FA853816R0019.pdf

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Repair of Auto Servo Motors
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FA8538-16-R-0019
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STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

FA8538-16-R-0019

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: 811219

8(A) SIZE STANDARD: $20.5

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 Other Electronic and Precision Equipment Repair and Maintenance

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: AFSC/PZAAB, ATTN: Buyer named above, 480 RICHARD RAY

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

29-JUL-2016 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: Shiela L. Hodges/AFSC/PZAAB shiela.hodges@us.af.mil Phone: (478) 222- 3457 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.

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

FOLD

FOLD

SOLICITATION NO. FA853816R0019

DUE: 29 JUL 2016 4:00 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Shiela L Hodges/AFSC/PZAAB

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 FA8538-16-R-0019

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Basic Contract Period: The prices in the Basic Contract Period shall be in effect from the date of the award of the contract for a period of 12 months.

REPAIR OF AUTOTHROTTLE SERVO MOTOR (ATS)

Item No.

Firm Fixed Price Amount

NSN: 6110‐01‐492‐5228 UC

MOTOR‐TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0001

IUID Required: Yes Physical Item Markings:

REPAIR NO FAULT FOUND

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AA AA

NSN: 6110‐01‐492‐5228 UC

MOTOR‐TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

REPAIR NO FAULT FOUND

A SW3119 PAC D4M REPAIR, RIC FLB

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

MAJOR REPAIR

Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

0001AB AA

NSN: 6110‐01‐492‐5228 UC

MOTOR‐TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0004

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 D4M REPAIR, RIC FLB

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 10 EA *30 Calendar Days

Proposed Delivery

A SW3119 10 EA

MINOR REPAIR

Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AC AA

NSN: 6110‐01‐492‐5228 UC

MOTOR‐TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0005

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 D4M REPAIR, RIC FLB

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

REPAIR OF AUTOPILOT SERVO MOTOR (APS)

Item No.

Firm Fixed Price

NSN: 6615‐01‐493‐4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0002

IUID Required: Yes

REPAIR OF AUTOPILOT SERVO MOTOR (APS)

Physical Item Markings:

REPAIR NO FAULT FOUND

Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0002AA AA

NSN: 6615‐01‐493‐4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0002

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 PAA D4M REPAIR, RIC FLB

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

MAJOR REPAIR

Item No.

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

MAJOR REPAIR

0002AB AA

NSN: 6615‐01‐493‐4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0006

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 PAA D4M REPAIR, RIC FLB

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

MINOR REPAIR

Item No.

0002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0002AC AA

NSN: 6615‐01‐493‐4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0007

Limitations of Liability: Other Than High Value Item

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

MINOR REPAIR

IUID Required: Yes Physical Item Markings:

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 PAA D4M REPAIR, RIC FLB

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DATA

Item No.

Firm Fixed Price

DATA

DATA

Associated Document(s) Line Item(s)

FD20601500052 0003

Exhibit: A

GIDEP ALERT/SAFE ALERT REPORT

Item No.

0003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0003AA AA

DATA

A001‐GIDEP ALERT/SAFE ALERT REPORT

DI‐QCIC‐80125B

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

GIDEP ALERT/SAFE ALERT REPORT

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

GIDEP Response to an Alert/Safe Alert

Item No.

0003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0003AB AA

DATA

A002‐GIDEP Response to an Alert/Safe Alert

DI‐QCIC‐80126B

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

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

Commerical Asset Visibility Air Force (CAVAF)

Item No.

0003AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0003AC AA

DATA

A003‐Commerical Asset Visibility Air Force (CAVAF)

DI‐MGMT‐81634B

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

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

Commerical Asset Visibility Air Force (CAVAF)

Quality Assurance: Standard Inspection

Option 1: Option 1 may be exercised at any time within 365 days of basic award. The Option is considered exercised upon electronic distribution of the modification.

REPAIR OF AUTOTHROTTLE SERVO MOTOR (ATS)

Item No.

Firm Fixed Price Amount

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0001

IUID Required: Yes Physical Item Markings:

REPAIR NO FAULT FOUND

Item No.

1001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1001AA AA

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

REPAIR NO FAULT FOUND

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

MAJOR REPAIR

Item No.

1001AB

Firm Fixed Price Quantity U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

1001AB AA

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0004

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 10 EA *30 Calendar Days

Proposed Delivery

A SW3119 10 EA

MINOR REPAIR

Item No.

1001AC

Firm Fixed Price

MINOR REPAIR

Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1001AC AA

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0005

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

REPAIR OF AUTOPILOT SERVO MOTOR (APS)

Item No.

