FA853815R00011.pdf

STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

FA8538-15-R-00011

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 CODE: 334511

8(A) SIZE STANDARD: 750

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 30 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 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. *30

RATING

DO: A1

3. AWARD/EFFECTIVE DATE

FA8538

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 EFT:T

SCD:C

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 Search, Detection, Navigation, Guidance, Aeronautical, and Nautical System and Instrument 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, 480 RICHARD RAY

BLVD, BLDG 301 EW, ROOM E31, ROBINS AFB GA 31098-1813.

20-MAR-2015 4:00PM

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

X

7. ISSUED BY CODE

F-15, C-130, & SOF-FW, AFSC/PZAAB

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 3980

ROBINS AFB GA 31098-1670

BUYER: Daniel Childs Daniel.Childs@robins.af.mil Phone: (478) 926- 2764 Fax: (478) 926-4741 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

FOLD

SOLICITATION NO. FA853815R00011

DUE: 20 MAR 2015 4:00 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Daniel Childs

F-15, C-130, & SOF-FW, AFSC/PZAAB

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 3980

ROBINS AFB GA 31098-1670

Request for Proposal FA8538-15-R-00011

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR REQUIREMENTS

CONTRACTS (JUL 1999)

In accordance with FAR 16.503(c), this is to advise that failure of the Government to furnish Government property items in the amounts or quantities described in the Schedule as "estimated" of "maximum" will not entitle the contractor to any equitable adjustment in price under the Government Property clause of the contract.

THIS IS A REQUIREMENTS CONTRACT WITH FOUR(4) ORDERING PERIODS.

BEST ESTIMATED QUANTITIES (BEQ): The best estimated quantities (BEQ) represent the best estimated annual quantity for each contract line item but the BEQ is only an estimate.

BASIC CONTRACT PERIOD: Date of Award though 12 months.

TT&E OF SIGNAL DATA CONVERTER

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

109 EA

NSN: 1270-01-550-2010 FX

SIGNAL DATA CONVERTER

Manufacturer Part Number 73030 11241-46 Associated Document(s) Line Item(s)

FD20601500011 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection Applicability: None ;

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAC IAW PWS

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

TT&E OF SIGNAL DATA CONVERTER

A SW3119 109 EA *30 Calendar Days

Proposed Delivery

A SW3119 109 EA

*CONTACT DANIEL KURTZ AT 478-327-8576 OR BENJAMIN BRIDGES AT 478-926-2066 FOR

SHIPPING INSTRUCTIONS PRIOR TO SHIPPING ASSETS.

**TAT FOR A SURGE IS 7 DAYS

***TAT FOR A MICAP IS 10 DAYS

REPAIR OF SIGNAL DATA CONVERTER

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

109 EA

NSN: 1270-01-550-2010 FX

SIGNAL DATA CONVERTER

Manufacturer Part Number 73030 11241-46 Associated Document(s) Line Item(s)

FD20601500011 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection Applicability: None ;

Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAC IAW PWS

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 109 EA *30 Calendar Days

Proposed

A SW3119 109 EA

*CONTACT DANIEL KURTZ AT 478-327-8576 OR BENJAMIN BRIDGES AT 478-926-2066 FOR

SHIPPING INSTRUCTIONS PRIOR TO SHIPPING ASSETS.

**TAT FOR SURGE IS 7 DAYS

***TAT FOR MICAP IS 10 DAYS

DATA IAW DD FORMS 1423

Firm Fixed Price

DATA IAW DD FORMS 1423

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection

DATA: COMMERCIAL ASSET VISIBILITY (CAV AF)

Item No.

0003AA

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

ELIN A001 COMMERCIAL ASSET VISIBILITY (CAV II)

DATA IAW DD FORM 1423 - DI-MGMT-81634B

PWS PARA 4.5

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

Item No.

