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STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

FA8522-14-R-00031

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: 334419

8(A) SIZE STANDARD: 500

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.

YOUR PROPOSAL IS DUE ON OR BEFORE 30 JUNE 2014

EARLY DELIVERY IS ACCEPTABLE TO THE GOVERNMENT

AT NO ADDITIONAL COST FOR CLINS X001 & X002

DoDAAC: TBD

RIC: TBD

SEE LINE ITEM SCHEDULE

22.

AMOUNT

16. AUTHORITY FOR USING OTHER THAN 10 USC 2304 41 USC 253

FULL AND OPEN COMPETITION (c) (1 ) (c) ( )

DATE SIGNED

27. SIGNATURE OF OFFEROR/CONTRACTOR

20.

UNIT

21.

UNIT PRICE

19.

QUANTITY

13. CONTRACTOR OFFEROR CODE FACILITY CODE

11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN * ___ CALENDAR DAYS (60 CALENDAR

DAYS UNLESS OFFEROR INSERTS A DIFFERENT PERIOD) FROM THE DATE SET FORTH IN BLK 9

ABOVE, THE CONTRACTOR AGREES TO HOLD ITS OFFERED PRICES FIRM FOR THE ITEMS

SOLICITED HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO THE TERMS AND

CONDITIONS STATED HEREIN. *120

RATING

DO: A7

3. AWARD/EFFECTIVE DATE

FA8522

2. CONTRACT NO.

CHECK IF REMITTANCE IS DIFFERENT

AND PUT SUCH ADDRESS IN OFFER

17.

ITEM NO.

12. ADMINISTERED BY CODE

Estimated

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

SCD:B

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

24. AWARD AMOUNT (FOR GOVT USE ONLY)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAY DISCOUNT

25. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SETFORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY CONTINUATION SHEETS SUBJECT

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

10. ITEMS TO BE PURCHASED (BRIEF DESCRIPTION)

SUPPLIES SERVICES Other Electronic Component Manufacturing

9.

Offers will be received at the issuing office until the date and time specified below. Late offers are subject to late proposal provisions incorporated herein. All offers are subject to provisions, representations, certifications, and specifications as are attached or incorporated by reference.

30-JUN-2014 4:00PM

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

X

7. ISSUED BY CODE

TARGETING & ELECTRONIC WARFARE, AFSC/PZABB

460 RICHARD RAY BLVD STE 200

BLDG 301 CML PHN 478 926 7405

ROBINS AFB GA 31098-1813

BUYER: TeWanna M Davis/638 SCMG TeWanna.Davis@robins.af.mil Phone: (478) 926- 7148 Fax: (478) 926-7530 No Collect Calls

X

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)SOLICITATION/CONTRACT

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

J

SF 1447 (rev 2/2012) BACK

NO RESPONSE FOR THE REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include Zip Code)

WE DO NOT DESIRE TO BE RETAINED ON THE MAILING LIST FOR FUTURE PROCUREMENT OF THE TYPE OF

ITEMS INVOLVED

WE DO

OTHER (Specify)

CANNOT COMPLY WITH SPECIFICATIONS

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

FOLD

FOLD

FOLD

FOLD

SOLICITATION NO. FA852214R00031

DUE: 30 JUN 2014 4:00 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: TeWanna M Davis/638 SCMG

TARGETING & ELECTRONIC WARFARE, AFSC/PZABB

460 RICHARD RAY BLVD STE 200

BLDG 301 CML PHN 478 926 7405

ROBINS AFB GA 31098-1813

Request for Proposal FA8522-14-R-00031

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR REQUIREMENTS

CONTRACTS (JUL 1999)

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

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/

The purpose of this solicitation is to establish a 5 Year Firm Fixed Price Requirements contract for the issuance of orders for the repair of AN/ALQ-161A Electronic Countermeasures/Radio Frequency Surveillance (ECM/RFS) System Doubler/Mixer Down Converters (Mixer Stage Frequency).

