FA852423R0011.pdf

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

FD20602300058

5. SOLICITATION NUMBER

FA8524-23-R-0011

6. SOLICITATION ISSUE DATE

b. TELEPHONE NUMBER (No collect calls) (*** ) *** -**** ext.

2. CONTRACT NO.

7. FOR SOLICITATION

INFORMATION CALL

3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

a. NAME Tanisha D. Howard

8. OFFER DUE DATE/LOCAL

TIME

6JUL2023 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 336412

VETERAN-OWNED SIZE STANDARD

SMALL BUSINESS 8 (A) 1,500 :

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

SOF - FIXED WING/ROTARY WING, AFSC/PZAAA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 327 3661

ROBINS AFB GA 31098-1670

BUYER: Tanisha D. Howard/PZAAAA tanisha.howard@us.af.mil

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. SEE ELECTRONIC SUBMISSION OF PAYMENT REQUESTS, CLAUSE 252.232-7003.

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 120 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

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 6/6/2023, 7:18 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

FA8524-23-R-0011

SUPPLIES OR SERVICES AND PRICES/COSTS

BASIC ORDERING PERIOD: Applicable to orders placed during the 12 month period immediately following the award of the Basic Contract.

Main Rotor Servo Cylinder Assembly

OVERHAUL

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

30 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 1650011879395 HL

CYLINDER ASSEMBLY

Actuates rotating controls to main rotor, controlling direction of the aircraft.

Steel Actuator Manufacturer Part Number 81873 205076056107 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.)

Title Number Date Tailoring

ISO 90012008 2008

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 PAB FLB/RIC

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

ASSETS, EARLY

DELIVERY IS

ACCEPTABLE

Req No / Pri

Required Delivery

A SW3119 30 EA *90 Calendar Days

Proposed Delivery

A SW3119 30 EA

DATA CDRLS A001A006

Item No.

Firm Fixed Price Quantity U/I

1 LO

Data A001A009 Priority: D

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: SEE SCHEDULE 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 90012008 2008

AS9100 9100 22OCT2015

Contract Depot Maintenance Production Report (A001)

IAW DD FORM 1423

Item No.

0002AA

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Contract Depot Maintenance Production Report (PWS PAR 4.3.7)

DIPSSS81995

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Commercial Item Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required

Contract Depot Maintenance Production Report (A001)

IAW DD FORM 1423

1 LO

Proposed Delivery

1 LO

Item Unique Identification (IUID) Marking Plan (AOO2)

IAW DD FORM 1423

Item No.

0002AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Item Unique Identification (IUID) Marking Plan (PWS PAR 4.4.2)

DIMGMT81803A

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

IUID Marking Activity, Validation and Verification Report (A003)

IAW DD FORM 1423

Item No.

0002AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Item Unique Identification (IUID) Marking Activity,Validation and Verification Report (PWS PAR 4.4.4.)

DIMGMT81804A

Priority: R

Limitations of Liability: Other Than High Value Item

IUID Marking Activity, Validation and Verification Report (A003)

IAW DD FORM 1423

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Commercial Asset Visibility (CAV) Reporting (A004)

IAW DD FORM 1423

Item No.

0002AD

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Commercial Asset Visibility (CAV) Reporting (PWS PAR 4.7)

DIMGMT81838

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

Government Property Inventory Report (A005)

IAW DD FORM 1423

Item No.

0002AE

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Government Property Inventory Report (PWS PAR 4.8.1)

DIMGMT80441D

Limitations of Liability: Other Than High Value Item

Government Property Inventory Report (A005)

IAW DD FORM 1423

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Government Industry Exchange Program (GIDEP) AlertSafe Alert Report (A006)

IAW DD FORM 1423

Item No.

0002AF

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Government Industry Exchange Program (GIDEP) AlertSafe Alert Report (PWS PAR 4.9)

DIQCIC80125B

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

SUPPLY CHAIN RISK MANAGEMENT (SCRM) PLAN (A007)

IAW DD FORM 1423

Item No.

