FA852620Q0008.pdf

PDF 414 KB Posted Jul 20, 2020

Attached to: C-17 Support Equipment - Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) - NSN 6150-01-629-1608 Federal contract opportunity
Solicitation number: FA8526-20-Q-0008
Issued by: Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

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CDRL.pdf	PDF	Jul 20, 2020
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EDL.pdf	PDF	Jul 20, 2020
Packaging_FORM_158.pdf	PDF	Jul 20, 2020

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AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (Rev. 6-95) Previous edition not usable Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDEX

1. REQUEST NO.

FA8526-20-Q-0008

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO.

MULTIPLE

4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

DO: A1

5a. ISSUED BY CODE: FA8526

GLOBEMASTER (C-17), AFLCMC/WLMK

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 327 7137

ROBINS AFB GA 31098-1670

BUYER: Robert A. Jackson/WLMKA robert.jackson.62@us.af.mil Phone: (478) 222- 4904

6. DELIVERY BY (Date)

SEE SCHEDULE

SCD:B

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME

Robert A Jackson

b. COMPANY

TELEPHONE NUMBER

AREA CODE

(478 )

NUMBER

222 -4904

8. TO

a. NAME

7. DELIVERY

FOB DESTINATION OTHER

(See Schedule) X

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE e. ZIP CODE

c. STREET ADDRESS

d. CITY e. STATE f. ZIP CODE

10. PLEASE FURNISH QUOTATIONS

TO THE ISSUING OFFICE IN BLOCK

5A ON OR BEFORE CLOSE OF

BUSINESS (Date)

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5A. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

d. CITY e. STATE

c. COUNTY

c. TITLE (Type or print) NUMBER

b. STREET ADDRESS

a. NAME OF QUOTER

CAGE:

13. NAME AND ADDRESS OF QUOTER

NOTE: Additional provisions and representations are are not attached.X

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print) b. TELEPHONE

AREA CODE

d. CALENDAR DAYS

NUMBER PERCENTAGE

c. 30 CALENDAR DAYS (%)b. 20 CALENDAR DAYS (%)a. 10 CALENDAR DAYS (%)12. DISCOUNT FOR PROMPT

PAYMENT

SEE SCHEDULE

ROUTINE

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

NAICS CODE: 336413

SIZE STD: 1,250

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (Rev. 6-95) Previous edition not usable Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

FOLD FOLD

SOLICITATION NO. FA852620Q0008

DUE: - -

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Robert A Jackson/WLMKA

GLOBEMASTER (C-17), AFLCMC/WLMK

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 327 7137

ROBINS AFB GA 31098-1670

FA8526-20-Q-0008

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 1:

For First Article Waiver Information see “First Article Applicability and/or Conditions for Waiver”.

(FEB 2013) (IAW FAR 9.306(c))

Bid A is for offerors who are required to produce the "First Article”;

Bid B is for offerors who are exempt from production of "First Article”.

Note 2:

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.

FIRST ARTICLE/PRODUCTION

Bid A ‐ First Article Required Item No.

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Priority: R ROUTINE

FIRST ARTICLE ‐ AMC

Bid A ‐ First Article Required Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AA AB

FIRST ARTICLE ‐ AMC

Bid A ‐ First Article Required First Article

FIRST ARTICLE

Associated Document(s) Line Item(s)

FD20602032395 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001‐2008 2008

Class I ODS Substance Application/Use Quantity

NONE

None Type / Ship To PACRN Mark For F E449751330071 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Contract (On or Before) _ Req No / Pri

Required Delivery

F E449751330071 1 EA *333 Calendar Days

Proposed Delivery

F E449751330071 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ AFRC

Bid A ‐ First Article Required Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AB AA

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602030055 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

PRODUCTION ‐ AFRC

Bid A ‐ First Article Required

Title Number Date Tailoring

ISO 9001‐2008 2008

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

F E466451540102 ORIGIN

Type / Ship To PACRN Mark For F E466451540102 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E466451540102 1 EA *120 Calendar Days

Proposed Delivery

F E466451540102 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ AMC

Bid A ‐ First Article Required Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AC AB

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032395 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

PRODUCTION ‐ AMC

Bid A ‐ First Article Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E441851350081 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E441851350081 1 EA *120 Calendar Days

Proposed Delivery

F E441851350081 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ AMC

Bid A ‐ First Article Required Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AD AB

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032395 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E442751280004 PAA R. Nation

PRODUCTION ‐ AMC

Bid A ‐ First Article Required Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E442751280004 1 EA *120 Calendar Days

Proposed Delivery

F E442751280004 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ AMC

Bid A ‐ First Article Required Item No.

