FA852411R31644.rtf

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FA8524-11-R-31644
Solicitation number
FA8524-11-R-31644
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Solicitation

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1447-101STANDARD FORM 1447 (5-88)
Prescribed by GSA FAR (48 CFR 53.215-1(g))

4. SOLICITATION NUMBER

FA8524-11-R-31644

6.SOLICITATION ISSUE DATE

8. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

HUBZONE SMALLECONOMICALLY DISADVANTAGED WOMEN-OWNED
BUSINESSSMALL BUSINESS (EDWOSB)
SERVICE-DISABLED VETERAN-
OWNED SMALL BUSINESSNAICS CODE: 336413
8(A)SIZE STANDARD: 1,000

DATE SIGNED

28. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

26.AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION NUMBER
SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR CHANGES WHICH
ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

ROUTINE

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 30 days.

SEE LINE ITEM SCHEDULE

For CLIN X002 – The contractor shall propose Labor Categories, Labor Rates, Overhead Rate, G&A Rate, and Profit Rate that will be used in the Repair proposal.

22.

AMOUNT

16. AUTHORITY FOR USING OTHER THAN10 USC 230441 USC 253
FULL AND OPEN COMPETITION(c) (1 )(c) ( )

DATE SIGNED

27. SIGNATURE OF OFFEROR/CONTRACTOR

20.

UNIT

21.

UNIT PRICE

19.

QUANTITY

13. CONTRACTOR OFFEROR CODE FACILITY CODE

11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN * ___ CALENDAR DAYS (60 CALENDAR DAYS UNLESS OFFEROR INSERTS A DIFFERENT PERIOD) FROM THE DATE SET FORTH IN BLK 9 ABOVE, THE CONTRACTOR AGREES TO HOLD ITS OFFERED PRICES FIRM FOR THE ITEMS SOLICITED HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO THE TERMS AND CONDITIONS STATED HEREIN. *30

RATING

DO: A1

3. AWARD/EFFECTIVE DATE

FA8524

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 BIDSNEGOTIATED
(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 Aircraft Part and Auxiliary Equipment Manufacturing 9.

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.

1-MAR-2012 3:30PM

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

X

7. ISSUED BY CODE

638 SCMG PKAA, C-5 & SOF RW

460 RICHARD RAY BLVD STE 200

CML PHN 478 627 3661

ROBINS AFB GA 31098-1813

BUYER: DON L HARVILL/638 SCMG

Don.Harvill@robins.af.mil Phone: (478) 926- 0059 Fax: (478) 926-0154 No Collect Calls X

1. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 350)

SOLICITATION/CONTRACT

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

J

SF 1447 (5-88) BACK

NO RESPONSE FOR THE REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURE

NAME AND ADDRESS OF FIRM (Include Zip Code)

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

ITEMS INVOLVED

WE DO

OTHER (Specify)

CANNOT COMPLY WITH SPECIFICATIONS

CANNOT COMPLY WITH SPECIFICATIONS

CANNOT MEET DELIVERY REQUIREMENT

FOLD FOLD

FOLD FOLD

SOLICITATION NO.FA852411R31644
DUE:10 MAR 2012 3:30 PM
FROM:AFFIX
STAMP
HERE

TO:

ATTN: Don L Harvill/638 SCMG

638 SCMG PKAA, C-5 & SOF RW

460 RICHARD RAY BLVD STE 200

CML PHN 478 627 3661

ROBINS AFB GA 31098-1813

Request for Proposal FA8524-11-R-31644 Page 94 of ACPS-version:15.13.41 101 Request for Proposal FA8524-11-R-31644

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

This is to establish a 5-year Requirments contract consisting of a Basic 12-month period, followed by (4) 12-month option periods.

*"Serviceable Repair" is only those repairs, bench checks, functional checks, adjustments, test and calibration necessary to assure item(s) are restored to a serviceable condition that will efficiently accomplish its intended purpose.

* Contractor will furnish all plant facilities, labor, and equipment, special tools and test equipment, and materials necessary to perform essential repair, calibration and functional test required to restore reparable to a serviceable condition as as to accomplish its intended purpose.

Repairs and testing shall be IAW specifications, as listed in the Performance Work Statement.

*The Government reserves the right to adjust the Stock List Price as reflected in the document either upward or downward at anytime prior to or after contract award. Should the requirement for adjustment occur after award of contract, the ACO/PCO will issue a unilateral modification to reflect the current Stock List Price. This adjustment is not subject to negotiation.

*Any/all residue proposed contract will be disposed of IAW normal plant clearance as determined by ACO/PCO and WR-ALC 409 SCMS/GUMAA.

*Items to be condemned must be cleared through the ACO/PCO and Equipment Specialist.

Contractor will mark "RIC FLB / D4M REPAIR" on all shipping documents for shipments to SW3119 D035K Depot Supply DDWG-ER-DLA Central Receiving 455 Byron St. only. Contractor shall place on all commercial shipping documents, in BOLD letters, the following "D4M Repair". Contractor shall also place "Mark For FLB RIC" on all commercial shipping documents. For all other shipping destinations, contact Item Manager Lauren Dixon (478) 468-7232 Lauren.Dixon@robins.af.mil, 5 days before asset is ready for shipping.

The contractor shall submit payment requests using Wide Area Work Flow-Receipt and Acceptance (WAWF-RA). Information regarding WAWF-RA is available on the Internet at https://wawf-ef-mil.

If contractor is unable to submit a payment request in electronic form, or DoD is unable to receive a payment request in electronic form, the Contractor shall submit the payment request using a method mutually agreed to by the contractor, the government contracting officer, the contract administration office and the payment office. Government acceptance of the repair will be at the contractor's facility and will be documented via WAWF-RA, Material Inspection and Receiving Report. The Contractor shall report using the Commercial Asset Visibility System (CAVAF) (CDRL A001, DI-MGMT-81643B) If CAVAF training is required, send e-mail to:

406scms.cav.af.ar@robins.af.mil. Total repair cost that exceeds 75% of the Stock List Price should be recommended for condemnation as Beyond Economical Repair (BER). Items to be condemned must be cleared through the ACO/PCOand Equipment Specialist.

BASIC PERIOD: Applicable to orders placed on the date of the Basic Requirements contract award through 12 months thereafter.

COMPUTER WORKSTATION

Item No.

Firm Fixed Price

NSN: 7010-01-577-9430 UC

Computer Workstation

MADARS III workstation interface for MUX and user (model 1260)

Manufacturer Part Number

06NK2

57710A120700

Purchase Request(s) PR Line Item(s)

FD20601131644

Limitations of Liability: Other Than High Value Item

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

Quality Assurance: Standard Inspection

Applicability: C-5B ; C-5A ;

Stock List Price: $18,699.83

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later Req No / Pri Required Delivery

+ TBD

* Calendar Days

Proposed Delivery

+ Contact Item Manager Lauren Dixon - Lauren.Dixon@robins.af.mil - 478-926-7232, 5 days before asset is ready to ship, for shipping instructions.

TEST ONLY, NO FAULT FOUND

0001AA

Best Estimated Qty U/I Unit Price

Amount

EA

CLIN

ACRN

ACRN Total

0001AA

AA

Test and No Fault Found Computer Workstation

MADARS III workstation interface for MUX and user (model 1260)

Inspection/Acceptance Report: Receiving Report Required

Radio Frequency ID Tags Required

Stock List Price: $18,999.83

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

*45 Calendar Days

REPAIR OF COMPUTER WORKSTATION

0001AB

0001AB

Repair of Computer Workstation

MADARS III workstation interface for MUX and user (model 1260)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

*60 Calendar Days

NSN: 7010-01-540-7428 UC

MADARS III workstation interface for MUX and user (model 1250)

57710A120250

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

0002AA

0002AA

Test and No Fault Found Computer Workstation

MADARS III workstation interface for MUX and user (model 1250)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

0002AB

0002AB

Repair of Computer Workstation

MADARS III workstation interface for MUX and user (model 1250)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

NSN: 7010-01-506-3625 UC

MADARS III workstation interface for MUX and user (model 1240)

57710A120200

FD20601231644

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

0003AA

0003AA

MADARS III workstation interface for MUX and user (model 1240)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

0003AB

0003AB

MADARS III workstation interface for MUX and user (model 1240)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

COMMUNICATION CONTROLLER

NSN: 5895-01-507-2148 UC

CONTROL INTERFACE

Interface between Workstation and mix for MADARS III

57710A120300

Inspection/Acceptance Report: Receiving Report Required

Buy American Act/Balance of Payments Program

Stock List Price: $23,834.16

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

0004AA

0004AA

Test and No Fault Found of Control Interface

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

REPAIR OF COMMUNICATION CONTROLLER

0004AB

0004AB

Repair of Control Interface

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

PRINTER UNIT

NSN: 4920-01-506-4328 UC

57710A120400

Inspection/Acceptance Report: Receiving Report Required

Stock List Price: $22,825.45

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

TEST AND NO FAULT FOUND OF PRINTER UNIT

0005AA

0005AA

Test an No Fault Found of Printer Unit

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

REPAIR OF PRINTER UNIT

0005AB

0005AB

Repair of Printer Unit

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

CONDEMNATION AND ITEMS BEYOND ECONOMIC REPAIR

Condemnation and Items Beyond Economic Repair

CONDEMNATION / BER OF WORKSTATION

0006AA

0006AA

Condemnation / BER of Workstation

0006AB

0006AB

CONDEMNATION / BER OF CONTROL INTERFACE

0006AC

Quantity

0006AC

Condemnation / BER of Control Interface

OVER & ABOVE

LO

Over & Above

Contractor must provide Work Request/Approval form signed by the QAR with justification breakout of cost. Additional information provided from PCO upon request if needed.

DATA

IAW DD FORMS 1423-1

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

Exhibit: A

DATA IAW DD FORM 1423

0008AA

A001 Commerical Asset Visibility AF (CAV AF)

DI-MGMT-81634B

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

Quality Assurance: Standard Inspection

Type / Ship To Quantity (U/I)

*ARO IAW DD FORM 1423

+ IAW1423

1 LO

0008AB

A002 MAINTENANCE DATA COLLECTION RECORD

DI-MGMT-81634B

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

Quality Assurance: Standard Inspection

Type / Ship To Quantity (U/I)

*ARO IAW DD FORM 1423

0008AC

A003 Status Report

DI-MGMT-80368 A/T

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

MADARS III workstation interface for MUX and user (model 1260)

TBD

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

1001AA

1001AA

Test and No Fault Found Computer Workstation

MADARS III workstation interface for MUX and user (model 1260)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

1001AB

1001AB

Repair of Computer Workstation

MADARS III workstation interface for MUX and user (model 1260)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

MADARS III workstation interface for MUX and user (model 1250)

Inspection/Acceptance Report: Receiving Report Required

Stock List Price: $28,692.50

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

1002AA

1002AA

Test and No Fault Found Computer Workstation

MADARS III workstation interface for MUX and user (model 1250)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

1002AB

1002AB

Repair of Computer Workstation

MADARS III workstation interface for MUX and user (model 1250)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

MADARS III workstation interface for MUX and user (model 1240)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

1003AA

1003AA

MADARS III workstation interface for MUX and user (model 1240)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

1003AB

1003AB

MADARS III workstation interface for MUX and user (model 1240)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

Interface between Workstation and mix for MADARS III

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

1004AA

1004AA

Test and No Fault Found of Control Interface

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

1004AB

1004AB

Repair of Control Interface

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

1005AA

1005AA

Test an No Fault Found of Printer Unit

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

1005AB

1005AB

Repair of Printer Unit

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

1006AA

1006AA

1006AB

1006AB

1006AC

1006AC

Contractor must provide Work Request/Approval form signed by the QAR with justification breakout of cost. Additional information provided from PCO upon request if needed.

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

1008AA

A001 COMMERCIAL ASSET VISIBILITY AF (CAV AF)

DI-MGMT-81634B

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

Quality Assurance: Standard Inspection

Type / Ship To Quantity (U/I)

*ARO IAW DD FORM 1423

1008AB

DI-MGMT-81634B

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

Quality Assurance: Standard Inspection

Type / Ship To Quantity (U/I)

*ARO IAW DD FORM 1423

1008AC

DI-MGMT-80368 A/T

Inspection/Acceptance Report: Receiving Report Required

MADARS III workstation interface for MUX and user (model 1260)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

2001AA

2001AA

Test and No Fault Found Computer Workstation

MADARS III workstation interface for MUX and user (model 1260)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

2001AB

2001AB

Repair of Computer Workstation

MADARS III workstation interface for MUX and user (model 1260)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

MADARS III workstation interface for MUX and user (model 1250)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

2002AA

2002AA

Test and No Fault Found Computer Workstation

MADARS III workstation interface for MUX and user (model 1250)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

2002AB

2002AB

Repair of Computer Workstation

MADARS III workstation interface for MUX and user (model 1250)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

Interface between Workstation and mix for MADARS III

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

2003AA

2003AA

Test and No Fault Found of Control Interface

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

2003AB

2003AB

Repair of Control Interface

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

2004AA

2004AA

Test an No Fault Found of Printer Unit

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

2004AB

2004AB

Repair of Printer Unit

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

2005AA

2005AA

2005AB

2005AB

2005AC

2005AC

Contractor must provide Work Request/Approval form signed by the QAR with justification breakout of cost. Additional information provided from PCO upon request if needed.

2007AA

DI-MGMT-81634B

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

Quality Assurance: Standard Inspection

Type / Ship To Quantity (U/I)

*ARO IAW DD FORM 1423

2007AB

DI-MGMT-81634B

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

Quality Assurance: Standard Inspection

Type / Ship To Quantity (U/I)

*ARO IAW DD FORM 1423

2007AC

DI-MGMT-80368 A/T

Inspection/Acceptance Report: Receiving Report Required

MADARS III workstation interface for MUX and user (model 1260)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

3001AA

3001AA

Test and No Fault Found Computer Workstation

MADARS III workstation interface for MUX and user (model 1260)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

3001AB

3001AB

Repair of Computer Workstation

MADARS III workstation interface for MUX and user (model 1260)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

MADARS III workstation interface for MUX and user (model 1250)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

3002AA

3002AA

Test and No Fault Found Computer Workstation

MADARS III workstation interface for MUX and user (model 1250)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

3002AB

3002AB

Repair of Computer Workstation

MADARS III workstation interface for MUX and user (model 1250)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

Interface between Workstation and mix for MADARS III

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

3003AA

3003AA

Test and No Fault Found of Control Interface

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

3003AB

3003AB

Repair of Control Interface

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

TEST AND NO FAULT FOUND

3004AA

3004AA

Test an No Fault Found of Printer Unit

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

3004AB

3004AB

Repair of Printer Unit

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

3005AA

3005AA

3005AB

3005AB

3005AC

3005AC

Contractor must provide Work Request/Approval form signed by the QAR with justification breakout of cost. Additional information provided from PCO upon request if needed.

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

3007AA

DI-MGMT-81634B

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

Quality Assurance: Standard Inspection

Type / Ship To Quantity (U/I)

*ARO IAW DD FORM 1423

3007AB

DI-MGMT-81634B

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

Quality Assurance: Standard Inspection

Type / Ship To Quantity (U/I)

*ARO IAW DD FORM 1423

3007AC

DI-MGMT-80368 A/T

Inspection/Acceptance Report: Receiving Report Required

MADARS III workstation interface for MUX and user (model 1260)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

4001AA

4001AA

Test and No Fault Found Computer Workstation

MADARS III workstation interface for MUX and user (model 1260)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

4001AB

4001AB

Repair of Computer Workstation

MADARS III workstation interface for MUX and user (model 1260)

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

Interface between Workstation and mix for MADARS III

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

4002AA

4002AA

Test and No Fault Found of Control Interface

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

4002AB

4002AB

Repair of Control Interface

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

4003AA

4003AA

Test an No Fault Found of Printer Unit

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

4003AB

4003AB

Repair of Printer Unit

Inspection/Acceptance Report: Receiving Report Required

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

PACRN

Mark For

+ TBD

PAA

RIC FLB D4M REPAIR

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

4004AA

4004AA

4004AB

4004AB

4004AC

4004AC

Contractor must provide Work Request/Approval form signed by the QAR with justification breakout of cost. Additional information provided from PCO upon request if needed.

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

4006AA

DI-MGMT-81634B

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

Quality Assurance: Standard Inspection

Type / Ship To Quantity (U/I)

*ARO IAW DD FORM 1423

4006AB

DI-MGMT-81634B

Inspection/Acceptance Report: Receiving Report Required

Exhibit: A

Quality Assurance: Standard Inspection

Type / Ship To Quantity (U/I)

*ARO IAW DD FORM 1423

4006AC

DI-MGMT-80368 A/T

Inspection/Acceptance Report: Receiving Report Required

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + IAW1423

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

AWARD NUMBER:

TYPE/CODE: + TBD

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

AWARD NUMBER:

TYPE/CODE: A EY9221

LOCKHEED MARTIN AERO GFP EY9221
DPT 0804 ZNE 0170 CP 864-236-3552
86 S COBB DR.
MARIETTA GA 30063-0680
USA

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

AWARD NUMBER:

TYPE/CODE: A FB2029

FB2029 DDHU CNTRL RCVG HILL FCLTY
BLDG 849W CML PHN 801-777-7221
5851 F AVE
HILL AFB UT 84056-5713

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

AWARD NUMBER:

TYPE/CODE: A FB2039

FB2039 OC ALC
BLDG 506 CML PHN 405-739-2349
7401 ARNOLD ST DOOR 22
TINKER AFB OK 73145-9013

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

AWARD NUMBER:

TYPE/CODE: A FB2300

FB2300 88 MSG LGRS
BLDG 257 CML PHN 937 257 3633
5236 CHASE ST
WRIGHT PATTERSON AFB OH 45433-5501
USA

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

AWARD NUMBER:

TYPE/CODE: A FB3047

37 LRS LGRD
BLDG 5160 RCVG PHN 210 671 2171
1865 SELFRIDGE AVE STE 1
LACKLAND AFB TX 78236-5260

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

AWARD NUMBER:

TYPE/CODE: A FB4419

FB4419 97 SUPS LGS
BLDG 395 CML PHN 481-7552
717 S 1ST ST
ALTUS AFB OK 73523-5110

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

AWARD NUMBER:

TYPE/CODE: A FB4427

FB4427 60 SUPS LGS AC PARTS STORE
BLDG 549 CML PHN 707-424-5457
350 HANGAR AVE
TRAVIS AFB CA 94535-2631

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

AWARD NUMBER:

TYPE/CODE: A FB4497

FB4497 436 SUPS LGS
CML PHN 302-677-5002
639 EVREUX ST
DOVER AFB DE 19902-5139

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

AWARD NUMBER:

TYPE/CODE: A FB6322

FB6322 105 AG LGS NY ANG
BLDG 204 CML PHN 845-563-1000
1 MILITIA WAY
NEWBURGH NY 12550-5043

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

AWARD NUMBER:

TYPE/CODE: A FB6422

FB6422 164 AW LGS TNANG
MEMPHIS INTL APT PHN 901 541 7166
2815 DEMOCRAT RD
MEMPHIS TN 38118-1510
USA

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

AWARD NUMBER:

TYPE/CODE: A FB6482

FB6482 167 AW LGS
MARTINSBURG ANG
BLDG 106 CML PHN 304-262-5379
222 SABRE JET BLVD RM 107
MARTINSBURG WV 25401

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

AWARD NUMBER:

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS
455 BYRON STREET BLDG 376
ROBINS AFB GA 31098-1887
UNITED STATES

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

AWARD NUMBER:

TYPE/CODE: B FB6606

439 LSS-LGTT
WESTOVER ARB
100 LOGISTICS DR
BLDG 5375 CML PHN 413 557 1110
CHICOPEE MA 01022

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

AWARD NUMBER:

*Contact Item Manager 5 days before asset is ready for shipping

SECTION D

PACKAGING AND MARKING

Repairable Items Being Returned From a Vendor (MAY 2006)

A. When repairable items are returned to the warehouse after being repaired by a vendor it is critical that they be distinguished from new item purchases. Repairables must therefore be identified on the Material Inspection and Receiving Report (MIRR) (DD 250) that accompanies the shipment as follows:

1. For vendors who prepare paper DD 250s as stand alone documents, enter “Serviceable Assets shipped from a Repair Contractor. Input Receipt using Doc ID “D4M” to the Air Force Owner RI” in the body of block 14. Leave the code block blank.

2. For vendors who use Wide Area Work Flow (WAWF) to prepare the DD 250 by printing them out of WAWF a different procedure is needed. In WAWF there is a Mark For field and a Mark For tab.

(a) Mark For field: This field is the equivalent of the code field of block 14. Leave the Mark For field blank and proceed to the Mark For tab.

(b) Mark For tab: The Mark For tab is located on the top of the WAWF screen along with the Header and Line Item tabs. The Mark For Tab is the equivalent of the body of the paper DD 250 block 14. Under the Mark For tab there is a Mark For Rep and a Mark For Secondary columns. In the Mark For Rep enter “Serviceable Assets shipped from a Repair Contractor. Input Receipt using Doc ID “D4M” to the Air Force Owner RI”.

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)

INS

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