FA852212R00741.pdf

STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

FA8522-12-R-00741

6.SOLICITATION ISSUE DATE

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

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

HUBZONE SMALL

BUSINESS EDWOSB

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS NAICS 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.

EZ CODE: 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) (2 ) (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

Total

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

SCD:C

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.

10-SEP-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 7474

ROBINS AFB GA 31098-1813

BUYER: Cassandra Tharpe/638 SCMG Cassandra.Tharpe@robins.af.mil Phone: (478) 926- 7474 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

Cassandra.Tharpe Typewritten Text

Cassandra.Tharpe Typewritten Text

Cassandra.Tharpe Typewritten Text 9 Aug 2012

Cassandra.Tharpe Typewritten Text

Cassandra.Tharpe Typewritten Text

Cassandra.Tharpe

EXPORT CONTROLLED ACCESS FOR CONTRACTOR: (1) Registered at CCR, Cassandra.Tharpe Typewritten Text

Cassandra.Tharpe Typewritten Text

Cassandra.Tharpe Typewritten Text

Cassandra.Tharpe Typewritten Text

Cassandra.Tharpe Typewritten Text

Cassandra.Tharpe Typewritten Text

Cassandra.Tharpe Typewritten Text

(2) Registered at JCP and approved to view export control, Cassandra.Tharpe Typewritten Text

Cassandra.Tharpe Typewritten Text

Cassandra.Tharpe Typewritten Text

Cassandra.Tharpe

(3) Registered at FBO. All using the same cage code.

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

SOLICITATION NO. FA852212R00741

DUE: 10 SEP 2012 3:30 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Cassandra Tharpe/638 SCMG

638 SCMG PKBB, TARGETING & ELECTRONIC WARFARE

460 RICHARD RAY BLVD STE 200

CML PHN 478 926 7474

ROBINS AFB GA 31098-1813

Request for Proposal FA8522-12-R-00741

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

REPAIR

ANTENNA CONTROL SUB

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 5985-01-430-0436 EW

ANTENNA CONTROL SUB

Length 12.0000 (IN); Width 15.0000 (IN); Height 8.0000 (IN); Weight 3.0000 (LB) Item Material: Aluminum Manufacturer Part Number

5VWN5 186184-1

Associated Document(s) Line Item(s)

FD20601200741 0001

FD20601200741 01 0001

Priority: A EMERGENCY/SURGE

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE

Type / Ship To PACRN Mark For

A SW3119 AAE D4M RIC: SDD

Type / Ship To Quantity (U/I) *ARO Funded

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 1 EA

Note: Early Delivery is acceptable.

REPAIR

ANTENNA SUBASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 5985-01-424-5689 EW

REPAIR ANTENNA SUBASSEMBLY

Length 14.8500 (IN); Width 25.0000 (IN); Height 9.2000 (IN); Weight 20.0000 (LB) Item Material: Aluminum Manufacturer Part Number

5VWN5 179347-1

Associated Document(s) Line Item(s)

FD20601200741 0002

FD20601200741 01 0002

Priority: A EMERGENCY/SURGE

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.)

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 AAF D4M RIC: SDD

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 2 EA *30 Calendar Days Non-MilStrip

Proposed

A SW3119 2 EA

SWITCH, ANTENNA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0003 AA

NSN: 5985-01-430-0439 EW

SWITCH, ANTENNA

Length 10.0000 (IN); Width 7.0000 (IN); Height 4.0000 (IN); Weight 4.0000 (LB) Item Material: Aluminum Manufacturer Part Number

5VWN5 181928-2

Associated Document(s) Line Item(s)

FD20601200741 0003

FD20601200741 01 0003

Priority: A EMERGENCY/SURGE

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.)

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 AAB D4M RIC: SDD

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 2 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 2 EA

REPAIR - FIRST ARTICLE

SWITCH, RADIO FREQUENCY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0004 AA

NSN: 5985-01-290-1358 EW

SWITCH, RADIO FREQUENCY (FIRST ARTICLE)

Length 16.7500 (IN); Width 19.0700 (IN); Height 8.0000 (IN); Weight 36.0000 (LB) Item Material: Aluminum Manufacturer Part Number

5VWN5 130641-2

Associated Document(s) Line Item(s)

FD20601200741 0004

FD20601200741 01 0004

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination 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.)

