FA853912R01236.pdf

PDF 196 KB Posted Jul 18, 2013

Attached to: Repair Services in support of Traffic Collision Avoidance System (TCAS) Federal contract opportunity
Solicitation number: FA8539-12-R-01236
Issued by: Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

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PWS.pdf	PDF	Jul 18, 2013
1653.pdf	PDF	Jul 18, 2013
DD1423_A002.pdf	PDF	Jul 18, 2013
DD1423_A001.pdf	PDF	Jul 18, 2013
158.pdf	PDF	Jul 18, 2013
Pre_Qual.pdf	PDF	Jul 18, 2013
AppxC.pdf	PDF	Jul 18, 2013
DD1423_A004.pdf	PDF	Jul 18, 2013
DD1423_A003.pdf	PDF	Jul 18, 2013
Wages.pdf	PDF	Jul 18, 2013

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AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV.2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 J

1. REQUISITION NUMBER

FD20601201236

5. SOLICITATION NUMBER

FA8539-12-R-01236

6. SOLICITATION ISSUE DATE

b. TELEPHONE NUMBER (No collect calls)

(478 ) 926 -7055 ext.

2. CONTRACT NO.

7. FOR SOLICITATION

INFORMATION CALL

3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

a. NAME

Kimberly Waddleton

8. OFFER DUE DATE/LOCAL

TIME

12AUG2013 4:00PM

12. DISCOUNT TERMS11. DELIVERY FOR FOB DEST.

UNLESS BLOCK IS MARKED

SEE SCHEDULE

10. THIS ACQUISITION IS UNRESTRICTED SET ASIDE: % FOR:

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS

HUBZONE SMALL (WOSB)ELIGIBLE UNDER THE WOMEN-OWNED

BUSINESS SAMLL BUSINESS PROGRAM

NAICS CODE:

SERVICE-DISABLED EDWOSB 334511

VERTERAN-OWNED SIZE STANDARD

SMALL BUSINESS 8 (A) 750 :

13a. THIS CONTRACT IS A

RATED ORDER

UNDER DPAS

(15 CFR 700)

13b. RATING

DO: A7 52.211-14, 52.211-15

14. METHOD OF SOLICITATION

RFQ IFB RFP

9. ISSUED BY CODE

COMMUNICATION & NAVIGATION, AFSC/PZABA

460 RICHARD RAY BLVD STE 200

BLDG 301 CML PHN 478 926 7456

ROBINS AFB GA 31098-1813

BUYER: Kimberly Waddleton/PZABA kimberly.waddleton@robins.af.mil Phone: (478) 926- 7055 Fax: (000) 000-0000 No Collect Calls

15. DELIVER TO CODE

SEE LINE ITEM SCHEDULE

16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR FACILITY

CODE CODE

18a. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS

CHECKED.

FA8539

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

ROUTINE

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 90 days.

DODAAC: TBC

RIC: TBC

SYSTEM: TCAS

SEE LINE ITEM SCHEDULE

(Attach Additional Sheets as Necessary)

26. AWARD AMOUNT (For Gov’t use only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 COPIES TO ISSUING

OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED HEREIN.

29. AWARD OF CONTRACT: REF. OFFER DATED - - . YOUR OFFER ON

SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

X X

25. ACCOUNTING AND APPROPRIATION DATA SEE FUNDS SCHEDULE

SCD:A

EFT:T

Total

STANDARD FORM 1449 (REV. 2/2012) BACK

COMPUTER GENERATED 7/11/2013, 3:02 PM

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32b. SIGNATURE OF AUTHORIZED GOV’T REPRESENTATIVE

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

32c. DATE

41c. DATE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER36. PAYMENT

COMPLETE PARTIAL FINAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC’D (YY/MM/DD) 42d. TOTAL CONTAINERS

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

SEE LINE ITEM SCHEDULE

(Attach Additional Sheets as Necessary)

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

Request for Proposal FA8539-12-R-01236

SUPPLIES OR SERVICES AND PRICES/COSTS

B.1. GENERAL: The objective of this Request for Quote (RFQ) is to repair specified components applicable to the TCAS System. The Contractor (independently and not as an agent of the Government) shall furnish all necessary labor, supplies, materials, and equipment (except as otherwise authorized by the Contracting Officer) as required to perform the repair services described herein, and as required under each line item. Performance shall be in accordance with all provisions and specifications as stipulated herein.

