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AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1447 (REV. 8/2016)

PREVIOUS EDITION NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.214(d)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

24. TOTAL AWARD AMOUNT (For Government Use Only)

TELEPHONE NUMBER

UNIQUE ENTITY

IDENTIFIER

CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

NO COLLECT CALLS

4. SOLICITATION NUMBER

FA8524-20-R-0017

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: 811213

8(A) SIZE STANDARD: $12.00

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.

The USAF requests that you prepare and submit your offers electronically. Email is the preferred method. If the proposal is not sent through Email, then please send 2 CD/DVDs through US Mail to the address above in block # 9 (attention: Howard George).

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 BLOCK 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: A1

3. AWARD/EFFECTIVE DATE

FA8524

2. CONTRACT NUMBER

X

17.

ITEM NUMBER

12. ADMINISTERED BY CODE

Total

SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK: 14

SCD:B

NAME AND TITLE OF SIGNER (Type or Print) NAME OF CONTRACTING OFFICER

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAYMENT 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 Communication Equipment Repair and Maintenance

9. (Agency Use) Offers will be received at the issuing office until the date and time specified below. All official United States Postal Service mail and classified material will be delivered to the address shown in block 7. Deliver all parcels to: 542 CBSG, ATTN: Buyer named above, 480 RICHARD RAY BLVD, BLDG 301 EW, ROOM E31, ROBINS

AFB GA 31098-1813.

28-MAY-2020 4:30PM

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

X

7. ISSUED BY CODE

C-5/SOF-RW, AFSC/PZAAA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 0174

ROBINS AFB GA 31098-1670

BUYER: Howard C. George Howard.George@us.af.mil Phone: (478) 327- 4326 Fax: (478) 222-1854

X

1. THIS CONTRACT IS A RATED ORDER UNDER DPAS

(15 CFR 700)SOLICITATION/CONTRACT

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

J

STANDARD FORM 1447 (REV. 8/2016) BACK

NO RESPONSE FOR 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)

UNABLE TO IDENTIFY THE ITEM(S)

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

DO NOT REGULARILY MANUFACTURE OR SELL THE TYPE OF ITEMS

INVOLVED

DATE AND LOCAL TIME 28 MAY 2020 4:30 PM

SOLICITATION NUMBER FA852420R0017

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Howard C George

C-5/SOF-RW, AFSC/PZAAA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 0174

ROBINS AFB GA 31098-1670

FA8524-20-R-0017

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

SUPPLIES OR SERVICES AND PRICES/COSTS

SUPPLIES OR SERVICES AND PRICES/COSTS

Contractor shall perform Teardown Test and Evaluation (TTE) on each asset Items evaluated and determined to be Beyond Economical Repair (BER) or No Fault Found (NFF) shall be returned to the Government at no additional cost.

No Fault Found and Beyond Economical Repair.

Condemnation and Repair: The contractor shall be required to repair all end items unless written direction is provided by the PCO through the Administrative Contracting Officer (ACO). Requests for condemnation shall be submitted in writing through the ACO to the PCO within ten (10) days following initial inspection/functional testing. Condemnations shall not be requested due to unavailability of replacement parts.

Condemnations may only be granted if the item inducted for repair manifests one or more of the following conditions:

a) Physical damage that affects greater than 75 percent of the material within the end item (i.e., crushed).

b) Burn damage that affects greater than 80 percent of the internal electrical components and connections of the end item.

c) Repair cost is greater than 75 percent of the cost for a new end item.

d) Beyond Economical Repair (BERs): Requests for condemnations shall be submitted in writing to the Government Procuring Contracting Officer (PCO) within 10 days of the intent to condemn.

Condemnation authority shall be requested when the cost to repair the asset exceeds 75% of the unit’s replacement cost. This is a two year firm fixed price requirements type repair contract (Basic and one Ordering Period) for theissuance of orders for repair of Control Display Units (CDUs) components of the Lightweight Airborne Recovery System (LARS). The LARS system is utilized on multiple aircraft, including the A-10, HC-130J, HH-60G, and HC-130P/N. Repairs shall be accomplished in accordance with the Performance Work Specification

(PWS).