0003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ELIN A002 IUID Marking Activity and Verification Report

DATA IAW DD FORM 1423 DI-MGMT-81803

PWS PARA 4.10.2

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

DATA: ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

Type / Ship To PACRN Mark For

A SW3119 IAW PWS

Type / Ship To Quantity (U/I) IAW CONTRACT Req No / Pri

Required Delivery

A SW3119 1 LO IAW CONTRACT

Proposed Delivery

A SW3119 1 LO

DATA: TECHNICAL REPORTS

Item No.

0003AC

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

ELIN A003 Technical Reports

DATA IAW DD FORM 1423 DI-MISC-80508B

PWS PARA 4.7

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: STATUS REPORT

Item No.

0003AD

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

ELIN A004 Status Report

DATA IAW DD FORM 1423 DI-MGMT-80368/T

PWS.PARA 4.8

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: PARTS APPROVAL REQUESTS

Item No.

0003AE

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

ELIN A005 Parts Approval Requests

DATA IAW DD FORM 1423 DI-MISC-80071E

PWS PARA 4.6

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: ENGINEERING CHANGE PROPOSALl (ECP)

Item No.

0003AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ELIN A006 Engineering Change Proposal (ECP)

DATA IAW DD FORM 1423 DI-CMAN-80639C

PWS PARA 4.6

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: COUNTERFEIT PREVENTION PLAN

Item No.

0003AG

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

ELIN A007 Counterfeit Prevention Plan

DATA IAW DD FORM 1423 DI-MISC-81832

PWS PARA 4.3

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

OVER AND ABOVE

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO To be Determined To be Determined

OVER AND ABOVE

IAW PWS PARA 4.11.2

Associated Document(s) Line Item(s)

FD20601500011 0004

Priority: R

BEYOND ECONOMICAL REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO To be Determined To be Determined

BEYOND ECONOMICAL REPAIR

IAW PWS PARA 4.11.4

Associated Document(s) Line Item(s)

FD20601500011 0005

CONTRACTOR MANPOWER REPORTING

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CONTRACTOR MANPOWER REPORTING

IAW PWS PARA 5.8

Associated Document(s) Line Item(s)

FD20601500011 0005

FD20601500011 0005AA

Priority: R

ORDERING PERIOD/YEAR1: The 12 month period immediately following the Basic Contract Period.

TT&E OF SIGNAL DATA CONVERTER

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

91 EA

NSN: 1270-01-550-2010 FX

SIGNAL DATA CONVERTER

Manufacturer Part Number 73030 11241-46 Associated Document(s) Line Item(s)

FD20601500011 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection Applicability: None ;

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAC IAW PWS

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required

A SW3119 91 EA *30 Calendar Days

TT&E OF SIGNAL DATA CONVERTER

Proposed Delivery

A SW3119 91 EA

*CONTACT DANIEL KURTZ AT 478-327-8576 OR BENJAMIN BRIDGES AT 478-926-2066 FOR

SHIPPING INSTRUCTIONS PRIOR TO SHIPPING ASSETS.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

109 EA

NSN: 1270-01-550-2010 FX

SIGNAL DATA CONVERTER

Manufacturer Part Number 73030 11241-46 73030 11241-46 Associated Document(s) Line Item(s)

FD20601500011 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection Applicability: None ;

Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAC IAW PWS

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 109 EA *30 Calendar Days

Proposed

A SW3119 109 EA

*CONTACT DANIEL KURTZ AT 478-327-8576 OR BENJAMIN BRIDGES AT 478-926-2066 FOR

SHIPPING INSTRUCTIONS PRIOR TO SHIPPING ASSETS.

Firm Fixed Price

DATA IAW DD FORMS 1423

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection

DATA: COMMERCIAL ASSET VISIBILITY (CAV AF)

Item No.

1003AA

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

ELIN A001 COMMERCIAL ASSET VISIBILITY (CAV II)

DATA IAW DD FORM 1423 - DI-MGMT-81634B

PWS PARA 4.5

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

Item No.

1003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ELIN A002 IUID Marking Activity and Verification Report

DATA IAW DD FORM 1423 DI-MGMT-81803

PWS PARA 4.10.2

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

DATA: ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

Type / Ship To PACRN Mark For

A SW3119 IAW PWS

Type / Ship To Quantity (U/I) IAW CONTRACT Req No / Pri

Required Delivery

A SW3119 1 LO IAW CONTRACT

Proposed Delivery

A SW3119 1 LO

DATA: TECHNICAL REPORTS

Item No.

1003AC

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

ELIN A003 Technical Reports

DATA IAW DD FORM 1423 DI-MISC-80508B

PWS PARA 4.7

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: STATUS REPORT

Item No.

1003AD

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

ELIN A004 Status Report

DATA IAW DD FORM 1423 DI-MGMT-80368/T

PWS.PARA 4.8

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: PARTS APPROVAL REQUESTS

Item No.

1003AE

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

ELIN A005 Parts Approval Requests

DATA IAW DD FORM 1423 DI-MISC-80071E

PWS PARA 4.6

Associated Document(s) Line Item(s)

DATA: ENGINEERING CHANGE PROPOSALl (ECP)

Item No.

1003AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ELIN A006 Engineering Change Proposal (ECP)

DATA IAW DD FORM 1423 DI-CMAN-80639C

PWS PARA 4.6

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: COUNTERFEIT PREVENTION PLAN

Item No.

1003AG

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

ELIN A007 Counterfeit Prevention Plan

DATA IAW DD FORM 1423 DI-MISC-81832

PWS PARA 4.3

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

OVER AND ABOVE

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO To be Determined To be Determined

OVER AND ABOVE

IAW PWS PARA 4.11.2

Associated Document(s) Line Item(s)

FD20601500011 0004

Priority: R

BEYOND ECONOMICAL REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO To be Determined To be Determined

BEYOND ECONOMICAL REPAIR

IAW PWS PARA 4.11.4

Associated Document(s) Line Item(s)

CONTRACTOR MANPOWER REPORTING

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CONTRACTOR MANPOWER REPORTING

IAW PWS PARA 5.8

Associated Document(s) Line Item(s)

FD20601500011 0005

Priority: R

ORDERING PERIOD/YEAR 2: The 12 month period immediately following the ORDERING

PERIOD/YEAR 1.

TT&E OF SIGNAL DATA CONVERTER

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

93 EA

NSN: 1270-01-550-2010 FX

SIGNAL DATA CONVERTER

Manufacturer Part Number 73030 11241-46 Associated Document(s) Line Item(s)

FD20601500011 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection Applicability: None ;

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAC IAW PWS

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 93 EA *30 Calendar Days

Proposed

TT&E OF SIGNAL DATA CONVERTER

A SW3119 93 EA

*CONTACT DANIEL KURTZ AT 478-327-8576 OR BENJAMIN BRIDGES AT 478-926-2066 FOR

SHIPPING INSTRUCTIONS PRIOR TO SHIPPING ASSETS.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

109 EA

NSN: 1270-01-550-2010 FX

SIGNAL DATA CONVERTER

Manufacturer Part Number 73030 11241-46 73030 11241-46 Associated Document(s) Line Item(s)

FD20601500011 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection Applicability: None ;

Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAC IAW PWS

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 109 EA *30 Calendar Days

Proposed Delivery

A SW3119 109 EA

*CONTACT DANIEL KURTZ AT 478-327-8576 OR BENJAMIN BRIDGES AT 478-926-2066 FOR

SHIPPING INSTRUCTIONS PRIOR TO SHIPPING ASSETS.

Firm Fixed Price

DATA IAW DD FORMS 1423

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection

DATA: COMMERCIAL ASSET VISIBILITY (CAV AF)

Item No.

