FA853920Q0001_______0002.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

J

2. AMENDMENT/MODIFICATION NO.

FA8539-20-Q-0001-0002

3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO.

FD20602000028

5. PROJECT NO (If applicable)

6. 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: Morgan L. Bloodworth/PZABA morgan.bloodworth@us.af.mil Phone: (478) 926- 7121

7. ADMINISTERED BY (If other than item 6) CODEFA8539

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA853920Q0001

9B. DATED (SEE ITEM 11)

10-DEC-2019

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods. ( a ) By completing Items 8 and 15, and returning copies of the amendment; ( b ) By acknowledging receipt of this amendment on each copy of the offer submitted; or ( c ) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified. 3-APR-2020 5:00 PM

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

ROUTINE

15A. NAME AND TITLE OF SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR

BY ________________________________________________________

(Signature of person authorized to sign)

15C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16B. UNITED STATES OF AMERICA

BY ____________________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

FACILITY CODE

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE

30-105 STANDARD FORM 30 (REV. 10-83)

PRESCRIBED BY GSA

FAR (48 CFR) 53.243

X

X

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

FA8539-20-Q-0001-0002

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to:

A. Remove CDRL A009, Quality Program Plan from this solicittion and replace with CDRL A009, Engineering Change Proposal.

B. Add and incorporate the revised PWS.

C. Extend the proposal date to 03 April 2020.

D. All other terms and conditions remain unchnged.

SUPPLIES OR SERVICES AND PRICES/COSTS

SPECIAL INSTRUCTIONS APPLICABLE TO GFP FOR REPAIR REQUIREMENTS CONTRACTS (JUL 1999)

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" of "maximum" will not entitle the Contractor to any equitable adjustment in price under the Government Property clause of the contract.

THIS FIVE‐YEAR REQUIREMENTS CONTRACT WILL CONTAIN FIVE ORDERING PERIODS, WHICH ARE

DEFINED AS FOLLOWS:

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

CALENDAR DAYS.

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

DAYS FROM DATE OF AWARD, WHICH FOLLOWS THE BASIC/ORDERING PERIOD I.

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

DAYS FROM DATE OF AWARD, WHICH FOLLOWS ORDERING PERIOD II.

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

CALENDAR DAYS FROM DATE OF AWARD, WHICH FOLLOWS ORDERING PERIOD III.

ORDERING PERIODIV: APPLICABLE TO ORDERS ISSUED 1461CALENDAR DAYS THROUGH 1825 CALENDAR

DAYS FROM DATE OF AWARD, WHICH FOLLOWS ORDERING PERIOD IV.

ORDERING PERIOD VI: APPLICABLE TO ORDERS ISSUED 1826 CALENDAR DAYS THROUGH 2000

CALENDAR DAYS FROM DATE OF AWARD, WHICH FOLLOWS ORDERING PERIOD V, IAW FAR 52.2168.

Basic/Ordering Period I:

INTERFACE UNIT, DATA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

51 EA

CLIN ACRN ACRN Total

0001 TB

NSN: 7025-01-514-2659 AY

Data Interface Unit

INTERFACE UNIT, DATA

Provides the means of transferring mission data from the Air Force Mission Planning System to the aircraft and providing the necessary information to the Avionics computer Units (ACU) VIA the 1553 data buss.

Aluminum and Electronic circuitry Manufacturer Part Number

D1321000000 00000 754-11300-2 00000 D1321000001 22830 D1321000001 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

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 PAI D4M:RIC/SDD

Type / Ship To Quantity (U/I) Req No / Pri

Required Delivery

A SW3119 51 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 51 EA

MICAP or Surge: 15 Calendar Days ARO.

Shipment of Routine Repair: Made within five working days of completion; one day for a MICAP or

Surge.

IAW PWS Para 4.8.4. Early Delivery is acceptable.

