FA8539-19-R-0023.pdf

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REPAIR OF APY 1/2 SURVEILLANCE RADAR SYSTEM
Solicitation number
FA853919R0023
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SOLICITATION

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STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

FA8539-19-R-0023

6.SOLICITATION ISSUE DATE

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

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

HUBZONE SMALL

BUSINESS EDWOSB

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS NAICS CODE: 811219

8(A) SIZE STANDARD: $22.00

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

FAST PAY PROCEDURES APPLY

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

DODAAC: TO BE ASSIGNED

RIC: TO BE ASSIGNED

OPTION ONE TO BE AWARDED, BUT NOT EXERCISED

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

DX: 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

Total

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

SCD:B

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

24. AWARD AMOUNT (FOR GOVT USE ONLY)

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 Other Electronic and Precision 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 310981670.

31OCT2019 4:00PM

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.2327003.)

X

7. ISSUED BY CODE

COMMUNICATION & NAVIGATION, AFSC/PZABA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 7456

ROBINS AFB GA 310981670

BUYER: Jerry J. Latimer/PZABA jerry.latimer@us.af.mil Phone: (478) 926 7056

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

FOLD FOLD

SOLICITATION NO. FA853919R0023

DUE: 31 OCT 2019 4:00 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Jerry J Latimer/PZABA

COMMUNICATION & NAVIGATION, AFSC/PZABA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 7456

ROBINS AFB GA 310981670

FA853919R0023

PART I THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

THIS IS A SOLICITATION FOR A FIRM FIXED PRICE (FFP) FIVE YEAR REQUIREMENTS TYPE CONTRACT SPECIFIED IN THE SCHEDULE FOR THE REPAIR OF APY 1/2 SURVEILLANCE RADAR SYSTEM. THE BEST ESTIMATED QUANTIEIES (BEQ's) SET FORTH IN THE SOLICITATION ARE THE ESTIMATED TOTAL QUANTITY THE GOVERNMENT EXPECTS TO ORDER DURING THE FIVE YEARS PLUS SIX MONTHS OR 66 MONTHS FROM DATE OF AWARD. EACH ORDERING PERIOD HAS THE BEQ FOR WHICH IS EXPECTED TO BE ORDERED DURING THE LENGTH OF TWLELVE (12) MONTH

PERIOD.

BASIC ORDERING PERIOD: APPLICABLE TO ORDERS ISSUED FROM DATE OF CONTRACT AWARD THROUGH 365

CALENDAR DAYS.

ORDERING PERIOD I: APPLICABLE TO ORDERS ISSUED 366 CALENDAR DAYS THROUGH 730 CALENDAR DAYS FROM

DATE OF AWARD, WHICH FOLLOWS BASE ORDERING PERIOD.

ORDERING PERIOD II: APPLICABLE TO ORDERS ISSUED 731 CALENDAR DAYS THROUGH 1095 CALENDAR DAYS

FROM DATE OF AWARD, WHICH FOLLOWS ORDERING PERIOD I.

ORDERING PERIOD III: APPLICABLE TO ORDERS ISSUED 1096 CALENDAR DAYS THROUGH 1460 CALENDAR DAYS

FROM DATE OF AWARD, WHICH FOLLOWS ORDERING PERIOD II.

ORDERING PERIOD IV: APPLICABLE TO ORDERS ISSUED 1461 CALENDAR DAYS THROUGH 1825 CALENDAR DAYS

FROM DATE OF AWARD, WHICH FOLLOWS ORDERING PERIOD III.

BASIC ORDERING PERIOD

TEST TEARDOWN AND EVALUATION

BEQ:5

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Amount

1 EA 5 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 5999010383343 CW

DELAY LINE

TEST TEARDOWN & EVALUATION FOR DELAY LINE ITEM FOR APY 1/2 SURVEILLANCE RADAR SYSTEM IAW PWS module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

TEST TEARDOWN AND EVALUATION

BEQ:5

FD20602000095 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.)

