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Repair of Receiver, Radio Processor
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PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Repair of Radio Receiver Processor

Item No.

Firm Fixed Price

From Quantity
U/I
To Quantity
U/I
Unit Price

Amount

1
EA
40
EA

CLIN

ACRN

ACRN Total

0001AB

AA

NSN: 5820-01-331-7453 RY

Repair of Radio Receiver Radio Processor

SDN: F3QL029155B001

Purchase Request(s)
PR Line Item(s)
FD20600921295 00
0002
Priority: R
ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin

Acceptance: Origin

Inspection/Acceptance Report: Receiving Report Required

Quality Assurance: Contractor Responsibility for Inspection

Applicability: None ;

Buy American Act/Balance of Payments Program

FORMCHECKBOX

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 Production Shipment M/F FLB/RIC-SDD
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 for Routine *03 Calendar Days for Surge/ MICAP

Proposed Delivery

A SW3119
1 EA

DATA

Item No.

Firm Fixed Price

DATA

IAW DD 1423

SDN: F3QL029155B001

Purchase Request(s)
PR Line Item(s)
FD20600921295 00
0003
Priority: R
ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination

Acceptance: Destination

DATA- CAV AF Reporting

Item No.

0002AA

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

CAV AF

IAW DD 1423

ELIN A001

DATA- GIDEP Alert/Safe-Alert Response

Item No.

0002AB

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/Safe-Alert Response

IAW DD 1423

ELIN A002

DATA-GIDEP Alert/ Safe-Alert Annual Report

Item No.

0002AC

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/ Safe-Alert Annual Report

IAW DD 1423

ELIN: A003

DATA-GIDEP Alert/Safe-Alert Report

Item No.

0002AD

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/Safe-Alert Report

IAW DD 1423

ELIN A004

Option I may be exercised at any time, from time-to-time, within 365 days after effective date of contract. The total quantity ordered under this option shall not exceed the maximum quantity of 40 each. Multiple option periods may be exercised simultaneously. An option is determined to have been exercised when transmitted electronically by fax or email. Contractor may quote incremental quantities.

Option I- Repair of Radio Receiver Processor

Item No.

Firm Fixed Price

From Quantity
U/I
To Quantity
U/I
Unit Price

Amount

1
EA
40
EA

CLIN

ACRN

ACRN Total

1001AB

TB

NSN: 5820-01-331-7453 RY

Repair of Radio Receiver Radio Processor

SDN: TBD

Purchase Request(s)
PR Line Item(s)
TBD
TBD
Priority: R
ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin

Quality Assurance: Contractor Responsibility for Inspection

Applicability: None ;

Buy American Act/Balance of Payments Program

FORMCHECKBOX

A SW3119

Type / Ship To
PACRN
Mark For
A SW3119
PAA
D4M Repair Production Shipment M/F FLB/RIC-SDD
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 for Routine

*03 Calendar Days for Surge/MICAP

Proposed Delivery

A SW3119
1 EA

Option I- DATA

Item No.

Firm Fixed Price

DATA

IAW DD 1423

SDN: TBD

Purchase Request(s)
PR Line Item(s)
TBD
TBD
Priority: R
ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination

Quality Assurance: Standard Inspection

DATA-CAV AF Reporting

Item No.

1002AA

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

CAV AF

IAW DD 1423

ELIN A001

DATA- GIDEP Alert/Safe-Alert Response

Item No.

1002AB

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/Safe-Alert Response

IAW DD 1423

ELIN A002

DATA- GIDEP Alert/ Safe-Alert Annual Report

Item No.

1002AC

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/ Safe-Alert Annual Report

IAW DD 1423

ELIN A003

DATA- GIDEP Alert/Safe-Alert Report

Item No.

1002AD

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/Safe-Alert Report

IAW DD 1423

ELIN A004

Option II may be exercised at any time, from time-to-time, within 730 days after effective date of contract. The total quantity ordered under this option shall not exceed the maximum quantity of 40 each. Multiple option periods may be exercised simultaneously. An option is determined to have been exercised when transmitted electronically by fax or email.Contractor may quote incremental quantities.

Option II

Repair of Radio Receiver Processor

Item No.

Firm Fixed Price

From Quantity
U/I
To Quantity
U/I
Unit Price

Amount

1
EA
40
EA

CLIN

ACRN

ACRN Total

2001AB

TB

NSN: 5820-01-331-7453 RY

Repair of Radio Receiver Processor

SDN: TBD

Purchase Request(s)
PR Line Item(s)
TBD
TBD
Priority: R
ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin

Quality Assurance: Contractor Responsibility for Inspection

Applicability: None ;

Buy American Act/Balance of Payments Program

FORMCHECKBOX

A SW3119

Type / Ship To
PACRN
Mark For
A SW3119
PAA
D4M Repair Production Shipment M/F FLB/RIC-SDD
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 for Routine

Proposed Delivery

A SW3119
1 EA

Option II-DATA

Item No.

