FA853214R50139_w_Atchs.pdf

STANDARD FORM 1447 (2/2012)

Prescribed by GSA FAR (48 CFR) 53.215-1(d)

4. SOLICITATION NUMBER

FA8532-14-R-50139

X

X

6.SOLICITATION ISSUE DATE

5 AUG 2015

8. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: 100 % FOR

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

HUBZONE SMALL

BUSINESS EDWOSB

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS NAICS CODE: 336413

8(A) SIZE STANDARD: 1,000

DATE SIGNED

28. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION NUMBER

SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR CHANGES WHICH

ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

THIS IS A TOTAL SMALL BUSINESS SET-ASIDE.

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

NOTE TO OFFERORS: ATTENTION IS DIRECTED TO SECTION M, EVALUATION OF OPTIONS

SEE LINE ITEM SCHEDULE

22.

AMOUNT

16. AUTHORITY FOR USING OTHER THAN 10 USC 2304 41 USC 253

FULL AND OPEN COMPETITION (c) ( ) (c) ( )

DATE SIGNED

27. SIGNATURE OF OFFEROR/CONTRACTOR

20.

UNIT

21.

UNIT PRICE

19.

QUANTITY

13. CONTRACTOR OFFEROR CODE FACILITY CODE

11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN * ___ CALENDAR DAYS (60 CALENDAR

DAYS UNLESS OFFEROR INSERTS A DIFFERENT PERIOD) FROM THE DATE SET FORTH IN BLK 9

ABOVE, THE CONTRACTOR AGREES TO HOLD ITS OFFERED PRICES FIRM FOR THE ITEMS

SOLICITED HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO THE TERMS AND

CONDITIONS STATED HEREIN. *90

RATING

DO: C9

3. AWARD/EFFECTIVE DATE

FA8532

2. CONTRACT NO.

X

CHECK IF REMITTANCE IS DIFFERENT

AND PUT SUCH ADDRESS IN OFFER

17.

ITEM NO.

12. ADMINISTERED BY CODE

Total

SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK: 14

SCD:B

NAME AND TITLE OF SIGNER (TYPE OR PRINT)

NAME OF CONTRACTING OFFICER

24. AWARD AMOUNT (FOR GOVT USE ONLY)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAY DISCOUNT

25. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SETFORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY CONTINUATION SHEETS SUBJECT

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

10. ITEMS TO BE PURCHASED (BRIEF DESCRIPTION)

SUPPLIES SERVICES Other Aircraft Part and Auxiliary Equipment Manufacturing

9.

Offers will be received at the issuing office until the date and time specified below. All official United States Postal Service mail and classified material will be delivered to the address shown in block 7. Deliver all parcels to: 542 CBSG, ATTN: Buyer named above, 295 BYRON ST, BLDG 300

WW SOUTH END, BAY D DOOR 27A, ROBINS AFB GA 31098-1670.

5-SEP-2015 4:00PM

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

X

7. ISSUED BY CODE

SUPPORT EQPT - FLIGHTLINE/BASE MAIN, AFLCMC/WNKBAB

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 222 1903

ROBINS AFB GA 31098-1670

BUYER: Magdalene D. Dickerson Magdalene.Dickerson@robins.af.mil Phone: (478) 222- 1865 Fax: (478) 926-7211 No Collect Calls

X

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)

SOLICITATION/CONTRACT

BIDDER/OFFEROR TO COMPLETE BLOCKS 11, 13, 15, 21, 22, & 27.

J

SF 1447 (rev 2/2012) BACK

NO RESPONSE FOR THE REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include Zip Code)

WE DO NOT DESIRE TO BE RETAINED ON THE MAILING LIST FOR FUTURE PROCUREMENT OF THE TYPE OF

ITEMS INVOLVED

WE DO

OTHER (Specify)

CANNOT COMPLY WITH SPECIFICATIONS

CANNOT COMPLY WITH SPECIFICATIONS

CANNOT MEET DELIVERY REQUIREMENT

FOLD

SOLICITATION NO. FA853214R50139

DUE: 4 SEP 2015 4:00 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Magdalene D Dickerson

SUPPORT EQPT - FLIGHTLINE/BASE MAIN, AFLCMC/WNKBAB

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 222 1903

ROBINS AFB GA 31098-1670

Request for Proposal FA8532-14-R-50139

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 TO CONTRACTOR: FOREIGN MILITARY SALES: (APR 2003)

10-15 DAYS PRIOR TO SHIPMENT, CONTACT THE DCMA/ACO TRANSPORTATION OFFICE FOR SHIPPING

ADDRESS / INSTRUCTIONS.

NOTE TO OFFERORS:

UNIT PRICE FOR FIRST ARTICLE AND PRODUCTION UNIT MUST BE THE SAME.

ANY NON- RECURRING COSTS ASSOCIATED WITH THE MANUFACTURE OF

FIRST ARTICLE UNIT (LINE ITEM 0002AA) MUST BE SEPARATED AND

REFLECTED IN LINE ITEM 0002AB. SEE BELOW EXAMPLE WHICH SHOWS

HOW A FIRST ARTICLE UNIT PRICE OF $8,000.00 (WHICH INCLUDES

NON-RECURRING COSTS OF $3,000.00 MUST BE REFLECTED).