See the Best Estimated Quantity (BEQ) for each CLIN below. Contractor is authorized to propose incremental quantity ranges according to economic price breaks available within the stated BEQ range (1 each through designated BEQ)

Delivery Note for CLINs X001 - X003. Please propose a realistic delivery date or a capacity rate per month, if unable to meet the required delivery date.

REPAIR

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

8 EA

CLIN ACRN ACRN Total

0001 TB

NSN: 5895-01-529-1724 EW

REPAIR FREQUENCY MIXER STAGE

Item Description Data for NSN 5895015291724EW: Length (IN) 3.0000; Width (IN) 5.3000; Height (IN) 6.3000;Weight (LB) .6000. Item Material: New Material, Surplus not acceptable. Item Function: Doubles RF Oscillator frequency and mixes incoming IF signals to achieve down conversion.

Manufacturer Part Number

REPAIR

FREQUENCY MIXER STAGE

0YZ01 MR289

Associated Document(s) Line Item(s)

FD20601400031 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001:2000

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBC PAA "D4M REPAIR" RIC:SDD

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A TBC 8 EA *60 Calendar Days

Proposed Delivery

A TBC 8 EA

REPAIR

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

20 EA

CLIN ACRN ACRN Total

0002 TB

NSN: 5895-01-529-1725 EW

REPAIR FREQUENCY MIXER STAGE

Item Description Data for NSN 5895015291725EW: Length (IN) 2.2800; Width (IN) 1.8000; Height (IN) .7500;Weight (LB) 1.0000. Item Material: Radio frequency electronic components. Item Function: Amplifies radio frequency electrical signals.

Manufacturer Part Number

0YZ01 MR290

Associated Document(s) Line Item(s)

REPAIR

FREQUENCY MIXER STAGE

FD20601400031 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001:2000

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBC PAC "D4M REPAIR" RIC:SDD

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A TBC 20 EA *60 Calendar Days

Proposed Delivery

A TBC 20 EA

CONDEMNATION (ITEMS BEYOND ECONOMICAL REPAIR/BER) IAW PWS PARAGRAPH 4.2.6.5

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

7 EA

CLIN ACRN ACRN Total

0003 TB

NSN: 5895-01-529-1724EW

NSN: 5895-01-529-1725EW

CONDEMNATION (ITEMS BEYOND ECONOMICAL REPAIR/BER)

FREQUENCY MIXER STAGE

Manufacturer Part Number

0YZ01 MR289

0YZ01 MR290

Associated Document(s) Line Item(s)

FD20601400031 0003

Priority: R ROUTINE

CONDEMNATION (ITEMS BEYOND ECONOMICAL REPAIR/BER) IAW PWS PARAGRAPH 4.2.6.5

FREQUENCY MIXER STAGE

Class I ODS Substance Application/Use Quantity None

**Ship To Instructions for Condemnation:

The delivery time frame will be dependent on the disposition instructions that are provided on a case by case basis after the contractor submits a condemnation request.

POC: Michelle Privette @ 478-926-1383 or michelle.privette@us.af.mil

NOTE TO CONTRACTOR: FOR DATA ELINs (A001 ‐ A011) ‐ ENTER NOT SEPARATELY PRICED (NSP)

OR INPUT THE PRICE OF EACH DATA LINE ITEM.

CONTRACT DATA REQUIREMENTS LIST

ELINS A001 - A011

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

ELINS A001 - A011

Associated Document(s) Line Item(s)

FD20601400031 0004

Exhibit: A

DATA ELIN A001

COMMERCIAL ASSET VISIBILITY AIR FORCE

Item No.

0004AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0004AA TB

DATA ELIN A001

DI-MGMT-81634B

Associated Document(s) Line Item(s)

FD20601400031 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A002

ENGINEERING CHANGE PROPOSAL

Item No.

0004AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0004AB TB

DATA ELIN A002

DI-CMAN-80639C

Associated Document(s) Line Item(s)

FD20601400031 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A003

NOTICE OF REVISION

Item No.

