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Welin Lambie Davits and Support Services Federal contract opportunity
Solicitation number
HSCG40-12-R-20001
Issued by
Department of Homeland Security US Coast Guard

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Attachment II - DHS Form 700-21.pdf PDF
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HSCG40-12-R-20001

Welin Lambie Davits, Parts, Overhauls, and Support Services

Medium Endurance Cutter Product Line Contracting & Procurement Division 1

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER

2112402B4500AG026

2. CONTRACT NO.

3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER

5. SOLICITATION NUMBER

HSCG40-12-R-20001

6. SOLICITATION

ISSUE DATE

11/18/2011

7. FOR SOLICITATION INFORMATION CALL:
a. NAME

Ashley Fetherman

b. TELEPHONE NUMBER (no collect calls)

410-762-6416

8. OFFER DUE DATE/ LOCAL TIME

12/14/2011 3:00pm EST

9. ISSUED BY CODE 75174

Commanding Officer

USCG Surface Forces Logistics Center

Attn: Ashley Fetherman 705 E Ordnance Road

Baltimore, MD 21226-5000

E-mail: Ashley.A.Fetherman@uscg.mil

10. THIS ACQUISITION IS FORMCHECKBOX

UNRESTRICTED OR

FORMCHECKBOX

SET ASIDE: %FOR:

FORMCHECKBOX

SMALL BUSINESS

FORMCHECKBOX

WOMEN-OWNED SMALL

BUSINESS (WOSB)

HUBZONE SMALL

NAICS:

BUSINESS

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SIZE STANDARD:

SMALL BUSINESS

8(A)

11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED

FORMCHECKBOX

SEE SCHEDULE

12. DISCOUNT

TERMS

FORMCHECKBOX

13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700) 13b. RATING DO-A3

14. METHOD OF SOLICITATION

RFQ FORMCHECKBOX

IFB FORMCHECKBOX

RFP

15. DELIVER TO CODE

See Description of Supplies/Services

16. ADMINISTERED BY CODE

Same as block 9

17a. CONTRACTOR/ CAGE CODE FACILITY

OFFEROR CODE

DUNS No.

TELEPHONE NO:

FAX NO:

18a. PAYMENT WILL BE MADE BY CODE U.S. Coast Guard Yard

P.O. Box 4122

Chesapeake, VA 23327-4122

FORMCHECKBOX

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED FORMCHECKBOX

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

In accordance with this solicitation and attached specification

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (FOR GOVT USE ONLY)

FORMCHECKBOX

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 & 52.212-5 ARE ATTACHED. ADDENDA FORMCHECKBOX

ARE FORMCHECKBOX

ARE NOT ATTACHED.

FORMCHECKBOX

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4, FAR 52.212-5 IS ATTACHED. ADDENDA FORMCHECKBOX

ARE FORMCHECKBOX

ARE NOT ATTACHED.

FORMCHECKBOX

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

FORMCHECKBOX

29. AWARD OF CONTRACT: REFERENCE

OFFER DATED . YOUR OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

31a. UNITED STATES OF AMERICA (SINGATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER

30c. DATE SIGNED

31b. NAME OF CONTRACTING OFFICER

31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

STANDARD FORM 1449 (Rev. 3/2011)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA – FAR (48 CFR) 53.212

Table of Contents

DESCRIPTION:

PAGE(S)

Standard Form 1449 (SF1449)

Table of Contents

Addendum to Standard Form 1449:

Blocks 19 – 26, Schedule of Supplies/Services

3-53

Block 15, Deliveries, Packaging and Marking

54-62

Contract Administration Data

63-65

Special Contract Requirements

66-67 FAR Clause 52.212-4, Contract Terms and Conditions – Commercial Items

68-74 Addendum to FAR Clause 52.212-4, Contract Terms and Conditions –

Commercial Items

75-83 FAR Clause 52.212-5, Contract Terms and Conditions Required to Implement

Statutes or Executive Orders – Commercial Items

84-90 Addendum to FAR Clause 52.212-5, Contract Terms and Conditions –

91-95

Addendum to FAR Clause 52.212-1, Instructions to Offerors –

96-98

FAR Clause 52.212-3 – Offeror Representations and Certifications –

99-113

ATTACHMENTS:

Attachment I: Statement of Work Attachment II: DHS Form 700-21 Material Inspection and Receiving Report

Attachment III: DHS Form 700-5 Contractor Report of Government Furnished Property Attachment IV: Government Furnished Property Discrepancy Report Attachment V: Vendor Payment Information

Addendum to Blocks 19 through 26 Schedule of Supplies and Services

TYPE OF CONTRACT

This is a Requirements Type Contract with one (1) Base Year and four (4) Option Years. A Requirements Type Contract is defined in FAR Clause 52.216-21 (Oct 1995).

ORDERING

a. Supplies and services will be ordered by the issuance of individual delivery orders. Refer to FAR Clause 52.216-18 Ordering, pages 79 and 80.

b. Any supplies or services to be furnished under this contract shall be ordered by issuance of delivery orders by the following activity:

U.S. Coast Guard – Surface Forces Logistics Center WMEC Product Line (C&P1) 705 E. Ordnance Road Baltimore, MD 21226

OPTIONS

Each Option extending the term of this Contract shall be for a period of one (1) year from the effective date of each Option and shall be issued in accordance with FAR 52.217-9 (Mar 2000).

QUANTITIES

The quantities shown for all Contract Line Item Numbers (CLIN’s) in the Schedule of Supplies and Services reflect the estimated quantities to be ordered for the Base and each Option Year.

TRAVEL

Travel may be required to various cutter ports and Coast Guard facilities. The costs for transportation, lodging, meals and incidental expenses incurred by the Contractor’s personnel while performing any service under the resultant contract shall be reimbursed in accordance with Federal Travel Regulations, FAR Subpart 31.205-46 utilizing GSA Schedule Federal Per Diem Rates. (Note, a quotation for estimated travel expenses, including GSA per diem rates for the period and place of performance, may be requested prior to issuance of a delivery order that requires travel). Travel receipts shall be provided to the Contract Administrator with each invoice in accordance with FAR 31.205-46(a)(3)(iv).

SCHEDULE OF SUPPLIES AND SERVICES

Base Year CLIN 0001 –Work Item 1, Technical Representative Services: The Contractor shall provide an on-site Tech Rep for a period of 12 months to work up to* 40 hours weekly, within the core hours of 0600 and 1730, Monday through Friday, except Federal holidays. Overtime and travel may be required and shall be authorized in advance by the Contracting Officer. Responsibilities shall include those listed in the attached Statement of Work. *Hours shall be indicated on each individual task order.

Estimated

Loaded Hourly Labor Hours

X Labor Rate

Total

_1850__

X

· CLIN 0001A – Work Item 1: The Contractor shall provide a Monthly Tech. Rep. Report in accordance with Work Item 1, Section 3.9 of the Statement of Work

Not Separately Priced (NSP) CLIN 0002 – Work Item 2, Maintenance Kits: The Contractor shall provide and maintain stock of the following Maintenance Kits in accordance with the Statement of Work.