0001AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AE AB

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032395 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E480452090944 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E480452090944 1 EA *120 Calendar Days

Proposed Delivery

PRODUCTION ‐ AMC

Bid A ‐ First Article Required

F E480452090944 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ AMC

Bid A ‐ First Article Required Item No.

0001AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AF AB

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032395 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E448451540197 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E448451540197 1 EA *120 Calendar Days

Proposed Delivery

F E448451540197 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ ANG

Bid A ‐ First Article Required Item No.

0001AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AG AC

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032396 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E624251280333 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E624251280333 1 EA *120 Calendar Days

Proposed Delivery

F E624251280333 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ CAM

Bid A ‐ First Article Required Item No.

0001AH

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AH AD

NSN: 6150‐01‐629‐1608 BA

PRODUCTION ‐ CAM

Bid A ‐ First Article Required Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032397 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E441951340155 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E441951340155 1 EA *120 Calendar Days

Proposed Delivery

F E441951340155 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ CAM

Bid A ‐ First Article Required Item No.

0001AJ

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AJ AD

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032397 0001

PRODUCTION ‐ CAM

Bid A ‐ First Article Required

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E526051480044 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E526051480044 1 EA *120 Calendar Days

Proposed Delivery

F E526051480044 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ CAM

Bid A ‐ First Article Required Item No.

0001AK

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AK AD

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032397 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

PRODUCTION ‐ CAM

Bid A ‐ First Article Required

Type / Ship To PACRN Mark For F E652093520080 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E652093520080 1 EA *120 Calendar Days

Proposed Delivery

F E652093520080 1 EA

Accelerated delivery is acceptable.

DATA

Item No.

DATA

Priority: R ROUTINE Exhibit: A

DATA

Bid A ‐ First Article Required Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AA AB

FATP

First Article Test Plan

TEST PLAN IN ACCORDANCE WITH ATTACHED DD FORM 1423

Associated Document(s) Line Item(s)

FD20602032395 0003

DATA

Bid A ‐ First Article Required

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

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For I FA8526 AFLCMC/WLE, C‐17 PSE Engineering Type / Ship To Quantity (U/I) *ARO Contract (On or Before) _ Req No / Pri

Required Delivery

I FA8526 1 LO *60 Calendar Days

Proposed Delivery

I FA8526 1 LO

Accelerated delivery is acceptable.

DATA

Bid A ‐ First Article Required Item No.

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AB AB

FATR

First Article Test Report

TEST REPORT IN ACCORDANCE WITH ATTACHED DD FORM 1423

Associated Document(s) Line Item(s)

FD20602032395 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

DATA

Bid A ‐ First Article Required

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For I FA8526 AFLCMC/WLE, C‐17 PSE Engineering Type / Ship To Quantity (U/I) *ARO Approval of

FATP (On or Before) _ Req No / Pri

Required Delivery

I FA8526 1 LO *240 Calendar Days

Proposed Delivery

I FA8526 1 LO

Accelerated delivery is acceptable.

PRODUCTION (NO FIRST ARTICLE)

Bid B ‐ First Article NOT Required Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003 AB

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032395 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E449751330071 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Contract (On or Before) _ Req No / Pri

Required

PRODUCTION (NO FIRST ARTICLE)

Bid B ‐ First Article NOT Required F E449751330071 1 EA *120 Calendar Days

Proposed Delivery

F E449751330071 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ AFRC

Bid A ‐ First Article Required Item No.

0003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AB AA

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602030055 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

F E466451540102 ORIGIN

Type / Ship To PACRN Mark For F E466451540102 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E466451540102 1 EA *120 Calendar Days

Proposed

PRODUCTION ‐ AFRC

Bid A ‐ First Article Required

F E466451540102 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ AMC

Bid A ‐ First Article Required Item No.

0003AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AC AB

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032395 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E441851350081 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E441851350081 1 EA *120 Calendar Days

Proposed Delivery

F E441851350081 1 EA

PRODUCTION ‐ AMC

Bid A ‐ First Article Required Item No.

0003AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AD AB

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032395 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E442751280004 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E442751280004 1 EA *120 Calendar Days

Proposed Delivery

F E442751280004 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ AMC

Bid A ‐ First Article Required Item No.

