FA852612Q33072_-_P0003.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8526-12-Q-33072-0003

3. EFFECTIVE DATE

3 DEC 2012

4. REQUISITION/PURCHASE REQ. NO.

FD20601233072

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

WR ALC GRGKA, C-17 Globemaster Division 235 Byron St, Ste 19A Bldg 300 CP 478 327 7137 Robins AFB GA 31098-1670 BUYER: LaVetta Williams/GRGK Lavetta.Williams@robins.af.mil Phone: (478) 926- 0063 Fax: (478) 926-9656 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8526

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA852612Q33072

9B. DATED (SEE ITEM 11)

29-AUG-2012

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

THIS IS A TOTAL SMALL BUSINESS SET-ASIDE.

Subject to the terms and conditions stated herein, the Contracator agrees to hold its offered prices firm for 90 days.

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.

Amendment/Modification FA8526-12-Q-33072-0003

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

1. The purpose of this amendment is to change this from a Full and Open solicitation back to a 100% Small Business Set-Aside. Amend 002 was accomplished in error, it was only supposed to address the incorporation of Government Furnished Material (GFM).

2. An amendment will be accomplished at a later date to incorporate the GFM and identify a proposal due date.

3. The proposal due date has been extended indefinitely.

Request for Quotation FA8526-12-Q-33072-0003

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

ELECTRONIC RESPONSES ARE AUTHORIZED (MAR 2003)

(IAW FAR 13.003(f)) In accordance with FAR 13.003(f); 14.202-8 or 15.203(c), electronic commerce method to receive proposals, modifications, and revisions is permitted and preferred. Buyer and Contracting Officer's email addresses for submissions are listed on the front page of this document.

Note: An option is considered to have been exercised at the time the Government deposits written notification to the Contractor via mail or other electronic means of notification. In the event of overlapping deliveries due to exercise of option, the Contractor shall not be required to deliver more than 5 EA (or applicable qty/unit and item number or Noun) in any 30 day period.

(The above Clause/Provision has been modified.)

Bid A - First Article Required Item No.

NSN: 6635-01-498-2048

Reference Standard, Eddy Current Manufacturer Part Number 88277 17G130428-501 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: ISO 9000/1/2, AS9100 and/or NATO AQAP2070 as applicable are preferred std. MIL-I-45208A (w/MIL-C-45662A and MIL-STD-45662A) or MIL-Q-9858A are acceptable alternates for this item. Contractor shall meet highest stds under which they qualify.

Applicability: GLOBEMASTER III Advanced Cargo Aircraft ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program

FIRST ARTICLE

FIRST ARTICLE Bid A - First Article Required Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN Increase/Decrease ACRN Total

0001AA AA

NSN: 6635-01-498-2048

FIRST ARTICLE

FIRST ARTICLE Bid A - First Article Required

FIRST ARTICLE

Reference Standard, Eddy Current P/N: 17G130428-501 Manufacturer Part Number 88277 17G130428-501 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: ISO 9000/1/2, AS9100 and/or NATO AQAP2070 as applicable are preferred std. MIL-I-45208A (w/MIL-C-45662A and MIL-STD-45662A) or MIL-Q-9858A are acceptable alternates for this item. Contractor shall meet highest stds under which they qualify.

Applicability: GLOBEMASTER III Advanced Cargo Aircraft ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A EB2090 ORIGIN

Type / Ship To PACRN Mark For A EB2090 AA R. Nation Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

A EB2090 1 EA *270 Calendar Days Non-MilStrip

Proposed Delivery

A EB2090 1 EA

PRODUCTION QUANTITY

Bid A - First Article Required Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN Increase/Decrease ACRN Total

0001AB AA

NSN: 6635-01-498-2048

PRODUCTION QUANTITY

Reference Standard, Eddy Current P/N: 17G130428-501 Manufacturer Part Number 88277 17G130428-501 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

PRODUCTION QUANTITY

Bid A - First Article Required

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: ISO 9000/1/2, AS9100 and/or NATO AQAP2070 as applicable are preferred std. MIL-I-45208A (w/MIL-C-45662A and MIL-STD-45662A) or MIL-Q-9858A are acceptable alternates for this item. Contractor shall meet highest stds under which they qualify.

