FA851720R0011.pdf

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

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

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

24. TOTAL AWARD AMOUNT (For Government Use Only)

TELEPHONE NUMBER

UNIQUE ENTITY

IDENTIFIER

CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

NO COLLECT CALLS

4. SOLICITATION NUMBER

FA8517-20-R-0011

6.SOLICITATION ISSUE DATE

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

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

HUBZONE SMALL

BUSINESS EDWOSB

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS NAICS: 811219

8(A) SIZE STANDARD: $22.00

DATE SIGNED

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

26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION NUMBER

SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR CHANGES WHICH

ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

ROUTINE

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 90 days.

SEE LINE ITEM SCHEDULE

22.

AMOUNT

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

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

DATE SIGNED

27. SIGNATURE OF OFFEROR/CONTRACTOR

20.

UNIT

21.

UNIT PRICE

19.

QUANTITY

13. CONTRACTOR OFFEROR CODE FACILITY CODE

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

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

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

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

CONDITIONS STATED HEREIN. *90

RATING

DO: C9

3. AWARD/EFFECTIVE DATE

FA8517

2. CONTRACT NUMBER

X

17.

ITEM NUMBER

12. ADMINISTERED BY CODE

Total

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

SCD:B

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

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAYMENT DISCOUNT

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

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

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY CONTINUATION SHEETS SUBJECT

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

10. ITEMS TO BE PURCHASED (Brief Description)

SUPPLIES SERVICES Other Electronic and Precision Equipment Repair and Maintenance

9. (Agency Use)

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

28-AUG-2020 4:00PM

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

X

7. ISSUED BY CODE

SUPPORT EQPT - AUTOMATIC TEST, AFSC/PZAAC

235 BYRON ST BLDG 300 STE 19A

ROBINS AFB GA 31098-1813

BUYER: Shabrea S. Davis/PZAAC shabrea.davis@us.af.mil Phone: (478) 222- 3869

X

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)SOLICITATION/CONTRACT

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

J

STANDARD FORM 1447 (REV. 8/2016) BACK

NO RESPONSE FOR REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include Zip Code)

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

ITEMS INVOLVED

WE DO

OTHER (Specify)

UNABLE TO IDENTIFY THE ITEM(S)

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

DO NOT REGULARILY MANUFACTURE OR SELL THE TYPE

OF ITEMS INVOLVED

DATE AND LOCAL TIME 28 AUG 2020 4:00 PM

SOLICITATION NUMBER FA851720R0011

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Shabrea S Davis/PZAAC

SUPPORT EQPT - AUTOMATIC TEST, AFSC/PZAAC

235 BYRON ST BLDG 300 STE 19A

ROBINS AFB GA 31098-1813

FA8517-20-R-0011

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

This Request for Proposal (RFP) will result in an Indefinite Delivery Requirements type contract inaccordance with FAR 16.503. This RFP will establish a contract for a one year Basic Ordering Period and four(4) one-year ordering periods (OPs). Consisting of a Firm Fixed Price (FFP) repairs and data line items.

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.

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

All work shall be performed IAW Performance Work Statement (PWS).

Contractor is authorized early delivery.

Request proposals be in whole dollars.

WAWF POC: DCMA

Packaging is IAW AFMC 158 for each line item.

BASIC ORDERING PERIOD I

REPAIR OF CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 5998-01-291-5407 KV

CIRCUIT CARD ASSEMBLY

Process Electrical Signals

BASIC ORDERING PERIOD I

REPAIR OF CIRCUIT CARD ASSEMBLY

Mylar/Epoxy Resin/Copper overlaid with solder/ gold palated contacts Manufacturer Part Number 22915 091060-301 Associated Document(s) Line Item(s)

FD20602000167 0001

Priority: R

Inspection: Destination Acceptance: Destination Quality Assurance: Standard Inspection IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 DESTINATION

Type / Ship To PACRN Mark For

A SW3119 FLB RIC D4M

Type / Ship To Quantity (U/I) *ARO IAW PWS Req No / Pri

Required Delivery

A SW3119 10 EA *90 Calendar Days

Proposed Delivery

A SW3119 10 EA

Packaging is IAW AFMC 158 for each line item.

Early delivery is authorized.

DATA

Item No.