Applicability: None ;

IUID Required: Yes Latest Cost Amount: $17,570.00

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC: SDD

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

Early Delivery is acceptable

_ Req No / Pri

Required Delivery

A SW3119 1 EA

*30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DELAY LINE REPAIR

BEQ:5

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Amount

1 EA 5 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 5999010383343 CW

DELAY LINE

REPAIR OF DELAY LINE FOR APY 1/2 SURVEILLANCE RADAR SYSTEM IAW PWS

module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

FD20602000095 0005

Priority: R

DELAY LINE REPAIR

BEQ:5

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.)

Title Number Date Tailoring

ISO 90012008 2008

Applicability: None ;

IUID Required: Yes Latest Cost Amount: $17,570.00

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC: SDD

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

Early Delivery is acceptable

_ Req No / Pri

Required Delivery

A SW3119 1 EA

*30 Calendar Days

Proposed Delivery

A SW3119 1 EA

BEYOND ECONOMIC REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 5999010383343 CW

DELAY LINE

BEYOND ECONOMIC REPAIR IAW PWS PARA 4.10

module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

FD20602000095 0003

Priority: R

Inspection: Origin Acceptance: Origin

BEYOND ECONOMIC REPAIR

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.)

Applicability: None ;

IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For A SW3119 D4M Repair RIC: SDD Type / Ship To Quantity (U/I) IAW PWS Req No / Pri

Required Delivery

A SW3119 1 EA IAW PWS

Proposed Delivery

A SW3119 1 EA

NO FAULT FOUND

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 5999010383343 CW

DELAY LINE

NO FAULT FOUND IAW PWS PARA 4.19

module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

FD20602000095 0004

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.)

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

NO FAULT FOUND

A SW3119 ORIGIN

Type / Ship To PACRN Mark For A SW3119 D4M Repair RIC: SDD Type / Ship To Quantity (U/I) IAW PWS Req No / Pri

Required Delivery

A SW3119 1 EA IAW PWS

Proposed Delivery

A SW3119 1 EA

DATA

A001A008 Item No.

Not Separately Priced Quantity U/I Unit Price

NSP

Data Associated Document(s) Line Item(s)

FD20602000095 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

CAVAF

A001 Item No.

0005AA

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

Data CDRL A001 Commerical Asset Visability Air Force (CAV) Government Furnished Material Report IAW PWS PARA 4.7 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

CAVAF

A001

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 Calendar Days

Proposed Delivery

A FA8539 1 LO

Government Property Inventory Report

A002 Item No.

0005AB

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

Data CDRL A002 Government Property Inventory Report IAW PWS PARA 4.7.1 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 CAL Year

Proposed Delivery

A FA8539 1 LO

GFM INVENTORY REPORT

A003 Item No.

0005AC

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

Data CDRL A003 Contract Government Furnished Material Requisition and Inventory Report IAW PWS PARA 4.7.2 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 CAL Year

Proposed Delivery

A FA8539 1 LO

CDM PRODUCTION REPORT

A004 Item No.

0005AD

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

Data CDRL A004 Contract Depot Maintenance (CDM) Production Report IAW PWS PARA 4.7.3 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination

CDM PRODUCTION REPORT

A004 Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 CAL Year

Proposed Delivery

A FA8539 1 LO

IUID MARKING PLAN

A005 Item No.

0005AE

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

Data CDRL A005 Item Unique Identification Marking Plan IAW PWS PARA 4.3.1.2 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *30 Calendar Days

Proposed

IUID VALIDATION & VERIFICATION REPORT

A006 Item No.

0005AF

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

Data CDRL A006 Item Unique Identification Marking Activity Validation and Verification Report IAW PWS PARA 4.3.2.2 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *30 Calendar Days

Proposed Delivery

A FA8539 1 LO

COUNTERFEIT PREVENTION PLAN

A007 Item No.

0005AG

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

Data CDRL A008 Counterfeit Prevention Plan IAW PWS PARA 4.6 Associated Document(s) Line Item(s)

FD20602000095 0001

Limitations of Liability: Other Than High Value Item

COUNTERFEIT PREVENTION PLAN

A007

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *30 Calendar Days

Proposed Delivery

A FA8539 1 LO

QUALITY PROGRAM PLAN

A008 Item No.