Firm Fixed Price

CLIN

ACRN

ACRN Total

TB

DATA

IAW DD 1423

SDN: TBD

Purchase Request(s)
PR Line Item(s)
TBD
TBD
Priority: R
ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination

Quality Assurance: Standard Inspection

DATA- CAV AF Reporting

Item No.

2002AA

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

CAV AF

IAW DD 1423

DATA- GIDEP Alert/ Safe-Alert Response

Item No.

2002AB

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/Safe-Alert Response

IAW DD 1423

DATA- GIDEP Alert/ Safe-Alert Annual Report

Item No.

2002AC

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/ Safe-Alert Annual Report

IAW DD 1423

DATA- GIDEP Alert/ Safe-Alert Report

Item No.

2002AD

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/Safe-Alert Report

IAW DD 1423

Option III may be exercised at any time, from time-to-time, within 1095 days after effective date of contract. The total quantity ordered under this option shall not exceed the maximum quantity of 40 each. Multiple option periods may be exercised simultaneously. An option is determined to have been exercised when transmitted electronically by fax or email. Contractor may quote incremental quantities.

Option Year III Repair of Radio Receiver Processor

Item No.

Firm Fixed Price

From Quantity
U/I
To Quantity
U/I
Unit Price

Amount

1
EA
40
EA

CLIN

ACRN

ACRN Total

3001AB

TB

NSN: 5820-01-331-7453 RY

Repair of Radio Receiver Processor

SDN: TBD

Purchase Request(s)
PR Line Item(s)
TBD
TBD
Priority: R
ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin

Quality Assurance: Contractor Responsibility for Inspection

Applicability: None ;

Buy American Act/Balance of Payments Program

FORMCHECKBOX

A SW3119

Type / Ship To
PACRN
Mark For
A SW3119
PAA
D4M Repair Production Shipment M/F FLB/RIC-SDD
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 for Routine

Proposed Delivery

A SW3119
1 EA

Option Year III-DATA

Item No.

Firm Fixed Price

CLIN

ACRN

ACRN Total

TB

DATA

IAW DD 1423

SDN: TBD

Purchase Request(s)
PR Line Item(s)
TBD
TBD
Priority: R
ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination

Quality Assurance: Standard Inspection

DATA- CAV AF Reporting

Item No.

3002AA

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

CAV AF

IAW DD 1423

DATA- GIDEP Alert/Safe-Alert Response

Item No.

3002AB

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/Safe-Alert Response

IAW DD 1423

DATA- GIDEP Alert/ Safe-Alert Annual Report

Item No.

3002AC

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/ Safe-Alert Annual Report

IAW DD 1423

DATA- GIDEP Alert/Safe-Alert Report

Item No.

3002AD

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/Safe-Alert Report

IAW DD 1423

Option IV may be exercised at any time, from time-to-time, within 1460 days after effective date of contract. The total quantity ordered under this option shall not exceed the maximum quantity of 40 each. Multiple option periods may be exercised simultaneously. An option is determined to have been exercised when transmitted electronically by fax or email. Contractor may quote incremental quantities.

Option IV

Repair of Radio Receiver Processor

Item No.

Firm Fixed Price

From Quantity
U/I
To Quantity
U/I
Unit Price

Amount

1
EA
40
EA

CLIN

ACRN

ACRN Total

4001AB

TB

NSN: 5820-01-331-7453 RY

Repair of Radio Receiver Processor

SDN: TBD

Purchase Request(s)
PR Line Item(s)
TBD
TBD
Priority: R
ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin

Quality Assurance: Contractor Responsibility for Inspection

Applicability: None ;

Buy American Act/Balance of Payments Program

FORMCHECKBOX

A SW3119

Type / Ship To
PACRN
Mark For
A SW3119
PAA
D4M Repair Production Shipment M/F FLB/RIC-SDD
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 for Routine

Proposed Delivery

A SW3119
1 EA

Option IV- DATA

Item No.

Firm Fixed Price

CLIN

ACRN

ACRN Total

TB

DATA

IAW DD 1423

SDN: TBD

Purchase Request(s)
PR Line Item(s)
TBD
TBD
Priority: R
ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination

Quality Assurance: Standard Inspection

DATA- CAV AF Reporting

Item No.

4002AA

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

CAV AF

IAW DD 1423

DATA- GIDEP Alert/Safe-Alert Response

Item No.

4002AB

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/Safe-Alert Response

IAW DD 1423

DATA- GIDEP Alert/ Safe-Alert Annual Report

Item No.

4002AC

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/ Safe-Alert Annual Report

IAW DD 1423

DATA- GIDEP Alert/ Safe-Alert Report

Item No.

