FA853817R0010.pdf

STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

FA8538-17-R-0010

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 90 days.

PR: FD20601600996

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. *90

RATING

DO: A1

3. AWARD/EFFECTIVE DATE

FA8538

2. CONTRACT NO.

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

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.

3-APR-2017 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: JerKendra A. Holloway/AFSC/PZAAB jerkendra.holloway@us.af.mil Phone: (478) 926- 5531 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

1419517697C Typewritten Text 3 March 2017

1419517697C Typewritten Text

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. FA853817R0010

DUE: 3 APR 2017 4:00 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Jerkendra A Holloway/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

FA8538-17-R-0010

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR

REQUIREMENTS CONTRACTS (JUL 1999)

This Contract is to establish a Firm-Fixed Price Requirements Type Contract for a period of One Basic Year and Four Ordering Periods. The Government may require the delivery of increased quantities of items, the exact quantity of which cannot be determined in advance. The Best Estimated Quantity (BEQ) for each line item is identified in the description of that line item.

The items listedbelowinaccordancewith(IAW)attachedPerformance-Based Work Statement (PWS). The BestEstimated Quantity(BEQ)representsthebest-estimated annualquantityforeach Contract Line Item (CLIN) and is only anestimation.

Inaccordance with FAR 16.503(c), this is to advise that failure of the Government to furnish Governmentproperty itemsinthe amounts orquantities described inthe Scheduleas "estimated" of "maximum"will notentitlethe contractorto any equitable adjustment inprice undertheGovernment Propertyclauseofthe contract.

NOTE: Over and Above (O&A) work: The item set forth in CLIN 0004, 1004, 2004, 3004, and 4004 is not included in the scope and prices inthe basic items. Work called for underthis item shall be accomplished when and as directed bythe PCO.TheACO is authorized, uponwrittendirection fromthePCO, inaccordance withthe provision in DFARS 252.217-7028entitled "Over and Above" to negotiate andmodifythe contract to addthe negotiated O&A work.

BASIC CONTRACT PERIOD: Date of Award through 365 Calendar Days.

TESTED AND NO FAULT FOUND--BATTERY CAHRGER

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001 AA

TESTED AND NO FAULT FOUND--BATTERY CAHRGER

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Battery Electronic Charger Aluminum Manufacturer Part Number 19623 716110-2 22830 716110-2 Priority: R

Inspection: Origin Acceptance: Origin 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.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA RIC FLB D4M REPAIR

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

Req No / Pri

Required Delivery

+ CNOTE 1 EA *30 Calendar Days

Proposed Delivery

+ CNOTE 1 EA

Contact Item Manager 5 days before asset is ready for shipping

REPAIR OF BATTERY CHARGER

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

38 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Recharge aircraft battery Electronic Equipment Manufacturer Part Number 19623 716110-2 22830 716110-2 Priority: R

REPAIR OF BATTERY CHARGER

Inspection: Origin Acceptance: Origin 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.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA RIC FLB D4M REPAIR

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

Req No / Pri

Required Delivery

+ CNOTE 38 EA *60 Calendar Days

Proposed Delivery

+ CNOTE 38 EA

Contact Item Manager 5 days before asset is ready for shipping.

CONDEMNATION OF BATTERY CHARGER

BEYOND ECONOMICAL REPAIR (BER)

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Condemnation/BER IAW PWS Para 4.3.1 Manufacturer Part Number 19623 716110-2 22830 716110-2 Priority: R

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

CONDEMNATION OF BATTERY CHARGER

BEYOND ECONOMICAL REPAIR (BER)

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAD RIC FLB D4M REPAIR

Type / Ship To Quantity (U/I) IAW PWS PARA 4.3.1. Req No / Pri

Required Delivery

+ CNOTE EA IAW PWS PARA 4.3.1.

Proposed Delivery

+ CNOTE EA

OVER AND ABOVE IN REPAIR OF BATTERY CHARGER

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0004 AA

NSN: 6130-01-535-7275

OVER AND ABOVE

IAW PWS Para 4.3.2 Manufacturer Part Number

716110-2 Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB RIC FLB D4M REPAIR

Type / Ship To Quantity (U/I) IAW PWS PARA 4.3.2. Req No / Pri

Required Delivery

OVER AND ABOVE IN REPAIR OF BATTERY CHARGER

+ CNOTE LO IAW PWS PARA 4.3.2.

