FA852219R0005.pdf

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AN/ALQ-161A Electronic Countemeasure (ECM) system Repair
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FA8522-19-R-0005
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STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

FA8522-19-R-0005

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: 811219

8(A) SIZE STANDARD: $20.5

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.

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.

X

CHECK IF REMITTANCE IS DIFFERENT

AND PUT SUCH ADDRESS IN OFFER

17.

ITEM NO.

12. ADMINISTERED BY CODE

Total

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

SCD:C

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

24. AWARD AMOUNT (FOR GOVT USE ONLY)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAY DISCOUNT

25. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

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

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY CONTINUATION SHEETS SUBJECT

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

10. ITEMS TO BE PURCHASED (BRIEF DESCRIPTION)

SUPPLIES SERVICES Other Electronic and Precision Equipment Repair and Maintenance

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.

19-AUG-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: Ashley L. Whitehead/PZABB ashley.whitehead.3@us.af.mil Phone: (478) 926- 4841 Fax: (000) 000-0000 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

18 Jul 2019

SF 1447 (rev 2/2012) BACK

NO RESPONSE FOR THE REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include Zip Code)

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

ITEMS INVOLVED

WE DO

OTHER (Specify)

CANNOT COMPLY WITH SPECIFICATIONS

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

FOLD

FOLD

SOLICITATION NO. FA852219R0005

DUE: 19 AUG 2019 4:00 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Ashley L Whitehead/PZABB

TARGETING & ELECTRONIC WARFARE, AFSC/PZABB

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 7405

ROBINS AFB GA 31098-1670

FA8522-19-R-0005

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

B.1 GENERAL:

The Contractor (independently, and not as an agent of the Government) shall furnish all necessary personnel, labor, supplies, and materials as required to perform the requirements described herein.

B.2 CONTRACT TYPE:

This is a 5-Year Requirements type contract, as described by FAR 16.503. This contract authorizes use of the FirmFixedPrice (FFP) type for all Contract Line Items (CLINs) and are defined as follows.

ORDERING PERIODS:

In accordance with the clause in Section I of this contract, DFARS Clause 252.216-7006, Ordering, the schedule below contains five (5), one year ordering periods. The resultant contract is priced based on 12month Periods of Performance (PoPs). Each task order issued here under is subject to the ordering limitations as stated in FAR Clause 52.216-19, Order Limitations. The ordering periods associated with each CLIN is defined below:

Ordering Period I:

CLINs 0001 thru 0005, including subCLINs 0005AA thru 0005AK comprise Ordering Period 1 Applicable to orders issued from date of contract award through 365 calendar days.

Ordering Period II:

CLINs 1001 thru 1005, including subCLINs 1005AA thru 1005AK comprise Ordering Period 2.This ordering period shall be effective 366 calendar days from date of contract award through 730 calendar days, which follows ordering period I.

Ordering Period III:

CLINs 2001 thru 2005, including subCLINs 2005AA thru 2005AK comprise Ordering Period 3.This ordering period shall be effective 731 calendar days from date of contract award through 1095 calendar days, which follows ordering period II.

Ordering Period IV:

CLINs 3001 thru 3005, including subCLINs 3005AA thru 3005AK comprise Ordering Period 4.This ordering period shall be effective 1096 calendar days from date of contract award through 1460 calendar days, which follows ordering period III.

Ordering Period V:

CLINs 4001 thru 4005, including subCLINs 4005AA thru 4005AK comprise Ordering Period 5.This ordering period shall be effective 1461 calendar days from date of contract award through 1825 calendar days, which follows ordering period IV.

ORDERING PERIOD I:

FREQUENCY MIXER STAGE (REPAIR)

Item No.

Firm Fixed Price

ORDERING PERIOD I:

FREQUENCY MIXER STAGE (REPAIR)

Best Estimated Qty

U/I Unit Price Amount

20 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 5895-01-529-1724 EW

FREQUENCY MIXER STAGE

Manufacturer Part Number

07180 MR289

0YZ01 MR289

Associated Document(s) Line Item(s)

FD20602000009 01 0001

Priority: R

Inspection: Origin Acceptance: Origin 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

IUID Required: Yes Physical Item Markings:

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 PAC D4M REPAIR

Type / Ship To Quantity (U/I) *ARO 120

CALENDAR DAYS

ARO FUNDED

ORDER OR

REPARABLE

ASSETS,

WHICHEVER IS

LATER

Req No / Pri

Required Delivery

A SW3119 20 EA *120 Calendar Days

Proposed Delivery

A SW3119 20 EA

FREQUENCY MIXER STAGE (REPAIR)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

FREQUENCY MIXER STAGE (REPAIR)

10 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 5895-01-529-1725 EW

FREQUENCY MIXER STAGE

Manufacturer Part Number

07180 MR290

0YZ01 MR290

Associated Document(s) Line Item(s)

FD20602000009 01 0002

Priority: R

Inspection: Origin Acceptance: Origin 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.)