0004AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0004AC TB

DATA ELIN A003

DI-DCMAN-80642C

Associated Document(s) Line Item(s)

FD20601400031 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A004

MAINTENANCE DATA COLLECTION RECORD

Item No.

0004AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0004AD TB

DATA ELIN A004

DI-MISC 81371T

Associated Document(s) Line Item(s)

FD20601400031 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A005

GIDEP ALERT/SAFE-ALERT REPORT

Item No.

0004AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0004AE TB

DATA ELIN A005

DI-QCIC-80125B

Associated Document(s) Line Item(s)

FD20601400031 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A006

GIDEP ALERT RESPONSE

Item No.

0004AF

DATA ELIN A006

GIDEP ALERT RESPONSE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0004AF TB

DATA ELIN A006

DI-QCIC-80126B

Associated Document(s) Line Item(s)

FD20601400031 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A007

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

0004AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0004AG TB

DATA ELIN A007

DI-MGMT-81803

Associated Document(s) Line Item(s)

FD20601400031 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A008

IUID MARKING ACTIVITY, VALIDATION AND VERIFICATION REPORT

Item No.

0004AH

Firm Fixed Price Quantity U/I Unit Price Amount

DATA ELIN A008

IUID MARKING ACTIVITY, VALIDATION AND VERIFICATION REPORT

1 LO

CLIN ACRN ACRN Total

0004AH TB

DATA ELIN A008

DI-MGMT-81804A

Associated Document(s) Line Item(s)

FD20601400031 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A009

PARTS APPROVAL REQUEST

Item No.

0004AJ

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0004AJ TB

DATA ELIN A009

DI-MISC-80071E

Associated Document(s) Line Item(s)

FD20601400031 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A010

TEST PROCEDURE

Item No.

0004AK

Firm Fixed Price

1 LO

DATA ELIN A010

TEST PROCEDURE

CLIN ACRN ACRN Total

0004AK TB

DATA ELIN A010

DI-NDTI-80603A/T

Associated Document(s) Line Item(s)

FD20601400031 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A011

TEST INSPECTION REPORT

Item No.

0004AL

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0004AL TB

DATA ELIN A011

DI-NDTI-80809B/T

Associated Document(s) Line Item(s)

FD20601400031 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1

** DELIVERY WILL BE IAW DD FORM 1423‐1

OPTION PERIOD I

Option I may be exercised at any time, from time‐to‐time, within 365 days after effective date of contract. An option is determined to have been exercised when transmitted electronically by fax or e‐mail.

REPAIR

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

4 EA

CLIN ACRN ACRN Total

1001 TB

NSN: 5895‐01‐529‐1724 EW

REPAIR FREQUENCY MIXER STAGE

Item Description Data for NSN 5895015291724EW: Length (IN) 3.0000; Width (IN) 5.3000; Height (IN) 6.3000;Weight (LB) .6000.

Item Material: New Material, Surplus not acceptable. Item Function: Doubles RF Oscillator frequency and mixes incoming IF signals to achieve down conversion.

Manufacturer Part Number

0YZ01 MR289

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001:2000

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBC PAA "D4M REPAIR" RIC:SDD

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

_ Req No / Pri

Required Delivery

A TBC 4 EA *60 Calendar Days

Proposed Delivery

A TBC 4 EA

REPAIR

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

6 EA

CLIN ACRN ACRN Total

1002 TB

NSN: 5895‐01‐529‐1725 EW

REPAIR FREQUENCY MIXER STAGE

Item Description Data for NSN 5895015291725EW: Length (IN) 2.2800; Width (IN) 1.8000; Height (IN) .7500;Weight (LB) 1.0000.

Item Material: Radio frequency electronic components. Item Function: Amplifies radio frequency electrical signals.