Applicability: GLOBEMASTER III Advanced Cargo Aircraft ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A EB2090 ORIGIN

Type / Ship To PACRN Mark For A EB2090 AA R. Nation Type / Ship To Quantity (U/I) *ARO After approval of First Article

_ Req No / Pri

Required Delivery

A EB2090 2 EA *120 Calendar Days Non-MilStrip

Proposed Delivery

A EB2090 2 EA

FIRST ARTICLE TEST PLAN

Bid A - First Article Required Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

First Article Test Plan

TEST PLAN IN ACCORDANCE WITH ATTACHED DD FORM 1423

DI-NDTI-81307A/T DATA ITEM NO. A001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Applicability: GLOBEMASTER III Advanced Cargo Aircraft ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program Class I ODS Substance Application/Use Quantity

NONE

Type / Ship To PACRN Mark For I AW DD1423 AA Dave Doran

FIRST ARTICLE TEST PLAN

Bid A - First Article Required Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

I AW DD1423 1 LO

Proposed Delivery

I AW DD1423 1 LO

FIRST ARTICLE TEST REPORT

Bid A - First Article Required Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN Increase/Decrease ACRN Total

0003 AA

FIRST ARTICLE TEST REPORT

First Article Test Report in accordance with attached DD 1423

DI-NDTI-80809B/T DATA ITEM NO. A002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Applicability: GLOBEMASTER III Advanced Cargo Aircraft ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program Class I ODS Substance Application/Use Quantity

NONE

Type / Ship To PACRN Mark For I AW DD1423 AA Dave Doran Type / Ship To Quantity (U/I) *ARO IAW DD1423 _ Req No / Pri

Required Delivery

I AW DD1423 1 LO

Proposed Delivery

I AW DD1423 1 LO

Bid B - First Article NOT Required Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

Bid B - First Article NOT Required

3 EA

CLIN ACRN Increase/Decrease ACRN Total

0004 TB

NSN: 6635-01-498-2048 BA

Reference Standard, Eddy Current P/N: 17G130428-501 Manufacturer Part Number 88277 17G130428-501 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: ISO 9000/1/2, AS9100 and/or NATO AQAP2070 as applicable are preferred std. MIL-I-45208A (w/MIL-C-45662A and MIL-STD-45662A) or MIL-Q-9858A are acceptable alternates for this item. Contractor shall meet highest stds under which they qualify.

Applicability: GLOBEMASTER III Advanced Cargo Aircraft ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A EB2090 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE

Type / Ship To PACRN Mark For

A EB2090 AA

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

Required Delivery

A EB2090 3 EA *120 Calendar Days

Proposed Delivery

A EB2090 3 EA

Option 1 may be exercised from time-to-time, at any time within 365 days of award. The maximum quantity that may be purchased under Option 1 is five (5) each.

Option Year I

Item No.

Firm Fixed Price From QuantityU/I To Quantity U/IUnit Price

1 EA 5 EA

NSN: 6635-01-498-2048 BA

Reference Standard, Eddy Current Manufacturer Part Number

Option Year I

88277 17G130428-501 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: ISO 9000/1/2, AS9100 and/or NATO AQAP2070 as applicable are preferred std. MIL-I-45208A (w/MIL-C-45662A and MIL-STD-45662A) or MIL-Q-9858A are acceptable alternates for this item. Contractor shall meet highest stds under which they qualify.

Applicability: GLOBEMASTER III Advanced Cargo Aircraft ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

T BD ORIGIN

Class I ODS Substance Application/Use Quantity

NONE

Type / Ship To PACRN Mark For

T BD AA

Type / Ship To Quantity (U/I) *ARO Exercise of

Option I _ Req No / Pri

Required Delivery

T BD 1 EA

*120 Calendar Days

Proposed Delivery

T BD 1 EA

Option II may be exercised from time-to-time, at any time within 730 days of award. The maximum quantity that may be purchased under Option II is five (5) each.

Option Year II

Item No.

Firm Fixed Price From QuantityU/I To Quantity U/IUnit Price

1 EA 5 EA

NSN: 6635-01-498-2048 BA

Reference Standard, Eddy Current Manufacturer Part Number 88277 17G130428-501

Option Year II

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: ISO 9000/1/2, AS9100 and/or NATO AQAP2070 as applicable are preferred std. MIL-I-45208A (w/MIL-C-45662A and MIL-STD-45662A) or MIL-Q-9858A are acceptable alternates for this item. Contractor shall meet highest stds under which they qualify.

Applicability: GLOBEMASTER III Advanced Cargo Aircraft ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

T BD ORIGIN

Class I ODS Substance Application/Use Quantity

NONE

Type / Ship To PACRN Mark For

T BD AA

Type / Ship To Quantity (U/I) *ARO Exercise of

Option I _ Req No / Pri

Required Delivery

T BD 1 EA

*120 Calendar Days

Proposed Delivery

T BD 1 EA

Option III may be exercised from time-to-time, at any time within 1095 days of award. The maximum quantity that may be purchased under Option III is five (5) each.

Option Year III

Item No.