Period-of-Performance:

All ordering periods are 12 months in length.

BASIC

BASIC CONTRACT PERIOD: Applicable to orders placed on the date of the basic contract award through 12 months thereafter. Contract Line Item Numbers (CLINs) 0001-0004AH are applicable to Basis Contract Period.

Control Display Unit

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

35 EA

NSN: 5895-01-236-8964 SO

CONTROL, DISPLAY UN

Manufacturer Part Number 94987 235900 Associated Document(s) Line Item(s)

FD20602000173 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Wide Area Work Flow (WAWF) Quality Assurance: Certificate of Conformance Buy American Act/Balance of Payments Program IUID Required: Yes

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

_ Req No / Pri

Required Delivery

A SW3119 35 EA *90 Calendar Days

Proposed Delivery

A SW3119 35 EA

Note: Early delivery is acceptable.

NO FAULT FOUND (NFF)/BEYOND ECONOMICAL REPAIR (BER)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

NSN: 5895-01-236-8964 SO

CONTROL, DISPLAY UN

Manufacturer Part Number 94987 235900 Associated Document(s) Line Item(s)

FD20602000173 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Wide Area Work Flow (WAWF) Quality Assurance: Certificate of Conformance 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 RIC FLB Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *90 Calendar Days

Proposed Delivery

A SW3119 1 EA

Over & Above

Item No.

Over & Above

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

NSN: 5895-01-236-8964 SO

CONTROL, DISPLAY UN

Over and Above Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Wide Area Work Flow (WAWF) Quality Assurance: Certificate of Conformance Buy American Act/Balance of Payments Program

DATA IAW DD FORM 1423

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA IAW DD FORM 1423

Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

CDRL A001 - COMMERCIAL ASSET VISIBILITY - AIR FORCE (CAV) REPORTING

Item No.

0004AA

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

COMMERCIAL ASSET VISIBILITY - AIR FORCE (CAV) REPORTING

EXIBIT A, ELIN A001 - CAV AF

DI-MGMT-81838 - PWS Para 4.14 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW 1423 _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

+ IAW 1423 1 LO

CDRL A002 - CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

0004AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

EXHIBIT A, ELIN A002 - CDMPR

DI-PSSS-81995 - PWS Para 4.17 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection

CDRL A002 - CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Type / Ship To Quantity (U/I) _ _ Req No / Pri Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

+ IAW 1423 1 LO

CDRL A003 - GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

0004AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Counterfeit Prevention Plan

EXHIBIT A, ELIN A003 - CPP

DI-MISC-81832 - PWS Para 4.13 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

+ IAW 1423 1 LO

CDRL A004 - GFM REQUISITION AND INVENTORY REPORT

Item No.

0004AD

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

CDRL A004 - GFM REQUISITION AND INVENTORY REPORT

EXHIBIT A, ELIN A004 - IUID

DI-MGMT-81803 - PWS Para 4.9.4 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

+ IAW 1423 1 LO

CDRL A005 - COUNTERFEIT PREVENTION PLAN

Item No.

0004AE

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

IUID MARKING ACTIVITY, VALIDATION AND VERIFICATION REPORT

EXHIBIT A, ELIN A005 - IUID

DI-MGMT-81804 - PWS Para 4.9.5 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

CDRL A005 - COUNTERFEIT PREVENTION PLAN

+ IAW 1423 1 LO

CDRL A006 - ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

0004AF

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

QUALITY PROGRAM PLAN (QPP)

EXHIBIT A, ELIN A006 - QPP

DI-QCIC-81722 - PWS Para 5.9 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

+ IAW 1423 1 LO

Delivery Note: Inspection Acceptance is by Letter of Transmittal.

CDRL A007 - IUID MARKING ACTIVITY, VALIDATION AND VERIFICATION REPORT

Item No.

0004AG

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Maintenance Data Collection Record (MDCR)

EXHIBIT A, ELIN A007 - MDCR

DI-MISC-82003 - PWS Para 5.10 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

CDRL A007 - IUID MARKING ACTIVITY, VALIDATION AND VERIFICATION REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

+ IAW 1423 1 LO

Delivery Note: Inspection Acceptance is by Letter of Transmittal.

