RFP.pdf

PDF 2 MB Posted Nov 18, 2011

Attached to: 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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Other files attached to Welin Lambie Davits and Support Services, newest first.
File	Type	Posted
J A Redacted.pdf	PDF	Feb 14, 2012
SF-30 IV.pdf	PDF	Jan 18, 2012
RFP A00004.doc	DOC document	Jan 18, 2012
A00003 - Attachment I - SOW.doc	DOC document	Dec 2, 2011
RFP A00003.doc	DOC document	Dec 2, 2011
SF-30 III.pdf	PDF	Dec 2, 2011
Questions and Clarifications A00003.doc	DOC document	Dec 2, 2011
A00002 SF-30.pdf	PDF	Nov 30, 2011
A00002 - Attachment I - SOW.doc	DOC document	Nov 30, 2011
A00001 - Attachment I - SOW.doc	DOC document	Nov 30, 2011
A00001 SF-30.pdf	PDF	Nov 30, 2011
RFP A00001.doc	DOC document	Nov 30, 2011
Ombudsman Notice.doc	DOC document	Nov 18, 2011
Attachment II - DHS Form 700-21.pdf	PDF	Nov 18, 2011
Attachment V - Payment Information.doc	DOC document	Nov 18, 2011
Attachment I - SOW.doc	DOC document	Nov 18, 2011
Attachment IV - DR.doc	DOC document	Nov 18, 2011
Attachment III - DHS_Form_700-5.pdf	PDF	Nov 18, 2011

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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

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (Rev. 3/2011)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA – FAR (48 CFR) 53.212

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

12/14/2012

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 UNRESTRICTED OR SET ASIDE: %FOR:

SMALL BUSINESS 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

SEE SCHEDULE

12. DISCOUNT

TERMS

13a. THIS CONTRACT IS A RATED

ORDER UNDER DPAS (15 CFR 700)

13b. RATING DO-A3

14. METHOD OF SOLICITATION

RFQ IFB 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

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 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)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 & 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4, FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

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.

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

TABLE OF CONTENTS

DESCRIPTION: PAGE(S)

Standard Form 1449 (SF1449) 1

Table of Contents 2 Addendum to Standard Form 1449:

Blocks 19 – 26, Schedule of Supplies/Services 3-58 Block 15, Deliveries, Packaging and Marking 59-67 Contract Administration Data 68-70 Special Contract Requirements 71-72

FAR Clause 52.212-4, Contract Terms and Conditions – Commercial Items 73-79

Addendum to FAR Clause 52.212-4, Contract Terms and Conditions – Commercial Items 80-88

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

Statutes or Executive Orders – Commercial Items 89-95

Addendum to FAR Clause 52.212-5, Contract Terms and Conditions – 96-100

Commercial Items

Addendum to FAR Clause 52.212-1, Instructions to Offerors – 101-103

Commercial Items

FAR Clause 52.212-3 – Offeror Representations and Certifications – 104-118

Commercial Items

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 84 and 85.

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

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 $___________

5721-8101E 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

860-01039 6105-99-434-4140

Electric Motor - Falls Tensioning Winch

860-02014 6130-99-593-2248 Main Winch Inverter $___________ 2 $___________

860-02015 6130-01-F02-8885

FWD Falls Tension Winch Inverter

860-02029 6130-01-F12-2487 AFT Falls Tension Winch

Inverter

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 $___________

894-00907 2910-01-500-6910 Return Filter Element $___________ 10 $___________

894-00911 4330-99-501-0015

Return Filter Assembly Complete

894-00912 4330-99-503-3940

Water Removal Filter Assy w/Element

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 develop training content and provide virtual training laptop computers, including required software and protective cases, for the Davit systems 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

Estimated Loaded Hourly

Labor Hours 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

_100__ X $___________ = $____________ x 1 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 5201-8611 Bushing $__________ 4 $__________

N 5201-8711 Sheave bushing $__________ 2 $__________

N 7300-0120 Thrust washer $__________ 2 $__________

N 7300-0121 Sleeve bearing $__________ 2 $__________

N 675-03012 Tension pin $__________ 2 $__________

N 675-05010 Tension pin $__________ 2 $__________

N 675-05035 Tension pin $__________ 2 $__________

N 651-10015 Circlip $__________ 2 $__________

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 5143-8011 Sheave pin $__________ 2 $__________