FAILURE TO PROPOSE IN ACCORDANCE WITH THESE INSTRUCTIONS MAY

RENDER OFFER NON-RESPONSIVE AND THUS INELIGIBLE FOR

CONSIDERATION/AWARD.

EXAMPLE

LINE ITEM QUANTITY UNIT/LOT PRICE

0002AA 1 EA $5,000.00 (FIRST ARTICLE RECURRING

COSTS)

0002AB 1 LO $3,000.00 (FIRST ARTICLE NON-

RECURRING COSTS)

0002AN 1 EA $5,000.00 (PRODUCTION ARTICLE)

All Contractors Must Submit FIRST ARTICLE Item No.

NSN: 1730-01-298-4078 RN

ADAPTER, GROUND HANDLING

Manufacturer Part Number 81755 16A23034-809 Associated Document(s) Line Item(s)

F1TEBH1450139 0001

Foreign Military Sales Buy American Act/Balance of Payments Program

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AA AA

FIRST ARTICLE

PART NUMBER: 16A23034-809

Associated Document(s) Line Item(s)

F1TEBH1450139 0001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FE4819 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE

None Type / Ship To PACRN Mark For

A FE4819 PAA

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

OF FIRST ARTICLE

TEST REPORT

_ Req No / Pri

Required Delivery

A FE4819 1 EA *30 Calendar Days FE481913290013E / PRI:

Proposed Delivery

A FE4819 1 EA

Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0001AB AA

NON-RECURRING COSTS ASSOCIATED WITH FIRST ARTICLE , 0001AA ABOVE

Associated Document(s) Line Item(s)

F1TEBH1450139 0002

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: N/A

CONTRACTOR SHALL INVOICE FOR PAYMENT OF 0001AB CONCURRENT WITH INVOICE FOR 0001AA.

FOR WAWF PURPOSES, UTILIZE DODAAC FA8532.

All Contractors Must Submit FA Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0001AC AA

DATA

First Article Test Procedure (A001)

IN ACCORDANCE WITH ATTACHED DD FORM 1423-1 AND SOW PARA 3.5.1.1

Associated Document(s) Line Item(s)

F1TEBH1450139 0003

Limitations of Liability: Other Than High Value Item Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD Form 1423-1 Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

+ IAW1423 1 LO *60 Calendar Days

Proposed Delivery

+ IAW1423 1 LO

Government Approval/Disapproval to be provided within 45 days after receipt of First Article Test Procedure. Contractor shall have 21 days after receipt of comments to resubmit.

SUBMIT ELECTRONICALLY TO:

Kathryn.Canady@us.af.mil Elisabeta.Ingram@us.af.mil

For purposes of Wide Area Workflow (WAWF) utilize DODAAC FA8532 as Ship To.

-1

All Contractors Must Submit FA Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0001AD AA

DATA

First Article Test/Inspection Report (A002)

IN ACCORDANCE WITH ATTACHED DD FORM 1423-1 AND SOW PARA 3.5.1.4

Associated Document(s) Line Item(s)

F1TEBH1450139 0003

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD Form 1423-1 Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

+ IAW1423 1 LO *360 Calendar Days

Proposed Delivery

+ IAW1423 1 LO

Government Approval/Disapproval to be provided within 45 days after receipt of First Article Test Report. Contractor shall have 21 days after receipt of comments to resubmit.

SUBMIT ELECTRONICALLY TO:

Kathryn.Canady@us.af.mil

Elisabeta.Ingram@us.af.mil

For purposes of Wide Area Workflow (WAWF) utilize DODAAC FA8532 as Ship To.

Item No.

0001AE

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

Conference Minutes (B007)

IAW ATTACHED DD1423-1 AND SOW PARA 3.2.2.2

Associated Document(s) Line Item(s)

F1TEBH1450139 0004

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: In Accordance with DD 1423-1 Type / Ship To Quantity (U/I) _ _ Req No / Pri

Required Delivery

+ IAW1423 1 LO

Proposed Delivery

+ IAW1423 1 LO

DELIVERY IAW DD 1423‐1 AND SOW PARA 3.2.2.2

Item No.

0001AF

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

Engineering Change Proposal (ECP) (B009)

IAW ATTACHED DD1423-1 AND SOW PARA 3.6.2

Associated Document(s) Line Item(s)

F1TEBH1450139 0004

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD Form 1423-1

LINE ITEM 0001AF IS APPLICABLE THROUGH EXPIRATION OF OPTION IV

-1

DELIVERY IAW DD 1423-1 AND SOW PARA 3.6.2

Item No.

0001AG

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

Conference Agenda (B006)

IN ACCORDANCE WITH ATTACHED DD1423-1 AND SOW PARA 3.2.2.2

Associated Document(s) Line Item(s)

F1TEBH1450139 0004

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

Item No.

0001AH

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

NOTICE OF REVISION (NOR) (B010)

IN ACCORDANCE WITH ATTACHED DD1423 AND SOW PARA 3.6.2

Associated Document(s) Line Item(s)

F1TEBH1450139 0004

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD Form 1423-1

LINE ITEM 0001AH IS APPLICABLE THROUGH EXPIRATION OF OPTION IV

Item No.