Physical Item Markings:

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 PAD D4M REPAIR

Type / Ship To Quantity (U/I) *ARO 120

CALENDAR DAYS,

ARO FUNDED

ORDER OR

REPARABLE

ASSECTS,

WHICHEVER IS

LATER

Req No / Pri

Required Delivery

A SW3119 10 EA *120 Calendar Days

Proposed Delivery

A SW3119 10 EA

BEYOND ECONOMICAL REPAIR (BER)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

CLIN ACRN ACRN Total

BEYOND ECONOMICAL REPAIR (BER)

0003 AA

NSN: 5895-01-529-1724 EW

FREQUENCY STAGE MIXER

Manufacturer Part Number

07180 MR289

0YZ01 MR289

Associated Document(s) Line Item(s)

FD20602000009 01 0003

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection 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 PAA D4M REPAIR

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

A SW3119 7 EA TBD

Proposed Delivery

A SW3119 7 EA

BEYOND ECONOMICAL REPAIR (BER)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

0004 AA

NSN: 5895-01-529-1725 EW

FREQUENCY STAGE MIXER

Manufacturer Part Number

07180 MR290

0YZ01 MR290

Associated Document(s) Line Item(s)

FD20602000009 01 0005

Priority: R

Limitations of Liability: Other Than High Value Item

BEYOND ECONOMICAL REPAIR (BER)

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection 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 PAC D4M REPAIR

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

A SW3119 6 EA TBD

Proposed Delivery

A SW3119 6 EA

DATA

DATA ELINS A001-A010

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA ELINS A001-A010

IAW DD 1423-1

Associated Document(s) Line Item(s)

FD20602000009 01 0004

Priority: R Exhibit: A

DATA ELIN A001

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

0005AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

DATA ELIN A001, IAW DI-MGMT-81803

Associated Document(s) Line Item(s)

FD20602000009 01 0004

Priority: R

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A001

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Exhibit: A Quality Assurance: Standard Inspection

DELIVERY SHALL BE IAW DD FORM 1423-1

DATA ELIN A002

IUID MARKING ACTIVITY, VALIDATION, AND VERIFICATION REPORT

Item No.

0005AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

IUID MARKING ACTIVITY, VALIDATION, AND VERIFICATION REPORT

DATA ELIN A002, IAW DI-MGMT-81804A

Associated Document(s) Line Item(s)

FD20602000009 01 0004

Priority: R

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A003

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF) REPORTING

Item No.

0005AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF) REPORT

DATA ELIN A003, IAW DI-MGMT-81838

Associated Document(s) Line Item(s)

FD20602000009 01 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination

DATA ELIN A003

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF) REPORTING

Exhibit: A

DATA ELIN A0004

COUNTERFEIT PREVENTION PLAN

Item No.

0005AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

COUNTERFEIT PREVENTION PLAN

DATA ELIN A004, IAW DI-MISC-81832

Associated Document(s) Line Item(s)

FD20602000009 01 0004

Priority: R

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A005

OBSOLESCENCE ALERT NOTICE

Item No.

0005AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

OBSOLESCENCE ALERT NOTICE

DATA ELIN A005, IAW DI-MGMT-81941

Associated Document(s) Line Item(s)

FD20602000009 01 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination

DATA ELIN A005

OBSOLESCENCE ALERT NOTICE

Exhibit: A

DATA ELIN A006

GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

0005AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

GOVERNMENT PROPERTY INVENTORY REPORT

DATA ELIN A006, IAW DI-MGMT-80441C

Associated Document(s) Line Item(s)

FD20602000009 01 0004

Priority: R

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A007

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

0005AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

DATA ELIN A007, IAW DI-PSSS-81995

Associated Document(s) Line Item(s)

FD20602000009 01 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination

DATA ELIN A007

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Exhibit: A

DATA ELIN A008

TEST PROCEDURE

Item No.

