FA852214R00896_0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

SU

2. AMENDMENT/MODIFICATION NO.

FA8522-14-R-00896-0001

3. EFFECTIVE DATE

18 DEC 2014

4. REQUISITION/PURCHASE REQ. NO.

FD20601400896

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

TARGETING & ELECTRONIC WARFARE, AFSC/PZABB

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 7405

ROBINS AFB GA 31098-1670

BUYER: Gerlneicha J. Lockett Gerlneicha.Lockett@robins.af.mil Phone: (478) 926- 7053 Fax: (000) 000-0000 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8522

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA852214R00896

9B. DATED (SEE ITEM 11)

30-OCT-2014

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods. ( a ) By completing Items 8 and 15, and returning copies of the amendment; ( b ) By acknowledging receipt of this amendment on each copy of the offer submitted; or ( c ) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified. 16-JAN-2015 4:00 PM

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

ROUTINE

15A. NAME AND TITLE OF SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR

BY ________________________________________________________

(Signature of person authorized to sign)

15C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16B. UNITED STATES OF AMERICA

BY ____________________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

FACILITY CODE

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE

30-105 STANDARD FORM 30 (REV. 10-83)

PRESCRIBED BY GSA

FAR (48 CFR) 53.243

X

X X

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

Amendment/Modification FA8522-14-R-00896-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to:

A) Establish a line item for special test equipment prototype for the LRU-8 Antenna, NSN 5985-01-290-2072EW. Due to this addition, the CLIN schedule has been revised and has been restated below.

B) Incorporate the revised PWS, Engineering Services For ALQ-172 LRU-8 Phased Array Antenna, Rev 1 dated 12 Dec 2014 into the solicitation. This PWS should be the basis for proposal submission, and any previous versions should be discarded.

Request for Proposal FA8522-14-R-00896-0001

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

NON-RECURRING ENGINEERING SERVICES

Item No.

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

CLIN ACRN ACRN Total

0001 TB

Engineering Services Engineering Services for the Form, Fit, and Function Interface (FFFI) redesign, development of data and the delivery of prototypes for the LRU-8 applicable to the ALQ-172 system. Services to be provided are to be IAW PWS attached hereto.

Associated Document(s) Line Item(s)

FD20601400896 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001:2000

Type / Ship To PACRN Mark For

+ IAW PWS IAW PWS

Place of Perf Quantity (U/I) *ARO Contract _ Req No / Pri

Required Period of Performance

+ IAW PWS 1 LO *36 Months

Proposed Period of Performance

+ IAW PWS 1 LO

PROTOTYPES AND DATA

Item No.

Cost Plus Fixed Fee

Prototypes and Data IAW the PWS for the ALQ-172 LRU-8 Redesign Associated Document(s) Line Item(s)

FD20601400896 0002

PROTOTYPES AND DATA

Priority: R

PROTOTYPES-ANTENNA CONTROL SUB

Item No.

0002AA

Cost Plus Fixed Fee Quantity U/I Estimated Unit Cost Fixed Fee (Per Unit) Est Total Cost

8 EA

CLIN ACRN ACRN Total

0002AA TB

NSN: 5985-01-290-2072 EW

PROTOTYPES-ANTENNA CONTROL SUB

Applicable to above NSN, in accordance with PWS Associated Document(s) Line Item(s)

FD20601400896 0002

FD20601400896 01 0005

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination 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

Type / Ship To PACRN Mark For

A SV3119 AAC IAW PWS

Type / Ship To Quantity (U/I) *ARO Contract Req No / Pri

Required Delivery

A SV3119 8 EA *24 Months

Proposed Delivery

A SV3119 8 EA

DELIVERY NOTE: Notify the Government 14 calendar days prior to shipment of prototypes. The Government will provide written notice of approval/disapproval within 180 days after receipt of prototypes.

Disapproved prototypes will be retained by WNYEBA pending disposition instructions from contractor.

TEST/INSPECTION REQUIREMENTS: Performance, detailed technical requirements, or other characteristics which the prototypes must meet are contained in the AN/ALQ-172 Prime Item Functional Specification (PIFs), 2638400.Notify the ACO and Dae Lee of WNYEBA of test time and location 14 days prior to start of testing.

SPECIAL TEST EQUIPMENT (STE)

Item No.

0002AB

Cost Plus Fixed Fee Quantity U/I Estimated Unit Cost Fixed Fee (Per Unit) Est Total Cost

4 EA

SPECIAL TEST EQUIPMENT (STE)

CLIN ACRN ACRN Total

0002AB TB

SPECIAL TEST EQUIPMENT (STE)

Development and delivery of form, fit, and functional replacement of the RF Interface Unit (RFIU) IAW PWS Associated Document(s) Line Item(s)

FD20601400896 01 0006

Priority: R

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001:2000

Type / Ship To PACRN Mark For

A SV3119 AAC IAW PWS

Type / Ship To Quantity (U/I) *ARO Contract Req No / Pri

Required Delivery

A SV3119 4 EA *24 Months

Proposed Delivery

A SV3119 4 EA

DELIVERY NOTE: Notify the Government 14 calendar days prior to shipment of prototypes. The Government will provide written notice of approval/disapproval within 180 days after receipt of prototypes.

Disapproved prototypes will be retained by WNYEBA pending disposition instructions from contractor.

TEST/INSPECTION REQUIREMENTS: Performance, detailed technical requirements, or other characteristics which the prototypes must meet are contained in the AN/ALQ-172 Prime Item Functional Specification (PIFs), 2638400.Notify the ACO and Dae Lee of WNYEBA of test time and location 14 days prior to start of testing.

DATA ELIN A006 TEST PROCEDURE

Item No.

0002AC

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

Sub CLIN ACRN ACRN Total

000201 TB

DATA

DATA-A006

Test Procedure

DI-NDTI-80603A

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

DATA ELIN A006 TEST PROCEDURE

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

DELIVERY SHALL BE IAW DD FORM 1423

Test Plan required 180 calendar days from date of contract. The number of days for government approval/disapproval is 15 days.

DATA ELIN A007 TEST/INSPECTION REPORT

Item No.

0002AD

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

CLIN ACRN ACRN Total

0002AD TB

DATA

DATA-A007

Test/Inspection Report

DI-NDTI-80809B

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DELIVERY SHALL BE IAW DD FORM 1423

Test Report required 730 calendar days from date of contract. The number of days for government approval/disapproval is 15 days after receipt of contractor's report. Forward report to Dae Lee of WNYEBA.

DATA ELINs A001-A005 and A008-A018

Item No.

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

DATA ELINs A001-A005 and A008-A018

1 LO

CLIN ACRN ACRN Total

0003 TB

Data ELINs: A001-A005 and A008-A018 Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R

Limitations of Liability: Other Than High Value Item

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

DELIVERY SHALL BE IAW DD FORM 1423

DATA ELIN A001 SCIENTIFIC AND TECHNICAL REPORTS

Item No.

0003AA

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A001

Scientific and Technical Reports

DI-MISC-80711A

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DELIVERY SHALL BE IAW DD FORM 1423

DATA ELIN A002 SYSTEM/SUBSYSTEM SPECIFICATION (SSS)

Item No.

0003AB

DATA ELIN A002 SYSTEM/SUBSYSTEM SPECIFICATION (SSS)

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A002

System/Subsystem Specification (SSS)

DI-IPSC-81431A

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DELIVERY SHALL BE IAW DD FORM 1423

DATA ELIN A003 CONFERENCE AGENDA

Item No.

0003AC

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A003

Monthly Status Conference Agenda

DI-ADMN-81249A

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DELIVERY SHALL BE IAW DD FORM 1423

DATA ELIN A004 CONFERENCE MINUTES

Item No.

0003AD

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A004

Monthly Status Conference Minutes

DI-ADMN-81250A

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DELIVERY SHALL BE IAW DD FORM 1423

DATA ELIN A005 SAFETY ASSESSMENT REPORT

Item No.

0003AE

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A005

Safety Assessment Report (SAR)

DI-SAFT-80102B/T

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A008 CONFIGURATION AUDIT SUMMARY REPORT

Item No.

0003AF

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A008

Configuration Audit Summary Report

DI-CMAN-81022C

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DELIVERY SHALL BE IAW DD FORM 1423

DATA ELIN A009 TECHNICAL MANUAL CONTRACT REQUIREMENT (TMCR)

Item No.

0003AG

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A009

Technical Manual Contract Requirement (TMCR)

TM-8601 N

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A010 NOTICE OF REVISION (NOR)

Item No.

0003AH

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A010

Notice of Revision (NOR)

DI-CMAN-80642C

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DELIVERY SHALL BE IAW DD FORM 1423

DATA ELIN A011 PRODUCT DRAWINGS/MODELS & ASSOCIATED LISTS

Item No.

0003AJ

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A011

Product Drawings/Models and Associated Lists

DI-SESS-81000E/T

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A012 STATUS REPORT

Item No.

0003AK

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A012

Monthly Status Report

DI-MGMT-80368A/T

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DELIVERY SHALL BE IAW DD FORM 1423

DATA ELIN A013 CONTRACT FUNDS STATUS REPORT (CFSR)

Item No.

0003AL

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A013

Contract Funds Status Report (CFSR)

DI-MGMT-81468

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A014 DATA ACCESSION LIST (DAL)

Item No.

0003AM

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A014

Data Accession List (DAL)

DI-MGMT-81453A NOT 1

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DELIVERY SHALL BE IAW DD FORM 1423

DATA ELIN A015 MANAGEMENT PLAN

Item No.

0003AN

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A015

Management Plan

DI-MGMT-80004A

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A016 ITEM UNIQUE IDENTIFICATION MARKING PLAN

Item No.

0003AP

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A016

Item Unique Identification Marking Plan

DI-MGMT-81803

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DELIVERY SHALL BE IAW DD FORM 1423

DATA ELIN A017 ITEM UNIQUE IDENTIFICATION MARKING ACTIVITY & VERIFICATION REPORT

Item No.

0003AQ

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

1 LO

DATA

DATA-A017

Item Unique Identification Marking Activity and Verification Report

DI-MGMT-81804A

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A018 COUNTERFEIT PREVENTION PLAN

Item No.

0003AR

Cost Plus Fixed Fee Quantity U/I Unit Price Fixed Fee Est Total Cost

1 LO

DATA

DATA-A018

Counterfeit Prevention Plan

DI-MISC-81832

Associated Document(s) Line Item(s)

FD20601400896 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

DELIVERY SHALL BE IAW DD FORM 1423

TRAVEL AND PER DIEM

Item No.

Cost Reimbursement - No Fee Quantity U/I Est Unit Cost Total Estimated Cost

1 LO

CLIN ACRN ACRN Total

0004 TB

Travel & Per Diem TRAVEL IN SUPPORT OF CLIN 0001 FOR ENGINEERING SERVICES. Travel will be IAW with PWS section 4.2.17.16 and associated sub-paragraphs. Travel reimbursement is to be IAW FAR 31.2. AT NO TIME SHALL THE COST

INCURRED ABOVE EXCEED THE CLINS "TOTAL FUNDED ESTIMATED COST".

Associated Document(s) Line Item(s)

FD20601400896 0004

Priority: R

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + IAW PWS

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

AWARD NUMBER:

TYPE/CODE: A SV3119

ATTN: Dae Lee

DDWG SV3119

BLDG 368 STOREROOM C

ROBINS PARKWAY

ROBINS AFB 31098-1887

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

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

TB TO BE CITED ON CONTRACT $0.00

ACRN TOTAL $ 0.00

PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages N/A Performance_Work_Statement_Rev1.pdf 12DEC2014 25