FA8534-20-R-0003.pdf

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1447 (REV. 8/2016)

PREVIOUS EDITION NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.214(d)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

24. TOTAL AWARD AMOUNT (For Government Use Only)

TELEPHONE NUMBER

UNIQUE ENTITY

IDENTIFIER

CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

NO COLLECT CALLS

4. SOLICITATION NUMBER

FA8534-20-R-0003

6.SOLICITATION ISSUE DATE

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

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

HUBZONE SMALL

BUSINESS EDWOSB

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS NAICS: 336413

8(A) SIZE STANDARD: 1,250

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:

ROUTINE

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 120 days.

SEE LINE ITEM SCHEDULE

22.

AMOUNT

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

FULL AND OPEN COMPETITION (c) (1 ) (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 BLOCK 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. *120

RATING

DO: A1

3. AWARD/EFFECTIVE DATE

FA8534

2. CONTRACT NUMBER

X

17.

ITEM NUMBER

12. ADMINISTERED BY CODE

Total

SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK: 14 EFT:T

SCD:B

NAME AND TITLE OF SIGNER (Type or Print) NAME OF CONTRACTING OFFICER

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAYMENT 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 Manufacturing7

9. (Agency Use)

Offers will be received at the issuing office until the date and time specified below. Late offers are subject to late proposal provisions incorporated herein. All offers are subject to provisions, representations, certifications, and specifications as are attached or incorporated by reference.

20-MAY-2020 3:30PM

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

X

7. ISSUED BY CODE

MOBILITY, AFLCMC/WNKAC

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 222 1904

ROBINS AFB GA 31098-1670

BUYER: Kelsey R. Wade/WNKAC kelsey.wade.1@us.af.mil Phone: (478) 222- 1893

X

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)SOLICITATION/CONTRACT

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

J

STANDARD FORM 1447 (REV. 8/2016) BACK

NO RESPONSE FOR 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)

UNABLE TO IDENTIFY THE ITEM(S)

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

DO NOT REGULARILY MANUFACTURE OR SELL THE TYPE

OF ITEMS INVOLVED

DATE AND LOCAL TIME 20 MAY 2020 3:30 PM

SOLICITATION NUMBER FA853420R0003

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Kelsey R Wade/WNKAC

MOBILITY, AFLCMC/WNKAC

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 222 1904

ROBINS AFB GA 31098-1670

FA8534-20-R-0003

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

ELECTRONIC RESPONSES ARE AUTHORIZED:

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.

PERIODS OF PERFORMANCE:

In accordance with the clause in Section I of this contract, DFARS 252.216-7006 Ordering, orders can be issued hereunder for a period of five (5) years (if all options are exercised) from the effective date of the contract against the contract line item numbers (CLINs) included in the schedule. Orders issued hereunder shall utilize the CLIN representing the period in effect at the time of order award for purposes of pricing. Specific calendar dates will be added upon contract award. The ordering periods associated with each CLIN series are defined as follows:

Period CLINs Effectivity Basic Period 000X 12 Months after date of contract award Option I Period 100X 12 Months after Basic Period ends Option II Period 200X 12 Months after Option I Period ends Option III Period 300X 12 Months after Option II Period ends Option IV Period 400X 12 Months after Option III Period ends

NOTE: . Each option may be exercised on or before the last day of the previous basic ordering period or option period. An option is considered to have been exercised at the time the Government provides the contract modification to the Contractor via email.

REQUIREMENTS CONTRACT:

The Best Estimated Quantity (BEQ) set forth for each line item is the estimated quantity the Government expects to order and does not represent a minimum or maximum quantity.Failure of the Government to order the BEQ shall not entitle the contractor to an equitable adjustment in price under the contract. There is no minimum value assigned to this contract. This contract shall be funded as requirements generate and the basic contract can be awarded without an initial task order.

BASIC CONTRACT PERIOD:

Effective date of award through 12 months

ENVIRONMENTAL TEST SET

Item No.

Firm Fixed Price

ENVIRONMENTAL TEST SET

Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

0001 NA

J099

ENVIRONMENTAL TEST SET

NSN: 4920-01-139-2801MH P/N: 811-00148

Repair IAW attached PWS Associated Document(s) Line Item(s)

FD20601835091 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Place of Perf Quantity (U/I) *ARO Order _ Req No / Pri

Required Period of Performance

+ TBD 10 EA *150 Calendar Days

Proposed Period of Performance

+ TBD 10 EA

Items shall be packaged IAW MIL-STD-2073-1 E. Shipping and storage markings shall be IAW MIL-STD-129 R. See attached Packaging document Form 158.

