLD

FOLD

SOLICITATION NO. FA851713R00535

DUE: 6 DEC 2013 4:00 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Tony Barfield/AFSC/PZAAC

SUPPORT EQPT - AUTOMATIC TEST, AFSC/PZAAC

460 RICHARD RAY BLVD STE 200

BLDG 301 CML PHN 478 222 3749

ROBINS AFB GA 31098-1813

Request for Proposal FA8517-13-R-00535

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR REQUIREMENTS

CONTRACTS (JUL 1999)

In accordance with FAR 16.503(c), this is to advise that failure of the Government to furnish Government property items in the amounts or quantities described in the Schedule as "estimated" of "maximum" will not entitle the contractor to any equitable adjustment in price under the Government Property clause of the contract.

THIS CONTRACT IS TO ESTABLISH A FIVE-YEAR REQUIREMENTS REPAIR CONTRACT FOR

MULTIPLE CIRCUIT CARD ASSEMBLIES AND POWER SUPPLIES. THE AWARDED CONTRACT

WILL CONSIST OF THE BASIC YEAR PLUS FOUR

ONE-YEAR ORDERING PERIODS AS FOLLOWS:

CLIN ORDERING PERIOD TIME FRAME

00XX BASIC ORDERING PERIOD FROM EFFECTIVE DATE OF AWARD THROUGH 12 MONTHS

10XX FIRST ORDERING PERIOD 12 MONTHS AFTER BASIC ORDERING PERIOD

20XX SECOND ORDERING PERIOD 12 MONTHS AFTER FIRST ORDERING PERIOD

30XX THIRD ORDERING PERIOD 12 MONTHS AFTER SECOND ORDERING PERIOD

40XX FOURTH ORDERING PERIOD 12 MONTHS AFTER THIRD ORDERING PERIOD

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0001 ZZ

NSN: 5998-01-071-8428 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19993-1

Associated Document(s) Line Item(s)

FD20601300535 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for 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 PAE

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

CIRCUIT CARD ASSEMBLY

A SW3119 2 EA *30 Days

Proposed Delivery

A SW3119 2 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0002 ZZ

NSN: 5998-01-072-2441 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19998-1

Associated Document(s) Line Item(s)

FD20601300535 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for 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 PAC

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

A SW3119 3 EA *30 Days

Proposed Delivery

A SW3119 3 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

CIRCUIT CARD ASSEMBLY

3 EA

CLIN ACRN ACRN Total

0003 ZZ

NSN: 5998-01-087-7775 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19994-2

Associated Document(s) Line Item(s)

FD20601300535 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for 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 PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

A SW3119 3 EA *30 Days

Proposed Delivery

A SW3119 3 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

0004 ZZ

NSN: 5998-01-087-7777 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19996-2

Associated Document(s) Line Item(s)

FD20601300535 0004

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

CIRCUIT CARD ASSEMBLY

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 PAA

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

A SW3119 4 EA *30 Days

Proposed Delivery

A SW3119 4 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0005 ZZ

NSN: 5998-01-087-7778 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19997-2

Associated Document(s) Line Item(s)

FD20601300535 0005

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for 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 PAA

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

A SW3119 2 EA *30 Days

Proposed

A SW3119 2 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 AY

CLIN ACRN ACRN Total

0006 ZZ

NSN: 5998-01-297-7684 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH26685-1

Associated Document(s) Line Item(s)

FD20601300535 0006

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for 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 PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

A SW3119 3 AY *30 Days

Proposed Delivery

A SW3119 3 AY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0007 ZZ

NSN: 5998-01-300-9618 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH26573-1

Associated Document(s) Line Item(s)

FD20601300535 0007

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for 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 PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

A SW3119 3 EA *30 Days

Proposed Delivery

A SW3119 3 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

0008 ZZ

NSN: 5998-01-365-6058 JX

CIRCUIT CARD ASSEMB

Signal Process Electronic Components Manufacturer Part Number

98869 BH27443-1

Associated Document(s) Line Item(s)

FD20601300535 0008

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for 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 PAC

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

A SW3119 10 EA *30 Days

Proposed Delivery

A SW3119 10 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

0009 ZZ

NSN: 5998-01-072-2412 JX

ELECTRONIC COMPONEN

Manufacturer Part Number

98869 BH19999-1

Associated Document(s) Line Item(s)

FD20601300535 0009

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for 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 PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

A SW3119 5 EA *30 Days

Proposed Delivery

A SW3119 5 EA

Item No.

Firm Fixed Price Best Estimated

4 EA

CLIN ACRN ACRN Total

0010 ZZ

NSN: 6130-01-586-6003 JX

POWER SUPPLY

Manufacturer Part Number

98869 BH27171-8

Associated Document(s) Line Item(s)

FD20601300535 0010

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for 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

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

A SW3119 4 EA *30 Days

Proposed Delivery

A SW3119 4 EA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LT Not Separately Priced Not Separately Priced

Data

IAW DD FORM 1423

Associated Document(s) Line Item(s)

FD20601300535 0011

Priority: R Type / Ship To PACRN Mark For

+ IAW1423 PAF

Type / Ship To Quantity (U/I) IAW DD 1423 Req No / Pri

Required Delivery

+ IAW1423 1 LT IAW DD 1423

Proposed

+ IAW1423 1 LT

A001 - Commercial Asset Visibility Air Force A002 - Government Industry Data Exchange Program (GIDEP) A003 - GIDEP Alert Response A004 - Accident/Incident Report A005 - Item Unique Identification (IUID) Marking Plan A006 - IUID Marking Activity and Verification Report

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

1001 ZZ

NSN: 5998-01-071-8428 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19993-1

Associated Document(s) Line Item(s)

FD20601300535 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAE

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 2 EA *30 Days

Proposed Delivery

+ TBD 2 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

CIRCUIT CARD ASSEMBLY

1002 ZZ

NSN: 5998-01-072-2441 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19998-1

Associated Document(s) Line Item(s)

FD20601300535 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAC

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 3 EA *30 Days

Proposed Delivery

+ TBD 3 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

1003 ZZ

NSN: 5998-01-087-7775 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19994-2

Associated Document(s) Line Item(s)

FD20601300535 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

CIRCUIT CARD ASSEMBLY

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

Req No / Pri

Required Delivery

+ TBD 3 EA *30 Days

Proposed Delivery

+ TBD 3 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

1004 ZZ

NSN: 5998-01-087-7777 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19996-2

Associated Document(s) Line Item(s)

FD20601300535 0004

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAA

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 4 EA *30 Days

Proposed Delivery

+ TBD 4 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

CIRCUIT CARD ASSEMBLY

2 EA

CLIN ACRN ACRN Total

1005 ZZ

NSN: 5998-01-087-7778 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19997-2

Associated Document(s) Line Item(s)

FD20601300535 0005

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAA

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 2 EA *30 Days

Proposed Delivery

+ TBD 2 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

1006 ZZ

NSN: 5998-01-297-7684 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH26685-1

Associated Document(s) Line Item(s)

FD20601300535 0006

Priority: R

Inspection: Origin

CIRCUIT CARD ASSEMBLY

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 2 EA *30 Days

Proposed Delivery

+ TBD 2 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

1007 ZZ

NSN: 5998-01-300-9618 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH26573-1

Associated Document(s) Line Item(s)

FD20601300535 0007

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 3 EA *30 Days

Proposed

+ TBD 3 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

1008 ZZ

NSN: 5998-01-365-6058 JX

CIRCUIT CARD ASSEMB

Signal Process Electronic Components Manufacturer Part Number

98869 BH27443-1

Associated Document(s) Line Item(s)

FD20601300535 0008

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAC

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 10 EA *30 Days

Proposed Delivery

+ TBD 10 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

1009 ZZ

NSN: 5998-01-072-2412 JX

ELECTRONIC COMPONEN

Manufacturer Part Number

98869 BH19999-1

Associated Document(s) Line Item(s)

FD20601300535 0009

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 5 EA *30 Days

Proposed Delivery

+ TBD 5 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

1010 ZZ

NSN: 6130-01-586-6003 JX

POWER SUPPLY

Manufacturer Part Number

98869 BH27171-8

Associated Document(s) Line Item(s)

FD20601300535 0010

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 4 EA *30 Days

Proposed Delivery

+ TBD 4 EA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LT Not Separately Priced Not Separately Priced

Data

IAW DD FORM 1423

Associated Document(s) Line Item(s)

FD20601300535 0011

Priority: R Type / Ship To PACRN Mark For

+ IAW1423 PAF

Type / Ship To Quantity (U/I) IAW DD 1423 Req No / Pri

Required Delivery

+ IAW1423 1 LT IAW DD 1423

Proposed Delivery

+ IAW1423 1 LT

A001 - Commercial Asset Visibility Air Force A002 - Government Industry Data Exchange Program (GIDEP) A003 - GIDEP Alert Response A004 - Accident/Incident Report

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

2001 ZZ

NSN: 5998-01-071-8428 JX

CIRCUIT CARD ASSEMBLY

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19993-1

Associated Document(s) Line Item(s)

FD20601300535 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAE

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 2 EA *30 Days

Proposed Delivery

+ TBD 2 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

2002 ZZ

NSN: 5998-01-072-2441 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19998-1

Associated Document(s) Line Item(s)

FD20601300535 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAC

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

CIRCUIT CARD ASSEMBLY

Required Delivery

+ TBD 3 EA *30 Days

Proposed Delivery

+ TBD 3 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

2003 ZZ

NSN: 5998-01-087-7775 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19994-2

Associated Document(s) Line Item(s)

FD20601300535 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 3 EA *30 Days

Proposed Delivery

+ TBD 3 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

CIRCUIT CARD ASSEMBLY

2004 ZZ

NSN: 5998-01-087-7777 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19996-2

Associated Document(s) Line Item(s)

FD20601300535 0004

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAA

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 4 EA *30 Days

Proposed Delivery

+ TBD 4 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

2005 ZZ

NSN: 5998-01-087-7778 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19997-2

Associated Document(s) Line Item(s)

FD20601300535 0005

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

+ TBD PAA

CIRCUIT CARD ASSEMBLY

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

Req No / Pri

Required Delivery

+ TBD 2 EA *30 Days

Proposed Delivery

+ TBD 2 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

2006 ZZ

NSN: 5998-01-297-7684 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH26685-1

Associated Document(s) Line Item(s)

FD20601300535 0006

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 2 EA *30 Days

Proposed Delivery

+ TBD 2 EA

Item No.

Best Estimated Qty

U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

2007 ZZ

NSN: 5998-01-300-9618 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH26573-1

Associated Document(s) Line Item(s)

FD20601300535 0007

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 3 EA *30 Days

Proposed Delivery

+ TBD 3 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

2008 ZZ

NSN: 5998-01-365-6058 JX

CIRCUIT CARD ASSEMB

Signal Process Electronic Components Manufacturer Part Number

98869 BH27443-1

Associated Document(s) Line Item(s)

FD20601300535 0008

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAC

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 10 EA *30 Days

Proposed Delivery

+ TBD 10 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

2009 ZZ

NSN: 5998-01-072-2412 JX

ELECTRONIC COMPONEN

Manufacturer Part Number

98869 BH19999-1

Associated Document(s) Line Item(s)

FD20601300535 0009

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required

+ TBD 5 EA *30 Days

Proposed Delivery

+ TBD 5 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

2010 ZZ

NSN: 6130-01-586-6003 JX

POWER SUPPLY

Manufacturer Part Number

98869 BH27171-8

Associated Document(s) Line Item(s)

FD20601300535 0010

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 4 EA *30 Days

Proposed Delivery

+ TBD 4 EA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LT Not Separately Priced Not Separately Priced

Data

IAW DD FORM 1423

Associated Document(s) Line Item(s)

FD20601300535 0011

Priority: R Type / Ship To PACRN Mark For

+ IAW1423 PAF

Type / Ship To Quantity (U/I) IAW DD 1423 Req No / Pri

Required Delivery

+ IAW1423 1 LT IAW DD 1423

Proposed Delivery

+ IAW1423 1 LT

A001 - Commercial Asset Visibility Air Force A002 - Government Industry Data Exchange Program (GIDEP) A003 - GIDEP Alert Response A004 - Accident/Incident Report

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

3001 ZZ

NSN: 5998-01-071-8428 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19993-1

Associated Document(s) Line Item(s)

FD20601300535 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAE

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

CIRCUIT CARD ASSEMBLY

+ TBD 2 EA *30 Days

Proposed Delivery

+ TBD 2 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

3002 ZZ

NSN: 5998-01-072-2441 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19998-1

Associated Document(s) Line Item(s)

FD20601300535 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAC

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 3 EA *30 Days

Proposed Delivery

+ TBD 3 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

3003 ZZ

NSN: 5998-01-087-7775 JX

CIRCUIT CARD ASSEMBLY

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19994-2

Associated Document(s) Line Item(s)

FD20601300535 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 3 EA *30 Days

Proposed Delivery

+ TBD 3 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

3004 ZZ

NSN: 5998-01-087-7777 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19996-2

Associated Document(s) Line Item(s)

FD20601300535 0004

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAA

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

CIRCUIT CARD ASSEMBLY

Required Delivery

+ TBD 4 EA *30 Days

Proposed Delivery

+ TBD 4 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

3005 ZZ

NSN: 5998-01-087-7778 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19997-2

Associated Document(s) Line Item(s)

FD20601300535 0005

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAA

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 2 EA *30 Days

Proposed Delivery

+ TBD 2 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated

CIRCUIT CARD ASSEMBLY

2 EA

CLIN ACRN ACRN Total

3006 ZZ

NSN: 5998-01-297-7684 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH26685-1

Associated Document(s) Line Item(s)

FD20601300535 0006

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 2 EA *30 Days

Proposed Delivery

+ TBD 2 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

3007 ZZ

NSN: 5998-01-300-9618 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH26573-1

Associated Document(s) Line Item(s)

FD20601300535 0007

Priority: R

Inspection: Origin

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 3 EA *30 Days

Proposed Delivery

+ TBD 3 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

3008 ZZ

NSN: 5998-01-365-6058 JX

CIRCUIT CARD ASSEMB

Signal Process Electronic Components Manufacturer Part Number

98869 BH27443-1

Associated Document(s) Line Item(s)

FD20601300535 0008

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAC

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 10 EA *30 Days

Proposed

+ TBD 10 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

3009 ZZ

NSN: 5998-01-072-2412 JX

ELECTRONIC COMPONEN

Manufacturer Part Number

98869 BH19999-1

Associated Document(s) Line Item(s)

FD20601300535 0009

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 5 EA *30 Days

Proposed Delivery

+ TBD 5 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

3010 ZZ

NSN: 6130-01-586-6003 JX

POWER SUPPLY

Manufacturer Part Number

98869 BH27171-8

Associated Document(s) Line Item(s)

FD20601300535 0010

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 4 EA *30 Days

Proposed Delivery

+ TBD 4 EA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LT Not Separately Priced Not Separately Priced

Data

IAW DD FORM 1423

Associated Document(s) Line Item(s)

FD20601300535 0011

Priority: R Type / Ship To PACRN Mark For

+ IAW1423 PAF

Type / Ship To Quantity (U/I) IAW DD 1423 Req No / Pri

Required Delivery

+ IAW1423 1 LT IAW DD 1423

Proposed Delivery

+ IAW1423 1 LT

A001 - Commercial Asset Visibility Air Force A002 - Government Industry Data Exchange Program (GIDEP) A003 - GIDEP Alert Response A004 - Accident/Incident Report

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

4001 ZZ

NSN: 5998-01-071-8428 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19993-1

Associated Document(s) Line Item(s)

FD20601300535 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAE

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 2 EA *30 Days

Proposed Delivery

+ TBD 2 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

4002 ZZ

NSN: 5998-01-072-2441 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19998-1

CIRCUIT CARD ASSEMBLY

Associated Document(s) Line Item(s)

FD20601300535 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAC

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 3 EA *30 Days

Proposed Delivery

+ TBD 3 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

4003 ZZ

NSN: 5998-01-087-7775 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19994-2

Associated Document(s) Line Item(s)

FD20601300535 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

CIRCUIT CARD ASSEMBLY

+ TBD 3 EA *30 Days

Proposed Delivery

+ TBD 3 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

4004 ZZ

NSN: 5998-01-087-7777 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19996-2

Associated Document(s) Line Item(s)

FD20601300535 0004

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAA

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 4 EA *30 Days

Proposed Delivery

+ TBD 4 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

4005 ZZ

NSN: 5998-01-087-7778 JX

CIRCUIT CARD ASSEMBLY

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH19997-2

Associated Document(s) Line Item(s)

FD20601300535 0005

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAA

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 2 EA *30 Days

Proposed Delivery

+ TBD 2 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

4006 ZZ

NSN: 5998-01-297-7684 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH26685-1

Associated Document(s) Line Item(s)

FD20601300535 0006

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

+ TBD PAD

CIRCUIT CARD ASSEMBLY

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

Req No / Pri

Required Delivery

+ TBD 2 EA *30 Days

Proposed Delivery

+ TBD 2 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

4007 ZZ

NSN: 5998-01-300-9618 JX

CIRCUIT CARD ASSEMB

Manufacturer Part Number

98869 BH26573-1

Associated Document(s) Line Item(s)

FD20601300535 0007

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 3 EA *30 Days

Proposed Delivery

+ TBD 3 EA

Item No.

Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

4008 ZZ

NSN: 5998-01-365-6058 JX

CIRCUIT CARD ASSEMB

Signal Process Electronic Components Manufacturer Part Number

98869 BH27443-1

Associated Document(s) Line Item(s)

FD20601300535 0008

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAC

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 10 EA *30 Days

Proposed Delivery

+ TBD 10 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

4009 ZZ

NSN: 5998-01-072-2412 JX

ELECTRONIC COMPONEN

Manufacturer Part Number

98869 BH19999-1

Associated Document(s) Line Item(s)

FD20601300535 0009

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required Delivery

+ TBD 5 EA *30 Days

Proposed Delivery

+ TBD 5 EA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

4010 ZZ

NSN: 6130-01-586-6003 JX

POWER SUPPLY

Manufacturer Part Number

98869 BH27171-8

Associated Document(s) Line Item(s)

FD20601300535 0010

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

Type / Ship To Quantity (U/I) *ARO After Receipt of Carcass Req No / Pri

Required

+ TBD 4 EA *30 Days

Proposed Delivery

+ TBD 4 EA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LT Not Separately Priced Not Separately Priced

Data

IAW DD FORM 1423

Associated Document(s) Line Item(s)

FD20601300535 0011

Priority: R Type / Ship To PACRN Mark For

+ IAW1423 PAF

Type / Ship To Quantity (U/I) IAW DD 1423 Req No / Pri

Required Delivery

+ IAW1423 1 LT IAW DD 1423

Proposed Delivery

+ IAW1423 1 LT

A001 - Commercial Asset Visibility Air Force A002 - Government Industry Data Exchange Program (GIDEP) A003 - GIDEP Alert Response A004 - Accident/Incident Report

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + IAW1423

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

AWARD NUMBER:

TYPE/CODE: + TBD

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

AWARD NUMBER:

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS A F B GA 31098-1887

ROBINS A F B GA 31098-1887

ROBINS A F B GA 31098-1887

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 D

PACKAGING AND MARKING

Repairable Items Being Returned From a Vendor (MAY 2006)

A. When repairable items are returned to the warehouse after being repaired by a vendor it is critical that they be distinguished from new item purchases. Repairables must therefore be identified on the Material Inspection and Receiving Report (MIRR) (DD 250) that accompanies the shipment as follows:

1. For vendors who prepare paper DD 250s as stand alone documents, enter “Serviceable Assets shipped from a Repair Contractor. Input Receipt using Doc ID “D4M” to the Air Force Owner RI” in the body of block

14. Leave the code block blank.

2. For vendors who use Wide Area Work Flow (WAWF) to prepare the DD 250 by printing them out of WAWF a different procedure is needed. In WAWF there is a Mark For field and a Mark For tab.

(a) Mark For field: This field is the equivalent of the code field of block 14. Leave the Mark For field blank and proceed to the Mark For tab.

(b) Mark For tab: The Mark For tab is located on the top of the WAWF screen along with the Header and Line Item tabs. The Mark For Tab is the equivalent of the body of the paper DD 250 block 14. Under the Mark For tab there is a Mark For Rep and a Mark For Secondary columns.

In the Mark For Rep enter “Serviceable Assets shipped from a Repair Contractor. Input Receipt using Doc ID “D4M” to the Air Force Owner RI”.

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) (Applicable to all orders issued hereunder)

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:

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1)) (Applicable for supplies, services, or research and development)

52.247-29 F.O.B. ORIGIN (FEB 2006)

(IAW FAR 47.303-1(c)) (Applicable when specifying f.o.b. origin)

52.247-30 F.O.B. ORIGIN, CONTRACTOR'S FACILITY (FEB 2006)

(IAW FAR 47.303-2(c)) (Applicable to f.o.b. origin at contractor's facility)

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

(IAW FAR 47.303-17(f)) (Applicable when specifying f.o.b. origin)

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]

(The above Clause/Provision has been modified.)

(Applicable when delivery term is f.o.b. origin)

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(IAW DFARS 232.7004(b), PGI 232.7004(b)(1))

(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.

(Applicable when 252.232-7003 is used and neither 232.7003(b) nor (c) apply)

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

ZZ TO BE CITED ON INDIVIDUAL ORDER $0.00

ACRN TOTAL $ 0.00

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

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

(a) The Contractor shall identify any existing Activity Address Code with the designated activity type [EZ, EY, EJ, EB, ED or EP) code, which applies to Contractor's approved F.O.B point when receiving, taking custody, issuing, or shipping DoD assets, and which matches the address identified in AFMCFARS 5352.247-9017 “F.o.b. Point for Delivery of Government-Furnished Property.” Include existing Routing Identifier Code (RIC), which may be required for accessing Government Data Systems.

(b) Offeror shall insert the existing Activity Address Code and RIC Code as listed in DoD Directory, DoD 4000.25-6M, or identify that the Contracting Officer will need to obtain an Activity Address Code and/or Routing Identifier Code (RIC) on contractor’s behalf.

Existing Activity Address Code __________________

Existing Routing Identifier Code (RIC) ________________

[ ] I currently do not possess an Activity Address Code for the designated activity type. Use the address I have designated on AFMCFARS 5352.247-9017 “F.o.b. Point for Delivery of Government-Furnished Property” herein to obtain the Activity Address Code

[ ] I currently do not possess a Routing Identifier Code (RIC) for the designated activity type.

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

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

(IAW DFARS 201.602-70)

(Applicable to all orders issued hereunder)

5352.201-9101 OMBUDSMAN (NOV 2012)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, interested party may contact the ombudsman, Kim McDonald at 478 222 -1088 , FAX 478 222 -1855 , email Kim.McDonald@robins.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU or AFISRA 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) 256-2397, facsimile number (571) 256-2431.

(Applicable to all solicitations and contracts)

52.202-1 DEFINITIONS (JAN 2012)

(IAW FAR 2.201)

(Applicable when the simplified acquisition threshold is exceeded)

52.203-3 GRATUITIES (APR 1984)

(IAW FAR 3.202)

(Applicable when simplified acquisition threshold is exceeded, except for personal services and those between military departments or defense agencies and foreign governments that do not obligate any funds appropriated to the Department of Defense)

52.203-5 COVENANT AGAINST CONTINGENT FEES (APR 1984)

(IAW FAR 3.404)

(Applicable when simplified acquisition threshold is exceeded other than those for commercial items (see Parts 2 and 12))

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT (SEP 2006)

(IAW FAR 3.503-2)

52.203-7 ANTI-KICKBACK PROCEDURES (OCT 2010)

(IAW FAR 3.502-3)

52.203-8 CANCELLATION, RESCISSION, AND RECOVERY OF FUNDS FOR ILLEGAL OR

IMPROPER ACTIVITY (JAN 1997)

(IAW FAR 3.104-9(a))

(Applicable when noncommercial and the simplified acquisition threshold is exceeded)

52.203-10 PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR IMPROPER ACTIVITY (JAN 1997)

(IAW FAR 3.104-9(b))

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(OCT 2010)

(IAW FAR 3.808(b))

(Applicable over $150,000)

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT TO

INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS (SEP 2013)

(IAW FAR 3.908-9)

(Applicable to solicitations and contracts that exceed the simplified acquisition threshold)

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

(IAW DFARS 203.171-4(a))

252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER

DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)

(IAW DFARS 203.570-3)

(Applicable when exceeding the simplified acquisition threshold (except for commercial items))

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 (JUL 2013)

(IAW FAR 4.1403(a))

(Applicable over $25,000, unless not required to be reported in FPDS)

252.204-7000 DISCLOSURE OF INFORMATION (AUG 2013)

(IAW DFARS 204.404-70(a)) (Applicable when the contractor will have access to or generate unclassified information that may be sensitive and inappropriate for release to the public)

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

(IAW DFARS 204.404-70(b))

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

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(AUG 2013)

(IAW FAR 9.409)

(Applicable when exceeding $30,000)

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING

RESPONSIBILITY MATTERS (JUL 2013)

(IAW FAR 9.104-7(c))

(Applicable to solicitations and contracts over $500,000 and contracts where the offeror has checked “has” in paragraph (b) clause 52.209-7)

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

GOVERNMENT OF A TERRORIST COUNTRY (DEC 2006)

(IAW DFARS 209.409)

(Applicable to solicitations and contracts with a value of $150,000 or more)

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…

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