Proposed Delivery

+ CNOTE LO

DATA

CLIN ACRN ACRN Total

0005 AA

Contract Data Requirements Listing (CDRL) CDRLs A001-A005 Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD FORMS 1423-1 Quality Assurance: IAW DD FORMS 1423-1

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAC IAW DD FORMS 1423-1

Type / Ship To Quantity (U/I) IAW DD FORMS 1423-1 Req No / Pri

Required Delivery

+ CNOTE LO IAW DD FORMS 1423-1

Proposed Delivery

IAW DD FORMS 1423-1

COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING

0005AA

DATA

COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0005AA AA

Contract Data Requirements Listing (CDRL) A001 IAW PWS Para 4.8 CAV AF (Frequency: IAW Block 16 of DD Form 1423-1) Priority: R

DATA

QUARTERLY STATUS REPORT

Item No.

0005AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0005AB AA

Contract Data Requirements Listing (CDRL) A002 IAW PWS Para 4.3.11 Status Report (Frequency: Quarterly) Priority: R

DATA

Item Unique Identification (IUID) Marking Plan Item No.

0005AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0005AC AA

Contract Data Requirements Listing (CDRL) A003 IAW PWS Para 4.4.2 IUID Marking Plan (Frequency: One-time Report) Priority: R

DATA

Item Unique Identification (IUID) Marking Activity and Verification Report Item No.

0005AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

0005AD AA

DATA

Item Unique Identification (IUID) Marking Activity and Verification Report Contract Data Requirements Listing (CDRL) A004 IAW PWS Para 4.4.4 IUID Marking Activity and Verification Report (Frequency: Quarterly) Priority: R

DATA

MAINTENANCE DATAQ COLLECTION RECORD (MDCR)

Item No.

0005AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0005AE AA

Contract Data Requirements Listing (CDRL) A005 IAW PWS Para 4.9 Off Equipment Maintenance (Frequency: Monthly) Priority: R

ORDERING PERIOD ONE: The 12 month period immediately following Basic Ordering Period.

TESTED AND NO FAULT FOUND--BATTERY CAHRGER

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1001 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Battery Electronic Charger Aluminum Manufacturer Part Number 19623 716110-2 22830 716110-2 Priority: R

Inspection: Origin Acceptance: Origin 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.

TESTED AND NO FAULT FOUND--BATTERY CAHRGER

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA RIC FLB D4M REPAIR

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

Req No / Pri

Required Delivery

+ CNOTE 1 EA *30 Calendar Days

Proposed Delivery

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

38 EA

CLIN ACRN ACRN Total

1002 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Recharge aircraft battery Electronic Equipment Manufacturer Part Number 19623 716110-2 22830 716110-2 Priority: R

Inspection: Origin Acceptance: Origin 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.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA RIC FLB D4M REPAIR

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

Req No / Pri

Required

REPAIR OF BATTERY CHARGER

+ CNOTE 38 EA *60 Calendar Days

Proposed Delivery

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

1003 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Condemnation/BER IAW PWS Para 4.3.1 Manufacturer Part Number 19623 716110-2 22830 716110-2 Priority: R

Inspection: Origin Acceptance: Origin 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.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAD RIC FLB D4M REPAIR

Type / Ship To Quantity (U/I) IAW PWS PARA 4.3.1. Req No / Pri

Required Delivery

+ CNOTE EA IAW PWS PARA 4.3.1.

Proposed Delivery

OVER AND ABOVE IN REPAIR OF BATTERY CHARGER

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1004 AA

NSN: 6130-01-535-7275

OVER AND ABOVE

IAW PWS Para 4.3.2 Manufacturer Part Number

716110-2 Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB RIC FLB D4M REPAIR

Type / Ship To Quantity (U/I) IAW PWS PARA 4.3.2. Req No / Pri

Required Delivery

+ CNOTE LO IAW PWS PARA 4.3.2.