0005AH

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ACCEPTANCE TEST PROCEDURE

DATA ELIN A008, IAW DI-NDTI-80603A/T

Associated Document(s) Line Item(s)

FD20602000009 01 0004

Priority: R

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A009

TEST/ INSPECTION REPORT

Item No.

0005AJ

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ACCEPTANCE TEST/INSPECTION REPORT

DATA ELIN A009, DI-NDTI-80809B/T

Associated Document(s) Line Item(s)

FD20602000009 01 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination

DATA ELIN A009

TEST/ INSPECTION REPORT

Exhibit: A

DATA ELIN A010

QUALITY ASSURANCE PROGRAM PLAN

Item No.

0005AK

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

QUALITY ASSURANCE PROGRAM PLAN

DATA ELIN A010, IAW DI-QCIC-81794

Associated Document(s) Line Item(s)

FD20602000009 01 0004

Priority: R

Limitations of Liability: Other Than High Value Item

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

ORDERING PERIOD II:

FREQUENCY MIXER STAGE (REPAIR)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

15 EA

CLIN ACRN ACRN Total

1001 AA

NSN: 5895-01-529-1724 EW

FREQUENCY MIXER STAGE

Manufacturer Part Number

07180 MR289

0YZ01 MR289

ORDERING PERIOD II:

FREQUENCY MIXER STAGE (REPAIR)

Inspection: Origin Acceptance: Origin 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.)

Physical Item Markings:

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 PAC D4M REPAIR

Type / Ship To Quantity (U/I) *ARO 120

CALENDAR DAYS

ARO FUNDED

ORDER OR

REPARABLE

ASSETS,

WHICHEVER IS

LATER

Req No / Pri

Required Delivery

A SW3119 15 EA *120 Calendar Days

Proposed Delivery

A SW3119 15 EA

FREQUENCY MIXER STAGE (REPAIR)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

8 EA

CLIN ACRN ACRN Total

1002 AA

NSN: 5895-01-529-1725 EW

FREQUENCY MIXER STAGE

Manufacturer Part Number

07180 MR290

0YZ01 MR290

Priority: R

Inspection: Origin Acceptance: Origin 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.)

FREQUENCY MIXER STAGE (REPAIR)

Physical Item Markings:

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 PAD D4M REPAIR

Type / Ship To Quantity (U/I) *ARO 120

CALENDAR DAYS,

ARO FUNDED

ORDER OR

REPARABLE

ASSECTS,

WHICHEVER IS

LATER

Req No / Pri

Required Delivery

A SW3119 8 EA *120 Calendar Days

Proposed Delivery

A SW3119 8 EA

BEYOND ECONOMICAL REPAIR (BER)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

CLIN ACRN ACRN Total

1003 AA

NSN: 5895-01-529-1724 EW

FREQUENCY STAGE MIXER

Manufacturer Part Number

07180 MR289

0YZ01 MR289

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required

Buy American Act/Balance of Payments Program

BEYOND ECONOMICAL REPAIR (BER)

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 PAA D4M REPAIR

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

A SW3119 7 EA TBD

Proposed Delivery

A SW3119 7 EA

BEYOND ECONOMICAL REPAIR (BER)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

1004 AA

NSN: 5895-01-529-1725 EW

FREQUENCY STAGE MIXER

Manufacturer Part Number

07180 MR290

0YZ01 MR290

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection 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 PAC D4M REPAIR

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

A SW3119 6 EA TBD

Proposed Delivery

BEYOND ECONOMICAL REPAIR (BER)

A SW3119 6 EA

DATA

DATA ELINS A001-A010

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA ELINS A001-A010

IAW DD 1423-1

Priority: R Exhibit: A

DATA ELIN A001

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

1005AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

DATA ELIN A001, IAW DI-MGMT-81803

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

1005AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

IUID MARKING ACTIVITY, VALIDATION, AND VERIFICATION REPORT

DATA ELIN A002, IAW DI-MGMT-81804A

DATA ELIN A002

IUID MARKING ACTIVITY, VALIDATION, AND VERIFICATION REPORT

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

Item No.

1005AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF) REPORT

DATA ELIN A003, IAW DI-MGMT-81838

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

1005AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

COUNTERFEIT PREVENTION PLAN

DATA ELIN A004, IAW DI-MISC-81832

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination

DATA ELIN A0004

COUNTERFEIT PREVENTION PLAN

Exhibit: A

Item No.