CDRL A008 - QUALITY PROGRAM PLAN

0004AH

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Government Property Inventory Report

EXHIBIT A, ELIN A008 - GPIR

DI-MGMT-80441C - PWS Para 5.11 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

+ IAW 1423 1 LO

ORDERING PERIOD I: Applicable to orders placed during the 12 month period immediately

Following Basic Ordering Period. Contract Line Item Numbers (CLINs) 1001-1004AH are applicable to Ordering Period I.

Control Display Unit

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

35 EA

NSN: 5895-01-236-8964 SO

CONTROL, DISPLAY UN

Manufacturer Part Number 94987 235900 Associated Document(s) Line Item(s)

FD20602000173 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Wide Area Work Flow (WAWF) Quality Assurance: Certificate of Conformance Buy American Act/Balance of Payments Program IUID Required: Yes

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

_ Req No / Pri

Required Delivery

A SW3119 35 EA *90 Calendar Days

Proposed Delivery

A SW3119 35 EA

NO FAULT FOUND (NFF)/BEYOND ECONOMICAL REPAIR (BER)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

NSN: 5895-01-236-8964 SO

CONTROL, DISPLAY UN

Manufacturer Part Number 94987 235900 Associated Document(s) Line Item(s)

FD20602000173 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Wide Area Work Flow (WAWF) Quality Assurance: Certificate of Conformance 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 RIC FLB Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *90 Calendar Days

Proposed Delivery

A SW3119 1 EA

Note: Early delivery is acceptable.

Over & Above

Item No.

Firm Fixed Price

Over & Above

Best Estimated Qty

U/I Unit Price Amount

1 EA

NSN: 5895-01-236-8964 SO

CONTROL, DISPLAY UN

Over and Above Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Wide Area Work Flow (WAWF) Quality Assurance: Certificate of Conformance Buy American Act/Balance of Payments Program

DATA IAW DD FORM 1423

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA IAW DD FORM 1423

Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

CDRL A001 - COMMERCIAL ASSET VISIBILITY - AIR FORCE (CAV) REPORTING

1004AA

CDRL A001 - COMMERCIAL ASSET VISIBILITY - AIR FORCE (CAV) REPORTING

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

COMMERCIAL ASSET VISIBILITY - AIR FORCE (CAV) REPORTING

EXIBIT A, ELIN A001 - CAV AF

DI-MGMT-81838 - PWS Para 4.14 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW 1423 _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

+ IAW 1423 1 LO

CDRL A002 - CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

1004AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

EXHIBIT A, ELIN A002 - CDMPR

DI-PSSS-81995 - PWS Para 4.17 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) _ _ Req No / Pri

CDRL A002 - CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

+ IAW 1423 1 LO

CDRL A003 - GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

1004AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Counterfeit Prevention Plan

EXHIBIT A, ELIN A003 - CPP

DI-MISC-81832 - PWS Para 4.13 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

+ IAW 1423 1 LO

CDRL A004 - GFM REQUISITION AND INVENTORY REPORT

Item No.

1004AD

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

EXHIBIT A, ELIN A004 - IUID

CDRL A004 - GFM REQUISITION AND INVENTORY REPORT

DI-MGMT-81803 - PWS Para 4.9.4 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

+ IAW 1423 1 LO

CDRL A005 - COUNTERFEIT PREVENTION PLAN

Item No.

1004AE

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

IUID MARKING ACTIVITY, VALIDATION AND VERIFICATION REPORT

EXHIBIT A, ELIN A005 - IUID

DI-MGMT-81804 - PWS Para 4.9.5 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

CDRL A006 - ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

Item No.

1004AF

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

QUALITY PROGRAM PLAN (QPP)

EXHIBIT A, ELIN A006 - QPP

DI-QCIC-81722 - PWS Para 5.9 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

CDRL A007 - IUID MARKING ACTIVITY, VALIDATION AND VERIFICATION REPORT

1004AG

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Maintenance Data Collection Record (MDCR)

EXHIBIT A, ELIN A007 - MDCR

DI-MISC-82003 - PWS Para 5.10 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF)

CDRL A007 - IUID MARKING ACTIVITY, VALIDATION AND VERIFICATION REPORT

Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

CDRL A008 - QUALITY PROGRAM PLAN

1004AH

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Government Property Inventory Report

EXHIBIT A, ELIN A008 - GPIR

DI-MGMT-80441C - PWS Para 5.11 Associated Document(s) Line Item(s)

FD20602000173 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WIDE AREA WORK FLOW (WAWF) Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

+ IAW 1423 1 LO

Proposed Delivery

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + IAW 1423

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:

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

E-5

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)

E-15

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)

E-21

52.246-15 CERTIFICATE OF CONFORMANCE (APR 1984)

(IAW FAR 46.315, FAR 46.504)

(Applicable when Certificate of Conformance is specified)

E-22

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)

E-42

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): 0004, 0004AA, 0004AB, 0004AC, 0004AD, 0004AE, 0004AF, 0004AG, 0004AH, 1004, 1004AA, 1004AB, 1004AC, 1004AD, 1004AE, 1004AF, 1004AG, 1004AH

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

F-1

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.

(Applicable when the Government desires delivery by a certain time but requires delivery by a specified later time, and the delivery schedule is to be based on the date of the contract)

F-26

52.242-15 STOP-WORK ORDER (AUG 1989)

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

F-30

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

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

F-78

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-35

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

G-1

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

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

IA-10

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

(IAW DFARS 201.602-70)

(Applicable to all orders issued hereunder)

IB-300

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.

(Applicable to all solicitations and contracts)

I-11

52.202-1 DEFINITIONS (NOV 2013)

(IAW FAR 2.201)

(Applicable when the simplified acquisition threshold is exceeded)

I-19

52.203-3 GRATUITIES (APR 1984)

(IAW FAR 3.202)

(Applicable when simplified acquisition threshold is exceeded, except for personal services and those between military departments or defense agencies and foreign governments that do not obligate any funds appropriated to the Department of Defense)

I-20

52.203-5 COVENANT AGAINST CONTINGENT FEES (MAY 2014)

(IAW FAR 3.404)

(Applicable when simplified acquisition threshold is exceeded other than those for commercial items (see Parts 2 and 12))

I-21

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT (SEP 2006)

(IAW FAR 3.503-2)

(Applicable when the simplified acquisition threshold is exceeded)

I-22

52.203-7 ANTI-KICKBACK PROCEDURES (MAY 2014)

(IAW FAR 3.502-3)

(Applicable when the simplified acquisition threshold is exceeded)

I-23

52.203-8 CANCELLATION, RESCISSION, AND RECOVERY OF FUNDS FOR ILLEGAL OR

IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(a))

(Applicable when noncommercial and the simplified acquisition threshold is exceeded)

I-25

52.203-10 PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(b)) (Applicable when the simplified acquisition threshold is exceeded)

I-25C

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(OCT 2010)

(IAW FAR 3.808(b))

(Applicable over $150,000)

I-25T

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY

AGREEMENTS OR STATEMENTS (JAN 2017)

(IAW FAR 3.909-3 (b))

(Applicable in all solicitations and resultant contracts other than personal services contracts with individuals)

IA-21D

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

(IAW DFARS 203.171-4(a), DFARS 212.301(f)(ii))

(Applicable to all solicitations and contracts)

IA-22

252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER

DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)

(IAW DFARS 203.570-3)

(Applicable when exceeding the simplified acquisition threshold (except for commercial items))

IA-24D

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

(Applicable to all solicitations and contracts)

I-39

52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED PAPER (MAY 2011)

(IAW FAR 4.303)

(Applicable when the simplified acquisition threshold is exceeded)

I-43

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (OCT 2018)

(IAW FAR 4.1403(a))

(Applicable over $30,000, unless not required to be reported in FPDS)

I-46

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (OCT 2018)

(IAW FAR 4.1105(b)) (Applicable to solicitations that contain the provision at 52.204-7, and resulting contracts)

I-48E

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (JUL 2016)

(IAW FAR 4.1804(c), FAR 12.301(d)) (Applicable when there is a requirement to be registered in SAM or to have a DUNS Number)

I-48F

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

(Applicable to all solicitations and contracts)

I-48G

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(JUN 2016)

(IAW FAR 4.1903)

(Applicable to all solicitations and contracts, except COTs, when a contractor’s system may contain Federal contract information)

I-49

52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES

DEVELOPED OR PROVIDED BY KASPERSKY LAB AND OTHER COVERED

ENTITIES (JUL 2018)

(IAW FAR 4.2004)

(Applicable on all contracts and solicitations.)

I-41E

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2019)

(IAW 4.2105(b))

IA-32

252.204-7002 PAYMENT FOR SUBLINE ITEMS NOT SEPARATELY PRICED (DEC 1991)

(IAW DFARS 204.7104-1(b)(3)(iv)) (Applicable to all not separately priced subline items)

IA-33

252.204-7003 CONTROL OF GOVERNMENT PERSONNEL WORK PRODUCT (APR 1992)

(IAW DFARS 204.404-70(b))

IA-39

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (DEC 2019)

(IAW DFARS 204.7304(c))

(Applicable to all solicitations and contracts, including commercial except when solely for commercial-off-the-shelf items)

IA-39H

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

(IAW DFARS 204.7403(b), DFARS 212.301(f)(i)(F))

(Applicable to solicitations and contracts that involve litigation support services when 252.204-7014 is not included)

IA-39I

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES (DEC 2019)

(IAW DFARS 204.2105(c))

(Applicable to all soliciations.)

I-78

52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN SUBCONTRACTING WITH

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(OCT 2015)

(IAW FAR 9.409)

(Applicable when exceeding $35,000)

I-80

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING

RESPONSIBILITY MATTERS (OCT 2018)

(IAW FAR 9.104-7(c))

(Applicable to solicitations and contracts over $550,000 and contracts where the offeror has checked “has” in paragraph (b) clause 52.209-7)

I-080G

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

(Applicable to all solicitations and contracts for the acquisition of products and services (including construction) unless waived

IAW FAR 9.108-4)

IA-92

252.209-7004 SUBCONTRACTING WITH FIRMS THAT ARE OWNED OR CONTROLLED BY THE

GOVERNMENT OF A COUNTRY THAT IS A STATE SPONSOR OF TERRORISM

(MAY 2019)

(IAW DFARS 209.409)

(Applicable to solicitations and contracts with a value of $150,000 or more)

I-102

52.211-15 DEFENSE PRIORITY AND ALLOCATION REQUIREMENTS (APR 2008)

(IAW FAR 11.604(b)) This is a rated order certified for national defense , emergency preparedness, and energy program use, and the Contractor shall follow all the requirements of the Defense Priorities and Allocations System regulation (15 CFR 700).

(Applicable to all rated orders)

IA-103

252.211-7003 ITEM UNIQUE IDENTIFICATION AND VALUATION (MAR 2016)

(IAW DFARS 211.274-6(a)(1), DFARS 212.301(f)(xii))

(a) Definitions. As used in this clause—

“DoD recognized unique identification equivalent” means a unique identification method that is in commercial use and has been recognized by DoD. All DoD recognized unique identification equivalents are listed at http://www.acq.osd.mil/dpap/pdi/uid/iuid/equivalents.html .

“Unique item identifier type” means a designator to indicate which method of uniquely identifying a part has been used. The current list of accepted unique item identifier types is maintained at http://www.acq.osd.mil/dpap/pdi/uid/uii_types.html .

(c) Unique item identifier.

(1) The Contractor shall provide a unique item identifier for the following:

(i) Delivered items for which the Government’s unit acquisition cost is $5,000 or more, except for the following line items:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

See Schedule as Applicable

(ii) Items for which the Government’s unit acquisition cost is less than $5,000 that are identified in the Schedule or the following table:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

*Items less than $5000, which require UID, will be specifically identified in the schedule.

See Schedule as Applicable

(iii) Subassemblies, components, and parts embedded within delivered items, items with warranty requirements, DoD serially managed reparables and DoD serially managed nonreparables as specified in Attachment Number _____( or See Schedule as Applicable).

(iv) Any item of special tooling or special test equipment as defined in FAR 2.101 that have been designated for preservation and storage for a Major Defense Acquisition Program as specified in Attachment Number _____( or See Schedule as Applicable).

(v) Any item not included in paragraphs (c)(1)(i), (ii), (iii), or (iv) of this clause for which the contractor creates and marks a unique item identifier for traceability.

(f) The Contractor shall submit the information required by paragraphs (d) and (e) of this clause as follows:

(1) End items shall be reported using the receiving report capability in Wide Area WorkFlow (WAWF) in accordance with the clause at 252.232-7003. If WAWF is not required by this contract, and the contractor is not using WAWF, follow the procedures at http://dodprocurementtoolbox.com/site/uidregistry/ .

(2) Embedded items shall be reported by one of the following methods—

(i) Use of the embedded items capability in WAWF;

(ii) Direct data submission to the IUID Registry following the procedures and formats at http://dodprocurementtoolbox.com/site/uidregistry/; or

(iii) Via WAWF as a deliverable attachment for exhibit line item number ______, Unique Item Identifier Report for Embedded Items, Contract Data Requirements List, DD Form 1423.

(Applicable when delivery of one or more “items” as defined at 252.211-7003(c) is required)

IA-118K

252.211-7007 REPORTING OF GOVERNMENT-FURNISHED PROPERTY (AUG 2012)

(IAW DFARS 211.274-6(b), DFARS 212.301(f)(iv)) I-128

52.215-2 AUDIT AND RECORDS--NEGOTIATION (OCT 2010)

(IAW FAR 15.209(b)(1)) (Applicable if negotiated and above the simplified acquisition threshold, except commercial items and utility services at public prices plus reasonable connection charge)

I-129G

52.215-8 ORDER OF PRECEDENCE--UNIFORM CONTRACT FORMAT (OCT 1997)

(IAW FAR 15.209(h), AFFARS 53.15.209(h)) (Applicable when using uniform contract format that is not commercial or for construction)

I-171

52.216-19 ORDER LIMITATIONS (OCT 1995)

(IAW FAR 16.506(b))

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than 1 each, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor--

(1) Any order for a single item in excess of 25% of the BEQ;

(2) Any order for a combination of items in excess of the aggregate of all maximum quantities identified in Section B for all CLINs in any particular period; or

(3) A series of orders from the same ordering office within 30 days that together call for quantities exceeding the limitation in subparagraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 10 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(The above Clause/Provision has been modified.)

(Applicable to all orders issued hereunder)

I-173

52.216-21 REQUIREMENTS (OCT 1995)

(IAW FAR 16.506(d)(1))

(f) the Contractor shall not be required to make any deliveries under this contract after

(Applicable to all orders issued hereunder)

IA-169

252.216-7006 ORDERING (SEP 2019)

(IAW DFARS 216.506(a))

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the contract schedule. Such orders may be issued from 00-000-0000 through --.

(Applicable to solicitations and contracts when a definite-quantity contract, a requirements contract, or an indefinite-quantity contract is contemplated)

I-214

52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS (OCT 2018)

(IAW FAR 19.708(a)) (Applicable when exceeding the simplified acquisition threshold, except for personal service contracts or when performance is entirely outside of the United States and its outlying areas)

I-216G

52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN (DEVIATION 2018-O0018)

(AUG 2018)

(IAW DARS TRCKING # 2018-O0018)

(Applicable over $700,000)

I-223

52.219-16 LIQUIDATED DAMAGES--SUBCONTRACTING PLAN (JAN 1999)

(IAW FAR 19.708(b)(2))

(Applicable when FAR 52.219-9, Small Business Subcontracting Plan, or its Alternate I or Alternate II applies. IAW DFARS 219.708(b)(2), does not apply to DoD in contracts with contractors that have comprehensive subcontracting plans approved under the test program described in DFARS 219.702)

I-225N

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (MAR 2020)

(IAW FAR 19.309(c))

(h) If the Contractor does not have representations and certifications in SAM, or does not have a representation in SAM for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

(1) The Contractor represents that it [ ] is, [ ] is not a small business concern under NAICS Code ________ assigned to contract number _______________.

(2) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(3) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a women-owned small business concern.

(4) Women-owned small business (WOSB) concern eligible under the WOSB Program.

[Complete only if the Contractor represented itself as a women-owned small business concern in paragraph (h)(3) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ] is, [ ] is not is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(4)(i) of this clause is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture.

[The Contractor shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: _______________________________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(5) Economically disadvantaged women-owned small business (EDWOSB) concern.

[Complete only if the Contractor represented itself as a women-owned small business concern eligible under the WOSB Program in (h)(4) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not an EDWOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(5)(i) of this clause is accurate for each EDWOSB concern participating in the joint venture.

[The Contractor shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ___________________________________.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

(6) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a veteran-owned small business concern.

(7) [Complete only if the Contractor represented itself as a veteran-owned small business concern in paragraph (h)(6) of this clause.] The Contractor represents that it [ ] is, [ ] is not a service-disabled veteran-owned small business concern.

(8) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [ ] is, [ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (h)(8)(i) of this clause is accurate for each HUBZone small business concern participating in the HUBZone joint venture.

[The Contractor shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: _________________________________________.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

[Contractor to sign and date and insert authorized signer’s name and title.]

(Applicable in solicitations and contracts exceeding the micro-purchase threshold when the contract will be performed in the United States or its outlying areas)

IA-225

252.219-7003 SMALL BUSINESS SUBCONTRACTING PLAN (DoD CONTRACTS) (DEC 2019)

(IAW DFARS 219.708(b)(1)(A), DFARS 219.708(b)(1)(A)(1)) (Applicable over $700,000)

IA-225CC

252.219-7003 SMALL BUSINESS SUBCONTRACTING PLAN (DoD CONTRACTS)--ALTERNATE I

(DEC 2019)

(IAW DFARS 219.708(b)(1)(A)(2), DFARS 219.708(b)(1)(A)(1))

(Applicable over $700,000 and when FAR clause 52.219-9 and its Alternate III are used)

IA-225E

252.219-7004 SMALL BUSINESS SUBCONTRACTING PLAN (TEST PROGRAM) (MAY 2019)

(IAW DFARS 219.708(b)(1)(B)) (Applicable when the contract includes a Comprehensive Subcontracting Plan)

I-245

52.222-1 NOTICE TO THE GOVERNMENT OF LABOR DISPUTES (FEB 1997)

(IAW FAR 22.103-5(a), AFFARS 5322.101-1) (IAW FAR 22.101-1(e), Applicable when the head of the contracting activity designates programs or requirements for which it is necessary that contractors be required to notify the Government of actual or potential labor disputes that are delaying or threaten to delay the timely contract performance (see 22.103-5(a)).

I-247

52.222-3 CONVICT LABOR (JUN 2003)

(IAW FAR 22.202)

(Applicable when performance is in the U.S., Puerto Rico, Northern Mariana Islands, American Samoa, Guam, or the U.S. Virgin Islands, unless subject to the Walsh-Healey Public Contracts Act, purchase is from Federal Prisons Industries, Inc., or purchase is from any State prison of finished supplies that may be secured in the open market/existing stocks, as distinguished from supplies requiring special fabrication, and exceeds the micro-purchase threshold)

I-263E

52.222-21 PROHIBITION OF SEGREGATED FACILITIES (APR 2015)

(IAW FAR 22.810(a)(1)) (Applicable when exceeding $10,000, except those exempted by FAR 22.807 (b) which includes those for work to be performed outside the U.S. by employees who were not recruited within the U.S.)

I-264

52.222-26 EQUAL OPPORTUNITY (SEP 2016)

(IAW FAR 22.810(e))

I-274

52.222-35 EQUAL OPPORTUNITY FOR VETERANS (OCT 2015)

(IAW FAR 22.1310(a)(1), DFARS 222.1310(a)(1)) (Applicable when the expected value is $150,000 or more except when work is performed outside the United States by employees recruited outside the United States or the Director, Office of Federal Contract Compliance Programs, has waived, in accordance with 22.1305(b), all of the terms of the clause)

I-276

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUL 2014)

(IAW FAR 22.1408(a)) (Applicable over $15,000 except when performance of work and recruitment of workers will occur outside the United States, Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, and Wake Island, or the agency head has waived, in accordance with 22.1403(a) or 22.1403(b) all the terms of the clause)

I-278

52.222-37 EMPLOYMENT REPORTS ON VETERANS (FEB 2016)

(IAW FAR 22.1310(b)) (Applicable when the expected value is $150,000 or more and workers were recruited within the United States)

I-280

52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR

RELATIONS ACT (DEC 2010)

(IAW FAR 22.1605)

(Applicable to all solicitations and contracts except under the simplified acquisition threshold, for work performed exclusively outside the U.S., or covered in their entirety by an exemption granted by the Secretary)

I-289C

52.222-50 COMBATING TRAFFICKING IN PERSONS (JAN 2019)

(IAW FAR 22.1705(a)(1)) (Applicable to all orders issued hereunder)

I-295

52.223-6 DRUG-FREE WORKPLACE (MAY 2001)

(IAW FAR 23.505)

(Applicable when the simplified acquisition threshold is exceeded except if performance is entirely outside the U.S. and its outlying areas)

I-297K

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (AUG 2011)

(IAW FAR 23.1105)

(Applicable to all solicitations and contracts)

I-297M

52.223-20 AEROSOLS (JUN 2016)

(IAW FAR 23.804(a)(3)) (Applicable to solicitations and contracts not delivered or performed outside the U.S. or it’s outlying areas, for products that may contain high global warming potential hydrofluorocarbons or involve maintenance or repair of electronic or mechanical devices)

I-301

52.224-3 PRIVACY TRAINING (JAN 2017)

(IAW FAR 24.302(a)) (Applicable to all solicitations and contracts where contractor employees will have access to a system of records or personally identifiable information)

I-312

52.225-13 RESTRICTIONS ON CERTAIN FOREIGN PURCHASES (JUN 2008)

(IAW FAR 25.1103(a)) (Applicable to supplies or services involving the furnishing of supplies unless an exception applies)

IA-287

252.225-7001 BUY AMERICAN AND BALANCE OF PAYMENTS PROGRAM--BASIC (DEC 2017)

(IAW DFARS 225.1101(2)(i) and (2)(ii)) (Applicable except when an exception to the Buy American statute or Balance of Payments Program is known to apply, or if using the clause at 252.225-7021, Trade Agreements; or 252.225-7036, Buy American —Free Trade Agreements—Balance of Payments Program)

IA-288

252.225-7002 QUALIFYING COUNTRY SOURCES AS SUBCONTRACTORS (DEC 2017)

(IAW DFARS 225.1101(3))

(Applicable if one of the following clauses are included: DFARS 252.225-7001, 252.225-7021 or 252.225-7036)

IA-293

252.225-7012 PREFERENCE FOR CERTAIN DOMESTIC COMMODITIES (DEC 2017)

(IAW DFARS 225.7002-3(a)) (Applicable when exceeding the simplified acquisition threshold for food; clothing; tents, tarpaulins or covers; cotton and other natural fiber products; woven silk or woven silk blends; spun silk yarn for cartridge cloth; synthetic fabric, coated synthetic fabric; canvas products; wool; or any item of individual equipment (FSC 8465) manufactured from or containing such fibers, yarns, fabrics, or materials; to waste and byproducts of cotton or wool used in the production of propellants and explosives)

IA-312TN

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)

(IAW DFARS 225.7901-4)

(Applicable to all solicitations and contracts)

(Unless acquiring items outside the United States for use outside the United States or a nonavailability determination has been made in accordance with 225.7018, applicable in solicitations and contracts, including solicitations and contracts using FAR part 12 procedures for the…

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