FA853916R0009.pdf

STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

FA8539-16-R-0009

6.SOLICITATION ISSUE DATE

10 NOV 2016

8. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

HUBZONE SMALL

BUSINESS EDWOSB

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS NAICS CODE: 811213

8(A) SIZE STANDARD: $11.0

DATE SIGNED

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

26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION NUMBER

SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR CHANGES WHICH

ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

ROUTINE

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

SEE LINE ITEM SCHEDULE

22.

AMOUNT

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

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

DATE SIGNED

27. SIGNATURE OF OFFEROR/CONTRACTOR

20.

UNIT

21.

UNIT PRICE

19.

QUANTITY

13. CONTRACTOR OFFEROR CODE FACILITY CODE

11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN * ___ CALENDAR DAYS (60 CALENDAR

DAYS UNLESS OFFEROR INSERTS A DIFFERENT PERIOD) FROM THE DATE SET FORTH IN BLK 9

ABOVE, THE CONTRACTOR AGREES TO HOLD ITS OFFERED PRICES FIRM FOR THE ITEMS

SOLICITED HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO THE TERMS AND

CONDITIONS STATED HEREIN. *120

RATING

DO: A7

3. AWARD/EFFECTIVE DATE

FA8539

2. CONTRACT NO.

X

CHECK IF REMITTANCE IS DIFFERENT

AND PUT SUCH ADDRESS IN OFFER

17.

ITEM NO.

12. ADMINISTERED BY CODE

Estimated

SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK: 14 EFT:T

SCD:B

NAME AND TITLE OF SIGNER (TYPE OR PRINT) NAME OF CONTRACTING OFFICER

24. AWARD AMOUNT (FOR GOVT USE ONLY)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAY DISCOUNT

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SETFORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY CONTINUATION SHEETS SUBJECT

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

10. ITEMS TO BE PURCHASED (BRIEF DESCRIPTION)

SUPPLIES SERVICES Communication Equipment Repair and Maintenance

9.

Offers will be received at the issuing office until the date and time specified below. Electronic commerce method is permitted and preferred.

Deliver all official mail and classified material to: AFSC/PZABA, ATTN: Buyer named above, 235 BYRON STREET, SUITE 19A, ROBINS AFB GA 31098-1670.

12-DEC-2016 4:00PM

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

X

7. ISSUED BY CODE

COMMUNICATION & NAVIGATION, AFSC/PZABA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 7456

ROBINS AFB GA 31098-1670

BUYER: Webster Stubbs/PZABA webster.stubbs@us.af.mil Phone: (478) 222- 4413 Fax: (000) 000-0000 No Collect Calls

X

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)SOLICITATION/CONTRACT

BIDDER/OFFEROR TO COMPLETE BLOCKS 11, 13, 15, 21, 22, & 27.

J

SF 1447 (rev 2/2012) BACK

NO RESPONSE FOR THE REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include Zip Code)

WE DO NOT DESIRE TO BE RETAINED ON THE MAILING LIST FOR FUTURE PROCUREMENT OF THE TYPE OF

ITEMS INVOLVED

WE DO

OTHER (Specify)

CANNOT COMPLY WITH SPECIFICATIONS

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

FOLD

FOLD

SOLICITATION NO. FA853916R0009

DUE: 12 DEC 2016 4:00 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Webster Stubbs/PZABA

COMMUNICATION & NAVIGATION, AFSC/PZABA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 7456

ROBINS AFB GA 31098-1670

Request for Proposal FA8539-16-R-0009

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

In accordance with FAR 16.503(c), this is to advise that failure of the Government to furnish Government property items in the amounts or quantities described in the Schedule as "estimated" or "maximum" will not entitle the contractor to any equitable adjustment in price under the Government Property clause of the contract.