2003AA

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

ELIN A001 COMMERCIAL ASSET VISIBILITY (CAV II)

DATA IAW DD FORM 1423 - DI-MGMT-81634B

PWS PARA 4.5

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

Item No.

2003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ELIN A002 IUID Marking Activity and Verification Report

DATA IAW DD FORM 1423 DI-MGMT-81803

PWS PARA 4.10.2

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 IAW PWS

DATA: ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

Type / Ship To Quantity (U/I) IAW CONTRACT Req No / Pri Required Delivery

A SW3119 1 LO IAW CONTRACT

Proposed Delivery

A SW3119 1 LO

DATA: TECHNICAL REPORTS

Item No.

2003AC

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

ELIN A003 Technical Reports

DATA IAW DD FORM 1423 DI-MISC-80508B

PWS PARA 4.7

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: STATUS REPORT

Item No.

2003AD

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

ELIN A004 Status Report

DATA IAW DD FORM 1423 DI-MGMT-80368/T

PWS.PARA 4.8

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: PARTS APPROVAL REQUESTS

Item No.

2003AE

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

ELIN A005 Parts Approval Requests

DATA IAW DD FORM 1423 DI-MISC-80071E

PWS PARA 4.6

Associated Document(s) Line Item(s)

DATA: ENGINEERING CHANGE PROPOSALl (ECP)

Item No.

2003AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ELIN A006 Engineering Change Proposal (ECP)

DATA IAW DD FORM 1423 DI-CMAN-80639C

PWS PARA 4.6

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: COUNTERFEIT PREVENTION PLAN

Item No.

2003AG

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

ELIN A007 Counterfeit Prevention Plan

DATA IAW DD FORM 1423 DI-MISC-81832

PWS PARA 4.3

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

OVER AND ABOVE

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO To be Determined To be Determined

OVER AND ABOVE

IAW PWS PARA 4.11.2

Associated Document(s) Line Item(s)

FD20601500011 0004

Priority: R

BEYOND ECONOMICAL REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO To be Determined To be Determined

BEYOND ECONOMICAL REPAIR

IAW PWS PARA 4.11.4

Associated Document(s) Line Item(s)

CONTRACTOR MANPOWER REPORTING

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CONTRACTOR MANPOWER REPORTING

IAW PWS PARA 5.8

Associated Document(s) Line Item(s)

FD20601500011 0005

Priority: R

ORDERING PERIOD/YEAR 3: The 12 month period immediately following the ORDERING

PERIOD/YEAR 2.

TT&E OF SIGNAL DATA CONVERTER

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

98 EA

NSN: 1270-01-550-2010 FX

SIGNAL DATA CONVERTER

Manufacturer Part Number 73030 11241-46 Associated Document(s) Line Item(s)

FD20601500011 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection Applicability: None ;

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAC IAW PWS

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 98 EA *30 Calendar Days

TT&E OF SIGNAL DATA CONVERTER

A SW3119 98 EA

*CONTACT DANIEL KURTZ AT 478-327-8576 OR BENJAMIN BRIDGES AT 478-926-2066 FOR

SHIPPING INSTRUCTIONS PRIOR TO SHIPPING ASSETS.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

109 EA

NSN: 1270-01-550-2010 FX

SIGNAL DATA CONVERTER

Manufacturer Part Number 73030 11241-46 73030 11241-46 Associated Document(s) Line Item(s)

FD20601500011 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection Applicability: None ;

Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAC IAW PWS

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 109 EA *30 Calendar Days

Proposed Delivery

A SW3119 109 EA

*CONTACT DANIEL KURTZ AT 478-327-8576 OR BENJAMIN BRIDGES AT 478-926-2066 FOR

Firm Fixed Price

DATA IAW DD FORMS 1423

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection

DATA: COMMERCIAL ASSET VISIBILITY (CAV AF)

Item No.

3003AA

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

ELIN A001 COMMERCIAL ASSET VISIBILITY (CAV II)

DATA IAW DD FORM 1423 - DI-MGMT-81634B

PWS PARA 4.5

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

Item No.

