FA851720R0008.pdf

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Repair of Axial Impeller Fan
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FA8517-20-R-0008
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AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV.2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 J

1. REQUISITION NUMBER Page 1

5. SOLICITATION NUMBER

FA8517-20-R-0008

6. SOLICITATION ISSUE DATE

b. TELEPHONE NUMBER (No collect calls)

(478 ) 222 -3766 ext.

2. CONTRACT NO.

7. FOR SOLICITATION

INFORMATION CALL

3. AWARD/EFFECTIVE DATE

4. ORDER NUMBER

a. NAME

Jonathan R. Riggins

8. OFFER DUE DATE/LOCAL

TIME

19AUG2020 4:00PM

12. DISCOUNT TERMS11. DELIVERY FOR FOB DEST.

UNLESS BLOCK IS MARKED

SEE SCHEDULE

10. THIS ACQUISITION IS UNRESTRICTED SET ASIDE: % FOR:

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS

HUBZONE SMALL (WOSB)ELIGIBLE UNDER THE WOMEN-OWNED

BUSINESS SMALL BUSINESS PROGRAM

NAICS CODE:

SERVICE-DISABLED EDWOSB 334515

VETERAN-OWNED SIZE STANDARD

SMALL BUSINESS 8 (A) 750 :

13a. THIS CONTRACT IS A

RATED ORDER

UNDER DPAS

(15 CFR 700)

13b. RATING

DO: A1 52.211-14, 52.211-15

14. METHOD OF SOLICITATION

RFQ IFB RFP

9. ISSUED BY CODE

SUPPORT EQPT - AUTOMATIC TEST, AFSC/PZAAC

235 BYRON ST BLDG 300 STE 19A

ROBINS AFB GA 31098-1813

BUYER: Jonathan R. Riggins/PZAAC jonathan.riggins.2@us.af.mil Phone: (478) 222- 3766 Fax: (000

15. DELIVER TO CODE

SEE LINE ITEM SCHEDULE

16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR FACILITY

CODE CODE

18a. PAYMENT WILL BE MADE BY CODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS

CHECKED. SEE ELECTRONIC SUBMISSION OF PAYMENT REQUESTS, CLAUSE 252.232-7003.

FA8517

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

ROUTINE

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 60 days.

This requirement is subject to the Service Contract Act (SCA); 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 the time of award and will specify the minimum wages and fringe benefits for the specific location.Offerors must ensure that they comply with the provisions of the applicable wage determination.

SEE LINE ITEM SCHEDULE

(Attach Additional Sheets as Necessary)

26. AWARD AMOUNT (For Gov’t use only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 COPIES TO ISSUING

OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED HEREIN.

29. AWARD OF CONTRACT: REF. OFFER DATED - - . YOUR OFFER ON

SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

X

X X

X X

X

X

25. ACCOUNTING AND APPROPRIATION DATA SEE FUNDS SCHEDULE

X

SCD:B

Total

STANDARD FORM 1449 (REV. 2/2012) BACK

COMPUTER GENERATED 8/12/2020, 7:19 AM

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32b. SIGNATURE OF AUTHORIZED GOV’T REPRESENTATIVE

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

32c. DATE

41c. DATE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER36. PAYMENT

COMPLETE PARTIAL FINAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC’D (YY/MM/DD) 42d. TOTAL CONTAINERS

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

SEE LINE ITEM SCHEDULE

(Attach Additional Sheets as Necessary)

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

FA8517-20-R-0008

SUPPLIES OR SERVICES AND PRICES/COSTS

This Request for Proposal (RFP) will result in a Firm Fixed Price Indefinite Delivery Requirements type contract in accordance with FAR 16.503. This will estalish a contract with One-year Basic ordering period and four (4) one-year ordering periods. The mechanics of this contract type will involve the issurance of seperate delievery orders specifying the Contract Line Item Numbers (CLINs) in the applicable contract period. Each delivery order will identify as a minimum the CLIN, Quantity, Contract Unit Price and Ship To Address. The Best Estimated Quanities (BEQs) set forth in this solicitation are the estimated total annual quantities the Government expects to order during that period. The contractor shall provide all services, material, special tools and special test equipment.

