FA851722R0003.pdf
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- Repair of the Frequency Bolometer
- Solicitation number
- FA8517-22-R-0003
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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
FA8517-22-R-0003
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: 336413
8(A) SIZE STANDARD: 1,250
DATE SIGNED
28. UNITED STATES OF AMERICA (Signature of Contracting Officer)
26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION NUMBER
SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR CHANGES WHICH
ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:
ROUTINE
Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 120 days.
SEE LINE ITEM SCHEDULE
22.
AMOUNT
16. AUTHORITY FOR USING OTHER THAN 10 USC 2304 41 USC 253
FULL AND OPEN COMPETITION (c) (1 ) (c) ( )
DATE SIGNED
27. SIGNATURE OF OFFEROR/CONTRACTOR
20.
UNIT
21.
UNIT PRICE
19.
QUANTITY
13. CONTRACTOR OFFEROR CODE FACILITY CODE
11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN * ___ CALENDAR DAYS (60 CALENDAR
DAYS UNLESS OFFEROR INSERTS A DIFFERENT PERIOD) FROM THE DATE SET FORTH IN 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. *120
RATING
DO: A1
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
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 Aircraft Part and Auxiliary Equipment Manufacturing7
9. (Agency Use)
Offers will be received at the issuing office until the date and time specified below. Late offers are subject to late proposal provisions incorporated herein. All offers are subject to provisions, representations, certifications, and specifications as are attached or incorporated by reference.
25-NOV-2021 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 EQUIPMENT - AUTOMATIC TEST, AFSC/PZAAC
235 BYRON ST BLDG 300 STE 19A
BLDG 300 CML PHN 478 926 7204
ROBINS AFB GA 31098-1670
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 25 NOV 2021 4:00 PM
SOLICITATION NUMBER FA851722R0003
FROM: AFFIX
STAMP
HERE
TO:
ATTN: Shabrea S Davis/PZAAC
SUPPORT EQUIPMENT - AUTOMATIC TEST, AFSC/PZAAC
235 BYRON ST BLDG 300 STE 19A
BLDG 300 CML PHN 478 926 7204
ROBINS AFB GA 31098-1670
FA8517-22-R-0003
PART I - THE SCHEDULE
SECTION B
SUPPLIES OR SERVICES AND PRICES/COSTS
BOLOMETER,RADIO FREQUENCY REPAIR
Item No.
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
4 EA
CLIN ACRN ACRN Total
0001 AA
NSN: 6625-01-551-2665 KV
BOLOMETER,RADIO FREQUENCY REPAIR
Manufacturer Part Number 017N4 5166209-2 Associated Document(s) Line Item(s)
FD20602200032 0001
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes
Transportation From Continental United States CONUS (CONUS) Sources
TYPE / SHIP TO CODE F.O.B.
A SW3119 ORIGIN
Type / Ship To PACRN Mark For
A SW3119 PAA
Type / Ship To Quantity (U/I) *ARO Funded
Order or Reparable Assets, Whichever is Later
_ Req No / Pri
Required Delivery
A SW3119 4 EA *100 Calendar Days
Proposed Delivery
A SW3119 4 EA
EARLY DELIVERY IS ACCEPTABLE
DATA
Item No.
Firm Fixed Price
DATA
CDRLS A001, A002, A003, A004, A005, A006, A007
IAW DD FORM 1423
Associated Document(s) Line Item(s)
FD20602200032 0002
A001 - Item Unique Identification (IUID) Marking Plan
Item No.
0002AA
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Item Unique Identification (IUID) Marking Plan
DI-MGMT-81803
PWS, Paragraph. 4.3.1.1 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
1 LO
DELIVERY IAW FORM 1423
A002 - IUID Marking Activity, Validation and Verification Report
Item No.
0002AB
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
IUID Marking Activity, Validation and Verification Report
DI-MGMT-81804A
PWS, Paragraph. 4.3.1.2 Associated Document(s) Line Item(s)
FD20602200032 0002
A002 - IUID Marking Activity, Validation and Verification Report
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
A003 - COUNTERFEIT PREVENTION PLAN (CPP)
0002AC
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Counterfeit Prevention Plan (CPP)
DI-MISC-81832
PWS, Paragraph. 4.3.4 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
A004 - CAVAF REPORTING
0002AD
Firm Fixed Price Quantity U/I Unit Price Amount
A004 - CAVAF REPORTING
CAVAF REPORTING
DI-MGMT-81838
Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
A005 - CDM PRODUCTION REPORT
0002AE
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Contract Depot Maintenance (CDM) Production Report
DI-PSSS-81995
PWS Paragraph 4.3.3 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
A006 - GOVERNMENT PROPERTY INVENTORY REPORT
0002AF
A006 - GOVERNMENT PROPERTY INVENTORY REPORT
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
GOVERNMENT PROPERTY INVENTORY REPORT
DI-MGMT-80441C
PWS Paragraph: 4.3.3 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
A007 - Contract GFM Requisition and Inventory Report
0002AG
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Contract GFM Requisition and Inventory Report
DI-MGMT-82128/T
PWS Paragraph: 4.3.3 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
BOLOMETER,RADIO FREQUENCY REPAIR
Item No.
