FA851715Q00212.pdf

STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

FA8517-15-Q-00212

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: $20.5

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: C9

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

Estimated

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

SCD:B

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.

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

235 Byron St. Ste 19A

CML PHN 478 926 2765

ROBINS AFB GA 31098-1670

BUYER: Adrienne N. O'Neal/638 SCMG Adrienne.Oneal@robins.af.mil Phone: (478) 926- 2765 Fax: (478) 222-6950 No Collect Calls

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

FOLD

FOLD

SOLICITATION NO. FA851715Q00212

DUE:

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Adrienne N O'Neal/638 SCMG

SUPPORT EQPT - AUTOMATIC TEST, AFSC/PZAAC

235 Byron St. Ste 19A

CML PHN 478 926 2765

ROBINS AFB GA 31098-1670

Request for Quotation FA8517-15-Q-00212

SUPPLIES OR SERVICES AND PRICES/COSTS

The Contractor shall furnish all materials, parts, and services necessary for the repair of the items listed below in accordance with the attached Performance Work Statement (PWS) dated 29 Oct 14.

The contractor shall not repair any end item where the total cost of parts and labor exceed 75% of the Gov't stock list price of item unless authorized through the AFSC/PZAAC PCO to 410 SCMG/GULA Program Manager.

Basic Award - - The basic award shall be from the date of award through one year (365 days).

Early delivery is acceptable.

BASIC

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

NSN: 6625-01-434-1238 KV

PLUG-IN UNIT, ELECTR

Manufacturer Part Number 26916 A31U29692-2 Associated Document(s) Line Item(s)

FD20601500212 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin 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.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB SDD-RIC D4M REPAIR

Type / Ship To Quantity (U/I) *ARO Funded

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 3 EA *90 Calendar Days

Proposed Delivery

+ TBD 3 EA

INFORMATIONAL CLIN OF DATA

Item No.

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

DATADTL15009B

Associated Document(s) Line Item(s)

FD20601500212 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A001-Government Industry Data Exchange Program (GIDEP) Alert/Safe-Alert Report

Item No.

0002AA

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

A001 - Government Industry Data Exchange Program (GlDEP) Alert/Safe-Alert Report Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A001-Government Industry Data Exchange Program (GIDEP) Alert/Safe-Alert Report

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A002-Government Industry Data Exchange Program (GIDEP) Alert/Response

Item No.

0002AB

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

A002 - Government Industry Data Exchange Program (GlDEP) Alert/Response Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A003 - Commercial Asset Visibility Air Force

Item No.

0002AC

Firm Fixed Price Quantity U/I Unit Price Amount

A003 - Commercial Asset Visibility Air Force

1 LO Not Separately Priced Not Separately Priced

A003 - Commercial Asset Visibility Air Force Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A004 - Test Plan

Item No.

0002AD

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

A004 - Test Plan Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

A004 - Test Plan

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A005 - Test Inspection Report

Item No.

0002AE

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

A005 - Test Inspection Report Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A006 - Accident Incident Report

Item No.

0002AF

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

A006 - Accident Incident Report Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

A006 - Accident Incident Report

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A007 - Item Unique Identification (IUID) Marking Plan

Item No.

0002AG

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

A007 - Item Unique Identification (IUID) Marking Plan Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

A007 - Item Unique Identification (IUID) Marking Plan

+ IAW1423 1 LO

A008 - IUID Marking Activity, Validation and Verification Report

Item No.

0002AH

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

A008 - IUID Marking Activity, Validation and Verification Report Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A009 - Counterfeit Prevention Plan

Item No.

0002AJ

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

A009 - Counterfeit Prevention Plan Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

A009 - Counterfeit Prevention Plan

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Option I may be exercised at any time, from time-to-time, within 365 days after effective date of purchase order. The total quantity ordered under this option shall not exceed the maximum quantity of 1 each. Multiple option periods may be exercised simultaneously. An option is determined to have been exercised when transmitted electronically by fax or email.