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 5202-8411 Cylinder pin bush $__________ 4 $__________

N 5204-5211 Arm pivot bush $__________ 4 $__________

N 892-01013 Hydr cylinder seal kit $__________ 2 $__________

N 885-02059 Accumulator bladder kit $__________ 2 $__________

N 885-02025 Accumulator safety block $__________ 1 $__________

N 679-38032 Split cotter pin $__________ 4 $__________

N 679-40032 Split cotter pin $__________ 34 $__________

N 679-38025 Split cotter pin $__________ 8 $__________

N 889-01049 Grease nipple $__________ 26 $__________

N 7967-0702 Oil seal $__________ 32 $__________

N 7960-0203 O-ring $__________ 2 $__________

N 7960-0903 O-ring $__________ 4 $__________

N 7500-1225 Bearing $__________ 32 $__________

N 7004-0055 Bearing $__________ 32 $__________

N 859-01070 Limit switch $__________ 4 $__________

N 859-01070A Limit switch lever arm $__________ 2 $__________

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 5204-5011 Bushing $__________ 1 $__________

N 5291-3611 Retaining ring $__________ 2 $__________

N 5392-3901 Roller assembly $__________ 1 $__________

N 5405-6911 Gasket $__________ 1 $__________

N 5431-7111 Heater gasket $__________ 1 $__________

N 5520-6301 Brake shoe assy $__________ 1 $__________

N 5727-0801 Brake cylinder $__________ 1 $__________

N 5492-6011 Motor gasket $__________ 1 $__________

N 651-10045 Circlip $__________ 1 $__________

N 651-10065 Circlip $__________ 2 $__________

N 652-10052 Circlip $__________ 1 $__________

N 677-40025F Cotter pin $__________ 6 $__________

N 680-14054 Key $__________ 1 $__________

N 680-18050 Key $__________ 1 $__________

N 859-01070 Limit switch $__________ 1 $__________

N 859-01070A Limit switch lever arm $__________ 2 $__________

N 859-01333 Immersion heater $__________ 1 $__________

N 859-01334 Thermostat $__________ 1 $__________

N 7004-0050 Bearing $__________ 1 $__________

N 7500-1850 Bearing $__________ 2 $__________

N 7500-2330 Bearing $__________ 1 $__________

N 7960-0453 O-ring $__________ 1 $__________

N 7960-0603 O-ring $__________ 1 $__________

N 7967-0401 Oil seal $__________ 1 $__________

N 7967-0551 Oil seal $__________ 1 $__________

Falls Tensioning Winch Assembly, Drawing No. 5503-3902

N 5492-6011 Motor gasket $__________ 2 $__________

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 5405-7111 Gasket $__________ 1 $__________

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 $__________

N 5406-4011D Gasket $__________ 1 $__________

Control Panel Assembly, Drawing No. 2780-8401

N 859-02696 Heater $__________ 1 $__________

N 5406-4011C Gasket $__________ 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 5405-7911 Reservoir gasket $__________ 1 $__________

N 5425-8911 Bell housing gasket $__________ 2 $__________

N 5433-7811 Pump gasket $__________ 2 $__________

N 894-00913 Pressure filter $__________ 2 $__________

N 894-00915 Suction strainer $__________ 2 $__________

N 894-00813 Breather $__________ 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 $__________

N 5492-6011 Motor gasket $__________ 2 $__________

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

N 5406-4511 Hydr panel gasket $__________ 1 $__________

N 894-00907 10 micron filter $__________ 1 $__________

N 894-00912 Water filter $__________ 1 $__________

N 859-02611 Heater $__________ 1 $__________

N 859-02103 Thermostat $__________ 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:

Estimated Loaded Hourly Est.

Labor Hours X Labor Rate = Total Qty.

_940__ X $___________ = $____________ x 1 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.

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

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.

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

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.

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

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.

Estimated Loaded Hourly

Labor Hours 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

892-02051 4720 01-F12-2491 Hydraulic Hose

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