FA852418R0013.pdf

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Spares Buy of Fuel Tank Applicable to the HH-60 Aircraft
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FA8524-18-R-0013
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AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV.2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 J

1. REQUISITION NUMBER

FD20601700934

5. SOLICITATION NUMBER

FA8524-18-R-0013

6. SOLICITATION ISSUE DATE

b. TELEPHONE NUMBER (No collect calls)

(478 ) 327 -5998 ext.

2. CONTRACT NO.

7. FOR SOLICITATION

INFORMATION CALL

3. AWARD/EFFECTIVE DATE

4. ORDER NUMBER

a. NAME

Gerry T. Reeves

8. OFFER DUE DATE/LOCAL

TIME

28MAY2018 3:30PM

12. DISCOUNT TERMS11. DELIVERY FOR FOB DEST.

UNLESS BLOCK IS MARKED

SEE SCHEDULE

10. THIS ACQUISITION IS UNRESTRICTED SET ASIDE: % FOR:

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS

HUBZONE SMALL (WOSB)ELIGIBLE UNDER THE WOMEN-OWNED

BUSINESS SMALL BUSINESS PROGRAM

NAICS CODE:

SERVICE-DISABLED EDWOSB

VETERAN-OWNED SIZE STANDARD

SMALL BUSINESS 8 (A) :

13a. THIS CONTRACT IS A

RATED ORDER

UNDER DPAS

(15 CFR 700)

13b. RATING

DO: A1 52.211-14, 52.211-15

14. METHOD OF SOLICITATION

RFQ IFB RFP

9. 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: Gerry T. Reeves gerry.reeves@us.af.mil Phone: (478) 327- 5998 No Collect Calls

15. DELIVER TO CODE

SEE LINE ITEM SCHEDULE

16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR FACILITY

CODE CODE

18a. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS

CHECKED.

FA8524

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

ROUTINE

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 60 days.

SEE LINE ITEM SCHEDULE

(Attach Additional Sheets as Necessary)

26. AWARD AMOUNT (For Gov’t use only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN COPIES TO ISSUING

OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED HEREIN.

29. AWARD OF CONTRACT: REF. OFFER DATED - - . YOUR OFFER ON

SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

X

X X

25. ACCOUNTING AND APPROPRIATION DATA SEE FUNDS SCHEDULE

X

SCD:B

EFT:T

Total

STANDARD FORM 1449 (REV. 2/2012) BACK

COMPUTER GENERATED 4/26/2018, 7:06 AM

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32b. SIGNATURE OF AUTHORIZED GOV’T REPRESENTATIVE

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

32c. DATE

41c. DATE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER36. PAYMENT

COMPLETE PARTIAL FINAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC’D (YY/MM/DD) 42d. TOTAL CONTAINERS

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

SEE LINE ITEM SCHEDULE

(Attach Additional Sheets as Necessary)

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

FA8524-18-R-0013

SUPPLIES OR SERVICES AND PRICES/COSTS

BASIC ORDERING PERIOD: Applicable to orders placed during the 12-month period immediately following Contract Award.

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR REQUIREMENTS

CONTRACTS (JUL 1999)

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

The contractor shall furnish all necessary supplies and services for the repair of the items listed below in accordance with attached Performance Statement of Work (PWS). The Best Estimated Quantity (BEQ) represents the best-estimated annual quantity for each Contract Line Item and is only an estimation.

**NOTE -- The contractor shall return the end items to the government in serviceable condition within 180 workdays, (at a rate of 5 ea. per month) of receipt of asset and funded task order. Earlier delivery will be acceptable/preferred. If the repair action cannot be completed within 180 workdays, notification to the Government must be made within five (5) workdays of not meeting the delivery date. Notification shall include the reason for not meeting the delivery schedule, what the contractor will do to preclude the delay from happening again and the date the item will be returned to a serviceable condition.