Manufacturer Part Number

0YZ01 MR290

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001:2000

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBC PAC "D4M REPAIR" RIC:SDD

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

_ Req No / Pri

Required Delivery

A TBC 6 EA *60 Calendar Days

Proposed Delivery

A TBC 6 EA

CONDEMNATION (ITEMS BEYOND ECONOMICAL REPAIR/BER) IAW PWS PARAGRAPH 4.2.6.5

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

3 EA

CLIN ACRN ACRN Total

1003 TB

NSN: 5895‐01‐529‐1724EW

NSN: 5895‐01‐529‐1725EW

CONDEMNATION (ITEMS BEYOND ECONOMICAL REPAIR/BER)

FREQUENCY MIXER STAGE

Manufacturer Part Number

0YZ01 MR289

0YZ01 MR290

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE Class I ODS Substance Application/Use Quantity None

**Ship To Instructions for Condemnation:

The delivery time frame will be dependent on the disposition instructions that are provided on a case by case basis after the contractor submits a condemnation request.

POC: Michelle Privette @ 478‐926‐1383 or michelle.privette@us.af.mil

NOTE TO CONTRACTOR: FOR DATA ELINs (A001 ‐ A011) ‐ ENTER NOT SEPARATELY PRICED (NSP)

OR INPUT THE PRICE OF EACH DATA LINE ITEM.

CONTRACT DATA REQUIREMENTS LIST

ELINS A001 ‐ A011

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

ELINS A001 ‐ A011

Associated Document(s) Line Item(s)

TBD 0TBD

DATA ELIN A001

COMMERCIAL ASSET VISIBILITY AIR FORCE

Item No.

1004AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1004AA TB

DATA ELIN A001

DI‐MGMT‐81634B

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A002

ENGINEERING CHANGE PROPOSAL

Item No.

1004AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1004AB TB

DATA ELIN A002

DI‐CMAN‐80639C

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

DATA ELIN A003

NOTICE OF REVISION

Item No.

1004AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1004AC TB

DATA ELIN A003

DI‐DCMAN‐80642C

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A004

MAINTENANCE DATA COLLECTION RECORD

Item No.

1004AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1004AD TB

DATA ELIN A004

DI‐MISC 81371T

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A005

GIDEP ALERT/SAFE‐ALERT REPORT

Item No.

1004AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1004AE TB

DATA ELIN A005

DI‐QCIC‐80125B

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A006

GIDEP ALERT RESPONSE

Item No.

1004AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1004AF TB

DATA ELIN A006

DI‐QCIC‐80126B

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A007

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

1004AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1004AG TB

DATA ELIN A007

DI‐MGMT‐81803

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A008

IUID MARKING ACTIVITY, VALIDATION AND VERIFICATION REPORT

Item No.

1004AH

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1004AH TB

DATA ELIN A008

DI‐MGMT‐81804A

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A009

PARTS APPROVAL REQUEST

Item No.

1004AJ

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1004AJ TB

DATA ELIN A009

DI‐MISC‐80071E

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A010

TEST PROCEDURE

Item No.

1004AK

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1004AK TB

DATA ELIN A010

DI‐NDTI‐80603A/T

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A011

TEST INSPECTION REPORT

Item No.

1004AL

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1004AL TB

DATA ELIN A011

DI‐NDTI‐80809B/T

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

OPTION PERIOD II

Option II may be exercised at any time, from time‐to‐time, within 730 days after effective date of contract. An option is determined to have been exercised when transmitted electronically by fax or e‐mail.

REPAIR

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

4 EA

CLIN ACRN ACRN Total

2001 TB

NSN: 5895‐01‐529‐1724 EW

REPAIR FREQUENCY MIXER STAGE

Item Description Data for NSN 5895015291724EW: Length (IN) 3.0000; Width (IN) 5.3000; Height (IN) 6.3000;Weight (LB) .6000.

Item Material: New Material, Surplus not acceptable. Item Function: Doubles RF Oscillator frequency and mixes incoming IF signals to achieve down conversion.

