Solicitation.pdf

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Attached to
LIGHTNING ARRESTER Federal contract opportunity
Solicitation number
FA8539-16-Q-0007
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

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RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

5920010112639BY

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

5. ITEM MANAGER / PHONE

Hamby, Hilary R / 478-926-1575

6. EQUIPMENT SPEC / PHONE

Wright, Bennie L / 478-926-5606

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

X CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

Kim, YoungsunNAME: 11 JAN 2016DATE:

Repair of ARC-230 Lightning Arrester, NSN 5920-01-011-2639BY, HF Radio System, PN 1886752

8a. OZONE DEPLETING SUBSTANCES (ODS)

X STATEMENT

"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN

ONLY BE MET BY THE USE OF A CLASS I ODS."

WAIVER (SEE AF FARS 5323)

NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.

9. QUALITY PRE-AWARD SURVEY

YES NEW SOURCE

PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

B

11. SIGNATURE OF TECHNICAL AUTHORITY

Kim, Youngsun

ORGANIZATION / SYMBOL

407 SCMS / GUEA

PHONE

478-327-5082 / 497-5082

DATE

11 JAN 2016

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 1Generated by PRPS using Jasper Reports on 05 Apr 2016

ITEM DESCRIPTION

NSN

CAGE

02101

REFERENCE NUMBER

1886752

NOUN

ARRESTER,LIGHTNING

END ITEM TCTO NUMBER TO NUMBER

1E-3A-4-23-1

CRITICALITY CODE

DEMILITARIZATION CODE

A

SECURITY CODE

U

MDC

C7V

ES CODE

F7

REMARKS

INITIATOR

NAME

JOHN.E.SIEBENMORGAN

ORGANIZATION / OFFICE SYMBOL

407 SCMS / GULAA

DSN PHONE

468-5078

COMMERCIAL PHONE

478-327-5078

ITEM DESCRIPTION DATA

LENGTH ( IN )

15.3100

WIDTH ( IN )

7.2500

HEIGHT ( IN )

15.3100

WEIGHT ( LB )

13.0000

OTHER DIMENSIONS

ITEM MATERIAL

Glass and Metal

ITEM FUNCTION

Lightning Arrester Surger

SAFETY CRITICAL SCREW

THREADED COMPONENT

ESD CEMS SENSITIVE DATA

STATEMENT OF HELIUM CONTENT (%) 0 PRECIOUS METAL INDICATOR CODE

GFM REQUIRED GFE REQUIRED GFP REQUIRED

JEWEL BEARING JEWEL BEARING RELATED

LEGACY ITEM DESCRIPTION

Page 1 of 1ITEM DESCRIPTION Version 4Generated by PRPS using Jasper Reports on 05 Apr 2016

ITEM UNIQUE IDENTIFICATION (IUID) CHECKLIST

I. IUID DETAILS: DFARS 252.211.7003

SECTION (c) (1) (ii) APPLIES TO THE FOLLOWING:

ITEM REQUIRING IUID MARKING

NSN

VERSION NUMBER

NOUN

ARRESTER,LIGHTNING

INITIATOR

Siebenmorgan, John E

ORGANIZATION CODE / OFFICE SYMBOL

407 SCMS / GULAA

COMMERCIAL PHONE

478-327-5078

DSN PHONE

468-5078

CAGE / REFERENCE NUMBER

MARKING IS TO BE PERFORMED IN ACCORDANCE WITH THE LATEST VERSION OF MIL-STD-130

MARKING GUIDANCE

Contractor Determined Location and Method

ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

ATTACHMENT(S)

II. EMBEDDED ITEMS

SECTION (c) (1) (iii) APPLIES TO THE FOLLOWING:

NSN NOUN

CAGE / REFERENCE NUMBER

ITEM IS AN EMBEDDED ITEM FOR NSN / PSEUDO NSN: 5920010112639BY

MARKING GUIDANCE ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

ATTACHMENT(S)

Page 1 of 1IUID Version 8Generated by PRPS using Jasper Reports on 05 Apr 2016

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A001 title: CAV-AF/Government Furnished Material Report sub:

auth: DI-MGMT-81634C ref: PWS, Para. 4.7 req_ofc: 407 SCMS/GUEA dd250: LT appcode: N/A dist: D freq: Block 16 asof: Block 16 firstsub: Block 16 subsub: Block 16 addressee1:

draft1:

reg1:

repro1:

addressee2: WR-ALC draft2:

reg2: 1 repro2:

addressee3: 407 SCMS/GULAA draft3:

reg3:

repro3:

addressee4: 235 Byron ST draft4:

reg4:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: Block 4: If necessary, training will be provided by 406SCMS/GUMA (478)327-6602 .