OPTION I

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 6625-01-434-1238 KV

PLUG-IN UNIT, ELECTR

Manufacturer Part Number 26916 A31U29692-2 Associated Document(s) Line Item(s)

FD20601500212 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin 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.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB SDD-RIC D4M REPAIR

Type / Ship To Quantity (U/I) *ARO Funded

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

OPTION I

Required Delivery

+ TBD 1 EA *90 Calendar Days

Proposed Delivery

+ TBD 1 EA

INFORMATIONAL CLIN OF DATA

Item No.

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

DATADTL15009B

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A001 - Government Industry Data Exchange Program (GlDEP) Alert/Safe-Alert Report

Item No.

1002AA

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

A001 - Government Industry Data Exchange Program (GlDEP) Alert/Safe-Alert Report Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

A001 - Government Industry Data Exchange Program (GlDEP) Alert/Safe-Alert Report

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A002 - Government Industry Data Exchange Program (GlDEP) Alert/Response

Item No.

1002AB

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

A002 - Government Industry Data Exchange Program (GlDEP) Alert/Response Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

A002 - Government Industry Data Exchange Program (GlDEP) Alert/Response

+ IAW1423 1 LO

A003 - Commercial Asset Visibility Air Force

Item No.

1002AC

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

A003 - Commercial Asset Visibility Air Force Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A004 - Test Plan

Item No.

1002AD

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

A004 - Test Plan Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

A004 - Test Plan

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A005 - Test Inspection Report

Item No.

1002AE

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

A005 - Test Inspection Report Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

+ IAW1423 1 LO

A006 - Accident Incident Report

Item No.

1002AF

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

A006 - Accident Incident Report Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A007 - Item Unique Identification (IUID) Marking Plan

Item No.

1002AG

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

A007 - Item Unique Identification (IUID) Marking Plan Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

A007 - Item Unique Identification (IUID) Marking Plan

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A008 - IUID Marking Activity, Validation and Verification Report

Item No.

1002AH

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

A008 - IUID Marking Activity, Validation and Verification Report Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

A009 - Counterfeit Prevention Plan

Item No.

1002AJ

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

A009 - Counterfeit Prevention Plan

A009 - Counterfeit Prevention Plan

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 PAA IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

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

DEF DIST DEPOT WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS AFB GA 31098-1887

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

AWARD NUMBER:

CONTRACT CLAUSES

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

(IAW DFARS 201.602-70)

5352.201-9101 OMBUDSMAN (NOV 2014)

(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/HQ AFICA/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.

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

(IAW DFARS 203.171-4(a), DFARS 212.301(f)(ii))

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (JUL 2013)

(IAW FAR 4.1403(a))

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (NOV 2014)

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

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

(IAW DFARS 204.404-70(b))

252.204-7012 SAFEGUARDING OF UNCLASSIFIED CONTROLLED TECHNICAL INFORMATION

(NOV 2013)

(IAW DFARS 204.7304, DFARS 212.301(f)(vi))

252.204-7015 DISCLOSURE OF INFORMATION TO LITIGATION SUPPORT CONTRACTORS

(FEB 2014)

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

52.211-8 TIME OF DELIVERY (JUN 1997)

(IAW FAR 11.404(a)(2)) DELIVERY FOR EACH ITEM IS ANNOTATED IN THE SCHEDULE (PART I SECTION B) UNDER EACH LINE

ITEM.

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 (DEC 2013)

(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.

52.213-4 TERMS AND CONDITIONS--SIMPLIFIED ACQUISITIONS (OTHER THAN

COMMERCIAL ITEMS) (JUL 2014)

(IAW FAR 13.302-5(d))

The full text of a clause may be accessed electronically at this/these address(es): Regulations URLs: (Click on the appropriate regulation.)