0002AG

Not Separately Priced Quantity U/I Unit Price

SUPPLY CHAIN RISK MANAGEMENT (SCRM) PLAN (A007)

IAW DD FORM 1423

1 LO NSP

DATA

SUPPLY CHAIN RISK MANAGEMENT (SCRM)PLAN (PWS PAR 4.10.1)

DIMGMT82256

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Commercial Item Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Accident/Incident Report (A008)

IAW DD FORM 1423

Item No.

0002AH

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Accident/Incident Report (PWS PAR 5.5.3)

DISAFT81563

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

Quality Program Plan (A009)

IAW DD FORM 1423

Item No.

0002AJ

Not Separately Priced

1 LO NSP

Quality Program Plan (A009)

IAW DD FORM 1423

NSN: DATA

Quality Program Plan (PWS PAR 5.9)

DIQCIC81722

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

ORDERING PERIOD I: Applicable to orders placed during the 12 month period immediately following the Basic Ordering Period.

Main Rotor Servo Cylinder Assembly

OVERHAUL

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

30 EA

CLIN ACRN ACRN Total

1001 AA

NSN: 1650011879395 HL

CYLINDER ASSEMBLY

Actuates rotating controls to main rotor, controlling direction of the aircraft.

Steel Actuator Manufacturer Part Number 81873 205076056107 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.)

Title Number Date Tailoring

ISO 90012008 2008

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 PAB FLB/RIC

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

ASSETS, EARLY

DELIVERY IS

ACCEPTABLE

Req No / Pri

Required Delivery

A SW3119 30 EA *90 Calendar Days

Proposed Delivery

A SW3119 30 EA

DATA CDRLS B001B009

Item No.

Firm Fixed Price Quantity U/I

1 LO

Data B001B009 Priority: D

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: SEE SCHEDULE 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 90012008 2008

AS9100 9100 22OCT2015

Contract Depot Maintenance Production Report (B001)

IAW DD FORM 1423

Item No.

1002AA

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Contract Depot Maintenance Production Report (PWS PAR 4.3.7)

DIPSSS81995

Contract Depot Maintenance Production Report (B001)

IAW DD FORM 1423

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Commercial Item Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Item Unique Identification (IUID) Marking Plan (BOO2)

IAW DD FORM 1423

Item No.

1002AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Item Unique Identification (IUID) Marking Plan (PWS PAR 4.4.2)

DIMGMT81803A

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

IUID Marking Activity, Validation and Verification Report (B003)

IAW DD FORM 1423

Item No.

1002AC

IUID Marking Activity, Validation and Verification Report (B003)

IAW DD FORM 1423

Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Item Unique Identification (IUID) Marking Activity,Validation and Verification Report (PWS PAR 4.4.4.)

DIMGMT81804A

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Commercial Asset Visibility (CAV) Reporting (B004)

IAW DD FORM 1423

Item No.

1002AD

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Commercial Asset Visibility (CAV) Reporting (PWS PAR 4.7)

DIMGMT81838

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

Government Property Inventory Report (B005)

IAW DD FORM 1423

Item No.

1002AE

Government Property Inventory Report (B005)

IAW DD FORM 1423

1 LO NSP

NSN: DATA

Government Property Inventory Report (PWS PAR 4.8.1)

DIMGMT80441D

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Government Industry Exchange Program (GIDEP) AlertSafe Alert Report (B006)

IAW DD FORM 1423

Item No.

1002AF

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Government Industry Exchange Program (GIDEP) AlertSafe Alert Report (PWS PAR 4.9)

DIQCIC80125B

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed

1 LO

SUPPLY CHAIN RISK MANAGEMENT (SCRM) PLAN (B007)

IAW DD FORM 1423

Item No.

1002AG

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

SUPPLY CHAIN RISK MANAGEMENT (SCRM)PLAN (PWS PAR 4.10.1)

DIMGMT82256

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Commercial Item Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Accident/Incident Report (B008)

IAW DD FORM 1423

Item No.