4002AD

Firm Fixed Price

Quantity
U/I
Unit Price

Amount

1
LO

GIDEP Alert/Safe-Alert Report

IAW DD 1423

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3119

DEF DIST DEPOT WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS AFB GA 31098-1887

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

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION D

PACKAGING AND MARKING

Repairable Items Being Returned From a Vendor (MAY 2006)

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

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

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

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

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

D-486C

5352.247-9009

MILITARY PACKAGING AND MARKING (AFMC) (AUG 2002)

(IAW AFMCFARS 5347.305-10(a)(95))

Items shall be packaged in accordance with MIL-STD-2073-1 D , Standard Practice for Military Packaging. Shipping and storage markings shall be in accordance with MIL-STD-129 P , Standard Practice for Military Marking.

PACRN
QUP
ICQ
PS

MT

C

D

PS

ML

WP

ML

CU

DU

C

T U

C I

C U

C

L

SM

PAA
001
000
41
1
00
XX
XX
X
NV
00
B
17
WGT
LGTH
WDTH
DPTH
CUBE

O

P

I

20.00
21.0
15.0
9.3
1.695
M
PACRN
PACK

LVL

PRES

LVL

SUPPLEMENTAL PACKAGING

PAA
B
MIL

SECTION E

INSPECTION AND ACCEPTANCE

E-5

52.246-4

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

(IAW FAR 46.304)

E-42

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503)

Government Contract Quality Assurance Inspection and Acceptance will be at (Final):

[CONTRACTOR FILL-IN]

Item No(s): See schedule for items with the following code(s) listed below :

Inspection Code and Address:

Government Contract Quality Assurance Inspection and Acceptance will be at destination(s) specified herein (Final).

Item No(s):

0002, 1002, 2002, 3002, SECTION F

DELIVERIES OR PERFORMANCE

F-1

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.

F-26

52.242-15

STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1))

F-30

52.247-29

F.O.B. ORIGIN (FEB 2006)

(IAW FAR 47.303-1(c))

F-78

52.247-65

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

(IAW FAR 47.303-17(f))

F-470D

5352.247-9000

COMMERCIAL BILL OF LADING SHIPMENTS - CARRIER'S RATES (AFMC) (OCT 2008)

(IAW AFMCFARS 5347.104-4(90))

F-35

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b))

Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address

[CONTRACTOR FILL-IN]

SECTION G

CONTRACT ADMINISTRATION DATA

G-1

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable

ACRN
Funds Citation
Amount Chargeable
AA 97 X4930 .FC04 64 9 47 GR 159999 01K01Y 00000 UJJQKK 503000 HQ0104
$0.00

REFERENCE:

SDN: F3QL029155B001

TB TO BE DETERMINED
$0.00
ACRN TOTAL
$ 0.00

G-51C

5352.232-9002

TRANSPORTATION APPROPRIATION CHARGEABLE (AFMC) (OCT 2008)

(IAW AFMCFARS 5332.705(90))

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*#0

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

IB-300

5352.201-9101

OMBUDSMAN (AUG 2005)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, concerned parties may contact the Center/MAJCOM ombudsmen, Crystal B. Hollifield at 478 222 -1088 , FAX 478 222 -1855 , email Crystal.Hollifield@robins.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the MAJCOM/DRU level, may be brought by the concerned 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 (703) 588-7004, facsimile number (703) 588-1067.

I-11

52.202-1

DEFINITIONS (JUL 2004)

(IAW FAR 2.201)

I-19

52.203-3

GRATUITIES (APR 1984)

(IAW FAR 3.202)

I-20

52.203-5

COVENANT AGAINST CONTINGENT FEES (APR 1984)

(IAW FAR 3.404)

I-21

52.203-6

RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT (SEP 2006)

(IAW FAR 3.503-2)

I-22

52.203-7

ANTI-KICKBACK PROCEDURES (JUL 1995)

(IAW FAR 3.502-3)

I-23

52.203-8 CANCELLATION, RESCISSION, AND RECOVERY OF FUNDS FOR ILLEGAL OR IMPROPER ACTIVITY (JAN 1997)

(IAW FAR 3.104-9(a))

I-25

52.203-10

PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR IMPROPER ACTIVITY (JAN 1997)

(IAW FAR 3.104-9(b))

I-25C

52.203-12

LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS (SEP 2007)

(IAW FAR 3.808(b))

IA-21D

252.203-7000

REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS (JAN 2009)

(IAW DFARS 203.171-4)

IA-22

252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)

(IAW DFARS 203.570-3)

IA-24D

252.203-7002

REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS (JAN 2009)

(IAW DFARS 203.970)

I-39

52.204-4

PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED PAPER (AUG 2000)

(IAW FAR 4.303)

I-41

52.204-7

CENTRAL CONTRACTOR REGISTRATION (APR 2008)

(IAW FAR 4.1104)

IA-33

252.204-7003

CONTROL OF GOVERNMENT PERSONNEL WORK PRODUCT (APR 1992)

(IAW DFARS 204.404-70(b))

IA-34C

252.204-7004

ALTERNATE A, CENTRAL CONTRACTOR REGISTRATION (SEP 2007)

(IAW DFARS 204.1104)

I-78

52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN SUBCONTRACTING WITH CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT (SEP 2006)

(IAW FAR 9.409)

IA-92

252.209-7004 SUBCONTRACTING WITH FIRMS THAT ARE OWNED OR CONTROLLED BY THE GOVERNMENT OF A TERRORIST COUNTRY (DEC 2006)

(IAW DFARS 209.409)

I-102

52.211-15

DEFENSE PRIORITY AND ALLOCATION REQUIREMENTS (APR 2008)

(IAW FAR 11.604(b))

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

I-128

52.215-2

AUDIT AND RECORDS--NEGOTIATION (MAR 2009)

(IAW FAR 15.209(b)(1))

I-129G

52.215-8

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

(IAW FAR 15.209(h))

I-133C

52.215-10

PRICE REDUCTION FOR DEFECTIVE COST OR PRICING DATA (OCT 1997)

(IAW FAR 15.408(b))

I-135C

52.215-12

SUBCONTRACTOR COST OR PRICING DATA (OCT 1997)

(IAW FAR 15.408(d))

I-139C

52.215-15

PENSION ADJUSTMENTS AND ASSET REVERSIONS (OCT 2004)

(IAW FAR 15.408(g))

I-146C

52.215-18 REVERSION OR ADJUSTMENT OF PLANS FOR POSTRETIREMENT BENEFITS (PRB) OTHER THAN PENSIONS (JUL 2005)

(IAW FAR 15.408(j))

I-147J

52.215-19

NOTIFICATION OF OWNERSHIP CHANGES (OCT 1997)

(IAW FAR 15.408(k))

IA-152

252.215-7000

PRICING ADJUSTMENTS (DEC 1991)

(IAW DFARS 215.408(1))

IA-157

252.215-7002

COST ESTIMATING SYSTEM REQUIREMENTS (DEC 2006)

(IAW DFARS 215.408(2))

IA-160

252.215-7004

EXCESSIVE PASS-THROUGH CHARGES (MAY 2008)

(IAW DFARS 215.408(4))

I-214

52.219-8

UTILIZATION OF SMALL BUSINESS CONCERNS (MAY 2004)

(IAW FAR 19.708(a))

I-215

52.219-9

SMALL BUSINESS SUBCONTRACTING PLAN (DEVIATION) (FEB 2009)

(IAW FAR 19.708(b)(1), DARS Tracking Number 2008-O0008, DARS Tracking Number 2009-O0006)

I-216C

52.219-9

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

(IAW FAR 19.708(b)(1))

I-223

52.219-16

LIQUIDATED DAMAGES--SUBCONTRACTING PLAN (JAN 1999)

(IAW FAR 19.708(b)(2))

I-225N

52.219-28

POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (APR 2009)

(IAW FAR 19.308(d))

(g) If the Contractor does not have representations and certifications in ORCA, or does not have a representation in ORCA for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

The Contractor represents that it [ ] is, [ ] is not a small business concern under NAICS Code _____________ assigned to contract number ______________________________.

[Contractor to sign and date and insert authorized signer's name and title].

IA-225

252.219-7003 SMALL BUSINESS SUBCONTRACTING PLAN (DoD CONTRACTS) (DEVIATION) (FEB 2009)

(IAW DFARS 219.708(b)(1)(B) (DEVIATION))

IA-225C

252.219-7003 SMALL BUSINESS SUBCONTRACTING PLAN (DoD CONTRACTS) (DEVIATION) -- ALTERNATE I (FEB 2009)

(IAW DARS Tracking Number 2008-O0008)

IB-445C

5352.219-9000

INCORPORATION OF SUBCONTRACTING PLAN (AFMC) (OCT 2008)

(IAW AFMCFARS 5319.708(d)(1))

In accordance with FAR 52.219-9, Small Business Subcontracting Plan, the subcontracting plan contained in * dated * is incorporated herein by reference.

*Incorporation of Subcontracting Plan

Location of Plan

Date of Plan

I-245

52.222-1

NOTICE TO THE GOVERNMENT OF LABOR DISPUTES (FEB 1997)

(IAW FAR 22.103-5(a))

I-247

52.222-3

CONVICT LABOR (JUN 2003)

(IAW FAR 22.202)

I-263E

52.222-21

PROHIBITION OF SEGREGATED FACILITIES (FEB 1999)

(IAW FAR 22.810(a)(1))

I-264

52.222-26

EQUAL OPPORTUNITY (MAR 2007)

(IAW FAR 22.810(e))

I-274

52.222-35 EQUAL OPPORTUNITY FOR SPECIAL DISABLED VETERANS, VETERANS OF THE VIETNAM ERA, AND OTHER ELIGIBLE VETERANS (SEP 2006)

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

I-276

52.222-36

AFFIRMATIVE ACTION FOR WORKERS WITH DISABILITIES (JUN 1998)

(IAW FAR 22.1408(a))

I-278

52.222-37 EMPLOYMENT REPORTS ON SPECIAL DISABLED VETERANS, VETERANS OF THE VIETNAM ERA, AND OTHER ELIGIBLE VETERANS (SEP 2006)

(IAW FAR 22.1310(b))

I-279

52.222-39 NOTIFICATION OF EMPLOYEE RIGHTS CONCERNING PAYMENT OF UNION DUES OR FEES (DEC 2004)

(IAW FAR 22.1605)

I-283

52.222-41

SERVICE CONTRACT ACT OF 1965 (NOV 2007)

(IAW FAR 22.1006(a))

I-284

52.222-42

STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 1989)

(IAW FAR 22.1006(b))

This Statement is for Information Only:

It is not a Wage Determination

Employee Class
Monetary Wage
Fringe Benefits

*See attached

I-286

52.222-44

FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT ACT--PRICE ADJUSTMENT (FEB 2002)

(IAW FAR 22.1006(c)(2))

I-289C

52.222-50

COMBATING TRAFFICKING IN PERSONS (FEB 2009)

(IAW FAR 22.1705(a))

I-295

52.223-6

DRUG-FREE WORKPLACE (MAY 2001)

(IAW FAR 23.505)

I-312

52.225-13

RESTRICTIONS ON CERTAIN FOREIGN PURCHASES (JUN 2008)

(IAW FAR 25.1103(a))

IA-287

252.225-7001

BUY AMERICAN ACT AND BALANCE OF PAYMENTS PROGRAM (DEVIATION) (JUL 2009)

(IAW DFARS 225.1101(2), DAR Tracking #2009-O0007)

IA-288

252.225-7002

QUALIFYING COUNTRY SOURCES AS SUBCONTRACTORS (APR 2003)

(IAW DFARS 225.1101(3))

IA-290C

252.225-7006 QUARTERLY REPORTING OF ACTUAL CONTRACT PERFORMANCE OUTSIDE THE UNITED STATES (MAY 2007)

(IAW DFARS 225.7204(c))

IA-293

252.225-7012

PREFERENCE FOR CERTAIN DOMESTIC COMMODITIES (DEC 2008)

(IAW DFARS 225.7002-3(a))

IA-314D

252.226-7001 UTILIZATION OF INDIAN ORGANIZATIONS, INDIAN-OWNED ECONOMIC ENTERPRISES, AND NATIVE HAWAIIAN SMALL BUSINESS CONCERNS (SEP 2004)

(IAW DFARS 226.104)

I-315

52.227-1

AUTHORIZATION AND CONSENT (DEC 2007)

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

I-317

52.227-2

NOTICE AND ASSISTANCE REGARDING PATENT AND COPYRIGHT INFRINGEMENT (DEC 2007)

(IAW FAR 27.201-2(b))

I-353

52.229-4

FEDERAL, STATE, AND LOCAL TAXES (STATE AND LOCAL ADJUSTMENTS) (APR 2003)

(IAW FAR 29.401-3(b))

I-368

52.230-2

COST ACCOUNTING STANDARDS (OCT 2008)

(IAW FAR 30.201-4(a))

I-372

52.230-6

ADMINISTRATION OF COST ACCOUNTING STANDARDS (MAR 2008)

(IAW FAR 30.201-4(d)(1))

IA-399

252.231-7000

SUPPLEMENTAL COST PRINCIPLES (DEC 1991)

(IAW DFARS 231.100-70)

I-383

52.232-1

PAYMENTS (APR 1984)

(IAW FAR 32.111(a)(1))

I-391

52.232-8

DISCOUNTS FOR PROMPT PAYMENT (FEB 2002)

(IAW FAR 32.111(b)(1))

I-394

52.232-11

EXTRAS (APR 1984)

(IAW FAR 32.111(c)(2))

I-403

52.232-17

INTEREST (OCT 2008)

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

I-409

52.232-23

ASSIGNMENT OF CLAIMS (JAN 1986)

(IAW FAR 32.806(a)(1))

I-412

52.232-25

PROMPT PAYMENT (OCT 2008)

(IAW FAR 32.908(c))

(a) Invoice payments—

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

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

I-416F

52.232-33

PAYMENT BY ELECTRONIC FUNDS TRANSFER--CENTRAL CONTRACTOR REGISTRATION (OCT 2003)

(IAW FAR 32.1110(a)(1))

IA-414D

252.232-7003

ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND RECEIVING REPORTS (MAR 2008)

(IAW DFARS 232.7004)

(a) Definitions. As used in this clause—

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

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

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

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

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

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

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

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

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

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

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

IA-427

252.232-7010

LEVIES ON CONTRACT PAYMENTS (DEC 2006)

(IAW DFARS 232.7102)

I-417

52.233-1

DISPUTES (JUL 2002)

(IAW FAR 33.215)

I-419

52.233-3

PROTEST AFTER AWARD (AUG 1996)

(IAW FAR 33.106(b))

I-421

52.233-4

APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM (OCT 2004)

(IAW FAR 33.215(b))

I-541

52.242-13

BANKRUPTCY (JUL 1995)

(IAW FAR 42.903)

I-546

52.243-1

CHANGES--FIXED-PRICE (AUG 1987)

(IAW FAR 43.205(a)(1))

I-547

52.243-1

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

(IAW FAR 43.205(a)(2))

IA-648

252.243-7001

PRICING OF CONTRACT MODIFICATIONS (DEC 1991)

(IAW DFARS 243.205-70)

IA-649

252.243-7002

REQUESTS FOR EQUITABLE ADJUSTMENT (MAR 1998)

(IAW DFARS 243.205-71)

I-573

52.244-5

COMPETITION IN SUBCONTRACTING (DEC 1996)

(IAW FAR 44.204(c))

I-574

52.244-6

SUBCONTRACTS FOR COMMERCIAL ITEMS (MAR 2009)

(IAW FAR 44.403)

I-579

52.245-1

GOVERNMENT PROPERTY (JUN 2007)

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

I-636

52.247-1

COMMERCIAL BILL OF LADING NOTATIONS (FEB 2006)

(IAW FAR 47.104-4(a), FAR 47.104-4(b))

I-684

52.249-2

TERMINATION FOR CONVENIENCE OF THE GOVERNMENT (FIXED-PRICE) (MAY 2004)

(IAW FAR 49.502(b)(1)(i))

I-699

52.249-8

DEFAULT (FIXED-PRICE SUPPLY AND SERVICE) (APR 1984)

(IAW FAR 49.504(a)(1))

I-731

52.252-2

CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

(IAW FAR 52.107(b))

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

Regulations URLs: (Click on the appropriate regulation.)

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/far1toc.htm http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/dfars/dfar1toc.htm http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/af_afmc/affars/affar1toc.htm http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/af_afmc/afmc/afmc1toc.htm NOTE: After selecting the appropriate regulation above, at the "Table of Contents" page, conduct a search for the desired regulation reference using your browser's FIND function. When located, click on the regulation reference (hyperlink).

I-750

52.253-1

COMPUTER GENERATED FORMS (JAN 1991)

(IAW FAR 53.111)

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

SECTION J

LIST OF ATTACHMENTS

Form Number
Description/File Name
Date
Number of Pages
AFMC158
AFMC158.pdf
15DEC2008
1

PWS.pdf

17MAR2009
9

APPXC.doc

07JAN2009
4

WageDetermination.pdf

UNDATED
1

PerformancePlan.pdf

UNDATED
5
DD 1423
Form1423_1.pdf
18DEC2008
1
DD 1423
Form1423_2.pdf
15DEC2008
3

CAVII_01.doc

UNDATED
1

CAVII_02.doc

UNDATED
4
DD 2875
FORM 2875
UNDATED
3

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION K

REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS

OF OFFERORS OR RESPONDENTS

K-10E

52.204-8

ANNUAL REPRESENTATIONS AND CERTIFICATIONS (FEB 2009)

(IAW FAR 4.1202)

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is _____________ [insert NAICS code].

(2) The small business size standard is _________________ [insert size standard].

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)(1) If the clause at 52.204-7, Central Contractor Registration, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the clause at 52.204-7 is not included in this solicitation, and the offeror is currently registered in CCR, and has completed the ORCA electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

[ ] (i) Paragraph (d) applies.

[ ] (ii) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c) (1) The following representations or certifications in ORCA are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $100,000.

(iii) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the clause at 52.204-7, Central Contractor Registration.

(iv) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(v) 52.209-5, Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(vi) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(vii) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(viii) 52.219-1, Small Business Program Representations (Basic & Alternate I). This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(ix) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(x) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xi) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xii) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xiii) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA-designated items; or include the clause at 52.223-2, Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

(xiv) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA- designated items.

(xv) 52.225-2, Buy American Act Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xvi) 52.225-4, Buy American Act--Free Trade Agreements--Israeli Trade Act Certificate. (Basic, Alternate I, and Alternate II) This provision applies to solicitations containing the clause at 52.225- 3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $67,826, the provision with its Alternate II applies.

(xvii) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xviii) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan--Certification.

(xix) 52.226-2, Historically Black College or University and Minority Institution Representation. This provision applies to—

(A) Solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions; and

(B) For DoD, NASA, and Coast Guard acquisitions, solicitations that contain the clause at 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns.

(2) The following certifications are applicable as indicated by the Contracting Officer:

[Contracting Officer check as appropriate.]

__ (i) 52.219-19, Small Business Concern Representation for the Small Business Competitiveness Demonstration Program.

__ (ii) 52.219-21, Small Business Size Representation for Targeted Industry Categories Under the Small Business Competitiveness Demonstration Program.

(iii) 52.219-22, Small Disadvantaged Business Status.

__ (A) Basic.

__ (B) Alternate I.

__ (iv) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.

__(v) 52.222-48, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment Certification.

__ (vi) 52.222-52 Exemption from Application of the Service Contract Act to Contracts for Certain Services--Certification.

__ (vii) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material Content for EPA-Designated Products (Alternate I only).

__ (viii) 52.223-13, Certification of Toxic Chemical Release Reporting.

(ix) 52.227-6, Royalty Information.

X __(A) Basic.

__ (B) Alternate I.

__ (x) 52.227-15, Representation of Limited Rights Data and Restricted Computer Software.

(d) The offeror has completed the annual representations and certifications electronically via the Online Representations and Certifications Application (ORCA) website at http://orca.bpn.gov . After reviewing the ORCA database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in paragraph (c) of this provision have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201); except for the changes identified below [offeror to insert changes, identifying change by clause number, title, date]. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

FAR Clause #
Title
Date
Change

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on ORCA.

K-209C

252.204-7007

ALTERNATE A, ANNUAL REPRESENTATIONS AND CERTIFICATIONS (JAN 2008)

(IAW DFARS 204.1202)

As prescribed in 204.1202, substitute the following paragraph (c) for paragraph (c) of the provision at FAR 52.204-8:

(c) The offeror has completed the annual representations and certifications electronically via the Online Representations and Certifications Application (ORCA) website at https://orca.bpn.gov/. After reviewing the ORCA database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer, and are incorporated in this offer by reference (see FAR 4.1201); except for the changes identified below [offeror to insert changes, identifying change by clause number, title, date]. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

FAR/DFARS Clause #
Title
Date
Change

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on ORCA.

K-210

252.209-7001 DISCLOSURE OF OWNERSHIP OR CONTROL BY THE GOVERNMENT OF A TERRORIST COUNTRY (JAN 2009)

(IAW DFARS 209.104-70(a))

K-115

52.230-1

COST ACCOUNTING STANDARDS NOTICES AND CERTIFICATION (OCT 2008)

(IAW FAR 30.201-3(a))

I. DISCLOSURE STATEMENT--COST ACCOUNTING PRACTICES AND CERTIFICATION

(c) Check the appropriate box below:

[ ] (1) Certificate of Concurrent Submission of Disclosure Statement.

Date of Disclosure Statement: _______________________________

Name and Address of Cognizant ACO or Federal Official Where Filed:

[ ] (2) Certificate of Previously Submitted Disclosure Statement.

Date of Disclosure Statement: _______________________________ Name and Address of Cognizant ACO or Federal Official Where Filed:

[ ] (3) Certificate of Monetary Exemption.

[ ] (4) Certificate of Interim Exemption.

II. COST ACCOUNTING STANDARDS--ELIGIBILITY FOR MODIFIED CONTRACT COVERAGE

[ ] The offeror hereby claims an exemption from the Cost Accounting Standards

III. ADDITIONAL COST ACCOUNTING STANDARDS APPLICABLE TO EXISTING CONTRACTS

[ ] YES [ ] NO

K-116

52.230-7

PROPOSAL DISCLOSURE -- COST ACCOUNTING PRACTICE CHANGES (APR 2005)

(IAW FAR 30.201-3(c))

The offeror shall check “yes” below if the contract award will result in a required or unilateral change in cost accounting practice, including unilateral changes requested to be desirable changes.

[ ] Yes [ ] No

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION L

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS OR RESPONDENTS

L-8

52.211-14 NOTICE OF PRIORITY RATING FOR NATIONAL DEFENSE, EMERGENCY PREPAREDNESS, AND ENERGY PROGRAM USE (APR 2008)

(IAW FAR 11.604(a))

Note: DX or DO rating will be completed on cover page.

L-58C

52.215-16

FACILITIES CAPITAL COST OF MONEY (JUN 2003)

(IAW FAR 15.408(h))

L-62J

52.215-20 REQUIREMENTS FOR COST OR PRICING DATA OR INFORMATION OTHER THAN COST OR PRICING DATA (OCT 1997)

(IAW FAR 15.408(l))

L-232

252.215-7003

EXCESSIVE PASS-THROUGH CHARGES--IDENTIFICATION OF SUBCONTRACT EFFORT (MAY 2008)

(IAW DFARS 215.408(3))

L-65C

52.216-1

TYPE OF CONTRACT (APR 1984)

(IAW FAR 16.105)

The Government contemplates award of a (see individual line item) contract resulting from this solicitation.

L-120

52.233-2

SERVICE OF PROTEST (SEP 2006)

(IAW FAR 33.106(a))

(a) by obtaining written and dated acknowledgment of receipt from (See page 1 Issuing Office).

L-139G

52.252-1

SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

(IAW FAR 52.107(a))

This solicitation incorporated one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The full text of a clause may be accessed electronically at this/these address(es): Regulations URLs: (Click on the appropriate regulation.)

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/far1toc.htm http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/dfars/dfar1toc.htm http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/af_afmc/affars/affar1toc.htm http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/af_afmc/afmc/afmc1toc.htm NOTE: After selecting the appropriate regulation above, at the "Table of Contents" page conduct a search for the desired regulation reference, using your browser's FIND function. When located, click on the regulation reference (hyperlink).

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION M

EVALUATION FACTORS FOR AWARD

M-16C

EVALUATION CRITERIA FOR AWARD (OCT 1997)

(IAW FAR 13.106-2(b), FAR 14.201-5(c), FAR 15.204-5(c))

For the purposes of award, offers will be evaluated based on the following factors, listed in descending order of importance:

Evaluation Factors
Order of Importance

Price or Cost

Past Performance

All evaluation factors other than cost or price, when combined, are Approximately Equal to Cost or Price .

NOTICE FOR OPTIONS: Price will be evaluated by adding the extended prices for basic award and option quantities, if applicable.

6.SOLICITATION ISSUE DATE

8. THIS ACQUISITION IS

UNRESTRICTED LABOR SURPLUS AREA CONCERNS

SET ASIDE: % FOR COMBINED SMALL BUSINESS &

LABOR SURPLUS AREA CONCERNS

SMALL BUSINESS Oth Than Full & Open

NAICS CODE: 334511 SIZE STANDARD: 750

DATE SIGNED

28. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

� COMMENTS \* Upper \* MERGEFORMAT PCOAWARD �

26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION NUMBER

SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR CHANGES WHICH

ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

ROUTINE

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

SEE LINE ITEM SCHEDULE

22.

AMOUNT

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

FULL AND OPEN COMPETITION (c) (1 ) (c) ( )

DATE SIGNED

SIGNATURE OF OFFEROR/CONTRACTOR

20.

UNIT

21.

UNIT PRICE

19.

QUANTITY

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. *120

RATING

DO: A7

3. AWARD/EFFECTIVE DATE

FA8539

2. CONTRACT NO.

X

CHECK IF REMITTANCE IS DIFFERENT

AND PUT SUCH ADDRESS IN OFFER

17.

ITEM NO.

ADMINISTERED BY CODE

Total

SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK: 14�

EFT:T

SCD:B

NAME AND TITLE OF SIGNER (TYPE OR PRINT)

NAME OF CONTRACTING OFFICER

24. AWARD AMOUNT (FOR GOVT USE ONLY)

ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

4. SOLICITATION NUMBER

FA8539-09-R-21295

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAY DISCOUNT

25. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SETFORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY CONTINUATION SHEETS SUBJECT

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

10. ITEMS TO BE PURCHASED (BRIEF DESCRIPTION)

SUPPLIES SERVICES Search, Detection, Nvgtn, Guid, Aeronautical, & Nautical Syst & Instr Mfg

9.

Offers will be received at the issuing office until the date and time specified below. All official United States Postal Service mail and classified material will be delivered to the address shown in block 7. Deliver all parcels to: 542 CBSG, ATTN: Buyer named above, 380 RICHARD RAY BLVD, BLDG 300 EW ROOM 104, ROBINS AFB GA 31098-1813.

18.

SCHEDULE OF SUPPLIES/SERVICES

PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

7. ISSUED BY CODE

448 SCMG PKHCA, CML PHN 478 926 7456

460 RICHARD RAY BLVD SUITE 200

ROBINS AFB GA 31098-1813

BUYER: Kristen E. Campbell/PKHCA

Kristen.Campbell@robins.af.mil

Phone: (478) 926- 2194 No Collect Calls

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

NO RESPONSE FOR THE REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURE

NAME 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. FA853909R21295

DUE: 20-Sept-2009

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Kristen E. Campbell/PKHCA

448 SCMG PKHCA, CML PHN 478 926 7456

460 RICHARD RAY BLVD SUITE 200

ROBINS AFB GA 31098-1813

1447-101

STANDARD FORM 1447 (5-88)

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

File details come from the government source that posted it. Updated .