FA852411R31644.rtf
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- FA8524-11-R-31644
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- FA8524-11-R-31644
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Solicitation
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| 1447-101 | STANDARD 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 SMALL | ECONOMICALLY DISADVANTAGED WOMEN-OWNED |
| BUSINESS | SMALL BUSINESS (EDWOSB) |
| SERVICE-DISABLED VETERAN- | |
| OWNED SMALL BUSINESS | NAICS 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 THAN | 10 USC 2304 | 41 USC 253 | |
| FULL AND OPEN COMPETITION | (c) (1 ) | (c) ( ) |
DATE SIGNED
27. SIGNATURE OF OFFEROR/CONTRACTOR
20.
UNIT
21.
UNIT PRICE
19.
QUANTITY
13. CONTRACTOR OFFEROR CODE FACILITY CODE
11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN * ___ CALENDAR DAYS (60 CALENDAR DAYS UNLESS OFFEROR INSERTS A DIFFERENT PERIOD) FROM THE DATE SET FORTH IN BLK 9 ABOVE, THE CONTRACTOR AGREES TO HOLD ITS OFFERED PRICES FIRM FOR THE ITEMS SOLICITED HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO THE TERMS AND CONDITIONS STATED HEREIN. *30
RATING
DO: 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 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 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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|---|---|---|
| FA852411R31644.pdf | ||
| CDRL A002 PR FD2060-11-31644.pdf | ||
| Form158_1131644_00.xfdl | XFDL file | |
| CDRL A006 PR 11-31644.pdf | ||
| PWS hp update FINAL released 13 Feb 12.pdf | ||
| QASP Signed 14 Feb 12 PR 11-31644.pdf | ||
| CDRL A005 PR 11-31644.pdf | ||
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