Manufacturer Part Number

0YZ01 MR289

REPAIR

FREQUENCY MIXER STAGE

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001:2000

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBC PAA "D4M REPAIR" RIC:SDD

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

_ Req No / Pri

Required Delivery

A TBC 4 EA *60 Calendar Days

Proposed Delivery

A TBC 4 EA

REPAIR

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

6 EA

CLIN ACRN ACRN Total

2002 TB

NSN: 5895‐01‐529‐1725 EW

REPAIR FREQUENCY MIXER STAGE

Item Description Data for NSN 5895015291725EW: Length (IN) 2.2800; Width (IN) 1.8000; Height (IN) .7500;Weight (LB) 1.0000.

Item Material: Radio frequency electronic components. Item Function: Amplifies radio frequency electrical signals.

Manufacturer Part Number

REPAIR

FREQUENCY MIXER STAGE

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001:2000

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBC PAC "D4M REPAIR" RIC:SDD

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

_ Req No / Pri

Required Delivery

A TBC 6 EA *60 Calendar Days

Proposed Delivery

A TBC 6 EA

CONDEMNATION (ITEMS BEYOND ECONOMICAL REPAIR/BER) IAW PWS PARAGRAPH 4.2.6.5

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

3 EA

CLIN ACRN ACRN Total

2003 TB

NSN: 5895‐01‐529‐1724EW

NSN: 5895‐01‐529‐1725EW

CONDEMNATION (ITEMS BEYOND ECONOMICAL REPAIR/BER)

FREQUENCY MIXER STAGE

Manufacturer Part Number

0YZ01 MR289

CONDEMNATION (ITEMS BEYOND ECONOMICAL REPAIR/BER) IAW PWS PARAGRAPH 4.2.6.5

FREQUENCY MIXER STAGE

TBD 0TBD

Priority: R ROUTINE Class I ODS Substance Application/Use Quantity None

**Ship To Instructions for Condemnation:

The delivery time frame will be dependent on the disposition instructions that are provided on a case by case basis after the contractor submits a condemnation request.

POC: Michelle Privette @ 478‐926‐1383 or michelle.privette@us.af.mil

NOTE TO CONTRACTOR: FOR DATA ELINs (A001 ‐ A011) ‐ ENTER NOT SEPARATELY PRICED (NSP)

OR INPUT THE PRICE OF EACH DATA LINE ITEM.

CONTRACT DATA REQUIREMENTS LIST

ELINS A001 ‐ A011

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

ELINS A001 ‐ A011

Associated Document(s) Line Item(s)

TBD 0TBD

Exhibit: A

DATA ELIN A001

COMMERCIAL ASSET VISIBILITY AIR FORCE

Item No.

2004AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2004AA TB

DATA ELIN A001

DI‐MGMT‐81634B

Associated Document(s) Line Item(s)

TBD 0TBD

Limitations of Liability: Other Than High Value Item

DATA ELIN A001

COMMERCIAL ASSET VISIBILITY AIR FORCE

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A002

ENGINEERING CHANGE PROPOSAL

Item No.

2004AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2004AB TB

DATA ELIN A002

DI‐CMAN‐80639C

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A003

NOTICE OF REVISION

Item No.

2004AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2004AC TB

DATA ELIN A003

DI‐DCMAN‐80642C

Associated Document(s) Line Item(s)

DATA ELIN A003

NOTICE OF REVISION

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A004

MAINTENANCE DATA COLLECTION RECORD

Item No.

2004AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2004AD TB

DATA ELIN A004

DI‐MISC 81371T

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A005

GIDEP ALERT/SAFE‐ALERT REPORT

Item No.

2004AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2004AE TB

DATA ELIN A005

DI‐QCIC‐80125B

DATA ELIN A005

GIDEP ALERT/SAFE‐ALERT REPORT

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A006

GIDEP ALERT RESPONSE

Item No.

2004AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2004AF TB

DATA ELIN A006

DI‐QCIC‐80126B

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A007

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

2004AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2004AG TB

DATA ELIN A007

DATA ELIN A007

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

DI‐MGMT‐81803

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A008

IUID MARKING ACTIVITY, VALIDATION AND VERIFICATION REPORT

Item No.

