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BASE
| HSCG38-17-Q-200033 REQUIREMENTS |
| Instructions: Fill in the yellow boxes only. All other numbers will automatically calculate. If your company has any additional charges or fees, prompt payment discounts, etc., clearly state what these are in your quotation. If you have any questions when completing this worksheet, please contact the point of contact listed on the solicitation. |
| | | | | UNIT | TOTAL |
| CLIN | SUPPLIES/SERVICES | QTY | UNIT | DAYS ARO | PRICE | AMOUNT |
| 1 | Repair (includes T/E Fee) | 1 | EA | $0.00 | $0.00 |
| NSN: 1560-01-HS1-8005 | | | | |
| P/N: 365A31-2101-12 | | | | |
| HOUSING, CONICAL | | | | |
| 2 | Test/Evaluation - Scrap Items | TBD | EA | $0.00 | $0.00 |
| NSN: 1560-01-HS1-8005 | | | | |
| P/N: 365A31-2101-12 | | | | |
| HOUSING, CONICAL | | | | |
| 3 | Repair (includes T/E Fee) | 2 | EA | $0.00 | $0.00 |
| NSN: 1560-01-HS1-8004 | | | | |
| P/N: 365A31-2101-11 | | | | |
| HOUSING, CONICAL | | | | |
| 4 | Test/Evaluation - Scrap Items | TBD | EA | $0.00 | $0.00 |
| NSN: 1560-01-HS1-8004 | | | | |
| P/N: 365A31-2101-11 | | | | |
| HOUSING, CONICAL | | | | |
| 5 | Repair (includes T/E Fee) | 4 | EA | $0.00 | $0.00 |
| NSN: 1560-01-HS1-8006 | | | | |
| P/N: 365A31-2101-11US | | | | |
| HOUSING, CONICAL | | | | |
| 6 | Test/Evaluation - Scrap Items | TBD | EA | $0.00 | $0.00 |
| NSN: 1560-01-HS1-8006 | | | | |
| P/N: 365A31-2101-11US | | | | |
| HOUSING, CONICAL | | | | |
| 7 | Repair (includes T/E Fee) | 1 | EA | $0.00 | $0.00 |
| NSN: 1560-01-HS1-8007 | | | | |
| P/N: 365A31-2101-12US | | | | |
| HOUSING, CONICAL | | | | |
| 8 | Test/Evaluation - Scrap Items | TBD | EA | $0.00 | $0.00 |
| NSN: 1560-01-HS1-8007 | | | | |
| P/N: 365A31-2101-12US | | | | |
| HOUSING, CONICAL | | | | |
| 9 | Repair (includes T/E Fee) | 3 | EA | $0.00 | $0.00 |
| NSN: 3020-14-389-4416 | | | | |
| P/N: 365A32-1058-22 | | | | |
| RING BEVEL GEAR | | | | |
| 10 | Test/Evaluation - Scrap Items | TBD | EA | $0.00 | $0.00 |
| NSN: 3020-14-389-4416 | | | | |
| P/N: 365A32-1058-22 | | | | |
| RING BEVEL GEAR | | | | |
| 11 | Repair (includes T/E Fee) | 18 | EA | $0.00 | $0.00 |
| NSN: 1615-14-374-7268 | | | | |
| P/N: 365A31-1115-04 | | | | |
| SCISSORS LINK UPPER | | | | |
| 12 | Test/Evaluation - Scrap Items | TBD | EA | $0.00 | $0.00 |
| NSN: 1615-14-374-7268 | | | | |
| P/N: 365A31-1115-04 | | | | |
| SCISSORS LINK UPPER | | | | |
| 13 | Repair (includes T/E Fee) | 2 | EA | $0.00 | $0.00 |
| NSN: 1615-14-374-7268 | | | | |
| P/N: 365A31-1115-03 | | | | |
| MODIFIED TO: 365A31-1115-04 | | | | |
| SCISSORS LINK UPPER | | | | |
| 14 | Test/Evaluation - Scrap Items | TBD | EA | $0.00 | $0.00 |
| NSN: 1615-14-374-7268 | | | | |
| P/N: 365A31-1115-03 | | | | |
| MODIFIED TO: 365A31-1115-04 | | | | |
| SCISSORS LINK UPPER | | | | |
| Other: |
| Include any additional pricing information here (i.e price discounts, shipping costs) |
Please quote what you will charge as a Test and Evaluation fee if the part is found to be Beyond Economical Repair (BER) and include any additional charges to return the item as in the "Other" section. The USCG will notify the contractor in writing on the disposition of any item deemed as BER. The USCG will not pay a scrap fee.
ALL QUOTES WILL BE CONSIDERED F.O.B. DESTINATION UNLESS F.OB. ORIGIN IS CLEARLY STATED IN THE "OTHER" SECTION AND SHIPPING COSTS ARE INCLUDED.