Part Number
NSN
Description
Unit Price
Est. Qty.
Total Price:
892-02044
4010 01-F12-2483
Wire Rope Renewal Kit
$_____________
7 KT
$_____________
892-02045
3950 01-F12-2484
Check Winch Gear Box Oil Kit
$_____________
7 KT
$_____________
892-02046
3950 01-F12-2485
Tension Winch Brake Inspection Kit
$_____________
7 KT
$_____________
892-02047
3040 01-F12-2486
Hydraulic Fluid Renewal Kit
$_____________
7 KT
$_____________
892-02048
4330 01-F12-2488
Hydraulic Fluid Filter Renewal Kit
$_____________
7 KT
$_____________
892-02049
4330 01-F12-2489
Main Winch Brake & Centrifugal Brake Inspection Kit
$_____________
7 KT
$_____________
892-02050
3040 01-F12-2490
Hydraulic Breather Replacement Kit
$_____________
7 KT
$_____________
892-02051
4720 01-F12-2491
Hydraulic Hose Replacement Kit
$_____________
7 KT
$_____________

· CLIN 0002A - Work Item 2: Monthly Stocking and Storage Fee Unit Price: $____________ x 12 Jobs (Months) = $______________

· CLIN 0002B – Work Item 2: The Contractor shall submit a Bi-annual Usage Report for the above kits to the COTR and Contract Administrator. At a minimum the report shall indicate: 1) the kits and quantities shipped, 2) the ship dates and destination(s), and 3) the quantities currently in stock at the Contractor’s facility.

NSP

CLIN 0003 – Work Item 3, Overhaul Kits: The Contractor shall provide and maintain stock of the 4-Year In-Place Overhaul Kits, Part Number 892-02053, in accordance with the Statement of Work Unit Price per Kit: $____________ x Est. Qty.: 5 Kits = $____________

· CLIN 1003A – Work Item 3: Monthly Stocking and Storage Fee Unit Price: $____________ x 12 Jobs (Months) = $______________

· CLIN 0003B – Work Item 3: The Contractor shall submit a Bi-annual Usage Report for the above kits to the COTR and Contract Administrator. At a minimum the report shall indicate: 1) the kits and quantities shipped, 2) the ship dates and destination(s), and 3) the quantities currently in stock at the Contractor’s facility.

NSP

CLIN 0004 – Work Item 4, Spare Parts: The Contractor shall provide and maintain stock of the following Spare Parts in accordance with the Statement of Work

Part Number
NSN
Description
Unit

price

est. QTY
tOTAL PRICE
2520-1901
2530-99-750-0205
Centrifugal Brake Shoe Set
$___________
2
$___________
5520-6301
2530-99-430-0529
Main Brake Shoe
$___________
2
$___________
5590-0811
5930-99-983-1547
Rotary Switch/Encoder
$___________
1
$___________
5650-5601
2030-99-248-4992
Aluminum Boat Block Assembly
$___________
2
$___________
885-02025
4820-99-322-5761
Accumulator Safety Block
$___________
2
$___________
5721-8611
4820-99-350-2344
Lever Valve
$___________
1
$___________
5726-5901
4720-99-479-6000
Pressure Hose Kit (Brake Cyl)
$___________
2
$___________
5726-6001
4720-99-797-4942
Pressure Hose Kit (Luff Cyl)
$___________
2
$___________
5726-6101
4720-99-616-8026
Pressure Hose Assembly
$___________
2
$___________
800-09948
4030-01-467-1005
Release Hook
$___________
2
$___________
859-01948
6625-99-902-4906
LED Cluster (RED)
$___________
2
$___________
859-01951
5980-99-814-5543
LED Cluster (Blue)
$___________
2
$___________
859-03343
5990-99-724-7525
Incremental Rotary Encoder
$___________
2
$___________
859-02903
6110-99-336-3268
Telefast Block
$___________
2
$___________
859-02905
6150-99-510-6792
Telefast Cable
$___________
2
$___________
859-02906
5998-14-507-3745
Telefast Analog Cable
$___________
2
$___________
859-02914
5998-01-575-1477
Analog Converter
$___________
1
$___________
859-02973
5998-01-574-7008
Counter Card
$___________
1
$___________
859-02971
5998-01-574-1477
Counter Card
$___________
2
$___________
859-02697
6685-99-813-1904
Hygrostat
$___________
1
$___________
859-03027
5945-99-189-2417
Thermister, Motor Protection
$___________
6
$___________
859-03033
6130-14-563-6751
Power Supply Unit
$___________
1
$___________
859-03772
5825-99-483-2504
Incremental Rotary Encoder
$___________
2
$___________
894-03800
6105-99-700-9690
Filter Indicator Plug
$___________
8
$___________
860-01037
6105-99-507-3047
Electric Motor - Main Winch
$___________
1
$___________
860-01038
5998-14-507-3745
Electric Motor - Hydraulic Power Unit
$___________
1
$___________
860-01039
6105-99-434-4140
Electric Motor - Falls Tensioning Winch
$___________
2
$___________
860-02014
6130-99-593-2248
Main Winch Inverter
$___________
2
$___________
860-02015
6130-01-F02-8885
FWD Falls Tension Winch Inverter
$___________
2
$___________
860-02029
6130-01-F12-2487
AFT Falls Tension Winch Inverter
$___________
2
$___________
860-02021
5998-99-226-1399
HTTL Card
$___________
4
$___________
885-02059
2090-99-667-2901
Accumulator Bladder Kit
$___________
6
$___________
891-00449
4330-01-459-3037
Water Removal Filter Element
$___________
10
$___________
891-00451
4810-99-459-7211
Overcenter Valve
$___________
4
$___________
891-00601
4330-99-549-9320
Pressure Filter Element
$___________
20
$___________
891-05515
6110-12-369-3494
Falls Tension Brake
$___________
2
$___________
894-00813
3040-01-563-3025
Air Breather
$___________
4
$___________
894-00822
3040-01-440-5669
Dessicant Breather
$___________
10
$___________
894-00835
2090-99-667-9545
Air Bag
$___________
4
$___________
894-00836
4520-99-938-5901
Immersion Heater
$___________
2
$___________
894-00908
2910-01-500-6910
Return Filter Element
$___________
10
$___________
894-00911
4330-99-501-0015
Return Filter Assembly Complete
$___________
4
$___________
894-00912
4330-99-503-3940
Water Removal Filter Assy w/Element
$___________
4
$___________
894-00913
4330-99-355-4796
Pressure Filter Assembly
$___________
4
$___________
894-00915
4730-99-867-9073
Suction Strainer
$___________
4
$___________
894-00905
4330-99-693-1238
Blockage Indicator
$___________
8
$___________
885-02012
2030-01-F11-2492
Accumulator Bottles
$___________
10
$___________
800-02033
4010-99-251-6631
Wire Rope FWD
$___________
10
$___________
800-02034
4010-99-665-8380
Wire Rope AFT
$___________
10
$___________
885-02076
4820-99-676-6124
Gas Valve Assembly
$___________
4
$___________
885-02073
4820-99-175-2966
Burst Disc
$___________
6
$___________
885-02061
4820-99-911-6206
Gas Valve
$___________
6
$___________
885-02072
4820-99-371-2109
Accumulator Bleed Valve
$___________
6
$___________
885-02077
4730-99-553-3464
Fluid Port Adapter S.S.
$___________
6
$___________
885-02078
4730-99-154-3214
S/S Fluid end Connector
$___________
4
$___________
892-02021
5920-99-750-5099
Fuses, Set
$___________
10
$___________

· CLIN 0004A – Work Item 4: Monthly Stocking and Storage Fee Unit Price: $___________ Est. Qty.: 12 Jobs (Months) = $___________

· CLIN 0004B – Work Item 4: The Contractor shall submit a Bi-annual Usage Report of the above parts to the COTR and Contract Administrator. At a minimum the report shall indicate: 1) the parts and quantities shipped, 2) the ship dates and destination(s), and 3) the quantities currently in stock at the Contractor’s facility.

