J-3 TSA Form 251 FINAL 160519.pdf

TSA Form PDF 649 KB Posted

Attached to
Explosives Trace Detection Units and Related Warranty and Maintenance Support Services
Solicitation number
70T04020R9DAP2037
Issued by

About this file

This solicitation requests proposals for explosives trace detection units and related warranty and maintenance services. The Transportation Security Administration seeks to acquire explosives trace detection equipment and fifty-one months of warranty and maintenance support. Offerors must demonstrate that their proposed equipment meets qualification standards to be eligible for award. Proposals are due by dates specified in Attachment A and award is anticipated on September 25, 2020. The total value and pricing terms are not disclosed. The North American Industry Classification System code for this opportunity is 334511 and applicable product service codes include 6350 and J058.

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Other versions and copies of TSA Form 251

File Revision Posted Attached to
TSA_Form_251.docx Revision not stated Manual Diverter Roller (MDR) Tables
Attachment_J.3_-_TSA_Form_251.docx Revision not stated Boarding Pass Scanners (BPS)
Attachment 10 - TSA Form 251.docx Revision not stated Credential Authentication Technology (CAT)

Who attaches TSA Form 251

Other files

File Type Posted
A0003.pdf PDF
Attachment A - Explosives Trace Detection Request for Proposal - A0003 - Track Changes.pdf PDF
Attachment A - Explosives Trace Detection Request for Proposal - A0003.pdf PDF
Attachment A - Explosives Trace Detection Request for Proposal - A0002 - Track Changes.pdf PDF
A0002.pdf PDF
Attachment A - Explosives Trace Detection Request for Proposal - A0002.pdf PDF
Attachment B - Vendor Questions and Answers.pdf PDF
A0001.pdf PDF
J-6 Delivery Capability.xlsx XLSX spreadsheet
DID D001 - Physical and Communications Security Breach-Incident Report.pdf PDF
DID D003 - Failure Mode Indicator Codes.pdf PDF
CDRL C003 - Failure Mode Indicator Codes.pdf PDF
Attachment A Explosives Trace Detection Request for Proposal.pdf PDF
J-3 FILLABLE DD-1149 WITH SIGNATURE PANELS.pdf PDF
DID D007 - Radiation Survey and Radioactive Leak Test Record Submittal.pdf PDF
CDRL C002 - TSE RMA Metrics.pdf PDF
DID D004 - Transportation Security Equipment Database.pdf PDF
J-2 TSA STDO ILS Reliability Maintainability and Availability RMA Metrics Terms and Definitions.pdf PDF
CDRL C005 - ETD Factory Acceptance Test Procedures.pdf PDF
CDRL C001 - Physical and Communications Security Breach Incident Report.pdf PDF
CDRL C007 - Radiation Survey and Radioactive Leak Test.pdf PDF
CDRL C006 - ETD Site Acceptance Test Procedures.pdf PDF
DID D002 - TSE RMA Metrics.pdf PDF
CDRL C004 - Transportation Security Equipment Database.pdf PDF
J-5 Price Evaluation Template.xlsx XLSX spreadsheet
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Text version

TSA Form 251, (4/16) rev. [File: 200.3.2] Previous editions of this form are obsolete. Page of

DEPARTMENT OF HOMELAND SECURITY

Transportation Security Administration

VENDOR SHIPPING AND RECEIVING REPORT

Instructions: This form is to be used when a vendor ships sensitive and/or accountable property, including Transportation Security Equipment (TSE) to TSA. Fill out all applicable fields. If there are more than five (5) units being shipped, continue entries using TSA Form 251-1, Vendor Shipping and Receiving Report Extension and attach/include it with a completed TSA Form 251. If there are 50 units or more of non-TSE property in a shipment, the vendor shall affix a TSA Barcode to each unit and fill in the applicable TSA Barcode field. Contracting Officer's Representative (COR) must sign and date at bottom of form.

Section I. Program Office Information

Request Date: Prepared By: Phone Number:

Section II. Delivery Information

Contract:

Delivery/Task Order Number: Contractual Delivery Date:

Shipment: Full Partial Estimated Delivery Date:

Section III. Shipping Information Part A. Shipping From

Vendor:

Contact:

Phone Number:

Address:

Part B Shipping To

TSA Office:

Contact:

Phone Number:

Address:

Manufacturer:

CLIN # Item Description (Name, Make, Model) Price $ FAT Date

(TSE Only) SAT Date

(TSE Only) Serial Number TSA Barcode

Part C. Items Shipped (include the main unit and each individual component by Serial Number)

TSA 251-1 Attached?:

Yes No Total Units From Extension: Total Number of Units: Accepted to Date:

Balance Remaining: Shipping Crate Dimensions:

Notes:

Signature: Date:

Section VI. Contracting Officers Representative (COR)

Name:

https://ishare.tsa.dhs.gov/PoliciesAndForms/forms/Pages/TSAForms.aspx?FormFilter=0200%20Administrative%20Management https://ishare.tsa.dhs.gov/PoliciesAndForms/forms/Pages/TSAForms.aspx?FormFilter=0200%20Administrative%20Management https://ishare.tsa.dhs.gov/PoliciesAndForms/forms/Pages/TSAForms.aspx?FormFilter=0200%20Administrative%20Management

TSA Form 251, (4/16) rev. [File: 200.3.2] Previous editions of this form are obsolete.

Page of 11.0.1.20130826.2.901444.899636 571-227-5258

PMD

Vendor Shipping and Receiving Report Jacob Malone Vendor Shipping and Receiving Report (TSA Form 251)

DEPARTMENT OF HOMELAND SECURITY

Transportation Security Administration

VENDOR SHIPPING AND RECEIVING REPORT

Instructions: This form is to be used when a vendor ships sensitive and/or accountable property, including Transportation Security Equipment (TSE) to TSA. Fill out all applicable fields. If there are more than five (5) units being shipped, continue entries using TSA Form 251-1, Vendor Shipping and Receiving Report Extension and attach/include it with a completed TSA Form 251. If there are 50 units or more of non-TSE property in a shipment, the vendor shall affix a TSA Barcode to each unit and fill in the applicable TSA Barcode field. Contracting Officer's Representative (COR) must sign and date at bottom of form.

Section I. Program Office Information Section I. Program Office Information Section II. Delivery Information Section II. Delivery Information Shipment:

Shipment:

Section III. Shipping Information Section II. Delivery Information Part A. Shipping From Part A. Shipping From Part B Shipping To Part A. Shipping Fro:

CLIN #

CLIN #

Item Description (Name, Make, Model) Item Description (Name, Make, Model) Price $ Price $ FAT Date (TSE Only) FAT Date (TSE Only) SAT Date (TSE Only) SAT Date (TSE Only) Serial Number Serial Number TSA Barcode TSA Barcode Part C. Items Shipped (include the main unit and each individual component by Serial Number) Part A. Shipping Fro:

TSA 251-1 Attached?:

TSA 251-1 Attached?:

Section VI. Contracting Officers Representative (COR) Section VI. Contracting Officers Representative (COR)

CurrentMasterPage:
MasterPageCount:
Request Date:
Prepared By:
Phone Number::
Contract:
Delivery/Task Order Number::
Contractual Delivery Date::
Full Shipment: 0
Partial Shipment: 0
Estimated Delivery Date::
Shipping From Vendor:
Shipping From Contact:
Shipping From Phone Number:
Shipping From Vendor Address:
Shipping To TSA Office:
Shipping To TSA Contact:
Shipping To TSA Phone Number:
Shipping To TSA Address:
Manufacturer:
CLIN number row 1:
Item Description

(Name, Make, Model) Row 1:

Price Row 1:
FAT Date

(TSE Only) Row 1:

SAT Date (TSE Only) Row 1:

Serial Number Row 1:
TSA Barcode Row 1:
CLIN number Row 2:
Item Description

(Name, Make, Model) Row 2:

Price Row 2:
FAT Date

(TSE Only) Row 2:

SAT Date (TSE Only) Row 2:

Serial Number Row 2:
TSA Barcode Row 2:
CLIN number Row 3:
Item Description

(Name, Make, Model) Row 3:

Price Row 3:
FAT Date

(TSE Only) Row 3:

SAT Date (TSE Only) Row 3:

Serial Number Row 3:
TSA Barcode Row 3:
CLIN number Row 4:
Item Description

(Name, Make, Model) Row 4:

Price Row 4:
FAT Date

(TSE Only) Row 4:

SAT Date (TSE Only) Row 4:

Serial Number Row 4:
TSA Barcode Row 4:
CLIN number Row 5:
Item Description

(Name, Make, Model) Row 5:

Price Row 5:
SAT Date

(TSE Only) Row 5:

SAT Date (TSE Only) Row 5:

Serial Number Row 5:
TSA Barcode Row 5:
TSA 251-1 is attached: 0
TSA 251-1 is not attached: 0
Total Units From Extension:
Total Number of Units:
Accepted to Date:
Balance Remaining:
Shipping Crate Dimensions:
notes:
Contacting Officers Representative Signature:
Contacting Officers Representative Date of Signature:
Contacting Officers Representative Name:

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