0005AH

Not Separately Priced Quantity U/I Unit Price Amount 1 NSP Not Separately Priced

Data CDRL A008 Quality Program Plan IAW PWS PARA 5.8 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To Quantity (U/I) *ARO IAW DD 1423 _ Req No / Pri

Required Delivery

A FA8539 1 *30 Calendar Days

Proposed

QUALITY PROGRAM PLAN

A008

A FA8539 1

ORDERING PERIOD ONE

TEST TEARDOWN AND EVALUATION

BEQ:5

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Amount

1 EA 5 EA

CLIN ACRN ACRN Total

1001 AA

NSN: 5999010383343 CW

DELAY LINE

TEST TEARDOWN & EVALUATION FOR DELAY LINE ITEM FOR APY 1/2 SURVEILLANCE RADAR SYSTEM IAW PWS module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

FD20602000095 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.)

Applicability: None ;

IUID Required: Yes Latest Cost Amount: $17,570.00

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC: SDD

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

Early Delivery is acceptable

_ Req No / Pri

Required Delivery

A SW3119 1 EA

*30 Calendar Days

TEST TEARDOWN AND EVALUATION

BEQ:5

A SW3119 1 EA

DELAY LINE REPAIR

BEQ:5

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Amount

1 EA 5 EA

CLIN ACRN ACRN Total

1002 AA

NSN: 5999010383343 CW

DELAY LINE

REPAIR OF DELAY LINE FOR APY 1/2 SURVEILLANCE RADAR SYSTEM IAW PWS

module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

FD20602000095 0005

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.)

Title Number Date Tailoring

ISO 90012008 2008

Applicability: None ;

IUID Required: Yes Latest Cost Amount: $17,570.00

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC: SDD

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

Early Delivery is acceptable

_ Req No / Pri

Required Delivery

A SW3119 1 EA

*30 Calendar Days

DELAY LINE REPAIR

BEQ:5

A SW3119 1 EA

BEYOND ECONOMIC REPAIR

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 5999010383343 CW

DELAY LINE

BEYOND ECONOMIC REPAIR

module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

FD20602000095 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.)

Applicability: None ;

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For A SW3119 D4M Repair RIC: SDD Type / Ship To Quantity (U/I) IAW PWS Req No / Pri

Required Delivery

A SW3119 1 EA IAW PWS

Proposed Delivery

A SW3119 1 EA

NO FAULT FOUND

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

NO FAULT FOUND

1 EA

NSN: 5999010383343 CW

DELAY LINE

NO FAULT FOUND

module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

FD20602000095 0004

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.)

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For A SW3119 D4M Repair RIC: SDD Type / Ship To Quantity (U/I) IAW PWS Req No / Pri

Required Delivery

A SW3119 1 EA IAW PWS

Proposed Delivery

A SW3119 1 EA

DATA

A001A008 Item No.

Not Separately Priced

Data

CC:MA

Associated Document(s) Line Item(s)

FD20602000095 0001

DATA

A001A008

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

CAVAF

A001 Item No.

1005AA

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

Data CDRL A001 Commerical Asset Visability Air Force (CAV) Government Furnished Material Report IAW PWS PARA 4.7 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 Calendar Days

Proposed Delivery

A FA8539 1 LO

Government Property Inventory Report

A002 Item No.

1005AB

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

Data CDRL A002 Government Property Inventory Report IAW PWS PARA 4.7.1

Government Property Inventory Report

A002 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 CAL Year

Proposed Delivery

A FA8539 1 LO

CDM PRODUCTION REPORT

A004 Item No.

1005AD

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

Data CDRL A004 Contract Depot Maintenance (CDM) Production Report IAW PWS PARA 4.7.3 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

CDM PRODUCTION REPORT

A004 Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 CAL Year

Proposed Delivery

A FA8539 1 LO

ORDERING PERIOD TWO

TEST TEARDOWN AND EVALUATION

BEQ:5

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Amount

1 EA 5 EA

CLIN ACRN ACRN Total

2001 AA

NSN: 5999010383343 CW

DELAY LINE

TEST TEARDOWN & EVALUATION FOR DELAY LINE ITEM FOR APY 1/2 SURVEILLANCE RADAR SYSTEM IAW PWS module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

FD20602000095 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.)

Applicability: None ;

IUID Required: Yes Latest Cost Amount: $17,570.00

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

A SW3119 PAA D4M REPAIR RIC: SDD

TEST TEARDOWN AND EVALUATION

BEQ:5

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

Early Delivery is acceptable

_ Req No / Pri

Required Delivery

A SW3119 1 EA

*30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DELAY LINE REPAIR

BEQ:5

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Amount

1 EA 5 EA

CLIN ACRN ACRN Total

2002 AA

NSN: 5999010383343 CW

DELAY LINE

REPAIR OF DELAY LINE FOR APY 1/2 SURVEILLANCE RADAR SYSTEM IAW PWS

module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

FD20602000095 0005

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.)

Title Number Date Tailoring

ISO 90012008 2008

Applicability: None ;

IUID Required: Yes Latest Cost Amount: $17,570.00

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

A SW3119 PAA D4M REPAIR RIC: SDD

DELAY LINE REPAIR

BEQ:5

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

Early Delivery is acceptable

_ Req No / Pri

Required Delivery

A SW3119 1 EA

*30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DATA

A001A008 Item No.

Not Separately Priced Quantity U/I Unit Price

NSP

Data

CC:MA

Associated Document(s) Line Item(s)

FD20602000095 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

CAVAF

A001 Item No.

2005AA

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

Data CDRL A001 Commerical Asset Visability Air Force (CAV) Government Furnished Material Report IAW PWS PARA 4.7 Associated Document(s) Line Item(s)

FD20602000095 0001

CAVAF

A001

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 Calendar Days

Proposed Delivery

A FA8539 1 LO

Government Property Inventory Report

A002 Item No.

2005AB

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

Data CDRL A002 Government Property Inventory Report IAW PWS PARA 4.7.1 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required

A FA8539 1 LO *1 CAL Year

Government Property Inventory Report

A002 Proposed Delivery

A FA8539 1 LO

CDM PRODUCTION REPORT

A004 Item No.

2005AD

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

Data CDRL A004 Contract Depot Maintenance (CDM) Production Report IAW PWS PARA 4.7.3 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 CAL Year

Proposed Delivery

A FA8539 1 LO

ORDERING PERIOD THREE

TEST TEARDOWN AND EVALUATION

BEQ:5

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Amount

1 EA 5 EA

TEST TEARDOWN AND EVALUATION

BEQ:5

CLIN ACRN ACRN Total

3001 AA

NSN: 5999010383343 CW

DELAY LINE

TEST TEARDOWN & EVALUATION FOR DELAY LINE ITEM FOR APY 1/2 SURVEILLANCE RADAR SYSTEM IAW PWS module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

FD20602000095 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.)

Applicability: None ;

IUID Required: Yes Latest Cost Amount: $17,570.00

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC: SDD

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

Early Delivery is acceptable

_ Req No / Pri

Required Delivery

A SW3119 1 EA

*30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DELAY LINE REPAIR

BEQ:5

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Amount

1 EA 5 EA

CLIN ACRN ACRN Total

3002 AA

NSN: 5999010383343 CW

DELAY LINE REPAIR

BEQ:5

DELAY LINE

REPAIR OF DELAY LINE FOR APY 1/2 SURVEILLANCE RADAR SYSTEM IAW PWS

module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

FD20602000095 0005

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.)

Title Number Date Tailoring

ISO 90012008 2008

Applicability: None ;

IUID Required: Yes Latest Cost Amount: $17,570.00

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC: SDD

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

Early Delivery is acceptable

_ Req No / Pri

Required Delivery

A SW3119 1 EA

*30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DATA

A001A008 Item No.

Not Separately Priced

Data

CC:MA

Associated Document(s) Line Item(s)

FD20602000095 0001

DATA

A001A008 Priority: R

Limitations of Liability: Other Than High Value Item

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

CAVAF

A001 Item No.

3005AA

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

Data CDRL A001 Commerical Asset Visability Air Force (CAV) Government Furnished Material Report IAW PWS PARA 4.7 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 Calendar Days

Proposed Delivery

A FA8539 1 LO

Government Property Inventory Report

A002 Item No.

3005AB

Not Separately Priced Quantity U/I Unit Price Amount

Government Property Inventory Report

A002 1 LO NSP Not Separately Priced

Data CDRL A002 Government Property Inventory Report IAW PWS PARA 4.7.1 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 CAL Year

Proposed Delivery

A FA8539 1 LO

CDM PRODUCTION REPORT

A004 Item No.