Firm Fixed Price

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0002

IUID Required: Yes Physical Item Markings:

REPAIR NO FAULT FOUND

Item No.

1002AA

REPAIR NO FAULT FOUND

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1002AA AA

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0002

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 PAA D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

MAJOR REPAIR

Item No.

1002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1002AB AA

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0006

MAJOR REPAIR

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 PAA D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

MINOR REPAIR

Item No.

1002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1002AC AA

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0007

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

A SW3119 PAA D4M REPAIR, RIC FLB

MINOR REPAIR

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DATA

Item No.

Firm Fixed Price

DATA

DATA

Associated Document(s) Line Item(s)

FD20601500052 0003

Exhibit: A

GIDEP ALERT/SAFE ALERT REPORT

Item No.

1003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1003AA AA

DATA

A001-GIDEP ALERT/SAFE ALERT REPORT

DI-QCIC-80125B

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

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

GIDEP Response to an Alert/Safe Alert

Item No.

1003AB

GIDEP Response to an Alert/Safe Alert

Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1003AB AA

DATA

A002-GIDEP Response to an Alert/Safe Alert

DI-QCIC-80126B

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

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

Commerical Asset Visibility Air Force (CAVAF)

Item No.

1003AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1003AC AA

DATA

A003-Commerical Asset Visibility Air Force (CAVAF)

DI-MGMT-81634B

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

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

Option 2: Option 2 may be exercised at any time within 730 days of basic award. The Option is considered exercised upon electronic distribution of the modification.

REPAIR OF AUTOTHROTTLE SERVO MOTOR (ATS)

Item No.

Firm Fixed Price Amount

NSN: 6110-01-492-5228 UC

REPAIR OF AUTOTHROTTLE SERVO MOTOR (ATS)

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0001

IUID Required: Yes Physical Item Markings:

REPAIR NO FAULT FOUND

Item No.

2001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2001AA AA

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

MAJOR REPAIR

Item No.

2001AB

Firm Fixed Price Quantity U/I Unit Price Amount

10 EA

MAJOR REPAIR

CLIN ACRN ACRN Total

2001AB AA

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0004

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 10 EA *30 Calendar Days

Proposed Delivery

A SW3119 10 EA

MINOR REPAIR

Item No.

2001AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2001AC AA

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0005

Limitations of Liability: Other Than High Value Item

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

Physical Item Markings:

MINOR REPAIR

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 D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

REPAIR OF AUTOPILOT SERVO MOTOR (APS)

Item No.

Firm Fixed Price

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0002

IUID Required: Yes Physical Item Markings:

REPAIR NO FAULT FOUND

Item No.

2002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2002AA AA

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0002

Limitations of Liability: Other Than High Value Item

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

REPAIR NO FAULT FOUND

Physical Item Markings:

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 PAA D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

MAJOR REPAIR

Item No.

2002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2002AB AA

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0006

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 PAA D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required

MAJOR REPAIR

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

MINOR REPAIR

Item No.

2002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2002AC AA

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0007

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 PAA D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DATA

Item No.

DATA

DATA

DATA

Associated Document(s) Line Item(s)

FD20601500052 0003

Exhibit: A

GIDEP ALERT/SAFE ALERT REPORT

Item No.

2003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2003AA AA

DATA

A001-GIDEP ALERT/SAFE ALERT REPORT

DI-QCIC-80125B

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

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

GIDEP Response to an Alert/Safe Alert

Item No.

2003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2003AB AA

DATA

A002-GIDEP Response to an Alert/Safe Alert

DI-QCIC-80126B

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

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

Commerical Asset Visibility Air Force (CAVAF)

Item No.

2003AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2003AC AA

DATA

A003-Commerical Asset Visibility Air Force (CAVAF)

DI-MGMT-81634B

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

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

Option 3: Option 3 may be exercised at any time within 1095 days of basic award. The Option is considered exercised upon electronic distribution of the modification.

REPAIR OF AUTOTHROTTLE SERVO MOTOR (ATS)

Item No.

Firm Fixed Price Amount

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0001

IUID Required: Yes Physical Item Markings:

REPAIR NO FAULT FOUND

Item No.

3001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3001AA AA

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0001

REPAIR NO FAULT FOUND

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

MAJOR REPAIR

Item No.

3001AB

Firm Fixed Price Quantity U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

3001AB AA

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0004

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

MAJOR REPAIR

A SW3119 PAC D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 10 EA *30 Calendar Days

Proposed Delivery

A SW3119 10 EA

MINOR REPAIR

Item No.