NSP

CLIN 0005 – Work Item 5, Hardware/Software Upgrades: Initial Assessments - The Contractor shall travel to cutters, assess the davit configuration, and provide a Condition Found Report (CFR) of the findings for review.

Est. 1 Job @ $_____________ = $_____________

Flat Rate per Day: $_________/8 Hour Day Loaded Labor Rate – Straight Time: $_______/Hour Loaded Labor Rate - Overtime (as authorized by the Contracting Officer):

$______/Hour Weekdays and Saturday’s

$______/Hour Sunday’s and Holidays

· CLIN 0005A – Work Item 5: Upgrade Plan – The Contractor shall develop a plan for upgrading the Davit, including proposed costs, and submit for Contracting Officer and COTR approval.

NSP

· CLIN 0005B – Work Item 5: Software/Hardware Upgrades – Upon receipt of the Contracting Officer’s approval to proceed, the Contractor shall travel to cutter(s) and complete recommended davit upgrades and operational testing in accordance with their Upgrade Plan (CLIN 0005A); For evaluation purposes only, jobs shall be estimated @ 3 business days/job.

Est. 1 Job @ $_____________ = $_____________

Flat Rate per Day: $_________/8 Hour Day Loaded Labor Rate – Straight Time: $_______/Hour Loaded Labor Rate - Overtime (as authorized by the Contracting Officer):

$______/Hour Weekdays and Saturday’s

$______/Hour Sunday’s and Holidays

· CLIN 0005C – Work Item 5: Operational Test Report – Upon completion of the upgrades and operational testing, the Contractor shall submit a trip report including all test results to the COTR and Contract Administrator.

NSP

CLIN 0006 – Work Item 6, Virtual Trainers: The Contractor shall utilize Coast Guard Maintenance Procedure Cards (MPC’s) to develop virtual training in accordance with the Statement of Work. REQUIRED IN THE BASE YEAR ONLY

Est. 1 Job @ $_____________ = $______________

· CLIN 0006A – Work Item 6: Laptops - The contractor shall upload the virtual training to laptop computers and provide the laptops with protective cases in accordance with the Statement of Work.

Unit Price: $___________ Est. Qty. 20 EACH Total Price: $____________

CLIN 0007 – Work Item 7, Training Development: The Contractor shall develop davit training and submit a Davit Training Plan and Syllabus for COTR review and approval in accordance with the Statement of Work. REQUIRED IN THE BASE YEAR ONLY

X Labor Rate

Total

_80__

X

CLIN 0008 – Work Item 8, Training Services (Electrical): The Contractor’s Welin Lambie authorized Tech. Rep. shall conduct on-site Davit Electrical Training in accordance with the Statement of Work (Estimate 3 working days/session).

Est. 8 Jobs @ $_____________ = $_____________

Flat Rate per Day: $_________/8 Hour Day Loaded Labor Rate – Straight Time: $_______/Hour Loaded Labor Rate - Overtime (as authorized by the Contracting Officer):

$______/Hour Weekdays and Saturday’s

$______/Hour Sunday’s and Holidays

CLIN 0009 – Work Item 9, Training Services (Mechanical): The Contractor’s Welin Lambie authorized Tech. Rep. shall conduct on-site Davit Mechanical Training in accordance with the Statement of Work (Estimate 3 working days/session).

Est. 8 Jobs @ $_____________ = $_____________

Flat Rate per Day: $_________/8 Hour Day Loaded Labor Rate – Straight Time: $_______/Hour Loaded Labor Rate - Overtime (as authorized by the Contracting Officer):

$______/Hour Weekdays and Saturday’s

$______/Hour Sunday’s and Holidays

CLIN 0010 – Work Item 10, Training Services (Operational): The Contractor’s Welin Lambie authorized Tech. Rep. shall conduct on-site Davit Operational Training in accordance with the Statement of Work (Estimate 3 working days/session).

Est. 8 Jobs @ $_____________ = $_____________

Flat Rate per Day: $_________/8 Hour Day Loaded Labor Rate – Straight Time: $_______/Hour Loaded Labor Rate - Overtime (as authorized by the Contracting Officer):

$______/Hour Weekdays and Saturday’s

$______/Hour Sunday’s and Holidays

CLIN 0011 – Work Item 11, Open, Inspect, Report, and Overhaul Davit: Receipt Report – Upon receipt of a Government Furnished Dual Point Davit for possible overhaul, the Contractor shall conduct a visual inspection of the container and Davit and provide a report and photographs in accordance with the attached Statement of Work.

NSP

· CLIN0011A – Work Item 11: Open/Inspect/Report - The Contractor shall disassemble, inspect, and provide a Condition Found Report (including proposed costs of refurbishment, testing, and preservation, packaging, and marking with itemized parts and labor) for Contracting Officer review and approval in accordance with the Statement of Work.

Estimated

Loaded Hourly

Unit Est.

Labor Hours X Labor Rate Price Qty.

Total

_200__

X x 4 each = $__________

· CLIN0011B – Work Item 11: Overhaul - Upon the Contracting Officer’s approval to proceed, the Contractor shall provide all labor and materials to overhaul the dual point davit, making any necessary repairs to (or recertifications/replacements of) the shipping container. Each overhaul shall include the following Mandatory Replacement parts (in addition to any contingency replacement parts identified in the CFR):

Mandatory Replacement Parts

MTI
Part number
ITEM DESCRIPTION
Unit price
QTY
tOTAL PRICE

Boat Block Assembly, Drawing No. 5650-5601

N
5120-8611
Sheave pin
$__________
2
$__________
N
7300-0120
Thrust washer
$__________
2
$__________
N
675-03012
Tension pin
$__________
2
$__________
N
675-05010
Tension pin
$__________
2
$__________
N
675-05035
Tension pin
$__________
2
$__________
N
5440-5511
Rubbing Strip
$__________
4
$__________
N
5440-5611
Rubbing Strip
$__________
4
$__________
N
5440-5711
Rubbing Strip
$__________
4
$__________
N
616-02056
Slotted CSK HD screw
$__________
16
$__________