ISO 9001-2008 2000

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SV3119 DESTINATION

Type / Ship To PACRN Mark For A SV3119 AAA First Article Handling RIC: SNF Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SV3119 2 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SV3119 2 EA

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0005 AA

NSN: 5998-01-424-7124 EW

CIRCUIT CARD ASSEMBLY

Length 7.0000 (IN); Width 2.0000 (IN); Height 5.5000 (IN); Weight 1.0000 (LB) Item Material: Fiber Glass Manufacturer Part Number

5VWN5 184983-2

Associated Document(s) Line Item(s)

FD20601200741 0005

FD20601200741 01 0005

Priority: A EMERGENCY/SURGE

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.)

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE

Type / Ship To PACRN Mark For

A SW3119 AAJ D4M RIC: SDD

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

CIRCUIT CARD ASSEMBLY

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0006 AA

NSN: 5998-01-424-8214 EW

CIRCUIT CARD ASSEMBLY

Length 7.0000 (IN); Width 2.0000 (IN); Height 5.5000 (IN); Weight 1.0000 (LB) Item Material: Fiber Glass Manufacturer Part Number

5VWN5 186941-2

Associated Document(s) Line Item(s)

FD20601200741 0006

FD20601200741 01 0006

Priority: A EMERGENCY/SURGE

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.)

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 AAG D4M RIC: SDD

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

COUNTERMEASURE SET

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0007 AA

NSN: 5865-01-424-5107 EW

COUNTERMEASURE SET

Length 14.8600 (IN); Width 25.5000 (IN); Height 9.0000 (IN); Weight 20.0000 (LB) Item Material: Aluminum Manufacturer Part Number

5VWN5 179367-2

Associated Document(s) Line Item(s)

FD20601200741 0007

FD20601200741 01 0007

Priority: A EMERGENCY/SURGE

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.)

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 AAD D4M RIC: SDD

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

SWITCH, ANTENNA UNIT

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

0008 AA

NSN: 5985-01-429-4393 EW

SWITCH, ANTENNA UNIT

Length 10.0000 (IN); Width 14.0000 (IN); Height 8.0000 (IN); Weight 40.0000 (LB) Item Material: Aluminum (Electronics) Manufacturer Part Number

5VWN5 2637815G003

Associated Document(s) Line Item(s)

FD20601200741 0008

FD20601200741 01 0008

Priority: A EMERGENCY/SURGE

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.)

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 AAC D4M RIC: SDD

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 5 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 5 EA

ANTENNA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0009 AA

NSN: 5985-01-429-4395 EW

ANTENNA

Length 13.9500 (IN); Width 30.0000 (IN); Height 9.0000 (IN); Weight 45.0000 (LB) Item Material: Aluminum (Electronics) Manufacturer Part Number

5VWN5 2637814G003

Associated Document(s) Line Item(s)

FD20601200741 0009

FD20601200741 01 0009

Priority: A EMERGENCY/SURGE

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.)

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 AAI D4M RIC: SDD

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 3 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 3 EA

Note to Contractor: Propose Unit Price (U/P) or Not Separately Priced (NSP) on all data line items.

First Article data applies to NSN 5985-01-290-1358EW (CLIN 0004) only.

DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010 AA

DATA

ELINS A001-A015

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

+ IAW1423 1 LO

DATA - ELIN A001

Item No.

0010AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010AA AA

DATA - ELIN A001

Commercial Asset Visibility AF (CAVAF) End Item Reporting/CAVAF

DI-MGMT-81634B

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DATA - ELIN A002

Item No.

0010AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010AB AA

DATA - ELIN A002

Maintenance Data Collection Record/AFTO Form 349

DI-MISC-81371/T

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

DATA - ELIN A002

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DATA - ELIN A003

Item No.

0010AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010AC AA

DATA - ELIN A003

Parts and Approval Request/DD Form 2052

DI-MISC-80071E

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

DATA - ELIN A003

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DATA - ELIN A004

Item No.

0010AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010AD AA

DATA - ELIN A004

GIDEP Alert/Safe Alert/DD Form 1938

DI-QCIC-80125B

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DATA - A005

Item No.

