Revised_HQ0727-16-Q-RH01_Request_for_Quote.doc

REVISED

Request for Quote

HQ0727-Q-RH01

Defense Microelectronics Activity

Contracting Office

4234 54th Street Bldg 620

McClellan CA 95652

To:

Contractor shall furnish TE Connectivity / AMP; Part Number 531721-9 National Stock Number (NSN): 5935010689423

Electrical Connector Receptacles for Sikorsky H-53 Test Cards, Brand name or equal product Respond on or before 14 April 2016 12:00 PM

Pacific Standard Time (PST) Return by email to robynn.hagan@dmea.osd.mil or fax to (916) 231-2818

Delivery Schedule (not to exceed (NTE) 90 days) ………………………………….

FOB Point …………………………………………………………………… (FOB Destination unless otherwise specified.

If not FOB Destination – Shipping costs ($.......…………..)

Payment Terms …………………………………………..

Note: Net 30 unless discount terms are offered

Quoted by …………………………………………………… Date:___________________ Signature:……………………………………………………. Date: __________________

Please verify Ordering Address ______________________

GSA Schedule Number, if applicable _________________ SIN Number _________

Expiration Date: ___________

CAGE Code: ___________ Phone Number

Copy of current price list if available

Federal Acquisitions Regulations (FAR) require all prospective vendors to be registered in SAM prior to the award of a contract, basic agreement, basic ordering agreement, or blanket purchase agreement. For more information, visit https://www.sam.gov/portal/public/SAM/

FAR CLAUSES

FAR 52.212-4, Contract Terms and Conditions—Commercial Items (MAY 2015) FAR 52.212-5, Contract Terms and Conditions Required to Implement Statutes and Executive Orders (FEB 2016)

52.219-6, Notice of Total Small Business Set-Aside (Nov 2011)

52.219-28, Post Award Small Business Program Representation (JUL 2013)

52.222-3, Convict Labor (June 2003)

52.222-19, Child Labor—Cooperation with Authorities and Remedies (FEB 2016)

52.222-21, Prohibition of Segregated Facilities (Apr 2015)

52.222-26, Equal Opportunity (Apr 2015)

52.222-50, Combating Trafficking in Persons (March 2, 2015)

52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (Aug 2011)

52.225-13, Restrictions on Certain Foreign Purchases (Nov 2011) FAR 52.203-3, Gratuities (Apr 1984)

FAR 52.232-40, Providing Accelerated Payments to Small Business Subcontractors (Dec 2013)

DFAR Clauses

252.204-0001, Line Item Specific: Singe Funding (Sep 2009)

252.203-7000, Requirements Relating to Compensation of Former DoD Officials (Sep 2011)

252.204-7012, Safeguarding Covered Defense Information and Cyber Incident Reporting (DEC 2015) 252.204-7015 Disclosure of Information to Litigation Support Contractors (FEB 2014) 252.223-7008 Prohibition of Hexavalent Chromium (JUN 2013) 252.225-7001, Buy American and Balance of Payments Program (NOV 2014)

252.232-7003, Electronic Submission of Payment Requests and Receiving Reports (Mar 2008) 252.232-7006, Wide Area WorkFlow Payment Instructions (May 2013) 252.232-7010, Levies on Contract Payments (Dec 2006)

252.244-7000, Subcontracts for Commercial Items (Jun 2013) 252.247-7023, Transportation of Supplies by Sea (APR 2014)

Deviations

252.203-7997, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements (OCT 2015) (DEVIATION 2016-O0003)

252.204-7012, Safeguarding Covered Defense Information and Cyber Incident Reporting (Oct 2015)

Solicitation Provisions

FAR 52.212-1, Instructions to Offerors—Commercial Items (APR 2014) FAR 52.212-2, Evaluation—Commercial Items (OCT 2014)

FAR 52.212-3, Offeror Representations and Certifications—Commercial Items (FEB 2016)

FAR 52.204-16, Commercial and Government Entity Code Reporting (Jul 2015)

DFARS

252.203-7005, Representation Relating to Compensation of Former DoD Officials (Nov 2011)

252.204-7008, Compliance with Safeguarding Covered Defense Information Controls (DEC 2015) 252.204-7011, Alternative Line Item Structure (Sep 2011)

252.213-7000, Notice to Prospective Suppliers on Use of Past Performance Information Retrieval System—Statistical Reporting in Past Performance Evaluations (JUN 2015)

252.215-7007 Notice of Intent to Resolicit (Jun 2012) 252.222-7007, Representation Regarding Combating Trafficking in Persons (JAN 2015)

252.225-7000, Buy American — Balance of Payments Program Certificate (NOV 2014) 252.247-7022, Representation of Extent of Transportation by Sea (AUG 1992)

252.204-7008, Compliance with Safeguarding Covered Defense Information Controls (OCT 2015) (DEVIATION 2016-O0001) 252.209-7991, Representation by Corporations Regarding an Unpaid Delinquent Tax Liability or a Felony Conviction Under Any Federal Law—Fiscal Year 2016 Appropriations (OCT 2015) (DEVIATION 2016-O0002)