3003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ELIN A002 IUID Marking Activity and Verification Report

DATA IAW DD FORM 1423 DI-MGMT-81803

PWS PARA 4.10.2

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

DATA: ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

Type / Ship To Quantity (U/I) IAW CONTRACT Req No / Pri Required Delivery

A SW3119 1 LO IAW CONTRACT

Proposed Delivery

A SW3119 1 LO

DATA: TECHNICAL REPORTS

Item No.

3003AC

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

ELIN A003 Technical Reports

DATA IAW DD FORM 1423 DI-MISC-80508B

PWS PARA 4.7

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: STATUS REPORT

Item No.

3003AD

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

ELIN A004 Status Report

DATA IAW DD FORM 1423 DI-MGMT-80368/T

PWS.PARA 4.8

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: PARTS APPROVAL REQUESTS

Item No.

3003AE

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

ELIN A005 Parts Approval Requests

DATA IAW DD FORM 1423 DI-MISC-80071E

PWS PARA 4.6

Associated Document(s) Line Item(s)

DATA: ENGINEERING CHANGE PROPOSALl (ECP)

Item No.

3003AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ELIN A006 Engineering Change Proposal (ECP)

DATA IAW DD FORM 1423 DI-CMAN-80639C

PWS PARA 4.6

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: COUNTERFEIT PREVENTION PLAN

Item No.

3003AG

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

ELIN A007 Counterfeit Prevention Plan

DATA IAW DD FORM 1423 DI-MISC-81832

PWS PARA 4.3

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

OVER AND ABOVE

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO To be Determined To be Determined

OVER AND ABOVE

IAW PWS PARA 4.11.2

Associated Document(s) Line Item(s)

FD20601500011 0004

Priority: R

BEYOND ECONOMICAL REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO To be Determined To be Determined

BEYOND ECONOMICAL REPAIR

IAW PWS PARA 4.11.4

Associated Document(s) Line Item(s)

CONTRACTOR MANPOWER REPORTING

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CONTRACTOR MANPOWER REPORTING

IAW PWS PARA 5.8

Associated Document(s) Line Item(s)

FD20601500011 0005

Priority: R

ORDERING PERIOD/YEAR 4: The 12 month period immediately following the ORDERING

PERIOD/YEAR 3.

TT&E OF SIGNAL DATA CONVERTER

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

100 EA

NSN: 1270-01-550-2010 FX

SIGNAL DATA CONVERTER

Manufacturer Part Number 73030 11241-46 Associated Document(s) Line Item(s)

FD20601500011 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection Applicability: None ;

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAC IAW PWS

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 100 EA *30 Calendar Days

TT&E OF SIGNAL DATA CONVERTER

A SW3119 100 EA

*CONTACT DANIEL KURTZ AT 478-327-8576 OR BENJAMIN BRIDGES AT 478-926-2066 FOR

SHIPPING INSTRUCTIONS PRIOR TO SHIPPING ASSETS.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

109 EA

NSN: 1270-01-550-2010 FX

SIGNAL DATA CONVERTER

Manufacturer Part Number 73030 11241-46 Associated Document(s) Line Item(s)

FD20601500011 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection Applicability: None ;

Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAC IAW PWS

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 109 EA *30 Calendar Days

Proposed Delivery

A SW3119 109 EA

*CONTACT DANIEL KURTZ AT 478-327-8576 OR BENJAMIN BRIDGES AT 478-926-2066 FOR

Firm Fixed Price

DATA IAW DD FORMS 1423

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WAWF APPLIES Quality Assurance: Standard Inspection

DATA: COMMERCIAL ASSET VISIBILITY (CAV AF)

Item No.

4003AA

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

ELIN A001 COMMERCIAL ASSET VISIBILITY (CAV II)

DATA IAW DD FORM 1423 - DI-MGMT-81634B

PWS PARA 4.5

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

Item No.