THIS SOLICIATION IS FOR A FIVE YEAR REQUIREMENT TYPE CONTRACT FOR THE REPAIR OF

COMPONENTS IN SUPPORT OF THE AN/APN-232 SYSTEM, COMBINED ALTITUDE RADAR

ALTIMETER (CARA). THE AWARDED CONTRACT WILL CONSIST OF THE BASIC ORDERING

PERIOD PLUS FOUR ONE-YEAR ORDERING PERIODS:

CLIN ORDERING PERIOD TIMEFRAME

0001-0004 BASIC PERIOD FROM EFFECTIVE DATE OF

AWARD THROUGH 12 MONTHS

1001 - 1004 PERIOD ONE FOR 12 MONTHS AFTER BASIC

2001 - 2004 PERIOD TWO FOR 12 MONTHS AFTER PERIOD ONE

3001 - 3004 PERIOD THREE FOR 12 MONTHS AFTER PERIOD TWO

4001 - 4004 PERIOD FOUR FOR 12 MONTHS AFTER PERIOD

THREE

BASIC ORDERING PERIOD

REPAIR OF RF ASSEMBLY

Item No.

Firm Fixed Price

REPAIR OF RF ASSEMBLY

Best Estimated Qty

U/I Unit Price

240 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 5895-01-190-2940 CW

RECEIVER-TRANSMITTE

Transmits RF CW signals, recieves and processed the return signal into quadrate IF outputs.

Aluminum and electronic components.

Manufacturer Part Number 57057 8020000852 57057 8020000852-1 57057 8020000852-4 Associated Document(s) Line Item(s)

FD20601600163 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $52,438.42

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAC D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 240 EA 45 Calendar Days

ARO

Proposed Delivery

A TBC 240 EA

REPAIR OF SWITCH & FILTER ASSEMBLY

Item No.

Firm Fixed Price

REPAIR OF SWITCH & FILTER ASSEMBLY

Best Estimated Qty

U/I Unit Price

24 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 5895-01-567-7326 CW

CONVERTER,SIGNAL DA

Manufacturer Part Number 57057 8010000806 57057 8010000806-3 Associated Document(s) Line Item(s)

FD20601600163 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Physical Item Markings:

Latest Cost Amount: $22,107.83

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAA D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 24 EA 45 Calendar Days

ARO

Proposed Delivery

A TBC 24 EA

REPAIR OF SIGNAL DATA CONVERTER (SDC)

Item No.

Firm Fixed Price Estimated Quantity

U/I Unit Price

12 EA

CLIN ACRN ACRN Total

0003 AA

REPAIR OF SIGNAL DATA CONVERTER (SDC)

NSN: 5895-01-338-6519 CW

RECEIVER-TRANSMITTE

Supresses voltage spikes and transients, and reduces filters +28VDC to a +10VDC level.

Potted electronic components.

Manufacturer Part Number 57057 8030005269-1 Associated Document(s) Line Item(s)

FD20601600163 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Physical Item Markings:

Latest Cost Amount: $863.74

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAD D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 12 EA 45 Calendar Days

ARO

Proposed Delivery

A TBC 12 EA

DATA A001 - A006

Item No.

DATA

IAW DD FORM 1423

IAW PWS

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF)

A001 Item No.

0004AA

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A001 CAVAF REPORTING

IAW PWS PARA 4.7

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *1 Calendar Days

Proposed Delivery

1 LO

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

A002 Item No.

0004AB

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A002 (IUID) MARKING PLAN

IAW PWS PARA 4.3.2

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

A002 Required Delivery

1 LO *30 Calendar Days

Proposed Delivery

1 LO

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

A003 Item No.

0004AC

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A003 (IUID) MARKING ACTIVITY & VERIFICATION REPORT

IAW PWS PARA 4.3.4

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed Delivery

1 LO

COUNTERFEIT PREVENTION PLAN

A004 Item No.

0004AD

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A004 COUNTERFEIT PREVENTION PLAN

IAW PWS PARA 4.5

Associated Document(s) Line Item(s)

COUNTERFEIT PREVENTION PLAN

A004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed Delivery

1 LO

GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE REPORT

A005 Item No.

0004AE

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A005 GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE

REPORT

IAW PWS PARA 4.6.1

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed Delivery

1 LO

GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE RESPONSE

A006 Item No.

0004AF

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A006 GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE

REPORT

IAW PWS PARA 4.6.2

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed

ORDERING PERIOD ONE

REPAIR OF RF ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

240 EA

CLIN ACRN ACRN Total

1001 AA

NSN: 5895-01-190-2940 CW

RECEIVER-TRANSMITTE

Transmits RF CW signals, recieves and processed the return signal into quadrate IF outputs.