2004AH

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2004AH TB

DATA ELIN A008

DI‐MGMT‐81804A

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A009

PARTS APPROVAL REQUEST

Item No.

2004AJ

Firm Fixed Price Quantity U/I Unit Price Amount

CLIN ACRN ACRN Total

DATA ELIN A009

PARTS APPROVAL REQUEST

2004AJ TB

DATA ELIN A009

DI‐MISC‐80071E

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A010

TEST PROCEDURE

Item No.

2004AK

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2004AK TB

DATA ELIN A010

DI‐NDTI‐80603A/T

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A011

TEST INSPECTION REPORT

Item No.

2004AL

Firm Fixed Price

DATA ELIN A011

TEST INSPECTION REPORT

1 LO

CLIN ACRN ACRN Total

2004AL TB

DATA ELIN A011

DI‐NDTI‐80809B/T

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

OPTION PERIOD III

Option III may be exercised at any time, from time‐to‐time, within 1095 days after effective date of contract. An option is determined to have been exercised when transmitted electronically by fax or e‐mail.

REPAIR

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

4 EA

CLIN ACRN ACRN Total

3001 TB

NSN: 5895‐01‐529‐1724 EW

REPAIR FREQUENCY MIXER STAGE

Item Description Data for NSN 5895015291724EW: Length (IN) 3.0000; Width (IN) 5.3000; Height (IN) 6.3000;Weight (LB) .6000.

Item Material: New Material, Surplus not acceptable. Item Function: Doubles RF Oscillator frequency and mixes incoming IF signals to achieve down conversion.

Manufacturer Part Number

0YZ01 MR289

REPAIR

FREQUENCY MIXER STAGE

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001:2000

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBC PAA "D4M REPAIR" RIC:SDD

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

_ Req No / Pri

Required Delivery

A TBC 4 EA *60 Calendar Days

Proposed Delivery

A TBC 4 EA

REPAIR

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

6 EA

CLIN ACRN ACRN Total

3002 TB

NSN: 5895‐01‐529‐1725 EW

REPAIR FREQUENCY MIXER STAGE

Item Description Data for NSN 5895015291725EW: Length (IN) 2.2800; Width (IN) 1.8000; Height (IN) .7500;Weight (LB) 1.0000.

Item Material: Radio frequency electronic components. Item Function: Amplifies radio frequency electrical signals.

Manufacturer Part Number

0YZ01 MR290

REPAIR

FREQUENCY MIXER STAGE

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001:2000

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBC PAC "D4M REPAIR" RIC:SDD

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

_ Req No / Pri

Required Delivery

A TBC 6 EA *60 Calendar Days

Proposed Delivery

A TBC 6 EA

CONDEMNATION (ITEMS BEYOND ECONOMICAL REPAIR/BER) IAW PWS PARAGRAPH 4.2.6.5

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

3 EA

CLIN ACRN ACRN Total

3003 TB

NSN: 5895‐01‐529‐1724EW

NSN: 5895‐01‐529‐1725EW

CONDEMNATION (ITEMS BEYOND ECONOMICAL REPAIR/BER)

FREQUENCY MIXER STAGE

Manufacturer Part Number

0YZ01 MR289

0YZ01 MR290

CONDEMNATION (ITEMS BEYOND ECONOMICAL REPAIR/BER) IAW PWS PARAGRAPH 4.2.6.5

FREQUENCY MIXER STAGE

Priority: R ROUTINE Class I ODS Substance Application/Use Quantity None

**Ship To Instructions for Condemnation:

The delivery time frame will be dependent on the disposition instructions that are provided on a case by case basis after the contractor submits a condemnation request.

POC: Michelle Privette @ 478‐926‐1383 or michelle.privette@us.af.mil

NOTE TO CONTRACTOR: FOR DATA ELINs (A001 ‐ A011) ‐ ENTER NOT SEPARATELY PRICED (NSP)

OR INPUT THE PRICE OF EACH DATA LINE ITEM.