ENVIRONMENTAL TEST SET- IUID

Item No.

Firm Fixed Price Estimated Quantity

U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002 NA

IUID

Environmental Test Set - IUID IAW PWS paragraph 4.5 Associated Document(s) Line Item(s)

FD20601835091 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

ENVIRONMENTAL TEST SET- IUID

Quality Assurance: Standard Inspection Place of Perf Quantity (U/I) To be determined_ Req No / Pri

Required Period of Performance

+ IAW1423 1 LO TBD

Proposed Period of Performance

+ IAW1423 1 LO

DATA

Item No.

DATA

DATA

IAW attached PWS and DD Form 1423's Associated Document(s) Line Item(s)

FD20601835091 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: AA Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

+ IAW1423 TBD

Proposed Delivery

+ IAW1423

A001 - Commercial Asset Visibility AF (CAVAF) Reporting

Item No.

0003AA

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A001 - Commercial Asset Visibility AF (CAVAF) Reporting

DI-MGMT-81838

IAW PWS 4.8

A001 - Commercial Asset Visibility AF (CAVAF) Reporting

Exhibit: AA

A002 - Safety and Health Plan

Item No.

0003AB

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A002 - Safety and Health Plan

DI-ENVR-81840

IAW PWS 5.6.4.1

Exhibit: AA

A003 - Monthly Status Report

Item No.

0003AC

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A003 - Monthly Status Report

DI-MGMT-80368A

IAW PWS 5.12

Exhibit: AA

A004 - Item Unique Identification (IUID) Marking Plan

Item No.

0003AD

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A004 - Item Unique Identification (IUID) Marking Plan

DI-MGMT-81803

IAW PWS 5.13.2

Exhibit: AA

A005 - IUID Marking Activity, Validation & Verification Report

Item No.

0003AE

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A005 - IUID Marking Activity, Validation & Verification Report

DI-MGMT-81804A

A005 - IUID Marking Activity, Validation & Verification Report

IAW PWS 5.13.2

Exhibit: AA

A006 - Quality Assurance Program Plan

Item No.

0003AF

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A006 - Quality Assurance Program Plan

DI-QCIC-81794

IAW PWS 5.10

Exhibit: AA

A007 - GIDEP Alert/Safe-Alert Report

Item No.

0003AG

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A007 - GIDEP Alert/Safe-Alert Report

DI-QCIC-80125B

IAW PWS 5.14.2

Exhibit: AA

A008 - GIDEP Alert Response

Item No.

0003AH

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A008 - GIDEP Alert Response

DI-QCIC-80126B

IAW PWS 5.14.2

Exhibit: AA

A009 - Contract Depot Maintenance (CDM) Production Report

Item No.

0003AJ

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A009 - Contract Depot Maintenance (CDM) Production Report

A009 - Contract Depot Maintenance (CDM) Production Report

DI-PSSS- 81995

IAW PWS 4.8

Exhibit: AA

A010 - Government Property Inventory Report

Item No.

0003AK

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A010 - Government Property Inventory Report

DI-MGMT-80441C

IAW PWS 4.8

Exhibit: AA

OPTION I

The prices in Option I shall be applicable for the 12 month period immediately following the expiration date set forth for the Basic contract period.

Option I may be exercised on or before the last day of the previous basic ordering period or option period. An option is considered to have been exercised at the time the Government provides the contract modification to the Contractor via email.

ENVIRONMENTAL TEST SET

Option Year I

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

1001 NA

J099

ENVIRONMENTAL TEST SET

NSN: 4920-01-139-2801MH P/N: 811-00148

Repair IAW attached PWS Associated Document(s) Line Item(s)

FD20601835091 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Place of Perf Quantity (U/I) To be determined_ Req No / Pri

ENVIRONMENTAL TEST SET

Option Year I

Required Period of Performance

+ TBD 10 EA TBD

Proposed Period of Performance

+ TBD 10 EA

Firm Fixed Price Estimated Quantity

U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1002 NA

IUID

Environmental Test Set - IUID IAW PWS paragraph 4.5 Associated Document(s) Line Item(s)

FD20601835091 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Place of Perf Quantity (U/I) To be determined_ Req No / Pri

Required Period of Performance

+ IAW1423 1 LO TBD

Proposed Period of Performance

+ IAW1423 1 LO

DATA

DATA

DATA

DATA

IAW attached PWS and DD Form 1423's Associated Document(s) Line Item(s)

FD20601835091 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: AA Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

+ IAW1423 TBD

Proposed Delivery

+ IAW1423

A001 - Commercial Asset Visibility AF (CAVAF) Reporting

Item No.