TRANSFER UNIT

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0002 TB

NSN: 7025-01-463-9167 AY

Transfer Unit

TRANSFER UNIT

Used for the transfer and storage of the approved mission data from the Air Force Mission Support System (AFMSS) Alumunim Case and Electronic Components Manufacturer Part Number 35351 173824-01-01 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Contractor Responsibility for Inspection

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:RIC/SDD

Type / Ship To Quantity (U/I) Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 1 EA

MICAP or Surge: 15 Calendar Days ARO.

Shipment of Routine Repair: Made within five working days of completion; one day for a MICAP or

Surge.

IAW PWS Para 4.8.4. Early Delivery is acceptable.

DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

LO

DATA

Data Priority: R ROUTINE Exhibit: A

CAVAF

Item No.

0003AA

Firm Fixed Price

CAVAF

Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

CAVAF

ELIN A001, Commercial Asset Visibility Air ForceIAW PWS PARA 4.7 Priority: R ROUTINE Exhibit: A

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

0003AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Government Property Inventory Report ELIN A002, Government Property Inventory ReportIAW PWS PARA 4.7.1 Priority: R ROUTINE Exhibit: B

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

CONTRACT GFM REQUISITION AND INVENTORY REPORT

Item No.

0003AC

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Contract GFM Req and Inventory Report ELIN A003, Contract GFM Requisition and Inventory ReportIAW PWS PARA 4.7.2

CONTRACT GFM REQUISITION AND INVENTORY REPORT

Priority: R ROUTINE Exhibit: C

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

CDM PRODUCTION REPORT

Item No.

0003AD

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

CDM Production Report ELIN A004, Contract Depot Maintenance Production ReportIAW PWS PARA 4.7.3 Priority: R ROUTINE Exhibit: D

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

IUID MARKING PLAN

Item No.

0003AE

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

IUID Marking Plan ELIN A005, Item Unique Identification (IUID) Marking PlanIAW PWS PARA 4.3.1.3 Priority: R ROUTINE Exhibit: E

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

IUID MARKING ACTIVITY

Item No.

0003AF

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

IUID Marking Activity ELIN A006, Item Unique Identification (IUID) Marking Activity, Validation and Verification ReportIAW PWS PARA 4.3.2.2 Priority: R ROUTINE Exhibit: F

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

COUNTERFEIT ELECTRONICS PARTS

Item No.

0003AG

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Counterfeit Electronics Parts ELIN A007, Counterfeit Electronics Parts; Avoidance, Detection, Mitigation, and Disposition IAW PWS PARA 4.6 Priority: R ROUTINE Exhibit: G

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

QUARTERLY STATUS REPORT

Item No.

0003AH

QUARTERLY STATUS REPORT

Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Quarterly Status Report ELIN A008, Quarterly Status ReportIAW PWS PARA 5.11 Priority: R ROUTINE Exhibit: H

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

ECP

Item No.

0003AJ

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Engineering Change Proposal

ELIN A009, DI-CMAN-80639CIAW PWS 4.12.1

Associated Document(s) Line Item(s)

FD20602000028 0011

Priority: R ROUTINE Exhibit: J

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

Ordering Period II:

INTERFACE UNIT, DATA

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

INTERFACE UNIT, DATA

50 EA

CLIN ACRN ACRN Total

1001 TB

NSN: 7025-01-514-2659 AY

Data Interface Unit Provides the means of transferring mission data from the Air Force Mission Planning System to the aircraft and providing the necessary information to the Avionics computer Units (ACU) VIA the 1553 data buss.

Aluminum and Electronic circuitry Manufacturer Part Number

D1321000000 00000 754-11300-2 00000 D1321000001 22830 D1321000001 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

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 PAI D4M:RIC/SDD

Type / Ship To Quantity (U/I) Req No / Pri

Required Delivery

A SW3119 50 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 50 EA

MICAP or Surge: 15 Calendar Days ARO.

Shipment of Routine Repair: Made within five working days of completion; one day for a MICAP or

Surge.

IAW PWS Para 4.8.4. Early Delivery is acceptable.

TRANSFER UNIT

Item No.

Firm Fixed Price Best Estimated

TRANSFER UNIT

1 EA

CLIN ACRN ACRN Total

1002 TB

NSN: 7025-01-463-9167 AY

Transfer Unit Used for the transfer and storage of the approved mission data from the Air Force Mission Support System (AFMSS) Alumunim Case and Electronic Components Manufacturer Part Number 35351 173824-01-01 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Contractor Responsibility for Inspection

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:RIC/SDD

Type / Ship To Quantity (U/I) Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 1 EA

MICAP or Surge: 15 Calendar Days ARO.

Shipment of Routine Repair: Made within five working days of completion; one day for a MICAP or

Surge.

IAW PWS Para 4.8.4. Early Delivery is acceptable.

DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

LO

DATA

Data Priority: R ROUTINE Exhibit: A

CAVAF

Item No.

1003AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

CAVAF

ELIN A001, Commercial Asset Visibility Air ForceIAW PWS PARA 4.7 Priority: R ROUTINE Exhibit: A

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

1003AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Government Property Inventory Report ELIN A002, Government Property Inventory ReportIAW PWS PARA 4.7.1 Priority: R ROUTINE Exhibit: B

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

CONTRACT GFM REQUISITION AND INVENTORY REPORT

Item No.

1003AC

Firm Fixed Price Best Estimated Qty

1 LO

CONTRACT GFM REQUISITION AND INVENTORY REPORT

DATA

Contract GFM Req and Inventory Report ELIN A003, Contract GFM Requisition and Inventory ReportIAW PWS PARA 4.7.2 Priority: R ROUTINE Exhibit: C

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

CDM PRODUCTION REPORT

Item No.

1003AD

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

CDM Production Report ELIN A004, Contract Depot Maintenance Production ReportIAW PWS PARA 4.7.3 Priority: R ROUTINE Exhibit: D

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

IUID MARKING PLAN

Item No.

1003AE

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

IUID Marking Plan ELIN A005, Item Unique Identification (IUID) Marking PlanIAW PWS PARA 4.3.1.3 Priority: R ROUTINE Exhibit: E

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

IUID MARKING ACTIVITY

Item No.

1003AF

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

IUID Marking Activity ELIN A006, Item Unique Identification (IUID) Marking Activity, Validation and Verification ReportIAW PWS PARA 4.3.2.2 Priority: R ROUTINE Exhibit: F

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

COUNTERFEIT ELECTRONICS PARTS

Item No.

1003AG

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Counterfeit Electronics Parts ELIN A007, Counterfeit Electronics Parts; Avoidance, Detection, Mitigation, and Disposition IAW PWS PARA 4.6 Priority: R ROUTINE Exhibit: G

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

QUARTERLY STATUS REPORT

Item No.

1003AH

QUARTERLY STATUS REPORT

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Quarterly Status Report ELIN A008, Quarterly Status ReportIAW PWS PARA 5.11 Priority: R ROUTINE Exhibit: H

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

ECP

Item No.

1003AJ

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Engineering Change Proposal

ELIN A009, DI-CMAN-80639CIAW PWS 4.12.1

Associated Document(s) Line Item(s)

FD20602000028 0011

Priority: R ROUTINE Exhibit: J

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

Ordering Period III:

INTERFACE UNIT, DATA

Item No.

INTERFACE UNIT, DATA

Best Estimated Qty

U/I Unit Price Amount

50 EA

CLIN ACRN ACRN Total

2001 TB

NSN: 7025-01-514-2659 AY

Data Interface Unit Provides the means of transferring mission data from the Air Force Mission Planning System to the aircraft and providing the necessary information to the Avionics computer Units (ACU) VIA the 1553 data buss.

Aluminum and Electronic circuitry Manufacturer Part Number

D1321000000 00000 754-11300-2 00000 D1321000001 22830 D1321000001 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

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 PAI D4M:RIC/SDD

Type / Ship To Quantity (U/I) Req No / Pri

Required Delivery

A SW3119 50 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 50 EA

MICAP or Surge: 15 Calendar Days ARO.

Shipment of Routine Repair: Made within five working days of completion; one day for a MICAP or

Surge.

IAW PWS Para 4.8.4. Early Delivery is acceptable.

TRANSFER UNIT

Item No.

TRANSFER UNIT

Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

2002 TB

NSN: 7025-01-463-9167 AY

Transfer Unit Used for the transfer and storage of the approved mission data from the Air Force Mission Support System (AFMSS) Alumunim Case and Electronic Components Manufacturer Part Number 35351 173824-01-01 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Contractor Responsibility for Inspection

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:RIC/SDD

Type / Ship To Quantity (U/I) Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 1 EA

MICAP or Surge: 15 Calendar Days ARO.

Shipment of Routine Repair: Made within five working days of completion; one day for a MICAP or

Surge.

IAW PWS Para 4.8.4. Early Delivery is acceptable.

DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

LO

DATA

Data

CAVAF

Item No.

2003AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

CAVAF

ELIN A001, Commercial Asset Visibility Air ForceIAW PWS PARA 4.7 Priority: R ROUTINE Exhibit: A

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

2003AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Government Property Inventory Report ELIN A002, Government Property Inventory ReportIAW PWS PARA 4.7.1 Priority: R ROUTINE Exhibit: B

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

CONTRACT GFM REQUISITION AND INVENTORY REPORT

Item No.

2003AC

Firm Fixed Price Best Estimated

CONTRACT GFM REQUISITION AND INVENTORY REPORT

1 LO

DATA

Contract GFM Req and Inventory Report ELIN A003, Contract GFM Requisition and Inventory ReportIAW PWS PARA 4.7.2 Priority: R ROUTINE Exhibit: C

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

CDM PRODUCTION REPORT

Item No.

2003AD

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

CDM Production Report ELIN A004, Contract Depot Maintenance Production ReportIAW PWS PARA 4.7.3 Priority: R ROUTINE Exhibit: D

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

IUID MARKING PLAN

Item No.

2003AE

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

IUID Marking Plan ELIN A005, Item Unique Identification (IUID) Marking PlanIAW PWS PARA 4.3.1.3

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

IUID MARKING ACTIVITY

Item No.

2003AF

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

IUID Marking Activity ELIN A006, Item Unique Identification (IUID) Marking Activity, Validation and Verification ReportIAW PWS PARA 4.3.2.2 Priority: R ROUTINE Exhibit: F

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

COUNTERFEIT ELECTRONICS PARTS

Item No.

2003AG

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Counterfeit Electronics Parts ELIN A007, Counterfeit Electronics Parts; Avoidance, Detection, Mitigation, and Disposition IAW PWS PARA 4.6 Priority: R ROUTINE Exhibit: G

Delivery Schedule: IAW DD 1423

Packaging: IAW AFMC 158

QUARTERLY STATUS REPORT

Item No.

2003AH

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Quarterly Status Report ELIN A008, Quarterly Status ReportIAW PWS PARA 5.11 Priority: R ROUTINE Exhibit: H

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

ECP

Item No.

2003AJ

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Engineering Change Proposal

ELIN A009, DI-CMAN-80639CIAW PWS 4.12.1

Associated Document(s) Line Item(s)

FD20602000028 0011

Priority: R ROUTINE Exhibit: J

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

Ordering Period IV:

INTERFACE UNIT, DATA

Item No.

INTERFACE UNIT, DATA

Best Estimated Qty

U/I Unit Price Amount

50 EA

CLIN ACRN ACRN Total

3001 TB

NSN: 7025-01-514-2659 AY

Data Interface Unit Provides the means of transferring mission data from the Air Force Mission Planning System to the aircraft and providing the necessary information to the Avionics computer Units (ACU) VIA the 1553 data buss.

Aluminum and Electronic circuitry Manufacturer Part Number

D1321000000 00000 754-11300-2 00000 D1321000001 22830 D1321000001 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

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 PAI D4M:RIC/SDD

Type / Ship To Quantity (U/I) Req No / Pri

Required Delivery

A SW3119 50 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 50 EA

MICAP or Surge: 15 Calendar Days ARO.

Shipment of Routine Repair: Made within five working days of completion; one day for a MICAP or

Surge.

IAW PWS Para 4.8.4. Early Delivery is acceptable.

TRANSFER UNIT

Item No.

TRANSFER UNIT

Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

3002 TB

NSN: 7025-01-463-9167 AY

Transfer Unit Used for the transfer and storage of the approved mission data from the Air Force Mission Support System (AFMSS) Alumunim Case and Electronic Components Manufacturer Part Number 35351 173824-01-01 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Contractor Responsibility for Inspection

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:RIC/SDD

Type / Ship To Quantity (U/I) Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 1 EA

MICAP or Surge: 15 Calendar Days ARO.

Shipment of Routine Repair: Made within five working days of completion; one day for a MICAP or

Surge.

IAW PWS Para 4.8.4. Early Delivery is acceptable.

DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

LO

DATA

Data

CAVAF

Item No.

3003AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

CAVAF

ELIN A001, Commercial Asset Visibility Air ForceIAW PWS PARA 4.7 Priority: R ROUTINE Exhibit: A

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

3003AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Government Property Inventory Report ELIN A002, Government Property Inventory ReportIAW PWS PARA 4.7.1 Priority: R ROUTINE Exhibit: B

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

CONTRACT GFM REQUISITION AND INVENTORY REPORT

Item No.

3003AC

Firm Fixed Price Best Estimated

CONTRACT GFM REQUISITION AND INVENTORY REPORT

1 LO

DATA

Contract GFM Req and Inventory Report ELIN A003, Contract GFM Requisition and Inventory ReportIAW PWS PARA 4.7.2 Priority: R ROUTINE Exhibit: C

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

CDM PRODUCTION REPORT

Item No.

3003AD

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

CDM Production Report ELIN A004, Contract Depot Maintenance Production ReportIAW PWS PARA 4.7.3 Priority: R ROUTINE Exhibit: D

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

IUID MARKING PLAN

Item No.

3003AE

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

IUID Marking Plan ELIN A005, Item Unique Identification (IUID) Marking PlanIAW PWS PARA 4.3.1.3

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

IUID MARKING ACTIVITY

Item No.

3003AF

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

IUID Marking Activity ELIN A006, Item Unique Identification (IUID) Marking Activity, Validation and Verification ReportIAW PWS PARA 4.3.2.2 Priority: R ROUTINE Exhibit: F

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

COUNTERFEIT ELECTRONICS PARTS

Item No.

3003AG

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Counterfeit Electronics Parts ELIN A007, Counterfeit Electronics Parts; Avoidance, Detection, Mitigation, and Disposition IAW PWS PARA 4.6 Priority: R ROUTINE Exhibit: G

Delivery Schedule: IAW DD 1423

QUARTERLY STATUS REPORT

Item No.

3003AH

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Quarterly Status Report ELIN A008, Quarterly Status ReportIAW PWS PARA 5.11 Priority: R ROUTINE Exhibit: H

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

ECP

Item No.

3003AJ

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Engineering Change Proposal

ELIN A009, DI-CMAN-80639CIAW PWS 4.12.1

Associated Document(s) Line Item(s)

FD20602000028 0011

Priority: R ROUTINE Exhibit: J

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

Ordering Period V:

INTERFACE UNIT, DATA

Item No.

INTERFACE UNIT, DATA

Best Estimated Qty

U/I Unit Price Amount

50 EA

CLIN ACRN ACRN Total

4001 TB

NSN: 7025-01-514-2659 AY

Data Interface Unit Provides the means of transferring mission data from the Air Force Mission Planning System to the aircraft and providing the necessary information to the Avionics computer Units (ACU) VIA the 1553 data buss.

Aluminum and Electronic circuitry Manufacturer Part Number

D1321000000 00000 754-11300-2 00000 D1321000001 22830 D1321000001 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

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 PAI D4M:RIC/SDD

Type / Ship To Quantity (U/I) Req No / Pri

Required Delivery

A SW3119 50 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 50 EA

MICAP or Surge: 15 Calendar Days ARO.

Shipment of Routine Repair: Made within five working days of completion; one day for a MICAP or

Surge.

IAW PWS Para 4.8.4. Early Delivery is acceptable.

TRANSFER UNIT

Item No.

TRANSFER UNIT

Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

4002 TB

NSN: 7025-01-463-9167 AY

Transfer Unit Used for the transfer and storage of the approved mission data from the Air Force Mission Support System (AFMSS) Alumunim Case and Electronic Components Manufacturer Part Number 35351 173824-01-01 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Contractor Responsibility for Inspection

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:RIC/SDD

Type / Ship To Quantity (U/I) Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 1 EA

MICAP or Surge: 15 Calendar Days ARO.

Shipment of Routine Repair: Made within five working days of completion; one day for a MICAP or

Surge.

IAW PWS Para 4.8.4. Early Delivery is acceptable.

DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

LO

DATA

Data

CAVAF

Item No.

4003AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

CAVAF

ELIN A001, Commercial Asset Visibility Air ForceIAW PWS PARA 4.7 Priority: R ROUTINE Exhibit: A

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

4003AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Government Property Inventory Report ELIN A002, Government Property Inventory ReportIAW PWS PARA 4.7.1 Priority: R ROUTINE Exhibit: B

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

CONTRACT GFM REQUISITION AND INVENTORY REPORT

Item No.

4003AC

Firm Fixed Price Best Estimated

CONTRACT GFM REQUISITION AND INVENTORY REPORT

1 LO

DATA

Contract GFM Req and Inventory Report ELIN A003, Contract GFM Requisition and Inventory ReportIAW PWS PARA 4.7.2 Priority: R ROUTINE Exhibit: C

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

CDM PRODUCTION REPORT

Item No.

4003AD

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

CDM Production Report ELIN A004, Contract Depot Maintenance Production ReportIAW PWS PARA 4.7.3 Priority: R ROUTINE Exhibit: D

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

IUID MARKING PLAN

Item No.

4003AE

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

IUID Marking Plan ELIN A005, Item Unique Identification (IUID) Marking PlanIAW PWS PARA 4.3.1.3

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

IUID MARKING ACTIVITY

Item No.

4003AF

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

IUID Marking Activity ELIN A006, Item Unique Identification (IUID) Marking Activity, Validation and Verification ReportIAW PWS PARA 4.3.2.2 Priority: R ROUTINE Exhibit: F

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

COUNTERFEIT ELECTRONICS PARTS

Item No.

4003AG

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Counterfeit Electronics Parts ELIN A007, Counterfeit Electronics Parts; Avoidance, Detection, Mitigation, and Disposition IAW PWS PARA 4.6 Priority: R ROUTINE Exhibit: G

Delivery Schedule: IAW DD 1423

QUARTERLY STATUS REPORT

Item No.

4003AH

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Quarterly Status Report ELIN A008, Quarterly Status ReportIAW PWS PARA 5.11 Priority: R ROUTINE Exhibit: H

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

ECP

Item No.

4003AJ

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Engineering Change Proposal

ELIN A009, DI-CMAN-80639CIAW PWS 4.12.1

Associated Document(s) Line Item(s)

FD20602000028 0011

Priority: R ROUTINE Exhibit: J

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

Ordering Period VI: 6 Month extension IAW FAR 52.216‐8

INTERFACE UNIT, DATA

Item No.

INTERFACE UNIT, DATA

Best Estimated Qty

U/I Unit Price Amount

25 EA

CLIN ACRN ACRN Total

5001 TB

NSN: 7025-01-514-2659 AY

Data Interface Unit Provides the means of transferring mission data from the Air Force Mission Planning System to the aircraft and providing the necessary information to the Avionics computer Units (ACU) VIA the 1553 data buss.

Aluminum and Electronic circuitry Manufacturer Part Number

D1321000000 00000 754-11300-2 00000 D1321000001 22830 D1321000001 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

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 PAI D4M:RIC/SDD

Type / Ship To Quantity (U/I) Req No / Pri

Required Delivery

A SW3119 25 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 25 EA

MICAP or Surge: 15 Calendar Days ARO.

Shipment of Routine Repair: Made within five working days of completion; one day for a MICAP or

Surge.

IAW PWS Para 4.8.4. Early Delivery is acceptable.

TRANSFER UNIT

Item No.

TRANSFER UNIT

Best Estimated Qty

U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

5002 TB

NSN: 7025-01-463-9167 AY

Transfer Unit Used for the transfer and storage of the approved mission data from the Air Force Mission Support System (AFMSS) Alumunim Case and Electronic Components Manufacturer Part Number 35351 173824-01-01 Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Contractor Responsibility for Inspection

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:RIC/SDD

Type / Ship To Quantity (U/I) Req No / Pri

Required Delivery

A SW3119 1 EA *30 Calendar Days Non-MilStrip

Proposed Delivery

A SW3119 1 EA

MICAP or Surge: 15 Calendar Days ARO.

Shipment of Routine Repair: Made within five working days of completion; one day for a MICAP or

Surge.

IAW PWS Para 4.8.4. Early Delivery is acceptable.

DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

LO

DATA

Data

CAVAF

Item No.

5003AA

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

CAVAF

ELIN A001, Commercial Asset Visibility Air ForceIAW PWS PARA 4.7 Priority: R ROUTINE Exhibit: A

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

5003AB

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Government Property Inventory Report ELIN A002, Government Property Inventory ReportIAW PWS PARA 4.7.1 Priority: R ROUTINE Exhibit: B

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

CONTRACT GFM REQUISITION AND INVENTORY REPORT

Item No.

5003AC

Firm Fixed Price Best Estimated

CONTRACT GFM REQUISITION AND INVENTORY REPORT

1 LO

DATA

Contract GFM Req and Inventory Report ELIN A003, Contract GFM Requisition and Inventory ReportIAW PWS PARA 4.7.2 Priority: R ROUTINE Exhibit: C

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

CDM PRODUCTION REPORT

Item No.

5003AD

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

CDM Production Report ELIN A004, Contract Depot Maintenance Production ReportIAW PWS PARA 4.7.3 Priority: R ROUTINE Exhibit: D

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

IUID MARKING PLAN

Item No.

5003AE

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

IUID Marking Plan ELIN A005, Item Unique Identification (IUID) Marking PlanIAW PWS PARA 4.3.1.3

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

IUID MARKING ACTIVITY

Item No.

5003AF

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

IUID Marking Activity ELIN A006, Item Unique Identification (IUID) Marking Activity, Validation and Verification ReportIAW PWS PARA 4.3.2.2 Priority: R ROUTINE Exhibit: F

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

COUNTERFEIT ELECTRONICS PARTS

Item No.

5003AG

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Counterfeit Electronics Parts ELIN A007, Counterfeit Electronics Parts; Avoidance, Detection, Mitigation, and Disposition IAW PWS PARA 4.6 Priority: R ROUTINE Exhibit: G

Delivery Schedule: IAW DD 1423

QUARTERLY STATUS REPORT

Item No.

5003AH

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Quarterly Status Report ELIN A008, Quarterly Status ReportIAW PWS PARA 5.11 Priority: R ROUTINE Exhibit: H

Delivery Schedule: IAW DD 1423

Ship To: IAW DD 1423

Packaging: IAW AFMC 158

ECP

Item No.

5003AJ

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 LO

DATA

Engineering Change Proposal

ELIN A009, DI-CMAN-80639CIAW PWS 4.12.1

Associated Document(s) Line Item(s)

FD20602000028 0011

Priority: R ROUTINE Exhibit: J

Delivery Schedule: IAW DD 1423

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS AFB GA 31098-1887

UNITED STATES

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

AWARD NUMBER:

ADDENDUM TO CLAUSE 52.212-4

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

TB TO BE CITED ON EACH INDIVIDUAL ORDER $0.00

ACRN TOTAL $ 0.00

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

Form Number Description/File Name Date Number of Pages

DD1423-1 CDRLS 06JUN2019 11

PWS 21MAY2019 18

IUID 24SEP2019 2

DD1653 Transportation 24SEP2019 4

Packaging Requirements 24SEP2019 6

Wage Determination UNDATED 1