0010AE

Firm Fixed Price Quantity U/I Unit Price Amount

DATA - A005

1 LO

CLIN ACRN ACRN Total

0010AE AA

DATA - ELIN A005

GIDEP Alert/Safe Alert Response/DD Form 1938

DI-QCIC-80126B

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DATA - ELIN A006

Item No.

0010AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010AF AA

DATA - ELIN A006

Accident/Incident Report Mishap Notification and ReportingDI-SAFT-81563 Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

DATA - ELIN A006

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DATA - ELIN A007

Item No.

0010AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010AG AA

DATA - ELIN A007

Test Procedure/Qualification Test Procedure

DI-NDTI-80603A

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required

DATA - ELIN A007

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DATA - ELIN A008

Item No.

0010AH

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010AH AA

DATA - ELIN A008

Acceptance Test Procedure/Acceptance Test Procedure

DI-NDTI-80603A

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DATA - ELIN A009

Item No.

0010AJ

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA - ELIN A009

CLIN ACRN ACRN Total

0010AJ AA

DATA - ELIN A009

Qualification Test Plan/Qualification Test Plan

DI-NDTI-80566A

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DATA - ELIN A010

Item No.

0010AK

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010AK AA

DATA - ELIN A010

Qualification Test Report/Qualification Test Report

DI-NDTI-80809B

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

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

DATA - ELIN A010

Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DATA - ELIN A011

Item No.

0010AL

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010AL AA

DATA - ELIN A011

Acceptance Test Report/Acceptance Test Report

DI-NDTI-80809B

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

DATA - ELIN A011

+ IAW1423 1 LO

DATA - ELIN A012

Item No.

0010AM

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010AM AA

DATA - ELIN A012

Test Procedure/First Article Test Procedure

DI-NDTI-80603A

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DATA - ELIN A013

Item No.

0010AN

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010AN AA

DATA - ELIN A013

Test/Inspection Report/First Article Reports

DATA - ELIN A013

DI-NDTI-80603A

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DATA - ELIN A014

Item No.

0010AP

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010AP AA

DATA - ELIN A014

IUID Marking Plan/IUID

DI-MGMT-81803

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

DATA - ELIN A014

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DATA - ELIN A015

Item No.

0010AQ

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0010AQ AA

DATA - ELIN A015

IUID Marking Activity and Verification Report/IUID

DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601200741 0010

FD20601200741 01 0010

Priority: A EMERGENCY/SURGE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW1423 DESTINATION

Type / Ship To PACRN Mark For

+ IAW1423 IAW DD1423

Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

+ IAW1423 1 LO

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 SV3119

DDWG SV3119

BLDG 368 STOREROOM C

ROBINS PARKWAY

ROBINS AFB 31098-1887

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:

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

E-5

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)

E-15

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

E-22

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

E-42

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) Government Contract Quality Assurance Inspection and Acceptance will be at (Final):

[CONTRACTOR FILL-IN]

Item No(s): See schedule for items with the following code(s) listed below :

Inspection Code and Address:

Government Contract Quality Assurance Inspection and Acceptance will be at destination(s) specified herein (Final).

Item No(s): 0004, 0010, 0010AA, 0010AB, 0010AC, 0010AD, 0010AE, 0010AF, 0010AG, 0010AH, 0010AJ, 0010AK, 0010AL, 0010AM, 0010AN, 0010AP, 0010AQ

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

F-1

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.

F-26

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1))

F-31

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

(IAW FAR 47.303-2(c)) F-36

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

(IAW FAR 47.303-6(c)) F-65

52.247-48 F.O.B. DESTINATION--EVIDENCE OF SHIPMENT (FEB 1999)

(IAW FAR 47.305-4(c)) Applicable Item No(s)

0004 0010 0010AA 0010AB 0010AC 0010AD 0010AE 0010AF 0010AG 0010AH 0010AJ 0010AK

0010AL 0010AM 0010AN 0010AP 0010AQ

F-78

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

(IAW FAR 47.303-17(f)) F-35

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b)) Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address

[CONTRACTOR FILL-IN]

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

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".

TAI ATAC

TAA F6RS

G-210

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.