4003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ELIN A002 IUID Marking Activity and Verification Report

DATA IAW DD FORM 1423 DI-MGMT-81803

PWS PARA 4.10.2

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

Type / Ship To Quantity (U/I) IAW CONTRACT Req No / Pri

DATA: ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

Required Delivery

A SW3119 1 LO IAW CONTRACT

Proposed Delivery

A SW3119 1 LO

DATA: TECHNICAL REPORTS

Item No.

4003AC

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

ELIN A003 Technical Reports

DATA IAW DD FORM 1423 DI-MISC-80508B

PWS PARA 4.7

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: STATUS REPORT

Item No.

4003AD

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

ELIN A004 Status Report

DATA IAW DD FORM 1423 DI-MGMT-80368/T

PWS.PARA 4.8

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: PARTS APPROVAL REQUESTS

Item No.

4003AE

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

ELIN A005 Parts Approval Requests

DATA IAW DD FORM 1423 DI-MISC-80071E

PWS PARA 4.6

Associated Document(s) Line Item(s)

DATA: ENGINEERING CHANGE PROPOSALl (ECP)

Item No.

4003AF

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

ELIN A006 Engineering Change Proposal (ECP)

DATA IAW DD FORM 1423 DI-CMAN-80639C

PWS PARA 4.6

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

DATA: COUNTERFEIT PREVENTION PLAN

Item No.

4003AG

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

ELIN A007 Counterfeit Prevention Plan

DATA IAW DD FORM 1423 DI-MISC-81832

PWS PARA 4.3

Associated Document(s) Line Item(s)

FD20601500011 0003

Priority: R

OVER AND ABOVE

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO To be Determined To be Determined

OVER AND ABOVE

IAW PWS PARA 4.11.2

Associated Document(s) Line Item(s)

FD20601500011 0004

Priority: R

BEYOND ECONOMICAL REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO To be Determined To be Determined

BEYOND ECONOMICAL REPAIR

IAW PWS PARA 4.11.4

Associated Document(s) Line Item(s)

CONTRACTOR MANPOWER REPORTING

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CONTRACTOR MANPOWER REPORTING

IAW PWS PARA 5.8

Associated Document(s) Line Item(s)

FD20601500011 0005

Priority: R

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

455 BYRON STREET BLDG 376

ROBINS A F B GA 31098-1887

ROBINS A F B GA 31098-1887

USA

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

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION D

PACKAGING AND MARKING

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

E-5

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

(IAW FAR 46.304)

(Applicable for fixed-price services, or supplies furnishing services over the simplified acquisition threshold)

E-42

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) (Applicable to all orders issued hereunder)

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

F-26

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1)) (Applicable for supplies, services, or research and development)

F-30

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

(IAW FAR 47.303-1(c)) (Applicable when specifying f.o.b. origin)

F-31

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

(IAW FAR 47.303-2(c)) (Applicable to f.o.b. origin at contractor's facility)

F-78

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

(IAW FAR 47.303-17(f)) (Applicable when specifying f.o.b. origin)

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]

(Applicable when delivery term is f.o.b. origin)

PART I - THE SCHEDULE

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.

(Applicable when 252.232-7003 is used and neither 232.7003(b) nor (c) apply)

G-300D

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 [EZ, EY, EJ, EB, ED or EP) code, which applies to Contractor's approved F.O.B point when receiving, taking custody, issuing, or shipping DoD assets, and which matches the address identified in AFMCFARS 5352.247-9017 “F.o.b. Point for Delivery of Government-Furnished Property.” 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 as listed in DoD Directory, DoD 4000.25-6M, 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 address I have designated on AFMCFARS 5352.247-9017 “F.o.b. Point for Delivery of Government-Furnished Property” herein 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

IA-10

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

(IAW DFARS 201.602-70)

(Applicable to all orders issued hereunder)

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 -1855 , email Kim.McDonald@robins.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.

