FA853217R0003_______0003.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8532-17-R-0003-0003

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

SEE SCHEDULE

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

MISSION SUPPORT GENERATION/CONTRACT, AFLCMC/WNKAA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 222 1903

ROBINS AFB GA 31098-1670

BUYER: Tangela L. Plant Tangela.Plant@robins.af.mil Phone: (478) 222- 1868 Fax: (000) 000-0000 No Collect Calls

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

FA8532

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA853217R0003

9B. DATED (SEE ITEM 11)

14-FEB-2017

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods. ( a ) By completing Items 8 and 15, and returning copies of the amendment; ( b ) By acknowledging receipt of this amendment on each copy of the offer submitted; or ( c ) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified. 28-AUG-2017 5:00 PM

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return 1 copies to the issuing office.

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

FMS REQUIREMENT

ROUTINE

CLIN 0001AB / NORWAY / NO‐D‐SAG

CLIN 0001AC / FRANCE /FR‐D‐SAE

CLIN 0001AD/ ITALY / IT‐D‐QAK

CLIN 0001AE/ THAILAND/ TH‐D‐EBR

CLIN 0001AF/ multiple FMS Cases/ See Schedule

CLIN 0001AG/ INDONESIA/ ID‐D‐QAQ

CLIN 0001AJ/ KUWAIT / KU‐D‐SAA

CLIN 0001AK/ MOROCCO/ MO‐D‐SAY

15A. NAME AND TITLE OF SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR

BY ________________________________________________________

(Signature of person authorized to sign)

15C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16B. UNITED STATES OF AMERICA

BY ____________________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

FACILITY CODE

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE

30-105 STANDARD FORM 30 (REV. 10-83)

PRESCRIBED BY GSA

FAR (48 CFR) 53.243

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

a. The purpose of this amendment 0003 is to incorporate the following clauses listed below and attached the AF Proposal Adequacy Checklist.

b. The followings clauses have been incorporated into solicitation FA8532‐17‐R‐0003.

52.215‐10

52.215‐11

52.215‐12

52.215‐13

52.215‐20

c. No other changes are being made as a result of this amendment.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Note: ELECTRONIC RESPONSES ARE AUTHORIZED

In accordance with FAR 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.

AN/ALM-288 TEST SET W/CASE

Item No.

NSN: 4920-01-423-8143 EW

ALM-288 TEST SET WITH CASE

Manufacturer Part Number 19397 188100-7001

Limitations of Liability: Other Than High Value Item

Preliminary Inspection:

Final 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

NATO AQAP AQAP 2070

Applicability: None ;

Buy American Act/Balance of Payments Program IUID Required: Yes

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0001AA AA

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

B FE2067 ORIGIN

Type / Ship To PACRN Mark For

B FE2067 PAA YCX608

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

B FE2067 3 EA

*300 Calendar Days FE206762590028 / PRI: 13

Proposed

B FE2067 3 EA

0001AB

5 EA

0001AB AB

Foreign Military Sales

* DNO005 ORIGIN

* DNO005 PAA DNOG00

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

* DNO005 5 EA

*300 Calendar Days DNOG5561686829 / PRI:

* DNO005 5 EA

FMS CASE: NO‐D‐SAG

0001AC

9 EA

0001AC AC

B FY2265 ORIGIN

B FY2265 PAA Pat Bowen 468-7282, John Hofmann 468-6138 or Cody

Giddens 468-6962. Supplementary Address: DXWSAE, Case Code: FR-D-SAE

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

B FY2265 9 EA

*300 Calendar Days DFR02561666830 / PRI:

B FY2265 9 EA

FMS CASE: FR‐D‐SAE

0001AD

2 EA

0001AD AD

* DIT002 ORIGIN

* DIT002 PAA DIT500

* DIT002 PAA DIT500

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

* DIT002 1 EA

*300 Calendar Days DIT55462716829 / PRI: 03

*300 Calendar Days DIT55462716830 / PRI: 03

FMS CASE: IT‐D‐QAK

0001AE

1 EA

0001AE AE

* DTH003 ORIGIN

* DTH003 PAA DTH100

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

* DTH003 1 EA

*300 Calendar Days DTH14462651042 / PRI:

* DTH003 1 EA

FMS CASE: TH‐D‐EBR

0001AF

2 EA

Sub CLIN ACRN ACRN Total

000101 AF

000102 AG

000103 AH

000104 AJ

000105 AK

000106 AL

000107 AM

000108 AN

000109 AP

000110 AQ

000111 AR

000112 AS

000113 AT

000114 AU

000115 AV

000116 AW

000117 AX

B FY2265 ORIGIN

B FY2265 PAA Mark Cisco, LCMC/WNYIA, 478-926-1851 Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

