FA852218R0016.pdf
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- Attached to
- Repair of Digitally Tuned Oscillator ISO ALQ-131
- Solicitation number
- FA8522-18-R-0016
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| 2312627_CDRL1_REPORT.pdf |
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Text version
STANDARD FORM 1447 (2/2012)
Prescribed by GSA FAR (48 CFR) 53.215-1(d)
4. SOLICITATION NUMBER
FA8522-18-R-0016
6.SOLICITATION ISSUE DATE
8. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR
SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)
ELIGIBLE UNDER THE WOSB PROGRAM
HUBZONE SMALL
BUSINESS EDWOSB
SERVICE-DISABLED VETERAN-
OWNED SMALL BUSINESS NAICS CODE: 334511
8(A) SIZE STANDARD: 1250
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 30 days.
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. *30
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, Navigation, Guidance, Aeronautical, and Nautical Syste
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.
7-JUN-2019 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
235 BYRON ST STE 19A
BLDG 300 CML PHN 478 926 7405
ROBINS AFB GA 31098-1670
BUYER: Bret M. Cox/PZABB bret.cox.1@us.af.mil Phone: (478) 926- 5177 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. FA852218R0016
DUE: 7 JUN 2019 4:00 PM
FROM: AFFIX
STAMP
HERE
TO:
ATTN: Bret M Cox/PZABB
TARGETING & ELECTRONIC WARFARE, AFSC/PZABB
235 BYRON ST STE 19A
BLDG 300 CML PHN 478 926 7405
ROBINS AFB GA 31098-1670
FA8522-18-R-0016
PART I - THE SCHEDULE
SECTION B
SUPPLIES OR SERVICES AND PRICES/COSTS
BASIS FOR AWARD: The schedule contains a Basic Period of 12-months (365 days) from date of award and four (4) 12-month outyear ordering periods. Basic and Ordering Period CLINs are denoted under the schedule as follows:
Basic Period CLIN 0001 Ordering Period I CLIN 1001 Ordering Period II CLIN 2001 Ordering Period III CLIN 3001 Ordering Period IV CLIN 4001
Contractor shall be responsible for furnishing all parts, materials or special tools that may be required to repair the assets.
Note to DCMA:
This item can not be shipped directly to Herley-Israel without first being declassified. It also can not receive ATP testing at Herley-Israel due to the classified nature of the control data.
DCMA Alternate Release Program (ARP) authorization is strictly prohibited in all cases. Certificate of Conformance (COC) is strictly prohibited in all cases. Approval of Engineering Change Proposals (ECPs), Deviations, Waivers, or changes to technical or test requirements by the contractor or DCMA is strictly prohibited in all cases. DO NOT ALLOW TEST REPORTS TO SHIP WITH PRODUCTION ASSETS.
The referenced item is a Critical Application Items (CAI). As such, careful Government Source Inspection (GSI) is required and warranted. JO23 Code is "1G". The referenced item listed on this contract satisfy DOD rules for GSI as contained within AFMCI 23-102 and DLAI 3200.1.
Additional instructions may be provided by the Responsible Engineering Authority (REA) in DD 1432 Contract Data Requirements Lists (CDRLs) that accompany the Performance Work Statement (PWS) in the contract. WAWF invoices for Test Reports (if required by CDRL) should not be signed by the QAR but should be delivered to Air Force Life Cycle Management Center (AFLMC)/WNYEAA for signature by the REA. One hundred (100%) of all units must be subjected to and successfully pass all testing.
Non-conformances are not authorized except for minor paint discoloration due to testing. Contact the REA: M. Grayson (478) 222-4372 or DNS 472-4372 for any assistance required. NSN 5955-01-466-6451EW, Part Number: 9815241-101; Nomenclature: 12-bit temperature-controlled SMA-type MIL-E-5400 (Class-2-applicable) RF Digitally Tuned (Controlled) Oscillator DTO (DCO).
Basic Ordering Period: 12 months from Date of Award.
REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)
Item No.
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
130 EA
CLIN ACRN ACRN Total
0001 AA
NSN: 5955-01-466-6451 EW
OSCILLATOR, NON-CRYSTAL
Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)
FD20601800003 0001
FD20601800003 01 0001
Priority: R
Limitations of Liability: Other Than High Value Item
Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)
Title Number Date Tailoring
ISO 9001-2000 2000
Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For A SW3119 AAB D4M Repair RIC SDD Type / Ship To Quantity (U/I) *ARO To Be
Negotiated.
_ Req No / Pri
Required Delivery
A SW3119 130 EA *120 Calendar Days Non-MilStrip
Proposed Delivery
A SW3119 130 EA
Early delivery is acceptable.
DATA
Item No.
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
DATA
0002 AA
Data IAW DD Form 1423 Associated Document(s) Line Item(s)
FD20601800003 01 0002
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection
Transportation From Continental United States CONUS (CONUS) Sources
TYPE / SHIP TO CODE F.O.B.
+ IAW1423 DESTINATION
Type / Ship To PACRN Mark For
+ IAW1423 IAW DD1423
Type / Ship To Quantity (U/I) *ARO IAW DD FORM
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
Packaging: IAW DD1423
Early delivery is acceptable.
Commercial Asset Visibility AF (CAV AF) End Item Reporting
DATA
Item No.
0002AA
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
0002AA AA
DATA
ELIN A001, Commercial Asset Visibility AF (CAV AF) End Item Reporting
DI-MGMT-81634C
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required
Commercial Asset Visibility AF (CAV AF) End Item Reporting
DATA
Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
Acceptance Test Report
DATA
Item No.
0002AB
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
0002AB AA
DATA
ELIN A002 - Acceptance Test Report
DI-NDTI-80809B
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
Alert/Safe Alert Report
DATA
Item No.
0002AC
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
0002AC AA
DATA
Alert/Safe Alert Report
DATA
ELIN A003, Alert/Safe Alert Report
DI-QCIC-80125B
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
Alert/Safe Alert Response
DATA
Item No.
0002AD
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
0002AD AA
DATA
ELIN A004, Alert/Safe Alert Response
DI-QCIC-80126B
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
IUID Marking Plan
DATA
Item No.
0002AE
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
0002AE AA
DATA
ELIN A005, IUID Marking Plan
DI-MGMT-81803
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
IUID Marking Activity and Verification Report
DATA
Item No.
0002AF
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
0002AF AA
DATA
ELIN A006, IUID Marking Activity and Verification Report
DI-MGMT-81804A
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required
IUID Marking Activity and Verification Report
DATA
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
Counterfeit Prevention Plan
DATA
Item No.
0002AG
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
0002AG AA
DATA
ELIN A007, Counterfeit Prevention Plan
DI-MISC-81832
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
CONDEMNATION OF DTO
Item No.
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
26 EA
CLIN ACRN ACRN Total
0003 AA
NSN: 5955-01-466-6451 EW
Condemnation - OSCILLATOR, NON-CRYSTAL Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101
CONDEMNATION OF DTO
98752 9815241-101 Associated Document(s) Line Item(s)
FD20601800003 01 0001AA
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 2008 9001:2000
Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For
I AW PWS IAW PWS
Type / Ship To Quantity (U/I) *ARO IAW PWS _ Req No / Pri
Required Delivery
I AW PWS 26 EA
Proposed Delivery
I AW PWS 26 EA
Outyear Ordering Period I: The 12-month period immediately following the Basic Ordering Period.
REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)
Item No.
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
75 EA
CLIN ACRN ACRN Total
1001 AA
NSN: 5955-01-466-6451 EW
OSCILLATOR, NON-CRYSTAL
Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)
FD20601800003 0001
FD20601800003 01 0001
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Origin Acceptance: Origin
REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)
Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)
Title Number Date Tailoring
ISO 9001-2000 2000
Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For A SW3119 AAB D4M Repair RIC SDD Type / Ship To Quantity (U/I) *ARO To Be
Negotiated.
_ Req No / Pri
Required Delivery
A SW3119 75 EA *120 Calendar Days Non-MilStrip
Proposed Delivery
A SW3119 75 EA
DATA
Item No.
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
1002 AA
Data IAW DD Form 1423 Associated Document(s) Line Item(s)
FD20601800003 0002
FD20601800003 01 0002
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection
Transportation From Continental United States CONUS (CONUS) Sources
TYPE / SHIP TO CODE F.O.B.
+ IAW1423 DESTINATION
Type / Ship To PACRN Mark For
+ IAW1423 IAW DD1423
Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required
DATA
Proposed Delivery
+ IAW1423 1 LO
Packaging: IAW DD1423
Early delivery is acceptable.
COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)
Item No.
1002AA
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
1002AA AA
DATA
IAW DD Form 1423 A001 Commercial Asset Visibility AF (CAV AF) End Item Reporting DI-MGMT-81634B Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
ALERT/SAFE-ALERT REPORT (A002)
Item No.
1002AB
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
1002AB AA
DATA
IAW DD Form 1423 A002 Alert/Safe-Alert Report/DD Form 1938 DI-QCIC-80125B Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
ALERT/SAFE-ALERT REPORT (A002)
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
ALERT/SAFE-ALERT RESPONSE (A003)
Item No.
1002AC
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
1002AC AA
DATA
IAW DD Form 1423 A003 Alert/Safe-Alert Response DI-QCIC-80126B Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)
Item No.
1002AD
Firm Fixed Price Quantity U/I Unit Price Amount
MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)
1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
1002AD AA
DATA
IAW DD Form 1423 A004 Maintenance Data Collection Record/AFTO 349 DI-MISC-81371/T Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
ENGINEERING CHANGE PROPOSAL (ECP) (A005)
Item No.
1002AE
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
1002AE AA
DATA
IAW DD Form 1423 A005 Engineering Change Proposal/ECP DI-CMAN-80639C Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed
ENGINEERING CHANGE PROPOSAL (ECP) (A005)
+ IAW1423 1 LO
REPAIRABLE ITEM INSPECTION REPORT (A006)
Item No.
1002AF
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
1002AF AA
DATA
IAW DD Form 1423 A006 Repairable Item Inspection Report DI-ILSS-80386 Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)
Item No.
1002AG
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
1002AG AA
DATA
IAW DD Form 1423 A007 Test-Inspection Report/Acceptance Test Report DI-NDTI-80809B Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination
Exhibit: A
TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)
Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
CONDEMNATION OF DTO
Item No.
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
15 EA
CLIN ACRN ACRN Total
1003 AA
NSN: 5955-01-466-6451 EW
Condemnation - OSCILLATOR, NON-CRYSTAL Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 98752 9815241-101 Associated Document(s) Line Item(s)
FD20601800003 01 0001AA
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 2008 9001:2000
Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For
I AW PWS IAW PWS
Type / Ship To Quantity (U/I) *ARO IAW PWS _ Req No / Pri
Required Delivery
I AW PWS 15 EA
Proposed Delivery
I AW PWS 15 EA
Outyear Ordering Period II: The 12-month period immediately following Outyear Ordering Period I.
REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)
Item No.
Firm Fixed Price Best Estimated Qty
U/I Quantity Amount
60 EA
CLIN ACRN ACRN Total
2001 AA
NSN: 5955-01-466-6451 EW
OSCILLATOR, NON-CRYSTAL
Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)
FD20601800003 0001
FD20601800003 01 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 2000
Buy American Act/Balance of Payments Program
Transportation From Continental United States CONUS (CONUS) Sources
TYPE / SHIP TO CODE F.O.B.
A SW3119 ORIGIN
Type / Ship To PACRN Mark For A SW3119 AAB D4M Repair RIC SDD Type / Ship To Quantity (U/I) *ARO To Be
Negotiated.
_ Req No / Pri
Required Delivery
A SW3119 60 EA *120 Calendar Days Non-MilStrip
Proposed Delivery
A SW3119 60 EA
DATA
Item No.
DATA
1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
2002 AA
Data IAW DD Form 1423 Associated Document(s) Line Item(s)
FD20601800003 0002
FD20601800003 01 0002
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection
Transportation From Continental United States CONUS (CONUS) Sources
TYPE / SHIP TO CODE F.O.B.
+ IAW1423 DESTINATION
Type / Ship To PACRN Mark For
+ IAW1423 IAW DD1423
Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
Packaging: IAW DD1423
Early delivery is acceptable.
COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)
Item No.
2002AA
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
2002AA AA
DATA
IAW DD Form 1423 A001 Commercial Asset Visibility AF (CAV AF) End Item Reporting DI-MGMT-81634B
COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
ALERT/SAFE-ALERT REPORT (A002)
Item No.
2002AB
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
2002AB AA
DATA
IAW DD Form 1423 A002 Alert/Safe-Alert Report/DD Form 1938 DI-QCIC-80125B Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
ALERT/SAFE-ALERT RESPONSE (A003)
Item No.
2002AC
ALERT/SAFE-ALERT RESPONSE (A003)
1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
2002AC AA
DATA
IAW DD Form 1423 A003 Alert/Safe-Alert Response DI-QCIC-80126B Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)
Item No.
2002AD
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
2002AD AA
DATA
IAW DD Form 1423 A004 Maintenance Data Collection Record/AFTO 349 DI-MISC-81371/T Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)
+ IAW1423 1 LO
ENGINEERING CHANGE PROPOSAL (ECP) (A005)
Item No.
2002AE
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
2002AE AA
DATA
IAW DD Form 1423 A005 Engineering Change Proposal/ECP DI-CMAN-80639C Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
REPAIRABLE ITEM INSPECTION REPORT (A006)
Item No.
2002AF
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
2002AF AA
DATA
IAW DD Form 1423 A006 Repairable Item Inspection Report DI-ILSS-80386 Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination
REPAIRABLE ITEM INSPECTION REPORT (A006)
Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)
Item No.
2002AG
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
2002AG AA
DATA
IAW DD Form 1423 A007 Test-Inspection Report/Acceptance Test Report DI-NDTI-80809B Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
CONDEMNATION OF DTO
Item No.
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
12 EA
2003 AA
CONDEMNATION OF DTO
NSN: 5955-01-466-6451 EW
Condemnation - OSCILLATOR, NON-CRYSTAL Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 98752 9815241-101 Associated Document(s) Line Item(s)
FD20601800003 01 0001AA
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 2008 9001:2000
Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For
I AW PWS IAW PWS
Type / Ship To Quantity (U/I) *ARO IAW PWS _ Req No / Pri
Required Delivery
I AW PWS 12 EA
Proposed Delivery
I AW PWS 12 EA
Outyear Ordering Period III: The 12-month period immediately following Outyear Ordering Period II.
REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)
Item No.
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
60 EA
CLIN ACRN ACRN Total
3001 AA
NSN: 5955-01-466-6451 EW
OSCILLATOR, NON-CRYSTAL
Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)
FD20601800003 0001
FD20601800003 01 0001
REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)
Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)
Title Number Date Tailoring
ISO 9001-2000 2000
Buy American Act/Balance of Payments Program
Transportation From Continental United States CONUS (CONUS) Sources
TYPE / SHIP TO CODE F.O.B.
A SW3119 ORIGIN
Type / Ship To PACRN Mark For A SW3119 AAB D4M Repair RIC SDD Type / Ship To Quantity (U/I) *ARO To Be
Negotiated.
_ Req No / Pri
Required Delivery
A SW3119 60 EA *120 Calendar Days Non-MilStrip
Proposed Delivery
A SW3119 60 EA
DATA
Item No.
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
3002 AA
Data IAW DD Form 1423 Associated Document(s) Line Item(s)
FD20601800003 0002
FD20601800003 01 0002
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection
Transportation From Continental United States CONUS (CONUS) Sources
TYPE / SHIP TO CODE F.O.B.
+ IAW1423 DESTINATION
DATA
Type / Ship To PACRN Mark For
+ IAW1423 IAW DD1423
Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
Packaging: IAW DD1423
Early delivery is acceptable.
COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)
Item No.
3002AA
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
3002AA AA
DATA
IAW DD Form 1423 A001 Commercial Asset Visibility AF (CAV AF) End Item Reporting DI-MGMT-81634B Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
ALERT/SAFE-ALERT REPORT (A002)
Item No.
3002AB
Firm Fixed Price
1 LO Not Separately Priced Not Separately Priced
ALERT/SAFE-ALERT REPORT (A002)
CLIN ACRN ACRN Total
3002AB AA
DATA
IAW DD Form 1423 A002 Alert/Safe-Alert Report/DD Form 1938 DI-QCIC-80125B Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
ALERT/SAFE-ALERT RESPONSE (A003)
Item No.
3002AC
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
3002AC AA
DATA
IAW DD Form 1423 A003 Alert/Safe-Alert Response DI-QCIC-80126B Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed
MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)
Item No.
3002AD
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
3002AD AA
DATA
IAW DD Form 1423 A004 Maintenance Data Collection Record/AFTO 349 DI-MISC-81371/T Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
ENGINEERING CHANGE PROPOSAL (ECP) (A005)
Item No.
3002AE
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
3002AE AA
DATA
IAW DD Form 1423 A005 Engineering Change Proposal/ECP DI-CMAN-80639C Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required
ENGINEERING CHANGE PROPOSAL (ECP) (A005)
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
REPAIRABLE ITEM INSPECTION REPORT (A006)
Item No.
3002AF
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
3002AF AA
DATA
IAW DD Form 1423 A006 Repairable Item Inspection Report DI-ILSS-80386 Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)
Item No.
3002AG
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
3002AG AA
DATA
IAW DD Form 1423 A007 Test-Inspection Report/Acceptance Test Report DI-NDTI-80809B
TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
CONDEMNATION OF DTO
Item No.
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
12 EA
CLIN ACRN ACRN Total
3003 AA
NSN: 5955-01-466-6451 EW
Condemnation - OSCILLATOR, NON-CRYSTAL Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 98752 9815241-101 Associated Document(s) Line Item(s)
FD20601800003 01 0001AA
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 2008 9001:2000
Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For
I AW PWS IAW PWS
Type / Ship To Quantity (U/I) *ARO IAW PWS _ Req No / Pri
Required
I AW PWS 12 EA
CONDEMNATION OF DTO
Proposed Delivery
I AW PWS 12 EA
Outyear Ordering Period IV: The 12-month period immediately following Outyear Ordering Period III.
REPAIR OF DIGITALLY TUNED OSCILLATOR (DTO)
Item No.
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
60 EA
CLIN ACRN ACRN Total
4001 AA
NSN: 5955-01-466-6451 EW
OSCILLATOR, NON-CRYSTAL
Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 Associated Document(s) Line Item(s)
FD20601800003 0001
FD20601800003 01 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 2000
Buy American Act/Balance of Payments Program
Transportation From Continental United States CONUS (CONUS) Sources
TYPE / SHIP TO CODE F.O.B.
A SW3119 ORIGIN
Type / Ship To PACRN Mark For A SW3119 AAB D4M Repair RIC SDD Type / Ship To Quantity (U/I) *ARO To Be
Negotiated.
_ Req No / Pri
Required Delivery
A SW3119 60 EA *120 Calendar Days Non-MilStrip
Proposed
A SW3119 60 EA
DATA
Item No.
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
4002 AA
Data IAW DD Form 1423 Associated Document(s) Line Item(s)
FD20601800003 0002
FD20601800003 01 0002
Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection
Transportation From Continental United States CONUS (CONUS) Sources
TYPE / SHIP TO CODE F.O.B.
+ IAW1423 DESTINATION
Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
Packaging: IAW DD1423
Early delivery is acceptable.
COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)
Item No.
4002AA
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
4002AA AA
DATA
IAW DD Form 1423 A001 Commercial Asset Visibility AF (CAV AF) End Item Reporting DI-MGMT-81634B
COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING (A001)
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
ALERT/SAFE-ALERT REPORT (A002)
Item No.
4002AB
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
4002AB AA
DATA
IAW DD Form 1423 A002 Alert/Safe-Alert Report/DD Form 1938 DI-QCIC-80125B Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
ALERT/SAFE-ALERT RESPONSE (A003)
Item No.
4002AC
ALERT/SAFE-ALERT RESPONSE (A003)
1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
4002AC AA
DATA
IAW DD Form 1423 A003 Alert/Safe-Alert Response DI-QCIC-80126B Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)
Item No.
4002AD
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
4002AD AA
DATA
IAW DD Form 1423 A004 Maintenance Data Collection Record/AFTO 349 DI-MISC-81371/T Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
MAINTENANCE DATA COLLECTION RECORD--AFTO 349 (A004)
+ IAW1423 1 LO
ENGINEERING CHANGE PROPOSAL (ECP) (A005)
Item No.
4002AE
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
4002AE AA
DATA
IAW DD Form 1423 A005 Engineering Change Proposal/ECP DI-CMAN-80639C Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
REPAIRABLE ITEM INSPECTION REPORT (A006)
Item No.
4002AF
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
4002AF AA
DATA
IAW DD Form 1423 A006 Repairable Item Inspection Report DI-ILSS-80386 Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination
REPAIRABLE ITEM INSPECTION REPORT (A006)
Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
TEST-INSPECTION REPORT/ACCEPTANCE TEST REPORT (A007)
Item No.
4002AG
Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced
CLIN ACRN ACRN Total
4002AG AA
DATA
IAW DD Form 1423 A007 Test-Inspection Report/Acceptance Test Report DI-NDTI-80809B Priority: R ROUTINE
Limitations of Liability: Other Than High Value Item
Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD
FORM 1423
_ Req No / Pri
Required Delivery
+ IAW1423 1 LO
Proposed Delivery
+ IAW1423 1 LO
CONDEMNATION OF DTO
Item No.
Firm Fixed Price Best Estimated Qty
U/I Unit Price Amount
12 EA
4003 AA
CONDEMNATION OF DTO
NSN: 5955-01-466-6451 EW
Condemnation - OSCILLATOR, NON-CRYSTAL Applicable to the ALQ-131 Systems Manufacturer Part Number 11332 9815241-101 98752 9815241-101 Associated Document(s) Line Item(s)
FD20601800003 01 0001AA
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 2008 9001:2000
Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For
I AW PWS IAW PWS
Type / Ship To Quantity (U/I) *ARO IAW PWS _ Req No / Pri
Required Delivery
I AW PWS 12 EA
Proposed
I AW PWS 12 EA
SHIP TO / PLACE OF PERFORMANCE
TYPE/CODE: + CNOTE
MARK FOR: (See Individual Line Item) REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)
AWARD NUMBER:
TYPE/CODE: + IAW1423
MARK FOR: (See Individual Line Item) REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)
AWARD NUMBER:
TYPE/CODE: A SV3119
DLA DISTRIBUTION DDWG SV3119
BLDG 368 STOREROOM C
ROBINS PARKWAY
ROBINS A F B GA 31098-1887
ROBINS A F B GA 31098-1887 GA 31098-1887
USA
MARK FOR: (See Individual Line Item) REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)
AWARD NUMBER:
TYPE/CODE: A SW3119
DLA DISTRIBUTION WARNER ROBINS
455 BYRON STREET BLDG 376
ROBINS AFB GA 31098-1887
UNITED STATES
MARK FOR: (See Individual Line Item) REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)
AWARD NUMBER:
TYPE/CODE: I AW PWS
MARK FOR: (See Individual Line Item) REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)
AWARD NUMBER:
IAW DD1423s; for WAWF invoicing use Acceptance DoDAAC FA8522.
PART I - THE SCHEDULE
SECTION E
INSPECTION AND ACCEPTANCE
52.246-4 INSPECTION OF SERVICES--FIXED-PRICE (AUG 1996)
(IAW FAR 46.304)
52.246-7 INSPECTION OF RESEARCH AND DEVELOPMENT--FIXED-PRICE (AUG 1996)
(IAW FAR 46.307(a))
52.246-11 HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT (DEC 2014)
(IAW FAR 46.311, DFARS 246.202-4(1))
(a) The Contractor shall comply with the higher-level quality standard(s) listed below. [If more than one standard is listed, the offeror shall indicate its selection by checking the appropriate block.]*
Title Number Date Tailoring *See Individual Line Item Schedule
52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)
(IAW FAR 46.316)
INSPECTION AND ACCEPTANCE (SEP 1999)
(IAW FAR 46.401(b), FAR 46.503)
Government Contract Quality Assurance Inspection and Acceptance will be at (Final):
[CONTRACTOR FILL-IN]
Item No(s): See schedule for items with the following code(s) listed below :
Inspection Code and Address:
Government Contract Quality Assurance Inspection and Acceptance will be at destination(s) specified herein (Final).
Item No(s): 0002, 0002AA, 0002AB, 0002AC, 0002AD, 0002AE, 0002AF, 0002AG, 1002, 1002AA, 1002AB, 1002AC, 1002AD, 1002AE, 1002AF, 1002AG, 2002, 2002AA, 2002AB, 2002AC, 2002AD, 2002AE, 2002AF, 2002AG, 3002, 3002AA, 3002AB, 3002AC, 3002AD, 3002AE, 3002AF, 3002AG, 4002, 4002AA, 4002AB, 4002AC, 4002AD, 4002AE, 4002AF, 4002AG
PART I - THE SCHEDULE
SECTION F
DELIVERIES OR PERFORMANCE
52.211-8 TIME OF DELIVERY (JUN 1997)
(IAW FAR 11.404(a)(2))
DELIVERY FOR EACH ITEM IS ANNOTATED IN THE SCHEDULE (PART I SECTION B) UNDER EACH LINE
ITEM.
52.242-15 STOP-WORK ORDER (AUG 1989)
(IAW FAR 42.1305(b)(1))
52.247-30 F.O.B. ORIGIN, CONTRACTOR'S FACILITY (FEB 2006)
(IAW FAR 47.303-2(c))
52.247-34 F.O.B. DESTINATION (NOV 1991)
(IAW FAR 47.303-6(c))
52.247-48 F.O.B. DESTINATION--EVIDENCE OF SHIPMENT (FEB 1999)
(IAW FAR 47.305-4(c)) Applicable Item No(s) 0002 1002 2002 3002 4002
52.247-65 F.O.B. ORIGIN, PREPAID FREIGHT--SMALL PACKAGE SHIPMENTS (JAN 1991)
(IAW FAR 47.303-17(f))
F.O.B. ORIGIN (OCT 1993)
(IAW FAR 47.305(b))
Any supply item applicable to this document shall be delivered F.O.B. at:
F.O.B. Address
[CONTRACTOR FILL-IN]
PART I - THE SCHEDULE
SECTION G
CONTRACT ADMINISTRATION DATA
252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)
(IAW DFARS 232.7004(b), PGI 232.7004(b)(1), DFARS 212.301(f)(liii))
(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:
(1) Document type. The Contractor shall use the following document type(s).
(Contracting Officer: Insert applicable document type(s).
Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (stand-alone) and “Receiving Report” (stand-alone) document type may be used instead.)
(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.
(Contracting Officer: Insert inspection and acceptance locations or “Not applicable.”)
(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.
Routing Data Table* Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC Issue By DoDAAC Admin DoDAAC Inspect By DoDAAC Ship To Code Ship From Code Mark For Code
Service Approver (DoDAAC) Service Acceptor (DoDAAC) Accept at Other DoDAAC LPO DoDAAC DCAA Auditor DoDAAC Other DoDAAC(s) (*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)
(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.
(5) WAWF email notifications. The Contractor shall enter the e-mail address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.
(Contracting Officer: Insert applicable email addresses or “Not applicable.”)
(g) WAWF point of contact.
(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.
(Contracting Officer: Insert applicable information or “Not applicable.”)
(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.
ACCOUNTING AND APPROPRIATION DATA (AUG 1998)
Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable
AA 97 X4930 .FC04 64 9 47 GR 15655P 01K010 00000 UJJOMX 503000 F03000 $0.00
PSR: K19513 FSR: 013720
ACRN TOTAL $ 0.00
PART II - CONTRACT CLAUSES
SECTION I
CONTRACT CLAUSES
252.201-7000 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 1991)
(IAW DFARS 201.602-70)
5352.201-9101 OMBUDSMAN (JUN 2016)
(IAW AFFARS 5301.9103)
(c) If resolution cannot be made by the contracting officer, the interested party may contact the ombudsman, Timothy R. Inman at 478 222 -4097 , FAX 000 000 -0000 , email timothy.inman@us.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU/SMC ombudsman level, may be brought by the interested party for further consideration to the Air Force ombudsman, Associate Deputy Assistant Secretary (ADAS) (Contracting), SAF/AQC, 1060 Air Force Pentagon, Washington DC 20330-1060, phone number (571) 256-2395, facsimile number (571) 256-2431.
52.202-1 DEFINITIONS (NOV 2013)
(IAW FAR 2.201)
52.203-3 GRATUITIES (APR 1984)
(IAW FAR 3.202)
52.203-5 COVENANT AGAINST CONTINGENT FEES (MAY 2014)
(IAW FAR 3.404)
52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT (SEP 2006)
(IAW FAR 3.503-2)
52.203-7 ANTI-KICKBACK PROCEDURES (MAY 2014)
(IAW FAR 3.502-3)
52.203-8 CANCELLATION, RESCISSION, AND RECOVERY OF FUNDS FOR ILLEGAL OR
IMPROPER ACTIVITY (MAY 2014)
(IAW FAR 3.104-9(a))
52.203-10 PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR IMPROPER ACTIVITY (MAY 2014)
(IAW FAR 3.104-9(b))
52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS
(OCT 2010)
(IAW FAR 3.808(b))
52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY
AGREEMENTS OR STATEMENTS (JAN 2017)
(IAW FAR 3.909-3 (b))
252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS
(SEP 2011)
(IAW DFARS 203.171-4(a), DFARS 212.301(f)(ii))
252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER
DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)
(IAW DFARS 203.570-3)
252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS
(SEP 2013)
(IAW DFARS 203.970)
52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED PAPER (MAY 2011)
(IAW FAR 4.303)
52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT
AWARDS (OCT 2018)
(IAW FAR 4.1403(a))
52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (OCT 2018)
(IAW FAR 4.1105(b))
52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (JUL 2016)
(IAW FAR 4.1804(c), FAR 12.301(d))
52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS
(DEC 2014)
(IAW FAR 4.1202(b))
52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR…
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