FA851718Q0029.pdf

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (Rev. 6-95) Previous edition not usable Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

J

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDEX

1. REQUEST NO.

FA8517-18-Q-0029

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO.

FD20601800185

4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

DO: C9

5a. ISSUED BY CODE: FA8517

SUPPORT EQPT - AUTOMATIC TEST, AFSC/PZAAC

235 BYRON ST BLDG 300 STE 19A

ROBINS AFB GA 31098-1813

BUYER: Delayna L. Heisig/PZAAC delayna.heisig@us.af.mil Phone: (478) 222- 3758 No Collect Calls

6. DELIVERY BY (Date)

SEE SCHEDULE

SCD:B

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME

Delayna L Heisig

b. COMPANY

TELEPHONE NUMBER

AREA CODE

(478 )

NUMBER

222 -3758

8. TO

a. NAME

7. DELIVERY

FOB DESTINATION OTHER

(See Schedule) X

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE e. ZIP CODE

c. STREET ADDRESS

d. CITY e. STATE f. ZIP CODE

10. PLEASE FURNISH QUOTATIONS

TO THE ISSUING OFFICE IN BLOCK

5A ON OR BEFORE CLOSE OF

BUSINESS (Date)

11 OCT 2018

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5A. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

d. CITY e. STATE

c. COUNTY

c. TITLE (Type or print) NUMBER

b. STREET ADDRESS

a. NAME OF QUOTER

CAGE:

13. NAME AND ADDRESS OF QUOTER

NOTE: Additional provisions and representations are are not attached.X

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print) b. TELEPHONE

AREA CODE

d. CALENDAR DAYS

NUMBER PERCENTAGE

c. 30 CALENDAR DAYS (%)b. 20 CALENDAR DAYS (%)a. 10 CALENDAR DAYS (%)12. DISCOUNT FOR PROMPT

PAYMENT

SEE SCHEDULE

ROUTINE

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 120 days.

NAICS CODE: 811113

SIZE STD: $7.5

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (Rev. 6-95) Previous edition not usable Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

FOLD FOLD

SOLICITATION NO. FA851718Q0029

DUE: 11 -OCT -2018

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Delayna L Heisig/PZAAC

SUPPORT EQPT - AUTOMATIC TEST, AFSC/PZAAC

235 BYRON ST BLDG 300 STE 19A

ROBINS AFB GA 31098-1813

FA8517-18-Q-0029

SUPPLIES OR SERVICES AND PRICES/COSTS

“Notice to Offeror(s)/Supplier(s): Funds are not presently available for this effort. No award will be made under this solicitation until funds are available. The Government reserves the right to cancel this solicitation, either before or after the closing date. In the event the Government cancels this solicitation, the Government has no obligation to reimburse an offeror for any costs.”

This requirement is subject to the Service Contract Act (SCA) FAR 52.222‐41; however, the place of performance is unknown at this time. Offerors are put on notice that the applicable wage determination will be included as an attachment at time of award and will specify the minimum wages and fringe benefits for the specific location. Offerors must ensure that they comply with provisions of the applicable wage determination. For information purposes only, potential offerors may research the current Service Contract Age wage determination for the locality where they intend to perform the work by visiting www.dol.gov and entering the state and county for that locality. This information does not negate the FAR clause 52.222‐49, Service Contract Act‐Place of Performance Unknown, regarding the appropriate locality wage determination. The revision of the appropriate locality wage determination will be subject to updating prior to award, or 10 days prior to the start of the contract performance, if award is more than 30 days prior to start of performance.

The resulting contract will be for a basic repair quantity and four (4) options for increased quantity as shown below:

CLINs 0001, 0002, 0003, 0004, 0005, 0006, 0007 ‐ Immediate quantity at time of award CLINs 1001, 1002, 1003, 1004, 1005, 1006, 1007 ‐ Option I is effective from date of award through 12 months CLINs 2001, 2002, 2003, 2004, 2005, 2006, 2007 ‐ Option II is effective from date of award through 24 months CLINs 3001, 3002, 3003, 3004, 3005, 3006, 3007 ‐ Option III is effective from date of award through 36 months CLINs 4001, 4002, 4003, 4004, 4005, 4006, 4007 ‐ Option IV is effective from date of award through 48 months Note to Contractor: Inspection and Acceptance for these repairs will be at Origin. It is the Contractor's responsibility to contact the DCMA QAR for Inspection and Acceptance prior to shipment.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001 TB