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
4 EA
CLIN ACRN ACRN Total
1001 AA
NSN: 6625-01-551-2665 KV
BOLOMETER,RADIO FREQUENCY REPAIR
Manufacturer Part Number 017N4 5166209-2 Associated Document(s) Line Item(s)
FD20602200032 0001
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes
Transportation From Continental United States CONUS (CONUS) Sources
TYPE / SHIP TO CODE F.O.B.
A SW3119 ORIGIN
Type / Ship To PACRN Mark For
A SW3119 PAA
Type / Ship To Quantity (U/I) *ARO Funded
Order or Reparable Assets, Whichever is Later
_ Req No / Pri
Required Delivery
A SW3119 4 EA *100 Calendar Days
Proposed Delivery
DATA
Firm Fixed Price
DATA
CDRLS A001, A002, A003, A004, A005, A006, A007
IAW DD FORM 1423
DATA
FD20602200032 0002
A001 - Item Unique Identification (IUID) Marking Plan
Item No.
1002AA
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Item Unique Identification (IUID) Marking Plan
DI-MGMT-81803
PWS, Paragraph. 4.3.1.1 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
1002AB
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
IUID Marking Activity, Validation and Verification Report
DI-MGMT-81804A
PWS, Paragraph. 4.3.1.2 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
A002 - IUID Marking Activity, Validation and Verification Report
1 LO TBD
Proposed Delivery
1002AC
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Counterfeit Prevention Plan (CPP)
DI-MISC-81832
PWS, Paragraph. 4.3.4 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
1002AD
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
CAVAF REPORTING
DI-MGMT-81838
Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required
A004 - CAVAF REPORTING
Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
1002AE
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Contract Depot Maintenance (CDM) Production Report
DI-PSSS-81995
PWS Paragraph 4.3.3 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
1002AF
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
GOVERNMENT PROPERTY INVENTORY REPORT
DI-MGMT-80441C
PWS Paragraph: 4.3.3
A006 - GOVERNMENT PROPERTY INVENTORY REPORT
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
1002AG
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Contract GFM Requisition and Inventory Report
DI-MGMT-82128/T
PWS Paragraph: 4.3.3 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
BOLOMETER,RADIO FREQUENCY REPAIR
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
BOLOMETER,RADIO FREQUENCY REPAIR
4 EA
CLIN ACRN ACRN Total
2001 AA
NSN: 6625-01-551-2665 KV
BOLOMETER,RADIO FREQUENCY REPAIR
Manufacturer Part Number 017N4 5166209-2 Associated Document(s) Line Item(s)
FD20602200032 0001
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes
Transportation From Continental United States CONUS (CONUS) Sources
TYPE / SHIP TO CODE F.O.B.
A SW3119 ORIGIN
Type / Ship To PACRN Mark For
A SW3119 PAA
Type / Ship To Quantity (U/I) *ARO Funded
Order or Reparable Assets, Whichever is Later
_ Req No / Pri
Required Delivery
A SW3119 4 EA *100 Calendar Days
Proposed Delivery
Firm Fixed Price
DATA
CDRLS A001, A002, A003, A004, A005, A006, A007
IAW DD FORM 1423
A001 - Item Unique Identification (IUID) Marking Plan
Item No.
2002AA
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Item Unique Identification (IUID) Marking Plan
DI-MGMT-81803
PWS, Paragraph. 4.3.1.1 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
2002AB
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
IUID Marking Activity, Validation and Verification Report
DI-MGMT-81804A
PWS, Paragraph. 4.3.1.2 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed
2002AC
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Counterfeit Prevention Plan (CPP)
DI-MISC-81832
PWS, Paragraph. 4.3.4 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
2002AD
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
CAVAF REPORTING
DI-MGMT-81838
Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed
A004 - CAVAF REPORTING
2002AE
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Contract Depot Maintenance (CDM) Production Report
DI-PSSS-81995
PWS Paragraph 4.3.3 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
2002AF
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
GOVERNMENT PROPERTY INVENTORY REPORT
DI-MGMT-80441C
PWS Paragraph: 4.3.3 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
A006 - GOVERNMENT PROPERTY INVENTORY REPORT
Required Delivery
1 LO TBD
Proposed Delivery
2002AG
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Contract GFM Requisition and Inventory Report
DI-MGMT-82128/T
PWS Paragraph: 4.3.3 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
4 EA
CLIN ACRN ACRN Total
3001 AA
NSN: 6625-01-551-2665 KV
BOLOMETER,RADIO FREQUENCY REPAIR
Manufacturer Part Number 017N4 5166209-2
BOLOMETER,RADIO FREQUENCY REPAIR
Associated Document(s) Line Item(s)
FD20602200032 0001
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes
Transportation From Continental United States CONUS (CONUS) Sources
TYPE / SHIP TO CODE F.O.B.
A SW3119 ORIGIN
Type / Ship To PACRN Mark For
A SW3119 PAA
Type / Ship To Quantity (U/I) *ARO Funded
Order or Reparable Assets, Whichever is Later
_ Req No / Pri
Required Delivery
A SW3119 4 EA *100 Calendar Days
Proposed Delivery
Firm Fixed Price
DATA
CDRLS A001, A002, A003, A004, A005, A006, A007
IAW DD FORM 1423
Associated Document(s) Line Item(s)
FD20602200032 0002
A001 - Item Unique Identification (IUID) Marking Plan
Item No.
3002AA
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Item Unique Identification (IUID) Marking Plan
DI-MGMT-81803
PWS, Paragraph. 4.3.1.1
A001 - Item Unique Identification (IUID) Marking Plan
Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
3002AB
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
IUID Marking Activity, Validation and Verification Report
DI-MGMT-81804A
PWS, Paragraph. 4.3.1.2 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
3002AC
Firm Fixed Price
A003 - COUNTERFEIT PREVENTION PLAN (CPP)
1 LO
Counterfeit Prevention Plan (CPP)
DI-MISC-81832
PWS, Paragraph. 4.3.4 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
3002AD
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
CAVAF REPORTING
DI-MGMT-81838
Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
A005 - CDM PRODUCTION REPORT
Item No.
3002AE
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Contract Depot Maintenance (CDM) Production Report
DI-PSSS-81995
PWS Paragraph 4.3.3 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
3002AF
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
GOVERNMENT PROPERTY INVENTORY REPORT
DI-MGMT-80441C
PWS Paragraph: 4.3.3 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed
3002AG
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Contract GFM Requisition and Inventory Report
DI-MGMT-82128/T
PWS Paragraph: 4.3.3 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
4 EA
CLIN ACRN ACRN Total
4001 AA
NSN: 6625-01-551-2665 KV
BOLOMETER,RADIO FREQUENCY REPAIR
Manufacturer Part Number 017N4 5166209-2 Associated Document(s) Line Item(s)
FD20602200032 0001
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required
IUID Required: Yes
BOLOMETER,RADIO FREQUENCY REPAIR
Transportation From Continental United States CONUS (CONUS) Sources
TYPE / SHIP TO CODE F.O.B.
A SW3119 ORIGIN
Type / Ship To PACRN Mark For
A SW3119 PAA
Type / Ship To Quantity (U/I) *ARO Funded
Order or Reparable Assets, Whichever is Later
_ Req No / Pri
Required Delivery
A SW3119 4 EA *100 Calendar Days
Proposed Delivery
Firm Fixed Price
DATA
CDRLS A001, A002, A003, A004, A005, A006, A007
IAW DD FORM 1423
Associated Document(s) Line Item(s)
FD20602200032 0002
A001 - Item Unique Identification (IUID) Marking Plan
Item No.
4002AA
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Item Unique Identification (IUID) Marking Plan
DI-MGMT-81803
PWS, Paragraph. 4.3.1.1 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required
Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
A001 - Item Unique Identification (IUID) Marking Plan
Required Delivery
1 LO TBD
Proposed Delivery
4002AB
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
IUID Marking Activity, Validation and Verification Report
DI-MGMT-81804A
PWS, Paragraph. 4.3.1.2 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
4002AC
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Counterfeit Prevention Plan (CPP)
DI-MISC-81832
PWS, Paragraph. 4.3.4 Associated Document(s) Line Item(s)
Limitations of Liability: Other Than High Value Item
A003 - COUNTERFEIT PREVENTION PLAN (CPP)
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
4002AD
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
CAVAF REPORTING
DI-MGMT-81838
Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
4002AE
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
Contract Depot Maintenance (CDM) Production Report
DI-PSSS-81995
PWS Paragraph 4.3.3
A005 - CDM PRODUCTION REPORT
Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
4002AF
Firm Fixed Price Quantity U/I Unit Price Amount
1 LO
GOVERNMENT PROPERTY INVENTORY REPORT
DI-MGMT-80441C
PWS Paragraph: 4.3.3 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
4002AG
Firm Fixed Price
A007 - Contract GFM Requisition and Inventory Report
1 LO
Contract GFM Requisition and Inventory Report
DI-MGMT-82128/T
PWS Paragraph: 4.3.3 Associated Document(s) Line Item(s)
FD20602200032 0002
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri
Required Delivery
1 LO TBD
Proposed Delivery
SHIP TO / PLACE OF PERFORMANCE
TYPE/CODE: A SW3119
DLA DISTRIBUTION WARNER ROBINS
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:
PART I - THE SCHEDULE
SECTION E
INSPECTION AND ACCEPTANCE
52.246-4 INSPECTION OF SERVICES--FIXED-PRICE (AUG 1996)
(IAW FAR 46.304)
INSPECTION AND ACCEPTANCE (SEP 1999)
(IAW FAR 46.401(b), FAR 46.503) Government Contract Quality Assurance Inspection and Acceptance will be at (Final):
[CONTRACTOR FILL-IN]
Item No(s): See schedule for items with the following code(s) listed below :
Inspection Code and Address:
Government Contract Quality Assurance Inspection and Acceptance will be at destination(s) specified herein (Final).
Item No(s): 0002AA, 0002AB, 0002AC, 0002AD, 0002AE, 0002AF, 0002AG, 1002AA, 1002AB, 1002AC, 1002AD, 1002AE, 1002AF, 1002AG, 2002AA, 2002AB, 2002AC, 2002AD, 2002AE, 2002AF, 2002AG, 3002AA, 3002AB, 3002AC, 3002AD, 3002AE, 3002AF, 3002AG, 4002AA, 4002AB, 4002AC, 4002AD, 4002AE, 4002AF, 4002AG
PART I - THE SCHEDULE
SECTION F
DELIVERIES OR PERFORMANCE
52.211-8 TIME OF DELIVERY (JUN 1997)
(IAW FAR 11.404(a)(2)) DELIVERY FOR EACH ITEM IS ANNOTATED IN THE SCHEDULE (PART I SECTION B) UNDER EACH LINE
ITEM.
52.242-15 STOP-WORK ORDER (AUG 1989)
(IAW FAR 42.1305(b)(1))
52.247-30 F.O.B. ORIGIN, CONTRACTOR'S FACILITY (FEB 2006)
(IAW FAR 47.303-2(c))
52.247-65 F.O.B. ORIGIN, PREPAID FREIGHT--SMALL PACKAGE SHIPMENTS (JAN 1991)
(IAW FAR 47.303-17(f))
F.O.B. ORIGIN (OCT 1993)
(IAW FAR 47.305(b)) Any supply item applicable to this document shall be delivered F.O.B. at:
F.O.B. Address
[CONTRACTOR FILL-IN]
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 INDIVIDUAL 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
252.201-7000 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 1991)
(IAW DFARS 201.602-70)
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, Thomas (Tom) Eller, D.B.A. at 478 222 -1088 , FAX 000 000 -0000 , email thomas.eller.1@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.
52.203-12 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))
252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS
(SEP 2013)
(IAW DFARS 203.970)
52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT
AWARDS (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 (AUG 2020)
(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 2020)
(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 (JAN 2021)
(IAW DFARS 204.2105(c))
252.204-7020 NIST SP 800-171 DOD ASSESSMENT REQUIREMENTS (NOV 2020)
(IAW DFARS 204.7304(e))
252.204-7022 EXPEDITING CONTRACT CLOSEOUT (MAY 2021)
(IAW DFARS 204.804-70)
52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN SUBCONTRACTING WITH
CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT
(JUN 2020)
(IAW FAR 9.409)
52.209-10 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)
52.211-15 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.
52.215-8 ORDER OF PRECEDENCE--UNIFORM CONTRACT FORMAT (OCT 1997)
(IAW FAR 15.209(h), AFFARS 53.15.209(h))
52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (NOV 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.]
52.222-3 CONVICT LABOR (JUN 2003)
(IAW FAR 22.202)
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))
52.222-41 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)) This Statement is for Information Only:
It is not a Wage Determination
Employee Class Monetary Wage Fringe Benefits
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 (OCT 2020)
(IAW FAR 22.1705(a)(1))
52.222-55 MINIMUM WAGES UNDER EXECUTIVE ORDER 13658 (NOV 2020)
(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)
52.223-20 AEROSOLS (JUN 2016)
(IAW FAR 23.804(a)(3))
52.224-3 PRIVACY TRAINING (JAN 2017)
(IAW FAR 24.302(a))
52.225-13 RESTRICTIONS ON CERTAIN FOREIGN PURCHASES (FEB 2021)
(IAW FAR 25.1103(a))
252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)
(IAW DFARS 225.7901-4)
252.225-7972 PROHIBITION ON THE PROCUREMENT OF FOREIGN-MADE UNMANNED AIRCRAFT
SYSTEMS (DEVIATION 2020-O0015) (MAY 2020)
(IAW Deviation 2020-O0015)
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))
52.232-1 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 **** 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.
52.232-39 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 contract.
(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests and receiving reports using WAWF, in one of the following electronic formats that WAWF accepts: Electronic Data Interchange, Secure File Transfer Protocol, or World Wide Web input. Information regarding WAWF is available on the Internet at https://wawf.eb.mil/ .
(c) The Contractor may submit a payment request and receiving report using other than WAWF only when—
(1) The Contracting Officer authorizes use of another electronic form. With such an authorization, the Contractor and the Contracting Officer shall agree to a plan, which shall include a timeline, specifying when the Contractor will transfer to WAWF;
(2) DoD is unable to receive a payment request or provide acceptance in electronic form;
(3) The Contracting Officer administering the contract for payment has determined, in writing, that electronic submission would be unduly burdensome to the Contractor. In such cases, the Contractor shall include a copy of the Contracting Officer’s determination with each request for payment; or
(4) DoD makes a payment for commercial transportation services provided under a Government rate tender or a contract for transportation services using a DoD-approved electronic third party payment system or other exempted vendor payment/invoicing system (e.g., PowerTrack, Transportation Financial Management System, and Cargo and Billing System).
(d) The Contractor shall submit any non-electronic payment requests using the method or methods specified in Section G of the contract.
(e) In addition to the requirements of this clause, the Contractor shall meet the requirements of the appropriate payment clauses in this contract when submitting payment requests.
252.232-7004 DOD PROGRESS PAYMENT RATES (DEVIATION 2020-O0010) (MAR 2020)
(IAW Deviation 2020-O0010)
252.232-7010 LEVIES ON CONTRACT PAYMENTS (DEC 2006)
(IAW DFARS 232.7102)
252.232-7017 ACCELERATING PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS -
PROHIBITION ON FEES AND CONSIDERATION (APR 2020)
(IAW DFARS 232.009-2)
52.233-1 DISPUTES (MAY 2014)
(IAW FAR 33.215)
52.233-3 PROTEST AFTER AWARD (AUG 1996)
(IAW FAR 33.106(b))
52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM (OCT 2004)
(IAW FAR 33.215(b))
252.237-7010 PROHIBITION ON INTERROGATION OF DETAINEES BY CONTRACTOR
PERSONNEL (JUN 2013)
(IAW DFARS 237.173-5)
52.243-1 CHANGES--FIXED-PRICE (AUG 1987)
(IAW FAR 43.205(a)(1))
52.243-1 CHANGES--FIXED-PRICE -- ALTERNATE I (APR 1984)
(IAW FAR 43.205(a)(2))
252.243-7001 PRICING OF CONTRACT MODIFICATIONS (DEC 1991)
(IAW DFARS 243.205-70)
252.243-7999 SECTION 3610 REIMBURSEMENT (DEVIATION 2020-O0021) (AUG 2020)
(IAW Deviation 2020-O0021, Revision 3)
52.244-6 SUBCONTRACTS FOR COMMERCIAL ITEMS (JUL 2021)
(IAW FAR 44.403)
52.246-25 LIMITATION OF LIABILITY--SERVICES (FEB 1997)
(IAW FAR 46.805(a)(4))
52.247-1 COMMERCIAL BILL OF LADING NOTATIONS (FEB 2006)
(IAW FAR 47.104-4(a), FAR 47.104-4(b))
52.249-1 TERMINATION FOR CONVENIENCE OF THE GOVERNMENT (FIXED-PRICE) (SHORT
FORM) (APR 1984)
(IAW FAR 49.502(a)(1))
52.249-2 TERMINATION FOR CONVENIENCE OF THE GOVERNMENT (FIXED-PRICE)
(APR 2012)
(IAW FAR 49.502(b)(1)(i))
52.249-8 DEFAULT (FIXED-PRICE…
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