Teardown Test and Evaluation (TT&E)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

10 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Teardown Test and Evaluation (TT&E)

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

A SW3119 PAA

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days

Proposed Delivery

A SW3119 10 EA

MAJOR OVERHAUL

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0002

MAJOR OVERHAUL

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 2 EA *180 Calendar Days

Proposed Delivery

A SW3119 2 EA

INTERMEDIATE OVERHAUL

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

CLIN ACRN ACRN Total

0003 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0003

INTERMEDIATE OVERHAUL

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 7 EA *180 Calendar Days

Proposed

A SW3119 7 EA

MINOR OVERHAUL

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0004 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0004

MINOR OVERHAUL

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 1 EA *180 Calendar Days

Proposed

A SW3119 1 EA

DATA

DELIVER IAW DD FORM 1423

Item No.

Firm Fixed Price

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

Data

ELINS A001-A008

Associated Document(s) Line Item(s)

FD20601700934 0005

DATA

DELIVER IAW DD FORM 1423

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD FORM 1423 Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Class I ODS Substance Application/Use Quantity

NONE NONE NONE

ELIN A001

IAW DD FORM 1423

Item No.

0005AA

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

NSN: 1560-DT-L13-056C GC

Data

MAINTENANCE DATA COLLETION RECORD (MDCR)

DI-MISC-82003

Associated Document(s) Line Item(s)

FD20601700934 0005

Priority: D

ELIN A002

IAW DD FORM 1423

Item No.

0005AB

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

NSN: 1560-DT-L13-056C GC

Data

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

DI-PSS-81995

Associated Document(s) Line Item(s)

FD20601700934 0005

ELIN A003

Item No.

0005AC

Firm Fixed Price

ELIN A003

IAW DD FORM 1423

Quantity U/I Unit Price 1 LO Not Separately Priced

NSN: 1560-DT-L13-056C GC

Data

ITEM UNIQUE IDENTIFICATION

DI-MGMT-81803

Associated Document(s) Line Item(s)

FD20601700934 0005

ELIN A004

Item No.

0005AD

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

NSN: 1560-DT-L13-056C GC

Data

IUID MARKING ACTIVITY AND VERIFICATION REPORT

DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601700934 0005

ELIN A005

Item No.

0005AE

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

NSN: 1560-DT-L13-056C GC

Data

COMMERCIAL ASSET VISIBILITY AIR FORCE

DI-MGMT81634C

Associated Document(s) Line Item(s)

FD20601700934 0005

ELIN A006

Item No.

0005AF

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

NSN: 1560-DT-L13-056C GC

Data

GOVERNMENT PROPERTY INVENTORY REPORT

DI-MGMT-80441C

Associated Document(s) Line Item(s)

FD20601700934 0005

ELIN A007

Item No.

0005AG

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

NSN: 1560-DT-L13-056C GC

Data

GOVERNMENT INDUSTRY EXCHANGE PROGRAM ALERT-SAFE ALERT REPORT

DI-QCIC-80125B

Associated Document(s) Line Item(s)

FD20601700934 0005

ELIN A008

Item No.

0005AH

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

NSN: 1560-DT-L13-056C GC

Data

GOVERNMENT INDUSTRY EXCHANGE PROGRAM ALERT/SAFE-ALERT RESPONSE

DI-QCIC-80126B

ELIN A008

IAW DD FORM 1423

Associated Document(s) Line Item(s)

FD20601700934 0005

ORDERING PERIOD I: Applicable to orders placed during the 12-month period immediately following the basic ordering period.

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR REQUIREMENTS

CONTRACTS (JUL 1999)

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

The contractor shall furnish all necessary supplies and services for the repair of the items listed below in accordance with attached Performance Statement of Work (PWS). The Best Estimated Quantity (BEQ) represents the best-estimated annual quantity for each Contract Line Item and is only an estimation.

**NOTE -- The contractor shall return the end items to the government in serviceable condition within 180 workdays, (at a rate of 5 ea. per month) of receipt of asset and funded task order. Earlier delivery will be acceptable/preferred. If the repair action cannot be completed within 180 workdays, notification to the Government must be made within five (5) workdays of not meeting the delivery date. Notification shall include the reason for not meeting the delivery schedule, what the contractor will do to preclude the delay from happening again and the date the item will be returned to a serviceable condition.

Teardown Test and Evaluation (TT&E)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

10 EA

CLIN ACRN ACRN Total

1001 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

Teardown Test and Evaluation (TT&E)

FD20601700934 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

A SW3119 PAA

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

Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days

Proposed Delivery

A SW3119 10 EA

MAJOR OVERHAUL

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

1002 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

MAJOR OVERHAUL

FD20601700934 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 2 EA *180 Calendar Days

Proposed

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

CLIN ACRN ACRN Total

1003 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

INTERMEDIATE OVERHAUL

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0003

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 7 EA *180 Calendar Days

Proposed

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1004 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

MINOR OVERHAUL

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 1 EA *180 Calendar Days

Proposed

Item No.

Firm Fixed Price

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

DATA

DELIVER IAW DD FORM 1423

Data

ELINS A001-A008

Associated Document(s) Line Item(s)

FD20601700934 0005

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD FORM 1423 Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Class I ODS Substance Application/Use Quantity

NONE NONE NONE

ELIN A001

IAW DD FORM 1423

Item No.

1005AA

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

NSN: 1560-DT-L13-056C GC

Data

MAINTENANCE DATA COLLETION RECORD (MDCR)

DI-MISC-82003

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

1005AB

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

NSN: 1560-DT-L13-056C GC

Data

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

DI-PSS-81995

Associated Document(s) Line Item(s)

1005AC

RESERVED

ELIN A004

IAW DD FORM 1423

Item No.

1005AD

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

NSN: 1560-DT-L13-056C GC

Data

IUID MARKING ACTIVITY AND VERIFICATION REPORT

DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

1005AE

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

NSN: 1560-DT-L13-056C GC

Data

COMMERCIAL ASSET VISIBILITY AIR FORCE

DI-MGMT81634C

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

1005AF

Firm Fixed Price Quantity U/I Unit Price

ELIN A006

IAW DD FORM 1423

1 LO Not Separately Priced

NSN: 1560-DT-L13-056C GC

Data

GOVERNMENT PROPERTY INVENTORY REPORT

DI-MGMT-80441C

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

1005AG

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

NSN: 1560-DT-L13-056C GC

Data

GOVERNMENT INDUSTRY EXCHANGE PROGRAM ALERT-SAFE ALERT REPORT

DI-QCIC-80125B

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

1005AH

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

NSN: 1560-DT-L13-056C GC

Data

GOVERNMENT INDUSTRY EXCHANGE PROGRAM ALERT/SAFE-ALERT RESPONSE

DI-QCIC-80126B

Associated Document(s) Line Item(s)

FD20601700934 0005

ORDERING PERIOD II: Applicable to orders placed during the 12-month period immediately following ordering period I.

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR REQUIREMENTS

CONTRACTS (JUL 1999)

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

The contractor shall furnish all necessary supplies and services for the repair of the items listed below in accordance with attached Performance Statement of Work (PWS). The Best Estimated Quantity (BEQ) represents the best-estimated annual quantity for each Contract Line Item and is only an estimation.

**NOTE -- The contractor shall return the end items to the government in serviceable condition within 180 workdays, (at a rate of 5 ea. per month) of receipt of asset and funded task order. Earlier delivery will be acceptable/preferred. If the repair action cannot be completed within 180 workdays, notification to the Government must be made within five (5) workdays of not meeting the delivery date. Notification shall include the reason for not meeting the delivery schedule, what the contractor will do to preclude the delay from happening again and the date the item will be returned to a serviceable condition.

Teardown Test and Evaluation (TT&E)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

10 EA

CLIN ACRN ACRN Total

2001 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required

Teardown Test and Evaluation (TT&E)

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.)

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

A SW3119 PAA

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

Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days

Proposed Delivery

A SW3119 10 EA

MAJOR OVERHAUL

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

2002 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765

MAJOR OVERHAUL

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.)

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 2 EA *180 Calendar Days

Proposed

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

CLIN ACRN ACRN Total

2003 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0003

INTERMEDIATE OVERHAUL

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 7 EA *180 Calendar Days

Proposed

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2004 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0004

MINOR OVERHAUL

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 1 EA *180 Calendar Days

Proposed

Item No.

Firm Fixed Price

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

Data

ELINS A001-A008

Associated Document(s) Line Item(s)

DATA

DELIVER IAW DD FORM 1423

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD FORM 1423 Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Class I ODS Substance Application/Use Quantity

NONE NONE NONE

ELIN A001

IAW DD FORM 1423

Item No.

2005AA

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

NSN: 1560-DT-L13-056C GC

Data

MAINTENANCE DATA COLLETION RECORD (MDCR)

DI-MISC-82003

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

2005AB

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

NSN: 1560-DT-L13-056C GC

Data

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

DI-PSS-81995

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

2005AC

RESERVED

ELIN A004

IAW DD FORM 1423

Item No.

2005AD

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

NSN: 1560-DT-L13-056C GC

Data

IUID MARKING ACTIVITY AND VERIFICATION REPORT

DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

2005AE

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

NSN: 1560-DT-L13-056C GC

Data

COMMERCIAL ASSET VISIBILITY AIR FORCE

DI-MGMT81634C

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

2005AF

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

NSN: 1560-DT-L13-056C GC

ELIN A006

IAW DD FORM 1423

Data

GOVERNMENT PROPERTY INVENTORY REPORT

DI-MGMT-80441C

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

2005AG

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

NSN: 1560-DT-L13-056C GC

Data

GOVERNMENT INDUSTRY EXCHANGE PROGRAM ALERT-SAFE ALERT REPORT

DI-QCIC-80125B

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

2005AH

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

NSN: 1560-DT-L13-056C GC

Data

GOVERNMENT INDUSTRY EXCHANGE PROGRAM ALERT/SAFE-ALERT RESPONSE

DI-QCIC-80126B

Associated Document(s) Line Item(s)

FD20601700934 0005

ORDERING PERIOD III: Applicable to orders placed during the 12-month period immediately following the basic ordering period.

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR REQUIREMENTS

CONTRACTS (JUL 1999)

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

The contractor shall furnish all necessary supplies and services for the repair of the items listed below in accordance with attached Performance Statement of Work (PWS). The Best Estimated Quantity (BEQ) represents the best-estimated annual quantity for each Contract Line Item and is only an estimation.

**NOTE -- The contractor shall return the end items to the government in serviceable condition within 180 workdays, (at a rate of 5 ea. per month) of receipt of asset and funded task order. Earlier delivery will be acceptable/preferred. If the repair action cannot be completed within 180 workdays, notification to the Government must be made within five (5) workdays of not meeting the delivery date. Notification shall include the reason for not meeting the delivery schedule, what the contractor will do to preclude the delay from happening again and the date the item will be returned to a serviceable condition.

Teardown Test and Evaluation (TT&E)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

10 EA

CLIN ACRN ACRN Total

3001 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Teardown Test and Evaluation (TT&E)

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

A SW3119 PAA

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

Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days

Proposed Delivery

A SW3119 10 EA

MAJOR OVERHAUL

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

3002 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

MAJOR OVERHAUL

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 2 EA *180 Calendar Days

Proposed

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

CLIN ACRN ACRN Total

3003 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0003

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765

INTERMEDIATE OVERHAUL

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.)

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 7 EA *180 Calendar Days

Proposed

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3004 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0004

MINOR OVERHAUL

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 1 EA *180 Calendar Days

Proposed

Item No.

Firm Fixed Price

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

Data

ELINS A001-A008

Associated Document(s) Line Item(s)

FD20601700934 0005

DATA

DELIVER IAW DD FORM 1423

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD FORM 1423 Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Class I ODS Substance Application/Use Quantity

NONE NONE NONE

ELIN A001

IAW DD FORM 1423

Item No.

3005AA

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

NSN: 1560-DT-L13-056C GC

Data

MAINTENANCE DATA COLLETION RECORD (MDCR)

DI-MISC-82003

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

3005AB

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

NSN: 1560-DT-L13-056C GC

Data

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

DI-PSS-81995

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

3005AC

RESERVED

ELIN A004

IAW DD FORM 1423

Item No.

3005AD

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

NSN: 1560-DT-L13-056C GC

Data

IUID MARKING ACTIVITY AND VERIFICATION REPORT

DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

3005AE

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

NSN: 1560-DT-L13-056C GC

Data

COMMERCIAL ASSET VISIBILITY AIR FORCE

DI-MGMT81634C

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

3005AF

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

NSN: 1560-DT-L13-056C GC

ELIN A006

IAW DD FORM 1423

Data

GOVERNMENT PROPERTY INVENTORY REPORT

DI-MGMT-80441C

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

3005AG

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

NSN: 1560-DT-L13-056C GC

Data

GOVERNMENT INDUSTRY EXCHANGE PROGRAM ALERT-SAFE ALERT REPORT

DI-QCIC-80125B

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

3005AH

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

NSN: 1560-DT-L13-056C GC

Data

GOVERNMENT INDUSTRY EXCHANGE PROGRAM ALERT/SAFE-ALERT RESPONSE

DI-QCIC-80126B

Associated Document(s) Line Item(s)

FD20601700934 0005

ORDERING PERIOD IV: Applicable to orders placed during the 12-month period immediately following ordering period III.

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR REQUIREMENTS

CONTRACTS (JUL 1999)

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

The contractor shall furnish all necessary supplies and services for the repair of the items listed below in accordance with attached Performance Statement of Work (PWS). The Best Estimated Quantity (BEQ) represents the best-estimated annual quantity for each Contract Line Item and is only an estimation.

**NOTE -- The contractor shall return the end items to the government in serviceable condition within 180 workdays, (at a rate of 5 ea. per month) of receipt of asset and funded task order. Earlier delivery will be acceptable/preferred. If the repair action cannot be completed within 180 workdays, notification to the Government must be made within five (5) workdays of not meeting the delivery date. Notification shall include the reason for not meeting the delivery schedule, what the contractor will do to preclude the delay from happening again and the date the item will be returned to a serviceable condition.

Teardown Test and Evaluation (TT&E)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

10 EA

CLIN ACRN ACRN Total

4001 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Teardown Test and Evaluation (TT&E)

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

A SW3119 PAA

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

Req No / Pri

Required Delivery

A SW3119 10 EA *45 Calendar Days

Proposed Delivery

A SW3119 10 EA

MAJOR OVERHAUL

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

4002 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

MAJOR OVERHAUL

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 2 EA *180 Calendar Days

Proposed

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

CLIN ACRN ACRN Total

4003 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0003

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

INTERMEDIATE OVERHAUL

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 7 EA *180 Calendar Days

Proposed

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

4004 AA

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

CONTAINER USED TO HOLD FUEL SUPPLIED TO THE ENGINE.

SELF SEALING RUBBER BLADDER

Manufacturer Part Number

1T765 HM020-008

Associated Document(s) Line Item(s)

FD20601700934 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 1T765

MINOR OVERHAUL

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.)

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A SW3119 PAB Mark for FLB/RIC Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 1 EA *180 Calendar Days

Proposed

Item No.

Firm Fixed Price

NSN: 1560-01-391-8409 GC

TANK,FUEL,AIRCRAFT

Data

ELINS A001-A008

Associated Document(s) Line Item(s)

FD20601700934 0005

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD FORM 1423 Quality Assurance: Standard Inspection

DATA

DELIVER IAW DD FORM 1423

Buy American Act/Balance of Payments Program Class I ODS Substance Application/Use Quantity

NONE NONE NONE

ELIN A001

IAW DD FORM 1423

Item No.

4005AA

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

NSN: 1560-DT-L13-056C GC

Data

MAINTENANCE DATA COLLETION RECORD (MDCR)

DI-MISC-82003

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

4005AB

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

NSN: 1560-DT-L13-056C GC

Data

CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

DI-PSS-81995

Associated Document(s) Line Item(s)

FD20601700934 0005

4005AC

RESERVED

ELIN A004

IAW DD FORM 1423

Item No.

4005AD

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

NSN: 1560-DT-L13-056C GC

Data

IUID MARKING ACTIVITY AND VERIFICATION REPORT

DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

4005AE

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

NSN: 1560-DT-L13-056C GC

Data

COMMERCIAL ASSET VISIBILITY AIR FORCE

DI-MGMT81634C

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

4005AF

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

NSN: 1560-DT-L13-056C GC

Data

GOVERNMENT PROPERTY INVENTORY REPORT

DI-MGMT-80441C

Associated Document(s) Line Item(s)

Item No.

4005AG

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

NSN: 1560-DT-L13-056C GC

Data

GOVERNMENT INDUSTRY EXCHANGE PROGRAM ALERT-SAFE ALERT REPORT

DI-QCIC-80125B

Associated Document(s) Line Item(s)

FD20601700934 0005

Item No.

4005AH

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

NSN: 1560-DT-L13-056C GC

Data

GOVERNMENT INDUSTRY EXCHANGE PROGRAM ALERT/SAFE-ALERT RESPONSE

DI-QCIC-80126B

Associated Document(s) Line Item(s)

FD20601700934 0005

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + TBD

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

AWARD NUMBER:

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

455 BYRON STREET BLDG 376

ROBINS A F B GA 31098-1887

ROBINS A F B GA 31098-1887 GA 31098-1887

USA

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

AWARD NUMBER:

CONTRACT CLAUSES

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS (SEP 2011)

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

252.205-7000 PROVISION OF INFORMATION TO COOPERATIVE AGREEMENT HOLDERS

(DEC 1991)

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

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 equivalent” means a unique identification method that is in commercial use and has been recognized by DoD. All DoD recognized unique identification equivalents are listed at http://www.acq.osd.mil/dpap/pdi/uid/iuid/equivalents.html .

“Unique item identifier type” means a designator to indicate which method of uniquely identifying a part has been used. The current list of accepted unique item identifier types is maintained at http://www.acq.osd.mil/dpap/pdi/uid/uii_types.html .

(c) Unique item identifier.

(1) The Contractor shall provide a unique item identifier for the following:

(i) Delivered items for which the Government’s unit acquisition cost is $5,000 or more, except for the following line items:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

See Schedule as Applicable

(ii) Items for which the Government’s unit acquisition cost is less than $5,000 that are identified in the Schedule or the following table:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

*Items less than $5000, which require UID, will be specifically identified in the schedule.

See Schedule as Applicable

(iii) Subassemblies, components, and parts embedded within delivered items, items with warranty requirements, DoD serially managed reparables and DoD serially managed nonreparables as specified in Attachment Number _____( or See Schedule as Applicable).

(iv) Any item of special tooling or special test equipment as defined in FAR 2.101 that have been designated for preservation and storage for a Major Defense Acquisition Program as specified in Attachment Number _____( or See Schedule as Applicable).

(v) Any item not included in paragraphs (c)(1)(i), (ii), (iii), or (iv) of this clause for which the contractor creates and marks a unique item identifier for traceability.

(f) The Contractor shall submit the information required by paragraphs (d) and (e) of this clause as follows:

(1) End items shall be reported using the receiving report capability in Wide Area WorkFlow (WAWF) in accordance with the clause at 252.232-7003. If WAWF is not required by this contract, and the contractor is not using WAWF, follow the procedures at http://dodprocurementtoolbox.com/site/uidregistry/ .

(2) Embedded items shall be reported by one of the following methods—

(i) Use of the embedded items capability in WAWF;

(ii) Direct data submission to the IUID Registry following the procedures and formats at http://dodprocurementtoolbox.com/site/uidregistry/; or

(iii) Via WAWF as a deliverable attachment for exhibit line item number ______, Unique Item Identifier Report for Embedded Items, Contract Data Requirements List, DD Form 1423.

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS--COMMERCIAL ITEMS (JAN 2018)

(IAW FAR 12.301(b)(4))

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203-19,Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (Jan 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015).

(3) 52.233-3, Protest After Award (Aug 1996)(31 U.S.C 3553).

(4) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004)(Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[Contracting Officer check as appropriate.] __X __ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sep 2006), with

Alternate I (Oct 1995)(41 U.S.C. 4704 and 10 U.S.C. 2402).

__ __ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509).

__ __ (3) 52.203-15, Whistleblower Protections Under the American Recovery and Reinvestment

Act of 2009 (Jun 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

__X __ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2016) (Pub. L. 109-282) (31 U.S.C. 6101 note).

(5) [Reserved] __ __ (6) 52.204-14, Service Contract Reporting Requirements (Oct 2016) (Pub. L. 111-117, section 743 of Div. C).

__ __ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts

(Oct 2016) (Pub. L. 111-117, section 743 of Div. C).

__X __ (8) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors

Debarred, Suspended, or Proposed for Debarment (Oct 2015) (31 U.S.C. 6101 note).

__X __ (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Jul 2013) (41 U.S.C. 2313).

(10) [Reserved} __ __ (11) (i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Nov 2011)(15 U.S.C.

657a).

__ __ (11) (ii) Alternate I (Nov 2011) of 52.219-3.

__ __ (12) (i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns

(Oct 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer)(15 U.S.C. 657a).

__ __ (12) (ii) Alternate I (Jan 2011) of 52.219-4.

(13) [Reserved]

__ __ (14) (i) 52.219-6, Notice of Total Small Business Set-Aside (Nov 2011)(15 U.S.C. 644).

__ __ (14) (ii) Alternate I (Nov 2011).

__ __ (14) (iii) Alternate II (Nov 2011).

__ __ (15) (i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003)(15 U.S.C. 644).

__ __ (15) (ii) Alternate I (Oct 1995) of 52.219-7.

__ __ (15) (iii) Alternate II (Mar 2004) of 52.219-7.

__X __ (16) 52.219-8, Utilization of Small Business Concerns (Nov 2016) (15 U.S.C. 637(d)(2) and

(3)).

__X __ (17) (i) 52.219-9, Small Business Subcontracting Plan (Jan 2017) (15 U.S.C. 637(d)(4)). (In accordance with DPAP Memo dated 13 Dec 2017, DAR Tracking Number 2018-O0007, Class Deviation—Subcontract Reporting, this clause and any applicable alternates are replaced with DFARS Deviation(s) dated Dec 2017, listed below when applicable. Effective until incorporated into the FAR or DFARS or until rescinded.)

__ __ (17) (ii) Alternate I (Nov 2016) of 52.219-9.

__ __ (17) (iii) Alternate II (Nov 2016) of 52.219-9.

__ __ (17) (iv) Alternate III (Nov 2016) of 52.219-9.

______ (17) (v) Alternate IV (Nov 2016) of 52.219-9.

__ __ (18) 52.219-13, Notice of Set-Aside of Orders (Nov 2011) (15 U.S.C. 644(r)).

__ __ (19) 52.219-14, Limitations on Subcontracting (Jan 2017)(15 U.S.C. 637(a)(14)).

__X __ (20) 52.219-16, Liquidated Damages—Subcontracting Plan (Jan 1999) (15 U.S.C.

637(d)(4)(F)(i)).

__ __ (21) 52.219-27, Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside

(Nov 2011)(15 U.S.C. 657 f).

__X __ (22) 52.219-28, Post Award Small Business…

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