1002AH

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Accident/Incident Report (PWS PAR 5.5.3)

DISAFT81563

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

Quality Program Plan (B009)

IAW DD FORM 1423

Item No.

1002AJ

Quality Program Plan (B009)

IAW DD FORM 1423

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Quality Program Plan (PWS PAR 5.9)

DIQCIC81722

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

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

Main Rotor Servo Cylinder Assembly

OVERHAUL

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

30 EA

CLIN ACRN ACRN Total

2001 AA

NSN: 1650011879395 HL

CYLINDER ASSEMBLY

Actuates rotating controls to main rotor, controlling direction of the aircraft.

Steel Actuator Manufacturer Part Number 81873 205076056107 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.)

Title Number Date Tailoring

ISO 90012008 2008

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 PAB FLB/RIC

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

ASSETS, EARLY

DELIVERY IS

ACCEPTABLE

Req No / Pri

Required Delivery

A SW3119 30 EA *90 Calendar Days

Proposed Delivery

A SW3119 30 EA

DATA CDRLS C001C009

Item No.

Firm Fixed Price Quantity U/I

1 LO

Data C001C009 Priority: D

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: SEE SCHEDULE 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 90012008 2008

AS9100 9100 22OCT2015

Contract Depot Maintenance Production Report (C001)

IAW DD FORM 1423

Item No.

2002AA

Contract Depot Maintenance Production Report (C001)

IAW DD FORM 1423

1 LO NSP

DATA

Contract Depot Maintenance Production Report (PWS PAR 4.3.7)

DIPSSS81995

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Commercial Item Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Item Unique Identification (IUID) Marking Plan (COO2)

IAW DD FORM 1423

Item No.

2002AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Item Unique Identification (IUID) Marking Plan (PWS PAR 4.4.2)

DIMGMT81803A

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed

IUID Marking Activity, Validation and Verification Report (C003)

IAW DD FORM 1423

Item No.

2002AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Item Unique Identification (IUID) Marking Activity,Validation and Verification Report (PWS PAR 4.4.4.)

DIMGMT81804A

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Commercial Asset Visibility (CAV) Reporting (C004)

IAW DD FORM 1423

Item No.

2002AD

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Commercial Asset Visibility (CAV) Reporting (PWS PAR 4.7)

DIMGMT81838

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

Government Property Inventory Report (C005)

IAW DD FORM 1423

Item No.

2002AE

Government Property Inventory Report (C005)

IAW DD FORM 1423

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Government Property Inventory Report (PWS PAR 4.8.1)

DIMGMT80441D

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Government Industry Exchange Program (GIDEP) AlertSafe Alert Report (C006)

IAW DD FORM 1423

Item No.

2002AF

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Government Industry Exchange Program (GIDEP) AlertSafe Alert Report (PWS PAR 4.9)

DIQCIC80125B

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed

Government Industry Exchange Program (GIDEP) AlertSafe Alert Report (C006)

IAW DD FORM 1423

1 LO

SUPPLY CHAIN RISK MANAGEMENT (SCRM) PLAN (C007)

IAW DD FORM 1423

Item No.

2002AG

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

SUPPLY CHAIN RISK MANAGEMENT (SCRM)PLAN (PWS PAR 4.10.1)

DIMGMT82256

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Commercial Item Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Accident/Incident Report (C008)

IAW DD FORM 1423

Item No.

2002AH

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Accident/Incident Report (PWS PAR 5.5.3)

DISAFT81563

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

Quality Program Plan (C009)

IAW DD FORM 1423

Item No.

2002AJ

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Quality Program Plan (PWS PAR 5.9)

DIQCIC81722

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

ORDERING PERIOD III: Applicable to orders placed during the 12 month period immediately following Ordering Period II.

Main Rotor Servo Cylinder Assembly

OVERHAUL

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

30 EA

CLIN ACRN ACRN Total

3001 AA

NSN: 1650011879395 HL

CYLINDER ASSEMBLY

Actuates rotating controls to main rotor, controlling direction of the aircraft.

Steel Actuator Manufacturer Part Number 81873 205076056107 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.)

Title Number Date Tailoring

ISO 90012008 2008

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 PAB FLB/RIC

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

ASSETS, EARLY

DELIVERY IS

ACCEPTABLE

Req No / Pri

Required Delivery

A SW3119 30 EA *90 Calendar Days

Proposed Delivery

A SW3119 30 EA

DATA CDRLS D001D009

Item No.

Firm Fixed Price Quantity U/I

1 LO

Data D001D009 Priority: D

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: SEE SCHEDULE 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 90012008 2008

AS9100 9100 22OCT2015

Contract Depot Maintenance Production Report (D001)

IAW DD FORM 1423

Item No.

3002AA

Contract Depot Maintenance Production Report (D001)

IAW DD FORM 1423

Quantity U/I Unit Price

1 LO NSP

DATA

Contract Depot Maintenance Production Report (PWS PAR 4.3.7)

DIPSSS81995

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Commercial Item Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Item Unique Identification (IUID) Marking Plan (DOO2)

IAW DD FORM 1423

Item No.

3002AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Item Unique Identification (IUID) Marking Plan (PWS PAR 4.4.2)

DIMGMT81803A

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed

IUID Marking Activity, Validation and Verification Report (D003)

IAW DD FORM 1423

Item No.

3002AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Item Unique Identification (IUID) Marking Activity,Validation and Verification Report (PWS PAR 4.4.4.)

DIMGMT81804A

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Commercial Asset Visibility (CAV) Reporting (D004)

IAW DD FORM 1423

Item No.

3002AD

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Commercial Asset Visibility (CAV) Reporting (PWS PAR 4.7)

DIMGMT81838

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL

Government Property Inventory Report (D005)

IAW DD FORM 1423

Item No.

3002AE

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Government Property Inventory Report (PWS PAR 4.8.1)

DIMGMT80441D

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Government Industry Exchange Program (GIDEP) AlertSafe Alert Report (D006)

IAW DD FORM 1423

Item No.

3002AF

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Government Industry Exchange Program (GIDEP) AlertSafe Alert Report (PWS PAR 4.9)

DIQCIC80125B

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required

Government Industry Exchange Program (GIDEP) AlertSafe Alert Report (D006)

IAW DD FORM 1423

Proposed Delivery

1 LO

SUPPLY CHAIN RISK MANAGEMENT (SCRM) PLAN (D007)

IAW DD FORM 1423

Item No.

3002AG

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

SUPPLY CHAIN RISK MANAGEMENT (SCRM)PLAN (PWS PAR 4.10.1)

DIMGMT82256

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Commercial Item Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Accident/Incident Report (D008)

IAW DD FORM 1423

Item No.

3002AH

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Accident/Incident Report (PWS PAR 5.5.3)

DISAFT81563

Priority: R

Limitations of Liability: Other Than High Value Item

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

Accident/Incident Report (D008)

IAW DD FORM 1423

Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

Quality Program Plan (D009)

IAW DD FORM 1423

Item No.

3002AJ

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Quality Program Plan (PWS PAR 5.9)

DIQCIC81722

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

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

Main Rotor Servo Cylinder Assembly

OVERHAUL

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

30 EA

CLIN ACRN ACRN Total

4001 AA

NSN: 1650011879395 HL

CYLINDER ASSEMBLY

Actuates rotating controls to main rotor, controlling direction of the aircraft.

Steel Actuator Manufacturer Part Number 81873 205076056107 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.)

Title Number Date Tailoring

ISO 90012008 2008

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 PAB FLB/RIC

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

ASSETS, EARLY

DELIVERY IS

ACCEPTABLE

Req No / Pri

Required Delivery

A SW3119 30 EA *90 Calendar Days

Proposed Delivery

A SW3119 30 EA

DATA CDRLS E001E009

Item No.

Firm Fixed Price Quantity U/I

1 LO

Data E001E009 Priority: D

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: SEE SCHEDULE 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 90012008 2008

AS9100 9100 22OCT2015

Contract Depot Maintenance Production Report (E001)

IAW DD FORM 1423

Item No.

4002AA

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Contract Depot Maintenance Production Report (PWS PAR 4.3.7)

DIPSSS81995

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Commercial Item Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Item Unique Identification (IUID) Marking Plan (EOO2)

IAW DD FORM 1423

Item No.

4002AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Item Unique Identification (IUID) Marking Plan (PWS PAR 4.4.2)

DIMGMT81803A

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required

Item Unique Identification (IUID) Marking Plan (EOO2)

IAW DD FORM 1423

Proposed Delivery

1 LO

IUID Marking Activity, Validation and Verification Report (E003)

IAW DD FORM 1423

Item No.

4002AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Item Unique Identification (IUID) Marking Activity,Validation and Verification Report (PWS PAR 4.4.4.)

DIMGMT81804A

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Commercial Asset Visibility (CAV) Reporting (E004)

IAW DD FORM 1423

Item No.

4002AD

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

Commercial Asset Visibility (CAV) Reporting (PWS PAR 4.7)

DIMGMT81838

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL

Commercial Asset Visibility (CAV) Reporting (E004)

IAW DD FORM 1423

Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

Government Property Inventory Report (E005)

IAW DD FORM 1423

Item No.

4002AE

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Government Property Inventory Report (PWS PAR 4.8.1)

DIMGMT80441D

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Government Industry Exchange Program (GIDEP) AlertSafe Alert Report (E006)

IAW DD FORM 1423

Item No.

4002AF

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Government Industry Exchange Program (GIDEP) AlertSafe Alert Report (PWS PAR 4.9)

DIQCIC80125B

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL

Government Industry Exchange Program (GIDEP) AlertSafe Alert Report (E006)

IAW DD FORM 1423

Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

SUPPLY CHAIN RISK MANAGEMENT (SCRM) PLAN (E007)

IAW DD FORM 1423

Item No.

4002AG

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

SUPPLY CHAIN RISK MANAGEMENT (SCRM)PLAN (PWS PAR 4.10.1)

DIMGMT82256

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Commercial Item Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Accident/Incident Report (E008)

IAW DD FORM 1423

Item No.

4002AH

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Accident/Incident Report (PWS PAR 5.5.3)

DISAFT81563

Accident/Incident Report (E008)

IAW DD FORM 1423

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

Quality Program Plan (E009)

IAW DD FORM 1423

Item No.

4002AJ

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Quality Program Plan (PWS PAR 5.9)

DIQCIC81722

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

455 BYRON STREET BLDG 376

ROBINS A F B GA 310981887

ROBINS A F B GA 310981887 GA 310981887

USA

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

AWARD NUMBER:

ADDENDUM TO CLAUSE 52.2124

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

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

Form Number Description/File Name Date Number of Pages PWS_Final_19May2023.pdf Performance Work Statement

19MAY2023 16

AFMC 158 PKGRQMT_REPORT.pdf Packaging

17MAR2023 2

DD FORM 1653 TRNSPDATA_REPORT.pdf Transportation Data

16MAR2023 2

DD FORM 14231 CDRLs_2Jun2023.pdf Contract Data Requirerments List

01JUN2023 9

CAVAF_Reporting_Requirements.pdf CAVAF Reporting Requirements

UNDATED 7

DD FORM 2875 DD2875.pdf

DD2875

UNDATED 3

GFPFA852423R0011_7.pdf Government Furnished Property

23AUG2022 1

Main_Rotor_Servo_Cylinder_Assembly_PreQual_.

pdf Main Rotor Servo Cylinder Assembly Pre Qualifications

UNDATED 5