3005AD

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

Data CDRL A004 Contract Depot Maintenance (CDM) Production Report IAW PWS PARA 4.7.3 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination

Quality Assurance: Standard Inspection

CDM PRODUCTION REPORT

A004

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 CAL Year

Proposed Delivery

A FA8539 1 LO

ORDERING PERIOD FOUR

TEST TEARDOWN AND EVALUATION

BEQ:5

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Amount

1 EA 5 EA

CLIN ACRN ACRN Total

4001 AA

NSN: 5999010383343 CW

DELAY LINE

TEST TEARDOWN & EVALUATION FOR DELAY LINE ITEM FOR APY 1/2 SURVEILLANCE RADAR SYSTEM IAW PWS module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

FD20602000095 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.)

Applicability: None ;

IUID Required: Yes Latest Cost Amount: $17,570.00

Transportation From Continental United States CONUS (CONUS) Sources

TEST TEARDOWN AND EVALUATION

BEQ:5

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC: SDD

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

Early Delivery is acceptable

_ Req No / Pri

Required Delivery

A SW3119 1 EA

*30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DELAY LINE REPAIR

Item No.

Firm Fixed Price From Quantity U/I To Quantity U/I Amount

1 EA 5 EA

CLIN ACRN ACRN Total

4002 AA

NSN: 5999010383343 CW

DELAY LINE

REPAIR OF DELAY LINE FOR APY 1/2 SURVEILLANCE RADAR SYSTEM IAW PWS

module Manufacturer Part Number 97942 581R885H01 Associated Document(s) Line Item(s)

FD20602000095 0005

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.)

Title Number Date Tailoring

ISO 90012008 2008

Applicability: None ;

IUID Required: Yes Latest Cost Amount: $17,570.00

Transportation From Continental United States CONUS (CONUS) Sources

A SW3119 ORIGIN

DELAY LINE REPAIR

Type / Ship To PACRN Mark For

A SW3119 PAA D4M REPAIR RIC: SDD

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

Early Delivery is acceptable

_ Req No / Pri

Required Delivery

A SW3119 1 EA

*30 Calendar Days

Proposed Delivery

A SW3119 1 EA

DATA

A001A005 Item No.

Not Separately Priced

Data

CC:MA

Associated Document(s) Line Item(s)

FD20602000095 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

CAVAF

A001 Item No.

4005AA

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

Data CDRL A001 Commerical Asset Visability Air Force (CAV) Government Furnished Material Report IAW PWS PARA 4.7 Associated Document(s) Line Item(s)

FD20602000095 0001

CAVAF

A001

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 Calendar Days

Proposed Delivery

A FA8539 1 LO

Government Property Inventory Report

A002 Item No.

4005AB

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

Data CDRL A002 Government Property Inventory Report IAW PWS PARA 4.7.1 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required

A FA8539 1 LO *1 CAL Year

Government Property Inventory Report

A002 Proposed Delivery

A FA8539 1 LO

CDM PRODUCTION REPORT

A004 Item No.

4005AD

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

Data CDRL A004 Contract Depot Maintenance (CDM) Production Report IAW PWS PARA 4.7.3 Associated Document(s) Line Item(s)

FD20602000095 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8539 DESTINATION

Type / Ship To PACRN Mark For

A FA8539 N/A

Type / Ship To Quantity (U/I) *ARO IAW DD1423 Req No / Pri

Required Delivery

A FA8539 1 LO *1 CAL Year

Proposed

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A FA8539

FA8539 AFSC PZABA

CP 478 926 7456

235 BYRON ST BLDG 300 STE 19A

ROBINS AFB GA 310981670

USA

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

AWARD NUMBER:

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET

BLDG 376

ROBINS AFB GA 310981887

USA

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

CONSIGNEE'S NOTIFICATION TO PURCHASING ACTIVITY OF NONRECEIPT, DAMAGE, OR

NONCONFORMANCE (OCT 2016)

(IAW FAR 13.403(c)) The consignee shall notify the purchasing office promptly after the specified date of delivery of supplies not received, damaged in transit, or not conforming to specifications of the purchase order. Unless extenuating circumstances exist, the notification should be made not later than 60 days after the specified date of delivery.

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

(IAW FAR 46.304)

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 higherlevel 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

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503)

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

[CONTRACTOR FILLIN]

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): 0005AA, 0005AB, 0005AC, 0005AD, 0005AE, 0005AF, 0005AG, 0005AH, 1005AA, 1005AB, 1005AD, 2005AA, 2005AB, 2005AD, 3005AA, 3005AB, 3005AD, 4005AA, 4005AB, 4005AD

PART I THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

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.

PREPAID TRANSPORTATION/POSTAGE (OCT 2016)

(IAW FAR 13.403(a))

“FAST PAY” items shall be shipped transportation or postage prepaid.

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1))

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

(IAW FAR 47.303-1(c))

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

(IAW FAR 47.303-2(c))

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

(IAW FAR 47.303-6(c))

52.247-48 F.O.B. DESTINATION--EVIDENCE OF SHIPMENT (FEB 1999)

(IAW FAR 47.305-4(c))

Applicable Item No(s) 0005AA 0005AB 0005AC 0005AD 0005AE 0005AF 0005AG 0005AH 1005AA 1005AB 1005AD 2005AA

2005AB 2005AD 3005AA 3005AB 3005AD 4005AA 4005AB 4005AD

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

(IAW FAR 47.303-17(f))

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 FILLIN]

PART I THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(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” (standalone) and “Receiving Report” (standalone) 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 backup 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 email 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 8666185988.

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

TRANSPORTATION APPROPRIATION CHARGEABLE

The Transportation Allotment Identification (TAI) relates directly to the above ACRN(s). For example the TAI "TAA" is for the same line item(s) as ACRN "AA".

FMS TRANSPORTATION ALLOTMENT SHALL BE USED ONLY WHEN SHIPMENT ON

GOVERNMENT BILL OF LADING IS AUTHORIZED

Insert 3 if movement via surface mode or 2 if movement via airlift in place of any "#" shown.

Insert last digit of current fiscal year in place of any asterisk "*" shown when material is shipped.

TAI ALLOTMENT

_TAA____ _____F6RS_______

PART II CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

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

(IAW DFARS 201.602-70)

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, Timothy R.

Inman at 478 222 4097 , FAX 000 000 0000 , email timothy.inman@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 203301060, phone number (571) 2562395, facsimile number (571) 2562431.

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(OCT 2010)

(IAW FAR 3.808(b))

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY

AGREEMENTS OR STATEMENTS (JAN 2017)

(IAW FAR 3.909-3 (b))

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

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

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (OCT 2018)

(IAW FAR 4.1403(a))

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (OCT 2018)

(IAW FAR 4.1105(b))

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

(IAW FAR 4.1804(c), FAR 12.301(d))

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(JUN 2016)

(IAW FAR 4.1903)

52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES

DEVELOPED OR PROVIDED BY KASPERSKY LAB AND OTHER COVERED

ENTITIES (JUL 2018)

(IAW FAR 4.2004)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2019)

(IAW 4.2105(b))

252.204-7000 DISCLOSURE OF INFORMATION (OCT 2016)

(IAW DFARS 204.404-70(a))

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

(IAW DFARS 204.404-70(b))

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (OCT 2016)

(IAW DFARS 204.7304(c))

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

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

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

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(OCT 2015)

(IAW FAR 9.409)

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

252.209-7004 SUBCONTRACTING WITH FIRMS THAT ARE OWNED OR CONTROLLED BY THE

GOVERNMENT OF A COUNTRY THAT IS A STATE SPONSOR OF TERRORISM

(MAY 2019)

(IAW DFARS 209.409)

52.211-15 DEFENSE PRIORITY AND ALLOCATION REQUIREMENTS (APR 2008)

(IAW FAR 11.604(b))

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

252.211-7003 ITEM UNIQUE IDENTIFICATION AND VALUATION (MAR 2016)

(IAW DFARS 211.274-6(a)(1), DFARS 212.301(f)(xii))

(a) Definitions. As used in this clause—

“DoD recognized unique identification equivalent” means a unique identification method that is in commercial use and has been recognized by DoD. All DoD recognized unique identification equivalents are listed at http://www.acq.osd.mil/dpap/pdi/uid/iuid/equivalents.html .

“Unique item identifier type” means a designator to indicate which method of uniquely identifying a part has been used. The current list of accepted unique item identifier types is maintained at http://www.acq.osd.mil/dpap/pdi/uid/uii_types.html .

(c) Unique item identifier.

(1) The Contractor shall provide a unique item identifier for the following:

(i) Delivered items for which the Government’s unit acquisition cost is $5,000 or more, except for the following line items:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

See Schedule as Applicable

(ii) Items for which the Government’s unit acquisition cost is less than $5,000 that are identified in the Schedule or the following table:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

*Items less than $5000, which require UID, will be specifically identified in the schedule.

See Schedule as Applicable

(iii) Subassemblies, components, and parts embedded within delivered items, items with warranty requirements, DoD serially managed reparables and DoD serially managed nonreparables as specified in Attachment Number _____( or See Schedule as Applicable).

(iv) Any item of special tooling or special test equipment as defined in FAR 2.101 that have been designated for preservation and storage for a Major Defense Acquisition Program as specified in Attachment Number _____( or See Schedule as Applicable).

(v) Any item not included in paragraphs (c)(1)(i), (ii), (iii), or (iv) of this clause for which the contractor creates and marks a unique item identifier for traceability.

(f) The Contractor shall submit the information required by paragraphs (d) and (e) of this clause as follows:

(1) End items shall be reported using the receiving report capability in Wide Area WorkFlow (WAWF) in accordance with the clause at 252.2327003. If WAWF is not required by this contract, and the contractor is not using WAWF, follow the procedures at http://dodprocurementtoolbox.com/site/uidregistry/ .

(2) Embedded items shall be reported by one of the following methods—

(i) Use of the embedded items capability in WAWF;

(ii) Direct data submission to the IUID Registry following the procedures and formats at http://dodprocurementtoolbox.com/site/uidregistry/; or

(iii) Via WAWF as a deliverable attachment for exhibit line item number ______, Unique Item Identifier Report for Embedded Items, Contract Data Requirements List, DD Form 1423.

252.211-7007 REPORTING OF GOVERNMENT-FURNISHED PROPERTY (AUG 2012)

(IAW DFARS 211.274-6(b), DFARS 212.301(f)(iv))

52.213-1 FAST PAYMENT PROCEDURE (MAY 2006)

(IAW FAR 13.404, FAR 16.703(c)(1)(vi))

52.215-8 ORDER OF PRECEDENCE--UNIFORM CONTRACT FORMAT (OCT 1997)

(IAW FAR 15.209(h), AFFARS 53.15.209(h))

252.217-7028 OVER AND ABOVE WORK (DEC 1991)

(IAW DFARS 217.7702)

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (JUL 2013)

(IAW FAR 19.309(c))

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

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

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

52.222-3 CONVICT LABOR (JUN 2003)

(IAW FAR 22.202)

52.222-21 PROHIBITION OF SEGREGATED FACILITIES (APR 2015)

(IAW FAR 22.810(a)(1))

52.222-26 EQUAL OPPORTUNITY (SEP 2016)

(IAW FAR 22.810(e))

52.222-35 EQUAL OPPORTUNITY FOR VETERANS (OCT 2015)

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

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUL 2014)

(IAW FAR 22.1408(a))

52.222-37 EMPLOYMENT REPORTS ON VETERANS (FEB 2016)

(IAW FAR 22.1310(b))

52.222-41 SERVICE CONTRACT LABOR STANDARDS (AUG 2018)

(IAW FAR 22.1006(a))

52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 2014)

(IAW FAR 22.1006(b))

In compliance with the Service Contract Labor Standards statute, and the regulations of the Secretary of Labor (29 CFR Part 4), this clause identifies the classes of service employees expected to be employed under the contract and states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the provisions of 5 U.S.C. 5341 or 5332.

This Statement is for Information Only:

It is not a Wage Determination

Employee Class Monetary Wage Fringe Benefits

ELECTRONIC INTERGRATED SYSTEM

MECHANIC

WG 11 STEP 5 $22.10 36.25%

WG 12 STEP 5 $30.35 36.25%

(The above Clause/Provision has been modified.)

52.222-44 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT LABOR

STANDARDS--PRICE ADJUSTMENT (MAY 2014)

(IAW FAR…

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