Firm Fixed Price

Data

DATA

IAW ATTACHED DD1423s Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

1 LO Not Separately Priced

CLIN ACRN ACRN Total

0002AA AA

Data

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

IAW ATTACHED DD1423 (A001)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT

Item No.

0002AB

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

CLIN ACRN ACRN Total

0002AB AA

Data

CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT

IAW ATTACHED DD1423 (A002)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

0002AC

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

CLIN ACRN ACRN Total

0002AC AA

Data

GOVERNMENT PROPERTY INVENTORY REPORT

IAW ATTACHED DD1423 (A003)

Associated Document(s) Line Item(s)

FD20602000167 0002

GOVERNMENT PROPERTY INVENTORY REPORT

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

0002AD

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

CLIN ACRN ACRN Total

0002AD AA

Data

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

IAW ATTACHED DD1423 (A004)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY, VALIDATION, AND VERIFICATION

Item No.

0002AE

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

CLIN ACRN ACRN Total

0002AE AA

Data ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY, VALIDATION, AND VERIFICATION REPORT

IAW ATTACHED DD1423 (A005)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

COUNTERFEIT PREVENTION PLAN

Item No.

0002AF

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

CLIN ACRN ACRN Total

0002AF AA

Data

COUNTERFEIT PREVENTION PLAN

IAW ATTACHED DD1423 (A006)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

QUALITY PROGRAM PLAN

Item No.

0002AG

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

CLIN ACRN ACRN Total

0002AG AA

Data

QUALITY PROGRAM PLAN

IAW ATTACHED DD1423 (A007)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ORDERING PERIOD II

REPAIR OF CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

1001 AA

ORDERING PERIOD II

REPAIR OF CIRCUIT CARD ASSEMBLY

NSN: 5998-01-291-5407 KV

CIRCUIT CARD ASSEMBLY

Process Electrical Signals Mylar/Epoxy Resin/Copper overlaid with solder/ gold palated contacts Manufacturer Part Number 22915 091060-301 Associated Document(s) Line Item(s)

FD20602000167 0001

Priority: R

Inspection: Destination Acceptance: Destination Quality Assurance: Standard Inspection IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 DESTINATION

Type / Ship To PACRN Mark For

A SW3119 FLB RIC D4M

Type / Ship To Quantity (U/I) *ARO IAW PWS Req No / Pri

Required Delivery

A SW3119 10 EA *90 Calendar Days

Proposed Delivery

A SW3119 10 EA

Firm Fixed Price

Data

DATA

IAW ATTACHED DD1423s Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

1002AA

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

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

CLIN ACRN ACRN Total

1002AA AA

Data

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

IAW ATTACHED DD1423 (A001)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT

Item No.

1002AB

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

CLIN ACRN ACRN Total

1002AB AA

Data

CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT

IAW ATTACHED DD1423 (A002)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

1002AC

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

CLIN ACRN ACRN Total

1002AC AA

Data

GOVERNMENT PROPERTY INVENTORY REPORT

IAW ATTACHED DD1423 (A003)

GOVERNMENT PROPERTY INVENTORY REPORT

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

1002AD

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

CLIN ACRN ACRN Total

1002AD AA

Data

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

IAW ATTACHED DD1423 (A004)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY, VALIDATION, AND VERIFICATION

Item No.

1002AE

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

CLIN ACRN ACRN Total

1002AE AA

Data ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY, VALIDATION, AND VERIFICATION REPORT

IAW ATTACHED DD1423 (A005)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination

COUNTERFEIT PREVENTION PLAN

Item No.

1002AF

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

CLIN ACRN ACRN Total

1002AF AA

Data

COUNTERFEIT PREVENTION PLAN

IAW ATTACHED DD1423 (A006)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

QUALITY PROGRAM PLAN

Item No.

1002AG

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

CLIN ACRN ACRN Total

1002AG AA

Data

QUALITY PROGRAM PLAN

IAW ATTACHED DD1423 (A007)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ORDERING PERIOD III

REPAIR OF CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

15 EA

2001 AA

ORDERING PERIOD III

REPAIR OF CIRCUIT CARD ASSEMBLY

NSN: 5998-01-291-5407 KV

CIRCUIT CARD ASSEMBLY

Process Electrical Signals Mylar/Epoxy Resin/Copper overlaid with solder/ gold palated contacts Manufacturer Part Number 22915 091060-301 Associated Document(s) Line Item(s)

FD20602000167 0001

Priority: R

Inspection: Destination Acceptance: Destination Quality Assurance: Standard Inspection IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 DESTINATION

Type / Ship To PACRN Mark For

A SW3119 FLB RIC D4M

Type / Ship To Quantity (U/I) *ARO IAW PWS Req No / Pri

Required Delivery

A SW3119 15 EA *90 Calendar Days

Proposed Delivery

A SW3119 15 EA

Firm Fixed Price

Data

DATA

IAW ATTACHED DD1423s Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

2002AA

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

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

CLIN ACRN ACRN Total

2002AA AA

Data

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

IAW ATTACHED DD1423 (A001)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT

Item No.

2002AB

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

CLIN ACRN ACRN Total

2002AB AA

Data

CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT

IAW ATTACHED DD1423 (A002)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

2002AC

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

CLIN ACRN ACRN Total

2002AC AA

Data

GOVERNMENT PROPERTY INVENTORY REPORT

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

2002AD

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

CLIN ACRN ACRN Total

2002AD AA

Data

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

IAW ATTACHED DD1423 (A004)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY, VALIDATION, AND VERIFICATION

Item No.

2002AE

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

CLIN ACRN ACRN Total

2002AE AA

Data ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY, VALIDATION, AND VERIFICATION REPORT

IAW ATTACHED DD1423 (A005)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination

COUNTERFEIT PREVENTION PLAN

Item No.

2002AF

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

CLIN ACRN ACRN Total

2002AF AA

Data

COUNTERFEIT PREVENTION PLAN

IAW ATTACHED DD1423 (A006)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

QUALITY PROGRAM PLAN

Item No.

2002AG

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

CLIN ACRN ACRN Total

2002AG AA

Data

QUALITY PROGRAM PLAN

IAW ATTACHED DD1423 (A007)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ORDERING PERIOD IV

REPAIR OF CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

15 EA

3001 AA

ORDERING PERIOD IV

REPAIR OF CIRCUIT CARD ASSEMBLY

NSN: 5998-01-291-5407 KV

CIRCUIT CARD ASSEMBLY

Process Electrical Signals Mylar/Epoxy Resin/Copper overlaid with solder/ gold palated contacts Manufacturer Part Number 22915 091060-301 Associated Document(s) Line Item(s)

FD20602000167 0001

Priority: R

Inspection: Destination Acceptance: Destination Quality Assurance: Standard Inspection IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 DESTINATION

Type / Ship To PACRN Mark For

A SW3119 FLB RIC D4M

Type / Ship To Quantity (U/I) *ARO IAW PWS Req No / Pri

Required Delivery

A SW3119 15 EA *90 Calendar Days

Proposed Delivery

A SW3119 15 EA

Firm Fixed Price

Data

DATA

IAW ATTACHED DD1423s Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

3002AA

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

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

CLIN ACRN ACRN Total

3002AA AA

Data

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

IAW ATTACHED DD1423 (A001)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT

Item No.

3002AB

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

CLIN ACRN ACRN Total

3002AB AA

Data

CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT

IAW ATTACHED DD1423 (A002)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

3002AC

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

CLIN ACRN ACRN Total

3002AC AA

Data

GOVERNMENT PROPERTY INVENTORY REPORT

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

3002AD

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

CLIN ACRN ACRN Total

3002AD AA

Data

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

IAW ATTACHED DD1423 (A004)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY, VALIDATION, AND VERIFICATION

Item No.

3002AE

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

CLIN ACRN ACRN Total

3002AE AA

Data ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY, VALIDATION, AND VERIFICATION REPORT

IAW ATTACHED DD1423 (A005)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination

COUNTERFEIT PREVENTION PLAN

Item No.

3002AF

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

CLIN ACRN ACRN Total

3002AF AA

Data

COUNTERFEIT PREVENTION PLAN

IAW ATTACHED DD1423 (A006)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

QUALITY PROGRAM PLAN

Item No.

3002AG

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

CLIN ACRN ACRN Total

3002AG AA

Data

QUALITY PROGRAM PLAN

IAW ATTACHED DD1423 (A007)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ORDERING PERIOD V

REPAIR OF CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

20 EA

4001 AA

ORDERING PERIOD V

REPAIR OF CIRCUIT CARD ASSEMBLY

NSN: 5998-01-291-5407 KV

CIRCUIT CARD ASSEMBLY

Process Electrical Signals Mylar/Epoxy Resin/Copper overlaid with solder/ gold palated contacts Manufacturer Part Number 22915 091060-301 Associated Document(s) Line Item(s)

FD20602000167 0001

Priority: R

Inspection: Destination Acceptance: Destination Quality Assurance: Standard Inspection IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 DESTINATION

Type / Ship To PACRN Mark For

A SW3119 FLB RIC D4M

Type / Ship To Quantity (U/I) *ARO IAW PWS Req No / Pri

Required Delivery

A SW3119 20 EA *90 Calendar Days

Proposed Delivery

A SW3119 20 EA

Firm Fixed Price

Data

DATA

IAW ATTACHED DD1423s Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

4002AA

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

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

CLIN ACRN ACRN Total

4002AA AA

Data

COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

IAW ATTACHED DD1423 (A001)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT

Item No.

4002AB

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

CLIN ACRN ACRN Total

4002AB AA

Data

CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT

IAW ATTACHED DD1423 (A002)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

4002AC

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

CLIN ACRN ACRN Total

4002AC AA

Data

GOVERNMENT PROPERTY INVENTORY REPORT

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

4002AD

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

CLIN ACRN ACRN Total

4002AD AA

Data

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

IAW ATTACHED DD1423 (A004)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY, VALIDATION, AND VERIFICATION

Item No.

4002AE

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

CLIN ACRN ACRN Total

4002AE AA

Data ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY, VALIDATION, AND VERIFICATION REPORT

IAW ATTACHED DD1423 (A005)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination

COUNTERFEIT PREVENTION PLAN

Item No.

4002AF

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

CLIN ACRN ACRN Total

4002AF AA

Data

COUNTERFEIT PREVENTION PLAN

IAW ATTACHED DD1423 (A006)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: Standard Inspection

QUALITY PROGRAM PLAN

Item No.

4002AG

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

CLIN ACRN ACRN Total

4002AG AA

Data

QUALITY PROGRAM PLAN

IAW ATTACHED DD1423 (A007)

Associated Document(s) Line Item(s)

FD20602000167 0002

Priority: R

Inspection: Destination Acceptance: Destination

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

455 BYRON STREET BLDG 376

ROBINS A F B GA 31098-1887

ROBINS A F B GA 31098-1887

USA

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

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

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

(IAW FAR 46.302)

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) Government Contract Quality Assurance Inspection and Acceptance will be at destination(s) specified herein (Final).

Item No(s): 0001, 0002AA, 0002AB, 0002AC, 0002AD, 0002AE, 0002AF, 0002AG, 1001, 1002AA, 1002AB, 1002AC, 1002AD, 1002AE, 1002AF, 1002AG, 2001, 2002AA, 2002AB, 2002AC, 2002AD, 2002AE, 2002AF, 2002AG, 3001, 3002AA, 3002AB, 3002AC, 3002AD, 3002AE, 3002AF, 3002AG, 4001, 4002AA, 4002AB, 4002AC, 4002AD, 4002AE, 4002AF, 4002AG

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

(IAW FAR 11.703(b))

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1))

52.242-17 GOVERNMENT DELAY OF WORK (APR 1984)

(IAW FAR 42.1305(c))

52.247-34 F.O.B. DESTINATION (NOV 1991)

(IAW FAR 47.303-6(c))

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

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

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

(Contracting Officer: Insert applicable document type(s).

Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (stand-alone) and “Receiving Report” (stand-alone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

(Contracting Officer: Insert inspection and acceptance locations or “Not applicable.”)

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table* Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC Issue By DoDAAC Admin DoDAAC Inspect By DoDAAC Ship To Code Ship From Code Mark For Code Service Approver (DoDAAC) Service Acceptor (DoDAAC) Accept at Other DoDAAC LPO DoDAAC DCAA Auditor DoDAAC Other DoDAAC(s) (*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g.

timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the e-mail address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

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

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

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

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

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA TO BE CITED ON EACH DELIVERY ORDER $0.00

ACRN TOTAL $ 0.00

TRANSPORTATION APPROPRIATION CHARGEABLE

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

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

AUTHORIZED

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

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

TAI ATAC FMS ALLOTMENT/ NOTE

TAA F6RS

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

5352.201-9101 OMBUDSMAN (OCT 2019)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, the interested party may contact the ombudsman, Timothy R.

Inman at 478 222 -4097 , FAX 000 000 -0000 , email timothy.inman@us.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU/SMC ombudsman level, may be brought by the interested party for further consideration to the Air Force ombudsman, Associate Deputy Assistant Secretary (ADAS) (Contracting), SAF/AQC, 1060 Air Force Pentagon, Washington DC 20330-1060, phone number (571) 256-2395, facsimile number (571) 256-2431.

52.202-1 DEFINITIONS (JUN 2020)

(IAW FAR 2.201)

52.203-3 GRATUITIES (APR 1984)

(IAW FAR 3.202)

52.203-5 COVENANT AGAINST CONTINGENT FEES (MAY 2014)

(IAW FAR 3.404)

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT (JUN 2020)

(IAW FAR 3.503-2)

52.203-7 ANTI-KICKBACK PROCEDURES (JUN 2020)

(IAW FAR 3.502-3)

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

IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(a))

52.203-10 PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(b))

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(JUN 2020)

(IAW FAR 3.808(b))

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY

AGREEMENTS OR STATEMENTS (JAN 2017)

(IAW FAR 3.909-3 (b))

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

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

252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER

DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)

(IAW DFARS 203.570-3)

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED PAPER (MAY 2011)

(IAW FAR 4.303)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (JUN 2020)

(IAW FAR 4.1403(a))

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (OCT 2018)

(IAW FAR 4.1105(b))

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (JUL 2016)

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

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(JUN 2016)

(IAW FAR 4.1903)

52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES

DEVELOPED OR PROVIDED BY KASPERSKY LAB AND OTHER COVERED

ENTITIES (JUL 2018)

(IAW FAR 4.2004)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2019)

(IAW 4.2105(b))

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

(IAW DFARS 204.404-70(b))

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (DEC 2019)

(IAW DFARS 204.7304(c))

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

(IAW DFARS 204.7403(b), DFARS 212.301(f)(i)(F))

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES (DEC 2019)

(IAW DFARS 204.2105(c))

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

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(JUN 2020)

(IAW FAR 9.409)

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING

RESPONSIBILITY MATTERS (OCT 2018)

(IAW FAR 9.104-7(c))

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

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

GOVERNMENT OF A COUNTRY THAT IS A STATE SPONSOR OF TERRORISM

(MAY 2019)

(IAW DFARS 209.409)

52.211-5 MATERIAL REQUIREMENTS (AUG 2000)

(IAW FAR 11.304)

52.211-15 DEFENSE PRIORITY AND ALLOCATION REQUIREMENTS (APR 2008)

(IAW FAR 11.604(b)) This is a rated order certified for national defense , emergency preparedness, and energy program use, and the Contractor shall follow all the requirements of the Defense Priorities and Allocations System regulation (15 CFR 700).

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

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

(a) Definitions. As used in this clause—

“DoD recognized unique identification equivalent” means a unique identification method that is in commercial use and has been recognized by DoD. All DoD recognized unique identification equivalents are listed at http://www.acq.osd.mil/dpap/pdi/uid/iuid/equivalents.html .

“Unique item identifier type” means a designator to indicate which method of uniquely identifying a part has been used. The current list of accepted unique item identifier types is maintained at http://www.acq.osd.mil/dpap/pdi/uid/uii_types.html .

(c) Unique item identifier.

(1) The Contractor shall provide a unique item identifier for the following:

(i) Delivered items for which the Government’s unit acquisition cost is $5,000 or more, except for the following line items:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

See Schedule as Applicable

(ii) Items for which the Government’s unit acquisition cost is less than $5,000 that are identified in the Schedule or the following table:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

*Items less than $5000, which require UID, will be specifically identified in the schedule.

See Schedule as Applicable

(iii) Subassemblies, components, and parts embedded within delivered items, items with warranty requirements, DoD serially managed reparables and DoD serially managed nonreparables as specified in Attachment Number _____( or See Schedule as Applicable).

(iv) Any item of special tooling or special test equipment as defined in FAR 2.101 that have been designated for preservation and storage for a Major Defense Acquisition Program as specified in Attachment Number _____( or See Schedule as Applicable).

(v) Any item not included in paragraphs (c)(1)(i), (ii), (iii), or (iv) of this clause for which the contractor creates and marks a unique item identifier for traceability.

(f) The Contractor shall submit the information required by paragraphs (d) and (e) of this clause as follows:

(1) End items shall be reported using the receiving report capability in Wide Area WorkFlow (WAWF) in accordance with the clause at 252.232-7003. If WAWF is not required by this contract, and the contractor is not using WAWF, follow the procedures at http://dodprocurementtoolbox.com/site/uidregistry/ .

(2) Embedded items shall be reported by one of the following methods—

(i) Use of the embedded items capability in WAWF;

(ii) Direct data submission to the IUID Registry following the procedures and formats at http://dodprocurementtoolbox.com/site/uidregistry/; or

(iii) Via WAWF as a deliverable attachment for exhibit line item number ______, Unique Item Identifier Report for Embedded Items, Contract Data Requirements List, DD Form 1423.

252.211-7007 REPORTING OF GOVERNMENT-FURNISHED PROPERTY (AUG 2012)

(IAW DFARS 211.274-6(b), DFARS 212.301(f)(iv))

52.215-2 AUDIT AND RECORDS--NEGOTIATION (JUN 2020)

(IAW FAR 15.209(b)(1))

52.215-8 ORDER OF PRECEDENCE--UNIFORM CONTRACT FORMAT (OCT 1997)

(IAW FAR 15.209(h), AFFARS 53.15.209(h))

52.215-14 INTEGRITY OF UNIT PRICES (JUN 2020)

(IAW FAR 15.408(f)(1))

52.215-14 INTEGRITY OF UNIT PRICES -- ALTERNATE I (OCT 1997)

(IAW FAR 15.408(f)(2))

52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS (OCT 2018)

(IAW FAR 19.708(a))

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (MAY 2020)

(IAW FAR 19.309(c))

(h) If the Contractor does not have representations and certifications in SAM, or does not have a representation in SAM for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

(1) The Contractor represents that it [ ] is, [ ] is not a small business concern under NAICS Code ________ assigned to contract number _______________.

(2) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(3) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a women-owned small business concern.

(4) Women-owned small business (WOSB) concern eligible under the WOSB Program.

[Complete only if the Contractor represented itself as a women-owned small business concern in paragraph (h)(3) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ] is, [ ] is not is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(4)(i) of this clause is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture.

[The Contractor shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: _______________________________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(5) Economically disadvantaged women-owned small business (EDWOSB) concern.

[Complete only if the Contractor represented itself as a women-owned small business concern eligible under the WOSB Program in (h)(4) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not an EDWOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(5)(i) of this clause is accurate for each EDWOSB concern participating in the joint venture.

[The Contractor shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ___________________________________.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

(6) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a veteran-owned small business concern.

(7) [Complete only if the Contractor represented itself as a veteran-owned small business concern in paragraph (h)(6) of this clause.] The Contractor represents that it [ ] is, [ ] is not a service-disabled veteran-owned small business concern.

(8) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [ ] is, [ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (h)(8)(i) of this clause is accurate for each HUBZone small business concern participating in the HUBZone joint venture.

[The Contractor shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: _________________________________________.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

[Contractor to sign and date and insert authorized signer’s name and title.]

52.222-19 CHILD LABOR--COOPERATION WITH AUTHORITIES AND REMEDIES (JAN 2020)

(IAW FAR 22.1505(b))

52.222-20 CONTRACTS FOR MATERIALS, ARTICLES, AND EQUIPMENT (JUN 2020)

(IAW FAR 22.610)

52.222-21 PROHIBITION OF SEGREGATED FACILITIES (APR 2015)

(IAW FAR 22.810(a)(1))

52.222-26 EQUAL OPPORTUNITY (SEP 2016)

(IAW FAR 22.810(e))

52.222-35 EQUAL OPPORTUNITY FOR VETERANS (JUN 2020)

(IAW FAR 22.1310(a)(1), DFARS 222.1310(a)(1))

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUN 2020)

(IAW FAR 22.1408(a))

52.222-37 EMPLOYMENT REPORTS ON VETERANS (JUN 2020)

(IAW FAR 22.1310(b))

52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR

RELATIONS ACT (DEC 2010)

(IAW FAR 22.1605)

(a) During the term of this contract, the Contractor shall post an employee notice, of such size and in such form, and containing such content as prescribed by the Secretary of Labor, in conspicuous places in and about its plants and offices where employees covered by the National Labor Relations Act engage in activities relating to the performance of the contract, including all places where notices to employees are customarily posted both physically and electronically, in the languages employees speak, in accordance with 29 CFR 471.2(d) and (f).

(1) Physical posting of the employee notice shall be in conspicuous places in and about the Contractor’s plants and offices so that the notice is prominent and readily seen by employees who are covered by the National Labor Relations Act and engage in activities related to the performance of the contact.

(2) If the Contractor customarily posts notices to employees electronically, then the Contractor shall also post the required notice electronically by displaying prominently, on any Web site that is maintained by the Contractor and is customarily used for notices to employees about terms and conditions of employment, a link to the Department of Labor’s Web site that contains the full text of the poster. The link to the Department’s Web site, as referenced in (b)(3) of this section, must read, “Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers.”

(b) This required employee notice, printed by the Department of Labor, may be—

(1) Obtained from the Division of Interpretations and Standards, Office of Labor-Management Standards, U.S.

Department of Labor, 200 Constitution Avenue, NW., Room N-5609, Washington, DC 20210, (202) 693-0123, or from any field office of the Office of Labor-Management Standards or Office of Federal Contract Compliance Programs;

(2) Provided by the Federal contracting agency if requested;

(3) Downloaded from the Office of Labor-management Standards Web site at http://www.dol.gov/olms/regs/compliance/EO13496.htm ; or

(4) Reproduced and used as exact duplicate copies of the Department of Labor’s official poster.

(c) The required text of the employee notice referred to in this clause is located at Appendix A, Subpart A, 29 CFR Part 471.

(d) The Contractor shall comply with all provisions of the employee notice and related rules, regulations, and orders of the Secretary of Labor.

(e) In the event that the Contractor does not comply with the requirements set forth in paragraphs (a) through (d) of this clause, this contract may be terminated or suspended in whole or in part, and the Contractor may be suspended or debarred in accordance with 29 CFR 471.14 and subpart 9.4 Such other sanctions or remedies may be imposed as are provided by 29 CFR part 471, which implements Executive Order 13496 or as otherwise provided by law.

(f) Subcontracts.

(1) The Contractor shall include the substance of this clause, including this paragraph (f), in every subcontract that exceeds $10,000 and will be performed wholly or partially in the Unites States, unless exempted by the rules, regulations, or orders of the Secretary of Labor issued pursuant to section 3 of Executive Order 13496 of January 30, 2009, so that such provisions will be binding upon each subcontractor.

(2) The Contractor shall not procure supplies or services in a way designed to avoid the applicability of Executive Order 13496 or this clause.

(3) The Contractor shall take such action with respect to any such subcontract as may be directed by the Secretary of Labor as a means of enforcing such provisions, including the imposition of sanctions for noncompliance.

(4) However, if the Contractor becomes involved in litigation with a subcontractor, or is threatened with such involvement, as a result of such direction, the Contractor ma request the United States, through the Secretary of Labor, to enter into such litigation to protect the interests of the United States.

(The above Clause/Provision has been modified.)

52.222-41 SERVICE CONTRACT LABOR STANDARDS (AUG 2018)

(IAW FAR 22.1006(a))

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

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

This Statement is for Information Only:

It is not a Wage Determination

Employee Class Monetary Wage Fringe Benefits Electronics Mechanic

WG-2604-10

$26.55

Electronics Technician

WG-2604-12

$28.75

Quality Assurance Technician

GS-1910-11

$34.87

General Administrative Assistant

GS-0326-05

$19.03

(The above Clause/Provision has been modified.)

52.222-44 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT LABOR

STANDARDS--PRICE ADJUSTMENT (MAY 2014)

(IAW FAR 22.1006(c)(2))

52.222-50 COMBATING TRAFFICKING IN PERSONS (JAN 2019)

(IAW FAR 22.1705(a)(1))

52.222-55 MINIMUM WAGES UNDER EXECUTIVE ORDER 13658 (DEC 2015)

(IAW FAR 22.1906)

52.222-62 PAID SICK LEAVE (EXECUTIVE ORDER 13706) (JAN 2017)

(IAW FAR 22.2110)

52.223-6 DRUG-FREE WORKPLACE (MAY 2001)

(IAW FAR 23.505)

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (JUN 2020)

(IAW FAR 23.1105)

252.223-7008 PROHIBITION OF HEXAVALENT CHROMIUM (JUN 2013)

(IAW DFARS 223.7306, DFARS 212.301(f)(xxi))

52.224-3 PRIVACY TRAINING (JAN 2017)

(IAW FAR 24.302(a))

52.225-13 RESTRICTIONS ON CERTAIN FOREIGN PURCHASES (JUN 2008)

(IAW FAR 25.1103(a))

252.225-7012 PREFERENCE FOR CERTAIN DOMESTIC COMMODITIES (DEC 2017)

(IAW DFARS 225.7002-3(a))

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)

(IAW DFARS 225.7901-4)

252.225-7052 RESTRICTION ON THE ACQUISITION OF CERTAIN MAGNETS, TANTALUM, AND

TUNGSTEN (DEVIATION 2020-O0006) (FEB 2020)

(IAW DEVIATION 2020-O0006)

252.226-7001 UTILIZATION OF INDIAN ORGANIZATIONS, INDIAN-OWNED ECONOMIC

ENTERPRISES, AND NATIVE HAWAIIAN SMALL BUSINESS CONCERNS

(APR 2019)

(IAW DFARS 226.104)

52.227-1 AUTHORIZATION AND CONSENT (JUN 2020)

(IAW FAR 27.201-2(a)(1))

52.227-2 NOTICE AND ASSISTANCE REGARDING PATENT AND COPYRIGHT

INFRINGEMENT (JUN 2020)

(IAW FAR 27.201-2(b))

52.229-4 FEDERAL, STATE, AND LOCAL TAXES (STATE AND LOCAL ADJUSTMENTS)

(FEB 2013)

(IAW FAR 29.401-3(b))

52.229-12 TAX ON CERTAIN FOREIGN PROCUREMENTS (JUN 2020)

(IAW 29.402-3(b))

252.231-7000 SUPPLEMENTAL COST PRINCIPLES (DEC 1991)

(IAW DFARS 231.100-70)

52.232-1 PAYMENTS (APR 1984)

(IAW FAR 32.111(a)(1))

52.232-8 DISCOUNTS FOR PROMPT PAYMENT (FEB 2002)

(IAW FAR 32.111(b)(1))

52.232-11 EXTRAS (APR 1984)

(IAW FAR 32.111(c)(2))

52.232-17 INTEREST (MAY 2014)

(IAW FAR 32.611(a), FAR 32.611(b))

52.232-23 ASSIGNMENT OF CLAIMS (MAY 2014)

(IAW FAR 32.806(a)(1))

52.232-25 PROMPT PAYMENT (JAN 2017)

(IAW FAR 32.908(c))

(a) Invoice payments—

(5) Computing penalty amount. The Government will compute the interest penalty in accordance with the Office of Management and Budget prompt payment regulations at 5 CFR part 1315.

(i) For the sole purpose of computing an interest penalty that might be due the Contractor, Government acceptance is deemed to occur constructively on the 7th day (unless otherwise specified in this contract) after the Contractor delivers the supplies or performs the services in accordance with the terms and conditions of the contract, unless there is a disagreement over quantity, quality, or Contractor compliance with a contract provision. If actual acceptance occurs within the constructive acceptance period, the Government will base the determination of an interest penalty on the actual date of acceptance. The constructive acceptance requirement does not, however, compel Government officials to accept supplies or services, perform contract administration functions, or make payment prior to fulfilling their responsibilities.

52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER--SYSTEM FOR AWARD

MANAGEMENT (OCT 2018)

(IAW FAR 32.1110(a)(1))

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS (JUN 2013)

(IAW FAR 32.706-3)

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS (DEC 2013)

(IAW FAR 32.009-2)

252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND RECEIVING REPORTS

(DEC 2018)

(IAW DFARS 232.7004(a))

(a) Definitions. As used in this clause—

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

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

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