This acquisition will utilize Past Performance/Price Trade-Off (PPT) procedures.

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

The Total Evaluated Price for the Basic year and all option years, Options I through Option IV, shall be calculated and used in the te determination of the Best Value by the BEQs only.

Both Basic and all Option Years Data CLINs and sub-CLINs shall be included in the Total Evaluated Price for that category.

BEQ: Please note that (Best Estimated Quantity) BEQs are set forth below; however, orders, may be issued for quantities in excess of or less than BEQ

No Ozone Depleting Substances shall be used.

Warranty normally extended to contractor's commercial customers is required. A copy of the contractor's commercial warranty shall be provided with each item.

The contractor shall not repair any item where the total cost of parts and labor exceed 75% of the Government "Latest Cost Amount" of the item unless authorization is given by the PCO.

Offerors are requested to round proposed amounts to the nearest dollar.

Early delivery is acceptable.

BASIC AWARD

The resulting contract will be for five (5) one-year ordering periods:

CLIN 000X- Basic Ordering Period I shall be in effect from the effective date of award for a period of 12 months.

CLIN 100X- Ordering Period II is the 12 month period immediately following Basic Ordering Period I.

CLIN 200X- Ordering Period III is the 12 month period immediately following Ordering Period II.

CLIN 300X- Ordering Period IV is the 12 month period immediately following Ordering Period III.

CLIN 400X- Ordering Period V is the 12 month period immediately following Ordering Period IV.

AWARD-ALL OR NONE BASIS - Notwithstanding FAR provision 52.212-1(g) Instructions to Offerors- Commercial Items award shall be made to a single bidder/offeror whose bid/offer responds to all items included in the solicitation. Failure to provide for any item including any option shall render the bid nonresponsive or may cause the offeror's proposal to be rejected.

FAN, CENTRIGUFAL - BASIC

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 4140-01-432-3808 KV

FAN, CENTRIFUGAL

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $5,899.00

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 2 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 2 EA

GENERATOR, SIGNAL - BASIC

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

8 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 6625-01-408-5615 KV

SIGNAL GENERATOR

GENERATOR, SIGNAL - BASIC

IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $4,767.57

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 8 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 8 EA

PLUG-IN UNIT, ELECTR - BASIC

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

0003 AA

NSN: 6625-01-432-6713 KV

PLUG-IN UNIT, ELECTR

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $10,569.85

PLUG-IN UNIT, ELECTR - BASIC

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 6 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 6 EA

SIGNAL GENERATOR- BASIC

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

0004 AA

NSN: 6625-01-432-7288 KV

GENERATOR, SIGNAL

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $19,573.87

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 SDD-RIC, D4M-REPAIR

SIGNAL GENERATOR- BASIC

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 10 EA

PLUG-IN UNIT, ELECTR - BASIC

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

0005 AA

NSN: 6625-01-432-8461 KV

PLUG-IN UNIT, ELECTR

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $3,740.02

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAE SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

PLUG-IN UNIT, ELECTR - BASIC

A SW3119 10 EA

SPECTRUM ANALYZER- BASIC

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

0006 AA

NSN: 6625-01-433-0282 KV

SPECTRUM ANALYZER

REPAIR IAW PWS DATED 14 JUN13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $21,679.30

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 PAF SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 6 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 6 EA

DATA IAW DD FORM 1423's

Item No.

DATA IAW DD FORM 1423's

DATA IAW DD FORM 1423-1's

CAV AF (A001) - BASIC

Item No.

0007AA

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

CAV AF

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

TECHNICAL REPORT-STUDY/SERVICES (A002) - BASIC

Item No.

0007AB

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

TECHNICAL REPORT-STUDY/SERVICES

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

IUID MARKING PLAN (A003) - BASIC

Item No.