CONTRACT DATA REQUIREMENTS LIST

ELINS A001 ‐ A011

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

ELINS A001 ‐ A011

Associated Document(s) Line Item(s)

TBD 0TBD

Exhibit: A

DATA ELIN A001

COMMERCIAL ASSET VISIBILITY AIR FORCE

Item No.

3004AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3004AA TB

DATA ELIN A001

DI‐MGMT‐81634B

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A002

ENGINEERING CHANGE PROPOSAL

Item No.

3004AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3004AB TB

DATA ELIN A002

DI‐CMAN‐80639C

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A003

NOTICE OF REVISION

Item No.

3004AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3004AC TB

DATA ELIN A003

DI‐DCMAN‐80642C

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A004

MAINTENANCE DATA COLLECTION RECORD

Item No.

3004AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3004AD TB

DATA ELIN A004

DI‐MISC 81371T

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A005

GIDEP ALERT/SAFE‐ALERT REPORT

Item No.

3004AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3004AE TB

DATA ELIN A005

DI‐QCIC‐80125B

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A006

GIDEP ALERT RESPONSE

Item No.

3004AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3004AF TB

DATA ELIN A006

DI‐QCIC‐80126B

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A007

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

3004AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3004AG TB

DATA ELIN A007

DI‐MGMT‐81803

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A008

IUID MARKING ACTIVITY, VALIDATION AND VERIFICATION REPORT

Item No.

3004AH

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3004AH TB

DATA ELIN A008

DI‐MGMT‐81804A

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A009

PARTS APPROVAL REQUEST

Item No.

3004AJ

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3004AJ TB

DATA ELIN A009

DI‐MISC‐80071E

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A010

TEST PROCEDURE

Item No.

3004AK

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3004AK TB

DATA ELIN A010

DI‐NDTI‐80603A/T

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A011

TEST INSPECTION REPORT

Item No.

3004AL

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3004AL TB

DATA ELIN A011

DI‐NDTI‐80809B/T

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

OPTION PERIOD IV

Option IV may be exercised at any time, from time‐to‐time, within 1460 days after effective date of contract. An option is determined to have been exercised when transmitted electronically by fax or e‐mail.

REPAIR

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

4 EA

CLIN ACRN ACRN Total

4001 TB

NSN: 5895‐01‐529‐1724 EW

REPAIR FREQUENCY MIXER STAGE

Item Description Data for NSN 5895015291724EW: Length (IN) 3.0000; Width (IN) 5.3000; Height (IN) 6.3000;Weight (LB) .6000.

Item Material: New Material, Surplus not acceptable. Item Function: Doubles RF Oscillator frequency and mixes incoming IF signals to achieve down conversion.

Manufacturer Part Number

0YZ01 MR289

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001:2000

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBC PAA "D4M REPAIR" RIC:SDD

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

_ Req No / Pri

REPAIR

FREQUENCY MIXER STAGE

Required Delivery

A TBC 4 EA *60 Calendar Days

Proposed Delivery

A TBC 4 EA

REPAIR

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

6 EA

CLIN ACRN ACRN Total

4002 TB

NSN: 5895‐01‐529‐1725 EW

REPAIR FREQUENCY MIXER STAGE

Item Description Data for NSN 5895015291725EW: Length (IN) 2.2800; Width (IN) 1.8000; Height (IN) .7500;Weight (LB) 1.0000.

Item Material: Radio frequency electronic components. Item Function: Amplifies radio frequency electrical signals.