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/far1toc.htm http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/dfars/dfar1toc.htm http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/af_afmc/affars/affar1toc.htm

NOTE: After selecting the appropriate regulation above, at the "Table of Contents" page conduct a search for the desired regulation reference, using your browser's FIND function. When located, click on the regulation reference (hyperlink).

(Paragraph (b)(1)(x), FAR 52.225-1. Buy American--Supplies (May 2014), is not applicable to DoD)

52.217-7 OPTION FOR INCREASED QUANTITY--SEPARATELY PRICED LINE ITEM

(MAR 1989)

(IAW FAR 17.208(e))

The Government may require the delivery of the numbered line item, identified in the Schedule as an option item, in the quantity and at the price stated in the Schedule. The Contracting Officer may exercise the option by written notice to the Contractor within SEE SCHEDULE. Delivery of added items shall continue at the same rate that like items are called for under the contract, unless the parties otherwise agree.

(The above Clause/Provision has been modified.)

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].

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

(IAW FAR 22.1006(b)) In compliance with the Service Contract Labor Standards statute, and the regulations of the Secretary of Labor (29 CFR Part 4), this clause identifies the classes of service employees expected to be employed under the contract and states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the provisions of 5 U.S.C. 5341 or 5332.

This Statement is for Information Only:

It is not a Wage Determination

Employee Class Monetary Wage Fringe Benefits GS-0865-09/Electronics

Technician

26.02 36.25%

WG-2604-10/Electronics Mechanic 24.30 36.25% WG-2604-11/Electronics Mechanic 25.25 36.25% WG-2610-12/Electronic Systems Mechanic

26.31 36.25%

(The above Clause/Provision has been modified.)

52.222-99 ESTABLISHING A MINIMUM WAGE FOR CONTRACTORS (DEVIATION) (JUN 2014)

(IAW DARS Tracking #2014-O0017)

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (AUG 2011)

(IAW FAR 23.1105)

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)

(IAW DFARS 225.7901-4)

52.232-23 ASSIGNMENT OF CLAIMS (MAY 2014)

(IAW FAR 32.806(a)(1))

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS (JUN 2013)

(IAW FAR 32.706-3)

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS (DEC 2013)

(IAW FAR 32.009-2)

252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND RECEIVING REPORTS

(JUN 2012)

(IAW DFARS 232.7004)

(a) Definitions. As used in this clause—

(1) “Contract financing payment” and “invoice payment” have the meanings given in section 32.001 of the Federal Acquisition Regulation.

(2) “Electronic form” means any automated system that transmits information electronically from the initiating system to all affected systems. Facsimile, e-mail, and scanned documents are not acceptable electronic forms for submission of payment requests. However, scanned documents are acceptable when they are part of a submission of a payment request made using Wide Area WorkFlow (WAWF) or another electronic form authorized by the Contracting Officer.

(3) “Payment request” means any request for contract financing payment or invoice payment submitted by the Contractor under this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests and receiving reports using WAWF, in one of the following electronic formats that WAWF accepts: Electronic Data Interchange, Secure File Transfer Protocol, or World Wide Web input. Information regarding WAWF is available on the Internet at https://wawf.eb.mil/ .

(c) The Contractor may submit a payment request and receiving report using other than WAWF only when—

(1) The Contracting Officer authorizes use of another electronic form. With such an authorization, the Contractor and the Contracting Officer shall agree to a plan, which shall include a timeline, specifying when the Contractor will transfer to WAWF;

(2) DoD is unable to receive a payment request or provide acceptance in electronic form;

(3) The Contracting Officer administering the contract for payment has determined, in writing, that electronic submission would be unduly burdensome to the Contractor. In such cases, the Contractor shall include a copy of the Contracting Officer’s determination with each request for payment; or

(4) DoD makes a payment for commercial transportation services provided under a Government rate tender or a contract for transportation services using a DoD-approved electronic third party payment system or other exempted vendor payment/invoicing system (e.g., PowerTrack, Transportation Financial Management System, and Cargo and Billing System).

