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STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

FA8522-12-R-30019

6.SOLICITATION ISSUE DATE

23 AUG 2013

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.

DODAAC: TBD

RIC: TBD

EXPORT CONTROLLED ACCESS FOR CONTRACTORS:

The following registrations are required by the contractor in order to obtain export control access (all using the same cage code):

1. Registered at SAM https://www.sam.gov

2. Registered at JCP and approved to view export control https://www.dlis.dla.mil/jcp/Default.aspx

3. Registered at FBO https://www.fbo.gov/

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

Total

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

SCD:B

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

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.

23-SEP-2013 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

AFSC/PZABB, TARGETING & ELECTRONIC WARFARE

235 BYRON STREET, SUITE 19A

CML PHN 478 926 7405

ROBINS AFB GA 31098-1670

BUYER: Ronald D. Midkiff/638 SCMG Ronald.Midkiff@robins.af.mil Phone: (478) 926- 9161 Fax: (478) 926-7545 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

SOLICITATION NO. FA852212R30019

DUE: 23 SEP 2013 3:30 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Ronald D Midkiff/638 SCMG

AFSC/PZABB, TARGETING & ELECTRONIC WARFARE

235 BYRON STREET, SUITE 19A

CML PHN 478 926 7405

ROBINS AFB GA 31098-1670

Request for Proposal FA8522-12-R-30019

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Notes to Contractors:

1. Certified Cost or Pricing Data along with the completed TINA checklist will be be required if there is only one offer received. By signing your proposal, you are agreeing to submit this data and checklist if this circumstance should arise.

2. All required documents must be received by the date and time established in block 9 of the SF 1447 including, but not limited to, the following:

DD254 (blocks 6a, 6b, and 6c completed) COR Designation Memo (signed) QASP (signed) Safety Plan in accordance with attached Appendix C Subcontracting Plan in accordance with FAR 19.702

Additionally, contractors must complete/fill-in the applicable clauses located in Sections I & K.

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

Basis for Award:

In accordance with the clause in Section I, FAR 52.217-9, Option to Extend the Term of the Contract, the schedule below contains a Basic Period of 12-months (365 days) from date of award and four additional one-year option periods. Basic and Option CLINs are denoted under the schedule as follows:

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

Basic Contract Period: Date of award through 365 calendar days.

Low Voltage Power Supply

Item No.

Low Voltage Power Supply

Firm Fixed Price

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Part Number A2D0516-1 Associated Document(s) Line Item(s)

FD20601230019 0001

Priority: R ROUTINE Buy American Act/Balance of Payments Program Class I ODS Substance Application/Use Quantity None

Low Voltage Power Supply (TT&E, NFF/RETOK, and BER)

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

333 EA

CLIN ACRN ACRN Total

0001AA AA

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Teardown, Test, & Evaluation (TT&E), No Fault Found (NFF), Re-Test OK (RETOK), and Beyond Economical Repair

(BER)

Manufacturer Part Number 09062 A2D0516-1 32324 A2D0516-1 81413 A2D0516-1 Associated Document(s) Line Item(s)

FD20601230019 0004

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 9001-2008 2000

Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For + TBD PAA D4M Repair RIC: SDD Type / Ship To Quantity (U/I) *ARO Contract at a rate of 20 each per month.

Req No / Pri

Low Voltage Power Supply (TT&E, NFF/RETOK, and BER)

Required Delivery

+ TBD 333 EA *30 Calendar Days

Proposed Delivery

+ TBD 333 EA

Delivery Addendum:

For TT&E: Ship In Place For NFF/RETOK: Ship to SW3119 For BER: Disposition is IAW PWS

Note To Contractor(s): Packaging & Mark For applies to NFF/RETOK only.

Low Voltage Power Supply (Repair)

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

333 EA

CLIN ACRN ACRN Total

0001AB AA

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Repair of LVPS Manufacturer Part Number 09062 A2D0516-1 32324 A2D0516-1 81413 A2D0516-1 Associated Document(s) Line Item(s)

FD20601230019 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.)

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 D4M Repair RIC: SDD

Low Voltage Power Supply (Repair)

Place of Perf Quantity (U/I) *ARO Completion of CLIN 0001AA

Req No / Pri

Required Period of Performance

A SW3119 333 EA *30 Calendar Days

Proposed Period of Performance

A SW3119 333 EA

Delivery Addendum: Ship to SW3119 unless directed otherwise by Item Manager. Please contact Item Manager, Deborah Kumsomboone, at 478-222-4561 prior to shipping any repaired units. Early deliveries are acceptable.