(Applicable to all solicitations and contracts)

I-11

52.202-1 DEFINITIONS (NOV 2013)

(IAW FAR 2.201)

(Applicable when the simplified acquisition threshold is exceeded)

I-19

52.203-3 GRATUITIES (APR 1984)

(IAW FAR 3.202)

(Applicable when simplified acquisition threshold is exceeded, except for personal services and those between military departments or defense agencies and foreign governments that do not obligate any funds appropriated to the Department of Defense)

I-20

52.203-5 COVENANT AGAINST CONTINGENT FEES (MAY 2014)

(IAW FAR 3.404)

(Applicable when simplified acquisition threshold is exceeded other than those for commercial items (see Parts 2 and 12))

I-21

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

(IAW FAR 3.503-2)

(Applicable when the simplified acquisition threshold is exceeded)

I-22

52.203-7 ANTI-KICKBACK PROCEDURES (MAY 2014)

(IAW FAR 3.502-3)

(Applicable when the simplified acquisition threshold is exceeded)

I-23

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

IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(a))

(Applicable when noncommercial and the simplified acquisition threshold is exceeded)

I-25

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

(IAW FAR 3.104-9(b)) (Applicable when the simplified acquisition threshold is exceeded)

I-25C

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(OCT 2010)

(IAW FAR 3.808(b))

(Applicable over $150,000)

I-25E

52.203-13 CONTRACTOR CODE OF BUSINESS ETHICS AND CONDUCT (APR 2010)

(IAW FAR 3.1004(a)) (Applicable to solicitations and contracts exceeding $5,000,000 and the period of performance is greater than 120 days, unless for the acquisition of a commercial item under Part 12 or performed entirely outside the U.S.)

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))

(Applicable to all solicitations and contracts)

IA-22

252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER

DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)

(IAW DFARS 203.570-3)

(Applicable when exceeding the simplified acquisition threshold (except for commercial items))

IA-24D

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

(Applicable to all solicitations and contracts)

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).

(1) The Contractor shall display prominently in common work areas within business segments performing work in the United States under Department of Defense (DoD) contracts DoD hotline posters prepared by the DoD Office of the Inspector General. DoD fraud hotline posters may be obtained via the internet at http://www.dodig.mil/HOTLINE/hotline_posters.htm .

(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:

http://www.dhs.gov/xoig/assets/DHS_OIG_Hotline-optimized.jpg

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

(Applicable to acquisitions over $5 million, except for commercial items or when the contract will be performed entirely outside the U.S.)

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-27

52.204-2 SECURITY REQUIREMENTS (AUG 1996)

(IAW FAR 4.404(a)) (Applicable when access to classified information may be required)

I-39

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

(IAW FAR 4.303)

(Applicable when the simplified acquisition threshold is exceeded)

I-48E

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

(IAW FAR 4.1804(c), FAR 12.301(d)) (Applicable when there is a requirement to be registered in SAM or to have a DUNS Number)

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)) (Applicable to all orders issued hereunder)

IA-35C

252.204-7005 ORAL ATTESTATION OF SECURITY RESPONSIBILITIES (NOV 2001)

(IAW DFARS 204.404-70(c)) (Applicable when clause FAR 52.204-2, Security Requirements, is included)

IA-39

252.204-7012 SAFEGUARDING OF UNCLASSIFIED CONTROLLED TECHNICAL INFORMATION

(NOV 2013)

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

(Applicable to all solicitations and contracts)

IA-39H

252.204-7015 DISCLOSURE OF INFORMATION TO LITIGATION SUPPORT CONTRACTORS

(FEB 2014)

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

(Applicable to solicitations and contracts that involve litigation support services when 252.204-7014 is not included)

IA-40

252.205-7000 PROVISION OF INFORMATION TO COOPERATIVE AGREEMENT HOLDERS

(DEC 1991)

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

(Applicable over $1,000,000)

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)

(Applicable when exceeding $30,000)

I-80

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING

RESPONSIBILITY MATTERS (JUL 2013)

(IAW FAR 9.104-7(c))

(Applicable to solicitations and contracts over $500,000 and contracts where the offeror has checked “has” in paragraph (b) clause 52.209-7)

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)

(Applicable to solicitations and contracts with a value of $150,000 or more)

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).