Block 7: Contractor shall submit product electronically, using Microsoft Office format.

Block 10, 11, 12, 13: Refer to PWS paragraph 4.7 group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat:

system: Repair Service for Lightning Arrester ctr_no:

contr:

remarksb:

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app_date: 20160211

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The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A002 title: Engineering Change Proposal (ECP) sub:

auth: DI-SESS-80639D ref: PWS, Para. 4.2.1 req_ofc:

dd250: LT appcode: N/A dist: D freq: ASREQ asof: Block 16 firstsub: Block 16 subsub: Block 16 addressee1:

draft1:

reg1:

repro1:

addressee2: WR-ALC draft2:

reg2: 1 repro2:

addressee3: 407 SCMS/GUEA draft3:

reg3:

repro3:

addressee4: 235 Byron ST draft4:

reg4:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 7: Contractor shall submit product electronically, using Microsoft Office format.

Block 10, 11, 12, 13: As required, the contractor can send a request to 407 SCMS/GUEAE group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat:

system: Repair Service for Lightning Arrester ctr_no:

contr:

remarksb:

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app_date: 20160211

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The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A003 title: IUID Marking Plan sub: N/A auth: DI-MGMT-81803 ref: PWS Para. 4.3.3 req_ofc: 407 SCMS/GUEA dd250: LT appcode: A dist: D freq: Block 16 asof: Block 16 firstsub: Block 16 subsub: Block 16 addressee1:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 7: Contractor shall submit product electronically, using Microsoft Office format.

Block 8: Government has 15 days to review and forward comments. Contractor has 15 days to resubmit.

Block 10, 11, 12: 30 days after contract award.

Block 13: Only if there is a revision in the IUID Marking Plan group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: Repair Service for Lightning Arrester ctr_no:

contr:

remarksb:

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app_date: 20160211

Page: 1 of_pages: 2 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A004 title: IUID Marking Activity and Verification Report sub: N/A auth: DI-MGMT-81804 ref: PWS Para. 4.3.4 req_ofc: 407 SCMS/GUEA dd250: LT appcode: A dist: D freq: QTRLY asof: Block 16 firstsub: Block 16 subsub: Block 16 addressee1:

draft1:

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reg3:

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addressee4: 235 Byron ST draft4:

reg4:

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addressee5: Suite 19-A draft5:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: Block 4: Contractor format acceptable on electronic media.

Block 7: Contractor shall submit product electronically, using Microsoft Office format.

Block 10, 11, 12, 13: The IUID Marking/Verification Report shall be submitted quarterly verifying the implementation of the IUID Marking Plan. First submission shall be 45 days after contract award, due at the end of the month. The assets reported can be shipped/delivered to the DoD prior to the submittal of this report.

group:

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app_date: 20160211

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The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A005 title: Counterfeit Prevention Plan sub: N/A auth: DI-MISC-81832 ref: PWS Para. 4.5 req_ofc: 407 SCMS/GUEA dd250: LT appcode: A dist: D freq: OTIME asof: Block 16 firstsub: Block 16 subsub: Block 16 addressee1:

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Block 7: Contractor shall submit product electronically, using Microsoft Office format.

Block 8: Review of document for Government approval and/or disapproval will be NLT 5 working days. If any rejection, all errors shall be reworked/resubmit NLT 3 working days.

Block 9: Distribution authorized to the Department of Defense and U.S. DoD contractors only due to proprietary information, 25 June 2014. Other requests for this document shall be referred to WR-ALC/407 GUEA/SCMS, 235 Byron ST Suite A-8, Robins AFB, GA 31098-1813.

Block 11-13: Contractor shall submit Counterfeit Prevention Plan within 30 calendar days after contract award. Subsequent Submission if necessary shall be NLT 5 working days.

