FA852423R0011_AMD_0001.pdf

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Overhaul of the Main Rotor Servo Cylinder Assembly for the TH-1H Helicopter
Solicitation number
FA852423R0011
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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE Page 1

2. AMENDMENT/MODIFICATION NO.

FA8524-23-R-0011-0001

3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO.

FD20602300058

5. PROJECT NO (If applicable)

6. 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

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.

FA852423R0011

9B. DATED (SEE ITEM 11)

6-JUN-2023

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 copies to the issuing office.

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

ROUTINE

**This acquistion is set aside 100% for small business**

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

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.

FA8524-23-R-0011-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to:

A. This acquisition is set aside 100% for small business.

B. All other terms and conditions remain unchanged unless through amendment.

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 Delivery

1 LO

Proposed

Contract Depot Maintenance Production Report (A001)

IAW DD FORM 1423

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

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

IUID Marking Activity, Validation and Verification Report (A003)

IAW DD FORM 1423

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

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: LETTER OF TRANSMITTAL Quality Assurance: Standard Inspection

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

Government Property Inventory Report (A005)

IAW DD FORM 1423

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

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

SUPPLY CHAIN RISK MANAGEMENT (SCRM) PLAN (A007)

IAW DD FORM 1423

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 Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Quality Program Plan (PWS PAR 5.9)

DIQCIC81722

Quality Program Plan (A009)

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

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 AA FLB/RIC

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

ASSETS, EARLY

DELIVERY IS

ACCEPTABLE

Req No / Pri

Required

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

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

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

Contract Depot Maintenance Production Report (B001)

IAW DD FORM 1423

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

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

IUID Marking Activity, Validation and Verification Report (B003)

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 (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

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

NSN: DATA

Government Property Inventory Report (PWS PAR 4.8.1)

DIMGMT80441D

Government Property Inventory Report (B005)

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 (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 Delivery

1 LO

SUPPLY CHAIN RISK MANAGEMENT (SCRM) PLAN (B007)

IAW DD FORM 1423

Item No.

1002AG

Not Separately Priced Quantity U/I Unit Price

SUPPLY CHAIN RISK MANAGEMENT (SCRM) PLAN (B007)

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 (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

Not Separately Priced

1 LO NSP

Quality Program Plan (B009)

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 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 AA 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

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 (C001)

IAW DD FORM 1423

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 Delivery

1 LO

IUID Marking Activity, Validation and Verification Report (C003)

IAW DD FORM 1423

Item No.

2002AC

Not Separately Priced

IUID Marking Activity, Validation and Verification Report (C003)

IAW DD FORM 1423

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

Not Separately Priced

Government Property Inventory Report (C005)

IAW DD FORM 1423

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

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

Quality Program Plan (C009)

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 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 AA 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

Not Separately Priced Quantity U/I Unit Price

DATA

Contract Depot Maintenance Production Report (D001)

IAW DD FORM 1423

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

Government Property Inventory Report (D005)

IAW DD FORM 1423

3002AE

Government Property Inventory Report (D005)

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 (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 Delivery

1 LO

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

IAW DD FORM 1423

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

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 AA 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

DATA

Contract Depot Maintenance Production Report (E001)

IAW DD FORM 1423

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 Delivery

1 LO

Proposed

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

Government Property Inventory Report (E005)

IAW DD FORM 1423

4002AE

Government Property Inventory Report (E005)

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

Required Delivery

1 LO

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

IAW DD FORM 1423

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

Priority: R

Limitations of Liability: Other Than High Value Item

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

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

File details come from the government source that posted it. Updated .