Firm Fixed Price From QuantityU/I To Quantity U/IUnit Price

1 EA 5 EA

NSN: 6635-01-498-2048 BA

Reference Standard, Eddy Current Manufacturer Part Number 88277 17G130428-501 Priority: R ROUTINE

Option Year III

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: ISO 9000/1/2, AS9100 and/or NATO AQAP2070 as applicable are preferred std. MIL-I-45208A (w/MIL-C-45662A and MIL-STD-45662A) or MIL-Q-9858A are acceptable alternates for this item. Contractor shall meet highest stds under which they qualify.

Applicability: GLOBEMASTER III Advanced Cargo Aircraft ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

T BD ORIGIN

Class I ODS Substance Application/Use Quantity

NONE

Type / Ship To PACRN Mark For

T BD AA

Type / Ship To Quantity (U/I) *ARO Exercise of

Option I _ Req No / Pri

Required Delivery

T BD 1 EA

*120 Calendar Days

Proposed Delivery

T BD 1 EA

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + FA8526

WRALC/GRG

ENGINEERING

235 BYRON ST, STE 19-A

ROBINS AFB GA 31098-1670

USA

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

AWARD NUMBER:

TYPE/CODE: A EB2090

BOEING ICP C17 PRGM EB2090

BLDG DR 20 CP 404 363 0257

5690 SOUTHFIELD CT STE 200

FOREST PARK GA 30297-2524

USA

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

AWARD NUMBER:

TYPE/CODE: I AW DD1423

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

AWARD NUMBER:

TYPE/CODE: T BD

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

AWARD NUMBER:

NOTE: RELEASE OF C-17 UNIT PRICES TO SUPPORT CONTRACTOR MANAGEMENT OF C-17

AIRCRAFT (OCT 2011)

The Boeing Company (CAGE 88277) has been assigned as the Product Support Integrator (PSI) for the Air Force's C-17 weapon system. As PSI, Boeing is responsible for managing all sustainment issues for the aircraft. This includes the assignment as contractor Inventory Control Point (ICP) manager. In order for Boeing to accomplish their PSI responsibilities, C-17 contract unit prices and delivery information must be made available. The information required is usually on the DD Form 250 shipping document or Wide Area Workflow (WAWF) Receiving Report. This notice is to inform you contract unit prices and delivery information of C-17 items will be provided to Boeing (via DD Form 250 or WAWF Receiving Report) for purpose of accomplishing C-17 PSI and contractor ICP responsibilities. Your offer in response to this solicitation or acceptance of any subsequent contract award constitutes consent to provide this information to Boeing for the purposes outlined herein.

PART I - THE SCHEDULE

SECTION D

PACKAGING AND MARKING

THE CURRENT VERSION OF MIL-STD-130, DATED 17 DECEMBER 2007, IS "N". (JUL 2008)

THE CURRENT VERSION OF MIL-STD-130, DATED 17 DECEMBER 2007, IS "N".

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

FIRST ARTICLE TEST, CERTIFICATION AND DISPOSITION REQUIREMENTS (FEB 1998)

(IAW FAR 9.308-2)

Test criteria are as follows:

Lot/Item Government Test/Inspection Requirements

Lot/Item Contractor Test/Inspection Requirements 0001AA A First Article test/inspection is required due to the following item characteristics:

TEST/INSPECTION REQUIREMENTS

A. CONTRACTOR TESTING:

Performance or other characteristics which the First Articles must meet are:

(1) Dimension certification.

(2) Acceptance test certification.

B. The detailed technical requirements for First Article approval tests are contained in:

TDP 17G130428

(1) First Article Test Plan is due 60 DAC (CDRL A001)

(2) First Article Test Report is due 180 DAC (CDRL A002)

A First Article test/inspection is required due to the following item characteristics:

TEST/INSPECTION REQUIREMENTS

A. CONTRACTOR TESTING:

Performance or other characteristics which the First Articles must meet are:

(1) Dimension certification.

(2) Acceptance test certification.

B. The detailed technical requirements for First Article approval tests are contained in: TDP 17G130428

(1) First Article Test Plan is due 60 DAC (CDRL A001)

(1) First Article Test Report is due 180 DAC (CDRL A002)

1. Critical to: Safety/Use (of weapon system)

2. Product described by drawing, OEM and MIL-Specs

NOTE: All production articles require testing at the same facility as the First Article. Only the First Article requires a test report.