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app_date: 20160211

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PACKAGING REQUIREMENTS

PURCHASE INSTRUMENT NUMBER: FD20601600272-00 VERSION: 2

MIL-STD 129 REVISION: R MIL-STD 2073-1 REVISION: E

THE FOLLOWING STATEMENT IS IN COMPLIANCE WITH THE UNITED NATIONS-IMPLEMENTED RESTRICTIONS ON WOOD PACKAGING MATERIAL (WPM). THIS REQUIREMENT IS SPECIFICALLY CONCERNED WITH INVASIVE SPECIES SUCH AS THE PINEWOOD NEMATODE. WPM IS DEFINED AS WOOD PALLETS, SKIDS, LOAD BOARDS, PALLET COLLARS, WOODEN BOXES, REELS, DUNNAGE, CRATES, FRAMES, AND CLEATS. THE STATEMENT BELOW CITES THE REQUIREMENTS IN DETAIL AND COVERS LUMBER FOR BUILDING CONTAINERS AND PALLETS USED FOR DELIVERIES RESULTING IN SHIPMENTS WORLDWIDE (DIRECT, OR THROUGH AIR LOGISTICS CENTERS (ALC), CONTAINER CONSOLIDATION POINTS (CCP), OR OTHER BASES). WOODEN LUMBER, WOODEN

PALLET AND PACKAGING/CONTAINER STATEMENT:

ALL WOODEN LUMBER, WOODEN PALLET'S, AND WOODEN CONTAINERS PRODUCED ENTIRELY OR IN PART OF WOOD PACKING MATERIAL (WPM) SHALL BE CONSTRUCTED FROM DEBARKED WOOD IN ADDITION TO THE APPLICATION OF HEAT-TREATED (HT) MATERIAL (HT TO 56 DEGREES CENTIGRADE OR 133 DEGREES FAHRENHEIT FOR 30 MINUTES). CERTIFICATION/MARKING IS REQUIRED BY AN ACCREDITED AGENCY RECOGNIZED BY THE AMERICAN LUMBER STANDARDS COMMITTEE (ALSC). FOR REFERENCE DOCUMENTATION, SEE LATEST REVISION OF "INTERNATIONAL STANDARDS FOR PHYTOSANITARY MEASURES" (ISPM)NO.15), "REGULATION OF WOOD PACKAGING MATERIAL IN INTERNATIONAL TRADE."

PACRN: PACKAGING REQUIREMENT: PRESERVATION LEVEL: PACKAGING LEVEL: SPI: SPI REV: SPI DATE:

AAA MIL-STD-2073-1 / SPI MIL B F010112639 A 22-OCT-84

ITEM(S):

CODED DATA:

QUP ICQ

PRES

METH CD

MTL

WRAP

CUSH

DUNN CT

UNIT

CONT

INT

CONT UCL

SPEC

MKG

UNIT PACK

WEIGHT

LENGTH

WIDTH

DEPTH

CUBE OPI

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

When shipping containers are received that meet the requirements of the AFMC Form 158 and are suitable for return shipment of serviceable assets, they shall be reclaimed, stored and protected for reuse. Unserviceable containers shall be disposed of and replaced with new containers by the contractor that meet the requirements of the AFMC Form 158.

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

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

Shipping Container Marking Shipping containers shall be marked meeting the following criteria: (a) MIL-STD-129, Standard Practice for Military Marking. (b) Bar code format shall conform to bar code symbology Format 3 of 9, Code 39 as specified in MIL- STD-129. (c.) Additional marking and/or bar coding requirements exceeding those of MIL-STD-129 (e.g., unit serial numbers, original equipment manufacturers (OEM) name, or OEM model number, as specified on the AFMC Form 158.

Page 1 of 2AFMC 158 Version 2Generated by PRPS using Jasper Reports on 05 Apr 2016

PACKAGING REQUIREMENTS

PACRN: PACKAGING REQUIREMENT: PRESERVATION LEVEL: PACKAGING LEVEL: SPI: SPI REV: SPI DATE:

AAB No Packaging Data Required

ITEM(S):

5920DTL160294BY

CODED DATA:

QUP ICQ

METH CD

WRAP

CUSH

DUNN CT

UNIT

CONT

INT

CONT UCL

SPEC

MKG

WEIGHT

LENGTH

WIDTH

DEPTH

CUBE OPI

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

ORGANIZATION / OFFICE SYMBOL:

406 SCMS / GULAA

PACKAGING SPECIALIST:

Kerr, Jason B

PHONE NUMBER:

478-327-6316 / 497-6316

SIGNATURE:

//SIGNED//Kerr, Jason B

DATE:

16089 - 29 MAR 2016

Page 2 of 2AFMC 158 Version 2Generated by PRPS using Jasper Reports on 05 Apr 2016

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Scheduled Government Furnished Property

Contract Number

OR

Serialized Items List

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Nomen

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Qty

Serial #

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Unit of Measure

Use As Is

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RECORDTYPE: SGFP1455901527533

Button1:

A generic code that identifies the entity that issued the procurement instrument:

Code that identifies the two digit year.:

One digit code that identifies the type of procurement instrument. (see list):

The release, delivery, or task order number.:

Use when the procurement instrument is non-Department of Defense and cannot be mapped using the separate fields under Contract Number:

ButtonField1:

Value that separates this procurement instrument from all other procurement instruments with the same Enterprise Identifier, Year, and Procurement Instrument Type Code.:

ResetButton1:

The numerical sequence number of the attachment in accordance with PGI 204.7105(b)(5):

SAVE_COMPLETED:

Add:

To copy one or more rows in this table, enter the desired number of copies after the "#" symbol in that row. This value may be blank or 0. The copies will be inserted just after the original row. The "Repeat Number" field is the second tab in each data row. :

Delete Row:

The desired number of copies of this row. Can be left blank or zero.:

The numerical sequence number of an item listed in the attachment.: 1

A collection and compliation of data to describe an item. The descriptive noun of the item nomenclature, as defined in DoD 4100.39-M, Glossary.: LightningArrester

The Commercial and Government Entity (CAGE) code of the manufacturer.: 02101

Tag, label, or permanent marking instructions. The requiring activity should determine if the item will be marked with a UII in accordance with DFARS 252.211.7003.:

Model Number:

A 13 digit stock number used to identify items of supply as defined in DoD 4140.1-R. At least one of Part Number, Model Number, National Stock Number, and Part or Identifying Number must be provided.: 5920010112639

1) The combination of a Government assigned type designation and an approved item name; 2) Names assigned to kinds and group of products; or 3) Formal designations assigned to products by customer or supplier.: ARRESTER,LIGHTNING

Part Number: 1886572

The identifier assigned by the original design activity, or by the controlling nationally recognized standard, that uniquely identifies (relative to that design activity) a specific item, as defined by Military Standard 130, latest version. At least one of Part Number, Model Number, National Stock Number, and Part or Identifying Number must be provided.:

A numeric value for such characteristics as dimensions, measure, magnitude, electrical rating, etc. Always one.: 2

Serial Number:

Type Designator:

Required if the item has an UII and has not been registered in the DoD IUID Registry.:

Unit Acquisition Cost:

A measurement term, as listed in Table 81, Unit of Measure Designations, Volume 10, DoD 4100.39-M.: Each

Denotes whether the item should be used as is (without modificaton) or not.: 1

TextFieldStyle1:

TRANSPORTATION DATA FOR SOLICITATIONS

COMMODITY: See Continuation

PURCHASE INSTRUMENT NUMBER:

FD20601600272-00

DATE INITIATED:

01 APR 2016

STOCK NUMBER: See Continuation

X ORIGIN DESTINATION X OTHER DATA / FIRST ARTICLE F.O.B. DESTINATION(Specify)

F.O.B. TERMS RECOMMENDED AS BEST SUITED FOR THIS PROCUREMENT

TRANSPORTATION PROVISIONS / CLAUSES FAR CITATION

F.O.B. Origin 52.247-29 Freight Classification Description 52.247-53

IAW BASIC CONTRACT FD20601600272-00

TACRN:

AAA

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 646 47GR 159999 01K010 00000 UJJOOW 503000 HQ0104 FSR: 013720 PSR: K09026

First Destination Transportation Account Code:

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code: F6RS

FMS LOA:

Additional Funding Information:

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 5920010112639BY

Purchase Instrument Line Item Number: 0001

Ship to (DoDAAC / MAPAC): SW3119

Mark For: D4M FLB

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): SW3119

NSN / Pseudo NSN: 5920DTL160294BY

Purchase Instrument Line Item Number: 0002

Ship to (DoDAAC / MAPAC): SW3119

Mark For: D4M FLB

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): SW3119

Page 1 of 2DD FORM 1653 Version 2Generated by PRPS using Jasper Reports on 05 Apr 2016

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

PLANNING PR

OTHER TRANSPORTATION DATA:

NAME

Miller, Sharon D

ORGANIZATION / OFFICE

SYMBOL

406 SCMS / GULAA

COMMERCIAL / DSN

PHONE

478-327-6308 / 497-6308

SIGNATURE

//SIGNED//Miller, Sharon D

DATE

05 APR 2016

Page 2 of 2DD FORM 1653 Version 2Generated by PRPS using Jasper Reports on 05 Apr 2016

WD 05-2441 (Rev.-17) was first posted on www.wdol.gov on 01/05/2016

REGISTER OF WAGE DETERMINATIONS UNDER | U.S. DEPARTMENT OF LABOR

THE SERVICE CONTRACT ACT | EMPLOYMENT STANDARDS ADMINISTRATION

By direction of the Secretary of Labor | WAGE AND HOUR DIVISION

| WASHINGTON D.C. 20210

| Wage Determination No.: 2005-2441 Daniel W. Simms Division of | Revision No.: 17 Director Wage Determinations| Date Of Revision: 12/29/2015 Note: Under Executive Order (EO) 13658, an hourly minimum wage of $10.15 for calendar year 2016 applies to all contracts subject to the Service Contract Act for which the solicitation was issued on or after January 1, 2015. If this contract is covered by the EO, the contractor must pay all workers in any classification listed on this wage determination at least $10.15 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract in calendar year 2016. The EO minimum wage rate will be adjusted annually. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

States: Oregon, Washington

Area: Oregon Counties of Clackamas, Clatsop, Columbia, Gilliam, Hood River, Marion, Multnomah, Polk, Sherman, Tillamook, Wasco, Washington, Yamhill Washington Counties of Clark, Cowlitz, Klickitat, Pacific, Skamania, Wahkiakum **Fringe Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE FOOTNOTE RATE

01000 - Administrative Support And Clerical Occupations 01011 - Accounting Clerk I 13.89 01012 - Accounting Clerk II 15.62 01013 - Accounting Clerk III 19.91 01020 - Administrative Assistant 21.67 01040 - Court Reporter 19.88 01051 - Data Entry Operator I 13.02 01052 - Data Entry Operator II 14.28 01060 - Dispatcher, Motor Vehicle 19.88 01070 - Document Preparation Clerk 13.75 01090 - Duplicating Machine Operator 13.75 01111 - General Clerk I 12.67 01112 - General Clerk II 13.82 01113 - General Clerk III 17.33 01120 - Housing Referral Assistant 20.42 01141 - Messenger Courier 14.12 01191 - Order Clerk I 13.02 01192 - Order Clerk II 15.03 01261 - Personnel Assistant (Employment) I 15.71 01262 - Personnel Assistant (Employment) II 19.59 01263 - Personnel Assistant (Employment) III 20.55 01270 - Production Control Clerk 20.55 01280 - Receptionist 14.41 01290 - Rental Clerk 15.98 01300 - Scheduler, Maintenance 16.38 01311 - Secretary I 16.38 01312 - Secretary II 18.32 01313 - Secretary III 20.42 01320 - Service Order Dispatcher 17.40

5/3/2016http://www.wdol.gov/wdol/scafiles/std/05-2441.txt?v=17

01410 - Supply Technician 22.62 01420 - Survey Worker 19.88 01531 - Travel Clerk I 13.44 01532 - Travel Clerk II 16.64 01533 - Travel Clerk III 15.76 01611 - Word Processor I 14.12 01612 - Word Processor II 15.86 01613 - Word Processor III 19.59 05000 - Automotive Service Occupations 05005 - Automobile Body Repairer, Fiberglass 19.95 05010 - Automotive Electrician 19.85 05040 - Automotive Glass Installer 18.97 05070 - Automotive Worker 18.97 05110 - Mobile Equipment Servicer 17.05 05130 - Motor Equipment Metal Mechanic 19.95 05160 - Motor Equipment Metal Worker 18.97 05190 - Motor Vehicle Mechanic 19.95 05220 - Motor Vehicle Mechanic Helper 16.04 05250 - Motor Vehicle Upholstery Worker 18.04 05280 - Motor Vehicle Wrecker 18.97 05310 - Painter, Automotive 19.85 05340 - Radiator Repair Specialist 18.97 05370 - Tire Repairer 13.76 05400 - Transmission Repair Specialist 19.95 07000 - Food Preparation And Service Occupations 07010 - Baker 12.61 07041 - Cook I 12.86 07042 - Cook II 14.31 07070 - Dishwasher 9.16 07130 - Food Service Worker 10.57 07210 - Meat Cutter 16.19 07260 - Waiter/Waitress 10.50 09000 - Furniture Maintenance And Repair Occupations 09010 - Electrostatic Spray Painter 16.58 09040 - Furniture Handler 11.96 09080 - Furniture Refinisher 16.85 09090 - Furniture Refinisher Helper 13.62 09110 - Furniture Repairer, Minor 15.32 09130 - Upholsterer 16.58 11000 - General Services And Support Occupations 11030 - Cleaner, Vehicles 10.61 11060 - Elevator Operator 11.77 11090 - Gardener 15.07 11122 - Housekeeping Aide 12.06 11150 - Janitor 12.06 11210 - Laborer, Grounds Maintenance 11.96 11240 - Maid or Houseman 11.47 11260 - Pruner 10.96 11270 - Tractor Operator 14.58 11330 - Trail Maintenance Worker 11.96 11360 - Window Cleaner 13.16 12000 - Health Occupations 12010 - Ambulance Driver 19.04 12011 - Breath Alcohol Technician 19.04 12012 - Certified Occupational Therapist Assistant 22.53 12015 - Certified Physical Therapist Assistant 21.98 12020 - Dental Assistant 17.72 12025 - Dental Hygienist 36.69 12030 - EKG Technician 29.65 12035 - Electroneurodiagnostic Technologist 29.65 12040 - Emergency Medical Technician 19.04 12071 - Licensed Practical Nurse I 18.73

12072 - Licensed Practical Nurse II 20.94 12073 - Licensed Practical Nurse III 23.38 12100 - Medical Assistant 15.18 12130 - Medical Laboratory Technician 18.73 12160 - Medical Record Clerk 14.32 12190 - Medical Record Technician 16.02 12195 - Medical Transcriptionist 18.16 12210 - Nuclear Medicine Technologist 38.09 12221 - Nursing Assistant I 9.41 12222 - Nursing Assistant II 10.57 12223 - Nursing Assistant III 11.53 12224 - Nursing Assistant IV 12.95 12235 - Optical Dispenser 17.51 12236 - Optical Technician 15.09 12250 - Pharmacy Technician 15.54 12280 - Phlebotomist 12.95 12305 - Radiologic Technologist 30.05 12311 - Registered Nurse I 29.04 12312 - Registered Nurse II 35.53 12313 - Registered Nurse II, Specialist 35.53 12314 - Registered Nurse III 42.99 12315 - Registered Nurse III, Anesthetist 42.99 12316 - Registered Nurse IV 51.52 12317 - Scheduler (Drug and Alcohol Testing) 24.30 13000 - Information And Arts Occupations 13011 - Exhibits Specialist I 20.00 13012 - Exhibits Specialist II 24.77 13013 - Exhibits Specialist III 28.66 13041 - Illustrator I 18.35 13042 - Illustrator II 22.74 13043 - Illustrator III 27.81 13047 - Librarian 26.14 13050 - Library Aide/Clerk 13.53 13054 - Library Information Technology Systems 23.60 Administrator 13058 - Library Technician 15.52 13061 - Media Specialist I 17.04 13062 - Media Specialist II 19.06 13063 - Media Specialist III 21.24 13071 - Photographer I 15.13 13072 - Photographer II 16.92 13073 - Photographer III 20.96 13074 - Photographer IV 25.64 13075 - Photographer V 31.02 13110 - Video Teleconference Technician 17.33 14000 - Information Technology Occupations 14041 - Computer Operator I 16.61 14042 - Computer Operator II 18.58 14043 - Computer Operator III 20.71 14044 - Computer Operator IV 23.01 14045 - Computer Operator V 25.49 14071 - Computer Programmer I (see 1) 20.15 14072 - Computer Programmer II (see 1) 24.95 14073 - Computer Programmer III (see 1) 14074 - Computer Programmer IV (see 1) 14101 - Computer Systems Analyst I (see 1) 14102 - Computer Systems Analyst II (see 1) 14103 - Computer Systems Analyst III (see 1) 14150 - Peripheral Equipment Operator 16.61 14160 - Personal Computer Support Technician 23.01 15000 - Instructional Occupations 15010 - Aircrew Training Devices Instructor (Non-Rated) 28.55

15020 - Aircrew Training Devices Instructor (Rated) 34.31 15030 - Air Crew Training Devices Instructor (Pilot) 41.12 15050 - Computer Based Training Specialist / Instructor 28.55 15060 - Educational Technologist 31.63 15070 - Flight Instructor (Pilot) 41.12 15080 - Graphic Artist 20.77 15090 - Technical Instructor 20.39 15095 - Technical Instructor/Course Developer 24.95 15110 - Test Proctor 17.79 15120 - Tutor 17.79 16000 - Laundry, Dry-Cleaning, Pressing And Related Occupations 16010 - Assembler 9.87 16030 - Counter Attendant 9.87 16040 - Dry Cleaner 12.40 16070 - Finisher, Flatwork, Machine 9.87 16090 - Presser, Hand 9.87 16110 - Presser, Machine, Drycleaning 9.87 16130 - Presser, Machine, Shirts 9.87 16160 - Presser, Machine, Wearing Apparel, Laundry 9.87 16190 - Sewing Machine Operator 13.20 16220 - Tailor 13.99 16250 - Washer, Machine 10.70 19000 - Machine Tool Operation And Repair Occupations 19010 - Machine-Tool Operator (Tool Room) 19.45 19040 - Tool And Die Maker 24.38 21000 - Materials Handling And Packing Occupations 21020 - Forklift Operator 14.89 21030 - Material Coordinator 19.68 21040 - Material Expediter 19.68 21050 - Material Handling Laborer 13.22 21071 - Order Filler 13.60 21080 - Production Line Worker (Food Processing) 14.89 21110 - Shipping Packer 14.37 21130 - Shipping/Receiving Clerk 14.37 21140 - Store Worker I 12.70 21150 - Stock Clerk 16.70 21210 - Tools And Parts Attendant 14.89 21410 - Warehouse Specialist 14.89 23000 - Mechanics And Maintenance And Repair Occupations 23010 - Aerospace Structural Welder 25.81 23021 - Aircraft Mechanic I 24.48 23022 - Aircraft Mechanic II 25.81 23023 - Aircraft Mechanic III 27.13 23040 - Aircraft Mechanic Helper 19.37 23050 - Aircraft, Painter 22.61 23060 - Aircraft Servicer 22.12 23080 - Aircraft Worker 23.27 23110 - Appliance Mechanic 17.48 23120 - Bicycle Repairer 13.76 23125 - Cable Splicer 31.58 23130 - Carpenter, Maintenance 20.28 23140 - Carpet Layer 20.85 23160 - Electrician, Maintenance 29.99 23181 - Electronics Technician Maintenance I 21.48 23182 - Electronics Technician Maintenance II 24.43 23183 - Electronics Technician Maintenance III 25.80 23260 - Fabric Worker 20.54 23290 - Fire Alarm System Mechanic 23.07 23310 - Fire Extinguisher Repairer 19.63 23311 - Fuel Distribution System Mechanic 24.72 23312 - Fuel Distribution System Operator 19.39 23370 - General Maintenance Worker 19.18

23380 - Ground Support Equipment Mechanic 24.48 23381 - Ground Support Equipment Servicer 22.12 23382 - Ground Support Equipment Worker 23.27 23391 - Gunsmith I 19.63 23392 - Gunsmith II 22.34 23393 - Gunsmith III 25.03 23410 - Heating, Ventilation And Air-Conditioning 21.29 Mechanic 23411 - Heating, Ventilation And Air Contditioning 22.45 Mechanic (Research Facility) 23430 - Heavy Equipment Mechanic 21.84 23440 - Heavy Equipment Operator 23.49 23460 - Instrument Mechanic 27.58 23465 - Laboratory/Shelter Mechanic 23.70 23470 - Laborer 12.87 23510 - Locksmith 18.24 23530 - Machinery Maintenance Mechanic 22.99 23550 - Machinist, Maintenance 25.12 23580 - Maintenance Trades Helper 14.74 23591 - Metrology Technician I 27.58 23592 - Metrology Technician II 29.06 23593 - Metrology Technician III 30.56 23640 - Millwright 28.28 23710 - Office Appliance Repairer 20.53 23760 - Painter, Maintenance 18.24 23790 - Pipefitter, Maintenance 30.95 23810 - Plumber, Maintenance 27.63 23820 - Pneudraulic Systems Mechanic 25.03 23850 - Rigger 24.74 23870 - Scale Mechanic 22.34 23890 - Sheet-Metal Worker, Maintenance 24.40 23910 - Small Engine Mechanic 16.36 23931 - Telecommunications Mechanic I 25.97 23932 - Telecommunications Mechanic II 27.38 23950 - Telephone Lineman 24.08 23960 - Welder, Combination, Maintenance 21.08 23965 - Well Driller 23.01 23970 - Woodcraft Worker 26.15 23980 - Woodworker 14.60 24000 - Personal Needs Occupations 24570 - Child Care Attendant 10.95 24580 - Child Care Center Clerk 14.34 24610 - Chore Aide 10.83 24620 - Family Readiness And Support Services 14.01 Coordinator 24630 - Homemaker 16.21 25000 - Plant And System Operations Occupations 25010 - Boiler Tender 26.09 25040 - Sewage Plant Operator 22.21 25070 - Stationary Engineer 26.09 25190 - Ventilation Equipment Tender 19.07 25210 - Water Treatment Plant Operator 22.21 27000 - Protective Service Occupations 27004 - Alarm Monitor 21.30 27007 - Baggage Inspector 12.19 27008 - Corrections Officer 23.68 27010 - Court Security Officer 25.47 27030 - Detection Dog Handler 16.79 27040 - Detention Officer 23.68 27070 - Firefighter 26.29 27101 - Guard I 12.19 27102 - Guard II 16.79

27131 - Police Officer I 27.63 27132 - Police Officer II 30.70 28000 - Recreation Occupations 28041 - Carnival Equipment Operator 11.83 28042 - Carnival Equipment Repairer 12.56 28043 - Carnival Equpment Worker 9.64 28210 - Gate Attendant/Gate Tender 16.16 28310 - Lifeguard 12.65 28350 - Park Attendant (Aide) 18.07 28510 - Recreation Aide/Health Facility Attendant 12.93 28515 - Recreation Specialist 19.28 28630 - Sports Official 14.40 28690 - Swimming Pool Operator 19.18 29000 - Stevedoring/Longshoremen Occupational Services 29010 - Blocker And Bracer 23.47 29020 - Hatch Tender 23.47 29030 - Line Handler 23.47 29041 - Stevedore I 22.04 29042 - Stevedore II 24.90 30000 - Technical Occupations 30010 - Air Traffic Control Specialist, Center (HFO) (see 2) 37.72 30011 - Air Traffic Control Specialist, Station (HFO) (see 2) 26.00 30012 - Air Traffic Control Specialist, Terminal (HFO) (see 2) 28.63 30021 - Archeological Technician I 16.73 30022 - Archeological Technician II 18.72 30023 - Archeological Technician III 23.18 30030 - Cartographic Technician 23.18 30040 - Civil Engineering Technician 25.26 30061 - Drafter/CAD Operator I 16.73 30062 - Drafter/CAD Operator II 18.72 30063 - Drafter/CAD Operator III 20.86 30064 - Drafter/CAD Operator IV 25.68 30081 - Engineering Technician I 16.14 30082 - Engineering Technician II 18.13 30083 - Engineering Technician III 20.29 30084 - Engineering Technician IV 25.76 30085 - Engineering Technician V 31.76 30086 - Engineering Technician VI 37.19 30090 - Environmental Technician 22.18 30210 - Laboratory Technician 19.18 30240 - Mathematical Technician 22.35 30361 - Paralegal/Legal Assistant I 17.68 30362 - Paralegal/Legal Assistant II 22.18 30363 - Paralegal/Legal Assistant III 27.13 30364 -…

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