0001AJ

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

REQUEST FOR VARIANCE (RFV) (B011)

IN ACCORDANCE WITH ATTACHED DD1423-1 AND SOW PARA 3.6.3

Associated Document(s) Line Item(s)

F1TEBH1450139 0004

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD Form 1423-1

LINE ITEM 0001AJ APPLICABLE THROUGH EXPIRATION OF OPTION IV

DELIVERY IAW DD 1423-1 AND SOW PARA 3.2.2.2

DELIVERY IAW DD 1423-1 AND SOW PARA 3.6.3

0001AK

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

Contractor's Progress, Status and Management Report (B004)

IN ACCORDANCE WITH ATTACHED DD1423-1 AND SOW PARA 3.1.3

Associated Document(s) Line Item(s)

F1TEBH1450139 0004

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

Quality Assurance: IAW DD Form 1423-1

DELIVERY IN ACCORDANCE WITH DD 1423‐1 AND SOW PARA 3.1.3

0001AL

System Safety Hazard Analysis Report (B008)

IN ACCORDANCE WITH ATTACHED DD1423-1 AND SOW PARA 3.3.1.1

Inspection/Acceptance Report: Receiving Report Required

Delivery in accordance with DD 1423‐1 and SOW Paragraph 3.3.1.1

0001AM

Technical Report-Study Services (B005)

IN ACCORDANCE WITH ATTACHED DD1423-1 AND SOW PARA 3.2.2.2

Inspection/Acceptance Report: Receiving Report Required

DELIVERY IN ACCORDANCE WITH DD 1423‐1 AND SOW PARA 3.2.2.2

All Contractors Must Submit FA Item No.

0001AN

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0001AN AA

DATA

TECHNICAL MANUAL CONTRACT REQUIREMENTS (TMCR)

(WITH TM-86-01P DATED 16 JUL 2015) IAW WITH DD 1423-1 AND SOW PARA 3.4.1

Associated Document(s) Line Item(s)

FD20601450139 0004

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1 Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

+ IAW1423 1 LO *280 Calendar Days

Proposed Delivery

+ IAW1423 1 LO

SPECIAL ATTENTION IS DIRECTED TO THE ATTAHED TM‐86‐O1P, PAGE 6, FOR SCHEDULED TECHNICAL

MANUAL REVIEW REQUIREMENTS.

NOTE: NO HARDWARE ITEMS CAN BE SHIPPED PRIOR TO APPROVAL OF THE TECHNICAL MANUAL

UNLESS AUTHORIZED IN WRITING BY THE PCO.

All Contractors Must Submit FIRST ARTICLE Item No.

NSN: 1730-01-301-3127 RN

ADAPTER, GROUND HANDLING

Manufacturer Part Number 81755 16A23034-811 Associated Document(s) Line Item(s)

F1TEBH1450142 0001

Buy American Act/Balance of Payments Program

All Contractors Must Submit FA Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 1730-01-301-3127 RN

ADAPTER, GROUND HANDLING

FIRST ARTICLE

Manufacturer Part Number 81755 16A23034-811 Associated Document(s) Line Item(s)

F1TEBH1450142 0002

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FE4819 ORIGIN

Type / Ship To PACRN Mark For

A FE4819 PAA YAZ391

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

Required Delivery

A FE4819 1 EA *360 Calendar Days FE481921230054A / PRI:

Proposed Delivery

A FE4819 1 EA

All Contractors Must Submit FA Item No.

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

NON-RECURRING COST ASSOCIATED WITH LINE ITEM 0002AA

Associated Document(s) Line Item(s)

F1TEBH1450142 0003

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: N/A

CONTRACTOR SHALL INVOICE FOR 0002AB CONCURRENT WITH INVOICE FOR 0002AA. FOR WAWF

PURPOSES, USE DODAAC FA8532

All Contractors Must Submit FA Item No.

0002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

TEST PROCEDURE (C001)

IN ACCORDANCE WITH ATTACHED DD1423-1 AND SOW PARA 3.5.1.1

Associated Document(s) Line Item(s)

F1TEBH1450142 0005

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD Form 1423-1 Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

1 LO *60 Calendar Days

Proposed Delivery

1 LO

THE GOVERNMENT WILL HAVE 45 DAYS AFTER RECEIPT OF THE CONTRACTOR TEST PROCEDURES FOR APPROVAL/DISAPPROVAL. CONTRACTOR SHALL HAVE 21 DAYS AFTER RECEIPT OF COMMENTS TO RESUBMIT.

SUBMIT ELECTRONICALLY TO:

Kathryn.Canady@us.af.mil

Elisabeta.Ingram@us.af.mil

FOR PURPOSES OF WAWF, UTILIZE DODAAC FA8532

IAW DD 1423-1

IAW DD1423-1

AS SHIP TO

All Contractors Must Submit FA Item No.

0002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

TEST/INSPECTION REPORT (C002)

IN ACCORDANCE WITH ATTACHED DD FORM 1423-1 AND SOW PARA 3.5.1.4

Associated Document(s) Line Item(s)

F1TEBH1450142 0005

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD Form 1423-1 Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

+ IAW1423 1 LO *360 Calendar Days

Proposed Delivery

+ IAW1423 1 LO

GOVERNMENT APPROVAL/DISAPPROVAL TO BE PROVIDED WITHIN 45 DAYS AFTER RECEIPT OF FIRST ARTICLE TEST/INSPECTION REPORT. CONTRACTOR SHALL HAVE 21 DAYS AFTER RECEIPT OF COMMENTS TO RESUBMIT.

SUBMIT ELECTRONICALLY TO:

Kathryn.Canady@us.af.mil

Elisabeta.Ingram@us.af.mil

For purposes of Wide Area Workflow (WAWF) utilize DODAAC FA8532 as Ship To.

Item No.

0002AE

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

Conference Minutes (D007)

IAW ATTACHED DD1423-1 AND SOW PARA 3.2.2.2

Associated Document(s) Line Item(s)

F1TEBH1450142 0004

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: In Accordance with DD 1423-1

DELIVERY IN ACCORDANCE WITH DD 1423‐1 AND SOW PARA 3.2.2.2

Item No.

0002AF

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

Engineering Change Proposal (ECP) (D009)

IAW ATTACHED DD1423-1 AND SOW PARA 3.6.2

Associated Document(s) Line Item(s)

F1TEBH1450142 0004

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD Form 1423-1

LINE ITEM 0002AF IS APPLICABLE THROUGH EXPIRATION OF OPTION IV

Item No.

0002AG

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

Conference Agenda (D006)

IN ACCORANCE WITH ATTACHED DD1423-1 AND SOW PARA 3.2.2.2

Associated Document(s) Line Item(s)

F1TEBH1450142 0004

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

DELIVERY IN ACCORDANCE WITH DD 1423‐1 AND SOW PARA 3.2.2.2

Item No.

0002AH

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

NOTICE OF REVISION (NOR) (D010)

IN ACCORDANCE WITH ATTACHED DD1423 AND SOW PARA 3.6.2

Associated Document(s) Line Item(s)

F1TEBH1450142 0004

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD Form 1423-1

LINE ITEM 0002AH APPLICABLE THROUGH EXPIRATION OF OPTION IV

Item No.

0002AJ

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

REQUEST FOR VARIANCE (RFV) (D011)

IN ACCORDANCE WITH ATTACHED DD1423-1 AND SOW PARA 3.6.3

Associated Document(s) Line Item(s)

F1TEBH1450142 0004

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD Form 1423-1

LINE ITEM 0002AJ APPLICABLE THROUGH EXPIRATION OF OPTION IV

Item No.

0002AK

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

Contractor's Progress, Status and Management Report (D004)

IN ACCORDANCE WITH ATTACHED DD1423-1 AND SOW PARA 3.1.3

Associated Document(s) Line Item(s)

F1TEBH1450142 0004

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

DELIVERY IAW DD 1423-1 AND SOW PARA 3.1.3

DELIVERY IAW DD 1423-1 AND SOW PARA 3.6.3

Item No.

0002AL

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

System Safety Hazard Analysis Report (D008)

IN ACCORDANCE WITH ATTACHED DD1423-1 AND SOW PARA 3.3.1.1

Associated Document(s) Line Item(s)

F1TEBH1450142 0004

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

DELIVERY IAW DD 1423 AND SOW PARA 3.3.1.1

Item No.

0002AM

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

Technical Report-Study Services (D005)

IN ACCORDANCE WITH ATTACHED DD1423-1 AND SOW PARA 3.2.2.2

Associated Document(s) Line Item(s)

F1TEBH1450142 0004

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

DELIVERY IAW DD FOR 1423-1 AND SOW PARA 3.2.2.2

All Contractors Must Submit FIRST ARTICLE Item No.

0002AN

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

NSN: 1730-01-301-3127 RN

ADAPTER, GROUND HANDLING

PRODUCTION UNITS

Manufacturer Part Number 81755 16A23034-811 Associated Document(s) Line Item(s)

F1TEBH1450142 0002

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

A FE4819 PAA YBZ391

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

OF FIRST ARTICLE

TEST REPORT

_ Req No / Pri

Required Delivery

A FE4819 2 EA *340 Calendar Days FE481931540107A / PRI:

Proposed Delivery

A FE4819 2 EA

ACRN: AA

1249694556C Sticky Note missing second Mark For

All Contractors Must Submit FA Item No.

0002AP

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AP AA

DATA

TECHNICAL MANUAL CONTRACT REQUIREMENTS (TMCR) (C003)

(WITH TM-86-01P DATED 16 JUL 2015) AND SOW PARA 3.4.1

Associated Document(s) Line Item(s)

FD20601450142 0005

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1 Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

+ IAW1423 1 LO *280 Calendar Days

Proposed Delivery

+ IAW1423 1 LO

SPECIAL ATTENTION IS DIRECTED TO THE ATTACHED TM‐86‐O1P, PAGE 6, FOR SCHEDULED TECHNICAL

MANUAL REVIEW REQUIREMENTS.

NOTE: NO HARDWARE ITEMS CAN BE SHIPPED PRIOR TO APPROVAL OF THE TECHNICAL MANUAL

UNLESS AUTHORIZED IN WRITING BY THE PCO.

Option I may be exercised, from time to time, anytime within 365 days after effective date of award. The total quantity ordered under this option shall not exceed the maximum quantity of 2 each. Multiple option periods may be exercised simultaneously. An option is determined to have been exercised when transmitted electronically by fax or email. Options may be exercised for future USAF or FMS requirements.

Item No.

Firm Fixed Price From Quantity

U/I To Quantity U/I Unit Price

1 EA 2 EA

NSN: 1730-01-298-4078 RN

ADAPTER, GROUND HANDLING

Manufacturer Part Number

16A23034-809 Associated Document(s) Line Item(s)

F1TEBH1450139 0001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

+ TBC PAA

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

OF FIRST ARTICLE

TEST REPORT OR

EXERCISE OF

OPTION,

WHICHEVER

OCCURS LAST

_ Req No / Pri

Required Delivery

+ TBC 1 EA

*340 Calendar Days

Proposed Delivery

+ TBC 1 EA

*OR APPROVAL OF FIRST ARTICLE TEST REPORT WHICHEVER OCCURS LAST.

Item No.

Firm Fixed Price From Quantity

U/I To Quantity U/I Unit Price

1 EA 2 EA

NSN: 1730-01-301-3127 RN

ADAPTER, GROUND HANDLING

Manufacturer Part Number

16A23034-811 Line Item(s)Associated Document(s)

F1TEBH1450142 0001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

+ TBC PAA

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

OF FIRST ARTICLE

TEST REPORT OR

EXERCISE OF

OPTION,

WHICHEVER

OCCURS LAST

_ Req No / Pri

Required Delivery

+ TBC 1 EA

*340 Calendar Days

Proposed Delivery

+ TBC 1 EA

Option II may be exercised, from time to time, anytime within 730 days after effective date of award. The total quantity ordered under this option shall not exceed the maximum quantity of 2 each. Multiple option periods may be exercised simultaneously. An option is determined to have been exercised when transmitted electronically by fax or email. Options may be exercised for future USAF or FMS requirements.

Item No.

Firm Fixed Price From Quantity

U/I To Quantity U/I Unit Price

1 EA 2 EA

NSN: 1730-01-298-4078 RN

ADAPTER, GROUND HANDLING

Manufacturer Part Number

16A23034-809 Associated Document(s) Line Item(s)

F1TEBH1450139 0001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

+ TBC PAA

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

OF FIRST ARTICLE

TEST REPORT OR

EXERCISE OF

OPTION,

WHICHEVER

OCCURS LAST

_ Req No / Pri

Required Delivery

+ TBC 1 EA

*340 Calendar Days

Proposed Delivery

+ TBC 1 EA

*OR APPROVAL OF FIRST ARTICLE TEST REPORT, WHICHEVER OCCURS LAST

Item No.

Firm Fixed Price From Quantity

U/I To Quantity U/I Unit Price

1 EA 2 EA

NSN: 1730-01-301-3127 RN

uADAPTER, GROUND HANDLING Manufacturer Part Number

16A23034-811 Line Item(s)Associated Document(s)

F1TEBH1450142 0001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

+ TBC PAA

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

OF FIRST ARTICLE

TEST REPORT OR

EXERCISE OF

OPTION,

WHICHEVER

OCCURS LAST

_ Req No / Pri

Required Delivery

+ TBC 1 EA

*340 Calendar Days

Proposed Delivery

Option III may be exercised, from time to time, anytime within 1,095 days after effective date of award. The total quantity ordered under this option shall not exceed the maximum quantity of 2 each. Multiple option periods may be exercised simultaneously. An option is determined to have been exercised when transmitted electronically by fax or email. Options may be exercised for future USAF or FMS requirements.

Item No.

Firm Fixed Price From Quantity

U/I To Quantity U/I Unit Price

1 EA 2 EA

NSN: 1730-01-298-4078 RN

ADAPTER, GROUND HANDLING

Manufacturer Part Number

16A23034-809 Line Item(s)Associated Document(s)

F1TEBH1450139 0001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

+ TBC PAA

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

OF FIRST ARTICLE

TEST REPORT OR

EXERCISE OF

OPTION,

WHICHEVER

OCCURS LAST

_ Req No / Pri

Required Delivery

+ TBC 1 EA

*340 Calendar Days

Proposed Delivery

+ TBC 1 EA

Item No.

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

1 EA 2 EA

NSN: 1730‐01‐301‐3127 RN

ADAPTER, GROUND HANDLING

Manufacturer Part Number 16A23034‐811 Associated Document(s) Line Item(s)

F1TEBH1450142 0001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

+ TBC PAA

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

APPROVAL OF

FIRST ARTICLE

TEST REPORT OR

EXERCISE OF

OPTION,

WHICHEVER

OCCURS LAST

_ Req No / Pri

Required Delivery

+ TBC 1 EA

*340 Calendar Days

Proposed Delivery

Option IV may be exercised, from time to time, anytime within 1,460 days after effective date of award. The total quantity ordered under this option shall not exceed the maximum quantity of 2 each. Multiple option periods may be exercised simultaneously. An option is determined to have been exercised when transmitted electronically by fax or email. Options may be exercised for future USAF or FMS requirements.

Item No.

Firm Fixed Price From Quantity

U/I To Quantity U/I Unit Price

1 EA 2 EA

NSN: 1730-01-298-4078 RN

ADAPTER, GROUND HANDLING

Manufacturer Part Number

16A23034-809 Line Item(s)Associated Document(s)

F1TEBH1450139 0001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

+ TBC PAA

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

OF FIRST ARTICLE

TEST REPORT OR

EXERCISE OF

OPTION,

WHICHEVER

OCCURS LAST

_ Req No / Pri

Required Delivery

+ TBC 1 EA

*340 Calendar Days

Proposed Delivery

+ TBC 1 EA

Item No.

Firm Fixed Price From Quantity

U/I To Quantity U/I Unit Price

1 EA 2 EA

NSN: 1730-01-301-3127 RN

ADAPTER, GROUND HANDLING

Manufacturer Part Number

16A23034-811 Line Item(s)Associated Document(s)

F1TEBH1450142 0001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales Buy American Act/Balance of Payments Program Type / Ship To PACRN Mark For

+ TBC PAA

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

OF FIRST ARTICLE

TEST REPORT OR

EXERCISE OF

OPTION,

WHICHEVER

OCCURS LAST

_ Req No / Pri

Required Delivery

+ TBC 1 EA

*340 Calendar Days

Proposed Delivery

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + IAW1423

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

AWARD NUMBER:

TYPE/CODE: + TBC

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

AWARD NUMBER:

TYPE/CODE: A FE4801

FE4801 49 LRS LGRS

BLDG 310 CP 505 572 5566

280 DELAWARE AVE

HOLLOMAN AFB NM 88330-7706

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

AWARD NUMBER:

TYPE/CODE: A FE4819

FE4819 325 MSG LRDS

BLDG 266 CP 850 283 2226

114 GOAT HILL LOOP

TYNDALL AFB FL 32403-5208

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

AWARD NUMBER:

SECTION D

PACKAGING AND MARKING

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

(JUL 2008)

SECTION E

INSPECTION AND ACCEPTANCE

E-1D

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

(IAW FAR 46.302)

E-22

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

E-240

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

(IAW DFARS 246.370)

E-42

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): 0001AC, 0001AE, 0001AG, 0001AK, 0001AL, 0001AM, 0001AN, 0002AC, 0002AE, 0002AG, 0002AK, 0002AL, 0002AM, 0002AP

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 IAW DATA PROVIDED AND SOW PARA 3.5.1 AND SUBPARAGRAPHS

0002AA IAW DATA PROVIDED AND SOW PARA 3.5.1 AND SUBPARAGRAPHS

Disposition of the First Article shall be as follows:

Lot/Item Approved

0001AA FORWARDED TO: SEE SCHEDULE

0002AA FORWARDED TO: SEE SCHEDULE

Lot/Item Disapproved

0001AA WILL BE RETAINED BY THE CONTRACTOR PENDING DISPOSITION

INSTRUCTIONS FROM THE GOVERNMENT

0002AA WILL BE RETAINED BY THE CONTRACTOR PENDING DISPOSITION

INSTRUCTIONS FROM THE GOVERNMENT

SECTION F

DELIVERIES OR PERFORMANCE

F-1

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.

F-1E

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

(IAW FAR 11.404(a)(2)) F-24

52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

(IAW FAR 11.703(b)) F-26

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1)) F-29

52.242-17 GOVERNMENT DELAY OF WORK (APR 1984)

(IAW FAR 42.1305(c)) F-30

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

(IAW FAR 47.303-1(c))

F-78

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

(IAW FAR 47.303-17(f)) F-35

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]

SECTION G

CONTRACT ADMINISTRATION DATA

G-210

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(IAW DFARS 232.7004(b), PGI 232.7004(b)(1), DFARS 212.301(f)(liii))

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

(Contracting Officer: Insert applicable document type(s).

Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (stand-alone) and “Receiving Report” (stand-alone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

(Contracting Officer: Insert inspection and acceptance locations or “Not applicable.”)

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC Issue By DoDAAC Admin DoDAAC Inspect By DoDAAC Ship To Code Ship From Code Mark For Code Service Approver (DoDAAC) Service Acceptor (DoDAAC) Accept at Other DoDAAC LPO DoDAAC DCAA Auditor DoDAAC Other DoDAAC(s) (*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the e-mail address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

(Contracting Officer: Insert applicable email addresses or “Not applicable.”)

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

(Contracting Officer: Insert applicable information or “Not applicable.”)

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

G-1

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 57 33010 . 11 3 47 EL 10TRGT 2GC71A 80175 35116F 503000 F03000 $0.00

PSR: 693237 FSR: 019935 DSR: 121460

REFERENCE:

AA F1TEBH3200G001

ACRN TOTAL $ 0.00

Wide Area Work Flow (WAWF) Instructions to Vendors with Contracts that contain MILITARY STANDARD REQUISITIONING AND ISSUE PROCEDURES (MILSTRIP) Data. FEB 08.

MILSTRIP data contains information that is vital to the expeditious delivery of material. When a MILSTRIP is used in a requisition it is entered into the schedule for each item purchased. Typically the MILSTRIP data is at the end of the schedule and is listed as REQ NO.

In the example below the MILSTRIP number is FE480060730146. The quantity is 1 each.

Required Delivery

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

A FE4800 1 EA

28 FEB 2007 FE480060730146 / PRI:

In WAWF, when creating the Line Item you must also complete the MILSTRIP information in its own sub-tab. In the MILSTRIP sub-tab use the actions button to open the fill-in. In the fill-in enter the MILSTRIP number from the schedule and the quantity shipped. Save the Milstrip and continue with the Line Item information applicable to the shipment.

Inclusion of this MILSTRIP data is vital to the expeditious delivery of this material.

252.204-0001 Line Item Specific: Single Funding (SEP 2009)

The payment office shall make payment using the ACRN funding of the line item being billed.

F.O.B. ORIGIN, FIRST DESTINATION TRANSPORTATION (FDT)

The Long Line of Accounting (LOA) listed below shall be used to pay for FDT to their point of usage, storage, or embarkation on the CLINs/SubCLINs listed below. The Miscellaneous Obligation Reimbursement Document (MORD) Number associated with this LOA shall be entered into Power Track to fund the FDT charges needed to transport the item.

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

0001AA/

0001AN/ 5733010 113 47EL 10TRGT 2GC71A 46200 F1TEBH3239NP01

0002AA 35116F 503000 F03000 PSR: 693144

DSR: 091566 FSR: 019776

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

IB-300

5352.201-9101 OMBUDSMAN (NOV 2014)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, interested party may contact the ombudsman, Kim McDonald at 478 222 -1088 , FAX 478 222 -1121 , email kimberly.mcdonald@us.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU/HQ AFICA/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.

I-11

52.202-1 DEFINITIONS (NOV 2013)

(IAW FAR 2.201)

I-19

52.203-3 GRATUITIES (APR 1984)

(IAW FAR 3.202)

I-20

52.203-5 COVENANT AGAINST CONTINGENT FEES (MAY 2014)

(IAW FAR 3.404)

I-21

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT (SEP 2006)

(IAW FAR 3.503-2)

I-22

52.203-7 ANTI-KICKBACK PROCEDURES (MAY 2014)

(IAW FAR 3.502-3)

I-23

52.203-8 CANCELLATION, RESCISSION, AND RECOVERY OF FUNDS FOR ILLEGAL OR

IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(a))

I-25

52.203-10 PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(b))

I-25C

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(OCT 2010)

(IAW FAR 3.808(b))

IA-21D

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

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

IA-22

252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER

DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)

(IAW DFARS 203.570-3)

IA-24D

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

IA-25D

252.203-7003 AGENCY OFFICE OF THE INSPECTOR GENERAL (DEC 2012)

(IAW DFARS 203.1004(a), DFARS 212.301(f)(iii))

IA-26

252.203-7004 DISPLAY OF FRAUD HOTLINE POSTERS (JAN 2015)

(IAW FAR 203.1004(b)(2)(ii))

(b) Display of fraud hotline poster(s).

(2) If the contract is funded, in whole or in part, by Department of Homeland Security (DHS) disaster relief funds, the DHS fraud hotline poster shall be displayed in addition to the DoD fraud hotline poster. If a display of a DHS fraud hotline poster is required, the Contractor may obtain such poster from:

[Contracting Officer shall insert the appropriate DHS contact information or Web site.]

IA-30

252.203-7999 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN

INTERNAL CONFIDENTIALITY AGREEMENTS (DEVIAITON 2015-O0010) (FEB 2015)

(IAW DARS Tracking # 2015-O0010)

I-39

52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED PAPER (MAY 2011)

(IAW FAR 4.303)

I-43

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (JUL 2013)

(IAW FAR 4.1403(a))

I-48E

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (NOV 2014)

(IAW FAR 4.1804(c), FAR 12.301(d)) I-48F

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

IA-33

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

(IAW DFARS 204.404-70(b))

IA-39

252.204-7012 SAFEGUARDING OF UNCLASSIFIED CONTROLLED TECHNICAL INFORMATION

(NOV 2013)

(IAW DFARS 204.7304, DFARS 212.301(f)(vi))

IA-39H

252.204-7015 DISCLOSURE OF INFORMATION TO LITIGATION SUPPORT CONTRACTORS

(FEB 2014)

(IAW DFARS 204.7403(c), DFARS 212.301(f)(ix))

IA-40

252.205-7000 PROVISION OF INFORMATION TO COOPERATIVE AGREEMENT HOLDERS

(DEC 1991)

(IAW DFARS 205.470, DFARS 212.301(f)(x))

I-72

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 30 1EA

0002AA 30 1EA

(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.

0001AD 45 A002

0002AD 45 C002

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

0001AD IAW 1423-1 360

0002AD IAW 1423-1 360

(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.)

I-73

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)) I-78

52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN SUBCONTRACTING WITH

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(AUG 2013)

(IAW FAR 9.409)

I-80

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING

RESPONSIBILITY MATTERS (JUL 2013)

(IAW FAR 9.104-7(c))

IA-92

252.209-7004 SUBCONTRACTING WITH FIRMS THAT ARE OWNED OR CONTROLLED BY THE

GOVERNMENT OF A COUNTRY THAT IS A STATE SPONSOR OF TERRORISM

(DEC 2014)

(IAW DFARS 209.409)

I-83

52.211-5 MATERIAL REQUIREMENTS (AUG 2000)

(IAW FAR 11.304)

I-102

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).

IA-103

252.211-7003 ITEM UNIQUE IDENTIFICATION AND VALUATION (DEC 2013)

(IAW DFARS 211.274-6(a)(1), DFARS 212.301(f)(xii))

(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) Delivered items for which the Government’s unit acquisition cost is $5,000 or more, except for the following line items:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

See Schedule as Applicable

(ii) Items for which the Government’s unit acquisition cost is less than $5,000 that are identified in the Schedule or the following table:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

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

(iii) Subassemblies, components, and parts embedded within delivered items, items with warranty requirements, DoD serially managed reparables and DoD serially managed nonreparables as specified in Attachment Number _____( or See Schedule as Applicable).

(iv) Any item of special tooling or special test equipment as defined in FAR 2.101 that have been designated for preservation and storage for a Major Defense Acquisition Program as specified in Attachment Number _____( or See Schedule as Applicable).

(v) Any item not included in paragraphs (c)(1)(i), (ii), (iii), or (iv) of this clause for which the contractor creates and marks a unique item identifier for traceability.

(f) The Contractor shall submit the information required by paragraphs (d) and (e) of this clause as follows:

(1) End items shall be reported using the receiving report capability in Wide Area WorkFlow (WAWF) in accordance with the clause at 252.232-7003. If WAWF is not required by this contract, and the contractor is not using WAWF, follow the procedures at http://dodprocurementtoolbox.com/site/uidregistry/ .

(2) Embedded items shall be reported by one of the following methods—

(i) Use of the embedded items capability in WAWF;

(ii) Direct data submission to the IUID Registry following the procedures and formats at http://dodprocurementtoolbox.com/site/uidregistry/; or

(iii) Via WAWF as a deliverable attachment for exhibit line item number ______, Unique Item Identifier Report for Embedded Items, Contract Data Requirements List, DD Form 1423.

IA-118K

252.211-7007 REPORTING OF GOVERNMENT-FURNISHED PROPERTY (AUG 2012)

(IAW DFARS 211.274-6(b), DFARS 212.301(f)(iv)) I-128

52.215-2 AUDIT AND RECORDS--NEGOTIATION (OCT 2010)

(IAW FAR 15.209(b)(1)) I-129G

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

(IAW FAR 15.209(h), AFFARS 53.15.209(h)) I-137C

52.215-14 INTEGRITY OF UNIT PRICES (OCT 2010)

(IAW FAR 15.408(f)(1)) I-139C

52.215-15 PENSION ADJUSTMENTS AND ASSET REVERSIONS (OCT 2010)

(IAW FAR 15.408(g)) I-146C

52.215-18 REVERSION OR ADJUSTMENT OF PLANS FOR POSTRETIREMENT BENEFITS

(PRB) OTHER THAN PENSIONS (JUL 2005)

(IAW FAR 15.408(j))

I-147J

52.215-19 NOTIFICATION OF OWNERSHIP CHANGES (OCT 1997)

(IAW FAR 15.408(k)) I-147Q

52.215-23 LIMITATIONS ON PASS-THROUGH CHARGES (OCT 2009)

(IAW FAR 15.408(n)(2))

IA-152

252.215-7000 PRICING ADJUSTMENTS (DEC 2012)

(IAW DFARS 215.408(1))

IA-157

252.215-7002 COST ESTIMATING SYSTEM REQUIREMENTS (DEC 2012)

(IAW DFARS 215.408(2))

I-193

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

(MAR 1989)

(IAW FAR 17.208(e))

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

IA-175

252.217-7000 EXERCISE OF OPTION TO FULFILL FOREIGN MILITARY SALES

COMMITMENTS--BASIC (NOV 2014)

(IAW DFARS 217.208-70(a))

(b) The foreign military sales commitments are for:

FMS COUNTRY LINE ITEM NUMBER

To Be Determined 1001-4002

IA-176

252.217-7000 EXERCISE OF OPTION TO FULFILL FOREIGN MILITARY SALES COMMITMENTS --

ALTERNATE I (NOV 2014)

(IAW DFARS 217.208-70(a))

I-212

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

(IAW FAR 19.508(c)) I-214

52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS (MAY 2014)

(IAW FAR 19.708(a)) I-221

52.219-14 LIMITATIONS ON SUBCONTRACTING (NOV 2011)

(IAW FAR 19.508(e), FAR 19.811-3(e)) I-225N

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (JUL 2013)

(IAW FAR 19.309(c))

(g) 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:

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].

I-262L

52.222-19 CHILD LABOR--COOPERATION WITH AUTHORITIES AND REMEDIES (JAN 2014)

(IAW FAR 22.1505(b)) I-263

52.222-20 CONTRACTS FOR MATERIALS, ARTICLES, AND EQUIPMENT EXCEEDING $15,000

(MAY 2014)

(IAW FAR 22.610)

I-263E

52.222-21 PROHIBITION OF SEGREGATED FACILITIES (APR 2015)

(IAW FAR 22.810(a)(1)) I-264

52.222-26 EQUAL OPPORTUNITY (APR 2015)

(IAW FAR 22.810(e)) I-268

52.222-29 NOTIFICATION OF VISA DENIAL (APR 2015)

(IAW FAR 22.810(g)) I-274

52.2…