1003AA

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A001 - Commercial Asset Visibility AF (CAVAF) Reporting

DI-MGMT-81838

IAW PWS 4.8

Exhibit: AA

A002 - Safety and Health Plan

Item No.

1003AB

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A002 - Safety and Health Plan

DI-ENVR-81840

IAW PWS 5.6.4.1

Exhibit: AA

A003 - Monthly Status Report

1003AC

A003 - Monthly Status Report

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A003 - Monthly Status Report

DI-MGMT-80368A

IAW PWS 5.12

Exhibit: AA

A004 - Item Unique Identification (IUID) Marking Plan

Item No.

1003AD

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A004 - Item Unique Identification (IUID) Marking Plan

DI-MGMT-81803

IAW PWS 5.13.2

Exhibit: AA

A005 - IUID Marking Activity, Validation & Verification Report

Item No.

1003AE

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A005 - IUID Marking Activity, Validation & Verification Report

DI-MGMT-81804A

IAW PWS 5.13.2

Exhibit: AA

A006 - Quality Assurance Program Plan

Item No.

1003AF

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A006 - Quality Assurance Program Plan

DI-QCIC-81794

IAW PWS 5.10

Exhibit: AA

A007 - GIDEP Alert/Safe-Alert Report

Item No.

1003AG

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A007 - GIDEP Alert/Safe-Alert Report

DI-QCIC-80125B

IAW PWS 5.14.2

Exhibit: AA

A008 - GIDEP Alert Response

Item No.

1003AH

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A008 - GIDEP Alert Response

DI-QCIC-80126B

IAW PWS 5.14.2

Exhibit: AA

A009 - Contract Depot Maintenance (CDM) Production Report

Item No.

1003AJ

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A009 - Contract Depot Maintenance (CDM) Production Report

DI-PSSS- 81995

IAW PWS 4.8

Exhibit: AA

A010 - Government Property Inventory Report

Item No.

1003AK

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A010 - Government Property Inventory Report

DI-MGMT-80441C

IAW PWS 4.8

OPTION II

The prices in Option II shall be applicable for the 12 month period immediately following the expiration date set forth for the Option I contract period.

Option II may be exercised on or before the last day of the Option I contract period. An option is considered to have been exercised at the time the Government provides the contract modification to the Contractor via email.

ENVIRONMENTAL TEST SET

Option Year II

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

2001 NA

J099

ENVIRONMENTAL TEST SET

NSN: 4920-01-139-2801MH P/N: 811-00148

Repair IAW attached PWS Associated Document(s) Line Item(s)

FD20601835091 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Place of Perf Quantity (U/I) To be determined_ Req No / Pri

Required Period of Performance

+ TBD 10 EA TBD

Proposed Period of Performance

+ TBD 10 EA

Firm Fixed Price Estimated Quantity

U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

ENVIRONMENTAL TEST SET- IUID

2002 NA

IUID

Environmental Test Set - IUID IAW PWS paragraph 4.5 Associated Document(s) Line Item(s)

FD20601835091 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Place of Perf Quantity (U/I) To be determined_ Req No / Pri

Required Period of Performance

+ IAW1423 1 LO TBD

Proposed Period of Performance

+ IAW1423 1 LO

DATA

Item No.

DATA

DATA

IAW attached PWS and DD Form 1423's Associated Document(s) Line Item(s)

FD20601835091 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: AA Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

+ IAW1423 TBD

Proposed Delivery

+ IAW1423

A001 - Commercial Asset Visibility AF (CAVAF) Reporting

Item No.

2003AA

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A001 - Commercial Asset Visibility AF (CAVAF) Reporting

DI-MGMT-81838

IAW PWS 4.8

Exhibit: AA

A002 - Safety and Health Plan

Item No.

2003AB

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A002 - Safety and Health Plan

DI-ENVR-81840

IAW PWS 5.6.4.1

Exhibit: AA

A003 - Monthly Status Report

Item No.

2003AC

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A003 - Monthly Status Report

DI-MGMT-80368A

IAW PWS 5.12

Exhibit: AA

A004 - Item Unique Identification (IUID) Marking Plan

Item No.

2003AD

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A004 - Item Unique Identification (IUID) Marking Plan

DI-MGMT-81803

IAW PWS 5.13.2

A005 - IUID Marking Activity, Validation & Verification Report

Item No.

2003AE

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A005 - IUID Marking Activity, Validation & Verification Report

DI-MGMT-81804A

IAW PWS 5.13.2

Exhibit: AA

A006 - Quality Assurance Program Plan

Item No.

2003AF

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A006 - Quality Assurance Program Plan

DI-QCIC-81794

IAW PWS 5.10

Exhibit: AA

A007 - GIDEP Alert/Safe-Alert Report

Item No.

2003AG

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A007 - GIDEP Alert/Safe-Alert Report

DI-QCIC-80125B

IAW PWS 5.14.2

Exhibit: AA

A008 - GIDEP Alert Response

Item No.

2003AH

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A008 - GIDEP Alert Response

DI-QCIC-80126B

IAW PWS 5.14.2

A009 - Contract Depot Maintenance (CDM) Production Report

Item No.

2003AJ

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A009 - Contract Depot Maintenance (CDM) Production Report

DI-PSSS- 81995

IAW PWS 4.8

Exhibit: AA

A010 - Government Property Inventory Report

Item No.

2003AK

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A010 - Government Property Inventory Report

DI-MGMT-80441C

IAW PWS 4.8

Exhibit: AA

OPTION III

The prices in Option III shall be applicable for the 12 month period immediately following the expiration date set forth for the Option II contract period.

Option III may be exercised on or before the last day of the Option II contract period. An option is considered to have been exercised at the time the Government provides the contract modification to the Contractor via email.

ENVIRONMENTAL TEST SET

Option Year III

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

3001 NA

J099

ENVIRONMENTAL TEST SET

NSN: 4920-01-139-2801MH P/N: 811-00148

Repair IAW attached PWS Associated Document(s) Line Item(s)

FD20601835091 0001

Priority: R ROUTINE

ENVIRONMENTAL TEST SET

Option Year III

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Place of Perf Quantity (U/I) To be determined_ Req No / Pri

Required Period of Performance

+ TBD 10 EA TBD

Proposed Period of Performance

+ TBD 10 EA

Firm Fixed Price Estimated Quantity

U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3002 NA

IUID

Environmental Test Set - IUID IAW PWS paragraph 4.5 Associated Document(s) Line Item(s)

FD20601835091 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Place of Perf Quantity (U/I) To be determined_ Req No / Pri

Required Period of Performance

+ IAW1423 1 LO TBD

Proposed Period of Performance

+ IAW1423 1 LO

DATA

Item No.

DATA

DATA

IAW attached PWS and DD Form 1423's Associated Document(s) Line Item(s)

FD20601835091 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: AA Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

+ IAW1423 TBD

Proposed Delivery

+ IAW1423

A001 - Commercial Asset Visibility AF (CAVAF) Reporting

Item No.

3003AA

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A001 - Commercial Asset Visibility AF (CAVAF) Reporting

DI-MGMT-81838

IAW PWS 4.8

Exhibit: AA

A002 - Safety and Health Plan

Item No.

3003AB

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A002 - Safety and Health Plan

DI-ENVR-81840

IAW PWS 5.6.4.1

A003 - Monthly Status Report

Item No.

3003AC

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A003 - Monthly Status Report

DI-MGMT-80368A

IAW PWS 5.12

Exhibit: AA

A004 - Item Unique Identification (IUID) Marking Plan

Item No.

3003AD

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A004 - Item Unique Identification (IUID) Marking Plan

DI-MGMT-81803

IAW PWS 5.13.2

Exhibit: AA

A005 - IUID Marking Activity, Validation & Verification Report

Item No.

3003AE

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A005 - IUID Marking Activity, Validation & Verification Report

DI-MGMT-81804A

IAW PWS 5.13.2

Exhibit: AA

A006 - Quality Assurance Program Plan

Item No.

3003AF

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A006 - Quality Assurance Program Plan

DI-QCIC-81794

IAW PWS 5.10

A007 - GIDEP Alert/Safe-Alert Report

Item No.

3003AG

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A007 - GIDEP Alert/Safe-Alert Report

DI-QCIC-80125B

IAW PWS 5.14.2

Exhibit: AA

A008 - GIDEP Alert Response

Item No.

3003AH

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A008 - GIDEP Alert Response

DI-QCIC-80126B

IAW PWS 5.14.2

Exhibit: AA

A009 - Contract Depot Maintenance (CDM) Production Report

Item No.

3003AJ

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A009 - Contract Depot Maintenance (CDM) Production Report

DI-PSSS- 81995

IAW PWS 4.8

Exhibit: AA

A010 - Government Property Inventory Report

Item No.

3003AK

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A010 - Government Property Inventory Report

DI-MGMT-80441C

IAW PWS 4.8

OPTION IV

The prices in Option IV shall be applicable for the 12 month period immediately following the expiration date set forth for the Option III contract period.

Option IV may be exercised on or before the last day of the Option III contract period. An option is considered to have been exercised at the time the Government provides the contract modification to the Contractor via email.

ENVIRONMENTAL TEST SET

Option Year IV

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

4001 NA

J099

ENVIRONMENTAL TEST SET

NSN: 4920-01-139-2801MH P/N: 811-00148

Repair IAW attached PWS Associated Document(s) Line Item(s)

FD20601835091 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Place of Perf Quantity (U/I) To be determined_ Req No / Pri

Required Period of Performance

+ TBD 10 EA TBD

Proposed Period of Performance

+ TBD 10 EA

Firm Fixed Price Estimated Quantity

U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

ENVIRONMENTAL TEST SET- IUID

4002 NA

IUID

Environmental Test Set - IUID IAW PWS paragraph 4.5 Associated Document(s) Line Item(s)

FD20601835091 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Place of Perf Quantity (U/I) To be determined_ Req No / Pri

Required Period of Performance

+ IAW1423 1 LO TBD

Proposed Period of Performance

+ IAW1423 1 LO

DATA

Item No.

DATA

DATA

IAW attached PWS and DD Form 1423's Associated Document(s) Line Item(s)

FD20601835091 0002

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: AA Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined_ Req No / Pri

Required Delivery

+ IAW1423 TBD

Proposed Delivery

+ IAW1423

A001 - Commercial Asset Visibility AF (CAVAF) Reporting

Item No.

4003AA

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A001 - Commercial Asset Visibility AF (CAVAF) Reporting

DI-MGMT-81838

IAW PWS 4.8

Exhibit: AA

A002 - Safety and Health Plan

Item No.

4003AB

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A002 - Safety and Health Plan

DI-ENVR-81840

IAW PWS 5.6.4.1

Exhibit: AA

A003 - Monthly Status Report

Item No.

4003AC

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A003 - Monthly Status Report

DI-MGMT-80368A

IAW PWS 5.12

Exhibit: AA

A004 - Item Unique Identification (IUID) Marking Plan

Item No.

4003AD

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A004 - Item Unique Identification (IUID) Marking Plan

DI-MGMT-81803

IAW PWS 5.13.2

A005 - IUID Marking Activity, Validation & Verification Report

Item No.

4003AE

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A005 - IUID Marking Activity, Validation & Verification Report

DI-MGMT-81804A

IAW PWS 5.13.2

Exhibit: AA

A006 - Quality Assurance Program Plan

Item No.

4003AF

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A006 - Quality Assurance Program Plan

DI-QCIC-81794

IAW PWS 5.10

Exhibit: AA

A007 - GIDEP Alert/Safe-Alert Report

Item No.

4003AG

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A007 - GIDEP Alert/Safe-Alert Report

DI-QCIC-80125B

IAW PWS 5.14.2

Exhibit: AA

A008 - GIDEP Alert Response

Item No.

4003AH

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A008 - GIDEP Alert Response

DI-QCIC-80126B

IAW PWS 5.14.2

A009 - Contract Depot Maintenance (CDM) Production Report

Item No.

4003AJ

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A009 - Contract Depot Maintenance (CDM) Production Report

DI-PSSS- 81995

IAW PWS 4.8

Exhibit: AA

A010 - Government Property Inventory Report

Item No.

4003AK

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

A010 - Government Property Inventory Report

DI-MGMT-80441C

IAW PWS 4.8

Exhibit: AA

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: + TBD

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

AWARD NUMBER:

Repairable Items Being Returned From a Vendor (MAY 2006) A. When repairable items are returned to the warehouse after being repaired by a vendor it is critical that they be distinguished from new item purchases. Repairables must therefore be identified on the Material Inspection and Receiving Report (MIRR) (DD 250) that accompanies the shipment as follows:

1. For vendors who prepare paper DD 250s as stand alone documents, enter “Serviceable Assets shipped from a Repair Contractor. Input Receipt using Doc ID “D4M” to the Air Force Owner RI” in the body of block 14. Leave the code block blank.

2. For vendors who use Wide Area Work Flow (WAWF) to prepare the DD 250 by printing them out of WAWF a different procedure is needed. In WAWF there is a Mark For field and a Mark For tab.

a. Mark For field: This field is the equivalent of the code field of block 14. Leave the Mark For field blank and proceed to the Mark For tab.

b. Mark For tab: The Mark For tab is located on the top of the WAWF screen along with the Header and Line Item tabs. The Mark For Tab is the equivalent of the body of the paper DD 250 block 14. Under the Mark For tab there is a Mark For Rep and a Mark For Secondary columns. In the Mark For Rep enter “Serviceable Assets shipped from a Repair Contractor. Input Receipt using Doc ID “D4M” to the Air Force Owner RI”.

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

52.246-4 INSPECTION OF SERVICES--FIXED-PRICE (AUG 1996)

(IAW FAR 46.304)

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): 0003, 1003, 2003, 3003, 4003

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

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.

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1))

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

(IAW FAR 47.303-1(c))

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(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.

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

NA TO BE CITED ON EACH INDIVIDUAL ORDER $0.00

ACRN TOTAL $ 0.00

ACTIVITY ADDRESS CODE/ROUTING IDENTIFIER CODE (RIC) (MAR 2010)

(IAW AFI 24-230, DoD 4000.25-6M)

(a) The Contractor shall identify any existing Activity Address Code with the designated activity type (EB, ED, EJ, EP, EY or EZ) code, which applies to Contractor's approved F.O.B point when receiving, taking custody, issuing, or shipping DoD assets.

Include existing Routing Identifier Code (RIC), which may be required for accessing Government Data Systems.

(b) Offeror shall insert the existing Activity Address Code and RIC Code, or identify that the Contracting Officer will need to obtain an Activity Address Code and/or Routing Identifier Code (RIC) on contractor’s behalf.

Existing Activity Address Code __________________

Existing Routing Identifier Code (RIC) ________________

[ ] I currently do not possess an Activity Address Code for the designated activity type. Use the following address to obtain the Activity Address Code:

[ ] I currently do not possess a Routing Identifier Code (RIC) for the designated activity type.

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

252.201-7000 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 1991)

(IAW DFARS 201.602-70)

5352.201-9101 OMBUDSMAN (JUN 2016)

(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.

52.202-1 DEFINITIONS (NOV 2013)

(IAW FAR 2.201)

52.203-3 GRATUITIES (APR 1984)

(IAW FAR 3.202)

52.203-5 COVENANT AGAINST CONTINGENT FEES (MAY 2014)

(IAW FAR 3.404)

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

(IAW FAR 3.503-2)

52.203-7 ANTI-KICKBACK PROCEDURES (MAY 2014)

(IAW FAR 3.502-3)

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

IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(a))

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

(IAW FAR 3.104-9(b))

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(OCT 2010)

(IAW FAR 3.808(b))

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))

252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER

DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)

(IAW DFARS 203.570-3)

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

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

(IAW FAR 4.303)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (OCT 2018)

(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))

252.204-7002 PAYMENT FOR SUBLINE ITEMS NOT SEPARATELY PRICED (DEC 1991)

(IAW DFARS 204.7104-1(b)(3)(iv))

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

(IAW DFARS 204.404-70(b))

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))

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

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(OCT 2015)

(IAW FAR 9.409)

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

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

GOVERNMENT OF A COUNTRY THAT IS A STATE SPONSOR OF TERRORISM

(MAY 2019)

(IAW DFARS 209.409)

252.209-7010 CRITICAL SAFETY ITEMS (AUG 2011)

(IAW DFARS 209.270-5)

(b) Identification of critical safety items. One or more of the items being procured under this contract is an aviation or ship critical safety item. The following items have been designated aviation critical safety items or ship critical safety items by the designated design control activity:

Line Item Description

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

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

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

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

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

(IAW FAR 15.209(b)(1))

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

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

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

(IAW FAR 17.208(f)) The Contracting Officer may exercise the option by written notice to the Contractor within .

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(IAW FAR 17.208(g))

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days ; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 30 days before the contract expires.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 5 years and 6 months .

52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS (OCT 2018)

(IAW FAR 19.708(a))

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (MAR 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.]

52.222-1 NOTICE TO THE GOVERNMENT OF LABOR DISPUTES (FEB 1997)

(IAW FAR 22.103-5(a), AFFARS 5322.101-1)

52.222-3 CONVICT LABOR (JUN 2003)

(IAW FAR 22.202)

52.222-21 PROHIBITION OF SEGREGATED FACILITIES (APR 2015)

(IAW FAR 22.810(a)(1))

52.222-26 EQUAL OPPORTUNITY (SEP 2016)

(IAW FAR 22.810(e))

52.222-35 EQUAL OPPORTUNITY FOR VETERANS (OCT 2015)

(IAW FAR 22.1310(a)(1), DFARS 222.1310(a)(1))

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUL 2014)

(IAW FAR 22.1408(a))

52.222-37 EMPLOYMENT REPORTS ON VETERANS (FEB 2016)

(IAW FAR 22.1310(b))

52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR

RELATIONS ACT (DEC 2010)

(IAW FAR 22.1605)

52.222-41 SERVICE CONTRACT LABOR STANDARDS (AUG 2018)

(IAW FAR 22.1006(a))

52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 2014)

(IAW FAR 22.1006(b)) This Statement is for Information Only:

It is not a Wage Determination

Employee Class Monetary Wage Fringe Benefits

WG-2604-10 26.94 36.25%

52.222-43 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT LABOR

STANDARDS--PRICE ADJUSTMENT (MULTIPLE YEAR AND OPTION CONTRACTS)

(AUG 2018)

(IAW FAR 22.1006(c)(1))

52.222-50 COMBATING TRAFFICKING IN PERSONS (JAN 2019)

(IAW FAR 22.1705(a)(1))

52.222-55 MINIMUM WAGES UNDER EXECUTIVE ORDER 13658 (DEC 2015)

(IAW FAR 22.1906)

52.222-62 PAID SICK LEAVE (EXECUTIVE ORDER 13706) (JAN 2017)

(IAW FAR 22.2110)

52.223-6 DRUG-FREE WORKPLACE (MAY 2001)

(IAW FAR 23.505)

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE

DRIVING (AUG 2011)

(IAW FAR 23.1105)

52.223-20 AEROSOLS (JUN 2016)

(IAW FAR 23.804(a)(3))

52.224-3 PRIVACY TRAINING (JAN 2017)

(IAW FAR 24.302(a))

52.225-13 RESTRICTIONS ON CERTAIN FOREIGN PURCHASES (JUN 2008)

(IAW FAR 25.1103(a))

252.225-7012 PREFERENCE FOR CERTAIN DOMESTIC COMMODITIES (DEC 2017)

(IAW DFARS 225.7002-3(a))

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)

(IAW DFARS 225.7901-4)

252.225-7052 RESTRICTION ON THE ACQUISITION OF CERTAIN MAGNETS, TANTALUM, AND

TUNGSTEN (DEVIATION 2020-O0006) (FEB 2020)

(IAW DEVIATION 2020-O0006)

52.227-1 AUTHORIZATION AND CONSENT (DEC 2007)

(IAW FAR 27.201-2(a)(1))

52.227-2 NOTICE AND ASSISTANCE REGARDING PATENT AND COPYRIGHT

INFRINGEMENT (DEC 2007)

(IAW FAR 27.201-2(b))

52.229-4 FEDERAL, STATE, AND LOCAL TAXES (STATE AND LOCAL ADJUSTMENTS)

(FEB 2013)

(IAW FAR 29.401-3(b))

52.232-1 PAYMENTS (APR 1984)

(IAW FAR 32.111(a)(1))

52.232-8 DISCOUNTS FOR PROMPT PAYMENT (FEB 2002)

(IAW FAR 32.111(b)(1))

52.232-11 EXTRAS (APR 1984)

(IAW FAR 32.111(c)(2))

52.232-17 INTEREST (MAY 2014)

(IAW FAR 32.611(a), FAR 32.611(b))

52.232-23 ASSIGNMENT OF CLAIMS (MAY 2014)

(IAW FAR 32.806(a)(1))

52.232-25 PROMPT PAYMENT (JAN 2017)

(IAW FAR 32.908(c))

(a) Invoice payments—

(5) Computing penalty amount. The Government will compute the interest penalty in accordance with the Office of Management and Budget prompt payment regulations at 5 CFR part 1315.

(i) For the sole purpose of computing an interest penalty that might be due the Contractor, Government acceptance is deemed to occur constructively on the 7th day (unless otherwise specified in this contract) after the Contractor delivers the supplies or performs the services in accordance with the terms and conditions of the contract, unless there is a disagreement over quantity, quality, or Contractor compliance with a contract provision. If actual acceptance occurs within the constructive acceptance period, the Government will base the determination of an interest penalty on the actual date of acceptance. The constructive acceptance requirement does not, however, compel Government officials to accept supplies or services, perform contract administration functions, or make payment prior to fulfilling their responsibilities.

52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER--SYSTEM FOR AWARD

MANAGEMENT (OCT 2018)

(IAW FAR 32.1110(a)(1))

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS (JUN 2013)

(IAW FAR 32.706-3)

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS (DEC 2013)

(IAW FAR 32.009-2)

252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND RECEIVING REPORTS

(DEC 2018)

(IAW DFARS 232.7004(a))

(a) Definitions. As used in this clause—

(1) “Contract financing payment” and “invoice payment” have the meanings given in section 32.001 of the Federal Acquisition Regulation.

(2) “Electronic form” means any automated system that transmits information electronically from the initiating system to all affected systems. Facsimile, e-mail, and scanned documents are not acceptable electronic forms for submission of payment requests. However, scanned documents are acceptable when they are part of a submission of a payment request made using Wide Area WorkFlow (WAWF) or another electronic form authorized by the Contracting Officer.

(3) “Payment request” means any request for contract financing payment or invoice payment submitted by the Contractor under this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests and receiving reports using WAWF, in one of the following electronic formats that WAWF accepts: Electronic Data Interchange, Secure File Transfer Protocol, or World Wide Web input. Information regarding WAWF is available on the Internet at https://wawf.eb.mil/ .

(c) The Contractor may submit a payment request and receiving report using other than WAWF only when—

(1) The Contracting Officer authorizes use of another electronic form. With such an authorization, the Contractor and the Contracting Officer shall agree to a plan, which shall include a timeline, specifying when the Contractor will transfer to WAWF;

(2) DoD is unable to receive a payment request or provide acceptance in electronic form;

(3) The Contracting Officer administering the contract for payment has determined, in writing, that electronic submission would be unduly burdensome to the Contractor. In such cases, the Contractor shall include a copy of the Contracting Officer’s determination with each request for payment; or

(4) DoD makes a payment for commercial transportation services provided under a Government rate tender or a contract for transportation services using a DoD-approved electronic third party payment system or other exempted vendor payment/invoicing system (e.g., PowerTrack, Transportation Financial Management System, and Cargo and Billing System).

(d) The Contractor shall submit any non-electronic payment requests using the method or methods specified in Section G of the contract.

(e) In addition to the requirements of this clause, the Contractor shall meet the requirements of the appropriate payment clauses in this contract when submitting payment requests.

252.232-7010 LEVIES ON CONTRACT PAYMENTS (DEC 2006)

(IAW DFARS 232.7102)

52.233-1 DISPUTES (MAY 2014)

(IAW FAR 33.215)

52.233-3 PROTEST AFTER AWARD (AUG 1996)

(IAW FAR 33.106(b))

52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM (OCT 2004)

(IAW FAR 33.215(b))

252.237-7010 PROHIBITION ON INTERROGATION OF DETAINEES BY CONTRACTOR

PERSONNEL (JUN 2013)

(IAW DFARS 237.173-5)

52.242-13 BANKRUPTCY (JUL 1995)

(IAW FAR 42.903)

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

(IAW FAR 43.205(a)(1))

52.243-1 CHANGES--FIXED-PRICE -- ALTERNATE I (APR 1984)

(IAW FAR 43.205(a)(2))

252.243-7001 PRICING OF CONTRACT MODIFICATIONS (DEC 1991)

(IAW DFARS 243.205-70)

252.243-7002 REQUESTS FOR EQUITABLE ADJUSTMENT (DEC 2012)

(IAW DFARS 243.205-71)

52.244-5 COMPETITION IN SUBCONTRACTING (DEC 1996)

(IAW FAR 44.204(c))

52.244-6 SUBCONTRACTS FOR COMMERCIAL ITEMS (AUG 2019)

(IAW FAR 44.403)

52.245-1 GOVERNMENT PROPERTY (JAN 2017)

(IAW FAR 45.107(a), DFARS 237.7003(c), DFARS 245.107)

52.245-9 USE AND CHARGES (APR 2012)

(IAW FAR 45.107(c))

252.245-7001 TAGGING, LABELING, AND MARKING OF GOVERNMENT-FURNISHED PROPERTY

(APR 2012)

(IAW DFARS 245.107(2))

252.245-7002 REPORTING LOSS OF GOVERNMENT PROPERTY (DEVIATION 2020-O0004)

(FEB 2020)

(IAW Deviation 2020-O0004)

252.245-7003 CONTRACTOR PROPERTY…