Manufacturer Part Number

0YZ01 MR290

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001:2000

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Class I ODS Substance Application/Use Quantity None Type / Ship To PACRN Mark For

A TBC PAC "D4M REPAIR" RIC:SDD

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

_ Req No / Pri

REPAIR

FREQUENCY MIXER STAGE

Required Delivery

A TBC 6 EA *60 Calendar Days

Proposed Delivery

A TBC 6 EA

CONDEMNATION (ITEMS BEYOND ECONOMICAL REPAIR/BER) IAW PWS PARAGRAPH 4.2.6.5

FREQUENCY MIXER STAGE

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

3 EA

CLIN ACRN ACRN Total

4003 TB

NSN: 5895‐01‐529‐1724EW

NSN: 5895‐01‐529‐1725EW

CONDEMNATION (ITEMS BEYOND ECONOMICAL REPAIR/BER)

FREQUENCY MIXER STAGE

Manufacturer Part Number

0YZ01 MR289

0YZ01 MR290

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE Class I ODS Substance Application/Use Quantity None

**Ship To Instructions for Condemnation:

The delivery time frame will be dependent on the disposition instructions that are provided on a case by case basis after the contractor submits a condemnation request.

POC: Michelle Privette @ 478‐926‐1383 or michelle.privette@us.af.mil

NOTE TO CONTRACTOR: FOR DATA ELINs (A001 ‐ A011) ‐ ENTER NOT SEPARATELY PRICED (NSP)

OR INPUT THE PRICE OF EACH DATA LINE ITEM.

CONTRACT DATA REQUIREMENTS LIST

ELINS A001 ‐ A011

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

DATA

CONTRACT DATA REQUIREMENTS LIST

ELINS A001 ‐ A011

ELINS A001 ‐ A011

Associated Document(s) Line Item(s)

TBD 0TBD

Exhibit: A

DATA ELIN A001

COMMERCIAL ASSET VISIBILITY AIR FORCE

Item No.

4004AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4004AA TB

DATA ELIN A001

DI‐MGMT‐81634B

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A002

ENGINEERING CHANGE PROPOSAL

Item No.

4004AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4004AB TB

DATA ELIN A002

DI‐CMAN‐80639C

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A002

ENGINEERING CHANGE PROPOSAL

Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A003

NOTICE OF REVISION

Item No.

4004AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4004AC TB

DATA ELIN A003

DI‐DCMAN‐80642C

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A004

MAINTENANCE DATA COLLECTION RECORD

Item No.

4004AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4004AD TB

DATA ELIN A004

DI‐MISC 81371T

Associated Document(s) Line Item(s)

TBD 0TBD

Limitations of Liability: Other Than High Value Item

DATA ELIN A004

MAINTENANCE DATA COLLECTION RECORD

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A005

GIDEP ALERT/SAFE‐ALERT REPORT

Item No.

4004AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4004AE TB

DATA ELIN A005

DI‐QCIC‐80125B

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A006

GIDEP ALERT RESPONSE

Item No.

4004AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4004AF TB

DATA ELIN A006

DI‐QCIC‐80126B

Associated Document(s) Line Item(s)

DATA ELIN A006

GIDEP ALERT RESPONSE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A007

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

4004AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4004AG TB

DATA ELIN A007

DI‐MGMT‐81803

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A008

IUID MARKING ACTIVITY, VALIDATION AND VERIFICATION REPORT

Item No.

4004AH

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4004AH TB

DATA ELIN A008

DI‐MGMT‐81804A

DATA ELIN A008

IUID MARKING ACTIVITY, VALIDATION AND VERIFICATION REPORT

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A009

PARTS APPROVAL REQUEST

Item No.

4004AJ

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4004AJ TB

DATA ELIN A009

DI‐MISC‐80071E

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A010

TEST PROCEDURE

Item No.

4004AK

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4004AK TB

DATA ELIN A010

DATA ELIN A010

TEST PROCEDURE

DI‐NDTI‐80603A/T

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423‐1

** DELIVERY WILL BE IAW DD FORM 1423‐1

DATA ELIN A011

TEST INSPECTION REPORT

Item No.

4004AL

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4004AL TB

DATA ELIN A011

DI‐NDTI‐80809B/T

Associated Document(s) Line Item(s)

TBD 0TBD

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

SHIP…

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