Data

Firm Fixed Price Quantity U/I

1 LO

DATA

ELINS A001-A009, In accordance with DD 1423s and Performance-Based Statement of Work (PWS).

Associated Document(s) Line Item(s)

FD20601230019 0003

Priority: R ROUTINE

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423 Type / Ship To PACRN Mark For

IAW DD1423

Type / Ship To Quantity (U/I) *ARO Contract, IAW DD1423

_ Req No / Pri

Required Delivery

1 LO Non-MilStrip

Proposed Delivery

1 LO

FOB: Destination

Mark For: IAW DD1423

Packaging: IAW DD1423

Data ELIN A001 Commercial Asset Visibility-Air Force (CAV AF)

0002AA

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

DATA

Data ELIN A001, Commercial Asset Visibility-Air Force (CAV AF) End Item Reporting/CAV AF IAW DI-MGMT-81634B

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 DD 1423-1

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

DD1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A002 MAINTENANCE DATA COLLECTION RECORD (MDCR)/AFTO Form 349

Item No.

0002AB

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

DATA

Data ELIN A002 Maintenance Data Collection Record/AFTO Form 349 IAW DI-MISC-81371/T

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 A002 MAINTENANCE DATA COLLECTION RECORD (MDCR)/AFTO Form 349

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 DD 1423-1

Type / Ship To Quantity (U/I) *ARO Contract, IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A003 PARTS APPROVAL REQUEST/DD Form 2052

Item No.

0002AC

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

DATA

Data ELIN A003 Parts Approval Request/ DD Form 2052 IAW DI-MISC-80071E

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A004 GIDEP ALERT/SAFE-ALERT REPORT/DD Form 1938

Item No.

0002AD

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

DATA

Data ELIN A004 GIDEP Alert/Safe-Alert Report/DD Form 1938 IAW DI-QCIC-80125B

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A005 (GIDEP) ALERT RESPONSE/DD Form 1938

Item No.

0002AE

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

DATA

Data ELIN A005 GIDEP Alert Response/DD Form 1938 IAW DI-QCIC-80126B

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

Data ELIN A005 (GIDEP) ALERT RESPONSE/DD Form 1938

+ IAW1423 IAW DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A006 Accident/Incident Report (Mishap Notification and Reporting)

Item No.

0002AF

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

DATA

Data ELIN A006 Accident/Incident Report (Mishap Notification and Reporting) IAW DI-SAFT-81563/T

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A007 IUID Marking Plan

Item No.

0002AG

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

DATA

Data ELIN A007 IUID Marking Plan

Data ELIN A007 IUID Marking Plan IAW DI-MGMT-81803

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A008 IUID Marking Activity and Verification Report

Item No.

0002AH

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

DATA

Data ELIN A008 IUID Marking Activity and Verification Report IAW DI-MGMT-81804

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required

Data ELIN A008 IUID Marking Activity and Verification Report

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A009 Safety and Health Plan/Program

Item No.

0002AJ

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

DATA

Data ELIN A009 Safety and Health Plan/Program, IAW DI-ENVR-81375.

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Option Period I: This option may be exercised within 365 calendar days from date of award of the basic contract. An option is determined to have been exercised when transmitted electronically or by e-mail with the executed modification attached.

Low Voltage Power Supply

Item No.

Firm Fixed Price

Low Voltage Power Supply

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Part Number A2D0516-1 Priority: R ROUTINE Buy American Act/Balance of Payments Program Class I ODS Substance Application/Use Quantity None

Low Voltage Power Supply (TT&E, NFF/RETOK, and BER)

Item No.

1001AA

Firm Fixed Price Quantity U/I Unit Price Amount

209 EA

CLIN ACRN ACRN Total

1001AA AA

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Teardown, Test, & Evaluation (TT&E), No Fault Found (NFF), Re-Test OK (RETOK), and Beyond Economical Repair

(BER)

Manufacturer Part Number 09062 A2D0516-1 32324 A2D0516-1 81413 A2D0516-1 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.)

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For + TBD PAA D4M Repair RIC: SDD Type / Ship To Quantity (U/I) *ARO Contract at a rate of 20 each per month.