Davit Assembly, Drawing No. 5631-4601

N
5129-6711
Arm pivot pin
$__________
2
$__________
N
5142-7011
Pivot pin
$__________
2
$__________
N
5143-7911
Sheave pin
$__________
4
$__________
N
5143-8111
Sheave pin
$__________
3
$__________
N
5144-7611
Sheave pin
$__________
2
$__________
N
5145-4411
Roller pin
$__________
8
$__________
N
5145-4711
Cylinder pin
$__________
4
$__________
N
5146-2211
Sheave pin
$__________
4
$__________
N
5146-2311
Roller pin
$__________
8
$__________
N
5146-2411
Sheave pin
$__________
1
$__________
N
5191-4611
Roller
$__________
8
$__________
N
5191-4711
Roller
$__________
8
$__________
N
5202-7211
Sleeve
$__________
28
$__________
N
5203-9011
Pivot bracket bushing
$__________
4
$__________
N
892-01013
Hydr cylinder seal kit
$__________
2
$__________
N
885-02059
Accumulator bladder kit
$__________
2
$__________
N
885-02025
Accumulator safety block
$__________
1
$__________
N
859-01070
Limit switch
$__________
4
$__________
N
800-02033
Forward wire rope
$__________
1
$__________
N
800-02034
Aft wire rope
$__________
1
$__________

Winch Gearbox Assembly, Drawing No. 5508-7002

N
2520-1901
Cent brake shoe assy
$__________
6
$__________
N
5080-0101
Magnetic plug
$__________
1
$__________
N
5201-6111
Sleeve
$__________
1
$__________
N
5205-2111
Sleeve
$__________
2
$__________
N
5291-3611
Retaining ring
$__________
2
$__________
N
5392-3901
Roller assembly
$__________
2
$__________
N
5395-0711
Sleeve
$__________
1
$__________
N
5520-6301
Brake shoe assy
$__________
1
$__________
N
5727-0801
Brake cylinder
$__________
1
$__________
N
680-14054
Key
$__________
1
$__________
N
680-18050
Key
$__________
1
$__________
N
859-01070
Limit switch
$__________
1
$__________
N
859-01333
Immersion heater
$__________
1
$__________
N
859-01334
Thermostat
$__________
1
$__________
N
889-02006
Flanged plug
$__________
2
$__________
N
889-02105
Sealing washer
$__________
2
$__________

Falls Tensioning Winch Assembly, Drawing No. 5503-3902

N
859-01070
Limit switch
$__________
2
$__________
N
859-01070A
Limit switch lever arm
$__________
2
$__________
N
891-05515
Electro-magnetic brake
$__________
2
$__________

Control Station Assembly, Drawing No. 5694-4701

N
830-00110
PVC strip seal
$__________
7.5
$__________
N
859-02103
Thermostat
$__________
1
$__________
N
859-02161
Panel heater
$__________
1
$__________

Drive Panel Assembly, Drawing No. 2780-2401

N
859-02697
Hygrostat
$__________
1
$__________
N
859-02696
Heater
$__________
1
$__________
N
860-03002
Filter
$__________
1
$__________

Control Panel Assembly, Drawing No. 2780-8401

N
859-02696
Heater
$__________
1
$__________

Hydraulic Assembly, Drawing No. 5631-4602

N
5726-5901
Hose assembly
$__________
2
$__________
N
5726-6001
Hose assembly
$__________
4
$__________
N
5726-6101
Hose assembly
$__________
2
$__________

Hydraulic Reservoir Assembly, Drawing No. 5735-1001

N
894-00913
Pressure filter
$__________
2
$__________
N
894-00915
Suction strainer
$__________
2
$__________
N
894-00813
Breather
$__________
1
$__________
N
894-00835
Air Bag
$__________
1
$__________
N
894-00206
Pump
$__________
2
$__________
N
894-00207
Pump coupling
$__________
2
$__________
N
894-00822
Dessicant breather
$__________
1
$__________
N
894-00834
Dessicant adapter
$__________
1
$__________
N
894-00836
Oil heater
$__________
1
$__________
N
894-01703
Bonded washer
$__________
5
$__________
N
894-01709
Bonded washer
$__________
1
$__________
N
894-00837
Float switch
$__________
1
$__________

TWPIV5.0B Hydraulic Panel Assembly, Drawing No. 5733-1301

N
894-00908
10 micron filter
$__________
1
$__________
N
894-00912
Water filter
$__________
1
$__________
N
894-00319
Solenoid Coil
$__________
1
$__________
N
859-02611
Heater
$__________
1
$__________
N
859-02103
Thermostat
$__________
1
$__________

Miscellaneous Part Sets

N
Non-Structural Fasteners and Grease Fittings (Set)
$__________
1
$__________
N
Elastomer Renewal (Set)
$__________
1
$__________
N
Bearings and Bushings (Set)
$__________
1
$__________
N
Fasteners (Set)
$__________
1
$__________

Total per Overhaul: $____________ x Est. Qty. 4 each = Total: $____________ Contingency Items:

(The Contractor shall provide CFR’s for additional contingency items required to complete overhauls)

· Re-certification of Government Furnished Conex Shipping Container for Transatlantic shipment:

Unit Price: $__________ Est. Qty. 1 each = Total: $____________

· Replacement of non-repairable Conex Shipping Container:

Unit Price: $__________ Est. Qty. 1 each = Total: $____________ Labor:

Est.

X Labor Rate

Qty.

_940__ x 4 each = $__________

· CLIN 0011C – Work Item 11: Test Plan – The Contractor shall submit a test plan for Contracting Officer approval in accordance with the Statement of Work. REQUIRED IN THE BASE YEAR ONLY

NSP

· CLIN 0011D – Work Item 11: Conduct Testing – The Contractor shall contact the Coast Guard 45 days in advance to schedule Coast Guard Quality Assurance inspections and testing at plant. In the presence of the Quality Assurance Representative (QAR), the Contractor shall factory test each davit in accordance with the approved Test Plan (CLIN 0011C) and the Statement of Work.

NSP

· CLIN 0011E – Work Item 11: Test Certification – The Contractor shall provide test certification to the Contracting Officer upon completion and QA approval of all testing.

NSP

· CLIN 0011F – Work Item 11: Scrapping – Upon the Contracting Officer’s authorization, the Contractor shall prepare for shipment and return any davit determined to be Beyond Economical Repair.

Return Unit Price: $___________ Qty. 1 each = Total $_____________ CLIN 0012 – Work Item 12, Model A Davits: TW.PIV 5.0A Davit – The Contractor shall manufacture, test (in presence of Coast Guard QAR), and preserve, package, mark, and deliver new Davits, Model # TW.PIV 5.0A, in accordance with the attached Statement of Work. The below unit price shall include the cost of a certified shipping container and C.I.F. (Customs, Insurance, and Freight) Destination delivery.

Unit Price: $___________ Est. Qty. 1 Each = Total: $_____________

· CLIN 0012A – Work Item 12: Warranty – The Contractor shall provide a 12-month warranty from the date of equipment installation, to a maximum of 24 months from the date of Coast Guard receipt at Destination, whichever comes first, for each davit system.

CLIN 0013 – Work Item 13, Model B Davits: TW.PIV 5.0B Davit – The Contractor shall manufacture, test (in presence of Coast Guard QAR), and preserve, package, mark, and deliver new Davits, Model # TW.PIV 5.0B, NSN 2030-99-454-8999, in accordance with the attached Statement of Work. The below unit price shall include the cost of a certified shipping container and C.I.F. (Customs, Insurance, and Freight) Destination delivery.

· CLIN 0013A – Work Item 13: Warranty – The Contractor shall provide a 12-month warranty from the date of equipment installation, to a maximum of 24 months from the date of Coast Guard receipt at Destination, whichever comes first, for each davit system.

BASE YEAR AGGREGATE TOTAL: $___________

First Option Year

CLIN 1001 –Work Item 1, Technical Representative Services: The Contractor shall provide an on-site Tech Rep for a period of 12 months to work up* to 40 hours weekly, within the core hours of 0600 and 1730, Monday through Friday, except Federal holidays.. Overtime and travel may be required and shall be authorized in advance by the Contracting Officer. Responsibilities shall include those listed in the attached Statement of Work. *Hours shall be indicated on each individual task order.

X Labor Rate

Total

_1850__

X

· CLIN 1001A – Work Item 1: The Contractor shall provide a Monthly Tech. Rep. Report in accordance with Work Item 1, Section 3.9 of the Statement of Work

Not Separately Priced (NSP)

CLIN 1002 – Work Item 2, Maintenance Kits: The Contractor shall provide and maintain stock of the following Maintenance Kits in accordance with the Statement of Work.

Part Number
NSN
Description
Unit Price
Est. Qty.
Total Price:
892-02044
4010 01-F12-2483
Wire Rope Renewal Kit
$_____________
7 KT
$_____________
892-02045
3950 01-F12-2484
Check Winch Gear Box Oil Kit
$_____________
7 KT
$_____________
892-02046
3950 01-F12-2485
Tension Winch Brake Inspection Kit
$_____________
7 KT
$_____________
892-02047
3040 01-F12-2486
Hydraulic Fluid Renewal Kit
$_____________
7 KT
$_____________
892-02048
4330 01-F12-2488
Hydraulic Fluid Filter Renewal Kit
$_____________
7 KT
$_____________
892-02049
3950 01-F12-2489
Main Winch Brake & Centrifugal Brake Inspection Kit
$_____________
7 KT
$_____________
892-02050
3040 01-F12-2490
Hydraulic Breather Replacement Kit
$_____________
7 KT
$_____________
892-02051
4720 01-F12-2491
Hydraulic Hose Replacement Kit
$_____________
7 KT
$_____________

· CLIN 1002A - Work Item 2: Monthly Stocking and Storage Fee

· CLIN 1002B – Work Item 2: The Contractor shall submit a Bi-annual Usage Report for the above kits to the COTR and Contract Administrator. At a minimum the report shall indicate: 1) the kits and quantities shipped, 2) the ship dates and destination(s), and 3) the quantities currently in stock at the Contractor’s facility.

NSP

CLIN 1003 – Work Item 3, Overhaul Kits: The Contractor shall provide and maintain stock of the 4-Year In-Place Overhaul Kits, Part Number 892-02053, in accordance with the Statement of Work Unit Price per Kit: $____________ x Est. Qty.: 5 Kits = $____________

· CLIN 1003A – Work Item 3: Monthly Stocking and Storage Fee Unit Price: $____________ x 12 Jobs (Months) = $______________

· CLIN 1003B – Work Item 3: The Contractor shall submit a Bi-annual Usage Report for the above kits to the COTR and Contract Administrator. At a minimum the report shall indicate: 1) the kits/parts and quantities shipped, 2) the ship dates and destination(s), and 3) the quantities currently in stock at the Contractor’s facility.

NSP

CLIN 1004 – Work Item 4, Spare Parts: The Contractor shall provide and maintain stock of the following Spare Parts in accordance with the Statement of Work

Part Number
NSN
Description
Unit

price

est. QTY
tOTAL PRICE
2520-1901
2530-99-750-0205
Centrifugal Brake Shoe Set
$___________
2
$___________
5520-6301
2530-99-430-0529
Main Brake Shoe
$___________
2
$___________
5590-0811
5930-99-983-1547
Rotary Switch/Encoder
$___________
1
$___________
5650-5601
2030-99-248-4992
Aluminum Boat Block Assembly
$___________
2
$___________
885-02025
4820-99-322-5761
Accumulator Safety Block
$___________
2
$___________
5721-8611
4820-99-350-2344
Lever Valve
$___________
1
$___________
5726-5901
4720-99-479-6000
Pressure Hose Kit (Brake Cyl)
$___________
2
$___________
5726-6001
4720-99-797-4942
Pressure Hose Kit (Luff Cyl)
$___________
2
$___________
5726-6101
4720-99-616-8026
Pressure Hose Assembly
$___________
2
$___________
800-09948
4030-01-467-1005
Release Hook
$___________
2
$___________
859-01948
6625-99-902-4906
LED Cluster (RED)
$___________
2
$___________
859-01951
5980-99-814-5543
LED Cluster (Blue)
$___________
2
$___________
859-03343
5990-99-724-7525
Incremental Rotary Encoder
$___________
2
$___________
859-02903
6110-99-336-3268
Telefast Block
$___________
2
$___________
859-02905
6150-99-510-6792
Telefast Cable
$___________
2
$___________
859-02906
5998-14-507-3745
Telefast Analog Cable
$___________
2
$___________
859-02914
5998-01-575-1477
Analog Converter
$___________
1
$___________
859-02973
5998-01-574-7008
Counter Card
$___________
1
$___________
859-02971
5998-01-574-1477
Counter Card
$___________
2
$___________
859-02697
6685-99-813-1904
Hygrostat
$___________
1
$___________
859-03027
5945-99-189-2417
Thermister, Motor Protection
$___________
6
$___________
859-03033
6130-14-563-6751
Power Supply Unit
$___________
1
$___________
859-03772
5825-99-483-2504
Incremental Rotary Encoder
$___________
2
$___________
894-03800
6105-99-700-9690
Filter Indicator Plug
$___________
8
$___________
860-01037
6105-99-507-3047
Electric Motor - Main Winch
$___________
1
$___________
860-01038
5998-14-507-3745
Electric Motor - Hydraulic Power Unit
$___________
1
$___________
860-01039
6105-99-434-4140
Electric Motor - Falls Tensioning Winch
$___________
2
$___________
860-02014
6130-99-593-2248
Main Winch Inverter
$___________
2
$___________
860-02015
6130-01-F02-8885
FWD Falls Tension Winch Inverter
$___________
2
$___________
860-02029
6130-01-F12-2487
AFT Falls Tension Winch Inverter
$___________
2
$___________
860-02021
5998-99-226-1399
HTTL Card
$___________
4
$___________
885-02059
2090-99-667-2901
Accumulator Bladder Kit
$___________
6
$___________
891-00449
4330-01-459-3037
Water Removal Filter Element
$___________
10
$___________
891-00451
4810-99-459-7211
Overcenter Valve
$___________
4
$___________
891-00601
4330-99-549-9320
Pressure Filter Element
$___________
20
$___________
891-05515
6110-12-369-3494
Falls Tension Brake
$___________
2
$___________
894-00813
3040-01-563-3025
Air Breather
$___________
4
$___________
894-00822
3040-01-440-5669
Dessicant Breather
$___________
10
$___________
894-00835
2090-99-667-9545
Air Bag
$___________
4
$___________
894-00836
4520-99-938-5901
Immersion Heater
$___________
2
$___________
894-00908
2910-01-500-6910
Return Filter Element
$___________
10
$___________
894-00911
4330-99-501-0015
Return Filter Assembly Complete
$___________
4
$___________
894-00912
4330-99-503-3940
Water Removal Filter Assy w/Element
$___________
4
$___________
894-00913
4330-99-355-4796
Pressure Filter Assembly
$___________
4
$___________
894-00915
4730-99-867-9073
Suction Strainer
$___________
4
$___________
894-00905
4330-99-693-1238
Blockage Indicator
$___________
8
$___________
885-02012
2030-01-F11-2492
Accumulator Bottles
$___________
10
$___________
800-02033
4010-99-251-6631
Wire Rope FWD
$___________
10
$___________
800-02034
4010-99-665-8380
Wire Rope AFT
$___________
10
$___________
885-02076
4820-99-676-6124
Gas Valve Assembly
$___________
4
$___________
885-02073
4820-99-175-2966
Burst Disc
$___________
6
$___________
885-02061
4820-99-911-6206
Gas Valve
$___________
6
$___________
885-02072
4820-99-371-2109
Accumulator Bleed Valve
$___________
6
$___________
885-02077
4730-99-553-3464
Fluid Port Adapter S.S.
$___________
6
$___________
885-02078
4730-99-154-3214
S/S Fluid end Connector
$___________
4
$___________
892-02021
5920-99-750-5099
Fuses, Set
$___________
10
$___________

· CLIN 1004A – Work Item 4: Monthly Stocking and Storage Fee

· CLIN 1004B – Work Item 4: The Contractor shall submit a Bi-annual Usage Report of the above parts to the COTR and Contract Administrator. At a minimum the report shall indicate: 1) the parts and quantities shipped, 2) the ship dates and destination(s), and 3) the quantities currently in stock at the Contractor’s facility.

NSP

CLIN 1005 – Work Item 5, Hardware/Software Upgrades: Initial Assessments - The Contractor shall travel to cutters, assess the davit configuration, and provide a Condition Found Report (CFR) of the findings for review.

Est. 1 Job @ $_____________ = $_____________

Flat Rate per Day: $_________/8 Hour Day Loaded Labor Rate – Straight Time: $_______/Hour Loaded Labor Rate - Overtime (as authorized by the Contracting Officer):

$______/Hour Weekdays and Saturday’s

$______/Hour Sunday’s and Holidays

· CLIN 1005A – Work Item 5: Upgrade Plan – The Contractor shall develop a plan for upgrading the Davit, including proposed costs, and submit for Contracting Officer and COTR approval.

NSP

· CLIN 1005B – Work Item 5: Software/Hardware Upgrades – Upon receipt of the Contracting Officer’s approval to proceed, the Contractor shall travel to cutter(s) and complete recommended davit upgrades and operational testing in accordance with their Upgrade Plan; For evaluation purposes only, jobs shall be estimated @ 3 business days/job.

Est. 1 Job @ $_____________ = $_____________

Flat Rate per Day: $_________/8 Hour Day

· CLIN 1005C – Work Item 5: Operational Test Report – Upon completion of the upgrades and operational testing, the Contractor shall submit a trip report including all test results to the COTR and Contract Administrator.

NSP

CLIN 1006 – Work Item 6, Virtual Trainers: The Contractor shall utilize Coast Guard Maintenance Procedure Cards (MPC’s) to develop virtual training in accordance with the Statement of Work. REQUIRED IN THE BASE YEAR ONLY

Est. 1 Job @ N/A = N/A

· CLIN 1006A – Work Item 6: Laptops - The contractor shall upload the virtual training to laptop computers and provide the laptops with protective cases in accordance with the Statement of Work.

Unit Price: $___________ Est. Qty. 1 EACH Total Price: $____________

CLIN 1007 – Work Item 7, Training Development: The Contractor shall develop davit training and submit a Davit Training Plan and Syllabus for COTR review and approval in accordance with the Statement of Work. REQUIRED IN THE BASE YEAR ONLY

Labor Rate

$____N/A_______

= $____N/A________ CLIN 1008 – Work Item 8, Training Services (Electrical): The Contractor’s Welin Lambie authorized Tech. Rep. shall conduct on-site Davit Electrical Training in accordance with the Statement of Work (Estimate 3 working days/session).

Est. 8 Jobs @ $_____________ = $_____________

Flat Rate per Day: $_________/8 Hour Day Loaded Labor Rate – Straight Time: $_______/Hour Loaded Labor Rate - Overtime (as authorized by the Contracting Officer):

$______/Hour Weekdays and Saturday’s

$______/Hour Sunday’s and Holidays

CLIN 1009 – Work Item 9, Training Services (Mechanical): The Contractor’s Welin Lambie authorized Tech. Rep. shall conduct on-site Davit Mechanical Training in accordance with the Statement of Work (Estimate 3 working days/session).

Est. 8 Jobs @ $_____________ = $_____________

Flat Rate per Day: $_________/8 Hour Day Loaded Labor Rate – Straight Time: $_______/Hour Loaded Labor Rate - Overtime (as authorized by the Contracting Officer):

$______/Hour Weekdays and Saturday’s

$______/Hour Sunday’s and Holidays

CLIN 1010 – Work Item 10, Training Services (Operational): The Contractor’s Welin Lambie authorized Tech. Rep. shall conduct on-site Davit Operational Training in accordance with the Statement of Work (Estimate 3 working days/session).

Est. 8 Jobs @ $_____________ = $_____________

Flat Rate per Day: $_________/8 Hour Day Loaded Labor Rate – Straight Time: $_______/Hour Loaded Labor Rate - Overtime (as authorized by the Contracting Officer):

$______/Hour Weekdays and Saturday’s

$______/Hour Sunday’s and Holidays

CLIN 1011 – Work Item 11, Open, Inspect, Report, and Overhaul Davit: Receipt Report – Upon receipt of a Government Furnished Dual Point Davit for possible overhaul, the Contractor shall conduct a visual inspection of the container and Davit and provide a report and photographs in accordance with the attached Statement of Work.

NSP

· CLIN1011A – Work Item 11: Open/Inspect/Report - The Contractor shall disassemble, inspect, and provide a Condition Found Report (including proposed costs of refurbishment, testing, and preservation, packaging, and marking with itemized parts and labor) for Contracting Officer review and approval in accordance with the Statement of Work.