G-1

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 97 X4930 .FC04 64 2 47 GR 159999 01K010 00000 UJJOAG 503000 HQ0104 $0.00

PSR: J96721 FSR: 013391 DSR: 062306

REFERENCE:

SDN: F3QL042164B003

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

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

IA-10

252.201-7000 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 1991)

(IAW DFARS 201.602-70)

IB-300

5352.201-9101 OMBUDSMAN (APR 2010)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, concerned parties may contact the Center/MAJCOM or AFISRA ombudsmen, Kim McDonald at 478 222 -1088 , FAX 478 222 -1855 , email Kim.McDonald@robins.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the MAJCOM/DRU or ARISRA level, may be brought by the concerned party for further consideration to the Air Force ombudsman, Associate Deputy Assistant Secretary (ADAS) (Contracting), SAF/AQC, 1060 Air Force Pentagon, Washington DC 20330-1060, phone number (703) 588-7004, facsimile number (703) 588-1067.

I-11

52.202-1 DEFINITIONS (JAN 2012)

(IAW FAR 2.201)

I-19

52.203-3 GRATUITIES (APR 1984)

(IAW FAR 3.202)

I-20

52.203-5 COVENANT AGAINST CONTINGENT FEES (APR 1984)

(IAW FAR 3.404)

I-21

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT (SEP 2006)

(IAW FAR 3.503-2)

I-22

52.203-7 ANTI-KICKBACK PROCEDURES (OCT 2010)

(IAW FAR 3.502-3)

I-23

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

IMPROPER ACTIVITY (JAN 1997)

(IAW FAR 3.104-9(a))

I-25

52.203-10 PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR IMPROPER ACTIVITY (JAN 1997)

(IAW FAR 3.104-9(b)) I-25C

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(OCT 2010)

(IAW FAR 3.808(b))

I-25K

52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST (DEC 2011)

(IAW FAR 3.1106)

IA-21D

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

(IAW DFARS 203.171-4)

IA-22

252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER

DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)

(IAW DFARS 203.570-3)

IA-24D

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(JAN 2009)

(IAW DFARS 203.970)

I-27

52.204-2 SECURITY REQUIREMENTS (AUG 1996)

(IAW FAR 4.404(a)) I-39

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

(IAW FAR 4.303)

I-41

52.204-7 CENTRAL CONTRACTOR REGISTRATION (FEB 2012)

(IAW FAR 4.1105)

IA-33

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

(IAW DFARS 204.404-70(b))

IA-34C

252.204-7004 ALTERNATE A, CENTRAL CONTRACTOR REGISTRATION (SEP 2007)

(IAW DFARS 204.1104)

IA-35C

252.204-7005 ORAL ATTESTATION OF SECURITY RESPONSIBILITIES (NOV 2001)

(IAW DFARS 204.404-70(c))

IA-38

252.204-7008 EXPORT-CONTROLLED ITEMS (APR 2010)

(IAW DFARS 204.7304)

I-72

52.209-3 FIRST ARTICLE APPROVAL--CONTRACTOR TESTING (SEP 1989)

(IAW FAR 9.308-1(a)(1), FAR 9.308-1(b)(1))

(a) The Contractor shall test 2 unit(s) of Lot/Item CLIN 0004 as specified in this contract. At least 15 calendar days before the beginning of first article tests, the Contractor shall notify the Contracting Officer, in writing, of the time and location of the testing so that the Government may witness the tests.

*Lot/Item ***Calendar Days Before Test **Quantity

0004 15 2 EA

(b) The Contractor shall submit the first article test report within ___IAW AFMC Form 260__ calendar days from the date of this contract to ___IAW AFMC Form 260 marked "FIRST ARTICLE TEST REPORT: Contract No.

__TBD_______ Lot/Item No. _0004_____” Within ___45___ calendar days after the Government receives the test report, the Contracting Officer shall notify the Contractor, in writing, of the conditional approval, approval, or disapproval of the first article. The notice of conditional approval or approval shall not relieve the Contractor from complying with all requirements of the specifications and all other terms and conditions of this contract. A notice of conditional approval shall state any further action required of the Contractor. A notice of disapproval shall cite reasons for the disapproval.

*Lot/Item ****Approval Days ELIN No.

1 IAW AFMC Form

FA Test Report Item ***Type/Location **Calendar Days IAW AFMC Form 260 IAW AFMC Form

IAW AFMC Form 260

(c) If the first article is disapproved, the Contractor, upon Government request, shall repeat any or all first article tests.

After each request for additional tests, the Contractor shall make any necessary changes, modifications, or repairs to the first article or select another first article for testing. All costs related to these tests are to be borne by the Contractor, including any and all costs for additional tests following a disapproval. The Contractor shall then conduct the tests and deliver another report to the Government under the terms and conditions and within the time specified by the Government. The Government shall take action on this report within the time specified in paragraph (b) above.

The Government reserves the right to require an equitable adjustment of the contract price for any extension of the delivery schedule, or for any additional costs to the Government related to these tests.

(d) If the Contractor fails to deliver any first article report on time, or the Contracting Officer disapproves any first article, the Contractor shall be deemed to have failed to make delivery within the meaning of the Default clause of this contract.

(e) Unless otherwise provided in the contract, and if the approved first article is not consumed or destroyed in testing, the Contractor may deliver the approved first article as part of the contract quantity if it meets all contract requirements for acceptance.

(f) If the Government does not act within the time specified in paragraph (b) or (c) above, the Contracting Officer shall, upon timely written request from the Contractor, equitably adjust under the changes clause of this contract the delivery or performance dates and/or the contract price, and any other contractual term affected by the delay.

(g) Before first article approval, the acquisition of materials or components for, or the commencement of production of, the balance of the contract quantity is at the sole risk of the Contractor. Before first article approval, the costs thereof shall not be allocable to this contract for

(1) progress payments, or

(2) termination settlements if the contract is terminated for the convenience of the Government.

(h) The Government may waive the requirement for first article approval test where supplies identical or similar to those called for in the schedule have been previously furnished by the offeror/contractor and have been accepted by the Government. The offeror/contractor may request a waiver.

(The above Clause/Provision has been modified.)

I-78

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

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(DEC 2010)

(IAW FAR 9.409)

I-80

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING

RESPONSIBILITY MATTERS (FEB 2012)

(IAW FAR 9.104-7(c))

IA-92

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

GOVERNMENT OF A TERRORIST COUNTRY (DEC 2006)

(IAW DFARS 209.409)

I-102

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

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

IA-103

252.211-7003 ITEM IDENTIFICATION AND VALUATION (JUN 2011)

(IAW DFARS 211.274-6(a), DFARS 212.301(f)(vi))

(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) All delivered items for which the Government’s unit acquisition cost is $5,000 or more.

(ii) The following items for which the Government’s unit acquisition cost is less than $5,000:

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 as specified in Attachment Number (See Schedule as Applicable).

(f) The Contractor shall submit the information required by paragraphs (d) and (e) of this clause in accordance with the data submission procedures at http://www.acq.osd.mil/dpap/pdi/uid/data_submission_information.html .

(Applicable when delivery of one or more “items” as defined at 252.211-7003(c) is required)

I-128

52.215-2 AUDIT AND RECORDS--NEGOTIATION (OCT 2010)

(IAW FAR 15.209(b)(1)) I-129G

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

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

I-214

52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS (JAN 2011)

(IAW FAR 19.708(a)) I-215

52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN (JAN 2011)

(IAW FAR 19.708(b)) (Applicable over $650,000)

I-225N

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (APR 2012)

(IAW FAR 19.309(d))

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

The Contractor represents that it [ ] is, [ ] is not a small business concern under NAICS Code _____________ assigned to contract number ______________________________.

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

I-245

52.222-1 NOTICE TO THE GOVERNMENT OF LABOR DISPUTES (FEB 1997)

(IAW FAR 22.103-5(a), AFFARS 5322.101-1) I-247

52.222-3 CONVICT LABOR (JUN 2003)

(IAW FAR 22.202)

I-263E

52.222-21 PROHIBITION OF SEGREGATED FACILITIES (FEB 1999)

(IAW FAR 22.810(a)(1)) I-264

52.222-26 EQUAL OPPORTUNITY (MAR 2007)

(IAW FAR 22.810(e)) I-274

52.222-35 EQUAL OPPORTUNITY FOR VETERANS (SEP 2010)

(IAW FAR 22.1310(a)(1), DFARS 222.1310(a)(1)) I-276

52.222-36 AFFIRMATIVE ACTION FOR WORKERS WITH DISABILITIES (OCT 2010)

(IAW FAR 22.1408(a)) I-278

52.222-37 EMPLOYMENT REPORTS ON VETERANS (SEP 2010)

(IAW FAR 22.1310(b)) I-280

52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR

RELATIONS ACT (DEC 2010)

(IAW FAR 22.1605)

I-283

52.222-41 SERVICE CONTRACT ACT OF 1965 (NOV 2007)

(IAW FAR 22.1006(a)) I-284

52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 1989)

(IAW FAR 22.1006(b))

In compliance with the Service Contract Act of 1965, as amended, and the regulations of the Secretary of Labor (29 CFR Part 4), this clause identifies the classes of service employees expected to be employed under the contract and states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the provisions of 5 U.S.C. 5341 or 5332.

This Statement is for Information Only:

It is not a Wage Determination

Employee Class Monetary Wage Fringe Benefits Electronic Integrated System Mechanic/WG-12

Electronics Mechanic/WG-08

Electronics Mechanic/WG-10

25.97

22.10

23.96

36.25%

36.25%

36.25%

(The above Clause/Provision has been modified.)

I-286

52.222-44 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT ACT--PRICE

ADJUSTMENT (SEP 2009)

(IAW FAR 22.1006(c)(2))

I-289C

52.222-50 COMBATING TRAFFICKING IN PERSONS (FEB 2009)

(IAW FAR 22.1705(a)) I-295

52.223-6 DRUG-FREE WORKPLACE (MAY 2001)

(IAW FAR 23.505)

I-297C

52.223-11 OZONE-DEPLETING SUBSTANCES (MAY 2001)

(IAW FAR 23.804(a))

(b) The Contractor shall label products which contain or are manufactured with ozone-depleting substances in the manner and to the extent required by 42 U.S.C. 7671j(b), (c), and (d) and 40 CFR Part 82, Subpart E, as follows:

WARNING

Contains (or manufactured with, if applicable) ________________________*, a substance(s) which harm(s) public health and environment by destroying ozone in the upper atmosphere.

*The Contractor shall insert the name of the substance(s).

I-297K

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (AUG 2011)

(IAW FAR 23.1105)

IA-280

252.223-7004 DRUG-FREE WORK FORCE (SEP 1988)

(IAW DFARS 223.570-2)

IB-320

5352.223-9000 ELIMINATION OF USE OF CLASS I OZONE DEPLETING SUBSTANCES (ODSs)

(APR 2003)

(IAW AFFARS 5323.804(c))

(c) The requiring activity has obtained SAO approval to permit the contractor to use the following Class I ODS(s).

[List each Class I ODS, its applications or use and the approved quantities for use throughout the length of the contract. If "None," so state.]

Item No Class I ODS Application or Use Quantity (lbs) per contract period performance

SEE LINE ITEM SCHEDULE

I-312

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

(IAW FAR 25.1103(a))

IA-287

252.225-7001 BUY AMERICAN AND BALANCE OF PAYMENTS PROGRAM (JUN 2012)

(IAW DFARS 225.1101(2)(i))

IA-288

252.225-7002 QUALIFYING COUNTRY SOURCES AS SUBCONTRACTORS (JUN 2012)

(IAW DFARS 225.1101(3))

IA-293

252.225-7012 PREFERENCE FOR CERTAIN DOMESTIC COMMODITIES (JUN 2012)

(IAW DFARS 225.7002-3(a))

IA-314D

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

ENTERPRISES, AND NATIVE HAWAIIAN SMALL BUSINESS CONCERNS

(SEP 2004)

(IAW DFARS 226.104)

I-315

52.227-1 AUTHORIZATION AND CONSENT (DEC 2007)

(IAW FAR 27.201-2(a)(1)) I-317

52.227-2 NOTICE AND ASSISTANCE REGARDING PATENT AND COPYRIGHT

INFRINGEMENT (DEC 2007)

(IAW FAR 27.201-2(b))

I-353

52.229-4 FEDERAL, STATE, AND LOCAL TAXES (STATE AND LOCAL…