B.2 CONTRACT TYPE: This solicitation is anticipated as an Indefinite Delivery, Requirements type contract as contemplated at FAR 16.503. Contract Line Item Numbers (CLINs) are anticipated as Firm Fixed Price (FFP).

Additional subCLINs for each line item may be established at order level.

B.3 BASIC PERIOD: In accordance with the clause in Section I of this solicitation, DFARS 252.216-7006, Ordering, orders may be issued hereunder for a period of 12 months from the effective date of contract against the Contract Line Item Numbers (CLINs) included in the Schedule, except as otherwise extended by the exercise of an option.

B.4 OPTION PERIODS: In accordance with FAR 52.217-9, Option to Extend the Term of the Contract, the Schedule contains four (4) 12-month option periods as follows:

Option I may be exercised at any time within 365 days after effective date of contract.

Option II may be exercised at any time within 730 days after effective date of contract.

Option III may be exercised at any time within 1095 days after effective date of contract.

Option IV may be exercised at any time within 1460 days after effective date of contract.

An option is determined to have been exercised when transmitted electronically by fax or email.

NOTE: This acquisitions contains prequalification requirements IAW FAR 52.209-1. Sources must be qualified to perform.

Repair

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 5895-01-485-0550 CX

Signal Data Processor Manufacturer Part Number 13499 822-1293-002 Associated Document(s) Line Item(s)

FD20601201236 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

Repair

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 10 EA *30 Calendar Days

Proposed Delivery

A SW3119 10 EA

DATA

Item No.

Firm Fixed Price Quantity U/I

1 LO

CLIN ACRN ACRN Total

0002 AA

Data

DATA (ELINS A001-A004)

Associated Document(s) Line Item(s)

FD20601201236 0002

Priority: R Buy American Act/Balance of Payments Program

DATA

A001: Commercial Asset Visibility-Air Force Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AA AA

A001: Commercial Asset Visibility-Air Force

DI-MGMT-81634B

Associated Document(s) Line Item(s)

FD20601201236 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD 1423 Quality Assurance: Commercial Item Inspection Buy American Act/Balance of Payments Program

DATA

A001: Commercial Asset Visibility-Air Force Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA

A002: Accident/Incident Report Item No.

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AB AA

A002: Accident/Incident Report

DI-SAFT-81563

Associated Document(s) Line Item(s)

FD20601201236 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD 1423 Quality Assurance: Commercial Item Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA

A003: Item Unique Identification Marking Plan Item No.

0002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AC AA

A003: Item Unique Identification Marking Plan

DI-MGMT-81803

DATA

A003: Item Unique Identification Marking Plan Associated Document(s) Line Item(s)

FD20601201236 0002

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA

A004: Item Unique Identification Marking Activity & Verification Item No.

0002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AD AA

A004: Item Unique Identification Marking Activity & Verification

DI-MGMT-81804

Associated Document(s) Line Item(s)

FD20601201236 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: IAW DD 1423 Exhibit: A Quality Assurance: Commercial Item Inspection Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) *ARO IAW DD

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

Option I may be exercised at any time within 365 days after effective date of contract.

Repair

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

1001 TB

NSN: 5895-01-485-0550 CX

Signal Data Processor Manufacturer Part Number 13499 822-1293-002 Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection

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

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 10 EA *30 Days

Proposed Delivery

A SW3119 10 EA

DATA

Item No.

Firm Fixed Price Quantity U/I

1 LO

Data

DATA (ELINS A001-A004)

Priority: R Buy American Act/Balance of Payments Program

DATA

A001: Commercial Asset Visibility-Air Force Item No.

1002AA

DATA

A001: Commercial Asset Visibility-Air Force Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A001: Commercial Asset Visibility-Air Force

DI-MGMT-81634B

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA

A002: Accident/Incident Report Item No.

1002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A002: Accident/Incident Report

DI-SAFT-81563

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

DATA

A003: Item Unique Identification Marking Plan Item No.

1002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A003: Item Unique Identification Marking Plan

DI-MGMT-81803

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA

A004: Item Unique Identification Marking Activity & Verification Item No.

1002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A004: Item Unique Identification Marking Activity & Verification

DI-MGMT-81804

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed

Option II may be exercised at any time within 730 days after effective date of contract.

Repair

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

2001 TB

NSN: 5895-01-485-0550 CX

Signal Data Processor Manufacturer Part Number 13499 822-1293-002 Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection

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

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 10 EA *30 Calendar Days

Proposed Delivery

A SW3119 10 EA

DATA

Item No.

Firm Fixed Price Quantity U/I

1 LO

Data

DATA (ELINS A001-A004)

Priority: R

DATA

A001: Commercial Asset Visibility-Air Force Item No.

2002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A001: Commercial Asset Visibility-Air Force

DI-MGMT-81634B

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA

A002: Accident/Incident Report Item No.

2002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A002: Accident/Incident Report

DI-SAFT-81563

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed

DATA

A003: Item Unique Identification Marking Plan Item No.

2002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A003: Item Unique Identification Marking Plan

DI-MGMT-81803

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA

A004: Item Unique Identification Marking Activity & Verification Item No.

2002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A004: Item Unique Identification Marking Activity & Verification

DI-MGMT-81804

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed

Option III may be exercised at any time within 1095 days after effective date of contract.

Repair

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

3001 TB

NSN: 5895-01-485-0550 CX

Signal Data Processor Manufacturer Part Number 13499 822-1293-002 Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection

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

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 10 EA *30 Calendar Days

Proposed Delivery

A SW3119 10 EA

DATA

Item No.

Firm Fixed Price Quantity U/I

1 LO

Data

DATA (ELINS A001-A004)

DATA

Item No.

3002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A001: Commercial Asset Visibility-Air Force Data

DI-MGMT-81634B

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA

A002: Accident/Incident Report Item No.

3002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A002: Accident/Incident Report

DI-SAFT-81563

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed

DATA

A003: Item Unique Identification Marking Plan Item No.

3002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A003: Item Unique Identification Marking Plan

DI-MGMT-81803

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA

A004: Item Unique Identification Marking Activity & Verification Item No.

3002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A004: Item Unique Identification Marking Activity & Verification

DI-MGMT-81804

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed

DATA

A004: Item Unique Identification Marking Activity & Verification

1 LO

Option IV may be exercised at any time within 1460 days after effective date of contract.

Repair

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

4001 TB

NSN: 5895-01-485-0550 CX

Signal Data Processor Manufacturer Part Number 13499 822-1293-002 Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection

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

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3119 10 EA *30 Calendar Days

Proposed Delivery

A SW3119 10 EA

DATA

Item No.

Firm Fixed Price Quantity U/I

1 LO

Data

DATA (ELINS A001-A004)

DATA

Buy American Act/Balance of Payments Program

DATA

A001: Commercial Asset Visibility-Air Force Item No.

4002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A001: Commercial Asset Visibility-Air Force

DI-MGMT-81634B

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA

A002: Accident/Incident Report Item No.

4002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

Data

DI-SAFT-81563

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required

DATA

A002: Accident/Incident Report Proposed Delivery

1 LO

DATA

A003: Item Unique Identification Marking Plan Item No.

4002AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A003: Item Unique Identification Marking Plan

DI-MGMT-81803

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

Required Delivery

1 LO

Proposed Delivery

1 LO

DATA

A004: Item Unique Identification Marking Activity & Verification Item No.

4002AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

A004: Item Unique Identification Marking Activity & Verification

DI-MGMT-81804

Priority: R

Limitations of Liability: Other Than High Value Item

_ Req No / Pri

DATA

A004: Item Unique Identification Marking Activity & Verification Required Delivery

1 LO

Proposed Delivery

1 LO

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A FA8539

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:

TYPE/CODE: A SW3119

DEF DIST DEPOT WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS AFB GA 31098-1887

ROBINS AFB GA 31098-1887 GA

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

AWARD NUMBER:

CONTRACT CLAUSES

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

(IAW DFARS 203.171-4(a))

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS--COMMERCIAL ITEMS (JAN 2013)

(IAW FAR 12.301(b)(4))

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.222-50, Combating Trafficking in Persons (Feb 2009) (22 U.S.C. 7104(g)).

__ __ Alternate I (Aug 2007) of 52.222-50 (22 U.S.C. 7104(g)).

(2) 52.233-3, Protest After Award (Aug 1996)(31 U.S.C 3553).

(3) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004)(Pub. L. 108-77, 108-78).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[Contracting Officer check as appropriate.] __X __ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sep 2006), with Alternate I (Oct 1995)(41 U.S.C. 253g and 10 U.S.C. 2402).

__ __ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Apr 2010) (Pub. L.

110-252, Title VI, Chapter 1 (41 U.S.C. 251 note)).

__ __ (3) 52.203-15, Whistleblower Protections Under the American Recovery and

Reinvestment Act of 2009 (Jun 2010) (Section 1553 of Pub. L. 111-5).

(Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

__X __ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Aug 2012) (Pub. L. 109-282) (31 U.S.C. 6101 note).

__ __ (5) 52.204-11, American Recovery and Reinvestment Act—Reporting Requirements (Jul 2010) (Pub. L. 111-15).

__X __ (6) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (Dec 2010) (31 U.S.C. 6101 note).

__X __ (7) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Feb 2012) (41 U.S.C. 2313).

__X __ (8) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (May 2012) (section 738 of Division C of Pub. L. 112-74, section 740 of Division C of Pub. L. 111-117, section 743 of Division D of Pub. L.

111-8, and section 745 of Division D of Pub. L. 110-161).

__ __ (9) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Nov 2011)(15 U.S.C. 657a).

__X __ (10) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (Jan 2011) (if the offeror elects to waive the preference, it shall so indicate in its offer)(15 U.S.C. 657a).

(11) [Reserved] __ __ (12) (i) 52.219-6, Notice of Total Small Business Set-Aside (Nov 2011)(15 U.S.C.

644).

__ __ (12) (ii) Alternate I (Nov 2011).

__ __ (12) (iii) Alternate II (Nov 2011).

__ __ (13) (i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003)(15 U.S.C.

644).

__ __ (13) (ii) Alternate I (Oct 1995) of 52.219-7.

__ __ (13) (iii) Alternate II (Mar 2004) of 52.219-7.

__X __ (14) 52.219-8, Utilization of Small Business Concerns (Jan 2011) (15 U.S.C.

637(d)(2) and (3)).

__ __ (15) (i) 52.219-9, Small Business Subcontracting Plan (Jan 2011)(15 U.S.C.

637(d)(4)).

__ __ (15) (ii) Alternate I (Oct 2001) of 52.219-9.

__ __ (15) (iii) Alternate II (Oct 2001) of 52.219-9.

__ __ (15) (iv) Alternate III (Jul 2010) of 52.219-9.

__ (16) 52.219-13, Notice of Set-Aside of Orders (Nov 2011) (15 U.S.C. 644(r)).

__ (17) 52.219-14, Limitations on Subcontracting (Nov 2011)(15 U.S.C. 637(a)(14)).

__ __ (18) 52.219-16, Liquidated Damages—Subcontracting Plan (Jan 1999) (15 U.S.C.

637(d)(4)(F)(i)).

__ __ (19) (i) 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged

Business Concerns (Oct 2008)(10 U.S.C. 2323) (if the offeror elects to waive the adjustment, it shall so indicate in its offer). (In accordance with DDP Memo dated 12 Mar 2010, DAR Tracking Number 2010-O0006, Immediate Cessation of the Use of Price Evaluation Adjustment for Small Disadvantaged Businesses, this clause is suspended in DoD. Effective until incorporated into the FAR or DFARS or until rescinded.)

__ __ (19) (ii) Alternate I (June 2003) of 52.219-23. (In accordance with DDP Memo dated 12 Mar 2010, DAR Tracking Number 2010-O0006, Immediate Cessation of the Use of Price Evaluation Adjustment for Small Disadvantaged Businesses, this clause is suspended in DoD. Effective until incorporated into the FAR or DFARS or until rescinded.)

__ __ (20) 52.219-25, Small Disadvantaged Business Participation Program—Disadvantaged Status and Reporting (Dec 2010)(Pub. L.

103-355, section 7102, and 10 U.S.C. 2323).

__ __ (21) 52.219-26, Small Disadvantaged Business Participation Program—Incentive Subcontracting (Oct 2000) (Pub. L. 103-355, section 7102, and 10 U.S.C. 2323).

__ __ (22) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (Nov 2011)(15 U.S.C. 657 f).

__X __ (23) 52.219-28, Post Award Small Business Program Rerepresentation (Apr 2012) (15 U.S.C. 632(a)(2)).

__ __ (24) 52.219-29, Notice of Set-Aside for Economically Disadvantaged Women-Owned Small Business (EDWOSB) Concerns (Apr 2012) (15 U.S.C. 637(m)).

__ __ (25) 52.219-30, Notice of Set-Aside for Women-Owned Small Business (WOSB) Concerns Eligible Under the WOSB Program (Apr 2012) (15 U.S.C.

637(m)).

__X __ (26) 52.222-3, Convict Labor (June 2003)(E.O. 11755).

__ __ (27) 52.222-19, Child Labor—Cooperation with Authorities and Remedies (Mar

2012)(E.O. 13126).

__X __ (28) 52.222-21, Prohibition of Segregated Facilities (Feb 1999).

__X __ (29) 52.222-26, Equal Opportunity (Mar 2007)(E.O. 11246).

__X __ (30) 52.222-35, Equal Opportunity for Veterans (Sep 2010)(38 U.S.C. 4212).

__X __ (31) 52.222-36, Affirmative Action For Workers with Disabilities (Oct 2010)(29 U.S.C.

793).

__X __ (32) 52.222-37, Employment Reports on Veterans (Sep 2010)(38 U.S.C. 4212).

__X __ (33) 52.222-40, Notification of Employee Rights Under the National Labor Relations

Act (Dec 2010) (E.O. 13496).

__ __ (34) 52.222-54, Employment Eligibility Verification (Jul 2012). (Executive Order

12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

__ __ (35) (i) 52.223-9, Estimate of Percentage of Recovered Material Content for

EPA-Designated Items (May 2008)(42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ _ (35) (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ __ (36) 52.223-15, Energy Efficiency in Energy-Consuming Products (Dec 2007) (42.U.S.C. 8259b).

__ __ (37) (i) 52.223-16, IEEE 1680 Standard for the Environmental Assessment ofPersonal Computer Products (Dec 2007) (E.O. 13423).

__ _ (37) (ii) Alternate I, (Dec 2007) of 52.223-16.

__X __ (38) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While

Driving (Aug 2011).

__ __ (39) 52.225-1, Buy American Act--Supplies (Feb 2009)(41 U.S.C. 10a-10d).

__ __ (40) (i) 52.225-3, Buy American Act--Free Trade Agreements--Israeli Trade Act (Novy

2012) (41 U.S.C. chapter 83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L. 103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43).

__ _ (40) (ii) Alternate I (Mar 2012) of 52.225-3.

__ _ (40) (iii) Alternate II (Mar 2012) of 52.225-3.

__ _ (40) (iv) Alternate III (Nov 2012) of 52.225-3.

__ __ (41) 52.225-5, Trade Agreements (Nov 2012) (19 U.S.C. 2501, et seq., 19 U.S.C.

3301 note).

__X __ (42) 52.225-13, Restriction on Certain Foreign Purchases (Jun 2008)(E.O.s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of Treasury).

__ __ (43) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007)(42 U.S.C.

5150).

__ __ (44) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007)(42 U.S.C. 5150).

__ __ (45) 52.232-29, Terms for financing of Purchases of Commercial Items (Feb 2002)(41 U.S.C. 522(f), 10 U.S.C. 2307(f)).

__ __ (46) 52.232-30, Installment Payments for Commercial Items (Oct 1995)(41 U.S.C.

255(f), 10 U.S.C. 2307(f)).

__X __ (47) 52.232-33, Payment by Electronic Funds Transfer—Central Contractor Registration (Oct 2003)(31.U.S.C. 3332).

__ __ (48) 52.232-34, Payment by Electronic Funds Transfer—Other than Central Contractor Registration (May 1999)(31.U.S.C. 3332).

__ __ (49) 52.232-36, Payment by Third Party (Feb 2010) (31 U.S.C. 3332).

__ __ (50) 52.239-1, Privacy or Security Safeguards (Aug 1996)(5 U.S.C. 552a).

__ __ (51) (i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels

(Feb 2006) (46 U.S.C. Appx. 1241(b) and 10 U.S.C. 2631).

__ _ (51) (ii) Alternate I (Apr 2003) of 52.247-64.

(c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[Contracting Officer check as appropriate.] __ __ (1) 52.222-41, Service Contract Act of 1965 (Nov 2007) (41 U.S.C. 351, et seq.).

__ __ (2) 52.222-42, Statement of Equivalent Rates for Federal Hires (May 1989) (29

U.S.C. 206 and 41 U.S.C. 351, et seq.).

__ __ (3) 52.222-43, Fair Labor Standards Act and Service Contract Act--Price Adjustment

(Multiple Year and Option Contracts) (Sep 2009)(29 U.S.C. 206 and 41 U.S.C. 351, et seq.).

__ __ (4) 52.222-44, Fair Labor Standards Act and Service Contract Act - Price Adjustment (Sep 2009) (29 U.S.C. 206 and 41 U.S.C. 351, et seq.).

__ __ (5) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment—Requirements (Nov 2007) (41 U.S.C. 351 et seq.).

__ __ (6) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services—Requirements (Feb 2009)(41 U.S.C. 351 et seq.).

__ __ (7) 52.222-17, Nondisplacement of Qualified Workers (Jan 2013) (E.O. 13495).

__ __ (8) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations. (Mar

2009) (Pub. L. 110-247).

__ __ (9) 52.237-11, Accepting and Dispensing of $1 Coin (Sep 2008) (31 U.S.C.

5112(p)(1)).

(d) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph (d) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records--Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor's directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(e)(1) Notwithstanding the requirements of the clauses in paragraphs (a), (b), (c) and (d) of this clause, the Contractor is not required to flow down any FAR clause, other than those in paragraphs (e)(1) of this paragraph in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause—

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (Apr 2010) (Pub. L. 110-252, Title VI, Chapter 1 (41 U.S.C. 251 note)).

(ii) 52.219-8, Utilization of Small Business Concerns (Dec 2010) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $650,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(iii) 52.222-17, Nondisplacement of Qualified Workers (Jan 2013) (E.O. 13495). Flow Down required in accordance with paragraph (l) of FAR clause 52.222-17.

(iv) 52.222-26, Equal Opportunity (Mar 2007) (E.O. 11246).

(v) 52.222-35, Equal Opportunity for Veterans (Sep 20106) (38 U.S.C. 4212).

(vi) 52.222-36, Affirmative Action for Workers with Disabilities (Oct 2010) (29 U.S.C. 793).

(vii) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496). Flow down required in accordance with paragraph (f) of FAR clause 52.222-40.

(viii) 52.222-41, Service Contract Act of 1965 (Nov 2007),(41 U.S.C. 351, et seq.).

(ix) 52.222-50, Combating Trafficking in Persons (Feb 2009) (22 U.S.C. 7104 (g)).

Alternate I (Aug 2007) of 52.222-50 (22 U.S.C. 7104(g)).

(x) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment—Requirements (Nov 2007)(41 U.S.C.

351, et seq.).

(xi) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services—Requirements (Feb 2009) (41 U.S.C. 351, et seq.).

(xii) 52.222-54, Employment eligibility Verification (Jul 2012).

(xiii) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (Mar 2009) (Pub. L.

110-247). Flow down required in accordance with paragraphs (e) of FAR clause 52.226-6.

(xiv) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx 1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the contractor may include in its subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligations.

252.225-7001 BUY AMERICAN AND BALANCE OF PAYMENTS PROGRAM (DEC 2012)

(IAW DFARS 225.1101(2)(i))

252.225-7012 PREFERENCE FOR CERTAIN DOMESTIC COMMODITIES (FEB 2013)

(IAW DFARS 225.7002-3(a))

252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND RECEIVING REPORTS

(JUN 2012)

(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/ .

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

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

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

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

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

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

252.232-7010 LEVIES ON CONTRACT PAYMENTS (DEC 2006)

(IAW DFARS 232.7102)

252.237-7010 PROHIBITION ON INTERROGATION OF DETAINEES BY CONTRACTOR

PERSONNEL (JUN 2013)

(IAW DFARS 237.173-5)

252.243-7002 REQUESTS FOR EQUITABLE ADJUSTMENT (DEC 2012)

(IAW DFARS 243.205-71)

252.247-7028 APPLICATION FOR U.S. GOVERNMENT SHIPPING

DOCUMENTATION/INSTRUCTIONS (JUN 2012)

(IAW DFARS 247.207)

ADDENDUM TO CLAUSE 52.212-4

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

(IAW DFARS 201.602-70)

5352.201-9101 OMBUDSMAN (OCT 2012)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, interested party may contact the Center/MAJCOM/DRU or AFISRA ombudsmen, Kim McDonald at 478 222 -1088 , FAX 478 222 -1855 , email Kim.McDonald@robins.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU or AFISRA 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) 256-2397, facsimile number (571) 256-2431.

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(JAN 2009)

(IAW DFARS 203.970)

252.204-7000 DISCLOSURE OF INFORMATION (DEC 1991)

(IAW DFARS 204.404-70(a))

52.209-1 QUALIFICATION REQUIREMENTS (FEB 1995)

(IAW FAR 9.206-2)

(a) Definition: "Qualification Requirement," as used in this clause, means a Government requirement for testing or other quality assurance demonstration that must be completed before award.

(b) One or more qualification requirements apply to the supplies or services covered by this contract. For those supplies or services requiring qualification, whether the covered product or service is an end item, the product, manufacturer, or source must have demonstrated that it meets the standards prescribed for qualification before award of this contract. The product, manufacturer, or source must be qualified at the time of award whether or not the name of the product, manufacturer, or source is actually included on a qualified products list, qualified manufacturers list, or qualified bidders list. Offerors should contact the agency activity designated below to obtain all requirements that they or their products or services, or their subcontractors or their products or services, must satisfy to become qualified and to arrange for an opportunity to demonstrate their abilities to meet the standards specified for qualification.

Item No Agency Name/Address

(c) If an offeror, manufacturer, source, product or service covered by a qualification requirement has already met the standards specified, the relevant information noted below should be provided.

Offeror's Name ______________________________

Manufacturer's Name _________________________

Source's Name ______________________________

Item Name _________________________________

Service Identification _________________________

Test Number _______________________________ (to the extent known)

(d) Even though a product or service subject to a qualification requirement is not itself an end item under this contract, the product, manufacturer, or source must nevertheless be qualified at the time of award of this contract.

This is necessary whether the Contractor or a subcontractor will ultimately provide the product or service in question.

If, after award, the Contracting Officer discovers that an applicable qualification requirement was not in fact met at the time of award, the Contracting Officer may either terminate this contract for default or allow performance to continue if adequate consideration is offered and the action is determined to be otherwise in the Government's best interests.

(e) If an offeror, manufacturer, source, product, or service has met the qualification requirement but is not yet on a qualified products list, qualified manufacturers list, or qualified bidders list, the offeror must submit evidence of qualification prior to award of this contract. Unless determined to be in the Government's interest, award of this contract shall not be delayed to permit an offeror to submit evidence of qualification.

(f) Any change in location or ownership of the plant where a previously qualified product or service was manufactured or performed requires reevaluation of the qualification. Similarly, any change in location or ownership of a previously qualified manufacturer or source requires reevaluation of the qualification. The reevaluation must be accomplished before the date of award.

(The above Clause/Provision has been modified.)

52.211-8 TIME OF DELIVERY (JUN 1997)

(IAW FAR 11.404(a)(2))

DELIVERY FOR EACH ITEM IS ANNOTATED IN THE SCHEDULE (PART I SECTION B) UNDER EACH LINE

ITEM.

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

(IAW FAR 17.208(f))

The Contracting Officer may exercise the option by written notice to the Contractor within SEE SCHEDULE .

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

(IAW FAR 17.208(g))

(a) The Government may extend the term of this contract by written notice to the Contractor within SEE SCHEDULE ;

provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires.

DELIVERY COMPLETED. .

THE FOLLOWING IS FILL-IN DATA FOR CLAUSE 52.212-5 PARA (b)(8):

52.219-4 NOTICE OF PRICE EVALUATION PREFERENCE FOR HUBZone SMALL BUSINESS

CONCERNS (JAN 2011)

__ Offeror elects to waive the evaluation preference.

THE FOLLOWING IS FILL-IN DATA FOR CLAUSE 52.212-5 PARA (b)(19):

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (APR 2009)

(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].

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

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

252.225-7002 QUALIFYING COUNTRY SOURCES AS SUBCONTRACTORS (DEC 2012)

(IAW DFARS 225.1101(3))

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013)

(IAW DFARS 225.7901-4)

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS (JUN 2013)

(IAW FAR 32.706-3)

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(IAW DFARS 232.7004(b), PGI 232.7004(b)(1))

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

(Contracting Officer: Insert applicable document type(s).

Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (stand-alone) and “Receiving Report” (stand-alone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

(Contracting Officer: Insert inspection and acceptance locations or “Not applicable.”)

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table* Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC Issue By DoDAAC Admin DoDAAC Inspect By DoDAAC Ship To Code Ship From Code Mark For Code Service Approver (DoDAAC) Service Acceptor (DoDAAC) Accept at Other DoDAAC LPO DoDAAC DCAA Auditor DoDAAC Other DoDAAC(s) (*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the e-mail address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

(Contracting Officer: Insert applicable email addresses or “Not applicable.”)

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

(Contracting Officer: Insert applicable information or “Not applicable.”)

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 97 X4930 .FC04 64 2 47 GR 159999 01K010 00000 000000 503000 HQ0104 $0.00

PSR: 156833 FSR: 013720 DSR: 000000

REFERENCE:

SDN: TBD

TB 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 [EZ, EY, EJ, EB, ED or EP) code, which applies to Contractor's approved F.O.B point when receiving, taking custody, issuing, or shipping DoD assets, and which matches the address identified in AFMCFARS 5352.247-9017 “F.o.b. Point for Delivery of Government-Furnished Property.” Include existing Routing Identifier Code (RIC), which may be required for accessing Government Data Systems.

(b) Offeror shall insert the existing Activity Address Code and RIC Code as listed in DoD Directory, DoD 4000.25-6M, or identify that the Contracting Officer will need to obtain an Activity Address Code and/or Routing Identifier Code (RIC) on contractor’s behalf.

Existing Activity Address Code __________________

Existing Routing Identifier Code (RIC) ________________

[ ] I currently do not possess an Activity Address Code for the designated activity type. Use the address I have designated on AFMCFARS 5352.247-9017 “F.o.b. Point for Delivery of Government-Furnished Property” herein to obtain the Activity Address Code

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

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…

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