FA852210R22939.pdf

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Attached to
Electrical and Electronic Equipment Components Federal contract opportunity
Solicitation number
FA8522-10-R-22939
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

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RFP FA8522-10-R-22939

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Form2875.pdf PDF
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Text version

STANDARD FORM 1447 (2/2012)

Prescribed by GSA FAR (48 CFR) 53.215-1(d)

4. SOLICITATION NUMBER

FA8522-10-R-22939

6.SOLICITATION ISSUE DATE

30 AUG 2012

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 CODE: 334511

8(A) SIZE STANDARD: 750

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.

PRs: FD2060-10-22939 & FD2060-12-32365

DoDAAC: TBD

RIC: TBD

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 BLK 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: A7

3. AWARD/EFFECTIVE DATE

FA8522

2. CONTRACT NO.

X

CHECK IF REMITTANCE IS DIFFERENT

AND PUT SUCH ADDRESS IN OFFER

17.

ITEM NO.

12. ADMINISTERED BY CODE

Estimated

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

SCD:B

NAME AND TITLE OF SIGNER (TYPE OR PRINT) NAME OF CONTRACTING OFFICER

24. AWARD AMOUNT (FOR GOVT USE ONLY)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAY 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 Search, Detection, Nvgtn, Guid, Aeronautical, & Nautical Syst & Instr Mfg

9.

Offers will be received at the issuing office until the date and time specified below. All official United States Postal Service mail and classified material will be delivered to the address shown in block 7. Deliver all parcels to: 542 CBSG, ATTN: Buyer named above, 380 RICHARD RAY

BLVD, BLDG 300 EW ROOM 104, ROBINS AFB GA 31098-1813.

1-OCT-2012 3:30PM

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

X

7. ISSUED BY CODE

638 SCMG PKBB, TARGETING & ELECTRONIC WARFARE

460 RICHARD RAY BLVD STE 200

CML PHN 478 926 7405

ROBINS AFB GA 31098-1813

BUYER: Gerlneicha J. Lockett/638 SCMG Gerlneicha.Lockett@robins.af.mil Phone: (478) 926- 8368 Fax: (478) 926-2842 No Collect Calls

X

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)SOLICITATION/CONTRACT

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

J

SF 1447 (rev 2/2012) BACK

NO RESPONSE FOR THE 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)

CANNOT COMPLY WITH SPECIFICATIONS

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

FOLD

FOLD

FOLD

FOLD

SOLICITATION NO. FA852210R22939

DUE: 1 OCT 2012 3:30 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Gerlneicha J Lockett/638 SCMG

638 SCMG PKBB, TARGETING & ELECTRONIC WARFARE

460 RICHARD RAY BLVD STE 200

CML PHN 478 926 7405

ROBINS AFB GA 31098-1813

Request for Proposal FA8522-10-R-22939

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR REQUIREMENTS

CONTRACTS (JUL 1999)

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

BASIS FOR AWARD: The schedule contains a Basic Period of 12-months (365 days) from date of award and four (4) 12-month outyear ordering periods. Basic and Ordering Period CLINs are denoted under the schedule as follows:

Basic Period CLIN 000X Ordering Period I CLIN 100X Ordering Period II CLIN 200X Ordering Period III CLIN 300X Ordering Period IV CLIN 400X

Contractor shall be responsible for furnishing all parts, materials or special tools that may be required to repair the assets.

Basic Ordering Period: 12 months from Date of Award.

REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

98 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 5955-01-466-6451 EW

OSCILLATOR, NON-CRYSTAL

Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)

FD20601022939 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001-2000 2000

REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)

Buy American Act/Balance of Payments Program

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 D4M Repair RIC SDD Type / Ship To Quantity (U/I) *ARO Funded order or reparable asset, whichever is later at a rate of 10 ea per month

_ Req No / Pri

Required Delivery

A SW3119 98 EA *60 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 98 EA

*Note to contractor: For all Data ELINs (A001-A007) Enter Not Separately Priced (NSP) or input the price of each data line.

DATA

Item No.

Firm Fixed Price Quantity U/I

1 LO

CLIN ACRN ACRN Total

0002 AA

Data IAW DD Form 1423 Associated Document(s) Line Item(s)

FD20601022939 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

DATA

Proposed Delivery

+ IAW1423 1 LO

Packaging: IAW DD1423

COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)

Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AA AA

DATA

IAW DD Form 1423 A001 Commercial Asset Visibility AF (CAV AF) End Item Reporting DI-MGMT-81634B Associated Document(s) Line Item(s)

FD20601022939 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

ALERT/SAFE-ALERT REPORT (A002)

Item No.

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AB AA

DATA

IAW DD Form 1423 A002 Alert/Safe-Alert Report/DD Form 1938 DI-QCIC-80125B

ALERT/SAFE-ALERT REPORT (A002)

Associated Document(s) Line Item(s)

FD20601022939 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

ALERT/SAFE-ALERT RESPONSE (A003)

Item No.

0002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AC AA

DATA

IAW DD Form 1423 A003 Alert/Safe-Alert Response DI-QCIC-80126B Associated Document(s) Line Item(s)

FD20601022939 0005

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

ALERT/SAFE-ALERT RESPONSE (A003)

+ IAW1423 1 LO

MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)

Item No.

0002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AD AA

DATA

IAW DD Form 1423 A004 Maintenance Data Collection Record/AFTO 349 DI-MISC-81371/T Associated Document(s) Line Item(s)

FD20601022939 0006

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

ENGINEERING CHANGE PROPOSAL (ECP) (A005)

Item No.

0002AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AE AA

DATA

IAW DD Form 1423 A005 Engineering Change Proposal/ECP DI-CMAN-80639C Associated Document(s) Line Item(s)

FD20601022939 0007

Priority: R ROUTINE

ENGINEERING CHANGE PROPOSAL (ECP) (A005)

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

REPAIRABLE ITEM INSPECTION REPORT (A006)

Item No.

0002AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AF AA

DATA

IAW DD Form 1423 A006 Repairable Item Inspection Report DI-ILSS-80386 Associated Document(s) Line Item(s)

FD20601022939 0008

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)

Item No.

0002AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AG AA

DATA

IAW DD Form 1423 A007 Test-Inspection Report/Acceptance Test Report DI-NDTI-80809B Associated Document(s) Line Item(s)

FD20601022939 0009

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

CONDEMNATION OF DTO

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

40 EA

CLIN ACRN ACRN Total

0003 AA

NSN: 5995-01-466-6451 EW

Noncrystal Oscillator Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)

FD20601232365 0001

Priority: R ROUTINE Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

I AW PWS IAW PWS

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

CONDEMNATION OF DTO

Required Delivery

I AW PWS 40 EA

Proposed Delivery

I AW PWS 40 EA

Outyear Ordering Period I: The 12-month period immediately following the Basic Ordering Period.

REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

81 EA

CLIN ACRN ACRN Total

1001 AA

NSN: 5955-01-466-6451 EW

OSCILLATOR, NON-CRYSTAL

Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001-2000 2000

Buy American Act/Balance of Payments Program

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 D4M Repair RIC SDD Type / Ship To Quantity (U/I) *ARO Funded order or reparable asset, whichever is later at a rate of 10 ea per month

_ Req No / Pri

Required

REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)

A SW3119 81 EA *60 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 81 EA

DATA

Item No.

Firm Fixed Price Quantity U/I

1 LO

CLIN ACRN ACRN Total

1002 AA

Data IAW DD Form 1423 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Packaging: IAW DD1423

COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)

Item No.

1002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1002AA AA

DATA

IAW DD Form 1423 A001 Commercial Asset Visibility AF (CAV AF) End Item Reporting DI-MGMT-81634B

COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)

Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

ALERT/SAFE-ALERT REPORT (A002)

Item No.

1002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1002AB AA

DATA

IAW DD Form 1423 A002 Alert/Safe-Alert Report/DD Form 1938 DI-QCIC-80125B Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

ALERT/SAFE-ALERT REPORT (A002)

+ IAW1423 1 LO

ALERT/SAFE-ALERT RESPONSE (A003)

Item No.

1002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1002AC AA

DATA

IAW DD Form 1423 A003 Alert/Safe-Alert Response DI-QCIC-80126B Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)

Item No.

1002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1002AD AA

DATA

IAW DD Form 1423 A004 Maintenance Data Collection Record/AFTO 349 DI-MISC-81371/T Associated Document(s) Line Item(s)

TBD TBD

MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

ENGINEERING CHANGE PROPOSAL (ECP) (A005)

Item No.

1002AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1002AE AA

DATA

IAW DD Form 1423 A005 Engineering Change Proposal/ECP DI-CMAN-80639C Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

REPAIRABLE ITEM INSPECTION REPORT (A006)

Item No.

1002AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1002AF AA

DATA

IAW DD Form 1423 A006 Repairable Item Inspection Report DI-ILSS-80386 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)

Item No.

1002AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1002AG AA

DATA

IAW DD Form 1423 A007 Test-Inspection Report/Acceptance Test Report DI-NDTI-80809B Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)

Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

CONDEMNATION OF DTO

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

30 EA

CLIN ACRN ACRN Total

1003 AA

NSN: 5995-01-466-6451 EW

Noncrystal Oscillator Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

I AW PWS IAW PWS

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

Required Delivery

I AW PWS 30 EA

Proposed Delivery

I AW PWS 30 EA

Outyear Ordering Period II: The 12-month period immediately following Outyear Ordering Period I.

REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)

48 EA

CLIN ACRN ACRN Total

2001 AA

NSN: 5955-01-466-6451 EW

OSCILLATOR, NON-CRYSTAL

Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001-2000 2000

Buy American Act/Balance of Payments Program

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 D4M Repair RIC SDD Type / Ship To Quantity (U/I) *ARO Funded order or reparable asset, whichever is later at a rate of 10 ea per month

_ Req No / Pri

Required Delivery

A SW3119 48 EA *60 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 48 EA

DATA

Item No.

Firm Fixed Price Quantity U/I

1 LO

CLIN ACRN ACRN Total

2002 AA

Data IAW DD Form 1423

DATA

Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Packaging: IAW DD1423

COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)

Item No.

2002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2002AA AA

DATA

IAW DD Form 1423 A001 Commercial Asset Visibility AF (CAV AF) End Item Reporting DI-MGMT-81634B Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required

COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)

Proposed Delivery

+ IAW1423 1 LO

ALERT/SAFE-ALERT REPORT (A002)

Item No.

2002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2002AB AA

DATA

IAW DD Form 1423 A002 Alert/Safe-Alert Report/DD Form 1938 DI-QCIC-80125B Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

ALERT/SAFE-ALERT RESPONSE (A003)

Item No.

2002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2002AC AA

DATA

IAW DD Form 1423 A003 Alert/Safe-Alert Response DI-QCIC-80126B Associated Document(s) Line Item(s)

ALERT/SAFE-ALERT RESPONSE (A003)

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)

Item No.

2002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2002AD AA

DATA

IAW DD Form 1423 A004 Maintenance Data Collection Record/AFTO 349 DI-MISC-81371/T Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

ENGINEERING CHANGE PROPOSAL (ECP) (A005)

Item No.

2002AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2002AE AA

DATA

IAW DD Form 1423 A005 Engineering Change Proposal/ECP DI-CMAN-80639C Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

REPAIRABLE ITEM INSPECTION REPORT (A006)

Item No.

2002AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2002AF AA

DATA

IAW DD Form 1423 A006 Repairable Item Inspection Report DI-ILSS-80386 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination

REPAIRABLE ITEM INSPECTION REPORT (A006)

Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)

Item No.

2002AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2002AG AA

DATA

IAW DD Form 1423 A007 Test-Inspection Report/Acceptance Test Report DI-NDTI-80809B Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

CONDEMNATION OF DTO

Item No.

Firm Fixed Price

CONDEMNATION OF DTO

Best Estimated Qty

U/I Unit Price Amount

20 EA

CLIN ACRN ACRN Total

2003 AA

NSN: 5995-01-466-6451 EW

Noncrystal Oscillator Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

I AW PWS IAW PWS

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

Required Delivery

I AW PWS 20 EA

Proposed Delivery

I AW PWS 20 EA

Outyear Ordering Period III: The 12-month period immediately following Outyear Ordering Period II.

REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

52 EA

CLIN ACRN ACRN Total

3001 AA

NSN: 5955-01-466-6451 EW

OSCILLATOR, NON-CRYSTAL

Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001-2000 2000

REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)

Buy American Act/Balance of Payments Program

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 D4M Repair RIC SDD Type / Ship To Quantity (U/I) *ARO Funded order or reparable asset, whichever is later at a rate of 10 ea per month

_ Req No / Pri

Required Delivery

A SW3119 52 EA *60 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 52 EA

DATA

Item No.

Firm Fixed Price Quantity U/I

1 LO

CLIN ACRN ACRN Total

3002 AA

Data IAW DD Form 1423 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

DATA

+ IAW1423 1 LO

Packaging: IAW DD1423

COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)

Item No.

3002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3002AA AA

DATA

IAW DD Form 1423 A001 Commercial Asset Visibility AF (CAV AF) End Item Reporting DI-MGMT-81634B Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

ALERT/SAFE-ALERT REPORT (A002)

Item No.

3002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3002AB AA

DATA

IAW DD Form 1423 A002 Alert/Safe-Alert Report/DD Form 1938 DI-QCIC-80125B Associated Document(s) Line Item(s)

ALERT/SAFE-ALERT REPORT (A002)

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

ALERT/SAFE-ALERT RESPONSE (A003)

Item No.

3002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3002AC AA

DATA

IAW DD Form 1423 A003 Alert/Safe-Alert Response DI-QCIC-80126B Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)

Item No.

3002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3002AD AA

DATA

IAW DD Form 1423 A004 Maintenance Data Collection Record/AFTO 349 DI-MISC-81371/T Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

ENGINEERING CHANGE PROPOSAL (ECP) (A005)

Item No.

3002AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3002AE AA

DATA

IAW DD Form 1423 A005 Engineering Change Proposal/ECP DI-CMAN-80639C Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination

ENGINEERING CHANGE PROPOSAL (ECP) (A005)

Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

REPAIRABLE ITEM INSPECTION REPORT (A006)

Item No.

3002AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3002AF AA

DATA

IAW DD Form 1423 A006 Repairable Item Inspection Report DI-ILSS-80386 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)

Item No.

3002AG

Quantity U/I Unit Price Amount

TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)

1 LO

CLIN ACRN ACRN Total

3002AG AA

DATA

IAW DD Form 1423 A007 Test-Inspection Report/Acceptance Test Report DI-NDTI-80809B Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

CONDEMNATION OF DTO

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

15 EA

CLIN ACRN ACRN Total

3003 AA

NSN: 5995-01-466-6451 EW

Noncrystal Oscillator Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

I AW PWS IAW PWS

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

Required

I AW PWS 15 EA

CONDEMNATION OF DTO

Proposed Delivery

I AW PWS 15 EA

Outyear Ordering Period IV: The 12-month period immediately following Outyear Ordering Period III.

REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

96 EA

CLIN ACRN ACRN Total

4001 AA

NSN: 5955-01-466-6451 EW

OSCILLATOR, NON-CRYSTAL

Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001-2000 2000

Buy American Act/Balance of Payments Program

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 D4M Repair RIC SDD Type / Ship To Quantity (U/I) *ARO Funded order or reparable asset, whichever is later at a rate of 10 ea per month

_ Req No / Pri

Required Delivery

A SW3119 96 EA *60 Calendar Days Non-MilStrip

REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)

A SW3119 96 EA

DATA

Item No.

Firm Fixed Price Quantity U/I

1 LO

CLIN ACRN ACRN Total

4002 AA

Data IAW DD Form 1423 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Packaging: IAW DD1423

COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)

Item No.

4002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4002AA AA

DATA

IAW DD Form 1423 A001 Commercial Asset Visibility AF (CAV AF) End Item Reporting DI-MGMT-81634B Associated Document(s) Line Item(s)

COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

ALERT/SAFE-ALERT REPORT (A002)

Item No.

4002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4002AB AA

DATA

IAW DD Form 1423 A002 Alert/Safe-Alert Report/DD Form 1938 DI-QCIC-80125B Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

ALERT/SAFE-ALERT RESPONSE (A003)

Item No.

4002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4002AC AA

DATA

IAW DD Form 1423 A003 Alert/Safe-Alert Response DI-QCIC-80126B Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)

Item No.

4002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4002AD AA

DATA

IAW DD Form 1423 A004 Maintenance Data Collection Record/AFTO 349 DI-MISC-81371/T Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination

MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)

Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

ENGINEERING CHANGE PROPOSAL (ECP) (A005)

Item No.

4002AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4002AE AA

DATA

IAW DD Form 1423 A005 Engineering Change Proposal/ECP DI-CMAN-80639C Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

REPAIRABLE ITEM INSPECTION REPORT (A006)

Item No.

4002AF

Quantity U/I Unit Price Amount

REPAIRABLE ITEM INSPECTION REPORT (A006)

1 LO

CLIN ACRN ACRN Total

4002AF AA

DATA

IAW DD Form 1423 A006 Repairable Item Inspection Report DI-ILSS-80386 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)

Item No.

4002AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4002AG AA

DATA

IAW DD Form 1423 A007 Test-Inspection Report/Acceptance Test Report DI-NDTI-80809B Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

+ IAW1423

TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

CONDEMNATION OF DTO

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

20 EA

CLIN ACRN ACRN Total

4003 AA

NSN: 5995-01-466-6451 EW

Noncrystal Oscillator Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)

TBD TBD

Priority: R ROUTINE Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

I AW PWS IAW PWS

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

Required Delivery

I AW PWS 20 EA

Proposed

I AW PWS 20 EA

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + IAW1423

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

AWARD NUMBER:

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS 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:

TYPE/CODE: I AW PWS

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 D

PACKAGING AND MARKING

Repairable Items Being Returned From a Vendor (MAY 2006)

A. When repairable items are returned to the warehouse after being repaired by a vendor it is critical that they be distinguished from new item purchases. Repairables must therefore be identified on the Material Inspection and Receiving Report (MIRR) (DD 250) that accompanies the shipment as follows:

1. For vendors who prepare paper DD 250s as stand alone documents, enter “Serviceable Assets shipped from a Repair Contractor. Input Receipt using Doc ID “D4M” to the Air Force Owner RI” in the body of block

14. Leave the code block blank.

2. For vendors who use Wide Area Work Flow (WAWF) to prepare the DD 250 by printing them out of WAWF a different procedure is needed. In WAWF there is a Mark For field and a Mark For tab.

(a) Mark For field: This field is the equivalent of the code field of block 14. Leave the Mark For field blank and proceed to the Mark For tab.

(b) Mark For tab: The Mark For tab is located on the top of the WAWF screen along with the Header and Line Item tabs. The Mark For Tab is the equivalent of the body of the paper DD 250 block 14. Under the Mark For tab there is a Mark For Rep and a Mark For Secondary columns.

In the Mark For Rep enter “Serviceable Assets shipped from a Repair Contractor. Input Receipt using Doc ID “D4M” to the Air Force Owner RI”.

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

(Applicable for supplies, services furnishing of supplies, fixed-price and exceeds the simplified acquisition threshold)

52.246-4 INSPECTION OF SERVICES--FIXED-PRICE (AUG 1996)

(IAW FAR 46.304)

(Applicable for fixed-price services, or supplies furnishing services over the simplified acquisition threshold)

52.246-11 HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT (FEB 1999)

(IAW FAR 46.311, DFARS 246.202-4(1))

The Contractor shall comply with the higher-level quality standard selected below. [If more than one standard is listed, the offeror shall indicate its selection by checking the appropriate block.]*

Title Number Date Tailoring *See Individual Line Item Schedule

(Applicable only if specified in the individual order/call issued hereunder)

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

(Applicable to the furnishing of supplies, services involving the furnishing of supplies, or research and development, when a fixed-price contract is contemplated and the contract amount is expected to exceed the simplified acquisition threshold)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503)

(Applicable to all orders issued hereunder)

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): 0002, 0002AA, 0002AB, 0002AC, 0002AD, 0002AE, 0002AF, 0002AG, 1002, 1002AA, 1002AB, 1002AC, 1002AD, 1002AE, 1002AF, 1002AG, 2002, 2002AA, 2002AB, 2002AC, 2002AD, 2002AE, 2002AF, 2002AG, 3002, 3002AA, 3002AB, 3002AC, 3002AD, 3002AE, 3002AF, 3002AG, 4002, 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.

(Applicable when the Government desires delivery by a certain time but requires delivery by a specified later time, and the delivery schedule is to be based on the date of the contract)

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1))

(Applicable for supplies, services, or research and development)

52.247-30 F.O.B. ORIGIN, CONTRACTOR'S FACILITY (FEB 2006)

(IAW FAR 47.303-2(c)) (Applicable to f.o.b. origin at contractor's facility)

52.247-65 F.O.B. ORIGIN, PREPAID FREIGHT--SMALL PACKAGE SHIPMENTS (JAN 1991)

(IAW FAR 47.303-17(f)) (Applicable when specifying f.o.b. origin)

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]

(Applicable when delivery term is f.o.b. origin)

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JUN 2012)

(IAW DFARS 232.7004(b), PGI 232.7004(b)(1))

(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.

(Applicable when 252.232-7003 is used and neither 232.7003(b) nor (c) apply)

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

WIDE AREA WORK FLOW (WAWF) Instructions to the Vendor

(JAN 2007)

Contract Number / Delivery Order Issue Date

CLINS: ____, _____, _____, _____, _____ OR all except: _____, _____, _____

Type of Document:

__ _ Invoice ___ COC ___ ARP

___ Invoice (FAST PAY) Certificate of Compliance must be authorized in the contract.

(Must be authorized in the contract) Alternate Release Procedures must be authorized by the ACO

___ Receiving Report ___ Service 2-in-1 Inspection Acceptance ___ Construction Invoice ___ Commercial Item Financing S = Source ___ Performance Based Payments D = Destination or Destination at O (Other) ___ Progress Payments ___ Invoice and Receiving report (COMBO)

___ Service ___Supply Other permits the acceptance of destination documents at a ___ Cost Voucher location other than the "Ship to." The goods or services will be shipped to one location, and the receiving report will be accepted by another DODAAC or BPN.

Audit Office DoDAAC: ______ (This is only used with Cost Vouchers.)

Admin DoDAAC: ______

Contracting Officer, Inspect By, Service Acceptor, or Service Approver Note for Commercial Item Financing, Performance Based Payments, and Progress Payments the contracting Officer DoDAAC will ALWAYS be the same as the Admin DoDAAC.

(Note if "Other" had been selected previously, the goods or services would be transported to the "Ship To" location, and the paperwork would be "accepted" at this "Other" location.)

Inspector DoDAAC ______ (Mandatory for Construction and First Articles) Issue-By DoDAAC: ______ (refers to the organization that issued the contract) LPO DoDAAC ______ (Only used on Navy contracts) Mark For Code ______ (Only valid DoDAACs may be entered. Do not enter a Y series code

YAZ360 etc.) in this field. Enter Y series codes in the Mark For Tab.

Pay DoDAAC: ______ (This is the DFAS office that will make payment) Ship From Code ______ (refers to the shipment agency/organization if the shipment originates from a location different from the contractor location.)

Ship To Code ______ (Use a new receiving report for each ship to.)

(If "Ship in Place" has been authorized on the contract, insert Vendor CAGE Code in the "Ship To" field.)

Accept at Other DoDAAC ______ (Used when Inspection and Acceptance is at Other)

Additional Email Notifications

Name Email Address Phone Number Role

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…

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