FA852413R30486_sol.pdf

PDF 332 KB Posted Feb 28, 2013

Attached to: REPAIR OF PUMP, FUEL TRANSFER AND CENTIFUG UNIT
Solicitation number: FA8524-13-R-30486
Issued by: Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

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STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

FA8524-13-R-30486

6.SOLICITATION ISSUE DATE

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

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

HUBZONE SMALL

BUSINESS EDWOSB

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS NAICS CODE: 336412

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 60 days.

SEE LINE ITEM SCHEDULE

22.

AMOUNT

16. AUTHORITY FOR USING OTHER THAN 10 USC 2304 41 USC 253

FULL AND OPEN COMPETITION (c) (1 ) (c) ( )

DATE SIGNED

27. SIGNATURE OF OFFEROR/CONTRACTOR

20.

UNIT

21.

UNIT PRICE

19.

QUANTITY

13. CONTRACTOR OFFEROR CODE FACILITY CODE

11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN * ___ CALENDAR DAYS (60 CALENDAR

DAYS UNLESS OFFEROR INSERTS A DIFFERENT PERIOD) FROM THE DATE SET FORTH IN BLK 9

ABOVE, THE CONTRACTOR AGREES TO HOLD ITS OFFERED PRICES FIRM FOR THE ITEMS

SOLICITED HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO THE TERMS AND

CONDITIONS STATED HEREIN. *60

RATING

DO: A1

3. AWARD/EFFECTIVE DATE

FA8524

2. CONTRACT NO.

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

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

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 Aircraft Engine and Engine Parts Manufacturing

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.

30-MAR-2013 11:59PM

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

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: Kathryn R. Driskell Kathryn.Driskell@robins.af.mil Phone: (478) 926- 0165 Fax: (478) 926-0154 No Collect Calls

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.

SF 1447 (rev 2/2012) BACK

NO RESPONSE FOR THE REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include Zip Code)

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

ITEMS INVOLVED

WE DO

OTHER (Specify)

CANNOT COMPLY WITH SPECIFICATIONS

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

FOLD

SOLICITATION NO. FA852413R30486

DUE: 30 MAR 2013 11:59 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Kathryn R Driskell

C-5/SOF-RW, AFSC/PZAAA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 0174

ROBINS AFB GA 31098-1670

Request for Proposal FA8524-13-R-30486

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR REQUIREMENTS

CONTRACTS (JUL 1999)

In accordance with FAR 16.503(c), this is to advise that failure of the Government to furnish Government property items in the amounts or quantities described in the Schedule as "estimated" of "maximum" will not entitle the contractor to any equitable adjustment in price under the Government Property clause of the contract.

NOTE TO CONTRACTOR:

Items evaluated and determined to be Beyond Economical Repair (BER) shall be returned to the Government at no additional cost.

BER Disposition Instructions will be given by the Production Manager at Robins AFB thru the ACO.

INITIAL ORDERING PERIOD: Applicable to orders placed on the date of the basic award through 12 months thereafter. The BEQ for each line item is identified in the description of that line item.

The Government may require the delivery of increased quantities of items, the exact quantity of which cannot be determined in advance.

Item No.

Firm Fixed Price

PUMP, FUEL TRANSFER

Associated Document(s) Line Item(s)

FD20601230486 0001

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

BER ‐‐ PUMP, FUEL TRANSFER

Item No.

0001AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price

1 EA

BER ‐‐ PUMP, FUEL TRANSFER

NSN: 2915‐01‐413‐9621 GC

BER ‐‐ FUEL TRANSFER PUMP

Dim: 6"X6" X 14", Wt: 11 pounds, Mat: Aluminum, Function: Transfer fuel Manufacturer Part Number 26433 9C1151 Associated Document(s) Line Item(s)

FD20601230486 0002

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2000

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

+ TBD PAA

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

_ Req No / Pri

Required Delivery

+ TBD 1 EA *45 Calendar Days

Proposed Delivery

+ TBD 1 EA

OBTAIN SHIPPING AND "MARK FOR" INSTRUCTIONS 3-7 DAYS PRIOR TO PACKAGING FROM

SARAH SCHNABLE; sarah.schnable@robins.af.mil; 478-327-6937.

REPAIR -- PUMP, FUEL TRANSFER

Item No.

0001AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price

20 EA

NSN: 2915-01-413-9621 GC

REPAIR -- PUMP, FUEL TRANSFER

FUEL TRANSFER PUMP

Dim: 6"X6" X 14", Wt: 11 pounds, Mat: Aluminum, Function: Transfer fuel Manufacturer Part Number 26433 9C1151 Associated Document(s) Line Item(s)

FD20601230486 0002

Limitations of Liability: Other Than High Value Item

ISO 9001-2008 2000

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

+ TBD PAA

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 20 EA *90 Calendar Days

Proposed Delivery

+ TBD 20 EA

Firm Fixed Price

PUMP UNIT, CENTRIFUG

Associated Document(s) Line Item(s)

FD20601230486 0003

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

BER -- PUMP UNIT, CENTRIFUG

Item No.

0002AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price

1 EA

NSN: 4320-01-291-6164 GC

BER -- CENTRIFUGAL PUMP UNIT

PUMP INIT, CENTRIFUG

Manufacturer Part Number Alt Part Number 26433 9C101-4 9C1013 Associated Document(s) Line Item(s)

FD20601230486 0003

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 1 EA *45 Calendar Days

Proposed Delivery

+ TBD 1 EA

REPAIR -- PUMP UNIT, CENTRIFUG

0002AB

Firm Fixed Price

REPAIR -- PUMP UNIT, CENTRIFUG

Best Estimated Qty

U/I Unit Price

15 EA

NSN: 4320-01-291-6164 GC

CENTRIFUGAL PUMP UNIT

Manufacturer Part Number Alt Part Number 26433 9C101-4 9C1013 Associated Document(s) Line Item(s)

FD20601230486 0003

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 15 EA *90 Calendar Days

Proposed Delivery

+ TBD 15 EA

DATA

Firm Fixed Price

DATA

Associated Document(s) Line Item(s)

FD20601230486 0004

DATA

Exhibit: A

DATA -- COMMERCIAL ASSET VISIBILITY AF (CAVAF)

Item No.

0003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A001 -- COMMERCIAL ASSET VISIBILITY AF (CAVAF)

IAW 1423 AND PWS 3.3, DI-MGMT-81634B

END ITEM REPORTING

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A002 -- MAINTENANCE DATA COLLECTION RECORD (MDCR)

Item No.

0003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A002 -- MAINTENANCE DATA COLLECTION RECORD (MDCR)

IAW 1423 AND PWS 4.1.1; DI-MISC-81371A/T

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

DATA A002 -- MAINTENANCE DATA COLLECTION RECORD (MDCR)

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A003 -- DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

0003AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A003 -- DEPOT MAINTENANCE PRODUCTION REPORT

IAW 1423 AND PWS 4.1.2; DI-ALSS-80728A/T

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A004 -- ACCIDENT/INCIDENT REPORT

Item No.

0003AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A004 -- ACCIDENT/INCIDENT REPORT

IAW 1423 AND PWS 4.8.2; DI-SAFT-81563

Associated Document(s) Line Item(s)

Limitations of Liability: Other Than High Value Item

DATA A004 -- ACCIDENT/INCIDENT REPORT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A005 -- IUID MARKING PLAN

Item No.

0003AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A005 -- IUID MARKING PLAN

IAW 1423 AND PWS 4.10-1; DI-MGMT-81803

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A006 -- IUID MARKING ACTIVITY & VERIFICATION REPORT

Item No.

0003AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A006 -- IUID MARKING ACTIVITY & VERIFICATION REPORT

IAW 1423 AND PWS 4.10-2; DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

ORDERING PERIOD I: Applicable to orders placed during the 12‐month period immediately following the Initial Ordering Period. The BEQ for each line item is identified in the description of that line item.

The Government may require the delivery of increased quantities of items, the exact quantity of which cannot be determined in advance.

Item No.

Firm Fixed Price

PUMP, FUEL TRANSFER

Associated Document(s) Line Item(s)

FD20601230486 0001

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

BER ‐‐ PUMP, FUEL TRANSFER

Item No.

1001AA

BER ‐‐ PUMP, FUEL TRANSFER

Best Estimated Qty

U/I Unit Price

1 EA

NSN: 2915‐01‐413‐9621 GC

BER ‐‐ FUEL TRANSFER PUMP

Dim: 6"X6" X 14", Wt: 11 pounds, Mat: Aluminum, Function: Transfer fuel Manufacturer Part Number 26433 9C1151 Associated Document(s) Line Item(s)

FD20601230486 0002

Limitations of Liability: Other Than High Value Item

ISO 9001‐2008 2000

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

+ TBD PAA

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

_ Req No / Pri

Required Delivery

+ TBD 1 EA *45 Calendar Days

Proposed Delivery

+ TBD 1 EA

1001AB

REPAIR -- PUMP, FUEL TRANSFER

Best Estimated Qty

U/I Unit Price

20 EA

NSN: 2915-01-413-9621 GC

FUEL TRANSFER PUMP

Dim: 6"X6" X 14", Wt: 11 pounds, Mat: Aluminum, Function: Transfer fuel Manufacturer Part Number 26433 9C1151 Associated Document(s) Line Item(s)

FD20601230486 0002

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

+ TBD PAA

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 20 EA *90 Calendar Days

Proposed Delivery

+ TBD 20 EA

PUMP UNIT, CENTRIFUG

Associated Document(s) Line Item(s)

FD20601230486 0003

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

BER -- PUMP UNIT, CENTRIFUG

Item No.

1002AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price

1 EA

NSN: 4320-01-291-6164 GC

BER -- CENTRIFUGAL PUMP UNIT

PUMP INIT, CENTRIFUG

Manufacturer Part Number Alt Part Number 26433 9C101-4 9C1013 Associated Document(s) Line Item(s)

FD20601230486 0003

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 1 EA *45 Calendar Days

Proposed Delivery

+ TBD 1 EA

1002AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price

15 EA

NSN: 4320-01-291-6164 GC

CENTRIFUGAL PUMP UNIT

Manufacturer Part Number Alt Part Number 26433 9C101-4 9C1013 Associated Document(s) Line Item(s)

FD20601230486 0003

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 15 EA *90 Calendar Days

Proposed Delivery

+ TBD 15 EA

DATA

Associated Document(s) Line Item(s)

FD20601230486 0004

Exhibit: A

DATA -- COMMERCIAL ASSET VISIBILITY AF (CAVAF)

Item No.

1003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A001 -- COMMERCIAL ASSET VISIBILITY AF (CAVAF)

IAW 1423 AND PWS 3.3, DI-MGMT-81634B

END ITEM REPORTING

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A002 -- MAINTENANCE DATA COLLECTION RECORD (MDCR)

Item No.

1003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A002 -- MAINTENANCE DATA COLLECTION RECORD (MDCR)

IAW 1423 AND PWS 4.1.1; DI-MISC-81371A/T

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

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

DATA A002 -- MAINTENANCE DATA COLLECTION RECORD (MDCR)

Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A003 -- DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

1003AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A003 -- DEPOT MAINTENANCE PRODUCTION REPORT

IAW 1423 AND PWS 4.1.2; DI-ALSS-80728A/T

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A004 -- ACCIDENT/INCIDENT REPORT

Item No.

1003AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A004 -- ACCIDENT/INCIDENT REPORT

IAW 1423 AND PWS 4.8.2; DI-SAFT-81563

DATA A004 -- ACCIDENT/INCIDENT REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A005 -- IUID MARKING PLAN

Item No.

1003AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A005 -- IUID MARKING PLAN

IAW 1423 AND PWS 4.10-1; DI-MGMT-81803

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A006 -- IUID MARKING ACTIVITY & VERIFICATION REPORT

Item No.

1003AF

Quantity U/I Unit Price Amount

DATA A006 -- IUID MARKING ACTIVITY & VERIFICATION REPORT

1 LO

DATA A006 -- IUID MARKING ACTIVITY & VERIFICATION REPORT

IAW 1423 AND PWS 4.10-2; DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

ORDERING PERIOD II: Applicable to orders placed during the 12-month period immediately following Ordering Period I. The BEQ for each line item is identified in the description of that line item.

The Government may require the delivery of increased quantities of items, the exact quantity of which cannot be determined in advance.

Item No.

Firm Fixed Price

PUMP, FUEL TRANSFER

Associated Document(s) Line Item(s)

FD20601230486 0001

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

BER -- PUMP, FUEL TRANSFER

Item No.

2001AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price

BER -- PUMP, FUEL TRANSFER

BER -- FUEL TRANSFER PUMP

Dim: 6"X6" X 14", Wt: 11 pounds, Mat: Aluminum, Function: Transfer fuel Manufacturer Part Number 26433 9C1151 Associated Document(s) Line Item(s)

FD20601230486 0002

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

+ TBD PAA

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 1 EA *45 Calendar Days

Proposed Delivery

+ TBD 1 EA

2001AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price

20 EA

NSN: 2915-01-413-9621 GC

FUEL TRANSFER PUMP

Dim: 6"X6" X 14", Wt: 11 pounds, Mat: Aluminum, Function: Transfer fuel Manufacturer Part Number

REPAIR -- PUMP, FUEL TRANSFER

26433 9C1151 Associated Document(s) Line Item(s)

FD20601230486 0002

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

+ TBD PAA

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 20 EA *90 Calendar Days

Proposed Delivery

+ TBD 20 EA

Firm Fixed Price

PUMP UNIT, CENTRIFUG

Associated Document(s) Line Item(s)

FD20601230486 0003

BER -- PUMP UNIT, CENTRIFUG

Item No.

2002AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price

1 EA

NSN: 4320-01-291-6164 GC

BER -- CENTRIFUGAL PUMP UNIT

PUMP INIT, CENTRIFUG

Manufacturer Part Number Alt Part Number 26433 9C101-4 9C1013 Associated Document(s) Line Item(s)

FD20601230486 0003

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 1 EA *45 Calendar Days

Proposed Delivery

+ TBD 1 EA

2002AB

REPAIR -- PUMP UNIT, CENTRIFUG

Best Estimated Qty

U/I Unit Price

15 EA

NSN: 4320-01-291-6164 GC

CENTRIFUGAL PUMP UNIT

Manufacturer Part Number Alt Part Number 26433 9C101-4 9C1013 Associated Document(s) Line Item(s)

FD20601230486 0003

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 15 EA *90 Calendar Days

Proposed Delivery

+ TBD 15 EA

Firm Fixed Price

DATA

Exhibit: A

DATA -- COMMERCIAL ASSET VISIBILITY AF (CAVAF)

Item No.

2003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A001 -- COMMERCIAL ASSET VISIBILITY AF (CAVAF)

IAW 1423 AND PWS 3.3, DI-MGMT-81634B

END ITEM REPORTING

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Item No.

2003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A002 -- MAINTENANCE DATA COLLECTION RECORD (MDCR)

IAW 1423 AND PWS 4.1.1; DI-MISC-81371A/T

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

Required Delivery

1 LO

Proposed Delivery

1 LO

Item No.

2003AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A003 -- DEPOT MAINTENANCE PRODUCTION REPORT

IAW 1423 AND PWS 4.1.2; DI-ALSS-80728A/T

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Item No.

2003AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A004 -- ACCIDENT/INCIDENT REPORT

IAW 1423 AND PWS 4.8.2; DI-SAFT-81563

Associated Document(s) Line Item(s)

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A005 -- IUID MARKING PLAN

Item No.

2003AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A005 -- IUID MARKING PLAN

IAW 1423 AND PWS 4.10-1; DI-MGMT-81803

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A006 -- IUID MARKING ACTIVITY & VERIFICATION REPORT

Item No.

2003AF

Firm Fixed Price Quantity U/I Unit Price Amount

DATA A006 -- IUID MARKING ACTIVITY & VERIFICATION REPORT

IAW 1423 AND PWS 4.10-2; DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

ORDERING PERIOD III: Applicable to orders placed during the 12-month period immediately following Ordering Period II. The BEQ for each line item is identified in the description of that line item.

The Government may require the delivery of increased quantities of items, the exact quantity of which cannot be determined in advance.

Item No.

Firm Fixed Price

PUMP, FUEL TRANSFER

Associated Document(s) Line Item(s)

FD20601230486 0001

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

BER -- PUMP, FUEL TRANSFER

Item No.

3001AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price

BER -- PUMP, FUEL TRANSFER

BER -- FUEL TRANSFER PUMP

Dim: 6"X6" X 14", Wt: 11 pounds, Mat: Aluminum, Function: Transfer fuel Manufacturer Part Number 26433 9C1151 Associated Document(s) Line Item(s)

FD20601230486 0002

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

+ TBD PAA

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 1 EA *45 Calendar Days

Proposed Delivery

+ TBD 1 EA

3001AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price

20 EA

NSN: 2915-01-413-9621 GC

FUEL TRANSFER PUMP

REPAIR -- PUMP, FUEL TRANSFER

26433 9C1151 Associated Document(s) Line Item(s)

FD20601230486 0002

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

+ TBD PAA

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 20 EA *90 Calendar Days

Proposed Delivery

+ TBD 20 EA

Firm Fixed Price

PUMP UNIT, CENTRIFUG

Associated Document(s) Line Item(s)

FD20601230486 0003

BER -- PUMP UNIT, CENTRIFUG

Item No.

3002AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price

1 EA

NSN: 4320-01-291-6164 GC

BER -- CENTRIFUGAL PUMP UNIT

PUMP INIT, CENTRIFUG

Manufacturer Part Number Alt Part Number 26433 9C101-4 9C1013 Associated Document(s) Line Item(s)

FD20601230486 0003

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 1 EA *45 Calendar Days

Proposed Delivery

+ TBD 1 EA

3002AB

REPAIR -- PUMP UNIT, CENTRIFUG

Best Estimated Qty

U/I Unit Price

15 EA

NSN: 4320-01-291-6164 GC

CENTRIFUGAL PUMP UNIT

Manufacturer Part Number Alt Part Number 26433 9C101-4 9C1013 Associated Document(s) Line Item(s)

FD20601230486 0003

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 15 EA *90 Calendar Days

Proposed Delivery

+ TBD 15 EA

Firm Fixed Price

DATA

Exhibit: A

DATA -- COMMERCIAL ASSET VISIBILITY AF (CAVAF)

Item No.

3003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A001 -- COMMERCIAL ASSET VISIBILITY AF (CAVAF)

IAW 1423 AND PWS 3.3, DI-MGMT-81634B

END ITEM REPORTING

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A002 -- MAINT DATA COLLECTION RECORD (MDCR)

Item No.

3003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A002 -- MAINTENANCE DATA COLLECTION RECORD (MDCR)

IAW 1423 AND PWS 4.1.1; DI-MISC-81371A/T

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

DATA A002 -- MAINT DATA COLLECTION RECORD (MDCR)

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A003 -- DEPOT MAINT PRODUCTION REPORT

Item No.

3003AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A003 -- DEPOT MAINTENANCE PRODUCTION REPORT

IAW 1423 AND PWS 4.1.2; DI-ALSS-80728A/T

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A004 -- ACCIDENT/INCIDENT REPORT

Item No.

3003AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A004 -- ACCIDENT/INCIDENT REPORT

IAW 1423 AND PWS 4.8.2; DI-SAFT-81563

Associated Document(s) Line Item(s)

DATA A004 -- ACCIDENT/INCIDENT REPORT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A005 -- IUID MARKING PLAN

Item No.

3003AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A005 -- IUID MARKING PLAN

IAW 1423 AND PWS 4.10-1; DI-MGMT-81803

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A006 -- IUID MARKING ACTIVITY & VERIFICATION REPORT

Item No.

3003AF

Firm Fixed Price Quantity U/I Unit Price Amount

DATA A006 -- IUID MARKING ACTIVITY & VERIFICATION REPORT

IAW 1423 AND PWS 4.10-2; DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

ORDERING PERIOD IV: Applicable to orders placed during the 12-month period immediately following Ordering Period III. The BEQ for each line item is identified in the description of that line item.

The Government may require the delivery of increased quantities of items, the exact quantity of which cannot be determined in advance.

Item No.

Firm Fixed Price

PUMP, FUEL TRANSFER

Associated Document(s) Line Item(s)

FD20601230486 0001

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

BER -- PUMP, FUEL TRANSFER

Item No.

4001AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price

BER -- PUMP, FUEL TRANSFER

BER -- FUEL TRANSFER PUMP

Dim: 6"X6" X 14", Wt: 11 pounds, Mat: Aluminum, Function: Transfer fuel Manufacturer Part Number 26433 9C1151 Associated Document(s) Line Item(s)

FD20601230486 0002

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

+ TBD PAA

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 1 EA *45 Calendar Days

Proposed Delivery

+ TBD 1 EA

4001AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price

20 EA

NSN: 2915-01-413-9621 GC

FUEL TRANSFER PUMP

REPAIR -- PUMP, FUEL TRANSFER

26433 9C1151 Associated Document(s) Line Item(s)

FD20601230486 0002

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

+ TBD PAA

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 20 EA *90 Calendar Days

Proposed Delivery

+ TBD 20 EA

Firm Fixed Price

PUMP UNIT, CENTRIFUG

Associated Document(s) Line Item(s)

FD20601230486 0003

BER -- PUMP UNIT, CENTRIFUG

Item No.

4002AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price

1 EA

NSN: 4320-01-291-6164 GC

BER -- CENTRIFUGAL PUMP UNIT

PUMP INIT, CENTRIFUG

Manufacturer Part Number Alt Part Number 26433 9C101-4 9C1013 Associated Document(s) Line Item(s)

FD20601230486 0003

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 1 EA *45 Calendar Days

Proposed Delivery

+ TBD 1 EA

4002AB

REPAIR -- PUMP UNIT, CENTRIFUG

Best Estimated Qty

U/I Unit Price

15 EA

NSN: 4320-01-291-6164 GC

CENTRIFUGAL PUMP UNIT

Manufacturer Part Number Alt Part Number 26433 9C101-4 9C1013 Associated Document(s) Line Item(s)

FD20601230486 0003

Limitations of Liability: Other Than High Value Item

TYPE / SHIP TO CODE F.O.B.

+ TBD ORIGIN

Type / Ship To PACRN Mark For

+ TBD PAB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

+ TBD 15 EA *90 Calendar Days

Proposed Delivery

+ TBD 15 EA

Firm Fixed Price

DATA

Exhibit: A

DATA -- COMMERCIAL ASSET VISIBILITY AF (CAVAF)

Item No.

4003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A001 -- COMMERCIAL ASSET VISIBILITY AF (CAVAF)

IAW 1423 AND PWS 3.3, DI-MGMT-81634B

END ITEM REPORTING

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A002 -- MAINTENANCE DATA COLLECTION RECORD (MDCR)

Item No.

4003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A002 -- MAINTENANCE DATA COLLECTION RECORD (MDCR)

IAW 1423 AND PWS 4.1.1; DI-MISC-81371A/T

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

DATA A002 -- MAINTENANCE DATA COLLECTION RECORD (MDCR)

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A003 -- DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

4003AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A003 -- DEPOT MAINTENANCE PRODUCTION REPORT

IAW 1423 AND PWS 4.1.2; DI-ALSS-80728A/T

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A004 -- ACCIDENT/INCIDENT REPORT

Item No.

4003AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A004 -- ACCIDENT/INCIDENT REPORT

IAW 1423 AND PWS 4.8.2; DI-SAFT-81563

Associated Document(s) Line Item(s)

DATA A004 -- ACCIDENT/INCIDENT REPORT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A005 -- IUID MARKING PLAN

Item No.

4003AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA A005 -- IUID MARKING PLAN

IAW 1423 AND PWS 4.10-1; DI-MGMT-81803

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA A006 -- IUID MARKING ACTIVITY & VERIFICATION REPORT

Item No.

4003AF

Firm Fixed Price Quantity U/I Unit Price Amount

DATA A006 -- IUID MARKING ACTIVITY & VERIFICATION REPORT

IAW 1423 AND PWS 4.10-2; DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601230486 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + TBD

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 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”.

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

E-1D

52.246-2 INSPECTION OF SUPPLIES--FIXED-PRICE (AUG 1996)

(IAW FAR 46.302)

(Applicable for supplies, services furnishing of supplies, fixed-price and exceeds the simplified acquisition threshold)

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 (FEB 1999)

(IAW FAR 46.311, DFARS 246.202-4(1))

The Contractor shall comply with the higher-level quality standard selected 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-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): 0003AA, 0003AB, 0003AC, 0003AD, 0003AE, 0003AF, 1003AA, 1003AB, 1003AC, 1003AD, 1003AE, 1003AF, 2003AA, 2003AB, 2003AC, 2003AD, 2003AE, 2003AF, 3003AA, 3003AB, 3003AC, 3003AD, 3003AE, 3003AF, 4003AA, 4003AB, 4003AC, 4003AD, 4003AE, 4003AF

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 INDIVIDUAL ORDERS $0.00

REFERENCE:

SDN: F3QL072335B002

ACRN TOTAL $ 0.00

G-300D

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

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

(a) The Contractor shall identify any existing Activity Address Code with the designated activity type [EZ, EY, EJ, EB, ED or EP) code, which applies to Contractor's approved F.O.B point when receiving, taking custody, issuing, or shipping DoD assets, and which matches the address identified in AFMCFARS 5352.247-9017 “F.o.b. Point for Delivery of Government-Furnished Property.” Include existing Routing Identifier Code (RIC), which may be required for accessing Government Data Systems.

(b) Offeror shall insert the existing Activity Address Code and RIC Code as listed in DoD Directory, DoD 4000.25-6M, or identify that the Contracting Officer will need to obtain an Activity Address Code and/or Routing Identifier Code (RIC) on contractor’s behalf.

Existing Activity Address Code __________________

Existing Routing Identifier Code (RIC) ________________

[ ] I currently do not possess an Activity Address Code for the designated activity type. Use the address I have designated on AFMCFARS 5352.247-9017 “F.o.b. Point for Delivery of Government-Furnished Property” herein to obtain the Activity Address Code

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

TRANSPORTATION APPROPRIATION CHARGEABLE

The Transportation Allotment Identification (TAI) relates directly to the above ACRN(s). For example the TAI "TAA" is for the same line item(s) as ACRN "AA".

FMS TRANSPORTATION ALLOTMENT SHALL BE USED ONLY WHEN SHIPMENT ON GOVERNMENT

BILL OF LADING IS AUTHORIZED

Insert 3 if movement via surface mode or 2 if movement via airlift in place of any "#" shown.

Insert last digit of current fiscal year in place of any asterisk "*" shown when material is shipped.

TAI ATAC FMS ALLOTMENT/ NOTE

TAA F6RS

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 (OCT 2012)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, interested party may contact the Center/MAJCOM/DRU or AFISRA ombudsmen, Kim McDonald at 478 222 -1088 , FAX 478 222 -1855 , email Kim.McDonald@robins.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU or AFISRA 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) 256-2397, facsimile number (571) 256-2431.

(Applicable to all solicitations and contracts)

I-11

52.202-1 DEFINITIONS (JAN 2012)

(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 (APR 1984)

(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…

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