(Applicable to all rated orders)

IA-118K

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

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

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

(IAW FAR 15.209(b)(1)) (Applicable if negotiated and above the simplified acquisition threshold, except commercial items and utility services at public prices plus reasonable connection charge)

I-129G

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

(IAW FAR 15.209(h), AFFARS 53.15.209(h)) (Applicable when using uniform contract format that is not commercial or for construction)

I-147Q

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

(IAW FAR 15.408(n)(2)) (Applicable to orders issued hereunder)

I-171

52.216-19 ORDER LIMITATIONS (OCT 1995)

(IAW FAR 16.506(b))

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than the minimum quantity identified in Section B for any individual line item, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor--

(1) Any order for a single item in excess of the maximum quantity identified in Section B for any particular CLIN for any particular ordering period;

(2) Any order for a combination of items in excess of the aggregate of all maximum quantities identified in Section B for all CLINs in any particular oredering period; or

(3) A series of orders from the same ordering office within 30 days that together call for quantities exceeding the limitation in subparagraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 10 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(Applicable to all orders issued hereunder)

I-173

52.216-21 REQUIREMENTS (OCT 1995)

(IAW FAR 16.506(d)(1))

(f) the Contractor shall not be required to make any deliveries under this contract after completion of the period of performance for all orders

(Applicable to all orders issued hereunder)

IA-169

252.216-7006 ORDERING (MAY 2011)

(IAW DFARS 216.506(a))

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the contract schedule. Such orders may be issued from date of award through the last date for placing orders as identified in Seciton B..

(Applicable to solicitations and contracts when a definite-quantity contract, a requirements contract, or an indefinite-quantity contract is contemplated)

I-195

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 12 MONTHS ;

provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 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 (60 MONTHS) .

(Applicable when the Government gives the contractor a preliminary written notice of its intent to extend the contract, or an extension of the contract includes an extension of the option, or a there is a specified limitation on the total duration of the contract)

I-214

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

(IAW FAR 19.708(a)) (Applicable when exceeding the simplified acquisition threshold, except for personal service contracts or when performance is entirely outside of the United States and its outlying areas)

I-215

52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN (OCT 2014)

(IAW FAR 19.708(b)) (Applicable over $650,000)

I-216C

52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN -- ALTERNATE II (OCT 2001)

(IAW FAR 19.708(b)(1)) (Applicable over $650,000 when contracting by negotiation and subcontracting plans are required)

I-216D

52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN - ALTERNATE III (OCT 2014)

(IAW FAR 19.708(b)(1)) (Applicable over $650,000 and when the contracting action will not be reported in the Federal Procurement Data System)

(Does not apply to performance outside the United States)

I-215

52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN (DEVIATION 2013-O0014)

(AUG 2013)

(IAW DARS Tracking # 2013-O0014)

(2) SSR.

(i) Reports submitted under individual contract plans—

[DFARS Deviation language:]

(C) If a prime Contractor and/or subcontractor is performing work for more than one executive agency, a separate report shall be submitted to each executive agency covering only that agency’s contracts, provided at least one of that agency’s contracts is over $650,000 (over $1.5 million for construction of a public facility) and contains a subcontracting plan. For DoD, a consolidated report shall be submitted for all contracts awarded by military departments/agencies and/or subcontracts awarded by DoD prime Contractors.

(D) The consolidated SSR shall be submitted annually for the twelve month period ending September 30. The report is due 30 days after the close of the reporting period.

(Applicable over $650,000)

I-22…