FA852416R0002.pdf

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Sole Source for Repair of the AN/APQ-170 Radar Set
Solicitation number
FA8524-16-R-00290
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STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

FA8524-16-R-0002

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: 811219

8(A) SIZE STANDARD: $20.50

DATE SIGNED

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

26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION NUMBER

SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR CHANGES WHICH

ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

ROUTINE

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 120 days.

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. *120

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 EFT:T

SCD:C

NAME AND TITLE OF SIGNER (TYPE OR PRINT) NAME OF CONTRACTING OFFICER

24. AWARD AMOUNT (FOR GOVT USE ONLY)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAY DISCOUNT

25. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SETFORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY CONTINUATION SHEETS SUBJECT

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

10. ITEMS TO BE PURCHASED (BRIEF DESCRIPTION)

SUPPLIES SERVICES Other Electronic and Precision Equipment Repair and Maintenance

9.

Offers will be received at the issuing office until the date and time specified below. All official United States Postal Service mail and classified material will be delivered to the address shown in block 7. Deliver all parcels to: 542 CBSG, ATTN: Buyer named above, 480 RICHARD RAY

BLVD, BLDG 301 EW, ROOM E31, ROBINS AFB GA 31098-1813.

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

X

7. ISSUED BY CODE

C-5/SOF-RW, AFSC/PZAAA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 0174

ROBINS AFB GA 31098-1670

BUYER: Cheryl A. Wilhelm/PZAAA cheryl.wilhelm@us.af.mil Phone: (478) 926- 2759 Fax: (000 No Collect Calls

X

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)SOLICITATION/CONTRACT

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

J

SF 1447 (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

FOLD

SOLICITATION NO. FA852416R0002

DUE:

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Cheryl A Wilhelm/PZAAA

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 FA8524-16-R-0002

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

REPAIR - MAGNETRON CONTROL

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

9 EA

NSN: 5841-01-305-1053 SO

CONTROL, MAGNETRON F

MODULE, Servo control Aluminum,Copper,Plastic,Electronic Componets Manufacturer Part Number 88236 339065 Associated Document(s) Line Item(s)

FD20601500290 0001

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 9 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 9 EA

Contract PMS-Seller for shipping instructions at least 3 days prior to shipping.411 SCMS/PMS Workflow: 411scms.pms@us.af.milPMS will be identified on each funded

DO

REPAIR - ELECTRON TUBE

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

7 EA

NSN: 5960-01-454-6982 SO

ELECTRON TUBE

MAGNETRON X-BAND Produced the Power for the APQ-170 X-Band Receiver/Transmitter Aluminum, Copper,Plastic, Steel, Magnet, Electronic Componets Manufacturer Part Number

88236 VMX-1872

Associated Document(s) Line Item(s)

FD20601500290 0002

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAD

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 7 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 7 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.Kimberly.jackson.6@us.af.mil | 478-222-0498411 SCMS/PMS Workflow:

411scms.pms@us.af.mil

REPAIR - ELECTRON TUBE

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

NSN: 5960-01-537-8161 SO

ELECTRON TUBE

Converts pulsed dc signals received from high voltage, Pulse Forming Module into Radio Frequency energy.

Steel,Copper, Wiring, Connectors, Aluminum, Plastic Manufacturer Part Number

88236 VMU-1630S

Associated Document(s) Line Item(s)

FD20601500290 0003

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 4 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 4 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

Firm Fixed Price Quantity U/I Unit Price Amount

REPAIR - ELECTRON TUBE

6 EA

GROUP STOCK NO P/N CAGE

Group 001 Input 5960-01-457-0157 SO 1630A

GROUP STOCK NO P/N CAGE

Group 001 Output 5960-01-537-8161 SO 1630S

NSN: 5960-01-457-0157 SO

ELECTRON TUBE

ELECTRON TUBE, TUNABLE MAGNETRON Controls the power in the APQ-170 Ku-Band Receiver Transmitter Aluminum, Copper, Plastic, Steel, Magnet Electronic Componets Manufacturer Part Number

88236 VMU-1630A

Associated Document(s) Line Item(s)

FD20601500290 0004

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 6 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 6 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

DATA - CDRLS A001 - A005

DATA - CDRLS A001 - A005

1 LO Not Separately Priced Not Separately Priced

Data CC: MA TLI: W-CAVAF-Production Report-MDCR-IUID Activity-IUID Marking Plan-Counterfeit Plan Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A001 - ITEM UNIQUE IDENTIFICATION (IUID)

Item No.