Aluminum and electronic components.

Manufacturer Part Number 57057 8020000852 57057 8020000852-1 57057 8020000852-4 Associated Document(s) Line Item(s)

FD20601600163 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Latest Cost Amount: $54,438.42

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAC D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 240 EA 45 Calendar Days

ARO

Proposed

A TBC 240 EA

REPAIR OF SWITCH & FILTER ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

24 EA

CLIN ACRN ACRN Total

1002 AA

NSN: 5895-01-567-7326 CW

CONVERTER,SIGNAL DA

Manufacturer Part Number 57057 8010000806 57057 8010000806-3 Associated Document(s) Line Item(s)

FD20601600163 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Physical Item Markings:

Latest Cost Amount: $22,107.83

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAA D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 24 EA 45 Calendar Days

ARO

Proposed Delivery

A TBC 24 EA

REPAIR OF SIGNAL DATA CONVERTER (SDC)

Item No.

Firm Fixed Price Estimated Quantity

U/I Unit Price

REPAIR OF SIGNAL DATA CONVERTER (SDC)

12 EA

CLIN ACRN ACRN Total

1003 AA

NSN: 5895-01-338-6519 CW

RECEIVER-TRANSMITTE

Supresses voltage spikes and transients, and reduces filters +28VDC to a +10VDC level.

Potted electronic components.

Manufacturer Part Number 57057 8030005269-1 Associated Document(s) Line Item(s)

FD20601600163 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Physical Item Markings:

Latest Cost Amount: $863.74

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAD D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 12 EA 45 Calendar Days

ARO

Proposed Delivery

A TBC 12 EA

DATA A001 - A006

Item No.

DATA

IAW DD FORM 1423

IAW PWS

Associated Document(s) Line Item(s)

DATA A001 - A006

Priority: R

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF)

A001 Item No.

1004AA

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

IAW PWS PARA 4.7

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *1 Calendar Days

Proposed Delivery

1 LO

RESERVED

Item No.

1004AB

RESE

Class I ODS Substance Application/Use Quantity

NONE

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

A003 Item No.

1004AC

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

A003

DATA ITEM NO: A003 (IUID) MARKING ACTIVITY & VERIFICATION REPORT

IAW PWS PARA 4.3.4

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed Delivery

1 LO

RESERVED

Item No.

1004AD

RESE

Class I ODS Substance Application/Use Quantity

NONE

GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE REPORT

A005 Item No.

1004AE

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A005 GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE

REPORT

IAW PWS PARA 4.6.1

Associated Document(s) Line Item(s)

FD20601600163 0004

Limitations of Liability: Other Than High Value Item

GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE REPORT

A005

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed Delivery

1 LO

GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE RESPONSE

A006 Item No.

1004AF

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A006 GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE

REPORT

IAW PWS PARA 4.6.2

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed

ORDERING PERIOD TWO

REPAIR OF RF ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

240 EA

CLIN ACRN ACRN Total

2001 AA

NSN: 5895-01-190-2940 CW

RECEIVER-TRANSMITTE

Transmits RF CW signals, recieves and processed the return signal into quadrate IF outputs.

Aluminum and electronic components.

Manufacturer Part Number 57057 8020000852 57057 8020000852-1 57057 8020000852-4 Associated Document(s) Line Item(s)

FD20601600163 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Latest Cost Amount: $52,438.42

REPAIR OF RF ASSEMBLY

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAC D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 240 EA 45 Calendar Days

ARO

Proposed Delivery

A TBC 240 EA

REPAIR OF SWITCH & FILTER ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

24 EA

CLIN ACRN ACRN Total

2002 AA

NSN: 5895-01-567-7326 CW

CONVERTER,SIGNAL DA

Manufacturer Part Number 57057 8010000806 57057 8010000806-3 Associated Document(s) Line Item(s)

FD20601600163 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Physical Item Markings:

Latest Cost Amount: $22,107.83

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

REPAIR OF SWITCH & FILTER ASSEMBLY

A TBC PAA D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 24 EA 45 Calendar Days

ARO

Proposed Delivery

A TBC 24 EA

REPAIR OF SIGNAL DATA CONVERTER (SDC)

Item No.

