FA851722R0006.pdf

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV.2/2012)

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

FD20602200055

5. SOLICITATION NUMBER

FA8517-22-R-0006

6. SOLICITATION ISSUE DATE

b. TELEPHONE NUMBER (No collect calls)

(478 ) 222 -3767 ext.

2. CONTRACT NO.

7. FOR SOLICITATION

INFORMATION CALL

3. AWARD/EFFECTIVE DATE

4. ORDER NUMBER

a. NAME

Nikia J. Streeter

8. OFFER DUE DATE/LOCAL

TIME

27JAN2022 3:30PM

12. DISCOUNT TERMS11. DELIVERY FOR FOB DEST.

UNLESS BLOCK IS MARKED

SEE SCHEDULE

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

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS

HUBZONE SMALL (WOSB)ELIGIBLE UNDER THE WOMEN-OWNED

BUSINESS SMALL BUSINESS PROGRAM

NAICS CODE:

SERVICE-DISABLED EDWOSB 811219

VETERAN-OWNED SIZE STANDARD

SMALL BUSINESS 8 (A) $22.00 :

13a. THIS CONTRACT IS A

RATED ORDER

UNDER DPAS

(15 CFR 700)

13b. RATING

DO: A7 52.211-14, 52.211-15

14. METHOD OF SOLICITATION

RFQ IFB RFP

9. 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: Nikia J. Streeter nikia.streeter@us.af.mil Phone: (478) 222- 3767 Fax: (000) 000-0000 No Collect Calls

15. DELIVER TO CODE

SEE LINE ITEM SCHEDULE

16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR FACILITY

CODE CODE

18a. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

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

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

FA8517

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

ROUTINE

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

Classification: UnclassifiedRequires Revalidation Prior to AwardA. Funds: Rosa Allen 448 SCMW/FMR 497-8719B. Contracting Buyer: Carlos Renfroe AFSC/PZAAC 222-3746C. Funding Authority: FY22 Direct Cite Funds ProgramD. PMS Seller: MTV/Valerie Guinn 222-2264E. WAWF : DCMAF.

Commodity Council Statement: A thorough check of the Commodity Council Database in PRPS was completed. G. When contract has been loaded in EDA and is ready for distribution, electronic notification shall be sent to the following in the 410 SCMS/GULA: Valerie Guinn/Production Management Specialist, 222-2264, and Kelsey Rowell/Program Manager

SEE LINE ITEM SCHEDULE

(Attach Additional Sheets as Necessary)

26. AWARD AMOUNT (For Gov’t use only)

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

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

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

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

SPECIFIED HEREIN.

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

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

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

X X

X X

X

25. ACCOUNTING AND APPROPRIATION DATA SEE FUNDS SCHEDULE

X

SCD:B

EFT:T

Total

STANDARD FORM 1449 (REV. 2/2012) BACK

COMPUTER GENERATED 2/7/2022, 9:22 AM

32a. QUANTITY IN COLUMN 21 HAS BEEN

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

32b. SIGNATURE OF AUTHORIZED GOV’T REPRESENTATIVE

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

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

32c. DATE

41c. DATE

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

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER36. PAYMENT

COMPLETE PARTIAL FINAL

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

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

SEE LINE ITEM SCHEDULE

(Attach Additional Sheets as Necessary)

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

FA8517-22-R-0006

SUPPLIES OR SERVICES AND PRICES/COSTS

“This is an Indefinite Delivery Requirements type contract in accordance with FAR Subpart 16.5. This contract is for a one year Basic Ordering Period and four(4) one-year Ordering Periods (OPs) consisting of Cost Plus Fixed Fee (CPFF) repairs and Firm Fixed Price data line items. The Best Estimated Quantities (BEQs) set forth are the estimated total annual quantities the Government anticipates ordering during that period. In accordance with FAR 16.503(c), this is to advise that failure of the Government to furnish/order such items in the amounts or quantities described in the Schedule as "estimated" or "maximum" will not entitle the contractor to any equitable adjustment in price under the Government Property clause of the contract.

This contract will be for two (2) one-year ordering periods as indicated below:

CLINs 000X – Basic Ordering Period I shall be in effect from the effective date of award for a period of twelve (120 months.

CLINs 100X - Ordering period II is the twelve (12) month period immediately following Basic Ordering Period I.

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”

Introductory CLIN

Item No.

NSN: 5998-01-302-2162 KV

CIRCUIT CARD ASSEMB

NRE

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401805 Associated Document(s) Line Item(s)

FD20602200055 0001

Priority: R IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $37,341.73

CCA NRE

Item No.

0001AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AA AA

NSN: 5998-01-302-2162 KV

CIRCUIT CARD ASSEMB

NRE

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401805 Associated Document(s) Line Item(s)

FD20602200055 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $37,341.73

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA Repair

Item No.

0001AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

EA

CLIN ACRN ACRN Total

0001AB AA

NSN: 5998-01-302-2162 KV

CCA Repair

CIRCUIT CARD ASSEMB

CIRCUIT CARD ASSEMBLY IN THE GPIU CHASSIS, INTERFACE CHASSIS BUS EXTENDER

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401805 Associated Document(s) Line Item(s)

FD20602200055 0012

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $37,341.73

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA Remanufacture

Item No.

0001AC

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

EA

CLIN ACRN ACRN Total

0001AC AA

NSN: 5998-01-302-2162 KV

CIRCUIT CARD ASSEMB

CIRCUIT CARD ASSEMBLY IN THE GPIU CHASSIS, INTERFACE CHASSIS BUS EXTENDER

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401805 Associated Document(s) Line Item(s)

FD20602200055 0013

Priority: R

CCA Remanufacture

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $37,341.73

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

Introductory CLIN

Item No.

NSN: 5998-01-295-2699 KV

CIRCUIT CARD ASSEMB

INTERFACE CHASSIS ASS'Y THAAT PROVIDES DC CURRENT DURING TESTING OF THE UUT.

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 404479 Associated Document(s) Line Item(s)

FD20602200055 0002

Priority: R IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $1,839.91

CCA NRE

Item No.

0002AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

CCA NRE

1 EA

CLIN ACRN ACRN Total

0002AA AA

NSN: 5998-01-295-2699 KV

CIRCUIT CARD ASSEMB

CIRCUIT CARD ASSEMBLY IS A COMPONENT IN THE INTERFACE CHASSIS ASS'Y THAAT PROVIDES DC CURRENT DURING TESTING

OF THE UUT.

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 404479 Associated Document(s) Line Item(s)

FD20602200055 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $1,839.91

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA Repair

Item No.

0002AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

EA

CLIN ACRN ACRN Total

0002AB AA

CIRCUIT CARD ASSEMB

CIRCUIT CARD ASSEMBLY IS A COMPONENT IN THE INTERFACE CHASSIS ASS'Y THAAT PROVIDES DC CURRENT DURING TESTING

OF THE UUT.

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number

CCA Repair

21793 404479 Associated Document(s) Line Item(s)

FD20602200055 0014

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $1,839.91 Type / Ship To PACRN Mark For

PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

EA 30 DAYS ARO CARCASS

Proposed Delivery

EA

CCA Remanufacture

Item No.

0002AC

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

EA

CLIN ACRN ACRN Total

0002AC AA

NSN: 5998-01-295-2699 KV

CIRCUIT CARD ASSEMB

CIRCUIT CARD ASSEMBLY IS A COMPONENT IN THE INTERFACE CHASSIS ASS'Y THAAT PROVIDES DC CURRENT DURING TESTING

OF THE UUT.

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 404479 Associated Document(s) Line Item(s)

FD20602200055 0015

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $1,839.91

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

CCA Remanufacture

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA NRE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

EA

CLIN ACRN ACRN Total

0003 AA

NSN: 5998-01-297-7725 KV

CIRCUIT CARD ASSEMB

DIRECTS POWER FROM SYSTEM RESOURCES TO THE ITA AND PROVIDES RELAY SWITCHING OF ITA SIGNALS.

ALUMINIUM, SILICON, ELECTRICAL COMPONENTS

Manufacturer Part Number 21793 401798 Associated Document(s) Line Item(s)

FD20602200055 0009

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $6,173.30

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

CCA NRE

A SW3119 EA

CCA NRE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

EA

CLIN ACRN ACRN Total

0004 AB

NSN: 5998-01-298-0091 KV

CIRCUIT CARD ASSEMB

Provides general purpose matrix switching capability for signals up to 20 MHz and interfaces with the ITA to route UUT signals through relay matrices.

Electronics Manufacturer Part Number 21793 401796 Associated Document(s) Line Item(s)

FD20602200055 0010

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $4,244.90

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA NRE

Item No.

Firm Fixed Price

CCA NRE

Best Estimated Qty

U/I Unit Price Amount

EA

CLIN ACRN ACRN Total

0005 AB

NSN: 5998-01-298-2581 KV

CIRCUIT CARD ASSEMB

Circuit Card Assembly Electronic Components Manufacturer Part Number 21793 401802 Associated Document(s) Line Item(s)

FD20602200055 0011

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection Latest Cost Amount: $1,975.00

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

Introductory CLIN

Item No.

NSN: 5998-01-294-6297 KV

CIRCUIT CARD ASSEMB

Circuit Card Assembly for the UUT AC Power Aluminum, Electrical components, silicon Manufacturer Part Number 21793 404480 Associated Document(s) Line Item(s)

FD20602200055 0003

Introductory CLIN

IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $2,780.30

CCA Repair

Item No.

0006AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0006AA AA

NSN: 5998-01-294-6297 KV

CIRCUIT CARD ASSEMB

Circuit Card Assembly for the UUT AC Power Aluminum, Electrical Components, silicon Manufacturer Part Number 21793 404480 Associated Document(s) Line Item(s)

FD20602200055 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $2,780.30

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA Remanufacture

Item No.

0006AB

Firm Fixed Price

CCA Remanufacture

Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0006AB AA

NSN: 5998-01-294-6297 KV

CIRCUIT CARD ASSEMB

Circuit Card Assembly for the UUT AC Power Aluminum, Electrical Components, silicon Manufacturer Part Number 21793 404480 Associated Document(s) Line Item(s)

FD20602200055 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $2,780.30

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

Introductory CLIN

Item No.

NSN: 5998-01-284-6344 KV

CIRCUIT CARD ASSEMB

PROVIDES THE INTERFACE BETWEEN THE UUT AND THE TESTER

ELECTRICAL AND ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401797-A Associated Document(s) Line Item(s)

Introductory CLIN

FD20602200055 0005

Priority: R IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $44,100.78

CCA Repair

Item No.

0007AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0007AA AA

NSN: 5998-01-284-6344 KV

CIRCUIT CARD ASSEMB

PROVIDES THE INTERFACE BETWEEN THE UUT AND THE TESTER

ELECTRICAL AND ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401797-A Associated Document(s) Line Item(s)

FD20602200055 0005

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $44,100.78

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed

A SW3119 EA

CCA Remanufacture

Item No.

0007AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

CLIN ACRN ACRN Total

0007AB AA

NSN: 5998-01-284-6344 KV

CIRCUIT CARD ASSEMB

PROVIDES THE INTERFACE BETWEEN THE UUT AND THE TESTER

ELECTRICAL AND ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401797 Associated Document(s) Line Item(s)

FD20602200055 0006

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $44,100.78

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAY ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAY ARO CARCASS

Proposed Delivery

A SW3119 EA

Introductory CLIN

Item No.

NSN: 5998-01-297-7724 KV

CIRCUIT CARD ASSEMB

PROVIDES MEASUREMENT CAPABILITY TO THE GPIU INTERFACE CHASSIS ASSEMBLY

ELECTRICAL/ELECTRONIC COMPONENTS

Introductory CLIN

Manufacturer Part Number 21793 401800 21793 401800-A Associated Document(s) Line Item(s)

FD20602200055 0008

Priority: R IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $56,296.59

CCA Repair

Item No.

0008AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0008AA AB

NSN: 5998-01-297-7724 KV

CIRCUIT CARD ASSEMB

PROVIDES MEASUREMENT CAPABILITY TO THE GPIU INTERFACE CHASSIS ASSEMBLY

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401800-A Associated Document(s) Line Item(s)

FD20602200055 0007

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $56,296.59

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed

CCA Remanufacture

Item No.

0008AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

9 EA

CLIN ACRN ACRN Total

0008AB AB

NSN: 5998-01-297-7724 KV

CIRCUIT CARD ASSEMB

PROVIDES MEASUREMENT CAPABILITY TO THE GPIU INTERFACE CHASSIS ASSEMBLY

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401800 Associated Document(s) Line Item(s)

FD20602200055 0008

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $56,296.59

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

Introductory CLIN

Item No.

Data

CC: DTTLI: 06PCN: UJJOFZ

FD20602200055 0016

Introductory CLIN

Priority: R

A001 IUID Marketing Plan

Item No.

0009AA

IUID Marketing Plan Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A002 IUID Marketing Activity, Validation and Verification Report

Item No.

0009AB

IUID Marketing Activity, Validation and Verification Report Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A003 Counterfeit Prevention Plan

Item No.

0009AC

Counterfeit Prevention Plan Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A004 Conference Agendas

Item No.

0009AD

Conference Agendas

A004 Conference Agendas

FD20602200055 0016

Priority: R

A005 Conference Minutes

Item No.

0009AE

Conference Minutes Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A006 Status Report

Item No.

0009AF

Status Report Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A007 Test Plan

Item No.

0009AG

Test Plan Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A008 Test Procedures

Item No.

0009AH

Test Procedures

A008 Test Procedures

Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A009 Acceptance Test Report

Item No.

0009AJ

Acceptance Test Report Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A010 CAV Reporting

Item No.

0009AK

CAV Reporting Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A011 CDM Production Report

Item No.

0009AL

CDM Production Report Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A012 Government Property Inventory Report

Item No.

0009AM

A012 Government Property Inventory Report

Government Property Inventory Report Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

Ordering period II is the twelve (12) month period immediately following Basic Ordering Period I.

CCA

Item No.

NSN: 5998-01-302-2162 KV

CIRCUIT CARD ASSEMB

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401805 Associated Document(s) Line Item(s)

FD20602200055 0001

Priority: R IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $37,341.73

CCA NRE

Item No.

1001AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

EA

CLIN ACRN ACRN Total

1001AA AA

NSN: 5998-01-302-2162 KV

CIRCUIT CARD ASSEMB

NRE

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401805 Associated Document(s) Line Item(s)

FD20602200055 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes

CCA NRE

Physical Item Markings:

Latest Cost Amount: $37,341.73

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA Repair

Item No.

1001AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1001AB AA

NSN: 5998-01-302-2162 KV

CIRCUIT CARD ASSEMB

CIRCUIT CARD ASSEMBLY IN THE GPIU CHASSIS, INTERFACE CHASSIS BUS EXTENDER

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401805 Associated Document(s) Line Item(s)

FD20602200055 0012

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $37,341.73

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

CCA Repair

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA Remanufacture

Item No.

1001AC

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

1001AC AA

NSN: 5998-01-302-2162 KV

CIRCUIT CARD ASSEMB

CIRCUIT CARD ASSEMBLY IN THE GPIU CHASSIS, INTERFACE CHASSIS BUS EXTENDER

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401805 Associated Document(s) Line Item(s)

FD20602200055 0013

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $37,341.73

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed

Introductory CLIN

Item No.

NSN: 5998-01-295-2699 KV

CIRCUIT CARD ASSEMB

CIRCUIT CARD ASSEMBLY IS A COMPONENT IN THE INTERFACE CHASSIS ASS'Y THAAT PROVIDES DC CURRENT DURING TESTING

OF THE UUT.

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 404479 Associated Document(s) Line Item(s)

FD20602200055 0002

Priority: R IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $1,839.91

CCA NRE

Item No.

1002AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

EA

CLIN ACRN ACRN Total

1002AA AA

NSN: 5998-01-295-2699 KV

CIRCUIT CARD ASSEMB

CIRCUIT CARD ASSEMBLY IS A COMPONENT IN THE INTERFACE CHASSIS ASS'Y THAAT PROVIDES DC CURRENT DURING TESTING

OF THE UUT.

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 404479 Associated Document(s) Line Item(s)

FD20602200055 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $1,839.91

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

CCA NRE

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

Bid A - First Article Required Item No.

1002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1002AB AA

First Article

CIRCUIT CARD ASSEMB

CIRCUIT CARD ASSEMBLY IS A COMPONENT IN THE INTERFACE CHASSIS ASS'Y THAAT PROVIDES DC CURRENT DURING TESTING

OF THE UUT.

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 404479 Associated Document(s) Line Item(s)

FD20602200055 0014

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $1,839.91

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed

CCA Remanufacture

Item No.

1002AC

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

11 EA

CLIN ACRN ACRN Total

1002AC AA

NSN: 5998-01-295-2699 KV

CIRCUIT CARD ASSEMB

CIRCUIT CARD ASSEMBLY IS A COMPONENT IN THE INTERFACE CHASSIS ASS'Y THAAT PROVIDES DC CURRENT DURING TESTING

OF THE UUT.

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 404479 Associated Document(s) Line Item(s)

FD20602200055 0015

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $1,839.91

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA NRE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1003 AA

CCA NRE

CIRCUIT CARD ASSEMB

CIRCUIT CARD ASSEMBLY IS A COMPONENT IN THE INTERFACE CHASSIS ASS'Y THAAT PROVIDES DC CURRENT DURING TESTING

OF THE UUT.

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 404479 Associated Document(s) Line Item(s)

FD20602200055 0014

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $1,839.91

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA NRE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1004 AB

NSN: 5998-01-298-0091 KV

CIRCUIT CARD ASSEMB

Provides general purpose matrix switching capability for signals up to 20 MHz and interfaces with the ITA to route UUT signals through relay matrices.

Electronics Manufacturer Part Number 21793 401796 Associated Document(s) Line Item(s)

FD20602200055 0010

CCA NRE

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $4,244.90

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA NRE

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1005 AB

NSN: 5998-01-298-2581 KV

CIRCUIT CARD ASSEMB

Circuit Card Assembly Electronic Components Manufacturer Part Number 21793 401802 Associated Document(s) Line Item(s)

FD20602200055 0011

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection Latest Cost Amount: $1,975.00

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

CCA NRE

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

Introductory CLIN

Item No.

NSN: 5998-01-294-6297 KV

CIRCUIT CARD ASSEMB

Circuit Card Assembly for the UUT AC Power Aluminum, Electrical components, silicon Manufacturer Part Number 21793 404480 Associated Document(s) Line Item(s)

FD20602200055 0003

Priority: R IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $2,780.30

CCA Repair

Item No.

1006AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1006AA AA

NSN: 5998-01-294-6297 KV

CIRCUIT CARD ASSEMB

Circuit Card Assembly for the UUT AC Power Aluminum, Electrical Components, silicon Manufacturer Part Number 21793 404480 Associated Document(s) Line Item(s)

FD20602200055 0003

CCA Repair

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $2,780.30

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA Remanufacture

Item No.

1006AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

1006AB AA

NSN: 5998-01-294-6297 KV

CIRCUIT CARD ASSEMB

Circuit Card Assembly for the UUT AC Power Aluminum, Electrical Components, silicon Manufacturer Part Number 21793 404480 Associated Document(s) Line Item(s)

FD20602200055 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $2,780.30

CCA Remanufacture

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

Introductory CLIN

Item No.

NSN: 5998-01-284-6344 KV

CIRCUIT CARD ASSEMB

PROVIDES THE INTERFACE BETWEEN THE UUT AND THE TESTER

ELECTRICAL AND ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401797-A Associated Document(s) Line Item(s)

FD20602200055 0005

Priority: R IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $44,100.78

CCA Repair

Item No.

1007AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1007AA AA

NSN: 5998-01-284-6344 KV

CIRCUIT CARD ASSEMB

PROVIDES THE INTERFACE BETWEEN THE UUT AND THE TESTER

ELECTRICAL AND ELECTRONIC COMPONENTS

CCA Repair

Manufacturer Part Number 21793 401797-A Associated Document(s) Line Item(s)

FD20602200055 0005

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $44,100.78

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA Remanufacture

Item No.

1007AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

1007AB AA

NSN: 5998-01-284-6344 KV

CIRCUIT CARD ASSEMB

PROVIDES THE INTERFACE BETWEEN THE UUT AND THE TESTER

ELECTRICAL AND ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401797 Associated Document(s) Line Item(s)

FD20602200055 0006

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes

CCA Remanufacture

Physical Item Markings:

Latest Cost Amount: $44,100.78

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAY ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAY ARO CARCASS

Proposed Delivery

A SW3119 EA

Introductory CLIN

Item No.

NSN: 5998-01-297-7724 KV

CIRCUIT CARD ASSEMB

PROVIDES MEASUREMENT CAPABILITY TO THE GPIU INTERFACE CHASSIS ASSEMBLY

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401800 21793 401800-A Associated Document(s) Line Item(s)

FD20602200055 0008

Priority: R IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $56,296.59

CCA Repair

Item No.

1008AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1008AA AB

NSN: 5998-01-297-7724 KV

CCA Repair

CIRCUIT CARD ASSEMB

PROVIDES MEASUREMENT CAPABILITY TO THE GPIU INTERFACE CHASSIS ASSEMBLY

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401800-A Associated Document(s) Line Item(s)

FD20602200055 0007

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $56,296.59

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

CCA Remanufacture

Item No.

1008AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

1008AB AB

NSN: 5998-01-297-7724 KV

CIRCUIT CARD ASSEMB

PROVIDES MEASUREMENT CAPABILITY TO THE GPIU INTERFACE CHASSIS ASSEMBLY

ELECTRICAL/ELECTRONIC COMPONENTS

Manufacturer Part Number 21793 401800 Associated Document(s) Line Item(s)

FD20602200055 0008

CCA Remanufacture

Inspection: Origin Acceptance: Origin Quality Assurance: Contractor Responsibility for Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $56,296.59

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

A SW3119 EA 30 DAYS ARO CARCASS

Proposed Delivery

A SW3119 EA

Introductory CLIN

Item No.

Data

CC: DTTLI: 06PCN: UJJOFZ

Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R Type / Ship To PACRN Mark For

FLB RIC D4M

Type / Ship To Quantity (U/I) 30 DAYS ARO CARCASS Req No / Pri

Required Delivery

LO 30 DAYS ARO CARCASS

Proposed Delivery

LO

A001 IUID Marketing Plan

Item No.

1009AA

A001 IUID Marketing Plan

IUID Marketing Plan Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A002 IUID Marketing Activity, Validation and Verification Report

Item No.

1009AB

IUID Marketing Activity, Validation and Verification Report Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A003 Counterfeit Prevention Plan

Item No.

1009AC

Counterfeit Prevention Plan Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A004 Conference Agendas

Item No.

1009AD

Conference Agendas Associated Document(s) Line Item(s)

A005 Conference Minutes

Item No.

1009AE

Conference Minutes Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A006 Status Report

Item No.

1009AF

Status Report Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A007 Test Plan

Item No.

1009AG

Test Plan Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A008 Test Procedures

Item No.

1009AH

Test Procedures Associated Document(s) Line Item(s)

A009 Acceptance Test Report

Item No.

1009AJ

Acceptance Test Report Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A010 CAV Reporting

Item No.

1009AK

CAV Reporting Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A011 CDM Production Report

Item No.

1009AL

CDM Production Report Associated Document(s) Line Item(s)

FD20602200055 0016

Priority: R

A012 Government Property Inventory Report

Item No.

1009AM

Government Property Inventory Report Associated Document(s) Line Item(s)

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS A F B GA 31098-1887

ROBINS A F B GA 31098-1887 31098-1887

USA

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

AWARD NUMBER:

CONTRACT CLAUSES

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS (SEP 2011)

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

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES (JAN 2021)

(IAW DFARS 204.2105(c))

252.205-7000 PROVISION OF INFORMATION TO COOPERATIVE AGREEMENT HOLDERS

(DEC 1991)

(IAW DFARS 205.470, DFARS 212.301(f)(x))

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.

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

EXECUTIVE ORDERS -- COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

(JAN 2022)

(IAW FAR 12.301(b)(4))

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

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

(2) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (NOV 2021) (Section 1634 of Pub. L. 115-91).

(3) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (NOV 2021) (Section 89(a)(1)(A) of Pub. L. 115-232).

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

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

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

3805 note)).

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

[Contracting Officer check as appropriate.] __X __ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (JUN 2020), with

Alternate I (NOV 2021)(41 U.S.C. 4704 and 10 U.S.C. 2402).

__ __ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (NOV 2021) (41 U.S.C.

3509).

__ __ (3) 52.203-15, Whistleblower Protections Under the American Recovery and Reinvestment

Act of 2009 (Jun 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

__X __ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (JUN 2020) (Pub. L. 109-282) (31 U.S.C. 6101 note).

(5) [Reserved] __ __ (6) 52.204-14, Service Contract Reporting Requirements (Oct 2016) (Pub. L. 111-117, section 743 of Div. C).

__ __ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts

(Oct 2016) (Pub. L. 111-117, section 743 of Div. C).

__X __ (8) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors

Debarred, Suspended, or Proposed for Debarment (NOV 2021) (31 U.S.C. 6101 note).

__X __ (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Oct 2018) (41 U.S.C. 2313).

____ (10) [Reserved} __ __ (11) (i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (SEP 2021)(15 U.S.C.

657a).

__ __ (11) (ii) Alternate I (MAR 2020) of 52.219-3.

__ __ (12) (i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (SEP 2021) (if the offeror elects to waive the preference, it shall so indicate in its offer)(15 U.S.C. 657a).

__ _ (12) (ii) Alternate I (MAR 2020) of 52.219-4.

(13) [Reserved]

__ __ (14) (i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2020)(15 U.S.C. 644).

__ __ (14) (ii) Alternate I (MAR 2020) OF 52.219-6.

__ __ (15) (i) 52.219-7, Notice of Partial Small Business Set-Aside (NOV 2020)(15 U.S.C. 644).

__ __ (15) (ii) Alternate I (MAR 2020) of 52.219-7.

__X __ (16) 52.219-8, Utilization of Small Business Concerns (Oct 2018) (15 U.S.C. 637(d)(2) and (3)).

X (17) (i) 52.219-9, Small Business Subcontracting Plan (NOV 2021) (15 U.S.C. 637(d)(4)).

__ __ (17) (ii) Alternate I (Nov 2016) of 52.219-9.

__ __ (17) (iii) Alternate II (Nov 2016) of 52.219-9.

__ __ (17) (iv) Alternate III (JUN 2020) of 52.219-9.

(17) (v) Alternate IV (SEP 2021) of 52.219-9.

__ (18) (i) 52.219-13, Notice of Set-Aside of Orders (MAR 2020) (15 U.S.C. 644(r)).

__ (18) (ii) Alternate I (MAR 2020) of 52.219-13.

__ (19) 52.219-14, Limitations on Subcontracting (SEP 2021)(15 U.S.C. 657s).

__X __ (20) 52.219-16, Liquidated Damages—Subcontracting Plan (SEP 2021) (15 U.S.C.

637(d)(4)(F)(i)).

__ __ (21) 52.219–27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (SEP

2021) (15 U.S.C. 657f).

__X __ (22) (i) 52.219-28, Post-Award Small Business Program Rerepresentation (SEP 2021) (15

U.S.C. 632(a)(2)).

(22) (ii) Alternate I (MAR 2020) of 52.219-28.

__ __ (23) 52.219-29, Notice of Set-Aside for, or Sole-Source Award to, Economically

Disadvantaged Women-Owned Small Business Concerns (SEP 2021) (15 U.S.C.

637(m)).

__ __ (24) 52.219-30, Notice of Set-Aside for, or Sole-Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (SEP 2021) (15 U.S.C. 637(m)).

(25) 52.219-32, Orders Issued Directly Under Small Business Reserves (MAR 2020) (15 U.S.C.

644(r)).

(26) 52.219-33, Nonmanufacturer Rule (SEP 2021) (15 U.S.C. 657s).

__ __ (27) 52.222-3, Convict Labor (June 2003)(E.O. 11755).

__ __ (28) 52.222-19, Child Labor—Cooperation with Authorities and Remedies (JAN 2022) (E.O.

13126).

__X __ (29) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

__X __ (30) (i) 52.222-26, Equal Opportunity (Sept 2016) (E.O. 11246

(30) (ii) Alternate I (Feb 1999) of 52.222-26.

__X __ (31) (i) 52.222-35, Equal Opportunity for Veterans (JUN 2020)(38 U.S.C. 4212).

(31) (ii) Alternate I (July 2014) of 52.222-35.

__X __ (32) (i) 52.222-36, Equal Opportunity for Workers with Disabilities (JUN

2020) (29 U.S.C. 793).

(32) (ii) Alternate I (July 2014) of 52.222-36.

__X __ (33) 52.222-37, Employment Reports on Veterans (JUN 2020)(38 U.S.C. 4212).

__X __ (34) 52.222-40, Notification of Employee Rights Under the National Labor relations Act (Dec

2010) E.O. 13496).

__X __ (35) (i) 52.222-50, Combating Trafficking in Persons (NOV 2021) (22 U.S.C. chapter 78 and

E.O. 13627).

__ __ (35) (ii) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

__ __ (36) 52.222-54, Employment Eligibility Verification (NOV 2021). (E. O. 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial products or commercial services as prescribed in FAR 22.1803.)

__ __ (37) (i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA-Designated Items (May 2008)(42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ _ (37) (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ __ (38) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (June 2016) (E.O. 13693).

__ __ (39) 52.223-12, Maintenance, Service, repair, or Disposal of Refrigeration Equipment and Air Conditioners (June 2016) (E.O.13693).

__ _ (40) (i) 52.223-13, Acquisition of EPEAT®-Registered Imaging Equipment (Jun 2014) (E.O.s 13423 and 13514).

__ _ (40) (ii) Alternate I (Oct 2015) of 52.223-13.

__ _ (41) (i) 52.223-14, Acquisition of EPEAT®-Registered Televisions (Jun 2014) (E.O.s 13423 and

13514).

__ _ (41) (ii) Alternate I (Jun 2014) of 52.223-14.

__ __ (42) 52.223-15, Energy Efficiency in Energy-Consuming Products (MAY 2020) (42.U.S.C.

8259b).

__ __ (43) (i) 52.223-16, Acquisition of EPEAT®-Registered Personal Computer Products (Oct 2015)

(E.O.s 13423 and 13514).

__ _ (43) (ii) Alternate I (Oct 2015) of 52.223-16.

__X __ (44) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (JUN

2020) (E.O.13513).

__ __ (45) 52.223-20, Aerosols (Jun 2016) (E.O. 13693) __ __ (46) 52.223-21, Foams (Jun 2016) (E.O. 13693).

__X __ (47) (i) 52.224-3, Privacy Training (Jan 2017) (5 U.S.C. 552a).

___ (47) (ii) Alternate I, (Jan 2017) of 52.244-3.

__ __ (48) 52.225-1, Buy American--Supplies (NOV 2021) (41 U.S.C. chapter 83).

__ __ (49) (i) 52.225-3, Buy American--Free Trade Agreements--Israeli Trade Act (NOV 2021) (41

U.S.C. chapter 83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L. 103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43).

__ _ (49) (ii) Alternate I (JAN 2021) of 52.225-3.

__ _ (49) (iii) Alternate II (JAN 2021) of 52.225-3.

__ _ (49) (iv) Alternate III (JAN 2021) of 52.225-3.

__ __ (50) 52.225-5, Trade Agreements (OCT 2019) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

__ X __ (51) 52.225-13, Restrictions on Certain Foreign Purchases (FEB…