0005AA

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81803

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A002 - ITEM UNIQUE IDENTIFICATION (IUID)

Item No.

0005AB

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81804

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A003 - COUNTERFEIT PREVENTION PLAN (CPP)

Item No.

0005AC

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MISC-81832

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A004 - COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF)

Item No.

0005AD

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81634B

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A005 - DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

0005AE

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-ALSS-80728A/T

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

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

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

8 LO

NSN: 5960-RP-L16-0007

Repair

CC: MATLI: WBER/NFF

Associated Document(s) Line Item(s)

FD20601500290 0006

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE 8 LO IAW

Performance-based Wor

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

Proposed Delivery

+ CNOTE 8 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Kimberly.jackson.6@us.af.mil | 478-222-0498411 SCMS/PMS Workflow:

OVER AND ABOVE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

NSN: 5960-RP-L16-0008

Repair

CC: MATLI: WO & A

Associated Document(s) Line Item(s)

FD20601500290 0007

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 1 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Kimberly.jackson.6@us.af.mil | 478-222-0498411 SCMS/PMS Workflow:

411scms.pms@us.af.mil

OPTION PERIOD - I

REPAIR - MAGNETRON CONTROL

Item No.

REPAIR - MAGNETRON CONTROL

9 EA

NSN: 5841-01-305-1053 SO

CONTROL, MAGNETRON F

MODULE, Servo control Aluminum,Copper,Plastic,Electronic Componets Manufacturer Part Number 88236 339065 Associated Document(s) Line Item(s)

FD20601500290 0001

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 9 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 9 EA

Contract PMS-Seller for shipping instructions at least 3 days prior to shipping.411 SCMS/PMS Workflow: 411scms.pms@us.af.milPMS will be identified on each funded DO

Firm Fixed Price Quantity U/I Unit Price Amount

7 EA

NSN: 5960-01-454-6982 SO

ELECTRON TUBE

MAGNETRON X-BAND Produced the Power for the APQ-170 X-Band Receiver/Transmitter

REPAIR - ELECTRON TUBE

Aluminum, Copper,Plastic, Steel, Magnet, Electronic Componets Manufacturer Part Number

88236 VMX-1872

Associated Document(s) Line Item(s)

FD20601500290 0002

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAD

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 7 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 7 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

NSN: 5960-01-537-8161 SO

ELECTRON TUBE

Converts pulsed dc signals received from high voltage, Pulse Forming Module into Radio Frequency energy.

Steel,Copper, Wiring, Connectors, Aluminum, Plastic Manufacturer Part Number

88236 VMU-1630S

REPAIR - ELECTRON TUBE

Associated Document(s) Line Item(s)

FD20601500290 0003

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 4 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 4 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

Firm Fixed Price Quantity U/I Unit Price Amount

6 EA

GROUP STOCK NO P/N CAGE

Group 001 Input 5960-01-457-0157 SO 1630A

GROUP STOCK NO P/N CAGE

Group 001 Output 5960-01-537-8161 SO 1630S

NSN: 5960-01-457-0157 SO

ELECTRON TUBE

ELECTRON TUBE, TUNABLE MAGNETRON Controls the power in the APQ-170 Ku-Band Receiver Transmitter Aluminum, Copper, Plastic, Steel, Magnet Electronic Componets Manufacturer Part Number

REPAIR - ELECTRON TUBE

88236 VMU-1630A

Associated Document(s) Line Item(s)

FD20601500290 0004

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 6 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 6 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data CC: MA TLI: W-CAVAF-Production Report-MDCR-IUID Activity-IUID Marking Plan-Counterfeit Plan Associated Document(s) Line Item(s)

DATA - CDRL A001 - ITEM UNIQUE IDENTIFICATION (IUID)

Item No.

1005AA

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81803

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A002 - ITEM UNIQUE IDENTIFICATION (IUID)

Item No.

1005AB

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81804

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A003 - COUNTERFEIT PREVENTION PLAN (CPP)

Item No.

1005AC

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MISC-81832

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A004 - COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF)

Item No.

1005AD

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81634B

IAW PWS

Associated Document(s) Line Item(s)

DATA - CDRL A004 - COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF)

Priority: R

DATA - CDRL A005 - DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

1005AE

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-ALSS-80728A/T

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

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

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

8 LO

NSN: 5960-RP-L16-0007

Repair

CC: MATLI: WBER/NFF

Associated Document(s) Line Item(s)

FD20601500290 0006

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE 8 LO IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 8 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

OVER AND ABOVE

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

NSN: 5960-RP-L16-0008

Repair

CC: MATLI: WO & A

Associated Document(s) Line Item(s)

FD20601500290 0007

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 1 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Kimberly.jackson.6@us.af.mil | 478-222-0498411 SCMS/PMS Workflow:

411scms.pms@us.af.mil

OPTION PERIOD - II

REPAIR - MAGNETRON CONTROL

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

9 EA

NSN: 5841-01-305-1053 SO

CONTROL, MAGNETRON F

MODULE, Servo control Aluminum,Copper,Plastic,Electronic Componets Manufacturer Part Number 88236 339065 Associated Document(s) Line Item(s)

FD20601500290 0001

REPAIR - MAGNETRON CONTROL

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 9 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 9 EA

Firm Fixed Price Quantity U/I Unit Price Amount

7 EA

NSN: 5960-01-454-6982 SO

ELECTRON TUBE

MAGNETRON X-BAND Produced the Power for the APQ-170 X-Band Receiver/Transmitter Aluminum, Copper,Plastic, Steel, Magnet, Electronic Componets Manufacturer Part Number

88236 VMX-1872

Associated Document(s) Line Item(s)

FD20601500290 0002

Priority: R

Inspection: Origin Acceptance: Origin 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.)

REPAIR - ELECTRON TUBE

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAD

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 7 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 7 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

NSN: 5960-01-537-8161 SO

ELECTRON TUBE

Converts pulsed dc signals received from high voltage, Pulse Forming Module into Radio Frequency energy.

Steel,Copper, Wiring, Connectors, Aluminum, Plastic Manufacturer Part Number

88236 VMU-1630S

Associated Document(s) Line Item(s)

FD20601500290 0003

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

REPAIR - ELECTRON TUBE

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 4 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 4 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

Firm Fixed Price Quantity U/I Unit Price Amount

6 EA

GROUP STOCK NO P/N CAGE

Group 001 Input 5960-01-457-0157 SO 1630A

GROUP STOCK NO P/N CAGE

Group 001 Output 5960-01-537-8161 SO 1630S

NSN: 5960-01-457-0157 SO

ELECTRON TUBE

ELECTRON TUBE, TUNABLE MAGNETRON Controls the power in the APQ-170 Ku-Band Receiver Transmitter Aluminum, Copper, Plastic, Steel, Magnet Electronic Componets Manufacturer Part Number

88236 VMU-1630A

Associated Document(s) Line Item(s)

FD20601500290 0004

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

REPAIR - ELECTRON TUBE

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 6 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 6 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data CC: MA TLI: W-CAVAF-Production Report-MDCR-IUID Activity-IUID Marking Plan-Counterfeit Plan Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A001 - ITEM UNIQUE IDENTIFICATION (IUID)

Item No.

2005AA

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81803

IAW PWS

DATA - CDRL A001 - ITEM UNIQUE IDENTIFICATION (IUID)

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A002 - ITEM UNIQUE IDENTIFICATION (IUID)

Item No.

2005AB

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81804

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A003 - COUNTERFEIT PREVENTION PLAN (CPP)

Item No.

2005AC

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MISC-81832

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A004 - COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF)

Item No.

2005AD

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81634B

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A005 - DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

2005AE

DATA - CDRL A005 - DEPOT MAINTENANCE PRODUCTION REPORT

1 LO Not Separately Priced Not Separately Priced

Data

DI-ALSS-80728A/T

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

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

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

8 LO

NSN: 5960-RP-L16-0007

Repair

CC: MATLI: WBER/NFF

Associated Document(s) Line Item(s)

FD20601500290 0006

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE 8 LO IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 8 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

NSN: 5960-RP-L16-0008

OVER AND ABOVE

Repair

CC: MATLI: WO & A

Associated Document(s) Line Item(s)

FD20601500290 0007

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 1 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Kimberly.jackson.6@us.af.mil | 478-222-0498411 SCMS/PMS Workflow:

411scms.pms@us.af.mil

OPTION PERIOD - III

REPAIR - MAGNETRON CONTROL

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

9 EA

NSN: 5841-01-305-1053 SO

CONTROL, MAGNETRON F

MODULE, Servo control Aluminum,Copper,Plastic,Electronic Componets Manufacturer Part Number 88236 339065 Associated Document(s) Line Item(s)

FD20601500290 0001

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

REPAIR - MAGNETRON CONTROL

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 9 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 9 EA

Firm Fixed Price Quantity U/I Unit Price Amount

7 EA

NSN: 5960-01-454-6982 SO

ELECTRON TUBE

MAGNETRON X-BAND Produced the Power for the APQ-170 X-Band Receiver/Transmitter Aluminum, Copper,Plastic, Steel, Magnet, Electronic Componets Manufacturer Part Number

88236 VMX-1872

Associated Document(s) Line Item(s)

FD20601500290 0002

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

REPAIR - ELECTRON TUBE

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAD

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 7 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 7 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

NSN: 5960-01-537-8161 SO

ELECTRON TUBE

Converts pulsed dc signals received from high voltage, Pulse Forming Module into Radio Frequency energy.

Steel,Copper, Wiring, Connectors, Aluminum, Plastic Manufacturer Part Number

88236 VMU-1630S

Associated Document(s) Line Item(s)

FD20601500290 0003

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

REPAIR - ELECTRON TUBE

Type / Ship To Quantity (U/I) IAW Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 4 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 4 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

Firm Fixed Price Quantity U/I Unit Price Amount

6 EA

GROUP STOCK NO P/N CAGE

Group 001 Input 5960-01-457-0157 SO 1630A

GROUP STOCK NO P/N CAGE

Group 001 Output 5960-01-537-8161 SO 1630S

NSN: 5960-01-457-0157 SO

ELECTRON TUBE

ELECTRON TUBE, TUNABLE MAGNETRON Controls the power in the APQ-170 Ku-Band Receiver Transmitter Aluminum, Copper, Plastic, Steel, Magnet Electronic Componets Manufacturer Part Number

88236 VMU-1630A

Associated Document(s) Line Item(s)

FD20601500290 0004

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

REPAIR - ELECTRON TUBE

+ CNOTE PAB

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 6 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 6 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data CC: MA TLI: W-CAVAF-Production Report-MDCR-IUID Activity-IUID Marking Plan-Counterfeit Plan Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A001 - ITEM UNIQUE IDENTIFICATION (IUID)

Item No.

3005AA

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81803

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A002 - ITEM UNIQUE IDENTIFICATION (IUID)

Item No.

3005AB

DATA - CDRL A002 - ITEM UNIQUE IDENTIFICATION (IUID)

Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81804

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A003 - COUNTERFEIT PREVENTION PLAN (CPP)

Item No.

3005AC

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MISC-81832

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A004 - COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF)

Item No.

3005AD

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81634B

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A005 - DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

3005AE

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-ALSS-80728A/T

IAW PWS

Associated Document(s) Line Item(s)

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

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

8 LO

NSN: 5960-RP-L16-0007

Repair

CC: MATLI: WBER/NFF

Associated Document(s) Line Item(s)

FD20601500290 0006

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE 8 LO IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 8 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

NSN: 5960-RP-L16-0008

Repair

CC: MATLI: WO & A

Associated Document(s) Line Item(s)

FD20601500290 0007

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

OVER AND ABOVE

Type / Ship To Quantity (U/I) IAW Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 1 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Kimberly.jackson.6@us.af.mil | 478-222-0498411 SCMS/PMS Workflow:

411scms.pms@us.af.mil

OPTION PERIOD - IV

REPAIR - MAGNETRON CONTROL

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

9 EA

NSN: 5841-01-305-1053 SO

CONTROL, MAGNETRON F

MODULE, Servo control Aluminum,Copper,Plastic,Electronic Componets Manufacturer Part Number 88236 339065 Associated Document(s) Line Item(s)

FD20601500290 0001

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

+ CNOTE PAA

REPAIR - MAGNETRON CONTROL

Type / Ship To Quantity (U/I) IAW Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

+ CNOTE 9 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 9 EA

Firm Fixed Price Quantity U/I Unit Price Amount

7 EA

NSN: 5960-01-454-6982 SO

ELECTRON TUBE

MAGNETRON X-BAND Produced the Power for the APQ-170 X-Band Receiver/Transmitter Aluminum, Copper,Plastic, Steel, Magnet, Electronic Componets Manufacturer Part Number

88236 VMX-1872

Associated Document(s) Line Item(s)

FD20601500290 0002

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAD

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

REPAIR - ELECTRON TUBE

Required Delivery

+ CNOTE 7 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 7 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

NSN: 5960-01-537-8161 SO

ELECTRON TUBE

Converts pulsed dc signals received from high voltage, Pulse Forming Module into Radio Frequency energy.

Steel,Copper, Wiring, Connectors, Aluminum, Plastic Manufacturer Part Number

88236 VMU-1630S

Associated Document(s) Line Item(s)

FD20601500290 0003

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

Req No / Pri

Required Delivery

REPAIR - ELECTRON TUBE

+ CNOTE 4 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 4 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

Firm Fixed Price Quantity U/I Unit Price Amount

6 EA

GROUP STOCK NO P/N CAGE

Group 001 Input 5960-01-457-0157 SO 1630A

GROUP STOCK NO P/N CAGE

Group 001 Output 5960-01-537-8161 SO 1630S

NSN: 5960-01-457-0157 SO

ELECTRON TUBE

ELECTRON TUBE, TUNABLE MAGNETRON Controls the power in the APQ-170 Ku-Band Receiver Transmitter Aluminum, Copper, Plastic, Steel, Magnet Electronic Componets Manufacturer Part Number

88236 VMU-1630A

Associated Document(s) Line Item(s)

FD20601500290 0004

Priority: R

Inspection: Origin Acceptance: Origin 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.)

IUID Required: Yes

Physical Item Markings:

Latest Cost Amount: $

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement (PWS), para 4.0, ARO 120 workdays

REPAIR - ELECTRON TUBE

Required Delivery

+ CNOTE 6 EA IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 6 EA

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data CC: MA TLI: W-CAVAF-Production Report-MDCR-IUID Activity-IUID Marking Plan-Counterfeit Plan Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A001 - ITEM UNIQUE IDENTIFICATION (IUID)

Item No.

4005AA

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81803

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A002 - ITEM UNIQUE IDENTIFICATION (IUID)

Item No.

4005AB

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81804

IAW PWS

DATA - CDRL A002 - ITEM UNIQUE IDENTIFICATION (IUID)

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A003 - COUNTERFEIT PREVENTION PLAN (CPP)

Item No.

4005AC

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MISC-81832

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A004 - COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF)

Item No.

4005AD

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-MGMT-81634B

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

DATA - CDRL A005 - DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

4005AE

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DI-ALSS-80728A/T

IAW PWS

Associated Document(s) Line Item(s)

FD20601500290 0005

Priority: R

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

Item No.

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

8 LO

NSN: 5960-RP-L16-0007

Repair

CC: MATLI: WBER/NFF

Associated Document(s) Line Item(s)

FD20601500290 0006

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

Req No / Pri

Required Delivery

+ CNOTE 8 LO IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 8 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

Kimberly.jackson.6@us.af.mil | 478-222-0498411 SCMS/PMS Workflow:

411scms.pms@us.af.mil

BASIC OPTION PERIOD

OVER AND ABOVE

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

NSN: 5960-RP-L16-0008

Repair

CC: MATLI: WO & A

Associated Document(s) Line Item(s)

FD20601500290 0007

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To Quantity (U/I) IAW

Performance-based Work Statement

(PWS)

OVER AND ABOVE

Required Delivery

+ CNOTE 1 LO IAW

Performance-based Wor

Proposed Delivery

+ CNOTE 1 LO

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping.

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + CNOTE

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

AWARD NUMBER:

Contact Kim Jackson (PMS) for shipping instructions at least 3 days prior to shipping. Kimberly.jackson.6@us.af.mil | 478-222-0498411 SCMS/PMS Workflow - 411scms.pms@us.af.mil

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

52.246-11 HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT (DEC 2014)

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

(a) The Contractor shall comply with the higher-level quality standard(s) listed below. [If more than one standard is listed, the offeror shall indicate its selection by checking the appropriate block.]*

Title Number Date Tailoring *See Individual Line Item Schedule

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) 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:

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

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.

52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

(IAW FAR 11.703(b))

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1))

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

(IAW FAR 47.303-1(c))

52.247-65 F.O.B. ORIGIN, PREPAID FREIGHT--SMALL PACKAGE SHIPMENTS (JAN 1991)

(IAW FAR 47.303-17(f))

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]

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(IAW DFARS 232.7004(b), PGI 232.7004(b)(1), DFARS 212.301(f)(liii))

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

(Contracting Officer: Insert applicable document type(s).

Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (stand-alone) and “Receiving Report” (stand-alone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

(Contracting Officer: Insert inspection and acceptance locations or “Not applicable.”)

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table* Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC Issue By DoDAAC Admin DoDAAC Inspect By DoDAAC Ship To Code Ship From Code Mark For Code Service Approver (DoDAAC) Service Acceptor (DoDAAC) Accept at Other DoDAAC LPO DoDAAC DCAA Auditor DoDAAC Other DoDAAC(s) (*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the e-mail address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

(Contracting Officer: Insert applicable email addresses or “Not applicable.”)

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

(Contracting Officer: Insert applicable information or “Not applicable.”)

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA TO BE CITED ON EACH INDIVIDUAL ORDER $0.00

ACRN TOTAL $ 0.00

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 (EB, ED, EJ, EP, EY or EZ) code, which applies to Contractor's approved F.O.B point when receiving, taking custody, issuing, or shipping DoD assets. 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, 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 following address to obtain the Activity Address Code:

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

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

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

(IAW DFARS 201.602-70)

5352.201-9101 OMBUDSMAN (NOV 2015)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, the interested party may contact the ombudsman, Kim McDonald at 478 222 -1088 , FAX 478 222 -1121 , email kimberly.mcdonald@us.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU/SMC ombudsman level, may be brought by the interested party for further consideration to the Air Force ombudsman, Associate Deputy Assistant Secretary (ADAS) (Contracting), SAF/AQC, 1060 Air Force Pentagon, Washington DC 20330-1060, phone number (571) 256-2395, facsimile number (571) 256-2431.

52.202-1 DEFINITIONS (NOV 2013)

(IAW FAR 2.201)

52.203-3 GRATUITIES (APR 1984)

(IAW FAR 3.202)

52.203-5 COVENANT AGAINST CONTINGENT FEES (MAY 2014)

(IAW FAR 3.404)

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

(IAW FAR 3.503-2)

52.203-7 ANTI-KICKBACK PROCEDURES (MAY 2014)

(IAW FAR 3.502-3)

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

IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(a))

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

(IAW FAR 3.104-9(b))

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(OCT 2010)

(IAW FAR 3.808(b))

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

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

252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER

DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)

(IAW DFARS 203.570-3)

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

252.203-7997 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN

INTERNAL CONFIDENTIALITY AGREEMENTS (DEVIATION 2016-O0003)

(OCT 2015)

(IAW DARS Tracking # 2016-O0003)

(a) The Contractor shall not require employees or subcontractors seeking to report fraud, waste, or abuse to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or contactors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information.

(b) The Contractor shall notify employees that the prohibitions and restrictions of any internal confidentiality agreements covered by this clause are no longer in effect.

(c) The prohibition in paragraph (a) of this clause does not contravene requirements applicable to Standard Form 312, Form 4414, or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(d) (1) Use of funds appropriated (or otherwise made available) by the Continuing Appropriations Act, 2016 (Pub. L.

114-53) or any other FY 2016 appropriations act that extends to FY 2016 funds the same prohibitions as contained in sections 743 of division E, title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L.

113-235) may be prohibited, if the Government determines that the Contractor is not in compliance with the provisions of this clause.

(2) The Government may seek any available remedies in the event the Contractor fails to perform in accordance with the terms and conditions of the contract as a result of Government action under this clause.

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

(IAW FAR 4.303)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (OCT 2015)

(IAW FAR 4.1403(a))

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (JUL 2015)

(IAW FAR 4.1804(c), FAR 12.301(d))

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

252.204-7000 DISCLOSURE OF INFORMATION (AUG 2013)

(IAW DFARS 204.404-70(a))

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

(IAW DFARS 204.404-70(b))

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (DEC 2015)

(IAW DFARS 204.7304(c))

252.204-7015 DISCLOSURE OF INFORMATION TO LITIGATION SUPPORT CONTRACTORS

(FEB 2014)

(IAW DFARS 204.7403(c), DFARS 212.301(f)(ix))

252.205-7000 PROVISION OF INFORMATION TO COOPERATIVE AGREEMENT HOLDERS

(DEC 1991)

(IAW DFARS 205.470, DFARS 212.301(f)(x))

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

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(OCT 2015)

(IAW FAR 9.409)

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING

RESPONSIBILITY MATTERS (JUL 2013)

(IAW FAR 9.104-7(c))

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

GOVERNMENT OF A COUNTRY THAT IS A STATE SPONSOR OF TERRORISM

(OCT 2015)

(IAW DFARS 209.409)

52.211-5 MATERIAL REQUIREMENTS (AUG 2000)

(IAW FAR 11.304)

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

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

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

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

(a) Definitions. As used in this clause—

“DoD recognized unique identification…

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