(d) The Contractor shall submit any non-electronic payment requests using the method or methods specified in Section G of the contract.

(e) In addition to the requirements of this clause, the Contractor shall meet the requirements of the appropriate payment clauses in this contract when submitting payment requests.

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

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

(a) Definitions. As used in this clause— “Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in Wide Area WorkFlow

(WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall—

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.acquisition.gov ; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/ .

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(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.

___RYAN.EVANGELO@US.AF.MIL_________________________________________________________ (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.

__RYAN EVANGELO 478-222-2219

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

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

(The above Clause/Provision has been modified.)

252.232-7010 LEVIES ON CONTRACT PAYMENTS (DEC 2006)

(IAW DFARS 232.7102)

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

ACRN TOTAL $ 0.00

252.237-7010 PROHIBITION ON INTERROGATION OF DETAINEES BY CONTRACTOR

PERSONNEL (JUN 2013)

(IAW DFARS 237.173-5)

52.243-1 CHANGES--FIXED-PRICE (AUG 1987)

(IAW FAR 43.205(a)(1))

52.243-1 CHANGES--FIXED-PRICE -- ALTERNATE I (APR 1984)

(IAW FAR 43.205(a)(2))

252.243-7001 PRICING OF CONTRACT MODIFICATIONS (DEC 1991)

(IAW DFARS 243.205-70)

52.245-1 GOVERNMENT PROPERTY (APR 2012)

(IAW FAR 45.107(a), DFARS 237.7003(c), DFARS 245.107)

52.245-9 USE AND CHARGES (APR 2012)

(IAW FAR 45.107(c))

252.245-7001 TAGGING, LABELING, AND MARKING OF GOVERNMENT-FURNISHED PROPERTY

(APR 2012)

(IAW DFARS 245.107(2))

252.245-7002 REPORTING LOSS OF GOVERNMENT PROPERTY (APR 2012)

(IAW DFARS 245.107(3))

252.245-7003 CONTRACTOR PROPERTY MANAGEMENT SYSTEM ADMINISTRATION (APR 2012)

(IAW DFARS 245.107(4))

252.245-7004 REPORTING, REUTILIZATION, AND DISPOSAL (MAY 2013)

(IAW DFARS 245.107(5))

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.

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”.

52.246-2 INSPECTION OF SUPPLIES--FIXED-PRICE (AUG 1996)

(IAW FAR 46.302)

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

(IAW FAR 46.304)

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): 0002, 0002AA, 0002AB, 0002AC, 0002AD, 0002AE, 0002AF, 0002AG, 0002AH, 0002AJ, 1002, 1002AA, 1002AB, 1002AC, 1002AD, 1002AE, 1002AF, 1002AG, 1002AH, 1002AJ

52.247-1 COMMERCIAL BILL OF LADING NOTATIONS (FEB 2006)

(IAW FAR 47.104-4(a), FAR 47.104-4(b))

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

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

0002 0002AA 0002AB 0002AC 0002AD 0002AE 0002AF 0002AG 0002AH 0002AJ 1002 1002AA

1002AB 1002AC 1002AD 1002AE 1002AF 1002AG 1002AH 1002AJ

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]

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

Form Number Description/File Name Date Number of Pages 00212SOW_CAVAF_CFM_V17_8Aug2014.do cx Statement of Work