Proposed Delivery

CLIN ACRN ACRN Total

1005 AA

Contract Data Requirements Listing (CDRL) CDRLs A001-A005

DATA

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD FORMS 1423-1 Quality Assurance: IAW DD FORMS 1423-1

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAC IAW DD FORMS 1423-1

Type / Ship To Quantity (U/I) IAW DD FORMS 1423-1 Req No / Pri

Required Delivery

+ CNOTE LO IAW DD FORMS 1423-1

Proposed Delivery

Item No.

1005AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1005AA AA

Contract Data Requirements Listing (CDRL) A001 IAW PWS Para 4.8 CAV AF (Frequency: IAW Block 16 of DD Form 1423-1) Priority: R

DATA

QUARTERLY STATUS REPORT

Item No.

1005AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1005AB AA

Contract Data Requirements Listing (CDRL) A002 IAW PWS Para 4.3.11

DATA

QUARTERLY STATUS REPORT

Status Report (Frequency: Quarterly) Priority: R

DATA

Item Unique Identification (IUID) Marking Plan Item No.

1005AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1005AC AA

Contract Data Requirements Listing (CDRL) A003 IAW PWS Para 4.4.2 IUID Marking Plan (Frequency: One-time Report) Priority: R

DATA

Item Unique Identification (IUID) Marking Activity and Verification Report Item No.

1005AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1005AD AA

Contract Data Requirements Listing (CDRL) A004 IAW PWS Para 4.4.4 IUID Marking Activity and Verification Report (Frequency: Quarterly) Priority: R

DATA

MAINTENANCE DATAQ COLLECTION RECORD (MDCR)

Item No.

1005AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1005AE AA

Contract Data Requirements Listing (CDRL) A005 IAW PWS Para 4.9 Off Equipment Maintenance (Frequency: Monthly)

ORDERING PERIOD TWO: The 12 month period immediately following Ordering Period One.

TESTED AND NO FAULT FOUND--BATTERY CAHRGER

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2001 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Battery Electronic Charger Aluminum Manufacturer Part Number 19623 716110-2 22830 716110-2 Priority: R

Inspection: Origin Acceptance: Origin 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.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA RIC FLB D4M REPAIR

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

Req No / Pri

Required Delivery

+ CNOTE 1 EA *30 Calendar Days

Proposed Delivery

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

38 EA

REPAIR OF BATTERY CHARGER

2002 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Recharge aircraft battery Electronic Equipment Manufacturer Part Number 19623 716110-2 22830 716110-2 Priority: R

Inspection: Origin Acceptance: Origin 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.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA RIC FLB D4M REPAIR

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

Req No / Pri

Required Delivery

+ CNOTE 38 EA *60 Calendar Days

Proposed Delivery

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2003 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Condemnation/BER IAW PWS Para 4.3.1 Manufacturer Part Number 19623 716110-2 22830 716110-2

CONDEMNATION OF BATTERY CHARGER

BEYOND ECONOMICAL REPAIR (BER)

Inspection: Origin Acceptance: Origin 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.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAD RIC FLB D4M REPAIR

Type / Ship To Quantity (U/I) IAW PWS PARA 4.3.1. Req No / Pri

Required Delivery

+ CNOTE EA IAW PWS PARA 4.3.1.

Proposed Delivery

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2004 AA

NSN: 6130-01-535-7275

OVER AND ABOVE

IAW PWS Para 4.3.2 Manufacturer Part Number

716110-2 Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

OVER AND ABOVE IN REPAIR OF BATTERY CHARGER

Type / Ship To PACRN Mark For

+ CNOTE PAB RIC FLB D4M REPAIR

Type / Ship To Quantity (U/I) IAW PWS PARA 4.3.2. Req No / Pri

Required Delivery

+ CNOTE LO IAW PWS PARA 4.3.2.

Proposed Delivery

CLIN ACRN ACRN Total

2005 AA

Contract Data Requirements Listing (CDRL) CDRLs A001-A005 Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD FORMS 1423-1 Quality Assurance: IAW DD FORMS 1423-1

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAC IAW DD FORMS 1423-1

Type / Ship To Quantity (U/I) IAW DD FORMS 1423-1 Req No / Pri

Required Delivery

+ CNOTE LO IAW DD FORMS 1423-1

Proposed Delivery

DATA

COMMERCIAL ASSET VISIBILITY AF (CAV AF) END ITEM REPORTING

Item No.

2005AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2005AA AA

Contract Data Requirements Listing (CDRL) A001 IAW PWS Para 4.8 CAV AF (Frequency: IAW Block 16 of DD Form 1423-1) Priority: R

DATA

QUARTERLY STATUS REPORT

Item No.

2005AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2005AB AA

Contract Data Requirements Listing (CDRL) A002 IAW PWS Para 4.3.11 Status Report (Frequency: Quarterly) Priority: R

DATA

Item Unique Identification (IUID) Marking Plan Item No.

2005AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2005AC AA

Contract Data Requirements Listing (CDRL) A003 IAW PWS Para 4.4.2 IUID Marking Plan (Frequency: One-time Report) Priority: R

DATA

Item Unique Identification (IUID) Marking Activity and Verification Report Item No.

2005AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

Item Unique Identification (IUID) Marking Activity and Verification Report

2005AD AA

Contract Data Requirements Listing (CDRL) A004 IAW PWS Para 4.4.4 IUID Marking Activity and Verification Report (Frequency: Quarterly) Priority: R

DATA

MAINTENANCE DATAQ COLLECTION RECORD (MDCR)

Item No.

2005AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2005AE AA

Contract Data Requirements Listing (CDRL) A005 IAW PWS Para 4.9 Off Equipment Maintenance (Frequency: Monthly) Priority: R

ORDERING PERIOD THREE: The 12 month period immediately following Ordering Period Two.

TESTED AND NO FAULT FOUND--BATTERY CAHRGER

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3001 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Battery Electronic Charger Aluminum Manufacturer Part Number 19623 716110-2 22830 716110-2 Priority: R

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

TESTED AND NO FAULT FOUND--BATTERY CAHRGER

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA RIC FLB D4M REPAIR

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

Req No / Pri

Required Delivery

+ CNOTE 1 EA *30 Calendar Days

Proposed Delivery

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

38 EA

CLIN ACRN ACRN Total

3002 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Recharge aircraft battery Electronic Equipment Manufacturer Part Number 19623 716110-2 22830 716110-2 Priority: R

Inspection: Origin Acceptance: Origin 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.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA RIC FLB D4M REPAIR

REPAIR OF BATTERY CHARGER

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

Req No / Pri

Required Delivery

+ CNOTE 38 EA *60 Calendar Days

Proposed Delivery

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3003 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Condemnation/BER IAW PWS Para 4.3.1 Manufacturer Part Number 19623 716110-2 22830 716110-2 Priority: R

Inspection: Origin Acceptance: Origin 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.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAD RIC FLB D4M REPAIR

Type / Ship To Quantity (U/I) IAW PWS PARA 4.3.1. Req No / Pri

Required Delivery

+ CNOTE EA IAW PWS PARA 4.3.1.

Proposed

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3004 AA

NSN: 6130-01-535-7275

OVER AND ABOVE

IAW PWS Para 4.3.2 Manufacturer Part Number

716110-2 Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB RIC FLB D4M REPAIR

Type / Ship To Quantity (U/I) IAW PWS PARA 4.3.2. Req No / Pri

Required Delivery

+ CNOTE LO IAW PWS PARA 4.3.2.

Proposed Delivery

DATA

3005 AA

Contract Data Requirements Listing (CDRL) CDRLs A001-A005 Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD FORMS 1423-1 Quality Assurance: IAW DD FORMS 1423-1

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAC IAW DD FORMS 1423-1

Type / Ship To Quantity (U/I) IAW DD FORMS 1423-1 Req No / Pri

Required Delivery

+ CNOTE LO IAW DD FORMS 1423-1

Proposed Delivery

Item No.

3005AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3005AA AA

Contract Data Requirements Listing (CDRL) A001 IAW PWS Para 4.8 CAV AF (Frequency: IAW Block 16 of DD Form 1423-1) Priority: R

DATA

QUARTERLY STATUS REPORT

Item No.

3005AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

QUARTERLY STATUS REPORT

CLIN ACRN ACRN Total

3005AB AA

Contract Data Requirements Listing (CDRL) A002 IAW PWS Para 4.3.11 Status Report (Frequency: Quarterly) Priority: R

DATA

Item Unique Identification (IUID) Marking Plan Item No.

3005AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3005AC AA

Contract Data Requirements Listing (CDRL) A003 IAW PWS Para 4.4.2 IUID Marking Plan (Frequency: One-time Report) Priority: R

DATA

Item Unique Identification (IUID) Marking Activity and Verification Report Item No.

3005AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3005AD AA

Contract Data Requirements Listing (CDRL) A004 IAW PWS Para 4.4.4 IUID Marking Activity and Verification Report (Frequency: Quarterly) Priority: R

DATA

MAINTENANCE DATAQ COLLECTION RECORD (MDCR)

Item No.

3005AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3005AE AA

Contract Data Requirements Listing (CDRL) A005 IAW PWS Para 4.9 Off Equipment Maintenance (Frequency: Monthly)

ORDERING PERIOD FOUR: The 12 month period immediately following Ordering Period Three.

TESTED AND NO FAULT FOUND--BATTERY CAHRGER

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

4001 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Battery Electronic Charger Aluminum Manufacturer Part Number 19623 716110-2 22830 716110-2 Priority: R

Inspection: Origin Acceptance: Origin 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.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA RIC FLB D4M REPAIR

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

Req No / Pri

Required Delivery

+ CNOTE 1 EA *30 Calendar Days

Proposed Delivery

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

REPAIR OF BATTERY CHARGER

38 EA

CLIN ACRN ACRN Total

4002 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Recharge aircraft battery Electronic Equipment Manufacturer Part Number 19623 716110-2 22830 716110-2 Priority: R

Inspection: Origin Acceptance: Origin 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.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA RIC FLB D4M REPAIR

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

Req No / Pri

Required Delivery

+ CNOTE 38 EA *60 Calendar Days

Proposed Delivery

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

4003 AA

NSN: 6130-01-535-7275 UC

CHARGER,BATTERY

Condemnation/BER IAW PWS Para 4.3.1 Manufacturer Part Number

CONDEMNATION OF BATTERY CHARGER

BEYOND ECONOMICAL REPAIR (BER)

19623 716110-2 22830 716110-2 Priority: R

Inspection: Origin Acceptance: Origin 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.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAD RIC FLB D4M REPAIR

Type / Ship To Quantity (U/I) IAW PWS PARA 4.3.1. Req No / Pri

Required Delivery

+ CNOTE EA IAW PWS PARA 4.3.1.

Proposed Delivery

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4004 AA

NSN: 6130-01-535-7275

OVER AND ABOVE

IAW PWS Para 4.3.2 Manufacturer Part Number

716110-2 Priority: R

Limitations of Liability: Other Than High Value Item

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

OVER AND ABOVE IN REPAIR OF BATTERY CHARGER

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB RIC FLB D4M REPAIR

Type / Ship To Quantity (U/I) IAW PWS PARA 4.3.2. Req No / Pri

Required Delivery

+ CNOTE LO IAW PWS PARA 4.3.2.

Proposed Delivery

CLIN ACRN ACRN Total

4005 AA

Contract Data Requirements Listing (CDRL) CDRLs A001-A005 Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD FORMS 1423-1 Quality Assurance: IAW DD FORMS 1423-1

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAC IAW DD FORMS 1423-1

Type / Ship To Quantity (U/I) IAW DD FORMS 1423-1 Req No / Pri

Required Delivery

+ CNOTE LO IAW DD FORMS 1423-1

Proposed

DATA

Item No.

4005AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4005AA AA

Contract Data Requirements Listing (CDRL) A001 IAW PWS Para 4.8 CAV AF (Frequency: IAW Block 16 of DD Form 1423-1) Priority: R

DATA

QUARTERLY STATUS REPORT

Item No.

4005AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4005AB AA

Contract Data Requirements Listing (CDRL) A002 IAW PWS Para 4.3.11 Status Report (Frequency: Quarterly) Priority: R

DATA

Item Unique Identification (IUID) Marking Plan Item No.

4005AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4005AC AA

Contract Data Requirements Listing (CDRL) A003 IAW PWS Para 4.4.2 IUID Marking Plan (Frequency: One-time Report)

DATA

Item Unique Identification (IUID) Marking Activity and Verification Report Item No.

4005AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4005AD AA

Contract Data Requirements Listing (CDRL) A004 IAW PWS Para 4.4.4 IUID Marking Activity and Verification Report (Frequency: Quarterly) Priority: R

DATA

MAINTENANCE DATAQ COLLECTION RECORD (MDCR)

Item No.

4005AE

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4005AE AA

Contract Data Requirements Listing (CDRL) A005 IAW PWS Para 4.9 Off Equipment Maintenance (Frequency: Monthly) Priority: R

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + CNOTE

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

ITEM IDENTIFICATION MARKING AND SHELF LIFE ITEM PROVISIONS (FEB 1998) (IAW AFMCI 23-102 Chapter 6 Para 6.2.7.3) Requirements set forth below shall apply to any contract issued thereon and will take precedence over other inconsistent requirements herewith. All standards, bulletins, and publications referenced herein shall be of the issue in effect on the date of this document.

1. PHYSICAL MARKING OF ITEMS:

MIL-STD-130: Items shall be marked in accordance with MIL-STD-130. The National Stock Number (NSN), and when assigned, the Configuration Item Identifier (CII), serial number, and military type designation information shall be marked on major assemblies, units, groups, and sets. Special attention must be given to requirements governing the application of the actual manufacturer's Federal Supply Code for Manufacturers (FSCM) to the physical item. Items which are excluded in accordance with paragraph 1.1 of MIL-STD-130, Revision M, shall be marked in accordance with the appropriate document.

2. PACKAGE AND CONTAINER MARKING: Shipments will not be made until the NSN has been assigned, unless specifically authorized by the Contracting Officer.

MIL-STD-129/ASTM-D-3951:

a. Interior packages and shipping containers shall be marked in accordance with MIL-STD-129 when Military packing is specified and ASTM-D-3951 when commercial packaging is specified. The requirements of paragraph 2.h apply regardless of which packaging is utilized.

(1) Design manufacturer's name, trademark or manufacturer's code (from Cataloging Handbook H4-1 or H4-2), identifying number, and serial number, when applicable, shall be included in the identification marking.

(2) When applicable, the Air Force project designator code shall be included as the last line of the address marking and the project name related to the project code shall be marked in the clear on the exterior shipping container.

b. Tags and labels, when required, shall be contractor's tags or labels conforming to the requirements of MIL-STD-129 or as approved by the procuring activity. Contractor's forms which indicate serviceable condition shall not be any shade of green or red. Labels are authorized to be used on metal containers. Items requiring technical order (T.O.)

certification shall be annotated on inner and outer container tags or label with T.O. compliance.

c. When dummy containers are used in a unitized load, the dummy containers shall be clearly marked "DUMMY CONTAINER" and located in the load so that the marking will be plainly visible to receiving and storage personnel.

d. All interior packages and shipping containers for articles and materials classified as hazardous or restricted under provisions of Title 49, Code of Federal Regulations, or AFR 71-4/DLAM 4145.3/TM 38- 250/NAVSUP PUB 505/MCO P

4030.19 shall be marked, regardless of exemption for mode of transportation, with proper shipping name of item;

flash point of all liquids having a flash point of 200 degrees F. or below; and percentage concentration of acids and corrosive liquids. In addition, the quantity of each hazardous or restricted material included in a container shall be annotated adjacent to the shipping name of the item, e.g., Acetic Acid (80% concentration) -- 1 qt.

e. On shipments of firearms regardless of mode of transportation, selected elements of identification and contractor data markings shall be omitted or obliterated in accordance with the requirements of MIL-STD- 129 regarding sensitive items and packing lists shall be placed only inside the containers. Special markings for packages and containers when specified on AFMC Form 158 shall be complied with as a part of MIL-STD-129.

f. All special coated terneplate containers shall be marked with the legend "CAUTION--DO NOT REUSE AS FOOD

CONTAINERS."

g. Bar code markings in accordance with MIL-STD-129 shall apply to all units, intermediate and exterior container for all items going into stock regardless of package size or levels of package specified (including commercial packaging). In addition to the NSN/NATO stock number, the exterior shipping container shall include the 13 digit contract number (plus, if applicable, the four digit call number). Excluded from Bar Code Marking are:

(1) Foreign Military Sales.

(2) Direct Vendor Delivery (DVD)/Government Furnished Equipment (GFE) shipments.

(3) Multipack Exterior Shipping Containers. (Unit and intermediate containers do require a bar coded NSN/NATO stock number. However, the next container (unit or intermediate) inside the multipack will also require a bar coded NSN/NATO stock number and contract number with call number, if applicable, in the lower right hand corner).

(4) All unpacked or uncrated items; e.g., vehicles, tires, etc.

h. Shipments of wheeled items weighing 2,000 pounds or more and scheduled for transportation by military aircraft will be marked with the individual axle weights in accordance with MIL-STD-129.

3. WARRANTED ITEMS: When the contract contains warranty requirements, warranty information shall be applied on containers and items as follows:

a. Container markings shall be as specified in MIL-STD-129. The period or conditions of the warranty shall be specifically stated, i.e., landings, flight hours, operating hours, days from shipping date, etc.

b. Items shall be marked in accordance with requirements of MIL-STD-130. Markings shall be located in a manner so as to be conspicuous to the person removing the item from service. When no deleterious effect or functional degradation is caused, the markings shall be black letters on yellow FED-STD-595 color 13655) background. The marking shall include the same period or condition required on the containers.

4. SHELF LIFE ITEMS

a. MARKING

(1) Shelf life items shall be marked in accordance with MIL-STD-129.

(2) Mark items controlled in MIL-STD-1523, or in specifications furnished as a part of the contract or purchase order, with the cure or assembly dates specified therein.

b. DELIVERY. Unless specified otherwise in the contract, shelf life items shall have a minimum of 90% of the "storage period" remaining at the time of delivery to the Government.

Repairable Items Being Returned From a Vendor (MAY 2006)

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

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

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

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

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

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

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

(IAW FAR 46.304)

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

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

(IAW DFARS 246.370)

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): 0005, 1005, 2005, 3005, 4005

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

52.242-15 STOP-WORK ORDER (AUG 1989)

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

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

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

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

(IAW FAR 47.303-2(c))

52.247-55 F.O.B. POINT FOR DELIVERY OF GOVERNMENT-FURNISHED PROPERTY

(JUN 2003)

(IAW FAR 47.305-12(a)(2))

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 INDIVIDUAL ORDERS $0.00

ACRN TOTAL $ 0.00

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

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

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

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

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

Existing Activity Address Code __________________

Existing Routing Identifier Code (RIC) ________________

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

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

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)

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT TO

INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS (APR 2014)

(IAW FAR 3.908-9)

52.203-18 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN

INTERNAL CONFIDENTIALITY AGREEMENTS OR

STATEMENTS--REPRESENTATION (JAN 2017)

(IAW FAR 3.909-3 (a))

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY

AGREEMENTS OR STATEMENTS (JAN 2017)

(IAW FAR 3.909-3 (b))

(Applicable in all solicitations and resultant contracts other than personal services contracts with individuals)

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)

252.203-7995 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN

INTERNAL CONFIDENTIALITY AGREEMENTS (DEVIATION 2017-O0001)

(NOV 2016)

(IAW DARS TracKing # 2017-O0001)

(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, 2017 (Pub. L. 114-223), or any other Act that extends to fiscal year 2017 funds the same prohibitions as contained in section 743, division E, title VII, of the Consolidated Appropriations Act, 2016 (Pub. L. 114-113) 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 2017 appropriations)

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,…