Req No / Pri

Required Delivery

+ TBD 209 EA *30 Calendar Days

Proposed

Low Voltage Power Supply (TT&E, NFF/RETOK, and BER)

+ TBD 209 EA

Delivery Addendum:

For TT&E: Ship In Place For NFF/RETOK: Ship to SW3119

1001AB

Firm Fixed Price Quantity U/I Unit Price Amount

209 EA

CLIN ACRN ACRN Total

1001AB AA

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Repair of LVPS Manufacturer Part Number 09062 A2D0516-1 32324 A2D0516-1 81413 A2D0516-1 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.)

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 D4M Repair RIC: SDD Place of Perf Quantity (U/I) *ARO Completion of CLIN 0001AA Req No / Pri

Required Period of Performance

A SW3119 209 EA *30 Calendar Days

Low Voltage Power Supply (Repair)

Proposed Period of Performance

A SW3119 209 EA

Delivery Addendum: Ship to SW3119 unless directed otherwise by Item Manager. Please contact

Firm Fixed Price Quantity U/I

1 LO

DATA

ELINS A001-A009, In accordance with DD 1423s and Performance-Based Statement of Work (PWS).

Priority: R ROUTINE

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423 Type / Ship To PACRN Mark For

IAW DD1423

Type / Ship To Quantity (U/I) *ARO Contract, IAW DD1423

_ Req No / Pri

Required Delivery

1 LO Non-MilStrip

Proposed Delivery

1 LO

FOB: Destination

1002AA

Data ELIN A001 Commercial Asset Visibility-Air Force (CAV AF)

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

DATA

Data ELIN A001, Commercial Asset Visibility-Air Force (CAV AF) End Item Reporting/CAV AF IAW DI-MGMT-81634B

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 DD 1423-1

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

DD1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A002 MAINTENANCE DATA COLLECTION RECORD (MDCR)/AFTO Form 349

Item No.

1002AB

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

DATA

Data ELIN A002 Maintenance Data Collection Record/AFTO Form 349 IAW DI-MISC-81371/T

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

+ IAW1423 IAW DD 1423-1

Data ELIN A002 MAINTENANCE DATA COLLECTION RECORD (MDCR)/AFTO Form 349

Type / Ship To Quantity (U/I) *ARO Contract, IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A003 PARTS APPROVAL REQUEST/DD Form 2052

Item No.

1002AC

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

DATA

Data ELIN A003 Parts Approval Request/ DD Form 2052 IAW DI-MISC-80071E

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A004 GIDEP ALERT/SAFE-ALERT REPORT/DD Form 1938

Item No.

1002AD

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

Data ELIN A004 GIDEP Alert/Safe-Alert Report/DD Form 1938 IAW DI-QCIC-80125B

Data ELIN A004 GIDEP ALERT/SAFE-ALERT REPORT/DD Form 1938

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A005 (GIDEP) ALERT RESPONSE/DD Form 1938

Item No.

1002AE

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

DATA

Data ELIN A005 GIDEP Alert Response/DD Form 1938 IAW DI-QCIC-80126B

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required

Data ELIN A005 (GIDEP) ALERT RESPONSE/DD Form 1938

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A006 Accident/Incident Report (Mishap Notification and Reporting)

Item No.

1002AF

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

DATA

Data ELIN A006 Accident/Incident Report (Mishap Notification and Reporting) IAW DI-SAFT-81563/T

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A007 IUID Marking Plan

Item No.

1002AG

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

DATA

Data ELIN A007 IUID Marking Plan IAW DI-MGMT-81803

Limitations of Liability: Other Than High Value Item

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

Data ELIN A007 IUID Marking Plan

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A008 IUID Marking Activity and Verification Report

Item No.

1002AH

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

DATA

Data ELIN A008 IUID Marking Activity and Verification Report IAW DI-MGMT-81804

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

Data ELIN A009 Safety and Health Plan/Program

Item No.

1002AJ

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

DATA

Data ELIN A009 Safety and Health Plan/Program, IAW DI-ENVR-81375.

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Option Period II: This option may be exercised within 730 calendar days from date of award of the basic contract. An option is determined to have been exercised when transmitted electronically or by e-mail with the executed modification attached.

Low Voltage Power Supply

Item No.

Firm Fixed Price

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Part Number A2D0516-1 Priority: R ROUTINE

Class I ODS Substance Application/Use Quantity

Low Voltage Power Supply

None

Low Voltage Power Supply (TT&E, NFF/RETOK, and BER)

Item No.

2001AA

Firm Fixed Price Quantity U/I Unit Price Amount

209 EA

CLIN ACRN ACRN Total

2001AA AA

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Teardown, Test, & Evaluation (TT&E), No Fault Found (NFF), Re-Test OK (RETOK), and Beyond Economical Repair

(BER)

Manufacturer Part Number 09062 A2D0516-1 32324 A2D0516-1 81413 A2D0516-1 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.)

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For + TBD PAA D4M Repair RIC: SDD Type / Ship To Quantity (U/I) *ARO Contract at a rate of 20 each per month.

Req No / Pri

Required Delivery

+ TBD 209 EA *30 Calendar Days

Proposed Delivery

+ TBD 209 EA

Delivery Addendum:

For TT&E: Ship In Place For NFF/RETOK: Ship to SW3119

2001AB

Firm Fixed Price Quantity U/I Unit Price Amount

209 EA

CLIN ACRN ACRN Total

2001AB AA

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Repair of LVPS Manufacturer Part Number 09062 A2D0516-1 32324 A2D0516-1 81413 A2D0516-1 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.)

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 D4M Repair RIC: SDD Place of Perf Quantity (U/I) *ARO Completion of CLIN 0001AA Req No / Pri

Required Period of Performance

A SW3119 209 EA *30 Calendar Days

Proposed Period of Performance

A SW3119 209 EA

Delivery Addendum: Ship to SW3119 unless directed otherwise by Item Manager. Please contact

Firm Fixed Price Quantity U/I

1 LO

DATA

ELINS A001-A009, In accordance with DD 1423s and Performance-Based Statement of Work (PWS).

Priority: R ROUTINE

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423 Type / Ship To PACRN Mark For

IAW DD1423

Type / Ship To Quantity (U/I) *ARO Contract, IAW DD1423

_ Req No / Pri

Required Delivery

1 LO Non-MilStrip

Proposed Delivery

1 LO

FOB: Destination

2002AA

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

DATA

Data ELIN A001, Commercial Asset Visibility-Air Force (CAV AF) End Item Reporting/CAV AF IAW DI-MGMT-81634B

Limitations of Liability: Other Than High Value Item

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

Data ELIN A001 Commercial Asset Visibility-Air Force (CAV AF)

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 DD 1423-1

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

DD1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A002 MAINTENANCE DATA COLLECTION RECORD (MDCR)/AFTO Form 349

Item No.

2002AB

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

DATA

Data ELIN A002 Maintenance Data Collection Record/AFTO Form 349 IAW DI-MISC-81371/T

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 DD 1423-1

Type / Ship To Quantity (U/I) *ARO Contract, IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

Data ELIN A003 PARTS APPROVAL REQUEST/DD Form 2052

Item No.

2002AC

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

DATA

Data ELIN A003 Parts Approval Request/ DD Form 2052 IAW DI-MISC-80071E

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A004 GIDEP ALERT/SAFE-ALERT REPORT/DD Form 1938

Item No.

2002AD

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

DATA

Data ELIN A004 GIDEP Alert/Safe-Alert Report/DD Form 1938 IAW DI-QCIC-80125B

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.

Data ELIN A004 GIDEP ALERT/SAFE-ALERT REPORT/DD Form 1938

+ IAW1423 IAW DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A005 (GIDEP) ALERT RESPONSE/DD Form 1938

Item No.

2002AE

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

DATA

Data ELIN A005 GIDEP Alert Response/DD Form 1938 IAW DI-QCIC-80126B

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A006 Accident/Incident Report (Mishap Notification and Reporting)

Item No.

2002AF

Firm Fixed Price Quantity U/I Unit Price Amount

Data ELIN A006 Accident/Incident Report (Mishap Notification and Reporting)

Data ELIN A006 Accident/Incident Report (Mishap Notification and Reporting) IAW DI-SAFT-81563/T

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A007 IUID Marking Plan

Item No.

2002AG

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

DATA

Data ELIN A007 IUID Marking Plan IAW DI-MGMT-81803

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required

Data ELIN A007 IUID Marking Plan

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A008 IUID Marking Activity and Verification Report

Item No.

2002AH

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

DATA

Data ELIN A008 IUID Marking Activity and Verification Report IAW DI-MGMT-81804

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A009 Safety and Health Plan/Program

Item No.

2002AJ

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

DATA

Data ELIN A009 Safety and Health Plan/Program, IAW DI-ENVR-81375.

Limitations of Liability: Other Than High Value Item

Inspection: Destination

Data ELIN A009 Safety and Health Plan/Program

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Option Period III: This option may be exercised within 1,095 calendar days from date of award of the basic contract. An option is determined to have been exercised when transmitted electronically or by e-mail with the executed modification attached.

Low Voltage Power Supply

Item No.

Firm Fixed Price

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Part Number A2D0516-1 Priority: R ROUTINE Buy American Act/Balance of Payments Program Class I ODS Substance Application/Use Quantity None

Low Voltage Power Supply (TT&E, NFF/RETOK, and BER)

Item No.

3001AA

Firm Fixed Price Quantity U/I Unit Price Amount

209 EA

CLIN ACRN ACRN Total

3001AA AA

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply (TT&E, NFF/RETOK, and BER)

Low Voltage Power Supply Teardown, Test, & Evaluation (TT&E), No Fault Found (NFF), Re-Test OK (RETOK), and Beyond Economical Repair

(BER)

Manufacturer Part Number 09062 A2D0516-1 32324 A2D0516-1 81413 A2D0516-1 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.)

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For + TBD PAA D4M Repair RIC: SDD Type / Ship To Quantity (U/I) *ARO Contract at a rate of 20 each per month.

Req No / Pri

Required Delivery

+ TBD 209 EA *30 Calendar Days

Proposed Delivery

+ TBD 209 EA

Delivery Addendum:

For TT&E: Ship In Place For NFF/RETOK: Ship to SW3119

3001AB

Firm Fixed Price Quantity U/I Unit Price Amount

209 EA

CLIN ACRN ACRN Total

3001AB AA

Low Voltage Power Supply (Repair)

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Repair of LVPS Manufacturer Part Number 09062 A2D0516-1 32324 A2D0516-1 81413 A2D0516-1 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.)

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 D4M Repair RIC: SDD Place of Perf Quantity (U/I) *ARO Completion of CLIN 0001AA Req No / Pri

Required Period of Performance

A SW3119 209 EA *30 Calendar Days

Proposed Period of Performance

A SW3119 209 EA

Delivery Addendum: Ship to SW3119 unless directed otherwise by Item Manager. Please contact

Firm Fixed Price Quantity U/I

1 LO

Data

DATA

ELINS A001-A009, In accordance with DD 1423s and Performance-Based Statement of Work (PWS).

Priority: R ROUTINE

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD1423 Type / Ship To PACRN Mark For

IAW DD1423

Type / Ship To Quantity (U/I) *ARO Contract, IAW DD1423

_ Req No / Pri

Required Delivery

1 LO Non-MilStrip

Proposed Delivery

1 LO

FOB: Destination

3002AA

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

DATA

Data ELIN A001, Commercial Asset Visibility-Air Force (CAV AF) End Item Reporting/CAV AF IAW DI-MGMT-81634B

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 DD 1423-1

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

DD1423-1

_ Req No / Pri

Data ELIN A001 Commercial Asset Visibility-Air Force (CAV AF)

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A002 MAINTENANCE DATA COLLECTION RECORD (MDCR)/AFTO Form 349

Item No.

3002AB

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

DATA

Data ELIN A002 Maintenance Data Collection Record/AFTO Form 349 IAW DI-MISC-81371/T

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 DD 1423-1

Type / Ship To Quantity (U/I) *ARO Contract, IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A003 PARTS APPROVAL REQUEST/DD Form 2052

Item No.

3002AC

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

DATA

Data ELIN A003 Parts Approval Request/ DD Form 2052 IAW DI-MISC-80071E

Limitations of Liability: Other Than High Value Item

Data ELIN A003 PARTS APPROVAL REQUEST/DD Form 2052

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A004 GIDEP ALERT/SAFE-ALERT REPORT/DD Form 1938

Item No.

3002AD

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

DATA

Data ELIN A004 GIDEP Alert/Safe-Alert Report/DD Form 1938 IAW DI-QCIC-80125B

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

Data ELIN A004 GIDEP ALERT/SAFE-ALERT REPORT/DD Form 1938

+ IAW1423 1 LO

Data ELIN A005 (GIDEP) ALERT RESPONSE/DD Form 1938

Item No.

3002AE

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

DATA

Data ELIN A005 GIDEP Alert Response/DD Form 1938 IAW DI-QCIC-80126B

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A006 Accident/Incident Report (Mishap Notification and Reporting)

Item No.

3002AF

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

DATA

Data ELIN A006 Accident/Incident Report (Mishap Notification and Reporting) IAW DI-SAFT-81563/T

Limitations of Liability: Other Than High Value Item

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

Data ELIN A006 Accident/Incident Report (Mishap Notification and Reporting)

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A007 IUID Marking Plan

Item No.

3002AG

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

DATA

Data ELIN A007 IUID Marking Plan IAW DI-MGMT-81803

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

Data ELIN A008 IUID Marking Activity and Verification Report

Item No.

3002AH

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

DATA

Data ELIN A008 IUID Marking Activity and Verification Report IAW DI-MGMT-81804

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 DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A009 Safety and Health Plan/Program

Item No.

3002AJ

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

DATA

Data ELIN A009 Safety and Health Plan/Program, IAW DI-ENVR-81375.

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.

Data ELIN A009 Safety and Health Plan/Program

+ IAW1423 IAW DD 1423-1

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

IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Option Period IV: This option may be exercised within 1,460 calendar days from date of award of the basic contract. An option is determined to have been exercised when transmitted electronically or by e-mail with the executed modification attached.

Low Voltage Power Supply

Item No.

Firm Fixed Price

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Part Number A2D0516-1 Priority: R ROUTINE Buy American Act/Balance of Payments Program Class I ODS Substance Application/Use Quantity None

Low Voltage Power Supply (TT&E, NFF/RETOK, and BER)

Item No.

4001AA

Firm Fixed Price Quantity U/I Unit Price Amount

209 EA

CLIN ACRN ACRN Total

4001AA AA

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Teardown, Test, & Evaluation (TT&E), No Fault Found (NFF), Re-Test OK (RETOK), and Beyond Economical Repair

(BER)

Manufacturer Part Number 09062 A2D0516-1 32324 A2D0516-1 81413 A2D0516-1 Priority: R ROUTINE

Low Voltage Power Supply (TT&E, NFF/RETOK, and BER)

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.

+ TBD ORIGIN

Type / Ship To PACRN Mark For + TBD PAA D4M Repair RIC: SDD Type / Ship To Quantity (U/I) *ARO Contract at a rate of 20 each per month.

Req No / Pri

Required Delivery

+ TBD 209 EA *30 Calendar Days

Proposed Delivery

+ TBD 209 EA

Delivery Addendum:

For TT&E: Ship In Place For NFF/RETOK: Ship to SW3119

4001AB

Firm Fixed Price Quantity U/I Unit Price Amount

209 EA

CLIN ACRN ACRN Total

4001AB AA

NSN: 6130-01-521-2947 EW

Low Voltage Power Supply Repair of LVPS Manufacturer Part Number 09062 A2D0516-1 32324 A2D0516-1 81413 A2D0516-1 Priority: R ROUTINE

Low Voltage Power Supply (Repair)

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 D4M Repair RIC: SDD Place of Perf Quantity (U/I) *ARO Completion of CLIN 0001AA Req No / Pri

Required Period of Performance

A SW3119 209 EA *30 Calendar Days

Proposed Period of Performance

A SW3119 209 EA

Delivery Addendum: Ship to SW3119 unless directed otherwise by Item Manager. Please contact

Firm Fixed Price Quantity U/I

1 LO

DATA

ELINS A001-A009, In accordance with DD 1423s and Performance-Based Statement of Work (PWS).

Priority: R ROUTINE

Inspection: Destination Acceptance: Destination

Data

Quality Assurance: IAW DD1423 Type / Ship To PACRN Mark For

IAW DD1423

Type / Ship To Quantity (U/I) *ARO Contract, IAW DD1423

_ Req No / Pri

Required Delivery

1 LO Non-MilStrip

Proposed Delivery

1 LO

FOB: Destination

4002AA

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

DATA

Data ELIN A001, Commercial Asset Visibility-Air Force (CAV AF) End Item Reporting/CAV AF IAW DI-MGMT-81634B

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 DD 1423-1

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

DD1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed

Data ELIN A002 MAINTENANCE DATA COLLECTION RECORD (MDCR)/AFTO Form 349

Item No.

4002AB

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

DATA

Data ELIN A002 Maintenance Data Collection Record/AFTO Form 349 IAW DI-MISC-81371/T

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 DD 1423-1

Type / Ship To Quantity (U/I) *ARO Contract, IAW DD 1423-1

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

Data ELIN A003 PARTS APPROVAL REQUEST/DD Form 2052

Item No.

4002AC

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

DATA

Data ELIN A003 Parts Approval…

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