B FY2265 2 EA

*300 Calendar Days DK800461876829

B FY2265 2 EA

Country FMS CASE

NAMA (C‐17) K8‐D‐QAF

NORWAY NO‐D‐QOC

OMAN MU‐D‐QAL

UNITED KINGDOM UK‐D‐QBK

AUSTRALIA AT‐D‐QAQ

CANADA CN‐D‐QZZ

CANADA CN‐D‐QBV

UNITED ARAB EMIRATES AE‐D‐QAC

QATAR QA‐D‐QAH

SAUDI ARABIA SR‐D‐QBP

IRAQ IQ‐D‐SAB

QATAR QA‐D‐QAC

INDIA IN‐D‐SAC

REPUBLIC OF KOREA KS‐D‐QCJ

INDIA IN‐D‐SAD

TAIWAN TW‐D‐QBZ

ITALY IT‐D‐QAK

0001AG

1 EA

0001AG AY

* DID003 ORIGIN

* DID003 PAA

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

* DID003 1 EA

*300 Calendar Days DIDE4471526841 / PRI: 03

* DID003 1 EA

FMS CASE: ID‐D‐QAQ

0001AH

9 EA

0001AH AZ

+ DIN00P ORIGIN

+ DIN00P PAA

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

+ DIN00P 9 EA

*300 Calendar Days DIN05570666850 / PRI: 03

+ DIN00P 9 EA

FMS CASE: IN‐D‐SAD

0001AJ

6 EA

0001AJ BA

* DKU005 ORIGIN

* DKU005 PAA

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

* DKU005 6 EA

*300 Calendar Days DKUA4471256829 / PRI: 03

* DKU005 6 EA

FMS CASE: KU‐D‐SAA

0001AK

12 EA

0001AK BB

* DMO001 ORIGIN

* DMO001 PAA

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

* DMO001 12 EA

*300 Calendar Days

* DMO001 12 EA

FMS CASE: MO‐D‐SAY

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + DIN00P

NDIA C‐130J STAGING PT PROJ CD006

SUE GIBSON 903 334‐4946

DDRT PKG PROCESS PT BLDG 5945

TEXARKANA TX 75507‐5000

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

AWARD NUMBER:

TYPE/CODE: B FE2067

FE2067 78 LG LGS SBSS OPS

CML PHN 478 926 6262

455 BYRON ST BLDG 376

ROBINS AFB GA 31098

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

AWARD NUMBER:

TYPE/CODE: B FY2265

FY2265 AFLCMC WNYIA

CP 478 926 5809

220 THIRD ST BLDG 231, FMS

220 THIRD ST

ROBINS AFB GA 31098

USA

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

AWARD NUMBER:

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DID003

SUPPLEMENTAL ADDRESS CODE: DA3QAQ

FMS CASE CODE/LOA: ID‐D‐QAQ

MAPAC SHIP TO CODE: DID003

MAPAC MARK FOR: DIDE00

REQUISITION NUMBER: (See Individual Line Item)

TYPE/CODE: * DIN009

SUPPLEMENTAL ADDRESS CODE: DA5SAA

FMS CASE CODE/LOA: KU‐D‐SAA

MAPAC SHIP TO CODE: DKU005

MAPAC MARK FOR: DKUA00

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

AWARD NUMBER:

TYPE/CODE: * DIN00W

SUPPLEMENTAL ADDRESS CODE: DXWSAD

FMS CASE CODE/LOA: IN‐D‐SAD

MAPAC SHIP TO CODE: DIN00W

MAPAC MARK FOR: DIN000

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

AWARD NUMBER:

TYPE/CODE: * DIT002

SUPPLEMENTAL ADDRESS CODE: DA2QAK

FMS CASE CODE/LOA: IT‐D‐QAK/13

MAPAC SHIP TO CODE: DIT002

MAPAC MARK FOR: DIT500

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

AWARD NUMBER:

TYPE/CODE: * DKU005

SUPPLEMENTAL ADDRESS CODE: DA5SAA

FMS CASE CODE/LOA: KU‐D‐SAA

MAPAC SHIP TO CODE: DKU005

MAPAC MARK FOR: DKUA00

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

AWARD NUMBER:

TYPE/CODE: * DMO001

SUPPLEMENTAL ADDRESS CODE: DX2SAY

FMS CASE CODE/LOA: MO‐D‐SAY/SGM

MAPAC SHIP TO CODE: DMO001

MAPAC MARK FOR: DMOC00

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

AWARD NUMBER:

TYPE/CODE: * DNO005

SUPPLEMENTAL ADDRESS CODE: DZ5SAG

FMS CASE CODE/LOA: NO‐D‐SAG/027

MAPAC SHIP TO CODE: DNO005

MAPAC MARK FOR: DNOG00

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

AWARD NUMBER:

TYPE/CODE: * DTH003

SUPPLEMENTAL ADDRESS CODE: DA3EBR

FMS CASE CODE/LOA: TH‐D‐EBR/003

MAPAC SHIP TO CODE: DTH003

MAPAC MARK FOR: DTH100

REQUISITION NUMBER: (See Individual Line Item)

PART I ‐ THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 57 53010 . 11 5 47 RN 190000 4FCOH1 80204 27439F 503000 HQ0104 $0.00

PSR: 385113 FSR: 071151 DSR: 184192

AB 9711X8242 .0002 4F X 47 RN CSAGNO 20M5A9 63800 027000 503000 HQ0104 $0.00

PSR: 053942 FSR: 067835 DSR: 250456

AC 9711X8242 .0002 4F X 47 RN CSAEFR 20M5A9 63800 028000 503000 HQ0104 $0.00

PSR: 152110 FSR: 012024 DSR: 250750

AD 9711X8242 .0002 4F X 47 RN CQAKIT 20M5A1 63800 013000 503000 HQ0104 $0.00

PSR: 035243 FSR: 067461 DSR: 208716

AE 9711X8242 .0002 4F X 47 RN CEBRTH 20M5A9 63800 003000 503000 F03000 $0.00

PSR: H33782 FSR: 045017 DSR: 080668

AF 9711X8242 .0002 4F X 47 RN CQAFK8 20M5A1 63800 702000 503000 HQ0104 $0.00

PSR: 175807 FSR: 068677 DSR: 310201

AG 9711X8242 .0002 4F X 47 RN CQOCNO 20M5A1 63800 702000 503000 HQ0104 $0.00

PSR: 175871 FSR: 012090 DSR: 310293

AH 9711X8242 .0002 4F X 47 RN CQALMU 20M5A0 63800 705000 503000 HQ0104 $0.00

PSR: 175811 FSR: 075301 DSR: 310299

AJ 9711X8242 .0002 4F X 47 RN CQBKUK 20M5A1 63800 700000 503000 HQ0104 $0.00

PSR: 175841 FSR: 068935 DSR: 310304

AK 9711X8242 .0002 4F X 47 RN CQAQAT 20M5A1 63800 701000 503000 HQ0104 $0.00

PSR: 184401 FSR: 017102 DSR: 310312

AL 9711X8242 .0002 4F X 47 RN CQZZCN 20M5A1 63800 703000 503000 HQ0104 $0.00

PSR: 176029 FSR: 054654 DSR: 310323

AM 9711X8242 .0002 4F X 47 RN CQBVCN 20M5A1 63800 700000 503000 HQ0104 $0.00

PSR: 175987 FSR: 070729 DSR: 310325

AN 9711X8242 .0002 4F X 47 RN CQACAE 20M5A1 63800 701000 503000 HQ0104 $0.00

PSR: 175985 FSR: 078629 DSR: 310335

AP 9711X8242 .0002 4F X 47 RN CQAHQA 20M5A1 63800 702000 503000 HQ0104 $0.00

PSR: 175882 FSR: 016761 DSR: 310340

AQ 9711X8242 .0002 4F X 47 RN CQBPSR 20M5A1 63800 702000 503000 HQ0104 $0.00

PSR: 175470 FSR: 076880 DSR: 310342

AR 9711X8242 .0002 4F X 47 RN CSABIQ 20M5A1 63800 018000 503000 HQ0104 $0.00

PSR: 175477 FSR: 012202 DSR: 310348

AS 9711X8242 .0002 4F X 47 RN CQACQA 20M5A1 63800 700000 503000 HQ0104 $0.00

PSR: 175463 FSR: 016758 DSR: 310360

AT 9711X8242 .0002 4F X 47 RN CSACIN 20M5A0 63800 033000 503000 HQ0104 $0.00

PSR: 175491 FSR: 054645 DSR: 310361

AU 9711X8242 .0002 4F X 47 RN CQCJKS 20M5A1 63800 701000 503000 HQ0104 $0.00

PSR: 175472 FSR: 011910 DSR: 310366

AV 9711X8242 .0002 4F X 47 RN CSADIN 20M5A1 63800 710000 503000 HQ0104 $0.00

PSR: 175595 FSR: 005197 DSR: 310371

AW 9711X8242 .0002 4F X 47 RN CQBZTW 20M5A1 63800 711000 503000 HQ0104 $0.00

PSR: 175591 FSR: 012106 DSR: 310373

AX 9711X8242 .0002 4F X 47 RN CQAKIT 20M5A1 63800 702000 503000 HQ0104 $0.00

PSR: 175574 FSR: 016759 DSR: 310375

AY 9711X8242 .0002 4F X LC RN CQAQID 20M5A9 63800 011000 503000 F03000 $0.00

PSR: 297975 FSR: 045822 DSR: 101727

AZ 9711X8242 .0002 4F X 47 RN CSADIN 20M5A9 63800 043000 503000 F03000 $0.00

PSR: G50110 FSR: 001695 DSR: 101729

BA 9711X8242 .0002 4F X 47 RN CSAAKU 20M5A9 00000 016000 503000 F03000 $0.00

PSR: E40470 FSR: 069259 DSR: 101756

BB 9711X8242 .0002 4F X 47 RN CSAYMO 20M5A1 63800 SGM000 503000 F03000 $0.00

PSR: 372290 FSR: 046470 DSR: 131730

REFERENCE:

AA SDN: F3QCDJ6250B003

CSN: 500700

AB SDN: F3QCDJ6250B003

AC SDN: F3QCDJ6250B003

AD SDN: F3QCDH6285B001

AF SDN: F3QCDH6232B001

AG SDN: F3QCDH6232B001

AH SDN: F3QCDH6232B001

AJ SDN: F3QCDH6232B001

AK SDN: F3QCDH6232B001

AL SDN: F3QCDH6232B001

AM SDN: F3QCDH6232B001

AN SDN: F3QCDH6232B001

AP SDN: F3QCDH6232B001

AQ SDN: F3QCDH6232B001

AR SDN: F3QCDH6232B001

AS SDN: F3QCDH6232B001

AT SDN: F3QCDH6232B001

AU SDN: F3QCDH6232B001

AV SDN: F3QCDH6232B001

AW SDN: F3QCDH6232B001

AX SDN: F3QCDH6232B001

AY SDN: F3QCDK178B001

PR: FD2060‐17‐32740

AZ SDN: D3QCDJ7178B001

BA SDN: F3QCDJ7178B001

BB SDN: F3QCDH7191B001

PR: FD2060‐17‐33204

ACRN TOTAL $ 0.00

PART II ‐ CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

52.215-10 PRICE REDUCTION FOR DEFECTIVE CERTIFIED COST OR PRICING DATA

(AUG 2011)

(IAW FAR 15.408(b))

52.215-11 PRICE REDUCTION FOR DEFECTIVE CERTIFIED COST OR PRICING

DATA--MODIFICATIONS (AUG 2011)

(IAW FAR 15.408(c))

52.215-12 SUBCONTRACTOR CERTIFIED COST OR PRICING DATA (OCT 2010)

(IAW FAR 15.408(d))

52.215-13 SUBCONTRACTOR CERTIFIED COST OR PRICING DATA--MODIFICATIONS

(OCT 2010)

(IAW FAR 15.408(e))

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

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages

AFMC 158 PACKAGING REQUIREMENTS

13SEP2016 2

N/A AF Proposal Adequacy Checklist

UNDATED 8

PART IV ‐ REPRESENTATIONS AND INSTRUCTIONS

SECTION L

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS OR RESPONDENTS

52.215-20 REQUIREMENTS FOR CERTIFIED COST OR PRICING DATA AND DATA OTHER

THAN CERTIFIED COST OR PRICING DATA (OCT 2010)

(IAW FAR 15.408(l))

UNIT PACK WEIGHT UNIT PACK SIZE

0 0 1 0 6 3 5 M0 0 1 0 0 0 4 2 1 0 0 E A N A A N V 0 0 B 1 7 0 0 5 7 0 0 3 6 5 0 2 6 5 0 1 9 0

Items shall be packaged in accordance with MIL-STD-2073-1 E, Standard Practice for Military Packaging.

Shipping and storage markings shall be in accordance with MIL-STD-129 R, Standard Practice for Military Marking.

3. INSTRUCTIONS TO CONTRACTING OFFICER: Insert appropriate clause(s) into Section D for applicable item(s) as indicated below.

4920-01-423-8143EW

U C L

AFMC FORM 158, 20090727

PACKAGING REQUIREMENTS

AFMC FARS 5352.247-9005, SHIPPING CONTAINER MARKING.

NAME(s) OR NSN/MMAC

PR, MIPR, OR DOCUMENT

1. PACKAGING REQUIREMENTS: Block 1 shall always be completed and further defined in Blocks 2, 3, or 4. The term "Item ID" refers to line item number, item name, NSN/MMAC, part number, or any other way of identifying a particular item. MIL-STD-2073-1 represents Military Preservation (PRES) and Packing (PACK). Military packing consists of levels A, B, and Minimum (M). ASTM D3951 could be substituted by another document if specified in Block 2. Quantity Per Unit (QUP) and Commercial Best Practice (CBP) are abbreviated. The reverse side of this form has the European Union environmental requirements.

ITEM ID

QUP

PRES

MIL-STD-2073-1

COMMERCIAL

ASTM D3951

PACK PRES PACK

CBP

SPECIAL PACKAGING

INSTRUCTION

NUMBER

(X) (X) (X)(X)(#) (A/B/M)

4920-01-423-8143EW 1

2. ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS (Specify all revisions and dates of required specifications)

B

4. CODED DATA: Coded requirements shall be interpreted in accordance with MIL-STD-2073-1

QUANTITY

QUP ICQ

PRES

METH

C D

PRES

MTL

WRAP

MTL

CUSH

DUNN

C T

UNIT

CONT

INT

CONT

SPEC

MKG 10

UNIT PACK CUBE

LENGTH 10 WIDTH 10 DEPTH 10 WHOLE CUBE 1000TH

O P I

AFMCFARS 5352.247-9006, MARKING OF WARRANTED ITEMS.

ITEM NAME(s) OR NSN/MMAC

AFMCFARS 5352.247-9007, SPECIFICATION COMMERCIAL

PACKAGING (ASTM D3951). ITEM NAME(s) OR NSN/MMAC

AFMCFARS 5352.247-9008, CONTRACTOR COMMERCIAL

PACKAGING (Commercial Best Practice). ITEM NAME(s) OR

NSN/MMAC.

AFMCFARS 5352.247-9009, MILITARY PACKAGING AND MARKING.

ITEM NAME(s) OR NSN/MMAC

AFMCFARS 5352.247-9010, ENGINEERED OR SPECIALIZED

CONTAINERS (CDRS). ITEM NAME(s) OR NSN/MMAC

AFMCFARS 5352.247-9013, PACKAGING DATA (Coded and/or/Special Packaging Instructions). ITEM NAME(s) OR NSN/MMAC

AFMCFARS 5352.247-9011, PACKAGING AND MARKING OF

HAZARDOUS MATERIAL. ITEM NAME(s) OR NSN/MMAC

406 SCMS/GULAA

PACKAGING SPECIALIST (Typed Name)

//SIGNED// MICHAEL RAINES 497-6318

PACKAGING SPECIALIST SIGNATURE

PREVIOUS EDITION IS OBSOLETE

DATE

SEE REVERSE SIDE

20160913

ORGANIZATION

AFMC FORM 158, 20090727

THE FOLLOWING STATEMENT IS IN COMPLIANCE WITH THE UNITED NATIONS – IMPLEMENTED RESTRICTIONS ON WOOD PACKAGING MATERIAL (WPM). THIS REQUIREMENT IS SPECIFICALLY CONCERNED WITH INVASIVE SPECIES, SUCH AS THE PINEWOOD NEMATODE. WPM IS DEFINED AS WOOD PALLETS, SKIDS, LOAD BOARDS, PALLET COLLARS, WOODEN BOXES, REELS, DUNNAGE, CRATES, FRAMES, AND CLEATS. THE STATEMENT BELOW CITES THE REQUIREMENTS IN DETAIL AND COVERS LUMBER FOR BUILDING CONTAINERS AND PALLETS USED FOR DELIVERIES, RESULTING IN SHIPMENTS WORLDWIDE (DIRECT, OR THROUGH AIR LOGISTICS CENTERS (ALC), CONTAINER CONSOLIDATION POINTS (CCP) OR OTHER

BASES).

WOODEN LUMBER, WOODEN PALLET, AND PACKAGING/CONTAINER STATEMENT:

ALL WOODEN LUMBER, WOODEN PALLETS AND WOODEN CONTAINERS PRODUCED ENTIRELY OR IN PART OF WOOD PACKING MATERIAL (WPM) SHALL BE CONSTRUCTED FROM DEBARKED WOOD IN ADDITION TO THE APPLICATION OF HEAT-TREATED (HT) MATERIAL (HT TO 56 DEGREES CENTIGRADE OR 133 DEGREES FAHRENHEIT FOR 30 MINUTES).

CERTIFICATION/MARKING IS REQUIRED BY AN ACCREDITED AGENCY RECOGNIZED BY THE AMERICAN LUMBER STANDARDS COMMITTEE (ALSC). FOR REFERENCE DOCUMENTATION, SEE LATEST REVISION OF “INTERNATIONAL STANDARDS FOR PHYTOSANITARY MEASURES (ISPM NO. 15), “REGULATION OF WOOD PACKAGING MATERIAL IN INTERNATIONAL TRADE.”

INTERNATIONAL STANDARDS FOR PHYTOSANITARY MEASURES

REVISION OF ISPM NO. 15

REVISION OF WOOD PACKING MATERIAL FOR INTERNATIONAL TRADE

REQUIREMENTS, USE THE LATEST REVISION OF (ISPM NO. 15)

AIR FORCE PROPOSAL ADEQUACY CHECKLIST (AFPAC)

PREPARATION GUIDELINES

FAR 15.403-4 sets forth those circumstances in which contractors are required to submit certified cost or pricing data. The responsibility for providing well-prepared and fully supportable cost proposals for sole source acquisitions that exceed the TINA threshold lies solely with the contractor. The basis and rationale for all proposed costs shall be provided as part of the proposal so that the contracting officer (CO) may rely on the information as sufficiently current to permit negotiation of a fair and reasonable price.

The attached AFPAC must be completed and submitted as part of your proposal. Items within the AFPAC that do not contain specific FAR references are needed for Government review and negotiation, as applicable.

Contact the CO as soon as possible prior to proposal submittal if there is uncertainty as to whether a checklist item is a requirement, or how to adequately comply with a proposal item. Non-compliances with the enclosed checklist will require immediate correction in order to proceed with proposal evaluation and negotiation, however, completion of the checklist does not relieve you from your responsibility to comply with regulations and any special requirements of the solicitation.

In addition, it is highly recommended that you flow this (or a similar) checklist to your subcontractors/affiliates where certified cost and pricing data is required and that you use the elements of the AFPAC (or elements of a similar checklist) to evaluate the adequacy of a subcontractor/affiliate proposal.

You are advised that the contracting officer may determine costs associated with revising/reworking inadequate cost proposals as unreasonable, and must consider the nature and extent of any proposal inadequacies when assessing/negotiating profit.

SPECIAL NOTE: In order to preclude delays in negotiations and contract award, you should discuss the basis for all “No or N/A” responses that may have a material impact, and particularly any claim to not submit cost or pricing data because of any of the five exceptions found at FAR 15.403-1(b) in the explanation column for each item.

Attachment:

AFPAC

Version: 24 Sept 10 Page 1 of 8

Air Force Proposal Adequacy Checklist for Sole Source Actions above TINA Threshold

ITEM

ITEM DESCRIPTION

FAR

REFERENCE Y

N or

N/A

PROVIDE EXPLANATION IF EITHER “NO or N/A” (use continuation page if necessary)

PROP

REF

PG

1 Is there a properly completed first page of the proposal in accordance with Table 15-2 I.A or as specified by the Contracting Officer (CO) in the solicitation?

FAR 15.408,

Table 15-2 I.A

2 Is an Index, appropriately referenced, of all certified cost or pricing data and information accompanying or identified in the proposal, provided?

Table 15-2 I.B

3 Are there any exceptions to submission of certified cost or pricing data pursuant to FAR 15.403-1(b)? If so, is supporting documentation included in the proposal? Refer to checklist items 15, 16 and 17.

FAR 15.403-

1(b)

Note If the total price of the proposal is > threshold for certified cost or pricing data, the checklist is required even if a portion of that value qualifies as an exception. Address exception(s) with the CO and proceed with checklist.

4 Is there a summary of total cost by element of cost and are the elements of cost cross‐referenced to the supporting cost or pricing data? (Breakdowns for each cost element must be consistent with your cost accounting system.)

FAR 15.408,

Table 15-2 I.D

& E

5 If more than one CLIN (Contract Line Item Number) or sub-CLIN (Sub Line Item is proposed as required by the RFP, are there summary total amounts covering all line items for each element of cost and is it cross-referenced to the supporting cost or pricing data?

FAR 15.408,

Table 15-2, I. D

& E

6 Is total price by cost element provided by year? Identify if by Calendar Year (CY) or Government Fiscal Year (GFY) or both, as required.

7 Are CLIN prices by cost element provided by year? Identify if by CY or GFY or both, as required.

8 Are recurring and non-recurring costs segregated at both the CLIN/SubCLIN and total cost levels?

9.1

Are all cost element breakdowns provided using the applicable format prescribed in FAR 15.408, Table 15-2 III? (or alternative format if specified in the RFP)

Table 15-2

9.2 Does the proposal reflect all specific requirements established by the

CO?

Version: 24 Sept 10 Page 2 of 8

ITEM DESCRIPTION

FAR

REFERENCE Y

N or

N/A

PROVIDE EXPLANATION IF EITHER “NO or N/A” (use continuation page if necessary)

PROP

REF

PG

10 If an incentive contract type, is contract geometry included (e.g.

contractor proposed target cost, target profit or fee, min/max, ceiling, share ratio)?

MATERIAL

Note Consolidated Bill of Material (CBOM). A CBOM is a consolidated priced summary of individual material quantities and subcontract items included in the various tasks, orders, or contract line items being proposed and the basis for pricing (negotiated/invoice prices, vendor quotes, average unit pricing, prior purchase history, long term agreements, etc). The offeror’s CBOM shall include estimated raw materials, parts, components, assemblies, subcontracts and services to be produced or performed by others, identifying as a minimum; the item, source, quantity and cost.

11.1 Is a CBOM included at the total contract level? FAR 15.408, Table 15-2 II A.

11.2 If the CBOM is being provided at other than a total contract level as described in Notes 1 and 2 below, did the contractor address how the CBOM is provided?

Note

In the event the contractor intends to propose the CBOM at other than a total contract level, the contractor is encouraged to contact the CO and/or the cognizant DCAA auditor prior to proposal submittal.

The CO and auditor are allowed to exercise judgment in making the determination as to what elements/CLINs are included in the CBOM(s) depending on the contractor’s estimating techniques used and whether those techniques are appropriate in the circumstances.

Depending on your system, inter-organizational transfers may be included as part of a total CBOM or be a separate CBOM.

The CBOMs must be in an electronic format that is able to be sorted by supplier, and category (e.g., raw material, purchased parts, subcontracts, extended dollar of part numbers, etc.).

Additional CBOMs may be required or desired for separate CLIN end item deliverables (e.g., Alternate Mission Equipment, Special Test Equipment, Spares, etc.).

SUBCONTRACTS (Purchased material or services)

Version: 24 Sept 10 Page 3 of 8

ITEM DESCRIPTION

FAR

REFERENCE Y

N or

N/A

PROVIDE EXPLANATION IF EITHER “NO or N/A” (use continuation page if necessary)

PROP

REF

PG

12.1 If the subcontract or purchase order exceeds the threshold for certified cost or pricing data and none of the exceptions to TINA apply, does the proposal include the prime contractor’s Price/Cost Analysis establishing the reasonableness of each subcontract price?

FAR 15.403-4,

Table 15-2 II.A

12.2 If the prime contractor’s Price/Cost Analysis are not provided with the proposal, does the proposal include a matrix identifying dates for receipt of subcontractor proposal, completion of fact finding for purposes of Price/Cost Analysis, and submission of the Price/Cost Analysis?

As later information/data comes into your possession, it should be submitted promptly to the CO in a manner that clearly shows how the information/data relates to the offeror’s price proposal. The requirement for submission of certified cost or pricing data continues up to the time of agreement on price, or an earlier date agreed upon between the parties if applicable.

FAR 15.408,

Table 15-2, Note 1

Note Analyses not provided with the proposal may result in a delay to audit, fact-finding and negotiations. Analyses not included with the proposal shall be provided as soon as possible after the proposal submission date and shall be accomplished in sufficient time to support the definitization/contract award schedule.

12.3 Does the proposal identify those actions where assist audits have been requested by the prime or sub-tier contractors and identify the request date and scheduled receipt date?

Note The need for assist audits resulting from proprietary data rights assertions at any tier must be identified to the CO as soon as possible in the proposal build cycle. Notwithstanding assist audits performed by the government, contractors must still perform and provide Price/Cost Analysis.

12.4 In accordance with the thresholds of FAR 15.404-3(c), Subcontract Pricing Considerations, does the proposal include a copy of the applicable subcontractor’s proposal(s)?

FAR 15.404-

3(c)

INTERORGANIZATIONAL TRANSFERS

13 For inter-organizational transfers proposed at cost, does the proposal include a complete cost proposal in compliance with Table 15-2 and this checklist?

FAR 15.408,

II.A.(2)

Note Inter-organizational work is considered to be part of the certified cost or pricing data submission of the prime. As such, the prime contractor’s responsibility for conducting subcontractor Cost/Price Analysis does not

Version: 24 Sept 10 Page 4 of 8

ITEM DESCRIPTION

FAR

REFERENCE Y

N or

N/A

PROVIDE EXPLANATION IF EITHER “NO or N/A” (use continuation page if necessary)

PROP

REF

PG

apply to inter-organizational transfers. However, prior to the submission of the proposal, the prime contractor shall (a) ensure that all statement of work tasks are addressed without duplication and are consistent with the overall program performance schedule and, (b) ensure ground rules and assumptions are consistent with the prime proposals.

14 For inter-organizational transfers proposed at price in accordance with FAR 31.205-26(e), does the proposal provide an analysis by the prime that supports the exception from certified cost or pricing data in accordance with FAR 15.403-1 (reference checklist items 15, 16, and 17 below)?

FAR 31.205-

26(e), FAR 15.403-1

ADEQUATE PRICE COMPETITION

15 Does the proposal support the degree of competition and the basis for establishing the source and reasonableness of price for each subcontract or purchase order priced on a competitive basis exceeding the threshold for certified cost or pricing data?

FAR 15.408,

II.A.(1)

COMMERCIAL ITEM DETERMINATIONS

16 Is the contractor proposing commercial items either at the prime or subcontractor level that would be exempt from certified cost or pricing data requirements?

FAR 2.101,

FAR 15.403-1

(b)(3) or (b)(5)

Note If you are modifying a commercial item or are providing a modified commercial item, there may be circumstances that require the submission of certified cost or pricing data (see Note to checklist item

17.3 below).

17 Has the contractor provided support for prime contractor assertions of commerciality and any subcontractor Commercial Item Determinations (CIDs) addressing, at a minimum, the following:

Note A subcontractor CID includes the following information/data in addition to the prime contractor’s independent price analysis and conclusion of the subcontractor’s commerciality assertion. (checklist item 17.5.D)

17.1 Has the contractor provided a description of supplies or services and the basis for which the supply or service meets the Government’s requirements?

17.2 Has the contractor specifically identified the type of commercial item claim (FAR 2.101 commercial item sub-definitions (1) through (8)), and the basis on which the item meets the definition?

FAR 2.101

Version: 24 Sept 10 Page 5 of 8

ITEM DESCRIPTION

FAR

REFERENCE Y

N or

N/A

PROVIDE EXPLANATION IF EITHER “NO or N/A” (use continuation page if necessary)

PROP

REF

PG

17.3 For modified commercial items (commercial item sub definition) (3); did the contractor classify the modification(s) as either:

A. Of a type customarily available in the commercial marketplace (FAR 2.101 commercial item sub-definition (3)(i)) or

B. A minor modification (FAR 2.101 commercial item sub-definition (3)(ii)) of a type not customarily available in the commercial marketplace made to meet Federal Government requirements not exceeding the thresholds in FAR 15.403-1(c)(3)(iii)(B)? (see note below)

FAR 15.403-1

Note Modifications that do not qualify as “minor” under FAR 2.101 sub-definition (3) or modifications that qualify as “minor” where the total price of all such modifications exceeds the greater of the threshold for certified cost or pricing data (FAR 15.403-4) or 5% of the total price of the contract at the time of contract award are NOT exempt from the submission of certified cost or pricing data. Where the contractor is proposing a modified commercial item, the CO should, in every case, be consulted as soon as possible before the proposal is submitted.

17.4 Technical Assessment: For proposed commercial items “of a type”, or “evolved” or modified (FAR 2.101 commercial item sub-definitions (1) through (3)), did the contractor provide a technical description of the differences between the proposed item and the comparison item(s)?

17.5 Price Reasonableness: Has the contractor provided, or made available, data other than certified cost or pricing data to establish price reasonableness of the proposed commercial item (to include any modifications not subject to certified cost or pricing data (ref. Note under checklist item 17.3 above) by supplying:

A. Information/data related to competition (refer to checklist item 15), B. Information/data related to prices (sales data, market price assessments, etc.), C. cost data (cost elemental breakdown and supporting documentation not subject to certification in accordance with FAR 15.406-2), and

D. for subcontractor assertions, the prime contractor’s price analysis/price reasonableness determination?

FAR

15.402(a)(2), FAR 15.403-

1(c)(3)(ii), FAR 15.403-3(c), FAR 15.404-

3(b)

FAR 15.404-

3(c)

FAR 15.406-2

Version: 24 Sept 10 Page 6 of 8

ITEM DESCRIPTION

FAR

REFERENCE Y

N or

N/A

PROVIDE EXPLANATION IF EITHER “NO or N/A” (use continuation page if necessary)

PROP

REF

PG

Note The preferred method to establish the price reasonableness of commercial items is to obtain commercial sales data. It is recognized that other methods, such as market price assessments data or cost data not subject to certification, are also acceptable when prior sales data cannot be obtained. Sales data must (1) demonstrate sales to the general public, (2) be current and where possible, (3) in like quantities.

Items sold to state, local or foreign governments or items sold with applications only to state, local, foreign government or the US government end items, are not considered to be sales to the general public unless the proposed commercial item meets the commercial item definition FAR 2.101 commercial item sub-definition (8).

LABOR

18 Are the Basis of Estimates (BOEs) included for all labor hours with detailed rationale to support the estimates?

19 For labor BOEs, does the proposal include labor categories, task descriptions, Statement of Work (SOW) reference, applicable CLIN, Work Breakdown Structure (WBS), BOE rationale, applicable history, and time-phasing?

OTHER DIRECT COSTS

20 Does the proposal include other direct costs and the basis for pricing? If travel is discretely estimated does the proposal include number of trips, number of people, number of days per trip, locations, and rates (e.g.

airfare, per diem, hotel, car rental, etc)?

Table 15-2 II.D

NEW CONTRACTS (INCLUDING LETTER CONTRACTS)

21 Does the proposal identify actual hours, and cost incurred as well as hours/cost to complete and the time phasing associated with these hours/costs? This information/data is to be provided consistent with cost element summaries as identified in checklist item 9.1

Table 15-2, III

CHANGE ORDERS, MODIFICATIONS AND CLAIMS

22 If the proposal is for a modification or change order, have cost of work deleted (credits) and cost of work added (debits) been provided in the format described in FAR 15.408, Table 15-2.III.B?

Table 15-2 III.B

PRICE REVISIONS/REDETERMINATIONS

23 For price revisions/redeterminations, does the proposal follow the format in FAR 15.408, Table 15-2.III.C?

Table 15-2 III.C

Version: 24 Sept 10 Page 7 of 8

ITEM DESCRIPTION

FAR

REFERENCE Y

N or

N/A

PROVIDE EXPLANATION IF EITHER “NO or N/A” (use continuation page if necessary)

PROP

REF

PG

FACILITIES COST OR MONEY

24 If facilities capital cost of money is proposed, does the proposal include submission of Form CASB-CMF or reference to an FPRP/FPRA and show the calculation of the proposed amount?

FAR 31.205-10

FAR Table 15-

2,II.F

RATES AND FACTORS

25 Does the proposal include all rates and factors by year that are utilized in the development of the proposal and the basis of those rates and factors (FPRA/FPRP)? Identify the official submittal of such rate and factor data.

OTHER

26 Does the proposal identify the location and point of contact for any certified cost or pricing data which is referenced, but not included, in the proposal?

27 Does the proposal disclose the judgmental factors applied and the mathematical or other methods used in the estimate, including those used in projecting from known data?

FAR 15.408,

Table 15-2, I.C.(2)(i)

28 Does the proposal disclose the nature and amount of any contingencies included in the proposed price?

FAR 15.408,

I.C.(2)(ii)

29 If Royalties exceed $1,500 does the proposal provide the information/data identified in FAR 15.408, Table 15-2 Paragraph II. E.?

FAR 15.408,

Table 15-2 II.

E.

w

30 If Economic Price Adjustments are being proposed, does the proposal show the rationale and application for the proposed indices?

FAR 16.203-

4(a)(1)

31.1 Is the contractor proposing Performance-Based Payments? FAR 32.10

31.2 If so, has the contractor provided an expenditure profile, proposed events and their projected dates, proposed values for each event, completion criteria, and identification of which events are severable or cumulative?

FAR 32.10

32 Excessive Pass-through Charges – Identification of Subcontract Effort, if the offeror intends to subcontract more than 70% of the total cost of work to be performed, does the proposal identify: (i) the amount of the offeror’s indirect costs and profit applicable to the work to be performed by the subcontractor(s); and (ii) a description of the added value provided by the offeror as related to the work to be performed by the subcontractor(s)?

FAR 15.408(n) DPAP Memo 23 Dec 2009

(DARS

Tracking

Number 2009- O0015)

Version: 24 Sept 10 Page 8 of 8

ITEM DESCRIPTION

FAR

REFERENCE Y

N or

N/A

PROVIDE EXPLANATION IF EITHER “NO or N/A” (use continuation page if necessary)

PROP

REF

PG

33 Does the proposal explain the basis of all cost estimating relationships (CERs) (labor hrs or material) proposed on other than a discrete basis?

Note Calculations/formulas/logic made to generate “CER” costs should be presented with proposal.

34 Does the proposal identify the need for government furnished material/tooling/test equipment? Include the lending contract number and CO contact information if known.

FAR 15.408,

Table15-2, I A.

(7)

35 Does the proposal include identification of any CAS non-compliances, or other estimating deficiencies that may impact the proposed price?

FAR Table 15- 2.I.A.(8)