FA852422R0014_______0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

J

2. AMENDMENT/MODIFICATION NO.

FA8524-22-R-0014-0001

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20602200057

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

SOF-FW/RW, AFSC/PZAAA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 327 3661

ROBINS AFB GA 31098-1670

BUYER: Howard C. Carroll howard.carroll.1@us.af.mil Phone: (478) 926- 0152 Fax: (000) 000-0000 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8524

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA852422R0014

9B. DATED (SEE ITEM 11)

18-MAR-2022

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods. ( a ) By completing Items 8 and 15, and returning copies of the amendment; ( b ) By acknowledging receipt of this amendment on each copy of the offer submitted; or ( c ) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

ROUTINE

15A. NAME AND TITLE OF SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR

BY ________________________________________________________

(Signature of person authorized to sign)

15C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16B. UNITED STATES OF AMERICA

BY ____________________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

FACILITY CODE

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE

30-105 STANDARD FORM 30 (REV. 10-83)

PRESCRIBED BY GSA

FAR (48 CFR) 53.243

X

X X

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to:

A. Modify CLINs 0001, 1001, 2001, 3001 and 4001 from requiring a Firm Fixed Price at proposal submission, to "To Be Negotiated".

B. Add Firm Fixed Price CLINs 0004, 1004, 2004, 3004 and 4004 "Teardown, Test and Evaluation" to the Request for Proposal.

C. Attach a revised Performance Work Statement (Revision - 1) to the Request for Proposal.

D. All other terms, provisions, clauses and conditions of the original Request for Proposal remain the same unless otherwise changed through amendment.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR REQUIREMENTS CONTRACTS (JUL 1999)

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

This is a Requirements Type Contract for a period of five years. The Government may require the delivery of increased quantities of items, the exact quantity of which cannot be determined in advance.

The Best Estimated Quantity (BEQ) for each line item is identified in the description of that line item.

BASIC ORDERING PERIOD: The 12 month period immediately following contract award.

REPAIR - FUEL BOOST PUMP

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 3 EA To be Negotiated

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Fuel Boost Pump ensure fuel flows at a predetermined rate allowing Refuel Pod to perform at optimum leve.

Aluminum Housing Manufacturer Part Number 86090 62218-1 Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required Delivery

REPAIR - FUEL BOOST PUMP

A SW3119 3 EA *60 Calendar Days

Proposed Delivery

A SW3119 3 EA

Contact PMS at least 3 days prior to shipping assets.

NO FAULT FOUND / BEYOND ECONOMICAL REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Manufacturer Part Number 86090 62218-1 Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required Delivery

A SW3119 1 EA *60 Calendar Days

Proposed Delivery

A SW3119 1 EA

DATA CDRLS - A001 - A007

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

Data

DATA CDRLS - A001 - A007

CC:MA TLI:6 Data CDRLs A001-A007 Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

+ CNOTE 1 LO

IAW DD Form 1423-1

Commercial Asset Visibility (CAV) Reporting

0003AA

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

Data

CC:MADI-MGMT-81838

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

Contract Depot Maintenance Production Report

Item No.

0003AB

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

Data

CC:MADI-PSSS-81995A

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

Quality Program Plan

0003AC

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

Data

CC:MADI-QCIC-81722

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

Counterfeit Prevention Plan

0003AD

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

Data

CC:MADI-MISC-81832

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

Item Unique Identification (IUID) Marking Plan

0003AE

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

Data

CC:MADI-MGMT-81803A

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed

IUID Marking Activity and Verification Report

0003AF

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

Data

CC:MADI-MGMT-81804A

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

Government Property Inventory Report

0003AG

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

Data

CC:MADI-MGMT-80441D

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed

TEARDOWN, TEST AND EVALUATON

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Manufacturer Part Number 86090 62218-1 Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required Delivery

A SW3119 3 EA *30 Calendar Days

Proposed Delivery

A SW3119 3 EA

Contact PMS at least 3 days prior to shipping assets.

ORDERING PERIOD I: The 12-month period immediately following the Basic Ordering Period

REPAIR - FUEL BOOST PUMP

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 3 EA To be Negotiated

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Fuel Boost Pump ensure fuel flows at a predetermined rate allowing Refuel Pod to perform at optimum leve.

Aluminum Housing Manufacturer Part Number 86090 62218-1 Priority: R

REPAIR - FUEL BOOST PUMP

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required Delivery

A SW3119 3 EA *60 Calendar Days

Proposed Delivery

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Manufacturer Part Number 86090 62218-1 Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required

A SW3119 1 EA *60 Calendar Days

NO FAULT FOUND / BEYOND ECONOMICAL REPAIR

Proposed Delivery

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

Data CC:MA TLI:6 Data CDRLs A001-A007 Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

1003AA

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

Data

CC:MADI-MGMT-81838

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1

Commercial Asset Visibility (CAV) Reporting

Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

Contract Depot Maintenance Production Report

1003AB

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

Data

CC:MADI-PSSS-81995A

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

1003AC

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

Data

CC:MADI-QCIC-81722

Quality Program Plan

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

1003AD

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

Data

CC:MADI-MISC-81832

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

1003AE

Firm Fixed Price Quantity U/I Unit Price Amount

Item Unique Identification (IUID) Marking Plan

1 LO Not Separately Priced

Data

CC:MADI-MGMT-81803A

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

1003AF

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

Data

CC:MADI-MGMT-81804A

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

Government Property Inventory Report

Item No.

1003AG

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

Data

CC:MADI-MGMT-80441D

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Manufacturer Part Number 86090 62218-1 Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required

A SW3119 3 EA *30 Calendar Days

TEARDOWN, TEST AND EVALUATON

Proposed Delivery

A SW3119 3 EA

Contact PMS at least 3 days prior to shipping assets.

BASIC ORDERING PERIOD - II: The 12-month period immediately following ORDERING PERIOD

- I

REPAIR - FUEL BOOST PUMP

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 3 EA To be Negotiated

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Fuel Boost Pump ensure fuel flows at a predetermined rate allowing Refuel Pod to perform at optimum leve.

Aluminum Housing Manufacturer Part Number 86090 62218-1 Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required Delivery

A SW3119 3 EA *60 Calendar Days

Proposed Delivery

NO FAULT FOUND / BEYOND ECONOMICAL REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Manufacturer Part Number 86090 62218-1 Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required Delivery

A SW3119 1 EA *60 Calendar Days

Proposed Delivery

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

Data CC:MA TLI:6 Data CDRLs A001-A007 Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

DATA CDRLS - A001 - A007

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

2003AA

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

Data

CC:MADI-MGMT-81838

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

2003AB

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

Data

CC:MADI-PSSS-81995A

Priority: R

Inspection: Destination

Contract Depot Maintenance Production Report

Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

2003AC

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

Data

CC:MADI-QCIC-81722

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

2003AD

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

Data

CC:MADI-MISC-81832

Counterfeit Prevention Plan

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

2003AE

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

Data

CC:MADI-MGMT-81803A

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

2003AF

IUID Marking Activity and Verification Report

1 LO Not Separately Priced

Data

CC:MADI-MGMT-81804A

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

2003AG

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

Data

CC:MADI-MGMT-80441D

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

TEARDOWN, TEST AND EVALUATON

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Manufacturer Part Number 86090 62218-1 Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required Delivery

A SW3119 3 EA *30 Calendar Days

Proposed Delivery

ORDERING PERIOD - III: The 12-month period immediately following ORDERING PERIOD - II

REPAIR - FUEL BOOST PUMP

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 3 EA To be Negotiated

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Fuel Boost Pump ensure fuel flows at a predetermined rate allowing Refuel Pod to perform at optimum leve.

Aluminum Housing Manufacturer Part Number 86090 62218-1

REPAIR - FUEL BOOST PUMP

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required Delivery

A SW3119 3 EA *60 Calendar Days

Proposed Delivery

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Manufacturer Part Number 86090 62218-1 Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required

A SW3119 1 EA *60 Calendar Days

NO FAULT FOUND / BEYOND ECONOMICAL REPAIR

Proposed Delivery

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

Data CC:MA TLI:6 Data CDRLs A001-A007 Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

3003AA

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

Data

CC:MADI-MGMT-81838

Priority: R

Inspection: Destination

Commercial Asset Visibility (CAV) Reporting

Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

3003AB

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

Data

CC:MADI-PSSS-81995A

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

3003AC

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

Data

CC:MADI-QCIC-81722

Quality Program Plan

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

3003AD

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

Data

CC:MADI-MISC-81832

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

3003AE

Item Unique Identification (IUID) Marking Plan

1 LO Not Separately Priced

Data

CC:MADI-MGMT-81803A

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

3003AF

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

Data

CC:MADI-MGMT-81804A

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

Government Property Inventory Report

Item No.

3003AG

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

Data

CC:MADI-MGMT-80441D

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Manufacturer Part Number 86090 62218-1 Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required

A SW3119 3 EA *30 Calendar Days

TEARDOWN, TEST AND EVALUATON

Proposed Delivery

ORDERING PERIOD - IV: The 12-month period immediately following ORDERING PERIOD - III

REPAIR - FUEL BOOST PUMP

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 3 EA To be Negotiated

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Fuel Boost Pump ensure fuel flows at a predetermined rate allowing Refuel Pod to perform at optimum leve.

Aluminum Housing Manufacturer Part Number 86090 62218-1 Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required Delivery

A SW3119 3 EA *60 Calendar Days

Proposed Delivery

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Manufacturer Part Number 86090 62218-1 Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required Delivery

A SW3119 1 EA *60 Calendar Days

Proposed Delivery

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

Data CC:MA TLI:6 Data CDRLs A001-A007 Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

DATA CDRLS - A001 - A007

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

4003AA

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

Data

CC:MADI-MGMT-81838

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

4003AB

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

Data

CC:MADI-PSSS-81995A

Priority: R

Inspection: Destination

Contract Depot Maintenance Production Report

Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

4003AC

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

Data

CC:MADI-QCIC-81722

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

4003AD

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

Data

CC:MADI-MISC-81832

Counterfeit Prevention Plan

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

4003AE

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

Data

CC:MADI-MGMT-81803A

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

4003AF

IUID Marking Activity and Verification Report

1 LO Not Separately Priced

Data

CC:MADI-MGMT-81804A

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

4003AG

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

Data

CC:MADI-MGMT-80441D

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD-1423-1 Quality Assurance:

Type / Ship To Quantity (U/I) IAW DD Form 1423-1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD Form 1423-1

Proposed Delivery

TEARDOWN, TEST AND EVALUATON

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

NSN: 1680-01-531-2588 SO

BOOST PUMP,AIRCRAFT

Manufacturer Part Number 86090 62218-1 Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC FLB

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

Req No / Pri

Required Delivery

A SW3119 3 EA *30 Calendar Days

Proposed Delivery

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:

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS A F B GA 31098-1887

ROBINS A F B GA 31098-1887 31098-1887

USA

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

AWARD NUMBER:

PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages PWS_Fuel_Boost_Pump_FA852422R0014_REV_1.p df Performance Work Statement - Revision 1

07FEB2022 16