3001AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3001AC AA

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0005

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed

A SW3119 1 EA

REPAIR OF AUTOPILOT SERVO MOTOR (APS)

Item No.

Firm Fixed Price

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0002

IUID Required: Yes Physical Item Markings:

REPAIR NO FAULT FOUND

Item No.

3002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3002AA AA

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0002

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 PAA D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed

A SW3119 1 EA

MAJOR REPAIR

Item No.

3002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3002AB AA

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0006

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 PAA D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

MINOR REPAIR

Item No.

3002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3002AC AA

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0007

MINOR REPAIR

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 PAA D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DATA

Item No.

Firm Fixed Price

DATA

DATA

Associated Document(s) Line Item(s)

FD20601500052 0003

Exhibit: A

GIDEP ALERT/SAFE ALERT REPORT

Item No.

3003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3003AA AA

DATA

A001-GIDEP ALERT/SAFE ALERT REPORT

DI-QCIC-80125B

Associated Document(s) Line Item(s)

FD20601500052 0003

GIDEP ALERT/SAFE ALERT REPORT

Limitations of Liability: Other Than High Value Item

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

GIDEP Response to an Alert/Safe Alert

Item No.

3003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3003AB AA

DATA

A002-GIDEP Response to an Alert/Safe Alert

DI-QCIC-80126B

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

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

Commerical Asset Visibility Air Force (CAVAF)

Item No.

3003AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3003AC AA

DATA

A003-Commerical Asset Visibility Air Force (CAVAF)

DI-MGMT-81634B

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

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

Option 4: Option 4 may be exercised at any time within 1460 days of basic award. The Option is considered exercised upon electronic distribution of the modification.

REPAIR OF AUTOTHROTTLE SERVO MOTOR (ATS)

Item No.

Firm Fixed Price Amount

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0001

IUID Required: Yes Physical Item Markings:

REPAIR NO FAULT FOUND

Item No.

4001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

4001AA AA

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required

A SW3119 1 EA *30 Calendar Days

REPAIR NO FAULT FOUND

Proposed Delivery

A SW3119 1 EA

MAJOR REPAIR

Item No.

4001AB

Firm Fixed Price Quantity U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

4001AB AA

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0004

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 10 EA *30 Calendar Days

Proposed Delivery

A SW3119 10 EA

MINOR REPAIR

Item No.

4001AC

Firm Fixed Price Quantity U/I Unit Price Amount

CLIN ACRN ACRN Total

MINOR REPAIR

4001AC AA

NSN: 6110-01-492-5228 UC

MOTOR-TRANSMISSION

Associated Document(s) Line Item(s)

FD20601500052 0005

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

REPAIR OF AUTOPILOT SERVO MOTOR (APS)

Item No.

Firm Fixed Price

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0002

IUID Required: Yes Physical Item Markings:

REPAIR NO FAULT FOUND

Item No.

4002AA

Firm Fixed Price Quantity U/I Unit Price Amount

REPAIR NO FAULT FOUND

CLIN ACRN ACRN Total

4002AA AA

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0002

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 PAA D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

MAJOR REPAIR

Item No.

4002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

4002AB AA

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0006

Limitations of Liability: Other Than High Value Item

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

Physical Item Markings:

MAJOR REPAIR

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 PAA D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days

Proposed Delivery

A SW3119 1 EA

MINOR REPAIR

Item No.

4002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

4002AC AA

NSN: 6615-01-493-4075 UC

SERVOMOTOR, AUTOMATIC

Associated Document(s) Line Item(s)

FD20601500052 0007

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

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 PAA D4M REPAIR, RIC FLB

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

Order or Reparable Assets, Whichever is Later

_ Req No / Pri

Required

A SW3119 1 EA *30 Calendar Days

MINOR REPAIR

Proposed Delivery

A SW3119 1 EA

DATA

Item No.

Firm Fixed Price

DATA

DATA

Associated Document(s) Line Item(s)

FD20601500052 0003

Exhibit: A

GIDEP ALERT/SAFE ALERT REPORT

Item No.

4003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4003AA AA

DATA

A001-GIDEP ALERT/SAFE ALERT REPORT

DI-QCIC-80125B

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

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

GIDEP Response to an Alert/Safe Alert

Item No.

4003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4003AB AA

DATA

A002-GIDEP Response to an Alert/Safe Alert

DI-QCIC-80126B

GIDEP Response to an Alert/Safe Alert

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

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

Commerical Asset Visibility Air Force (CAVAF)

Item No.

4003AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4003AC AA

DATA

A003-Commerical Asset Visibility Air Force (CAVAF)

DI-MGMT-81634B

Associated Document(s) Line Item(s)

FD20601500052 0003

Limitations of Liability: Other Than High Value Item

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

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 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 E

INSPECTION AND ACCEPTANCE

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)

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:

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.

(Applicable when the Government desires delivery by a certain time but requires delivery by a specified later time, and the delivery schedule is to be based on the date of the contract)

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1))

(Applicable for supplies, services, or research and development)

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)

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.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

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)

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA TO BE CITED ON EACH ORDER $0.00

ACRN TOTAL $ 0.00

TRANSPORTATION APPROPRIATION CHARGEABLE

The Transportation Allotment Identification (TAI) relates directly to the above ACRN(s). For example the TAI "TAA" is for the same line item(s) as ACRN "AA".

FMS TRANSPORTATION ALLOTMENT SHALL BE USED ONLY WHEN SHIPMENT ON GOVERNMENT

BILL OF LADING IS AUTHORIZED

Insert 3 if movement via surface mode or 2 if movement via airlift in place of any "#" shown.

Insert last digit of current fiscal year in place of any asterisk "*" shown when material is shipped.

TAI ATAC FMS ALLOTMENT/ NOTE

TAA F6RS

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

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

(IAW DFARS 201.602-70)

(Applicable to all orders issued hereunder)

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, Kim McDonald at 478 222 -1088 , FAX 478 222 -1121 , email kimberly.mcdonald@us.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU/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)

52.202-1 DEFINITIONS (NOV 2013)

(IAW FAR 2.201)

(Applicable when the simplified acquisition threshold is exceeded)

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)

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))

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))

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

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))

(Applicable over $150,000)

52.203-13 CONTRACTOR CODE OF BUSINESS ETHICS AND CONDUCT (OCT 2015)

(IAW FAR 3.1004(a)) (Applicable to solicitations and contracts exceeding $5.5 million 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.)

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)

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

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

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

(IAW DFARS 203.1004(a), DFARS 212.301(f)(iii)) (Applicable to solicitations and contracts when FAR 52.203-13 is included)

252.203-7004 DISPLAY OF HOTLINE POSTERS (OCT 2015)

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

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

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

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

(Applicable to acquisitions over $5.5 million, except for commercial items)

252.203-7997 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN

INTERNAL CONFIDENTIALITY AGREEMENTS (DEVIATION 2016-O0003)

(OCT 2015)

(IAW DARS Tracking # 2016-O0003)

(a) The Contractor shall not require employees or subcontractors seeking to report fraud, waste, or abuse to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or contactors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information.

(b) The Contractor shall notify employees that the prohibitions and restrictions of any internal confidentiality agreements covered by this clause are no longer in effect.

(c) The prohibition in paragraph (a) of this clause does not contravene requirements applicable to Standard Form 312, Form 4414, or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(d) (1) Use of funds appropriated (or otherwise made available) by the Continuing Appropriations Act, 2016 (Pub. L.

114-53) or any other FY 2016 appropriations act that extends to FY 2016 funds the same prohibitions as contained in sections 743 of division E, title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L.

113-235) may be prohibited, if the Government determines that the Contractor is not in compliance with the provisions of this clause.

(2) The Government may seek any available remedies in the event the Contractor fails to perform in accordance with the terms and conditions of the contract as a result of Government action under this clause.

(Applicable to solicitations and contracts, including commercial under FAR part 12, that will use FY 2016 appropriations)

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 2015)

(IAW FAR 4.1403(a))

(Applicable over $30,000, unless not required to be reported in FPDS)

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (JUL 2015)

(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)

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

(Applicable to all solicitations and contracts)

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(JUN 2016)

(IAW FAR 4.1903)

(Applicable to all solicitations and contracts, except COTs, when a contractor’s system may contain Federal contract information)

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 2015)

(IAW DFARS 204.7304(c))

(Applicable to all solicitations and contracts, including commercial)

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

(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)

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)

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

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(OCT 2015)

(IAW FAR 9.409)

(Applicable when exceeding $35,000)

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 $550,000 and contracts where the offeror has checked “has” in paragraph (b) clause 52.209-7)

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

GOVERNMENT OF A COUNTRY THAT IS A STATE SPONSOR OF TERRORISM

(OCT 2015)

(IAW DFARS 209.409)

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

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

(IAW FAR…

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