08AUG2014 13

00212PWS.docx Performance Work Statement

29OCT2014 13

00212APCSAFE.doc Safety and Health Requirements

UNDATED 1

DD FORM 1653 00212_TRNSPDATA_REPORT.pdf Transportation Data

31OCT2014 2

AFMC 158 00212_PKGRQMT_REPORT.pdf Packaging Requirements

31OCT2014 2

00212_CDRL1_REPORT.pdf Contract Data Requirements List

31OCT2014 1

00212_CDRL_A001_DI-QCIC-80125B.pdf

CDRL

05NOV2014 3

00212_CDRL_A002_DI-QCIC-80126B.pdf

CDRL

05NOV2014 3

00212_CDRL_A004_DI-NDTI-80566A.pdf

CDRL

05NOV2014 3

00212_CDRL_A005_DI-NDTI-80809B.pdf

CDRL

05NOV2014 3

00212_CDRL_A006_DI-SAFT-81536-T.pdf

CDRL

05NOV2014 3

00212_CDRL_A007_DI-MGMT-81803.pdf

CDRL

05NOV2014 3

00212_CDRL_A008_Dl-MGMT-81804A.pdf

CDRL

05NOV2014 3

00212_CDRL_A009_DI-MISC-81832.pdf

CDRL

05NOV2014 3

WD_Cook_Illinois.pdf Wage Determination Cook County, IL

05AUG2014 10

WD_SantaClara_CA.pdf Wage Determination SantaClara, CA

05AUG2014 10

SOLICITATION PROVISIONS

REPRESENTATIONS, INSTRUCTIONS AND EVALUATIONS

252.203-7005 REPRESENTATION RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(NOV 2011)

(IAW DFARS 203.171-4(b), DFARS 212.301(f)(iv))

52.204-7 SYSTEM FOR AWARD MANAGEMENT (JUL 2013)

(IAW FAR 4.1105(a)(1))

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (DEC 2014)

(IAW FAR 4.1202)

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 811219 .

(2) The small business size standard is $20.5 .

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)(1) If the provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the provision at 52.204-7 is not included in this solicitation, and the offeror is currently registered in the System for Award Management (SAM), and has completed the Representations and Certifications section of SAM electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

[ ] (i) Paragraph (d) applies.

[ ] (ii) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c) (1) The following representations or certifications in SAM are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $150,000.

(iii) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.

(iv) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(v) 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations—Representation.

(vi) 52.209-5, Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(vii) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(viii) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(ix) 52.219-1, Small Business Program Representations (Basic & Alternate I). This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(x) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(xi) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xii) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xiii) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xiv) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA-designated items; or include the clause at 52.223-2, Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

(xv) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA- designated items.

(xvi) 52.225-2, Buy American Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xvii) 52.225-4, Buy American--Free Trade Agreements--Israeli Trade Act Certificate. (Basic, Alternate I, II, and III.) This provision applies to solicitations containing the clause at 52.225- 3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $79,507, the provision with its Alternate II applies.

(D) If the acquisition value is $79,507 or more but is less than $100,000, the provision with its Alternate III applies.

(xviii) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xix) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan--Certification.

This provision applies to all solicitations.

(xx) 52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran—Representation and Certifications. This provision applies to all solicitations.

(xxi) 52.226-2, Historically Black College or University and Minority Institution Representation. This provision applies to solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions.

(2) The following certifications are applicable as indicated by the Contracting Officer:

[Contracting Officer check as appropriate.]

_____ (i) 52.204-17, Ownership or Control of Offeror.

__ (ii) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.

(see note) (iii) 52.222-48, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment Certification. ). (Note: If this clause is applicable it will be listed in the appropriate clause section of this document.)

__ (iv) 52.222-52 Exemption from Application of the Service Contract Labor Standards to Contracts for

Certain Services--Certification.

(see note)_ (v) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material Content for EPA-Designated Products (Alternate I only). ). (Note: If this clause and it’s Alternate I are applicable they will be listed in the appropriate clause section of this document.)

(vi) 52.227-6, Royalty Information.

__(A) Basic.

__ (B) Alternate I.

__ (vii) 52.227-15, Representation of Limited Rights Data and Restricted Computer Software.

(d) The offeror has completed the annual representations and certifications electronically via the SAM Web site accessed through https://www.acquisition.gov . After reviewing the SAM database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply…