FA8524-16-Q-0018-Attachments.pdf

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Year

Procurement Instrument Type Code

Order Number

Contract Number

OR

Non-DoD Number

FD206016000839

Serialized Identifier

Reset Form

Attachment Number 1

Serialized Items List

Add

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Item# Descr CAGE Marking

Instr Model # NSN Nomen Part # Part or Ident # Qty Serial # Type Designator

Unique Item #

Unit Acq Cost

Unit of Measure Use As Is

X #

Non-Serialized Items List

Add

Copy

Item# Descr CAGE Marking

Instr Model # NSN Nomen Part # Part or Ident # Qty Type Designator Unit Acq Cost Unit of Measure Use As Is

X # 1 System Int 599801623 System In 31 $25000.00 Each true

X # 2 SEU 599801623 SEU 32 $15000.00 Each true

X # 3 Control Pa 599801623 Control P 32 $20000.00 Each true

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TRANSPORTATION DATA FOR SOLICITATIONS

COMMODITY: See Continuation

PURCHASE INSTRUMENT NUMBER:

FD20601600839-00

DATE INITIATED:

29 APR 2016

STOCK NUMBER: See Continuation

X ORIGIN DESTINATION OTHER X DATA / FIRST ARTICLE F.O.B. DESTINATION(Specify)

F.O.B. TERMS RECOMMENDED AS BEST SUITED FOR THIS PROCUREMENT

TRANSPORTATION PROVISIONS / CLAUSES FAR CITATION

F.O.B. Origin 52.247-29 Freight Classification Description 52.247-53 IAW Basic Contract FD20601600839

TACRN:

AAA

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 646 47GR 159999 01K010 00000 UJJAIZ 503000 HQ0104 FSR: 013720 PSR: G55342

First Destination Transportation Account Code:

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code: F6RS

FMS LOA:

Additional Funding Information:

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 5998016230775GC

Purchase Instrument Line Item Number: 0001

Ship to (DoDAAC / MAPAC):

Mark For: "PLEASE POST TO THE RIC"

Ship To (Address): SW3119 D035K DEPOT SUPPLY DDWG-ER-DLA

CENTRAL RECEIVING BLDG 376

ROBINS AFB, GA

31098

USA

WPOD:

APOD:

BBP / CCP:

RIC:

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET

Ship To (Remarks): TO OBTAIN SHIPPING AND "MARK FOR"

INSTRUCTIONS 3-5 DAYS PRIOR TO COMPLETION,

PLEASE CONTACT PMS SELLER

SHARON.QUINN@US.AF.MIL, 478-327-6584

Page 1 of 3DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 04 May 2016

NSN / Pseudo NSN: 5998016231136GC

Purchase Instrument Line Item Number: 0002

Ship to (DoDAAC / MAPAC):

Mark For: PLEASE POST TO THE "FLB RIC"

Ship To (Address): SW3119 D035K DEPOT SUPPLY DDWG-ER-DLA

CENTRAL RECEIVING BLDG 376

ROBINS AFB, GA

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP:

RIC:

Requisition Number:

Supplemental Address:

FMS Case:

455 BRYON STREET

Ship To (Remarks): TO OBTAIN SHIPPING AND MARK FOR

INSTRUCTIONS 3-5 DAYS PRIOR TO COMPLETION,

PLEASE CONTACT PMS SELLER

SHARON.QUINN@US.AF.MIL, 478-327-6584

NSN / Pseudo NSN: 5998016231130GC

Purchase Instrument Line Item Number: 0003

Ship to (DoDAAC / MAPAC):

Mark For: "PLEASE POST TO THE FLB RIC"

Ship To (Address): SW3119 D035K DEPOT SUPPLY DDWG-ER-DLA

CENTRAL RECEIVING BLDG 376

ROBINS AFB, GA

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP:

RIC:

Requisition Number:

Supplemental Address:

FMS Case:

455 BRYON STREET

Ship To (Remarks): TO OBTAIN SHIPPING AND MARK FOR

INSTRUCTIONS, PLEASE CONTACT PMS SELLER

SHARON QUINN AT SHARON.QUINN@US.AF.MIL,

478-327-6584

NSN / Pseudo NSN: 5998DTL1602F8GC

Purchase Instrument Line Item Number: 0004

Ship to (DoDAAC / MAPAC):

Mark For: 'PLEASE POST TO THE "FLB RIC"

Ship To (Address): SW3119 D035K DEPOT SUPPLY DDWG-ER-DLA

CENTRAL RECEIVING BLDG 376

ROBINS AFB, GA

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP:

RIC:

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET

Ship To (Remarks): TO OBTAIN SHIPPING AND MARK FOR

INSTRUCTIONS PLEASE CONTACT PMS SELLER

SHARON QUINN@SHARON.QUINN@US.AF.MIL, 478-

327-6584

EVALUATION OF PORT BID OR PROPOSAL:

Page 2 of 3DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 04 May 2016

SOLICITATION DATA NOTES:

OTHER TRANSPORTATION DATA:

NAME

Jackson, Willie C

ORGANIZATION / OFFICE

SYMBOL

406 SCMS / GULAA

COMMERCIAL / DSN

PHONE

478-926-8905 / 468-8905

SIGNATURE

//SIGNED//Jackson, Willie C

DATE

29 APR 2016

Page 3 of 3DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 04 May 2016

PACKAGING REQUIREMENTS

PURCHASE INSTRUMENT NUMBER: FD20601600839-00 VERSION: 1

MIL-STD 129 REVISION: R MIL-STD 2073-1 REVISION: E

THE FOLLOWING STATEMENT IS IN COMPLIANCE WITH THE UNITED NATIONS-IMPLEMENTED RESTRICTIONS ON WOOD PACKAGING MATERIAL (WPM). THIS REQUIREMENT IS SPECIFICALLY CONCERNED WITH INVASIVE SPECIES SUCH AS THE PINEWOOD NEMATODE. WPM IS DEFINED AS WOOD PALLETS, SKIDS, LOAD BOARDS, PALLET COLLARS, WOODEN BOXES, REELS, DUNNAGE, CRATES, FRAMES, AND CLEATS. THE STATEMENT BELOW CITES THE REQUIREMENTS IN DETAIL AND COVERS LUMBER FOR BUILDING CONTAINERS AND PALLETS USED FOR DELIVERIES RESULTING IN SHIPMENTS WORLDWIDE (DIRECT, OR THROUGH AIR LOGISTICS CENTERS (ALC), CONTAINER CONSOLIDATION POINTS (CCP), OR OTHER BASES). WOODEN LUMBER, WOODEN

PALLET AND PACKAGING/CONTAINER STATEMENT:

ALL WOODEN LUMBER, WOODEN PALLET'S, AND WOODEN CONTAINERS PRODUCED ENTIRELY OR IN PART OF WOOD PACKING MATERIAL (WPM) SHALL BE CONSTRUCTED FROM DEBARKED WOOD IN ADDITION TO THE APPLICATION OF HEAT-TREATED (HT) MATERIAL (HT TO 56 DEGREES CENTIGRADE OR 133 DEGREES FAHRENHEIT FOR 30 MINUTES). CERTIFICATION/MARKING IS REQUIRED BY AN ACCREDITED AGENCY RECOGNIZED BY THE AMERICAN LUMBER STANDARDS COMMITTEE (ALSC). FOR REFERENCE DOCUMENTATION, SEE LATEST REVISION OF "INTERNATIONAL STANDARDS FOR PHYTOSANITARY MEASURES" (ISPM)NO.15), "REGULATION OF WOOD PACKAGING MATERIAL IN INTERNATIONAL TRADE."

PACRN: PACKAGING REQUIREMENT: PRESERVATION LEVEL: PACKAGING LEVEL: SPI: SPI REV: SPI DATE:

AAA MIL Long Line Packaging MIL B

ITEM(S):

5998016231136GC

CODED DATA:

QUP ICQ

PRES

METH CD

PRES

MTL

WRAP

MTL

CUSH

DUNN CT

UNIT

CONT

INT

CONT UCL

SPEC

MKG

UNIT PACK

WEIGHT

UNIT PACK

LENGTH

UNIT PACK

WIDTH

UNIT PACK

DEPTH

UNIT PACK

CUBE OPI

1 000 GX 1 00 K3 NB A NR 00 B 39 8.00 10.5 10.5 12.5 0.797 M

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

Military Packaging and Marking Items shall be packaged in accordance with MIL-STD-2073-1, Standard Practice for Military Packaging. Shipping and storage markings shall be in accordance with MIL-STD-129, Standard Practice for Military Marking.

Shipping Container Marking Shipping containers shall be marked meeting the following criteria: (a) MIL-STD-129, Standard Practice for Military Marking. (b) Bar code format shall conform to bar code symbology Format 3 of 9, Code 39 as specified in MIL- STD-129. (c.) Additional marking and/or bar coding requirements exceeding those of MIL-STD-129 (e.g., unit serial numbers, original equipment manufacturers (OEM) name, or OEM model number, as specified on the AFMC Form 158.

Page 1 of 3AFMC 158 Version 1Generated by PRPS using Jasper Reports on 04 May 2016

PACRN: PACKAGING REQUIREMENT: PRESERVATION LEVEL: PACKAGING LEVEL: SPI: SPI REV: SPI DATE:

AAB MIL Long Line Packaging MIL B

ITEM(S):

5998016231130GC

CODED DATA:

QUP ICQ

PRES

METH CD

PRES

MTL

WRAP

MTL

CUSH

DUNN CT

UNIT

CONT

INT

CONT UCL

SPEC

MKG

UNIT PACK

WEIGHT

UNIT PACK

LENGTH

UNIT PACK

WIDTH

UNIT PACK

DEPTH

UNIT PACK

CUBE OPI

1 000 GX 1 00 K3 NB A NS 00 B 39 0.75 6.3 5.3 3.0 0.057 M

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

Military Packaging and Marking Items shall be packaged in accordance with MIL-STD-2073-1, Standard Practice for Military Packaging. Shipping and storage markings shall be in accordance with MIL-STD-129, Standard Practice for Military Marking.

Shipping Container Marking Shipping containers shall be marked meeting the following criteria: (a) MIL-STD-129, Standard Practice for Military Marking. (b) Bar code format shall conform to bar code symbology Format 3 of 9, Code 39 as specified in MIL- STD-129. (c.) Additional marking and/or bar coding requirements exceeding those of MIL-STD-129 (e.g., unit serial numbers, original equipment manufacturers (OEM) name, or OEM model number, as specified on the AFMC Form 158.

PACRN: PACKAGING REQUIREMENT: PRESERVATION LEVEL: PACKAGING LEVEL: SPI: SPI REV: SPI DATE:

AAC No Packaging Data Required

ITEM(S):

5998DTL1602F8GC

CODED DATA:

QUP ICQ

PRES

METH CD

PRES

MTL

WRAP

MTL

CUSH

DUNN CT

UNIT

CONT

INT

CONT UCL

SPEC

MKG

UNIT PACK

WEIGHT

UNIT PACK

LENGTH

UNIT PACK

WIDTH

UNIT PACK

DEPTH

UNIT PACK

CUBE OPI

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

Page 2 of 3AFMC 158 Version 1Generated by PRPS using Jasper Reports on 04 May 2016

PACRN: PACKAGING REQUIREMENT: PRESERVATION LEVEL: PACKAGING LEVEL: SPI: SPI REV: SPI DATE:

AAD MIL-STD-2073-1 / No Packaging Available MIL B

ITEM(S):

5998016230775GC

CODED DATA:

QUP ICQ

PRES

METH CD

PRES

MTL

WRAP

MTL

CUSH

DUNN CT

UNIT

CONT

INT

CONT UCL

SPEC

MKG

UNIT PACK

WEIGHT

UNIT PACK

LENGTH

UNIT PACK

WIDTH

UNIT PACK

DEPTH

UNIT PACK

CUBE OPI

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

Military Packaging and Marking Items shall be packaged in accordance with MIL-STD-2073-1, Standard Practice for Military Packaging. Shipping and storage markings shall be in accordance with MIL-STD-129, Standard Practice for Military Marking.

Shipping Container Marking Shipping containers shall be marked meeting the following criteria: (a) MIL-STD-129, Standard Practice for Military Marking. (b) Bar code format shall conform to bar code symbology Format 3 of 9, Code 39 as specified in MIL- STD-129. (c.) Additional marking and/or bar coding requirements exceeding those of MIL-STD-129 (e.g., unit serial numbers, original equipment manufacturers (OEM) name, or OEM model number, as specified on the AFMC Form 158.

ORGANIZATION / OFFICE SYMBOL:

406 SCMS / GULAA

PACKAGING SPECIALIST:

Edwards, Bernadette M

PHONE NUMBER:

478-327-3486 / 497-3486

SIGNATURE:

//SIGNED//Edwards, Bernadette M

DATE:

16120 - 29 APR 2016

Page 3 of 3AFMC 158 Version 1Generated by PRPS using Jasper Reports on 04 May 2016

CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Executive Services Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

HH60

E. CONTRACT / PR NO.

FD20601600839

F. CONTRACTOR

DRS ICAS LLC

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Maintenance Data Collection Record (MDCR)

3. SUBTITLE

AFTO Form 349

4. AUTHORITY

DI-MISC-81371/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS paragraph 4.2.10.1

6. REQUIRING OFFICE

411 SCMS/GULD

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

MTHLY

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Quinn, Sharon ANAME: 29 APR 2016DATE:

BLOCK 4: TAILORED TO PROVIDE FOR SUBMISSION REPORTS ELECTRONICALLY, IN CONTRACTOR

FORMAT IN LIEU OF AFTO FORM 349.

BLOCK 7: WAWF E-DD FORM 250 SHALL BE REQUIRED FOR PRICED DATA. E-DD FORM 250 SHALL BE

SUBMITTED TO FA8524 (PMS EMAIL ADDRESS) FOR ACCEPTANCE.

Block 9: Distribution authorized to U.S. Government Agencies and their Contractors

BLOCKS 10- 13: REPORT SHALL BE SUBMITTED TO ARRIVE NLT 10TH CALENDAR DAY AFTER THE END OF THE MONTH BEING REPORTED. REPORT SHALL INCLUDE INFORMATION FOR EACH ITEM BEING

REPAIRED DURING THE MONTH. NEGATIVE REPORTS ARE NOT REQUIRED.

BLK 14: EMAIL Report to Program Management Specialist (PMS) and Equipment Specialist (ES) CDRL Distribution Points of Contact will be e-mailed at Contract Award.

Submit digital copy in a Microsoft® Office® compatible format or Adobe® Portable Document Format for all reports.

COORDINATORS:

ATT: ES

411 SCMG/GULD

0 1 0

ATTN: PMS

411 SCMS/GULD

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Quinn, Sharon A

411 SCMS / GULD

478-327-6584

H. DATE

02 MAY 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRACK.NEIL.M.1073866681

411 SCMS / GULD 478-926-2227 / 468-2227

J. DATE

02 MAY 2016

Page 1 of 6DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 04 May 2016

PREVIOUS EDITION MAY BE USED.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

HH60

E. CONTRACT / PR NO.

FD20601600839

F. CONTRACTOR

DRS ICAS LLC

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Depot Maintenance Production Report (DMPR)

3. SUBTITLE

Monthly Production Report

4. AUTHORITY

DI-ALSS-80728A/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para. 4.2.10.2

6. REQUIRING OFFICE

411 SCMS/GULD

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

MTHLY

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Quinn, Sharon ANAME: 29 APR 2016DATE:

BLOCK 4: TAILORED TO PROVIDE FOR SUBMISSION REPORTS

ELECTRONICALLY, IN CONTRACTOR FORMAT

BLOCK 7: WAWF E-DD FORM 250 SHALL BE REQUIRED FOR PRICED DATA.

E-DD FORM 250 SHALL BE SUBMITTED TO FA8524 (PMS EMAIL ADDRESS) FOR

ACCEPTANCE.

Block 9: Distribution authorized to U.S. Government Agencies and their Contractors

BLOCKS 10- 13: REPORT SHALL BE SUBMITTED TO ARRIVE NLT 10TH

CALENDAR DAY AFTER THE END OF THE MONTH BEING REPORTED. REPORT

SHALL INCLUDE INFORMATION FOR EACH ITEM BEING REPAIRED DURING

THE MONTH. NO REPORTS ARE REQUIRED WHEN NO UNITS INDUCTED FOR

REPAIR

BLK 14: EMAIL Report to Program Management Specialist (PMS). CDRL Distribution Points of Contact will be e-mailed at Contract Award.

Submit digital copy in a Microsoft® Office® compatible format or Adobe® Portable Document Format for all reports.

COORDINATORS:

ATTN: PMS

411 SCMG/GULD

460 RICHARD RAY BLVD

SUITE 200, ROBINS AFB

GEORGIA 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Quinn, Sharon A

411 SCMS / GULD

478-327-6584

H. DATE

02 MAY 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRACK.NEIL.M.1073866681

411 SCMS / GULD 478-926-2227 / 468-2227

J. DATE

02 MAY 2016

Page 2 of 6DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 04 May 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

HH60

E. CONTRACT / PR NO.

FD20601600839

F. CONTRACTOR

DRS ICAS LLC

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

Report

4. AUTHORITY

DI-MGMT-81803

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.3.2

6. REQUIRING OFFICE

AFLCMC/WIU

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

See Block 16

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Quinn, Sharon ANAME: 29 APR 2016DATE:

Block 7: The Contractor shall submit the Receiving Report upon final Government acceptance through Wide Area Workflow to collectively account for data previously submitted by Letter of Transmittal..

Block 8, 10-12: Contractor shall submit an IUID Marking Plan, to the Engineer, AFLCMC/WIUEC, within 10 working days after contract award. Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

Block 9: Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests shall be referred to the contract management team, AFSC/PZAAA, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098

Block 13: If, during the performance of this contract, changes to the IUID Marking Plan are required, submit the revised IUID Marking Plan to Engineering Office, AFLCMC/WIUEC . Procedures identified for blocks 8, 10-12 will apply.

Block 14: EMAIL Report to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager and Engineer.

CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award

COORDINATORS:

ATTN: DCMA/ACO 0 1 0

ATTN: Engineering

AFLCMC/WIUEC

235 Byron Street Suite 19A Robins AFB, GA. 31098

1 1 0

ATTN: PCO

AFSC/PZAAA

460 Richard Ray Blvd Suite 221 Robins AFB, GA. 31098

0 1 0

ATTN: Program Manager and COR

411 SCMS/GULA

460 Richard Ray Blvd

STE 200

Robins AFB, GA 31098

0 1 0

1 4 015. TOTAL

G. PREPARED BY

Quinn, Sharon A

411 SCMS / GULD

478-327-6584

H. DATE

02 MAY 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRACK.NEIL.M.1073866681

411 SCMS / GULD 478-926-2227 / 468-2227

J. DATE

02 MAY 2016

Page 3 of 6DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 04 May 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

HH60

E. CONTRACT / PR NO.

FD20601600839

F. CONTRACTOR

DRS ICAS LLC

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Activity Verification Report

3. SUBTITLE

Report

4. AUTHORITY

DI-MGMT-81804

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.3.4

6. REQUIRING OFFICE

AFLCMC/WIUEC

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

QRTLY

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Quinn, Sharon ANAME: 29 APR 2016DATE:

Block 7: The Contractor shall submit a Receiving Report upon final Government acceptance through Wide Area Workflow to collectively account for data previously submitted by Letter of Transmittal.

Block 8, 10-12: Contractor shall submit an IUID Marking Activity and Verification Report, to the Engineer, AFLCMC/WIUEC every three months. Written Government acceptance/comments/rejection will be within 10 working days after receipt of Report from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

Block 9: Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests shall be referred to the contract management team, AFSC/PZAAA, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.

Block 13: If, during the performance of this contract, changes to the IUID Marking Plan are required, submit the revised IUID Marking Plan to Engineering Office, AFLCMC/WIUEC, 235 Byron Street, Suite 19A, Robins AFB, GA 31098.

Procedures identified for blocks 8, 10-12 will apply.

Block 14: EMAIL Report to the Procuring Contract Officer, DCMA/ACO, Program Manager and Engineer. CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award

COORDINATORS:

ATT: ENGINEERING

AFLCMC/WIUEC

235 Byron Street Suite 19A Robins AFB, GA.

31098

1 1 0

ATTN: PCO

AFSC/PZAAA

460 Richard Ray BLVD Suite 221 Robins AFB, GA.

31098

0 1 0

DCMA/ACO 0 1 0

Program Manager Rhonda Hurst

411 SCMS/GULA

PRIMARY COR:

0 1 0

1 4 015. TOTAL

G. PREPARED BY

Quinn, Sharon A

411 SCMS / GULD

478-327-6584

H. DATE

02 MAY 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRACK.NEIL.M.1073866681

411 SCMS / GULD 478-926-2227 / 468-2227

J. DATE

02 MAY 2016

Page 4 of 6DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 04 May 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

HH60

E. CONTRACT / PR NO.

FD20601600839

F. CONTRACTOR

DRS ICAS LLC

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Counterfeit Protection Plan

3. SUBTITLE

Report

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para. 4.5

6. REQUIRING OFFICE

AFLCMC/WIUEC

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

See Block 16

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Quinn, Sharon ANAME: 29 APR 2016DATE:

Block 7: The Contractor shall submit the Receiving Report upon final Government acceptance through Wide Area Work flow.

BLK 8, 10-13: Draft report shall be submitted within 30 workdays after contract award. Contractor shall provide quarterly updates as necessary until final at completion of program. The Government will have 15 workdays to approve, submit comments, or disapprove all submissions. The contractor shall have 15 workdays to resubmit report if changes were deemed necessary by the Government.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (19 July 07). Other requests shall be referred to the contract management team, AFSC/PZAAA, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.

BLK 14: EMAIL Report to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager and Engineer.

CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft® Office® compatible format or Adobe® Portable Document Format for all reports.

COORDINATORS:

ATTN: DCMA/ACO 0 1 0

ATTN: Engineering

AFLCMC/WIUEC

235 Byron Street STE 19A, Robins AFB

GA 31098

1 1 0

ATTN: PCO:

AFSC/PZAAA

460 Richard Ray Blvd. STE 221 Robins AFB, GA.

31098

0 1 0

ATTN: PCO:

AFSC/PZAAA

460 Richard Ray Blvd. STE 221 Robins AFB, GA.

31098

1 1 0

ATTN: PM/COR

411 SCMS/GULA

460 Richard Ray Blvd Suite 200, RAFB GA.

31098

0 1 0

2 5 015. TOTAL

G. PREPARED BY

Quinn, Sharon A

411 SCMS / GULD

478-327-6584

H. DATE

02 MAY 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRACK.NEIL.M.1073866681

411 SCMS / GULD 478-926-2227 / 468-2227

J. DATE

02 MAY 2016

Page 5 of 6DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 04 May 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

HH60

E. CONTRACT / PR NO.

FD20601600839

F. CONTRACTOR

DRS ICAS LLC

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force

3. SUBTITLE

CAVAF

4. AUTHORITY

DI-MGMT-81634B

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.6

6. REQUIRING OFFICE

FA8524

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

11. AS OF DATE

See block 16

12. DATE OF FIRST

SUBMISSION

See block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Sostarich, Jonn WNAME: 29 APR 2016DATE:

1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM SOW. This information will be accessed by the program office PMS and by 420 SCMS/GUNAB-Robins in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0.1 or higher.

The Contractor shall obtain a valid DOD PKI certificate to log into CAV AF. Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 420 SCMS/GUNAB-Robins, (478) 327-6603 or 6602.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 7: Enter the applicable code as listed in DOD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced.)

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hours of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the funding base will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

COORDINATORS:

15. TOTAL

G. PREPARED BY

Quinn, Sharon A

411 SCMS / GULD

478-327-6584

H. DATE

02 MAY 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRACK.NEIL.M.1073866681

411 SCMS / GULD 478-926-2227 / 468-2227

J. DATE

02 MAY 2016

Page 6 of 6DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 04 May 2016

RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

5998016231130GC

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

6. EQUIPMENT SPEC / PHONE

Slaughter, Jill M / 478-327-6939

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

X OTHER (Describe in Block 8)

8. REMARKS

Ciavattone, BrianNAME: 29 SEP 2015DATE:

ISO 9001:2008

8a. OZONE DEPLETING SUBSTANCES (ODS)

X STATEMENT

"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN

ONLY BE MET BY THE USE OF A CLASS I ODS."

WAIVER (SEE AF FARS 5323)

NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.

9. QUALITY PRE-AWARD SURVEY

YES NEW SOURCE

X PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

I

11. SIGNATURE OF TECHNICAL AUTHORITY

Ciavattone, Brian

ORGANIZATION / SYMBOL

AFLCMC / WIU

PHONE

478-327-6965 / 497-6965

DATE

29 SEP 2015

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 3Generated by PRPS using Jasper Reports on 04 May 2016

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

5998016231136GC

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

6. EQUIPMENT SPEC / PHONE

Slaughter, Jill M / 478-327-6939

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

X OTHER (Describe in Block 8)

8. REMARKS

Ciavattone, BrianNAME: 29 SEP 2015DATE:

ISO 9001:2008

8a. OZONE DEPLETING SUBSTANCES (ODS)

X STATEMENT

"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN

ONLY BE MET BY THE USE OF A CLASS I ODS."

WAIVER (SEE AF FARS 5323)

NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.

9. QUALITY PRE-AWARD SURVEY

YES NEW SOURCE

X PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

I

11. SIGNATURE OF TECHNICAL AUTHORITY

Ciavattone, Brian

ORGANIZATION / SYMBOL

AFLCMC / WIU

PHONE

478-327-6965 / 497-6965

DATE

29 SEP 2015

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 3Generated by PRPS using Jasper Reports on 04 May 2016

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

5998016230775GC

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

6. EQUIPMENT SPEC / PHONE

Robinson, David A / 478-926-7237

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

X OTHER (Describe in Block 8)

8. REMARKS

Ciavattone, BrianNAME: 06 OCT 2015DATE:

ISO 9001:2008

8a. OZONE DEPLETING SUBSTANCES (ODS)

X STATEMENT

"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN

ONLY BE MET BY THE USE OF A CLASS I ODS."

WAIVER (SEE AF FARS 5323)

NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.

9. QUALITY PRE-AWARD SURVEY

X YES NEW SOURCE

X PREVIOUS SOURCENO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

I

11. SIGNATURE OF TECHNICAL AUTHORITY

Valdes, Madeline

ORGANIZATION / SYMBOL

AFLCMC / WIUEC

PHONE

478-327-6964 / 497-6964

DATE

02 DEC 2015

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 3Generated by PRPS using Jasper Reports on 04 May 2016

ITEM UNIQUE IDENTIFICATION (IUID) CHECKLIST

I. IUID DETAILS: DFARS 252.211.7003

SECTION (c) (1) (i) APPLIES TO THE FOLLOWING:

ITEM REQUIRING IUID MARKING

NSN

5998016231130GC

VERSION NUMBER

NOUN

ELECTRONIC COMPONEN

INITIATOR

Jones, Joseph L

ORGANIZATION CODE / OFFICE SYMBOL

WR-ALC / GRUEC

COMMERCIAL PHONE

478-926-7500

DSN PHONE

468-7500

CAGE / REFERENCE NUMBER

0CDN3 / 3201-0103-03-1

98752 / 201124521-10

MARKING IS TO BE PERFORMED IN ACCORDANCE WITH THE LATEST VERSION OF MIL-STD-130

MARKING GUIDANCE

Contractor Determined Location and Method

ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

ATTACHMENT(S)

II. EMBEDDED ITEMS

SECTION (c) (1) (iii) APPLIES TO THE FOLLOWING:

NSN NOUN

CAGE / REFERENCE NUMBER

ITEM IS AN EMBEDDED ITEM FOR NSN / PSEUDO NSN: 5998016231130GC

MARKING GUIDANCE ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

ATTACHMENT(S)

Page 1 of 1IUID Version 2Generated by PRPS using Jasper Reports on 04 May 2016

SECTION (c) (1) (i) APPLIES TO THE FOLLOWING:

ITEM REQUIRING IUID MARKING

NSN

5998016231136GC

VERSION NUMBER

NOUN

ELECTRONIC COMPONEN

INITIATOR

Jones, Joseph L

ORGANIZATION CODE / OFFICE SYMBOL

WR-ALC / GRUEC

COMMERCIAL PHONE

478-926-7500

DSN PHONE

468-7500

CAGE / REFERENCE NUMBER

0CDN3 / 3201-0002-03-1

98752 / 201124517-10

MARKING IS TO BE PERFORMED IN ACCORDANCE WITH THE LATEST VERSION OF MIL-STD-130

MARKING GUIDANCE

Contractor Determined Location and Method

ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

ATTACHMENT(S)

II. EMBEDDED ITEMS

SECTION (c) (1) (iii) APPLIES TO THE FOLLOWING:

NSN NOUN

CAGE / REFERENCE NUMBER

ITEM IS AN EMBEDDED ITEM FOR NSN / PSEUDO NSN: 5998016231136GC

MARKING GUIDANCE ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

Page 1 of 1IUID Version 2Generated by PRPS using Jasper Reports on 04 May 2016

SECTION (c) (1) (i) APPLIES TO THE FOLLOWING:

ITEM REQUIRING IUID MARKING

NSN

5998016230775GC

VERSION NUMBER

NOUN

ELECTRONIC COMPONEN

INITIATOR

Jones, Joseph L

ORGANIZATION CODE / OFFICE SYMBOL

AFLCMC / WIUEC

COMMERCIAL PHONE

478-926-7500

DSN PHONE

468-7500

CAGE / REFERENCE NUMBER

0CDN3 / 3201-0101-03-1

98752 / 201124536-10

MARKING IS TO BE PERFORMED IN ACCORDANCE WITH THE LATEST VERSION OF MIL-STD-130

MARKING GUIDANCE

Contractor Determined Location and Method

ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

Fairfield, Brandon KNAME: 10 FEB 2016DATE:

MARKING IS TO BE PERFORMED IAW THE LATEST VERSION OF MIL-STD-130

ATTACHMENT(S)

II. EMBEDDED ITEMS

SECTION (c) (1) (iii) APPLIES TO THE FOLLOWING:

NSN NOUN

CAGE / REFERENCE NUMBER

ITEM IS AN EMBEDDED ITEM FOR NSN / PSEUDO NSN: 5998016230775GC

MARKING GUIDANCE ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

Page 1 of 1IUID Version 3Generated by PRPS using Jasper Reports on 04 May 2016

Green Procurement Statement Robins Air Force Base

PR No./Project No.

and/or Project Title

None of the products that I am specifying for procurement are listed on a mandatory environmental purchasing list, including:

• U.S. EPA Comprehensive Procurement Guidelines published at www.epa.gov/cpg/products.htm.

• USDA Biobased product listings published at http://www.biobased.oce.usda.gov/fb4p/DesignationItemList.aspx

• Energy Star® product listings published at www.energystar.gov/products.

• FEMP Low Standby Power product listings published at http://www1.eere.energy.gov/femp/procurement/eep_standby_power.html

Therefore, I am not required to include the Robins AFB Recovered Material Determination Form with this procurement package.

In addition, I have sought to reduce the environmental damages associated with this procurement by considering the specification of environmentally preferable products and services to the extent feasible, consistent with price, performance, availability, and safety considerations. I have considered products with recycled or biobased content as well as other environmentally preferable attributes, such as:

• Reduced packaging

• Durability and repairability

• Reduced toxicity

• Conservation of natural resources

• Water conservation

• Low Volatile Organic Compound (VOC) Content

• Asbestos alternative

Technical OPR - Signature and Office Symbol Date

Title/Role

PR# FD2060-16-00839

IAHHS Repair NIIN 01-623-0775

CIAVATTONE.BRIAN.1387716641

Digitally signed by CIAVATTONE.BRIAN.1387716641 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=CONTRACTOR, cn=CIAVATTONE.BRIAN.1387716641 Date: 2015.12.08 11:59:46 -05'00' 8 December 2015

Electrical Engineer

PR No./Project No.

and/or Project Title

None of the products that I am specifying for procurement are listed on a mandatory environmental purchasing list, including:

• U.S. EPA Comprehensive Procurement Guidelines published at www.epa.gov/cpg/products.htm.

• USDA Biobased product listings published at http://www.biobased.oce.usda.gov/fb4p/DesignationItemList.aspx

• Energy Star® product listings published at www.energystar.gov/products.

• FEMP Low Standby Power product listings published at http://www1.eere.energy.gov/femp/procurement/eep_standby_power.html

Therefore, I am not required to include the Robins AFB Recovered Material Determination Form with this procurement package.

In addition, I have sought to reduce the environmental damages associated with this procurement by considering the specification of environmentally preferable products and services to the extent feasible, consistent with price, performance, availability, and safety considerations. I have considered products with recycled or biobased content as well as other environmentally preferable attributes, such as:

• Reduced packaging

• Durability and repairability

• Reduced toxicity

• Conservation of natural resources

• Water conservation

• Low Volatile Organic Compound (VOC) Content

• Asbestos alternative

Technical OPR - Signature and Office Symbol Date

Title/Role

PR# FD2060-16-00839

IAHHS Repair NIIN 01-623-1130

CIAVATTONE.BRIAN.1387716641

Digitally signed by CIAVATTONE.BRIAN.1387716641 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=CONTRACTOR, cn=CIAVATTONE.BRIAN.1387716641 Date: 2015.12.08 12:00:43 -05'00' 8 December 2015

PR No./Project No.

and/or Project Title

None of the products that I am specifying for procurement are listed on a mandatory environmental purchasing list, including:

• U.S. EPA Comprehensive Procurement Guidelines published at www.epa.gov/cpg/products.htm.

• USDA Biobased product listings published at http://www.biobased.oce.usda.gov/fb4p/DesignationItemList.aspx

• Energy Star® product listings published at www.energystar.gov/products.

• FEMP Low Standby Power product listings published at http://www1.eere.energy.gov/femp/procurement/eep_standby_power.html

Therefore, I am not required to include the Robins AFB Recovered Material Determination Form with this procurement package.

In addition, I have sought to reduce the environmental damages associated with this procurement by considering the specification of environmentally preferable products and services to the extent feasible, consistent with price, performance, availability, and safety considerations. I have considered products with recycled or biobased content as well as other environmentally preferable attributes, such as:

• Reduced packaging

• Durability and repairability

• Reduced toxicity

• Conservation of natural resources

• Water conservation

• Low Volatile Organic Compound (VOC) Content

• Asbestos alternative

Technical OPR - Signature and Office Symbol Date

Title/Role

PR# FD2060-16-00839

IAHHS Repair NIIN 01-623-1136

CIAVATTONE.BRIAN.1387716641

Digitally signed by CIAVATTONE.BRIAN.1387716641 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=CONTRACTOR, cn=CIAVATTONE.BRIAN.1387716641 Date: 2015.12.08 12:01:33 -05'00' 8 December 2015

DD Form 2875, System Authorization Access Request (SAAR)

Instructions for Contractor Users.

Version 3.0 15 May 2014

Note: Completion of all blocks is mandatory on the DD Form 2875 unless otherwise noted:

Header

Select Type of Request (Initial, Modification (have User ID (inactive), must list), Deactivate), User ID (If known)

Input Date, use YYYYMMDD format

System Name: CAV AF

Location: Wright-Patterson AFB

Part I Blocks

1 – 9 Must be filled out with user information.

10 - Information Assurance (IA) Awareness Training Requirements MUST be met annually:

http://iase.disa.mil/eta/cyberchallenge/launchPage.htm Click on Launch new Cyberawareness Challenge

Dept of Defense version (Provide Course Completion Certificate along with DD Form 2875 and AF User

Agreement Statement, AF Form 4394, for account activation). Fill in completion date using training certificate date. NOTE: Following initial course completion certificate submission, thereafter all annual course completion certificates shall be sent directly to following email address: hqafmc.a4nl@us.af.mil

Product Functionality Caution: To meet technical functionality requirements, this awareness product was developed to function with Windows operating systems (Windows 7, VISTA, and XP, when configured correctly) using either the Internet Explorer (IE) or Firefox browsers. Users employing another

OS or browser may experience difficulties and may not be able to complete the training or print the certificate of completion. The Cyberawareness Challenge course completions is a contractual requirement and must be complied with.

11 – 12 User Digital Signature Only and Date

Part II Blocks

13 - Justification input “To Access CAV AF System to meet contractual compliance requirement for reporting of Air Force assets”, plus User Type based on type of contract: contractor furnished material

(CFM) or government furnished material (GFM) and inventory control point (ICP) DODAAC.

14 - Check “Authorized”.

15 - Check “Unclassified”.

16 - Check box.

16a - Contractors must fill with information for each contract being requested access to; Company Name, Contract Number, Expiration Date, DODAAC (EZXXXX) – Please use block 27 for continuation if necessary.

17 - 20b These must be completed and signed by Supervisor.

http://iase.disa.mil/eta/cyberchallenge/launchPage.htm mailto:hqafmc.a4nl@us.af.mil

DD Form 2875, System Authorization Access Request (SAAR)

Instructions for Contractor Users.

Version 3.0 15 May 2014

21 -25 Contractors must leave blank.

22 – 25 Signed by CAV AF IAO/IAM

26a - Same as Block 1.

27 - Continuation of block 16a contract information for requested access to, if applicable.

Part III

For Repair Suppliers:

Please enter required PKI information

28 - Enter: “PKI certification through: (EX: VERISIGN, INDENTRUST, ORC, or DoD)

28a - Enter date of investigation

28b - Leave blank

28c - Check Level II or Level III based on below:

Level II: Read / Write type access normally for government contract monitors/ and contractors

Level III: Read only access for view only access

29 – 32 Completed and Signed by vendor FSO, Facility Security Officer or applicable equivalent

Part IV Leave blank

For account activation, email Cyber Awareness Certificate, completed DD Form 2875 and AF User

Agreement Statement, AF Form 4394 to applicable ALC email address:

a. Warner Robins AFB, GA, (478) 327-6602 or 327-6603, email:

406scms.cav.af.ar@us.af.mil

PR: FD2060-16-000839 Urgent PWS 1

Urgent Performance-Based Work Statement (PWS)

Purchase Request: FD2060-16-000839

Depot repair of the Improved Altitude Hold and Hover Stabilization

(IAHHS) System

Applicable to the HH-60G Aircraft

Date: 27 April 2016

1.0 Description of Services

1.1 Objective(s): This PWS is for depot level repair of the IAHHS which are all applicable to the HH-60G Helicopter. The extent of repair work required shall be determined by the initial inspection/bench check and required disassembly to return this item to a serviceable end item that shall efficiently serve its intended purpose. Original design of the end item and parts thereof, or the design functional capabilities of the end item, shall not be changed, modified or altered unless such changes are authorized in writing by the Procuring Contracting Officer

(PCO) or specified by publication or directive listed in the Section V. The contractor shall repair and return assets the Government in serviceable condition while meeting the delivery schedule for all requirements. All CAV-AF transactions shall be promptly and correctly maintained.

1.2 Benefit to United States Air Force (USAF): This acquisition will benefit the USAF by having available assets to fully support Special Operation Forces (SOF)/Personnel Recovery, SOF mission. The war fighter will benefit by having more aircraft available with a fully functional IAHHS to perform the Special Operation Forces (SOF) mission.

1.3 Background: The IAHHS provides "hands-free" hovering capability. The algorithm and navigational data used offer a more accurate system, which provides the capability to bring the aircraft to the ground and maintain aircraft velocity. The system will also provide a method to monitor engine parameters to ensure the system will not attempt to use unavailable aircraft power. This system is important to the USAF because of the improved capabilities it will provide to aircrews.

2.0 Services Summary:

Performance Objective PWS

Reference

Performance Threshold

Meet delivery schedule for all requirements.

4.0 There shall be no more than one late delivery per

quarter. The Contractor shall notify the Government if the delivery of any asset will not meet the scheduled delivery date specified in the contract.

PR: FD2060-16-000839 Urgent PWS 2

Repair and return assets to the Government in serviceable condition.

4.2.8

There shall be no more than two Product Quality deficiency Reporting (PQDR) annually during the period of performance of contract.

Maintain prompt and correct CAV-AF

Reporting.

4.6 All CAVAF transactions shall be accomplished

daily or as transactions occur basis. The following metrics will be monitored:

- GFM In-Transit

- Repairable GFM Accountability

- Assets Not on Contract

3.0 Government Property and Services:

3.1 Contractor Responsibility: The Contractor shall be responsible for Government property in their possession in accordance with the Federal Acquisition Regulation (FAR) and applicable supplements. The FAR and applicable supplements can be accessed at http://farsite.hill.af.mil.

3.2 Government Property to be provided: Government property (including material, equipment, etc.) will be in the form of assets to be repaired as follows: NSN 5998-01-623-

0775GC, Noun System Electronics Unit (SEU), P/N 201124536-01, NSN 5998-01-623-1130GC, Noun System Interface Unit (SIU), P/N 3201-0103-103-1, and NSN 5998-01-623-1136GC, Noun Altitude Hover Hold Stabilization (AHHS) Control Panel (ACP), P/N 3201-0002-03-1.

4.0 Technical Requirements: The contractor is required to perform depot level repair of the

IAHHS, NSN 5998-01-623-0775GC, Noun System Electronics Unit (SEU), P/N 201124536-01, NSN 5998-01-623-1130GC, Noun System Interface Unit (SIU), P/N 3201-0103-103-1, and NSN

5998-01-623-1136GC, Noun Altitude Hover Hold Stabilization (AHHS) Control Panel (ACP), P/N 3201-0002-03-1. Turn areound time is 120 calendar days after receipt of assets. There shall be no more than one late delivery per quarter. The Contractor shall notify the Government if the delivery of any asset will not meet the scheduled delivery date specified in the contract.

4.1 Period and Place of Performance:

4.1.1 Contract/Order Period of Performance: The period of performance for the contract is five years (Basic with four 1-year option periods).

4.1.2 Place of Performance: These services shall be performed at the contractors facility.

4.2. Maintenance Records

4.2.1 Condemnation and Repair: The contractor shall be required to repair all end items unless the Procuring Contracting Officer (PCO) through the Administrative Contracting Officer

(ACO) provides written direction. Requests for condemnation shall be submitted in writing through the ACO to the PCO within (10) ten calendar days following initial inspection/functional testing. Condemnations shall not be requested due to unavailability of replacement parts.

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PR: FD2060-16-000839 Urgent PWS 3

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

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

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

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

d. Beyond Economical Repair (BERs): Requests for condemnations

Shall be submitted in writing to the Government PCO within five workdays of the intent to condemn. Condemnation authority shall be requested when the cost to Repair the asset exceeds

75 percent of the unit’s replacement cost. The contractor shall not charge the full repair cost, but only the firm fixed price associated with negotiated BERs CLIN. The PCO retains the right to request enlarged color photographs of any proposed condemned end item. These photographs shall clearly portray the extent of damage to the end item and/or effects of overheating. One photograph shall be of the entire end item showing the part number and serial number.

The results of any electrical testing performed on the end item shall also be submitted for review.

The contractor may be required to submit the proposed condemned end item to Government technical representative for evaluation, confirmation, and/or disposition instructions.

4.2.2. Teardown, Test, and Evaluation (TT&E). TT&E is performed by the contractor to determine the cause of failure prior to conducting actual Repair of the item. When situations occur where an asset is provided to the contractor for Repair, but the contractor cannot duplicate the fault, No Fault Found (NFF), the contractor shall notify the Procuring Contracting Officer

(PCO) within five working days. The contractor shall not charge the full Repair cost, but only the NFF or TT&E actions CLIN.

4.2.3 The Government is authorized to replace condemned end items with replacement reparable end items of the same NSN at no additional cost. The contractor is authorized reclamation from condemned units. The contractor shall request authorization from the PCO prior to reclaiming any items from the condemned unit. The contractor shall report the use of reclaimed items to the

PCO.

4.2.4 Accessory and Component Reuse, Repair and Replacement: Items received which are misidentified, misdirected or have Air Force recoverable subassemblies missing shall be reported through the ACO to the PCO, to 411 SCMS/GULA for disposition instructions. Missing

Repairable Expendability, Reparability, Recoverability Code (ERRC) T subassemblies or ERRC

Code T subassemblies that are generated as part of the Next Higher Assembly (NHA) and subsequently require condemnation, will be replaced by the government. The replacement item may be repairable or serviceable. The Repair (if required) and the installation of the replacement item into the NHA will be accomplished at no additional cost. IAW T.O. 00-25-234.

4.2.5. Upon approval by the Government, the contractor is authorized to cannibalize Repair

Shop Replaceable Unit (SRU) necessary to accomplish timely Repair to meet production schedule and/or accomplish Repair of Mission Capable (MICAP) requirements.