0003AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AE AB

NSN: 6150‐01‐629‐1608 BA

PRODUCTION ‐ AMC

Bid A ‐ First Article Required Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032395 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E480452090944 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E480452090944 1 EA *120 Calendar Days

Proposed Delivery

F E480452090944 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ AMC

Bid A ‐ First Article Required Item No.

0003AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AF AB

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032395 0001

PRODUCTION ‐ AMC

Bid A ‐ First Article Required

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E448451540197 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E448451540197 1 EA *120 Calendar Days

Proposed Delivery

F E448451540197 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ ANG

Bid A ‐ First Article Required Item No.

0003AG

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AG AC

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032396 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

ISO 9001‐2008 2008

PRODUCTION ‐ ANG

Bid A ‐ First Article Required

Type / Ship To PACRN Mark For F E624251280333 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E624251280333 1 EA *120 Calendar Days

Proposed Delivery

F E624251280333 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ CAM

Bid A ‐ First Article Required Item No.

0003AH

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AH AD

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032397 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E441951340155 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required

PRODUCTION ‐ CAM

Bid A ‐ First Article Required F E441951340155 1 EA *120 Calendar Days

Proposed Delivery

F E441951340155 1 EA

Accelerated delivery is acceptable.

PRODUCTION ‐ CAM

Bid A ‐ First Article Required Item No.

0003AJ

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AJ AD

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032397 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E526051480044 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E526051480044 1 EA *120 Calendar Days

Proposed Delivery

F E526051480044 1 EA

PRODUCTION ‐ CAM

Bid A ‐ First Article Required Item No.

0003AK

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AK AD

NSN: 6150‐01‐629‐1608 BA

Cable Assembly Set PreCooler Diff Pressure Sensor (PDPS) Associated Document(s) Line Item(s)

FD20602032397 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For F E652093520080 PAA R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

F E652093520080 1 EA *120 Calendar Days

Proposed Delivery

F E652093520080 1 EA

Accelerated delivery is acceptable.

DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

DATA

1 LO NSP

DATA

IUID CDRL

IUID CDRL with attachment IUID CDRL FORM 1423 Exhibit: AC

ITEM UNIQUE IDENTIFICATION

DATA ‐ ITEM UNIQUE IDENTIFICATION

Item No.

0004AA

Not Separately Priced Quantity U/I Unit Price

NSP

NSN: 6150‐01‐629‐1608 BA

DATA

Priority: R ROUTINE

Option I can be exercised from time to time for a period of 365 days after award or after approval of First Article whichever is later, not to exceed a quantity of 4 ea. Multiple option periods may be exercised simutaneously. An option is determine to have been exercised when transmitted electronically by fax or email. Sub-line items may be established at the time of option exercise.

Option Year I

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Unit Price

1 EA 4 EA

NSN: 6150‐01‐629‐1608 BA

Limitations of Liability: Other Than High Value Item

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

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For

+ TBD PAA

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

Required Delivery

+ TBD 1 EA

*100 Calendar Days

Option Year I

Proposed Delivery

+ TBD 1 EA

Option II can be exercised from time to time for a period of 730 days after award or after approval of First Article whichever is later, not to exceed a quantity of 4 ea. Multiple option periods may be exercsed simutaneously. An option is determine to have been exercised when transmitted electronically by fax or email. Sub-line items may be establised at the time of option exercise.

Option Year II

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Unit Price

1 EA 4 EA

NSN: 6150‐01‐629‐1608 BA

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For

+ TBD PAA

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

Required Delivery

+ TBD 1 EA

*100 Calendar Days

Proposed Delivery

+ TBD 1 EA

Option III can be exercised from time to time for a period of 1,095 days after award or after approval of First Article whichever is later, not to exceed a quantity of 4 ea. Multiple option periods may be exercised simutaneously. An option is determine to have been exercised when transmitted electronically by fax or email. Sub-line items may be established at the time of option exercise.

Option Year III

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Unit Price

1 EA 4 EA

NSN: 6150‐01‐629‐1608 BA

Limitations of Liability: Other Than High Value Item

Title Number Date Tailoring

ISO 9001‐2008 2008

Type / Ship To PACRN Mark For

+ TBD PAA

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

Required Delivery

+ TBD 1 EA

*100 Calendar Days

Proposed Delivery

+ TBD 1 EA

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + TBD

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

AWARD NUMBER:

TYPE/CODE: A 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: F E441851350081

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

AWARD NUMBER:

TYPE/CODE: F E441951340155

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

AWARD NUMBER:

TYPE/CODE: F E442751280004

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

AWARD NUMBER:

TYPE/CODE: F E448451540197

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

AWARD NUMBER:

TYPE/CODE: F E449751330071

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

AWARD NUMBER:

TYPE/CODE: F E466451540102

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

AWARD NUMBER:

TYPE/CODE: F E480452090944

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

AWARD NUMBER:

TYPE/CODE: F E526051480044

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

AWARD NUMBER:

TYPE/CODE: F E624251280333

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

AWARD NUMBER:

TYPE/CODE: F E652093520080

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

AWARD NUMBER:

TYPE/CODE: I FA8526

GLOBEMASTER (C‐17)

AFLCMC/WLE, PSE Engineering

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 327 7137

ROBINS AFB GA 31098‐1670

UNITED STATES

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

AWARD NUMBER:

DODDAC: FE441851350081-RRB# 396 - CAFB : 1 EA-AMC

DODDAC: FE441951340155- RRB# 396-AAFB: 1EA-AETC)

DODDAC: FE442751280004-RRB# 396 - TRAVIS: 1EA-AMC

DODDAC: FE448451540197-RRB# 396 - MCGUIRE: 1EA-AMC

DODDAC: FE449751330071-RRB# 396 - DOVER: 1EA-AMC

F.O.B. Destination

DODDAC: FE466451540102 ‐ RRB# 396 (March: 1 EA ‐ AFRC)

DODDAC: FE480452090944‐RRB# 396 ‐ A LUID: 1EA‐AMC

DODDAC: FE526051480044‐RRB # 396 ‐HICK : 1EA‐ PACAF

DODDAC: (FE624251280333 ‐RRB# 396‐JANG: 1EA‐ANG)

DODDAC:FE652093520080‐RRB# 396‐ ELMENDORF : 1EA‐PACAF

CONTRACT CLAUSES

5352.201‐9101 OMBUDSMAN (OCT 2019)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, the interested party may contact the ombudsman, Timothy R. Inman at 478 222 -4097 , FAX 000 000 -0000 , email timothy.inman@us.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU/SMC ombudsman 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) 256-2395, facsimile number (571) 256-2431.

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY

AGREEMENTS OR STATEMENTS (JAN 2017)

(IAW FAR 3.909-3 (b))

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

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

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (JUN 2020)

(IAW FAR 4.1403(a))

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (OCT 2018)

(IAW FAR 4.1105(b))

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (JUL 2016)

(IAW FAR 4.1804(c), FAR 12.301(d))

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(JUN 2016)

(IAW FAR 4.1903)

52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES

DEVELOPED OR PROVIDED BY KASPERSKY LAB AND OTHER COVERED

ENTITIES (JUL 2018)

(IAW FAR 4.2004)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2019)

(IAW 4.2105(b))

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

(IAW DFARS 204.404-70(b))

252.204-7004 Level I Antiterrorism Awareness Training for Contractors (FEB 2019)

(IAW IAW 204.7203)

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (DEC 2019)

(IAW DFARS 204.7304(c))

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

(IAW DFARS 204.7403(b), DFARS 212.301(f)(i)(F))

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES (DEC 2019)

(IAW DFARS 204.2105(c))

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 0001 30 1

(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.

0001 60 A002

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

0002AB IFA8526 111

(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.

(The above Clause/Provision has been modified.)

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))

As prescribed in 9.308-1(a)(2) and (b)(2), add the following paragraph (i) to the basic clause:

(i) The Contractor shall produce both the first article and the production quantity at the same facility.

(The above Clause/Provision has been modified.)

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

(IAW FAR 9.308-1(a)(3), FAR 9.308-1(b)(3))

As prescribed in 9.308-1(a)(3) and (b)(3), substitute the following paragraph (g) for paragraph (g) of the basic clause:

(g) Before first article approval, the Contracting Officer may, by written authorization, authorize the Contractor to acquire specific materials or components or to commence production to the extent essential to meet the delivery schedules. Until first article approval is granted, only costs for the first article and costs incurred under this authorization are allocable to this contract for (1) progress payments, or (2) termination settlements if the contract is terminated for the convenience of the Government. If first article tests reveal deviations from contract requirements, the Contractor shall, at the location designated by the Government, make the required changes or replace all items produced under this contract at no change in the contract price.

(The above Clause/Provision has been modified.)

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

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 Justification for First Article (FA) Requirement:

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

2. Product described by drawing, OEM and MIL-Specs. The contractor's test plan shall describe the proposed means by which the contractor will accomplish and document conformance to the requirements involved in production (incl. dimensional, material and process conformance) and testing IAW the item TDP. The test plan shall employ text, tables, sketches, drawings and/or photographs as necessary/appropriate to illustrate the contractor plan to satisfy and document conformance to the item TDP and FA CDRL requirements.

The FATP shall:

1) List/briefly describe the equipment proposed/planned for testing.

2) Describe the means by which calibrations traceable to the NIST will be assured.

3) Describe the means by which the contractor will accomplish/document the dimensional conformance, weighing and proof load tests required IAW the item TDP.

4) Provide sample format(s) proposed for use in FATR documentation of conformance (dimensional, material and process compliance) to the TDP.

5) Provide evidence of a plan to photo document compliance to all permanent item marking requirements (stenciling, silk-screening, ID plates, etc. as applicable).

The Test Report (FATR) shall report the inspection and test results IAW the approved FATP and the FATR CDRL. The contractor shall manufacture the detail parts, acquire the requisite hardware, assemble and test one complete First Article IAW the item TDP.

The Government QAR, C-17 COG Engineer, contracting official, program manager and/or Boeing technical representative shall have the opportunity to observe/witness FA testing in the facility used for production article testing.

Contractor Testing Requirements

A. Performance or other characteristics which the First Articles must meet are Dimensional

Conformance, Material and Process Verfication, and Workmanship.

B. Item TDP especially drawing 17G450304 and applicable documents.

First Article Test Plan (FATP) due 60 DAC

First Article Test Report (FATR) due 240 DAC (180 days after approval of FATP)

Disposition of the First Article shall be as follows:

Lot/Item

Approved Forwarded to: FE449751330071

Lot/Item Disapproved 0001 Returned to the contractor

(The above Clause/Provision has been modified.)

52.211‐5 MATERIAL REQUIREMENTS (AUG 2000)

(IAW FAR 11.304)

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.

52.211-15 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).

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

COMMERCIAL ITEMS) (JUN 2020)

(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.)

https://acquisition.gov/browse/index/far https://acquisition.gov/dfars https://acquisition.gov/affars

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)(xvi), FAR 52.225-1, Buy American Act--Supplies (May 2014), is superseded by DFARS clause 252.225-7001, Buy American and Balance of Payments Program, per DFARS 225.1101(2)(i) and therefore not applicable to DoD)

52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989)

(IAW FAR 17.208(d))

The Contracting Officer may exercise the option by written notice to the Contractor within SEE SCHEDULE .

(Applicable when the option quantity is expressed as a percentage of the basic contract quantity or as an additional quantity of a specific line item)

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.

(The above Clause/Provision has been modified.)

52.219-6 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE (MAR 2020)

(IAW FAR 19.507(c))

52.219-6 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE (DEVIATION 2020-O0008)

(MAR 2020)

(IAW Deviation 2020-O0008)

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (MAY 2020)

(IAW FAR 19.309(c))

(h) If the Contractor does not have representations and certifications in SAM, or does not have a representation in SAM 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:

(1) The Contractor represents that it [ ] is, [ ] is not a small business concern under NAICS Code ________ assigned to contract number _______________.

(2) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(3) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a women-owned small business concern.

(4) Women-owned small business (WOSB) concern eligible under the WOSB Program.

[Complete only if the Contractor represented itself as a women-owned small business concern in paragraph (h)(3) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility;

and

(ii) It [ ] is, [ ] is not is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(4)(i) of this clause is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture.

[The Contractor shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: _______________________________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(5) Economically disadvantaged women-owned small business (EDWOSB) concern.

[Complete only if the Contractor represented itself as a women-owned small business concern eligible under the WOSB Program in (h)(4) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not an EDWOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(5)(i) of this clause is accurate for each EDWOSB concern participating in the joint venture.

[The Contractor shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ___________________________________.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

(6) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a veteran-owned small business concern.

(7) [Complete only if the Contractor represented itself as a veteran-owned small business concern in paragraph (h)(6) of this clause.] The Contractor represents that it [ ] is, [ ] is not a service-disabled veteran-owned small business concern.

(8) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that—

(i) It [ ] is, [ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [ ] is, [ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (h)(8)(i) of this clause is accurate for each HUBZone small business concern participating in the HUBZone joint venture.

[The Contractor shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: _________________________________________.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

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

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (JUN 2020)

(IAW FAR 23.1105)

252.223-7008 PROHIBITION OF HEXAVALENT CHROMIUM (JUN 2013)

(IAW DFARS 223.7306, DFARS 212.301(f)(xxi))

52.22…

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