NSN: 2520‐01‐163‐1671

DIFFERENTIAL GEAR U

Manufacturer Part Number 45152 1371220U 75Q65 1371220U Associated Document(s) Line Item(s)

FD20601800185 0001

FD20601800185 01 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

Repair

IUID Required: Yes Physical Item Markings:

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 FLB RIC D4M

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

Repairable Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of modification whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of modification whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of modification whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0002 TB

NSN: 2520‐01‐181‐1335

TRANSMISSION,HYDRAU

Manufacturer Part Number 45152 1373890 73342 23010888 75Q65 1373890 Associated Document(s) Line Item(s)

FD20601800185 0002

FD20601800185 01 0002

Priority: R

Repair

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

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 FLB RIC D4M

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

Repairable Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of modification whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of modification whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003 TB

NSN: 2520‐01‐297‐6614 YW

TRANSMISSION,MECHAN

Transmission for R‐11 Refueler

Repair

Manufacturer Part Number 45152 1579490

45152 2ET16

73342 23042056 75Q65 1579490

75Q65 2ET16

Associated Document(s) Line Item(s)

FD20601800185 0003

FD20601800185 01 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

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 FLB RIC D4M

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

Repairable Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of modification whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of modification whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0004 TB

NSN: 2520‐01‐164‐9056 YW

POWER TAKEOFF,TRANS

Manufacturer Part Number 45152 1369320U 75Q65 1369320U Associated Document(s) Line Item(s)

FD20601800185 0004

FD20601800185 01 0004

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

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 FLB RIC D4M

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

Repairable Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of modification whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of modification whichever is later.

Informational CLIN of DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

EA

DATA

A001 Commercial Asset Visibility Air Force Reporting (CAVAF) A002 Item Unique Identification (IUID) Marking Plan A003 Item Unique Identification (IUID) Marking Activity, Validation and Verification Report A004 CounterFeit Prevention Plan (CPP) A005 Accident/Incident Report A006 Government‐Industry Data Exchange Program (GIDEP) Report A007 Government‐Industry Data Exchange Program(GIDEP) Alert Response Associated Document(s) Line Item(s)

FD20601800185 0008

FD20601800185 01 0008

A001 Commercial Asset Visbility Air Force End Item Reporting (CAVAF)

Item No.

0005AA

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

DATA

DI‐MGMT‐81634C

IAW PWS PARA 3.2.1

Associated Document(s) Line Item(s)

FD20601800185 0008

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A003 IUID Marking, Activity, Validation and Verification Report

Item No.

0005AB

Firm Fixed Price Quantity U/I Amount

A003 IUID Marking, Activity, Validation and Verification Report

1 LO Not Separately Priced

DATA

DI‐MGMT‐81804A

IAW PWS PARA 4.12.2

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A005 Accident/Incident Report

Item No.

0005AC

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

DATA

DI‐SAFT‐81563

IAW PWS PARA 5.5.2

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A006 Government‐Industy Data Exchange Program (GIDEP)

Item No.

0005AD

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

DATA

DI‐QCIC‐80125B

IAW PWS PARA 4.15

A006 Government‐Industy Data Exchange Program (GIDEP)

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A007 GIDEP Alert Response

Item No.

0005AE

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

DATA

DI‐QCIC‐80126B

IAW PWS PARA 4.15

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A002 Item Uniques Identification (IUID) Marking Plan

Item No.

0005AF

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

DATA

DI‐MGMT‐81803

IAW PWS PARA 4.12.2

Associated Document(s) Line Item(s)

FD20601800185 01 0008

A002 Item Uniques Identification (IUID) Marking Plan

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD Form 1423‐1 Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A004 Counterfeit Prevention Plan

Item No.

0005AG

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

DATA

DI‐MISC‐81832

IAW PWS PARA 4.14

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

Item No.

To Be Negotiated Quantity U/I Unit Price

EA TBN

BER

IAW PWS paragraph 4.10.1 Associated Document(s) Line Item(s)

FD20601800185 01 0007

Over and Above

Item No.

To Be Negotiated Quantity U/I Unit Price

LO TBN

Over & Above IAW PWS paragraph 4.10.3 Associated Document(s) Line Item(s)

FD20601800185 01 0005

Priority: R

OPTION I NOTE: The Government reserves the right to exercise its option at any time, from time to time, for a period of 12 months following the Basic Contract Period for maximum quantity of 1 each per NSN. The Ship To/Mark For, requisition number, priority and applicable accounting and appropriation data will be cited at the time each option is exercised.

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 05 January 2018.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1001 TB

NSN: 2520‐01‐163‐1671

DIFFERENTIAL GEAR U

Manufacturer Part Number 45152 1371220U 75Q65 1371220U Associated Document(s) Line Item(s)

FD20601800185 01 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

Type / Ship To PACRN Mark For

+ TBC PAC FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

Repair

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below::

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of modification whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of modification whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1002 TB

NSN: 2520‐01‐181‐1335

TRANSMISSION,HYDRAU

Manufacturer Part Number 45152 1373890 73342 23010888 75Q65 1373890 Associated Document(s) Line Item(s)

FD20601800185 01 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

Type / Ship To PACRN Mark For

+ TBC PAB FLB RIC D4M

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

Repairable _ Req No / Pri

Repair

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of modification whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of modification whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1003 TB

NSN: 2520‐01‐297‐6614 YW

TRANSMISSION,MECHAN

Transmission for R‐11 Refueler Manufacturer Part Number 45152 1579490

45152 2ET16

73342 23042056 75Q65 1579490

75Q65 2ET16

Associated Document(s) Line Item(s)

FD20601800185 01 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

Type / Ship To PACRN Mark For

Repair

+ TBC PAD FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of modification whichever is later..

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of modification whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1004 TB

NSN: 2520‐01‐164‐9056 YW

POWER TAKEOFF,TRANS

Manufacturer Part Number 45152 1369320U 75Q65 1369320U Associated Document(s) Line Item(s)

FD20601800185 01 0004

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes

Type / Ship To PACRN Mark For

Repair

+ TBC PAA FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of modification whichever is later..

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of modification whichever is later.

Informational CLIN of DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

EA NSP

DATA

A001 Commercial Asset Visibility Air Force Reporting (CAVAF) A003 Item Unique Identification (IUID) Marking Activity, Validation and Verification Report A005 Accident/Incident Report A006 Government‐Industry Data Exchange Program (GIDEP) Report A007 Government‐Industry Data Exchange Program(GIDEP) Alert Response Associated Document(s) Line Item(s)

FD20601800185 0008

FD20601800185 01 0008

A001 Commercial Asset Visbility Air Force End Item Reporting (CAVAF)

Item No.

1005AA

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

DATA

DI‐MGMT‐81634C

IAW PWS PARA 3.2.1

A001 Commercial Asset Visbility Air Force End Item Reporting (CAVAF)

Associated Document(s) Line Item(s)

FD20601800185 0008

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A003 IUID Marking, Activity, Validation and Verification Report

Item No.

1005AB

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

DATA

DI‐MGMT‐81804A

IAW PWS PARA 4.12.2

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A005 Accident/Incident Report

Item No.

1005AC

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

DATA

DI‐SAFT‐81563

IAW PWS PARA 5.5.2

A005 Accident/Incident Report

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A006 Government‐Industy Data Exchange Program (GIDEP)

Item No.

1005AD

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

DATA

DI‐QCIC‐80125B

IAW PWS PARA 4.15

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A007 GIDEP Alert Response

Item No.

1005AE

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

DATA

DI‐QCIC‐80126B

IAW PWS PARA 4.15

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A

A007 GIDEP Alert Response

Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

Beyond Economic Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

EA

BER

IAW PWS paragraph 4.10.1 Associated Document(s) Line Item(s)

FD20601800185 01 0007

Priority: R

Over and Above

Item No.

To Be Negotiated Quantity U/I Unit Price

LO TBN

Over & Above IAW PWS paragraph 4.10.3 Associated Document(s) Line Item(s)

FD20601800185 01 0005

Priority: R

OPTION II NOTE: The Government reserves the right to exercise its option at any time, from time to time, for a period of 24 months following the Basic Year Period for maximum quantity of 1 each per NSN. The Ship To/Mark For, requisition number, priority and applicable accounting and appropriation data will be cited at the time each option is exercised.

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 05 January 2018.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2001 TB

NSN: 2520‐01‐163‐1671

Repair

DIFFERENTIAL GEAR U

Manufacturer Part Number 45152 1371220U 75Q65 1371220U Associated Document(s) Line Item(s)

FD20601800185 01 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

Type / Ship To PACRN Mark For

+ TBC PAC FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of modification whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of modification whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2002 TB

NSN: 2520‐01‐181‐1335

Repair

TRANSMISSION,HYDRAU

Manufacturer Part Number 45152 1373890 73342 23010888 75Q65 1373890 Associated Document(s) Line Item(s)

FD20601800185 01 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

Type / Ship To PACRN Mark For

+ TBC PAB FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of modification whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of modification whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2003 TB

Repair

NSN: 2520‐01‐297‐6614 YW

TRANSMISSION,MECHAN

Transmission for R‐11 Refueler Manufacturer Part Number 45152 1579490

45152 2ET16

73342 23042056 75Q65 1579490

75Q65 2ET16

Associated Document(s) Line Item(s)

FD20601800185 01 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

Type / Ship To PACRN Mark For

+ TBC PAD FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of modification whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of modification whichever is later.

Repair

Item No.

Quantity U/I Unit Price Amount

Repair

1 EA

CLIN ACRN ACRN Total

2004 TB

NSN: 2520‐01‐164‐9056 YW

POWER TAKEOFF,TRANS

Manufacturer Part Number 45152 1369320U 75Q65 1369320U Associated Document(s) Line Item(s)

FD20601800185 01 0004

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

Type / Ship To PACRN Mark For

+ TBC PAA FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of modification whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of modification whichever is later.

Informational CLIN of DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

Informational CLIN of DATA

EA NSP

DATA

A001 Commercial Asset Visibility Air Force Reporting (CAVAF) A003 Item Unique Identification (IUID) Marking Activity, Validation and Verification Report A005 Accident/Incident Report A006 Government‐Industry Data Exchange Program (GIDEP) Report A007 Government‐Industry Data Exchange Program(GIDEP) Alert Response Associated Document(s) Line Item(s)

FD20601800185 0008

FD20601800185 01 0008

A001 Commercial Asset Visbility Air Force End Item Reporting (CAVAF)

Item No.

2005AA

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

DATA

DI‐MGMT‐81634C

IAW PWS PARA 3.2.1

Associated Document(s) Line Item(s)

FD20601800185 0008

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A003 IUID Marking, Activity, Validation and Verification Report

Item No.

2005AB

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

DATA

DI‐MGMT‐81804A

IAW PWS PARA 4.12.2

A003 IUID Marking, Activity, Validation and Verification Report

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A005 Accident/Incident Report

Item No.

2005AC

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

DATA

DI‐SAFT‐81563

IAW PWS PARA 5.5.2

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A006 Government‐Industy Data Exchange Program (GIDEP)

Item No.

2005AD

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

DATA

DI‐QCIC‐80125B

IAW PWS PARA 4.15

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination

A006 Government‐Industy Data Exchange Program (GIDEP)

Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A007 GIDEP Alert Response

Item No.

2005AE

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

DATA

DI‐QCIC‐80126B

IAW PWS PARA 4.15

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

Beyond Economic Repair

Item No.

To Be Negotiated Quantity U/I Unit Price

EA TBN

BER

IAW PWS paragraph 4.10.1 Associated Document(s) Line Item(s)

FD20601800185 01 0007

North American Free Trade Agreement (NAFTA)

Over and Above

Item No.

To Be Negotiated Quantity U/I Unit Price

LO TBN

Over and Above

Over & Above IAW PWS paragraph 4.10.3 Associated Document(s) Line Item(s)

FD20601800185 01 0005

Priority: R

OPTION III NOTE: The Government reserves the right to exercise its option at any time, from time to time, for a period of 36 months following the Basic Year Period for maximum quantity of 1 each per NSN. The Ship To/Mark For, requisition number, priority and applicable accounting and appropriation data will be cited at the time each option is exercised.

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 05 January 2018.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3001 TB

NSN: 2520‐01‐163‐1671

DIFFERENTIAL GEAR U

Manufacturer Part Number 45152 1371220U 75Q65 1371220U Associated Document(s) Line Item(s)

FD20601800185 01 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

Type / Ship To PACRN Mark For

+ TBC PAC FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of modification whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of modification whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3002 TB

NSN: 2520‐01‐181‐1335

TRANSMISSION,HYDRAU

Manufacturer Part Number 45152 1373890 73342 23010888 75Q65 1373890 Associated Document(s) Line Item(s)

FD20601800185 01 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

Type / Ship To PACRN Mark For

+ TBC PAB FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of order whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of order whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3003 TB

NSN: 2520‐01‐297‐6614 YW

TRANSMISSION,MECHAN

Transmission for R‐11 Refueler Manufacturer Part Number 45152 1579490

45152 2ET16

73342 23042056 75Q65 1579490

75Q65 2ET16

Associated Document(s) Line Item(s)

FD20601800185 01 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

Type / Ship To PACRN Mark For

+ TBC PAD FLB RIC D4M

Type / Ship To Quantity (U/I) *ARO Notice to

Proceed _ Req No / Pri

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of order whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of order whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3004 TB

NSN: 2520‐01‐164‐9056 YW

POWER TAKEOFF,TRANS

Manufacturer Part Number 45152 1369320U 75Q65 1369320U Associated Document(s) Line Item(s)

FD20601800185 01 0004

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

Type / Ship To PACRN Mark For

+ TBC PAA FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of order whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of order whichever is later.

Informational CLIN of DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

EA NSP

DATA

A001 Commercial Asset Visibility Air Force Reporting (CAVAF) A003 Item Unique Identification (IUID) Marking Activity, Validation and Verification Report A005 Accident/Incident Report A006 Government‐Industry Data Exchange Program (GIDEP) Report A007 Government‐Industry Data Exchange Program(GIDEP) Alert Response Associated Document(s) Line Item(s)

FD20601800185 0008

FD20601800185 01 0008

A001 Commercial Asset Visbility Air Force End Item Reporting (CAVAF)

Item No.

3005AA

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

DATA

DI‐MGMT‐81634C

IAW PWS PARA 3.2.1

Associated Document(s) Line Item(s)

FD20601800185 0008

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A003 IUID Marking, Activity, Validation and Verification Report

Item No.

3005AB

Quantity U/I Amount

A003 IUID Marking, Activity, Validation and Verification Report

1 LO Not Separately Priced

DATA

DI‐MGMT‐81804A

IAW PWS PARA 4.12.2

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A005 Accident/Incident Report

Item No.

3005AC

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

DATA

DI‐SAFT‐81563

IAW PWS PARA 5.5.2

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A006 Government‐Industy Data Exchange Program (GIDEP)

Item No.

3005AD

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

DATA

DI‐QCIC‐80125B

IAW PWS PARA 4.15

A006 Government‐Industy Data Exchange Program (GIDEP)

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A007 GIDEP Alert Response

Item No.

3005AE

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

DATA

DI‐QCIC‐80126B

IAW PWS PARA 4.15

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

Beyond Economic Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

BER

IAW PWS paragraph 4.10.1 Associated Document(s) Line Item(s)

FD20601800185 01 0007

Buy American Act/Balance of Payments Program

Over and Above

Item No.

To Be Negotiated Quantity U/I Unit Price

LO TBN

Over & Above IAW PWS paragraph 4.10.3 Associated Document(s) Line Item(s)

FD20601800185 01 0005

Priority: R

OPTION IV NOTE: The Government reserves the right to exercise its option at any time, from time to time, for a period of 48 months following the Basic Year Period for maximum quantity of 1 each per NSN. The Ship To/Mark For, requisition number, priority and applicable accounting and appropriation data will be cited at the time each option is exercised.

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 05 January 2018.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

4001 TB

NSN: 2520‐01‐163‐1671

DIFFERENTIAL GEAR U

Manufacturer Part Number 45152 1371220U 75Q65 1371220U Associated Document(s) Line Item(s)

FD20601800185 01 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

Type / Ship To PACRN Mark For

+ TBC PAC FLB RIC D4M

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

Repairable _ Req No / Pri

Required

Repair

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later..

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of order whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of order whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

4002 TB

NSN: 2520‐01‐181‐1335

TRANSMISSION,HYDRAU

Manufacturer Part Number 45152 1373890 73342 23010888 75Q65 1373890 Associated Document(s) Line Item(s)

FD20601800185 01 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes Physical Item Markings:

Type / Ship To PACRN Mark For

+ TBC PAB FLB RIC D4M

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

Repairable _ Req No / Pri

Repair

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of order whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of order whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

4003 TB

NSN: 2520‐01‐297‐6614 YW

TRANSMISSION,MECHAN

Transmission for R‐11 Refueler Manufacturer Part Number 45152 1579490

45152 2ET16

73342 23042056 75Q65 1579490

75Q65 2ET16

Associated Document(s) Line Item(s)

FD20601800185 01 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes

Repair

Type / Ship To PACRN Mark For

+ TBC PAD FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of order whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of order whichever is later.

Repair

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

4004 TB

NSN: 2520‐01‐164‐9056 YW

POWER TAKEOFF,TRANS

Manufacturer Part Number 45152 1369320U 75Q65 1369320U Associated Document(s) Line Item(s)

FD20601800185 01 0004

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

IUID Required: Yes

Repair

Type / Ship To PACRN Mark For

+ TBC PAA FLB RIC D4M

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

Repairable _ Req No / Pri

Required Delivery

+ TBC 1 EA *30 Calendar Days

Proposed Delivery

+ TBC 1 EA

DELIVERY NOTE TO CONTRACTOR:

The delivery schedule will be cited on each modification as either ROUTINE, MICAP or SURGE and will have the delivery schedule as stated below:

ROUTINE‐delivered NLT 30 business days after receipt of repairable asset/receipt of order whichever is later.

MICAP‐delivered 15 business days after receipt of repairable asset/receipt of order whichever is later.

SURGE‐delivered 7 business days after receipt of repairable asset/receipt of order whichever is later.

Informational CLIN of DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

EA NSP

DATA

A001 Commercial Asset Visibility Air Force Reporting (CAVAF) A003 Item Unique Identification (IUID) Marking Activity, Validation and Verification Report A005 Accident/Incident Report A006 Government‐Industry Data Exchange Program (GIDEP) Report A007 Government‐Industry Data Exchange Program(GIDEP) Alert Response Associated Document(s) Line Item(s)

FD20601800185 0008

FD20601800185 01 0008

A001 Commercial Asset Visbility Air Force End Item Reporting (CAVAF)

Item No.

4005AA

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

DATA

DI‐MGMT‐81634C

IAW PWS PARA 3.2.1

A001 Commercial Asset Visbility Air Force End Item Reporting (CAVAF)

FD20601800185 0008

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A003 IUID Marking, Activity, Validation and Verification Report

Item No.

4005AB

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

DATA

DI‐MGMT‐81804A

IAW PWS PARA 4.12.2

Associated Document(s) Line Item(s)

FD20601800185 0008

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A005 Accident/Incident Report

Item No.

4005AC

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

DATA

DI‐SAFT‐81563

IAW PWS PARA 5.5.2

A005 Accident/Incident Report

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A006 Government‐Industy Data Exchange Program (GIDEP)

Item No.

4005AD

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

DATA

DI‐QCIC‐80125B

IAW PWS PARA 4.15

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

A007 GIDEP Alert Response

Item No.

4005AE

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

DATA

DI‐QCIC‐80126B

IAW PWS PARA 4.15

Associated Document(s) Line Item(s)

FD20601800185 01 0008

Inspection: Destination Acceptance: Destination

A007 GIDEP Alert Response

Quality Assurance: IAW DD Form 1423‐1

Deliver IAW DD Form 1423‐1

Beyond Economic Repair

Item No.

To Be Negotiated Quantity U/I Unit Price

EA TBN

BER

IAW PWS paragraph 4.10.1 Associated Document(s) Line Item(s)

FD20601800185 01 0007

Buy American Act/Balance of Payments Program

Over and Above

Item No.

To Be Negotiated Quantity U/I Unit Price

LO TBN

Over & Above IAW PWS paragraph 4.10.3 Associated Document(s) Line Item(s)

FD20601800185 01 0005

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + TBC

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

USA

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

AWARD NUMBER:

Contact DCMA Transportation on ALL "DCMA Administered" contracts prior to shipment for shipping instructions using the DCMA Shipment Instruction Request (SIR) eTool System, at http://www.dcma.mil <http://www.dcma.mil/> for ALL FOB: Origin, Foreign Military Sales (FMS), and FOB: Destination OCONUS/Export movements to obtain the appropriate DOD regulatory clearances, shipping documentation and instructions from your cognizant DCMA Transportation Office. If you are new to DCMA, and do not already have a SIR eTool account, you will first need to request an account via DCMA External Web Access Management (EWAM) application which can be accessed at http://www.dcma.mil. If you need additional assistance, email DCMA Transportation Group at: Transportation.Division@dcma.mil. Do not move any freight to a water or aerial port prior to contacting DCMA or it will become frustrated. Failure to contact the responsible DCMA may result in vendor incurring additional expenditures.

CONTRACT CLAUSES

252.203‐7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS (SEP 2011) (IAW DFARS 203.171‐4(a), DFARS 212.301(f)(ii))

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

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

(a) Definitions.