The contractor's test plan shall describe the proposed method of performing the First Article Inspection/Test, using text, tables, sketches, drawings and/or photographs as necessary to illustrate and detail the contractor plan to satisfy the data package and Test Plan CDRL requirements. See CDRLs for specific guidance on Test Plan and Report. In general though, the Test Plan shall:

1) list the equipment proposed/planned/used in testing,

2) describe the means by which current instrument calibrations traceable to National Standards will be/are assured,

3) describe the manner in which the contractor will accomplish the dimensional and acceptance tests required IAW the requirements of the TDP (and document results in report),

4) provide sample documentation of the technical data (ex. dimensional test result) reporting format proposed for the test/inspection report,

5) describe the planned means of documenting material and process compliance to the TDP,

6) provide evidence of plan to photo document compliance to item permanent marking requirements.

The Test Report shall report the inspection and test results IAW the approved Test Plan and the Test Report CDRL.

The contractor shall manufacture the detail parts, acquire the hardware and purchased parts (see TDP PL's), and assemble and test one complete First Article.

The Government QAR, engineer, contracting official and/or Boeing technical representative shall have the opportunity to observe/witness FA testing.

Disposition of the First Article shall be as follows:

Lot/Item Approved

0001AA DODDAC EB2090

Atlanta Redistribution Center BDC-A 5690 Southfield Ct, Ste 200, Dr 20 Forest Park, GA 30297

Lot/Item Disapproved 0001AA Retained by Contractor

(The above Clause/Provision has been modified.)

52.246-2 INSPECTION OF SUPPLIES--FIXED-PRICE (AUG 1996)

(IAW FAR 46.302)

52.246-11 HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT (FEB 1999)

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

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

Title Number Date Tailoring *See Individual Line Item Schedule

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

252.246-7000 MATERIAL INSPECTION AND RECEIVING REPORT (MAR 2008)

(IAW DFARS 246.370)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) Government Contract Quality Assurance Inspection and Acceptance will be at (Final):

[CONTRACTOR FILL-IN]

Item No(s): See schedule for items with the following code(s) listed below :

Inspection Code and Address:

Government Contract Quality Assurance Inspection and Acceptance will be at destination(s) specified herein (Final).

Item No(s): 0002, 0003

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

NOTIFICATION REGARDING ADMINISTRATIVE PROBLEMS

If at any time during the performance of this contract administrative problems should arise which will have an adverse impact on timely performance by the Contractor or affect the contract price, the Contractor is required to immediately notify AFLCMC/WLKA, LAVETTA WILLIAMS, 1-478-926-0063 , ROBINS AFB GA 31098-1670 and the cognizant administrative contracting officer (ACO).

52.211-8 TIME OF DELIVERY (JUN 1997)

(IAW FAR 11.404(a)(2)) DELIVERY FOR EACH ITEM IS ANNOTATED IN THE SCHEDULE (PART I SECTION B) UNDER EACH LINE ITEM.

52.211-8 TIME OF DELIVERY -- ALTERNATE I (APR 1984)

(IAW FAR 11.404(a)(2))

(b) the Government will make award by .

52.242-17 GOVERNMENT DELAY OF WORK (APR 1984)

(IAW FAR 42.1305(c))

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

(IAW FAR 47.303-1(c))

52.247-30 F.O.B. ORIGIN, CONTRACTOR'S FACILITY (FEB 2006)

(IAW FAR 47.303-2(c))

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

(IAW FAR 47.303-17(f))

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b)) Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address

[CONTRACTOR FILL-IN]

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

WIDE AREA WORK FLOW (WAWF) -- Instructions to the Vendor for First Articles (6 FEB 2007)

These instructions are designed to assist you with the document selection, preparation, and the timing of First articles (FA) and their related data packages.

The essential WAWF points are these:

1. Both the FA and any required data have an evaluation period and the contract will specify what the period is.

2. Because of the evaluation period, the invoice and the receiving report (DD250) must be separate documents.

3. The receiving report and the invoice (when needed) are submitted at different times.

4. Who is going to actually get the data and how it will be delivered (both medium and location) must be specified in the contract.

5. Robins AFB uses an Inspector and an Acceptor in WAWF.

6. Both the Inspector’s and the Acceptor’s email addresses must be added to the "Additional Email Notifications" which immediately follows the message that the document has been successfully submitted into WAWF.

7. The Inspector is the person who evaluates the FA or the data package. When their evaluation is complete they will process the receiving report in WAWF.

8. Next, the Acceptor who is either the contracting officer or their representative will accept the receiving report.

9. The contracting officer also has a duty to inform your company of the results of the FA testing.

10. Once a data item or a FA has been accepted an invoice may be submitted. Why? Because:

A. Until we have accepted the FA or the data we don’t have an obligation to pay you for it, and B. Until the evaluation is completed the receiving report cannot be accepted.

C. Thus the evaluation period delays the acceptance of the receiving report and which delays the submission of the invoice.

11. Invoices submitted prior to its receiving report’s acceptance date may be rejected for lack of government acceptance. It is better to wait and then submit the invoice promptly after the receiving report has been accepted.

12. Once the FA has been accepted and production is begun, production deliveries with Inspection and Acceptance at:

A. Source should be invoiced on a COMBO (Receiving Report and Invoice) B. Destination should be invoiced on a Stand Alone Invoice.

C. Destination with Acceptance at Other should be invoiced on a COMBO (Receiving Report and Invoice).

[Destination with Acceptance at Other is only used by special arrangement and the Accept at Other DODAAC must specified below.]

Contract Number / Delivery Order _________________ /_____ Issue Date _________________

CLINS: _____, _____, _____, _____, _____, _____ OR all except: _____, _____, _____

Type of Document:

___ Invoice ___ COC ___ ARP

___ Invoice (FAST PAY) Certificate of Compliance must be authorized in the contract.

(Must be authorized in the contract) Alternate Release Procedures must be authorized by the ACO

___ Receiving Report ___ Service 2-in-1 Inspection _____ Acceptance _____ ___ Construction Invoice ___ Commercial Item Financing S = Source ___ Performance Based Payments D = Destination or Destination at O (Other) ___ Progress Payments ___ Invoice and Receiving report (COMBO)

___ Service ___Supply Other permits the acceptance of destination documents at a ___ Cost Voucher location other than the "Ship to." The goods or services will be shipped to one location, and the receiving report will be accepted by another DODAAC or BPN.

Audit Office DoDAAC: ______ (This is only used with Cost Vouchers.)

Admin DoDAAC: ______

Contracting Officer, Inspect By, Service Acceptor, or Service Approver Note for Commercial Item Financing, Performance Based Payments, and Progress Payments the contracting Officer DoDAAC will ALWAYS be the same as the Admin DoDAAC.

(Note if "Other" had been selected previously, the goods or services would be transported to the "Ship To" location, and the paperwork would be "accepted" at this "Other" location.)

Inspector DoDAAC ______ (Mandatory for Construction and First Articles) Issue-By DoDAAC: ______ (refers to the organization that issued the contract) LPO DoDAAC ______ (Only used on Navy contracts)

Mark For Code ______ (Only valid DoDAACs may be entered. Do not enter a Y series code YAZ360 etc.) in this field. Enter Y series codes in the Mark For Tab.

Pay DoDAAC: ______ (This is the DFAS office that will make payment) Ship From Code ______ (refers to the shipment agency/organization if the shipment originates from a location different from the contractor location.)

Ship To Code ______ (Use a new receiving report for each ship to.)

(If "Ship in Place" has been authorized on the contract, insert Vendor CAGE Code in the "Ship To" field.)

Accept at Other DoDAAC ______ (Used when Inspection and Acceptance is at Other)

Additional Email Notifications

Name Email Address Phone Number Role

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 57 13010 . 11 1 47 D8 10C17A 4EFCC 80401 41130F 503000 HQ0104 $0.00

PSR: 777660 FSR: 025369 DSR: 263670

REFERENCE:

SDN: F3QCRG2156B003

TB $0.00

ACRN TOTAL $ 0.00

5352.247-9020 F.O.B. ORIGIN, FIRST DESTINATION TRANSPORTATION (AFMC) (NOV 2007)

(IAW AFMCFARS 5347.304-3(b)(1))

The Accounting Classification Reference Number (ACRN) that funds the acquisition of the Contract Line Item Number (CLIN)/SubCLIN must be used to pay for its transportation on the CLINs/SubCLINs listed below. The Miscellaneous Obligation Reimbursement Document (MORD) Number associated with the long line of accounting (LOA) shall be entered into Power Track to fund the transportation charges needed to transport the item.

CLIN/SubCLIN Long Line of Accounting (LOA) MORD Number/MORD ACRN

0001AB, 0002,

0003, 0004

Long Line of Accounting (LOA) MORD Number/MORD ACRN

5713010 111 47D8 10C17A 4EF6CC 80401

41130F 503000 HQ0104

FSR: 025369 PSR: 581779 DSR: 059676

TAC: FN69

F3QCGR1213NP01

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

5352.201-9101 OMBUDSMAN (APR 2010)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, interested party may contact the Center/MAJCOM/DRU or AFISRA ombudsmen, Kim McDonald at 478 222 -1088 , FAX 478 222 -1855 , email Kim.McDonald@robins.af.mil .

Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU or AFISRA level, may be brought by the interested party for further consideration to the Air Force ombudsman, Associate Deputy Assistant Secretary (ADAS) (Contracting), SAF/AQC, 1060 Air Force Pentagon, Washington DC 20330-1060, phone number

(571) 256-2397, facsimile number (571) 256-2431.

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

(IAW DFARS 203.171-4)

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(JAN 2009)

(IAW DFARS 203.970)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (AUG 2012)

(IAW FAR 4.1403(a))

52.204-99 SYSTEM FOR AWARD MANAGEMENT REGISTRATION (DEVIATION) (AUG 2012)

(IAW DARS Tracking # 2012-O0015)

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

(IAW DFARS 204.404-70(b))

252.204-7008 EXPORT-CONTROLLED ITEMS (APR 2010)

(IAW DFARS 204.7304)

52.209-3 FIRST ARTICLE APPROVAL--CONTRACTOR TESTING (SEP 1989)

(IAW FAR 9.308-1(a)(1), FAR 9.308-1(b)(1))

(a) The Contractor shall test ** unit(s) of Lot/Item * as specified in this contract. At least *** calendar days before the beginning of first article tests, the Contractor shall notify the Contracting Officer, in writing, of the time and location of the testing so that the Government may witness the tests.

*Lot/Item ***Calendar Days Before Test **Quantity

0001AA 10 01

(b) The Contractor shall submit the first article test report within ___**___ calendar days from the date of this contract to ___***___ marked "FIRST ARTICLE TEST REPORT: Contract No. Lot/Item No. ___*___” Within ___****___ calendar days after the Government receives the test report, the Contracting Officer shall notify the Contractor, in writing, of the conditional approval, approval, or disapproval of the first article. The notice of conditional approval or approval shall not relieve the Contractor from complying with all requirements of the specifications and all other terms and conditions of this contract. A notice of conditional approval shall state any further action required of the Contractor. A notice of disapproval shall cite reasons for the disapproval.

*Lot/Item ****Approval Days ELIN No.

0001AA 30 A002

FA Test Report Item ***Type/Location **Calendar Days

0001AA FA8526 180

(c) If the first article is disapproved, the Contractor, upon Government request, shall repeat any or all first article tests. After each request for additional tests, the Contractor shall make any necessary changes, modifications, or repairs to the first article or select another first article for testing. All costs related to these tests are to be borne by the Contractor, including any and all costs for additional tests following a disapproval. The Contractor shall then conduct the tests and deliver another report to the Government under the terms and conditions and within the time specified by the Government. The Government shall take action on this report within the time specified in paragraph (b) above. The Government reserves the right to require an equitable adjustment of the contract price for any extension of the delivery schedule, or for any additional costs to the Government related to these tests.

(d) If the Contractor fails to deliver any first article report on time, or the Contracting Officer disapproves any first article, the Contractor shall be deemed to have failed to make delivery within the meaning of the Default clause of this contract.

(e) Unless otherwise provided in the contract, and if the approved first article is not consumed or destroyed in testing, the Contractor may deliver the approved first article as part of the contract quantity if it meets all contract requirements for acceptance.

(f) If the Government does not act within the time specified in paragraph (b) or (c) above, the Contracting Officer shall, upon timely written request from the Contractor, equitably adjust under the changes clause of this contract the delivery or performance dates and/or the contract price, and any other contractual term affected by the delay.

(g) Before first article approval, the acquisition of materials or components for, or the commencement of production of, the balance of the contract quantity is at the sole risk of the Contractor. Before first article approval, the costs thereof shall not be allocable to this contract for

(1) progress payments, or

(2) termination settlements if the contract is terminated for the convenience of the Government.

(h) The Government may waive the requirement for first article approval test where supplies identical or similar to those called for in the schedule have been previously furnished by the offeror/contractor and have been accepted by the Government. The offeror/contractor may request a waiver.

52.209-3 FIRST ARTICLE APPROVAL--CONTRACTOR TESTING -- ALTERNATE I (JAN 1997)

(IAW FAR 9.308-1(a)(2), FAR 9.308-1(b)(2))

52.211-5 MATERIAL REQUIREMENTS (AUG 2000)

(IAW FAR 11.304)

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

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

252.211-7003 ITEM IDENTIFICATION AND VALUATION (JUN 2011)

(IAW DFARS 211.274-6(a), DFARS 212.301(f)(vi))

(a) Definitions. As used in this clause—

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

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

(c) Unique item identifier.

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

(i) All delivered items for which the Government’s unit acquisition cost is $5,000 or more.

(ii) The following items for which the Government’s unit acquisition cost is less than $5,000:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

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

See Schedule as Applicable

(iii) Subassemblies, components, and parts embedded within delivered items as specified in Attachment Number (See Schedule as Applicable).

(f) The Contractor shall submit the information required by paragraphs (d) and (e) of this clause in accordance with the data submission procedures at http://www.acq.osd.mil/dpap/pdi/uid/data_submission_information.html .

52.213-4 TERMS AND CONDITIONS--SIMPLIFIED ACQUISITIONS (OTHER THAN

COMMERCIAL ITEMS) (AUG 2012)

(IAW FAR 13.302-5(d))

The full text of a clause may be accessed electronically at this/these address(es): Regulations URLs: (Click on the appropriate regulation.)

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/far1toc.htm http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/dfars/dfar1toc.htm http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/af_afmc/affars/affar1toc.htm

NOTE: After selecting the appropriate regulation above, at the "Table of Contents" page conduct a search for the desired regulation reference, using your browser's FIND function. When located, click on the regulation reference (hyperlink).

(Paragraph (b)(1)(ix), FAR 52.225-1. Buy American Act--Supplies (Feb 2009), is not applicable to DoD)

52.215-8 ORDER OF PRECEDENCE--UNIFORM CONTRACT FORMAT (OCT 1997)

(IAW FAR 15.209(h), AFFARS 53.15.209(h))

52.217-7 OPTION FOR INCREASED QUANTITY--SEPARATELY PRICED LINE ITEM

(MAR 1989)

(IAW FAR 17.208(e))

The Government may require the delivery of the numbered line item, identified in the Schedule as an option item, in the quantity and at the price stated in the Schedule. The Contracting Officer may exercise the option by written notice to the Contractor within SEE SCHEDULE. Delivery of added items shall continue at the same rate that like items are called for under the contract, unless the parties otherwise agree.

52.219-6 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE (NOV 2011)

(IAW FAR 19.508(c))

52.219-6 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE -- ALTERNATE II (NOV 2011)

(IAW FAR 19.508(c))

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (APR 2012)

(IAW FAR 19.309(d))

(g) If the Contractor does not have representations and certifications in ORCA, or does not have a representation in ORCA for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

The Contractor represents that it [ ] is, [ ] is not a small business concern under NAICS Code _____________ assigned to contract number ______________________________.

[Contractor to sign and date and insert authorized signer's name and title].

52.223-11 OZONE-DEPLETING SUBSTANCES (MAY 2001)

(IAW FAR 23.804(a))

(b) The Contractor shall label products which contain or are manufactured with ozone-depleting substances in the manner and to the extent required by 42 U.S.C. 7671j(b), (c), and (d) and 40 CFR Part 82, Subpart E, as follows:

WARNING

Contains (or manufactured with, if applicable) ________________________*, a substance(s) which harm(s) public health and environment by destroying ozone in the upper atmosphere.

*The Contractor shall insert the name of the substance(s).

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (AUG 2011)

(IAW FAR 23.1105)

252.223-7008 PROHIBITION OF HEXAVALENT CHROMIUM (MAY 2011)

(IAW DFARS 223.7306)

5352.223-9000 ELIMINATION OF USE OF CLASS I OZONE DEPLETING SUBSTANCES (ODSs)

(APR 2003)

(IAW AFFARS 5323.804(c))

(c) The requiring activity has obtained SAO approval to permit the contractor to use the following Class I ODS(s).

[List each Class I ODS, its applications or use and the approved quantities for use throughout the length of the contract. If "None," so state.]

Item No Class I ODS Application or Use Quantity (lbs) per contract period performance

SEE LINE ITEM SCHEDULE

252.225-7001 BUY AMERICAN AND BALANCE OF PAYMENTS PROGRAM (JUN 2012)

(IAW DFARS 225.1101(2)(i))

252.225-7002 QUALIFYING COUNTRY SOURCES AS SUBCONTRACTORS (JUN 2012)

(IAW DFARS 225.1101(3))

52.232-23 ASSIGNMENT OF CLAIMS (JAN 1986)

(IAW FAR 32.806(a)(1))

52.232-99 PROVIDING ACCELERATED PAYMENT TO SMALL BUSINESS SUBCONTRACTORS

(DEVIATION) (AUG 2012)

(IAW DARS Tracking # 2012-O0014)

252.232-7010 LEVIES ON CONTRACT PAYMENTS (DEC 2006)

(IAW DFARS 232.7102)

52.243-1 CHANGES--FIXED-PRICE (AUG 1987)

(IAW FAR 43.205(a)(1))

252.243-7001 PRICING OF CONTRACT MODIFICATIONS (DEC 1991)

(IAW DFARS 243.205-70)

252.244-7000 SUBCONTRACTS FOR COMMERCIAL ITEMS AND COMMERCIAL COMPONENTS

(DoD CONTRACTS) (JUN 2012)

(IAW DFARS 244.403)

52.247-1 COMMERCIAL BILL OF LADING NOTATIONS (FEB 2006)

(IAW FAR 47.104-4(a), FAR 47.104-4(b))

252.247-7023 TRANSPORTATION OF SUPPLIES BY SEA (MAY 2002)

(IAW DFARS 247.574(b)(1))

252.247-7023 TRANSPORTATION OF SUPPLIES BY SEA -- ALTERNATE III (MAY 2002)

(IAW DFARS 247.574(b)(4))

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

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages DD FORM 158 DDFORM158.pdf

Packaging Form and Instructions

01JUN2012 4

DD FORM 1653 DDFORM1653.pdf Transportation Form

01JUN2012 3

EDL.pdf Engineering Data List

05JUN2012 4

NONE Form158Instructions.pdf Packaging Instructions

NONE SERD.pdf Support Equipment Recommendation Data

04JUN2002 4

DD FORM 1423-1 Form1423.pdf Contract Data Requirement List

04JUN2012 2

AFMC 260 Form260.pdf First Article Requirements

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION K

REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS

OF OFFERORS OR RESPONDENTS

252.203-7005 REPRESENTATION RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(NOV 2011)

(IAW DFARS 203.171-4(b))

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (MAY 2012)

(IAW FAR 4.1202)

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 336413 .

(2) The small business size standard is 1,000 .

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)(1) If the clause at 52.204-7, Central Contractor Registration, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the clause at 52.204-7 is not included in this solicitation, and the offeror is currently registered in CCR, and has completed the ORCA electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

[ ] (i) Paragraph (d) applies.

[ ] (ii) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c) (1) The following representations or certifications in ORCA are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $150,000.

(iii) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the clause at 52.204-7, Central Contractor Registration.

(iv) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(v) 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations—Representation. This provision applies to solicitations using funds appropriated in fiscal years 2008, 2009, 2010, or 2012.

(vi) 52.209-5, Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(vii) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(viii) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(ix) 52.219-1, Small Business Program Representations (Basic & Alternate I). This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(x) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(xi) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xii) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xiii) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xiv) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA-designated items; or include the clause at 52.223-2, Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

(xv) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA- designated items.

(xvi) 52.225-2, Buy American Act Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xvii) 52.225-4, Buy American Act--Free Trade Agreements--Israeli Trade Act Certificate. (Basic, Alternate I, II, and III.) This provision applies to solicitations containing the clause at 52.225- 3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $77,494, the provision with its Alternate II applies.

(D) If the acquisition value is $77,494 or more but is less than $100,000, the provision with its Alternate III applies.

(xviii) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xix) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan--Certification. This provision applies to all solicitations.

(xx) 52.225-25, Prohibition on Contracting with Entities Engaging in Sanctioned Activities Relating to Iran—Representation and Certification. This provision applies to all solicitations.

(xxi) 52.226-2, Historically Black College or University and Minority Institution Representation. This provision applies to—

(A) Solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions; and

(B) For DoD, NASA, and Coast Guard acquisitions, solicitations that contain the clause at 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns.

(2) The following certifications are applicable as indicated by the Contracting Officer:

[Contracting Officer check as appropriate.]

(i) 52.219-22, Small Disadvantaged Business Status.

__ (A) Basic.

__ (B) Alternate I.

X __ (ii) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.

(see note) (iii) 52.222-48, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment Certification. ). (Note: If this clause is applicable it will be listed in the appropriate clause section of this document.)

__ (iv) 52.222-52 Exemption from Application of the Service Contract Act to Contracts for Certain

Services--Certification.

(see note)_ (v) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material Content for EPA-Designated Products (Alternate I only). ). (Note: If this clause and it’s Alternate I are applicable they will be listed in the appropriate clause section of this document.)

(vi) 52.227-6, Royalty Information.

__(A) Basic.

__ (B) Alternate I.

__ (vii) 52.227-15, Representation of Limited Rights Data and Restricted Computer Software.

(d) The offeror has completed the annual representations and certifications electronically via the Online Representations and Certifications Application (ORCA) website accessed through https://www.acquisition.gov . After reviewing the ORCA database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in paragraph (c) of this provision have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201); except for the changes identified below [offeror to insert changes, identifying change by clause number, title, date]. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

FAR Clause # Title Date Change

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on ORCA.

252.204-7007 ALTERNATE A, ANNUAL REPRESENTATIONS AND CERTIFICATIONS (JUL 2012)

(IAW DFARS 204.1202)

Substitute the following paragraphs (d) and (e) for paragraph (d) of the provision at FAR 52.204-8:

(d) (1) The following representations or certifications in ORCA are applicable to this solicitation as indicated:

(i) 252.209-7001, Disclosure of Ownership or Control by the Government of a Terrorist Country. Applies to all solicitations expected to result in contracts of $150,000 or more.

(ii) 252.209-7003, Reserve Officer Training Corps…