0007AC

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

IUID MARKING PLAN

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

IUID MARKING ACTIVITY AND VERIFICATION REPORT (A004)- BASIC

Item No.

0007AD

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

IUID MARKING ACTIVITY AND VERIFICATION REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection

ACCIDENT/INCIDENT REPORT (A005)- BASIC

Item No.

0007AE

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

IACCIDENT/INCIDENT REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

GIDEP ALERT/SAFETY-ALERT REPORT (A006) - BASIC

Item No.

0007AF

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

GIDEP ALERT/SAFETY-ALERT REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection

GIDEP ALERT/SAFETY-ALERT RESPONSE (A007) - BASIC

Item No.

0007AG

Firm Fixed Price Quantity U/I Unit Price Amount

GIDEP ALERT/SAFETY-ALERT RESPONSE (A007) - BASIC

1 LO Not Separately Priced Not Separately Priced

GIDEP ALERT/SAFETY-ALERT RESPONSE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

Option I (The twelve-month period immediately following the Basic contract period) Option I may be exercised on or before the last day of the Basic contract period.

Note: The Option is considered to have been exercised at the time the government sends notification to the contractor by transmitting electronically by fax or email.

FAN, CENTRIFUGAL - OPTION I

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

1001 AA

NSN: 4140-01-432-3808 KV

FAN, CENTRIFUGAL

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $5,899.00

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

FAN, CENTRIFUGAL - OPTION I

Required Delivery

A SW3119 10 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 10 EA

GENERATOR, SIGNAL - OPTION I

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

8 EA

CLIN ACRN ACRN Total

1002 AA

NSN: 6625-01-408-5615 KV

SIGNAL GENERATOR

IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $4,767.57

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 8 EA *45 Calendar Days Non-MilStrip

Proposed

A SW3119 8 EA

PLUG-IN UNIT, ELECTR - OPTION I

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

1003 AA

NSN: 6625-01-432-6713 KV

PLUG-IN UNIT, ELECTR

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $10,569.85

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 6 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 6 EA

SIGNAL GENERATOR- OPTION I

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

1004 AA

NSN: 6625-01-432-7288 KV

GENERATOR, SIGNAL

SIGNAL GENERATOR- OPTION I

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $19,573.87

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 10 EA

PLUG-IN UNIT, ELECTR - OPTION I

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

11 EA

CLIN ACRN ACRN Total

1005 AA

NSN: 6625-01-432-8461 KV

PLUG-IN UNIT, ELECTR

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required

Latest Cost Amount: $3,740.02

PLUG-IN UNIT, ELECTR - OPTION I

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAE SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 11 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 11 EA

SPECTRUM ANALYZER - OPTION I

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

1006 AA

NSN: 6625-01-433-0282 KV

SPECTRUM ANALYZER

REPAIR IAW PWS DATED 14 JUN13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $21,679.30

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

A SW3119 PAF SDD-RIC, D4M-REPAIR

SPECTRUM ANALYZER - OPTION I

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 6 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 6 EA

DATA IAW DD 1423s - OPTION I

Item No.

DATA

CAV AF (A001) - OPTION I

Item No.

1007AA

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

CAV AF

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

TECHNICAL REPORT-STUDY/SERVICES (A002) - OPTION I

Item No.

1007AB

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

TECHNICAL REPORT-STUDY/SERVICES

Limitations of Liability: Other Than High Value Item

TECHNICAL REPORT-STUDY/SERVICES (A002) - OPTION I

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

IUID MARKING PLAN (A003) - OPTION I

Item No.

1007AC

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

IUID MARKING PLAN

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

IUID MARKING ACTIVITY AND VERIFICATION REPORT (A004)- OPTION I

Item No.

1007AD

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

IUID MARKING ACTIVITY AND VERIFICATION REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

ACCIDENT/INCIDENT REPORT (A00O5) - OPTION I

Item No.

1007AE

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

IACCIDENT/INCIDENT REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination

GIDEP ALERT/SAFETY-ALERT REPORT (A006) - OPTION I

Item No.

1007AF

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

GIDEP ALERT/SAFETY-ALERT REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

GIDEP ALERT/SAFETY-ALERT RESPONSE (A007) - OPTION I

Item No.

1007AG

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

GIDEP ALERT/SAFETY-ALERT RESPONSE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

OPTION II (The twelve-month period immediately following Option I) Option II may be exercised on or before the last day of Option I.

Note: The Option is considered to have been exercised at the time the government sends notification to the contractor by transmitting electronically by fax or email.

FAN, CENTRIFUGAL- OPTION II

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

2001 AA

NSN: 4140-01-432-3808 KV

FAN, CENTRIFUGAL

REPAIR IAW PWS DATED 14 JUN 13

FAN, CENTRIFUGAL- OPTION II

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $5,899.00

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 3 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 3 EA

GENERATOR, SIGNAL - OPTION II

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

8 EA

CLIN ACRN ACRN Total

2002 AA

NSN: 6625-01-408-5615 KV

SIGNAL GENERATOR

IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required

Latest Cost Amount: $4,767.57

GENERATOR, SIGNAL - OPTION II

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 8 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 8 EA

PLUG-IN UNIT, ELECTR - OPTION II

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

2003 AA

NSN: 6625-01-432-6713 KV

PLUG-IN UNIT, ELECTR

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $10,569.85

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

A SW3119 PAC SDD-RIC, D4M-REPAIR

PLUG-IN UNIT, ELECTR - OPTION II

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 6 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 6 EA

SIGNAL GENERATOR- OPTION II

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

2004 AA

NSN: 6625-01-432-7288 KV

GENERATOR, SIGNAL

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $19,573.87

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days Non-MilStrip

SIGNAL GENERATOR- OPTION II

A SW3119 10 EA

PLUG-IN UNIT, ELECTR - OPTION II

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

2005 AA

NSN: 6625-01-432-8461 KV

PLUG-IN UNIT, ELECTR

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $3,740.02

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAE SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 10 EA

SPECTRUM ANALYZER - OPTION II

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

SPECTRUM ANALYZER - OPTION II

6 EA

CLIN ACRN ACRN Total

2006 AA

NSN: 6625-01-433-0282 KV

SPECTRUM ANALYZER

REPAIR IAW PWS DATED 14 JUN13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $21,679.30

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 PAF SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 6 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 6 EA

DATA IAW DD 1423s - OPTION II

Item No.

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

DATA

CAV AF (A001) - OPTION II

Item No.

2007AA

CAV AF

CAV AF (A001) - OPTION II

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

TECHNICAL REPORT-STUDY/SERVICES (A002) - OPTION II

Item No.

2007AB

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

TECHNICAL REPORT-STUDY/SERVICES

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

IUID MARKING PLAN (A003) - OPTION II

Item No.

2007AC

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

IUID MARKING PLAN

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection

IUID MARKING ACTIVITY AND VERIFICATION REPORT (A004)- OPTION II

Item No.

2007AD

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

IUID MARKING ACTIVITY AND VERIFICATION REPORT

IUID MARKING ACTIVITY AND VERIFICATION REPORT (A004)- OPTION II

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection

ACCIDENT/INCIDENT REPORT (A00O5) - OPTION II

Item No.

2007AE

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

IACCIDENT/INCIDENT REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

GIDEP ALERT/SAFETY-ALERT REPORT (A006) - OPTION II

Item No.

2007AF

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

GIDEP ALERT/SAFETY-ALERT REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection

GIDEP ALERT/SAFETY-ALERT RESPONSE (A007) - OPTION II

Item No.

2007AG

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

GIDEP ALERT/SAFETY-ALERT RESPONSE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination

OPTION III (The twelve-month period immediately following Option II) Option III may be exercised on or before the last day of Option II.

Note: The Option is considered to have been exercised at the time the government sends notification to the contractor by transmitting electronically by fax or email.

FAN, CENTRIFUGAL- OPTION III

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

3001 AA

NSN: 4140-01-432-3808 KV

FAN, CENTRIFUGAL

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $5,899.00

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 3 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 3 EA

GENERATOR, SIGNAL - OPTION III

Item No.

GENERATOR, SIGNAL - OPTION III

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

8 EA

CLIN ACRN ACRN Total

3002 AA

NSN: 6625-01-408-5615 KV

SIGNAL GENERATOR

IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $4,767.57

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 8 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 8 EA

PLUG-IN UNIT, ELECTR - OPTON III

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

3003 AA

NSN: 6625-01-432-6713 KV

PLUG-IN UNIT, ELECTR

REPAIR IAW PWS DATED 14 JUN 13

PLUG-IN UNIT, ELECTR - OPTON III

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $10,569.85

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 6 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 6 EA

SIGNAL GENERATOR- OPTION III

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

3004 AA

NSN: 6625-01-432-7288 KV

GENERATOR, SIGNAL

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required

Latest Cost Amount: $19,573.87

SIGNAL GENERATOR- OPTION III

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 10 EA

PLUG-IN UNIT, ELECTR - OPTION III

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

3005 AA

NSN: 6625-01-432-8461 KV

PLUG-IN UNIT, ELECTR

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $3,740.02

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

A SW3119 PAE SDD-RIC, D4M-REPAIR

PLUG-IN UNIT, ELECTR - OPTION III

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 10 EA

SPECTRUM ANALYZER - OPTION III

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

3006 AA

NSN: 6625-01-433-0282 KV

SPECTRUM ANALYZER

REPAIR IAW PWS DATED 14 JUN13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $21,679.30

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 PAF SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 6 EA *45 Calendar Days Non-MilStrip

SPECTRUM ANALYZER - OPTION III

A SW3119 6 EA

DATA IAW DD 1423s - OPTION III

Item No.

DATA

CAV AF (A001) - OPTION III

Item No.

3007AA

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

CAV AF

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

TECHNICAL REPORT-STUDY/SERVICES (A002) - OPTION III

Item No.

3007AB

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

TECHNICAL REPORT-STUDY/SERVICES

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

IUID MARKING PLAN (A003) - OPTION III

Item No.

3007AC

Firm Fixed Price

1 LO Not Separately Priced Not Separately Priced

IUID MARKING PLAN (A003) - OPTION III

IUID MARKING PLAN

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

IUID MARKING ACTIVITY AND VERIFICATION REPORT (A004)- OPTION III

Item No.

3007AD

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

IUID MARKING ACTIVITY AND VERIFICATION REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection

ACCIDENT/INCIDENT REPORT (A00O5) - OPTION III

Item No.

3007AE

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

IACCIDENT/INCIDENT REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

GIDEP ALERT/SAFETY-ALERT REPORT (A006) - OPTION III

Item No.

3007AF

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

GIDEP ALERT/SAFETY-ALERT REPORT

GIDEP ALERT/SAFETY-ALERT REPORT (A006) - OPTION III

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection

GIDEP ALERT/SAFETY-ALERT RESPONSE (A007) - OPTION III

Item No.

3007AG

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

GIDEP ALERT/SAFETY-ALERT RESPONSE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

OPTION IV (The twelve-month period immediately following Option III) Option IV may be exercised on or before the last day of Option III.

Note: The Option is considered to have been exercised at the time the government sends notification to the contractor by transmitting electronically by fax or email.

FAN, CENTRIFUGAL- OPTION IV

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

4001 AA

NSN: 4140-01-432-3808 KV

FAN, CENTRIFUGAL

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required

Latest Cost Amount: $5,899.00

FAN, CENTRIFUGAL- OPTION IV

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 3 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 3 EA

GENERATOR, SIGNAL - OPTION IV

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

8 EA

CLIN ACRN ACRN Total

4002 AA

NSN: 6625-01-408-5615 KV

SIGNAL GENERATOR

IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $4,767.57

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

A SW3119 PAB SDD-RIC, D4M-REPAIR

GENERATOR, SIGNAL - OPTION IV

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 8 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 8 EA

PLUG-IN UNIT, ELECTR - OPTION IV

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

4003 AA

NSN: 6625-01-432-6713 KV

PLUG-IN UNIT, ELECTR

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $10,569.85

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 6 EA *45 Calendar Days Non-MilStrip

PLUG-IN UNIT, ELECTR - OPTION IV

A SW3119 6 EA

SIGNAL GENERATOR- OPTION IV

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

4004 AA

NSN: 6625-01-432-7288 KV

GENERATOR, SIGNAL

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $19,573.87

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 SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 10 EA

PLUG-IN UNIT, ELECTR - OPTION IV

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

PLUG-IN UNIT, ELECTR - OPTION IV

10 EA

CLIN ACRN ACRN Total

4005 AA

NSN: 6625-01-432-8461 KV

PLUG-IN UNIT, ELECTR

REPAIR IAW PWS DATED 14 JUN 13

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $3,740.02

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAE SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 10 EA

SPECTRUM ANALYZER - OPTION IV

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

4006 AA

NSN: 6625-01-433-0282 KV

SPECTRUM ANALYZER

REPAIR IAW PWS DATED 14 JUN13

SPECTRUM ANALYZER - OPTION IV

Preliminary Inspection:

Final Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Latest Cost Amount: $21,679.30

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 PAF SDD-RIC, D4M-REPAIR

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order;

whichever is later, 15 Days for MICAPs/SURGEs

_ Req No / Pri

Required Delivery

A SW3119 6 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 6 EA

DATA IAW DD 1423s - OPTION IV

Item No.

DATA

CAV AF (A001) - OPTION IV

Item No.

4007AA

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

CAV AF

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination

TECHNICAL REPORT-STUDY/SERVICES (A002) - OPTION IV

Item No.

4007AB

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

TECHNICAL REPORT-STUDY/SERVICES

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

IUID MARKING PLAN (A003) - OPTION IV

Item No.

4007AC

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

IUID MARKING PLAN

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

IUID MARKING ACTIVITY AND VERIFICATION REPORT (A004)- OPTION IV

Item No.

4007AD

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

IUID MARKING ACTIVITY AND VERIFICATION REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

ACCIDENT/INCIDENT REPORT (A00O5) - OPTION IV

Item No.

4007AE

Firm Fixed Price

ACCIDENT/INCIDENT REPORT (A00O5) - OPTION IV

1 LO Not Separately Priced Not Separately Priced

IACCIDENT/INCIDENT REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

GIDEP ALERT/SAFETY-ALERT REPORT (A006) - OPTION IV

Item No.

4007AF

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

GIDEP ALERT/SAFETY-ALERT REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: SEE DD FORM 1423-1

GIDEP ALERT/SAFETY-ALERT RESPONSE (A007) - OPTION IV

Item No.

4007AG

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

GIDEP ALERT/SAFETY-ALERT RESPONSE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3119

D035 DEPOT SUPPLY

DDWGER-CLA CENTRAL RECEIVING

455 BYRON STREET BLDG 376

ROBINS AFB GA 31098-1887

UNITED STATES

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

AWARD NUMBER:

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))

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES (DEC 2019)

(IAW DFARS 204.2105(c))

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS--COMMERCIAL ITEMS (JUN 2020)

(IAW FAR 12.301(b)(4))

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203-19,Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (Jan 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (Jul 2018) (Section 1634 of Pub. L.

115-91).

(3) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (AUG 2019) (Section 89(a)(1)(A) of Pub. L. 115-232).

(4) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015)

(5) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(6) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Public Laws 108-77, 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[Contracting Officer check as appropriate.] __X __ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (JUN 2020), with Alternate I (Oct 1995)(41 U.S.C. 4704 and 10 U.S.C. 2402).

__ __ (2)…

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