X Labor Rate

_200__ x 4 each = $__________

· CLIN1011B – Work Item 11: Overhaul - Upon the Contracting Officer’s approval to proceed, the Contractor shall provide all labor and materials to overhaul the dual point davit, making any necessary repairs to (or recertifications/replacements of) the shipping container. Each overhaul shall include the following Mandatory Replacement parts (in addition to any contingency replacement parts identified in the CFR):

Mandatory Replacement Parts

MTI
Part number
ITEM DESCRIPTION
Unit price
QTY
tOTAL PRICE

Boat Block Assembly, Drawing No. 5650-5601

N
5120-8611
Sheave pin
$__________
2
$__________
N
7300-0120
Thrust washer
$__________
2
$__________
N
675-03012
Tension pin
$__________
2
$__________
N
675-05010
Tension pin
$__________
2
$__________
N
675-05035
Tension pin
$__________
2
$__________
N
5440-5511
Rubbing Strip
$__________
4
$__________
N
5440-5611
Rubbing Strip
$__________
4
$__________
N
5440-5711
Rubbing Strip
$__________
4
$__________
N
616-02056
Slotted CSK HD screw
$__________
16
$__________

Davit Assembly, Drawing No. 5631-4601

N
5129-6711
Arm pivot pin
$__________
2
$__________
N
5142-7011
Pivot pin
$__________
2
$__________
N
5143-7911
Sheave pin
$__________
4
$__________
N
5143-8111
Sheave pin
$__________
3
$__________
N
5144-7611
Sheave pin
$__________
2
$__________
N
5145-4411
Roller pin
$__________
8
$__________
N
5145-4711
Cylinder pin
$__________
4
$__________
N
5146-2211
Sheave pin
$__________
4
$__________
N
5146-2311
Roller pin
$__________
8
$__________
N
5146-2411
Sheave pin
$__________
1
$__________
N
5191-4611
Roller
$__________
8
$__________
N
5191-4711
Roller
$__________
8
$__________
N
5202-7211
Sleeve
$__________
28
$__________
N
5203-9011
Pivot bracket bushing
$__________
4
$__________
N
892-01013
Hydr cylinder seal kit
$__________
2
$__________
N
885-02059
Accumulator bladder kit
$__________
2
$__________
N
885-02025
Accumulator safety block
$__________
1
$__________
N
859-01070
Limit switch
$__________
4
$__________
N
800-02033
Forward wire rope
$__________
1
$__________
N
800-02034
Aft wire rope
$__________
1
$__________

Winch Gearbox Assembly, Drawing No. 5508-7002

N
2520-1901
Cent brake shoe assy
$__________
6
$__________
N
5080-0101
Magnetic plug
$__________
1
$__________
N
5201-6111
Sleeve
$__________
1
$__________
N
5205-2111
Sleeve
$__________
2
$__________
N
5291-3611
Retaining ring
$__________
2
$__________
N
5392-3901
Roller assembly
$__________
2
$__________
N
5395-0711
Sleeve
$__________
1
$__________
N
5520-6301
Brake shoe assy
$__________
1
$__________
N
5727-0801
Brake cylinder
$__________
1
$__________
N
680-14054
Key
$__________
1
$__________
N
680-18050
Key
$__________
1
$__________
N
859-01070
Limit switch
$__________
1
$__________
N
859-01333
Immersion heater
$__________
1
$__________
N
859-01334
Thermostat
$__________
1
$__________
N
889-02006
Flanged plug
$__________
2
$__________
N
889-02105
Sealing washer
$__________
2
$__________

Falls Tensioning Winch Assembly, Drawing No. 5503-3902

N
859-01070
Limit switch
$__________
2
$__________
N
859-01070A
Limit switch lever arm
$__________
2
$__________
N
891-05515
Electro-magnetic brake
$__________
2
$__________

Control Station Assembly, Drawing No. 5694-4701

N
830-00110
PVC strip seal
$__________
7.5
$__________
N
859-02103
Thermostat
$__________
1
$__________
N
859-02161
Panel heater
$__________
1
$__________

Drive Panel Assembly, Drawing No. 2780-2401

N
859-02697
Hygrostat
$__________
1
$__________
N
859-02696
Heater
$__________
1
$__________
N
860-03002
Filter
$__________
1
$__________

Control Panel Assembly, Drawing No. 2780-8401

N
859-02696
Heater
$__________
1
$__________

Hydraulic Assembly, Drawing No. 5631-4602

N
5726-5901
Hose assembly
$__________
2
$__________
N
5726-6001
Hose assembly
$__________
4
$__________
N
5726-6101
Hose assembly
$__________
2
$__________

Hydraulic Reservoir Assembly, Drawing No. 5735-1001

N
894-00913
Pressure filter
$__________
2
$__________
N
894-00915
Suction strainer
$__________
2
$__________
N
894-00813
Breather
$__________
1
$__________
N
894-00835
Air Bag
$__________
1
$__________
N
894-00206
Pump
$__________
2
$__________
N
894-00207
Pump coupling
$__________
2
$__________
N
894-00822
Dessicant breather
$__________
1
$__________
N
894-00834
Dessicant adapter
$__________
1
$__________
N
894-00836
Oil heater
$__________
1
$__________
N
894-01703
Bonded washer
$__________
5
$__________
N
894-01709
Bonded washer
$__________
1
$__________
N
894-00837
Float switch
$__________
1
$__________

TWPIV5.0B Hydraulic Panel Assembly, Drawing No. 5733-1301

N
894-00908
10 micron filter
$__________
1
$__________
N
894-00912
Water filter
$__________
1
$__________
N
894-00319
Solenoid Coil
$__________
1
$__________
N
859-02611
Heater
$__________
1
$__________
N
859-02103
Thermostat
$__________
1
$__________

Miscellaneous Part Sets

N
Non-Structural Fasteners and Grease Fittings (Set)
$__________
1
$__________
N
Elastomer Renewal (Set)
$__________
1
$__________
N
Bearings and Bushings (Set)
$__________
1
$__________
N
Fasteners (Set)
$__________
1
$__________

Total: $____________ Contingency Items:

(The Contractor shall provide CFR’s for additional contingency items required to complete overhauls)

· Re-certification of Government Furnished Conex Shipping Container for Transatlantic shipment:

Unit Price: $__________ Est. Qty. 1 each = Total: $____________

· Replacement of non-repairable Conex Shipping Container:

Unit Price: $__________ Est. Qty. 1 each = Total: $____________ Labor:

X Labor Rate x 4 each = $__________

· CLIN 1011C – Work Item 11: Test Plan – The Contractor shall submit a test plan for Contracting Officer approval in accordance with the Statement of Work. REQUIRED IN THE BASE YEAR ONLY

NSP

· CLIN 1011D – Work Item 11: Conduct Testing – The Contractor shall contact the Coast Guard 45 days in advance to schedule Coast Guard Quality Assurance inspections and testing at plant. In the presence of the Quality Assurance Representative (QAR), the Contractor shall factory test each davit in accordance with the approved Test Plan (CLIN 0011C) and the Statement of Work.

NSP

· CLIN 1011E – Work Item 11: Test Certification – The Contractor shall provide test certification to the Contracting Officer upon completion and QA approval of all testing.

NSP

· CLIN 1011F – Work Item 11: Scrapping – Upon the Contracting Officer’s authorization, the Contractor shall prepare for shipment and return any davit determined to be Beyond Economical Repair.

Return Unit Price: $___________ Qty. 1 each = Total $_____________ CLIN 1012 – Work Item 12, Model A Davits: TW.PIV 5.0A Davit – The Contractor shall manufacture, test (in presence of Coast Guard QAR), and preserve, package, mark, and deliver new Davits, Model # TW.PIV 5.0A, in accordance with the attached Statement of Work. The below unit price shall include the cost of a certified shipping container and C.I.F. (Customs, Insurance, and Freight) Destination delivery.

· CLIN 1012A – Work Item 12: Warranty – The Contractor shall provide a 12-month warranty from the date of equipment installation, to a maximum of 24 months from the date of Coast Guard receipt at Destination, whichever comes first, for each davit system.

CLIN 1013 – Work Item 13, Model B Davits: TW.PIV 5.0B Davit – The Contractor shall manufacture, test (in presence of Coast Guard QAR), and preserve, package, mark, and deliver new Davits, Model # TW.PIV 5.0B, NSN 2030-99-454-8999, in accordance with the attached Statement of Work. The below unit price shall include the cost of a certified shipping container and C.I.F. (Customs, Insurance, and Freight) Destination delivery.

· CLIN 1013A – Work Item 13: Warranty – The Contractor shall provide a 12-month warranty from the date of equipment installation, to a maximum of 24 months from the date of Coast Guard receipt at Destination, whichever comes first, for each davit system.

FIRST OPTION YEAR AGGREGATE TOTAL: $___________

Second Option Year

CLIN 2001 –Work Item 1, Technical Representative Services: The Contractor shall provide an on-site Tech Rep for a period of 12 months to work up* to 40 hours weekly, within the core hours of 0600 and 1730, Monday through Friday, except Federal holidays. Overtime and travel may be required and shall be authorized in advance by the Contracting Officer. Responsibilities shall include those listed in the attached Statement of Work. *Hours shall be indicated on each individual task order.

X Labor Rate

Total

_1850__

X

· CLIN 2001A – Work Item 1: The Contractor shall provide a Monthly Tech. Rep. Report in accordance with Work Item 1, Section 3.9 of the Statement of Work

Not Separately Priced (NSP)

CLIN 2002 – Work Item 2, Maintenance Kits: The Contractor shall provide and maintain stock of the following Maintenance Kits in accordance with the Statement of Work.

Part Number
NSN
Description
Unit Price
Est. Qty.
Total Price:
892-02044
4010 01-F12-2483
Wire Rope Renewal Kit
$_____________
7 KT
$_____________
892-02045
3950 01-F12-2484
Check Winch Gear Box Oil Kit
$_____________
7 KT
$_____________
892-02046
3950 01-F12-2485
Tension Winch Break Inspection Kit
$_____________
7 KT
$_____________
892-02047
3040 01-F12-2486
Hydraulic Fluid Renewal Kit
$_____________
7 KT
$_____________
892-02048
4330 01-F12-2488
Hydraulic Fluid Filter Renewal Kit
$_____________
7 KT
$_____________
892-02049
3950 01-F12-2489
Main Winch Brake & Centrifugal Brake Inspection Kit
$_____________
7 KT
$_____________
892-02050
3040 01-F12-2490
Hydraulic Breather Replacement Kit
$_____________
7 KT
$_____________
892-02051
4720 01-F12-2491
Hydraulic Hose Replacement Kit
$_____________
7 KT
$_____________

· CLIN 2002A - Work Item 2: Monthly Stocking and Storage Fee

· CLIN 2002B – Work Item 2: The Contractor shall submit a Bi-annual Usage Report for the above kits to the COTR and Contract Administrator. At a minimum the report shall indicate: 1) the kits and quantities shipped, 2) the ship dates and destination(s), and 3) the quantities currently in stock at the Contractor’s facility.

NSP

CLIN 2003 – Work Item 3, Overhaul Kits: The Contractor shall provide and maintain stock of the 4-Year In-Place Overhaul Kits, Part Number 892-02053, in accordance with the Statement of Work Unit Price per Kit: $____________ x Est. Qty.: 5 Kits = $____________

· CLIN 1003A – Work Item 3: Monthly Stocking and Storage Fee

Unit Price: $____________ x 12 Jobs (Months) = $______________

· CLIN 1003B – Work Item 3: The Contractor shall submit a Bi-annual Usage Report for the above kits to the COTR and Contract Administrator. At a minimum the report shall indicate: 1) the kits/parts and quantities shipped, 2) the ship dates and destination(s), and 3) the quantities currently in stock at the Contractor’s facility.

NSP

CLIN 2004 – Work Item 4, Spare Parts: The Contractor shall provide and maintain stock of the following Spare Parts in accordance with the Statement of Work

Part Number
NSN
Description
Unit

price

est. QTY
tOTAL PRICE
2520-1901
2530-99-750-0205
Centrifugal Brake Shoe Set
$___________
2
$___________
5520-6301
2530-99-430-0529
Main Brake Shoe
$___________
2
$___________
5590-0811
5930-99-983-1547
Rotary Switch/Encoder
$___________
1
$___________
5650-5601
2030-99-248-4992
Aluminum Boat Block Assembly
$___________
2
$___________
885-02025
4820-99-322-5761
Accumulator Safety Block
$___________
2
$___________
5721-8611
4820-99-350-2344
Lever Valve
$___________
1
$___________
5726-5901
4720-99-479-6000
Pressure Hose Kit (Brake Cyl)
$___________
2
$___________
5726-6001
4720-99-797-4942
Pressure Hose Kit (Luff Cyl)
$___________
2
$___________
5726-6101
4720-99-616-8026
Pressure Hose Assembly
$___________
2
$___________
800-09948
4030-01-467-1005
Release Hook
$___________
2
$___________
859-01948
6625-99-902-4906
LED Cluster (RED)
$___________
2
$___________
859-01951
5980-99-814-5543
LED Cluster (Blue)
$___________
2
$___________
859-03343
5990-99-724-7525
Incremental Rotary Encoder
$___________
2
$___________
859-02903
6110-99-336-3268
Telefast Block
$___________
2
$___________
859-02905
6150-99-510-6792
Telefast Cable
$___________
2
$___________
859-02906
5998-14-507-3745
Telefast Analog Cable
$___________
2
$___________
859-02914
5998-01-575-1477
Analog Converter
$___________
1
$___________
859-02973
5998-01-574-7008
Counter Card
$___________
1
$___________
859-02971
5998-01-574-1477
Counter Card
$___________
2
$___________
859-02697
6685-99-813-1904
Hygrostat
$___________
1
$___________
859-03027
5945-99-189-2417
Thermister, Motor Protection
$___________
6
$___________
859-03033
6130-14-563-6751
Power Supply Unit
$___________
1
$___________
859-03772
5825-99-483-2504
Incremental Rotary Encoder
$___________
2
$___________
894-03800
6105-99-700-9690
Filter Indicator Plug
$___________
8
$___________
860-01037
6105-99-507-3047
Electric Motor - Main Winch
$___________
1
$___________
860-01038
5998-14-507-3745
Electric Motor - Hydraulic Power Unit
$___________
1
$___________
860-01039
6105-99-434-4140
Electric Motor - Falls Tensioning Winch
$___________
2
$___________
860-02014
6130-99-593-2248
Main Winch Inverter
$___________
2
$___________
860-02015
6130-01-F02-8885
FWD Falls Tension Winch Inverter
$___________
2
$___________
860-02029
6130-01-F12-2487
AFT Falls Tension Winch Inverter
$___________
2
$___________
860-02021
5998-99-226-1399
HTTL Card
$___________
4
$___________
885-02059
2090-99-667-2901
Accumulator Bladder Kit
$___________
6
$___________
891-00449
4330-01-459-3037
Water Removal Filter Element
$___________
10
$___________
891-00451
4810-99-459-7211

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