1005AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

OBSOLESCENCE ALERT NOTICE

DATA ELIN A005, IAW DI-MGMT-81941

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

1005AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

GOVERNMENT PROPERTY INVENTORY REPORT

DATA ELIN A006, IAW DI-MGMT-80441C

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

1005AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

DATA ELIN A007, IAW DI-PSSS-81995

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

1005AH

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ACCEPTANCE TEST PROCEDURE

DATA ELIN A008, IAW DI-NDTI-80603A/T

Priority: R

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A009

TEST/ INSPECTION REPORT

Item No.

1005AJ

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ACCEPTANCE TEST/INSPECTION REPORT

DATA ELIN A009, DI-NDTI-80809B/T

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

1005AK

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

QUALITY ASSURANCE PROGRAM PLAN

DATA ELIN A010, IAW DI-QCIC-81794

Priority: R

Limitations of Liability: Other Than High Value Item

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

ORDERING PERIOD III:

Item No.

ORDERING PERIOD III:

FREQUENCY MIXER STAGE (REPAIR)

Best Estimated Qty

U/I Unit Price Amount

15 EA

CLIN ACRN ACRN Total

2001 AA

NSN: 5895-01-529-1724 EW

FREQUENCY MIXER STAGE

Manufacturer Part Number

07180 MR289

0YZ01 MR289

Priority: R

Inspection: Origin Acceptance: Origin 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.)

Physical Item Markings:

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 PAC D4M REPAIR

Type / Ship To Quantity (U/I) *ARO 120

CALENDAR DAYS

ARO FUNDED

ORDER OR

REPARABLE

ASSETS,

WHICHEVER IS

LATER

Req No / Pri

Required Delivery

A SW3119 15 EA *120 Calendar Days

Proposed Delivery

A SW3119 15 EA

FREQUENCY MIXER STAGE (REPAIR)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

8 EA

FREQUENCY MIXER STAGE (REPAIR)

CLIN ACRN ACRN Total

2002 AA

NSN: 5895-01-529-1725 EW

FREQUENCY MIXER STAGE

Manufacturer Part Number

07180 MR290

0YZ01 MR290

Priority: R

Inspection: Origin Acceptance: Origin 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.)

Physical Item Markings:

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 PAD D4M REPAIR

Type / Ship To Quantity (U/I) *ARO 120

CALENDAR DAYS,

ARO FUNDED

ORDER OR

REPARABLE

ASSECTS,

WHICHEVER IS

LATER

Req No / Pri

Required Delivery

A SW3119 8 EA *120 Calendar Days

Proposed Delivery

A SW3119 8 EA

BEYOND ECONOMICAL REPAIR (BER)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

CLIN ACRN ACRN Total

2003 AA

NSN: 5895-01-529-1724 EW

FREQUENCY STAGE MIXER

Manufacturer Part Number

BEYOND ECONOMICAL REPAIR (BER)

07180 MR289

0YZ01 MR289

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection 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 PAA D4M REPAIR

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

A SW3119 7 EA TBD

Proposed Delivery

A SW3119 7 EA

BEYOND ECONOMICAL REPAIR (BER)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

2004 AA

NSN: 5895-01-529-1725 EW

FREQUENCY STAGE MIXER

Manufacturer Part Number

07180 MR290

0YZ01 MR290

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

BEYOND ECONOMICAL REPAIR (BER)

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAC D4M REPAIR

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

A SW3119 6 EA TBD

Proposed Delivery

A SW3119 6 EA

DATA

DATA ELINS A001-A010

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA ELINS A001-A010

IAW DD 1423-1

Priority: R Exhibit: A

DATA ELIN A001

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

2005AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

DATA ELIN A001, IAW DI-MGMT-81803

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

2005AB

DATA ELIN A002

IUID MARKING ACTIVITY, VALIDATION, AND VERIFICATION REPORT

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

IUID MARKING ACTIVITY, VALIDATION, AND VERIFICATION REPORT

DATA ELIN A002, IAW DI-MGMT-81804A

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

2005AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF) REPORT

DATA ELIN A003, IAW DI-MGMT-81838

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

2005AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA ELIN A0004

COUNTERFEIT PREVENTION PLAN

COUNTERFEIT PREVENTION PLAN

DATA ELIN A004, IAW DI-MISC-81832

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

2005AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

OBSOLESCENCE ALERT NOTICE

DATA ELIN A005, IAW DI-MGMT-81941

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

2005AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

GOVERNMENT PROPERTY INVENTORY REPORT

DATA ELIN A006, IAW DI-MGMT-80441C

DATA ELIN A006

GOVERNMENT PROPERTY INVENTORY REPORT

Limitations of Liability: Other Than High Value Item

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

Item No.

2005AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

DATA ELIN A007, IAW DI-PSSS-81995

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

2005AH

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ACCEPTANCE TEST PROCEDURE

DATA ELIN A008, IAW DI-NDTI-80603A/T

DATA ELIN A008

TEST PROCEDURE

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

Item No.

2005AJ

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ACCEPTANCE TEST/INSPECTION REPORT

DATA ELIN A009, DI-NDTI-80809B/T

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

2005AK

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

QUALITY ASSURANCE PROGRAM PLAN

DATA ELIN A010, IAW DI-QCIC-81794

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination

DATA ELIN A010

QUALITY ASSURANCE PROGRAM PLAN

Exhibit: A

ORDERING PERIOD V:

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

3001 AA

NSN: 5895-01-529-1724 EW

FREQUENCY MIXER STAGE

Manufacturer Part Number

07180 MR289

0YZ01 MR289

Priority: R

Inspection: Origin Acceptance: Origin 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.)

Physical Item Markings:

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 PAC D4M REPAIR

Type / Ship To Quantity (U/I) *ARO 120

CALENDAR DAYS

ARO FUNDED

ORDER OR

REPARABLE

ASSETS,

WHICHEVER IS

LATER

Req No / Pri

Required

A SW3119 10 EA *120 Calendar Days

ORDERING PERIOD V:

FREQUENCY MIXER STAGE (REPAIR)

Proposed Delivery

A SW3119 10 EA

FREQUENCY MIXER STAGE (REPAIR)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

3002 AA

NSN: 5895-01-529-1725 EW

FREQUENCY MIXER STAGE

Manufacturer Part Number

07180 MR290

0YZ01 MR290

Priority: R

Inspection: Origin Acceptance: Origin 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.)

Physical Item Markings:

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 PAD D4M REPAIR

Type / Ship To Quantity (U/I) *ARO 120

CALENDAR DAYS,

ARO FUNDED

ORDER OR

REPARABLE

ASSECTS,

WHICHEVER IS

LATER

Req No / Pri

Required Delivery

A SW3119 6 EA *120 Calendar Days

Proposed

A SW3119 6 EA

BEYOND ECONOMICAL REPAIR (BER)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

CLIN ACRN ACRN Total

3003 AA

NSN: 5895-01-529-1724 EW

FREQUENCY STAGE MIXER

Manufacturer Part Number

07180 MR289

0YZ01 MR289

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection 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 PAA D4M REPAIR

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

A SW3119 7 EA TBD

Proposed Delivery

A SW3119 7 EA

BEYOND ECONOMICAL REPAIR (BER)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

3004 AA

NSN: 5895-01-529-1725 EW

FREQUENCY STAGE MIXER

Manufacturer Part Number

07180 MR290

0YZ01 MR290

BEYOND ECONOMICAL REPAIR (BER)

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection 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 PAC D4M REPAIR

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

A SW3119 6 EA TBD

Proposed Delivery

A SW3119 6 EA

DATA

DATA ELINS A001-A010

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA ELINS A001-A010

IAW DD 1423-1

Priority: R Exhibit: A

DATA ELIN A001

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

3005AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

DATA ELIN A001, IAW DI-MGMT-81803

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination

Exhibit: A

DATA ELIN A001

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

3005AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

IUID MARKING ACTIVITY, VALIDATION, AND VERIFICATION REPORT

DATA ELIN A002, IAW DI-MGMT-81804A

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

3005AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF) REPORT

DATA ELIN A003, IAW DI-MGMT-81838

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

3005AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

COUNTERFEIT PREVENTION PLAN

DATA ELIN A004, IAW DI-MISC-81832

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

3005AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

OBSOLESCENCE ALERT NOTICE

DATA ELIN A005, IAW DI-MGMT-81941

Priority: R

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A006

GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

3005AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

GOVERNMENT PROPERTY INVENTORY REPORT

DATA ELIN A006, IAW DI-MGMT-80441C

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

3005AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

DATA ELIN A007, IAW DI-PSSS-81995

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

3005AH

DATA ELIN A008

TEST PROCEDURE

1 LO

ACCEPTANCE TEST PROCEDURE

DATA ELIN A008, IAW DI-NDTI-80603A/T

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

3005AJ

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ACCEPTANCE TEST/INSPECTION REPORT

DATA ELIN A009, DI-NDTI-80809B/T

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

3005AK

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA ELIN A010, IAW DI-QCIC-81794

DATA ELIN A010

QUALITY ASSURANCE PROGRAM PLAN

Priority: R

Limitations of Liability: Other Than High Value Item

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

ORDERING PERIOD IV:

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

4001 AA

NSN: 5895-01-529-1724 EW

FREQUENCY MIXER STAGE

Manufacturer Part Number

07180 MR289

0YZ01 MR289

Priority: R

Inspection: Origin Acceptance: Origin 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.)

Physical Item Markings:

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 PAC D4M REPAIR

ORDERING PERIOD IV:

FREQUENCY MIXER STAGE (REPAIR)

Type / Ship To Quantity (U/I) *ARO 120

CALENDAR DAYS

ARO FUNDED

ORDER OR

REPARABLE

ASSETS,

WHICHEVER IS

LATER

Req No / Pri

Required Delivery

A SW3119 10 EA *120 Calendar Days

Proposed Delivery

A SW3119 10 EA

FREQUENCY MIXER STAGE (REPAIR)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

4002 AA

NSN: 5895-01-529-1725 EW

FREQUENCY MIXER STAGE

Manufacturer Part Number

07180 MR290

0YZ01 MR290

Priority: R

Inspection: Origin Acceptance: Origin 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.)

Physical Item Markings:

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 PAD D4M REPAIR

FREQUENCY MIXER STAGE (REPAIR)

Type / Ship To Quantity (U/I) *ARO 120

CALENDAR DAYS,

ARO FUNDED

ORDER OR

REPARABLE

ASSECTS,

WHICHEVER IS

LATER

Req No / Pri

Required Delivery

A SW3119 6 EA *120 Calendar Days

Proposed Delivery

A SW3119 6 EA

BEYOND ECONOMICAL REPAIR (BER)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

CLIN ACRN ACRN Total

4003 AA

NSN: 5895-01-529-1724 EW

FREQUENCY STAGE MIXER

Manufacturer Part Number

07180 MR289

0YZ01 MR289

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection 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 PAA D4M REPAIR

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

A SW3119 7 EA TBD

Proposed

BEYOND ECONOMICAL REPAIR (BER)

A SW3119 7 EA

BEYOND ECONOMICAL REPAIR (BER)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

4004 AA

NSN: 5895-01-529-1725 EW

FREQUENCY STAGE MIXER

Manufacturer Part Number

07180 MR290

0YZ01 MR290

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection 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 PAC D4M REPAIR

Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

A SW3119 6 EA TBD

Proposed Delivery

A SW3119 6 EA

DATA

DATA ELINS A001-A010

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA ELINS A001-A010

IAW DD 1423-1

DATA

DATA ELINS A001-A010

Exhibit: A

DATA ELIN A001

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

4005AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

DATA ELIN A001, IAW DI-MGMT-81803

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

4005AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

IUID MARKING ACTIVITY, VALIDATION, AND VERIFICATION REPORT

DATA ELIN A002, IAW DI-MGMT-81804A

Priority: R

Limitations of Liability: Other Than High Value Item

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

DATA ELIN A003

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF) REPORTING

Item No.

4005AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF) REPORT

DATA ELIN A003, IAW DI-MGMT-81838

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

4005AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

COUNTERFEIT PREVENTION PLAN

DATA ELIN A004, IAW DI-MISC-81832

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

4005AE

DATA ELIN A005

OBSOLESCENCE ALERT NOTICE

1 LO

OBSOLESCENCE ALERT NOTICE

DATA ELIN A005, IAW DI-MGMT-81941

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

4005AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

GOVERNMENT PROPERTY INVENTORY REPORT

DATA ELIN A006, IAW DI-MGMT-80441C

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

4005AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA ELIN A007, IAW DI-PSSS-81995

DATA ELIN A007

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

4005AH

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ACCEPTANCE TEST PROCEDURE

DATA ELIN A008, IAW DI-NDTI-80603A/T

Priority: R

Limitations of Liability: Other Than High Value Item

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

Item No.

4005AJ

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ACCEPTANCE TEST/INSPECTION REPORT

DATA ELIN A009, DI-NDTI-80809B/T

DATA ELIN A009

TEST/ INSPECTION REPORT

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

Item No.

4005AK

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

QUALITY ASSURANCE PROGRAM PLAN

DATA ELIN A010, IAW DI-QCIC-81794

Priority: R

Limitations of Liability: Other Than High Value Item

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

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS AFB GA 31098-1887

UNITED STATES

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

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

52.246-4 INSPECTION OF SERVICES--FIXED-PRICE (AUG 1996)

(IAW FAR 46.304)

(Applicable for fixed-price services, or supplies furnishing services over the simplified acquisition threshold)

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

(Applicable only if specified in the individual order/call issued hereunder)

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

(Applicable to the furnishing of supplies, services involving the furnishing of supplies, or research and development, when a fixed-price contract is contemplated and the contract amount is expected to exceed the simplified acquisition threshold)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) (Applicable to all orders issued hereunder)

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): 0005AA, 0005AB, 0005AC, 0005AD, 0005AE, 0005AF, 0005AG, 0005AH, 0005AJ, 0005AK, 1005AA, 1005AB, 1005AC, 1005AD, 1005AE, 1005AF, 1005AG, 1005AH, 1005AJ, 1005AK, 2005AA, 2005AB, 2005AC, 2005AD, 2005AE, 2005AF, 2005AG, 2005AH, 2005AJ, 2005AK, 3005AA, 3005AB, 3005AC, 3005AD, 3005AE, 3005AF, 3005AG, 3005AH, 3005AJ, 3005AK, 4005AA, 4005AB, 4005AC, 4005AD, 4005AE, 4005AF, 4005AG, 4005AH, 4005AJ, 4005AK

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1)) (Applicable for supplies, services, or research and development)

52.247-29 F.O.B. ORIGIN (FEB 2006)

(IAW FAR 47.303-1(c)) (Applicable when specifying f.o.b. origin)

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

(IAW FAR 47.303-2(c)) (Applicable to f.o.b. origin at contractor's facility)

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

(IAW FAR 47.303-17(f)) (Applicable when specifying f.o.b. origin)

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]

(Applicable when delivery term is f.o.b. origin)

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))

(a) Definitions. As used in this clause— “Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in Wide Area WorkFlow

(WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

“Payment request” and “receiving report” are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall—

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/ .

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

(1) Document type. The Contractor shall submit payment requests using the following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items—

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

(Contracting Officer: Insert applicable invoice and receiving report document type(s) for fixed price line items that require shipment of a deliverable.)

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

(Contracting Officer: Insert either “Invoice 2in1” or the applicable invoice and receiving report document type(s) for fixed price line items for services.)

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial item financing, submit a commercial item financing request.

(2) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

(f) [Note: The Contractor may use a WAWF “combo” document type to create some combinations of invoice and receiving report in one step.]

(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 FA8522 Admin DoDAAC Inspect By DoDAAC Ship To Code SW3119 Ship From Code Mark For Code

Service Approver (DoDAAC) D4M REPAIR 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.”)

(**Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)

(4) Payment request. The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) Receiving report. The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F.

(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) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed

(The above Clause/Provision has been modified.)

(Applicable when 252.232-7003 is used and neither 232.7003(b) nor (c) apply)

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA TO BE CITED ON EACH INDIVIDUAL ORDER $0.00

ACRN TOTAL $ 0.00

ACTIVITY ADDRESS CODE/ROUTING IDENTIFIER CODE (RIC) (MAR 2010)

(IAW AFI 24-230, DoD 4000.25-6M)

(a) The Contractor shall identify any existing Activity Address Code with the designated activity type (EB, ED, EJ, EP, EY or EZ) code, which applies to Contractor's approved F.O.B point when receiving, taking custody, issuing, or shipping DoD assets. Include existing Routing Identifier Code (RIC), which may be required for accessing Government Data Systems.

(b) Offeror shall insert the existing Activity Address Code and RIC Code, or identify that the Contracting Officer will need to obtain an Activity Address Code and/or Routing Identifier Code (RIC) on contractor’s behalf.

Existing Activity Address Code __________________

Existing Routing Identifier Code (RIC) ________________

[ ] I currently do not possess an Activity Address Code for the designated activity type. Use the following address to obtain the Activity Address Code:

[ ] I currently do not possess a Routing Identifier Code (RIC) for the designated activity type.

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

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

(IAW DFARS 201.602-70)

(Applicable to all orders issued hereunder)

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,…

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