Firm Fixed Price Estimated Quantity

U/I Unit Price

12 EA

CLIN ACRN ACRN Total

2003 AA

NSN: 5895-01-338-6519 CW

RECEIVER-TRANSMITTE

Supresses voltage spikes and transients, and reduces filters +28VDC to a +10VDC level.

Potted electronic components.

Manufacturer Part Number 57057 8030005269-1 Associated Document(s) Line Item(s)

FD20601600163 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Physical Item Markings:

Latest Cost Amount: $863.74

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAD D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

REPAIR OF SIGNAL DATA CONVERTER (SDC)

Required Delivery

A TBC 12 EA 45 Calendar Days

ARO

Proposed Delivery

A TBC 12 EA

DATA A001 - A006

Item No.

DATA

IAW DD FORM 1423

IAW PWS

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF)

A001 Item No.

2004AA

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

IAW PWS PARA 4.7

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *1 Calendar Days

Proposed

RESERVED

Item No.

2004AB

RESE

Class I ODS Substance Application/Use Quantity

NONE

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

A003 Item No.

2004AC

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A003 (IUID) MARKING ACTIVITY & VERIFICATION REPORT

IAW PWS PARA 4.3.4

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed Delivery

1 LO

RESERVED

Item No.

2004AD

RESE

Class I ODS Substance Application/Use Quantity

NONE

GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE REPORT

A005 Item No.

2004AE

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A005 GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE

REPORT

IAW PWS PARA 4.6.1

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed Delivery

1 LO

GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE RESPONSE

A006 Item No.

2004AF

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A006 GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE

REPORT

IAW PWS PARA 4.6.2

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE RESPONSE

A006 Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed

ORDERING PERIOD THREE

REPAIR OF RF ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

240 EA

CLIN ACRN ACRN Total

3001 AA

NSN: 5895-01-190-2940 CW

RECEIVER-TRANSMITTE

Transmits RF CW signals, recieves and processed the return signal into quadrate IF outputs.

Aluminum and electronic components.

REPAIR OF RF ASSEMBLY

Manufacturer Part Number 57057 8020000852 57057 8020000852-1 57057 8020000852-4 Associated Document(s) Line Item(s)

FD20601600163 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Latest Cost Amount: $52,438.42

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAC D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 240 EA 45 Calendar Days

ARO

Proposed Delivery

A TBC 240 EA

REPAIR OF SWITCH & FILTER ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

24 EA

CLIN ACRN ACRN Total

3002 AA

NSN: 5895-01-567-7326 CW

CONVERTER,SIGNAL DA

Manufacturer Part Number 57057 8010000806 57057 8010000806-3 Associated Document(s) Line Item(s)

FD20601600163 0002

REPAIR OF SWITCH & FILTER ASSEMBLY

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Physical Item Markings:

Latest Cost Amount: $22,107.83

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAA D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 24 EA 45 Calendar Days

ARO

Proposed Delivery

A TBC 24 EA

REPAIR OF SIGNAL DATA CONVERTER (SDC)

Item No.

Firm Fixed Price Estimated Quantity

U/I Unit Price

12 EA

CLIN ACRN ACRN Total

3003 AA

NSN: 5895-01-338-6519 CW

RECEIVER-TRANSMITTE

Supresses voltage spikes and transients, and reduces filters +28VDC to a +10VDC level.

Potted electronic components.

Manufacturer Part Number 57057 8030005269-1 Associated Document(s) Line Item(s)

FD20601600163 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

REPAIR OF SIGNAL DATA CONVERTER (SDC)

Physical Item Markings:

Latest Cost Amount: $863.74

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAD D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 12 EA 45 Calendar Days

ARO

Proposed Delivery

A TBC 12 EA

DATA A001 - A006

Item No.

DATA

IAW DD FORM 1423

IAW PWS

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF)

A001 Item No.

3004AA

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

IAW PWS PARA 4.7

Associated Document(s) Line Item(s)

FD20601600163 0004

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF)

A001

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *1 Calendar Days

Proposed Delivery

1 LO

RESERVED

Item No.

3004AB

RESE

Class I ODS Substance Application/Use Quantity

NONE

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

A003 Item No.

3004AC

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A003 (IUID) MARKING ACTIVITY & VERIFICATION REPORT

IAW PWS PARA 4.3.4

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

A003 1 LO *30 Calendar Days

Proposed Delivery

1 LO

RESERVED

Item No.

3004AD

RESE

Class I ODS Substance Application/Use Quantity

NONE

GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE REPORT

A005 Item No.

3004AE

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A005 GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE

REPORT

IAW PWS PARA 4.6.1

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed

GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE RESPONSE

A006 Item No.

3004AF

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A006 GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE

REPORT

IAW PWS PARA 4.6.2

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed

ORDERING PERIOD FOUR

REPAIR OF RF ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

240 EA

CLIN ACRN ACRN Total

4001 AA

NSN: 5895-01-190-2940 CW

RECEIVER-TRANSMITTE

Transmits RF CW signals, recieves and processed the return signal into quadrate IF outputs.

Aluminum and electronic components.

Manufacturer Part Number 57057 8020000852 57057 8020000852-1 57057 8020000852-4 Associated Document(s) Line Item(s)

FD20601600163 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Latest Cost Amount: $52,438.42

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAC D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 240 EA 45 Calendar Days

ARO

Proposed

A TBC 240 EA

REPAIR OF SWITCH & FILTER ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

24 EA

CLIN ACRN ACRN Total

4002 AA

NSN: 5895-01-567-7326 CW

CONVERTER,SIGNAL DA

Manufacturer Part Number 57057 8010000806 57057 8010000806-3 Associated Document(s) Line Item(s)

FD20601600163 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Physical Item Markings:

Latest Cost Amount: $22,107.83

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAA D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 24 EA 45 Calendar Days

ARO

Proposed Delivery

A TBC 24 EA

REPAIR OF SIGNAL DATA CONVERTER (SDC)

Item No.

Firm Fixed Price Estimated Quantity

U/I Unit Price

REPAIR OF SIGNAL DATA CONVERTER (SDC)

12 EA

CLIN ACRN ACRN Total

4003 AA

NSN: 5895-01-338-6519 CW

RECEIVER-TRANSMITTE

Supresses voltage spikes and transients, and reduces filters +28VDC to a +10VDC level.

Potted electronic components.

Manufacturer Part Number 57057 8030005269-1 Associated Document(s) Line Item(s)

FD20601600163 0003

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Physical Item Markings:

Latest Cost Amount: $863.74

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBC ORIGIN

Type / Ship To PACRN Mark For

A TBC PAD D4M/RIC:SDD

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBC 12 EA 45 Calendar Days

ARO

Proposed Delivery

A TBC 12 EA

DATA A001 - A006

Item No.

DATA

IAW DD FORM 1423

IAW PWS

Associated Document(s) Line Item(s)

DATA A001 - A006

Priority: R

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAVAF)

A001 Item No.

4004AA

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

IAW PWS PARA 4.7

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *1 Calendar Days

Proposed Delivery

1 LO

RESERVED

Item No.

4004AB

RESE

Class I ODS Substance Application/Use Quantity

NONE

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

A003 Item No.

4004AC

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY AND VERIFICATION REPORT

A003

DATA ITEM NO: A003 (IUID) MARKING ACTIVITY & VERIFICATION REPORT

IAW PWS PARA 4.3.4

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed Delivery

1 LO

RESERVED

Item No.

4004AD

RESE

Class I ODS Substance Application/Use Quantity

NONE

GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE REPORT

A005 Item No.

4004AE

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A005 GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE

REPORT

IAW PWS PARA 4.6.1

Associated Document(s) Line Item(s)

FD20601600163 0004

GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE REPORT

A005

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed Delivery

1 LO

GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE RESPONSE

A006 Item No.

4004AF

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

Data

DATA ITEM NO: A006 GOVERNMENT INDUSTRY DATA EXCHANGE PROGRAM (GIDEP) ALERT/SAFE

REPORT

IAW PWS PARA 4.6.2

Associated Document(s) Line Item(s)

FD20601600163 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For

PAB

Type / Ship To Quantity (U/I) *ARO IAW DD

FORM 1423

_ Req No / Pri

Required Delivery

1 LO *30 Calendar Days

Proposed

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A TBC

TO BE CITED

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

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

E-5

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

(IAW FAR 46.304)

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

E-15

52.246-11 HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT (DEC 2014)

(IAW FAR 46.311, DFARS 246.202-4(1))

(a) The Contractor shall comply with the higher-level quality standard(s) listed below. [If more than one standard is listed, the offeror shall indicate its selection by checking the appropriate block.]*

Title Number Date Tailoring *See Individual Line Item Schedule

(Applicable only if specified in the individual order/call issued hereunder)

E-22

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

(Applicable to the furnishing of supplies, services involving the furnishing of supplies, or research and development, when a fixed-price contract is contemplated and the contract amount is expected to exceed the simplified acquisition threshold)

E-42

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) (Applicable to all orders issued hereunder)

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

[CONTRACTOR FILL-IN]

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

Inspection Code and Address:

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

Item No(s): 0004AA, 0004AB, 0004AD, 0004AE, 0004AF, 1004AA, 1004AE, 1004AF, 2004AA, 2004AE, 2004AF, 3004AA, 3004AE, 3004AF, 4004AA, 4004AE, 4004AF

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

F-1

52.211-8 TIME OF DELIVERY (JUN 1997)

(IAW FAR 11.404(a)(2)) DELIVERY FOR EACH ITEM IS ANNOTATED IN THE SCHEDULE (PART I SECTION B) UNDER EACH LINE ITEM.

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

F-26

52.242-15 STOP-WORK ORDER (AUG 1989)

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

F-30

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

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

F-36

52.247-34 F.O.B. DESTINATION (NOV 1991)

(IAW FAR 47.303-6(c)) F-78

52.247-65 F.O.B. ORIGIN, PREPAID FREIGHT--SMALL PACKAGE SHIPMENTS (JAN 1991)

(IAW FAR 47.303-17(f)) (Applicable when specifying f.o.b. origin)

F-35

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b)) Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address

[CONTRACTOR FILL-IN]

(Applicable when delivery term is f.o.b. origin)

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

G-210

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

(IAW DFARS 232.7004(b), PGI 232.7004(b)(1), DFARS 212.301(f)(liii))

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

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

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

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

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

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

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

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

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

timesheets) in support of each payment request.

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

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

(g) WAWF point of contact.

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

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

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

(Applicable when 252.232-7003 is used and neither 232.7003(b) nor (c) apply)

G-1

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA TO BE CITED ON EACH INDIVIDUAL ORDER $0.00

ACRN TOTAL $ 0.00

G-300D

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

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

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

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

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

Existing Activity Address Code __________________

Existing Routing Identifier Code (RIC) ________________

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

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

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

IA-10

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

(IAW DFARS 201.602-70)

(Applicable to all orders issued hereunder)

IB-300

5352.201-9101 OMBUDSMAN (JUN 2016)

(IAW AFFARS 5301.9103)

(c) If resolution cannot be made by the contracting officer, the interested party may contact the ombudsman, Kim McDonald at 478 222 -1088 , FAX 478 222 -1121 , email kimberly.mcdonald@us.af.mil . Concerns, issues, disagreements, and recommendations that cannot be resolved at the Center/MAJCOM/DRU/SMC ombudsman level, may be brought by the interested party for further consideration to the Air Force ombudsman, Associate Deputy Assistant Secretary (ADAS) (Contracting), SAF/AQC, 1060 Air Force Pentagon, Washington DC 20330-1060, phone number (571) 256-2395, facsimile number (571) 256-2431.

(Applicable to all solicitations and contracts)

I-11

52.202-1 DEFINITIONS (NOV 2013)

(IAW FAR 2.201)

(Applicable when the simplified acquisition threshold is exceeded)

I-19

52.203-3 GRATUITIES (APR 1984)

(IAW FAR 3.202)

(Applicable when simplified acquisition threshold is exceeded, except for personal services and those between military departments or defense agencies and foreign governments that do not obligate any funds appropriated to the Department of Defense)

I-20

52.203-5 COVENANT AGAINST CONTINGENT FEES (MAY 2014)

(IAW FAR 3.404)

(Applicable when simplified acquisition threshold is exceeded other than those for commercial items (see Parts 2 and 12))

I-21

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT (SEP 2006)

(IAW FAR 3.503-2)

(Applicable when the simplified acquisition threshold is exceeded)

I-22

52.203-7 ANTI-KICKBACK PROCEDURES (MAY 2014)

(IAW FAR 3.502-3)

(Applicable when the simplified acquisition threshold is exceeded)

I-23

52.203-8 CANCELLATION, RESCISSION, AND RECOVERY OF FUNDS FOR ILLEGAL OR

IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(a))

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

I-25

52.203-10 PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(b)) (Applicable when the simplified acquisition threshold is exceeded)

I-25C

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(OCT 2010)

(IAW FAR 3.808(b))

(Applicable over $150,000)

I-25E

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

(IAW FAR 3.1004(a)) (Applicable to solicitations and contracts exceeding $5.5 million and the period of performance is greater than 120 days, unless for the acquisition of a commercial item under Part 12 or performed entirely outside the U.S.)

IA-21D

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

(IAW DFARS 203.171-4(a), DFARS 212.301(f)(ii))

(Applicable to all solicitations and contracts)

IA-22

252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER

DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)

(IAW DFARS 203.570-3)

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

IA-24D

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

(Applicable to all solicitations and contracts)

IA-25D

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

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

IA-26

252.203-7004 DISPLAY OF HOTLINE POSTERS (OCT 2016)

(IAW DFARS 203.1004(b)(2)(ii)) (Applicable to acquisitions over $5.5 million, except for commercial items)

IA-29Z

252.203-7997 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN

INTERNAL CONFIDENTIALITY AGREEMENTS (DEVIATION 2016-O0003)

(OCT 2015)

(IAW DARS Tracking # 2016-O0003)

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

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

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

(d) (1) Use of funds appropriated (or otherwise made available) by the Continuing Appropriations Act, 2016 (Pub. L. 114-53) or any other FY 2016 appropriations act that extends to FY 2016 funds the same prohibitions as contained in sections 743 of division E, title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) may be prohibited, if the Government determines that the Contractor is not in compliance with the provisions of this clause.

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

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

I-39

52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED PAPER (MAY 2011)

(IAW FAR 4.303)

(Applicable when the simplified acquisition threshold is exceeded)

I-43

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (OCT 2015)

(IAW FAR 4.1403(a))

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

I-48E

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (JUL 2016)

(IAW FAR 4.1804(c), FAR 12.301(d)) (Applicable when there is a requirement to be registered in SAM or to have a DUNS Number)

I-48F

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

(Applicable to all solicitations and contracts)

I-48G

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(JUN 2016)

(IAW FAR 4.1903)

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

IA-31

252.204-7000 DISCLOSURE OF INFORMATION (OCT 2016)

(IAW DFARS 204.404-70(a)) (Applicable when the contractor will have access to or generate unclassified information that may be sensitive and inappropriate for release to the public)

IA-33

252.204-7003 CONTROL OF GOVERNMENT PERSONNEL WORK PRODUCT (APR 1992)

(IAW DFARS 204.404-70(b)) (Applicable to all orders issued hereunder)

IA-39

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (OCT 2016)

(IAW DFARS 204.7304(c))

(Applicable to all solicitations and contracts, including commercial except when solely for commercial-off-the-shelf items)

IA-39H

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

(IAW DFARS 204.7403(c), DFARS 212.301(f)(ix))

(Applicable to solicitations and contracts that involve litigation support services when 252.204-7014 is not included)

IA-40

252.205-7000 PROVISION OF INFORMATION TO COOPERATIVE AGREEMENT HOLDERS

(DEC 1991)

(IAW DFARS 205.470, DFARS 212.301(f)(x))

(Applicable over $1,000,000)

I-78

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

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(OCT 2015)

(IAW FAR 9.409)

(Applicable when exceeding $35,000)

I-80

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION…