Attchmnts1,2&_4,5_N39040-17-T-0107.pdf

STATEMENT OF WORK

Repair Weapons Shipping Harness (LOG ID 145)

DATE: August 31, 2016

Purpose: Weapons Shipping Harness Repairs, Portsmouth Naval Shipyard

References: a) NAVSEA DWG 709-5590215 Rev N

b) PY 81066

c) DWG 632D-M-4836

d) NAVSEA DWG 709-5549373 (LAT)

Repair Weapons Shipping Harness (LOG ID 145). Harness requires preservation (painting), re-corking, ‘straightening’ to allow for proper harness fit in the deck skid/on a weapon, and weight testing. It was noted during pre-arrival testing that when landing the harness in the deck skid, the FWD Port corner needed to be pushed down into the track.

Ships force reported the harness was warped when it came back from being re-corked.

All work performed is to be in accordance with reference (a), as modified by references (b) and (c) as applicable. Finally, all work must be tested in accordance with reference d).

Vendor will be responsible for accomplishment of refurbishment to Harness, including all requisite NDT for repair services performed. Vendor will also be responsible for accomplishing overall Harness preservation (ie. painted in accordance with General Note 6 of reference (a)), and re-cork in accordance with reference (a), specifically General Note 7.

Vendor is responsible for performance and documentation of all weight tests in accordance with reference (d) prior to harness return.

Upon completion of repairs, Weapons Shipping Harness Log ID 145 is to be delivered back to PNSY Code 136 for Receipt Inspection.

STATEMENT OF WORK

Repair Weapons Shipping Harness (LOG ID 205)

DATE: August 31, 2016

Purpose: Weapons Shipping Harness Repairs , Portsmouth Naval Shipyard

References: a) NAVSEA DWG 709-5590215 Rev N

b) PY 81066

c) DWG 632D-M-4836

d) NAVSEA DWG 709-5549373 (LAT)

Repair Weapons Shipping Harness (LOG ID 205). Harness requires preservation (painting), re-corking, ‘straightening’ to allow for proper harness fit in the deck skid/on a weapon, and weight testing. It was noted during pre-arrival testing that when landing the harness in the deck skid, the FWD Port corner needed to be pushed down into the track.

Ships force reported the harness was warped when it came back from being re-corked.

All work performed is to be in accordance with reference (a), as modified by references (b) and (c) as applicable. Finally, all work must be tested in accordance with reference d).

Vendor will be responsible for accomplishment of refurbishment to Harness, including all requisite NDT for repair services performed. Vendor will also be responsible for accomplishing overall Harness preservation (ie. painted in accordance with General Note 6 of reference (a)), and re-cork in accordance with reference (a), specifically General Note 7.

Vendor is responsible for performance and documentation of all weight tests in accordance with reference (d) prior to harness return.

Upon completion of repairs, Weapons Shipping Harness Log ID 205 is to be delivered back to PNSY Code 136 for Receipt Inspection.

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No listed in block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP ___ X___ TM _________ OTHER _____________________________

D. SYSTEM / ITEM E. CONTRACT / PR NO.

6340404

F. CONTRACTOR

Weapons Shipping Harness

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A001 Certification/Data Report Quality Conformance

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80678 Section C.3 Code 245

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

1 TIME

12. DATE OF FIRST SUBMISSION

W/Material

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

Reg Repro

16. REMARKS

Sections 10.2.2, 10.2.3, 10.2.4 and 10.3 of DI-MISC-80678 do not apply.

Vendors Certificate of Quality Conformance that all work is IAW the SOW and drawing 5590215 Rev N as modified by applicable SSN 767 TVD's (PY 81066, 632-D-M-4836).

For payment & submission of data refer to clauses 252.232-7006 & 252.232- 7003 or 52.232-36. Each data item submitted by vendor must be submitted under a separate shipment number.

Code 133.2 0 1 0

0 0 0

15. TOTAL

0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A002 Welding procedures Qualification Data

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80875

5. CONTRACT REFERENCE

Section C.4

6. REQUIRING OFFICE

Code 245

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

1 Time

12. DATE OF FIRST SUBMISSION

Prior to any welding

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

Reg Repro

16. REMARKS

Vendors Welding Procedures and Qualification Data IAW NAVSEA TP T9074- AD-GIB-010/1688 Rev-1 and S9074-AQ-GIB-010-/248.

For payment & submission of data refer to clauses 252.232-7006 & 252.232- 7003 or 52.232-36. Each data item submitted by vendor must be submitted under a separate shipment number.

Code 138.2 0 1 0

0 0 0

15. TOTAL 0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A003 NDT (VT) Procedure Approval VT Procedure

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80603A

5. CONTRACT REFERENCE

Section C.5

6. REQUIRING OFFICE

Code 245

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

1 Time

12. DATE OF FIRST SUBMISSION

Prior to any welding

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

Vendor’s VT Procedure IAW NAVSEA TP T9074-AD-GIB-010/1688 and TP T9074-AS-GIB-010/271 REV-1 with acceptance criteria to TP T9074-AD-GIB- 010/1688 Rev-1 and MIL-STD-2035A Class 2.

For payment & submission of data refer to clauses 252.232-7006 & 252.232- 7003 or 52.232-36. Each data item submitted by vendor must be submitted under a separate shipment number.

Code 135T 0 1 0

0 0 0

15. TOTAL 0 1 0

G. PREPARED BY Code 245.2 H. DATE I. APPROVED BY J. DATE

Frank Stanczyc Ext. 3188

December 2, 2016

1 2 / 0 5 / 2 0 1 6

X N o r m a n W h i te h i l l

S ig n e d b y : W H I T E H I L L . N O R M A N . F . J R . 1 2 9 5 3 2 2 5 8 2 12/05/16

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No listed in block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP ___ X___ TM _________ OTHER _____________________________

D. SYSTEM / ITEM E. CONTRACT / PR NO.

6340404

F. CONTRACTOR

Weapons Shipping Harness

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A004 Test/Inspection Report VT Results

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80809B Section C.6 Code 245

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

1 TIME

12. DATE OF FIRST SUBMISSION

W/Material

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

Sections 10.2.2, 10.2.4, 10.2.5, 10.2.6.1, 10.2.6.2, 10.2.6.5 and 10.2.6.6 of DI- NDTI-80809B do not apply.

Vendor’s VT Test Results IAW NAVSEA TP T9074-AD-GIB-010/1688 Rev-1 and TP T9074-AS-GIB-010/271 REV-1 with acceptance criteria to TP T9074- AD-GIB-010/1688 Rev-1 and MIL-STD-2035A Class 2.

For payment & submission of data refer to clauses 252.232-7006 & 252.232- 7003 or 52.232-36. Each data item submitted by vendor must be submitted under a separate shipment number.

Code 138.2 0 1 0

0 0 0

15. TOTAL

0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A005 NDT (MT) Procedure Approval MT Procedure

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80603A

5. CONTRACT REFERENCE

Section C.7

6. REQUIRING OFFICE

Code 135T

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

1 TIME

12. DATE OF FIRST SUBMISSION

Prior to any welding

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

Vendor’s MT Procedure IAW NAVSEA TP T9074-AD-GIB-010/1688 Rev-1 and NAVSEA TP T9074-AS-GIB-010/271 REV-1 with acceptance criteria to TP T9074-AD-GIB-010/1688 Rev-1.

For payment & submission of data refer to clauses 252.232-7006 & 252.232- 7003 or 52.232-36. Each data item submitted by vendor must be submitted under a separate shipment number.

Code 135T 0 1 0

15. TOTAL 0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A006 Test/Inspection Report MT Results

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

Section C.8

6. REQUIRING OFFICE

Code 245

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

1 TIME

12. DATE OF FIRST SUBMISSION

W/Material

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

Sections 10.2.2, 10.2.4, 10.2.5, 10.2.6.1, 10.2.6.2, 10.2.6.5 and 10.2.6.6 of DI- NDTI-80809B do not apply.

Vendor’s MT Test Results IAW NAVSEA TP T9074-AD-GIB-010/1688 Rev-1 and TP T9074-AS-GIB-010/271 REV-1 with acceptance criteria to T9074-AD- GIB-010/1688 Rev-1.

For payment & submission of data refer to clauses 252.232-7006 & 252.232- 7003 or 52.232-36. Each data item submitted by vendor must be submitted under a separate shipment number.

Code 138.2 0 1 0

15. TOTAL 0 1 0

G. PREPARED BY Code 245.2 H. DATE I. APPROVED BY J. DATE

Frank Stanczyc Ext. 3188

December 2, 2016

N

1 2 / 0 5 / 2 0 1 6

X N o r m a n W h i te h i l l

S ig n e d b y : W H I T E H I L L . N O R M A N . F . J R . 1 2 9 5 3 2 2 5 8 2 12/05/16

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

(1 DATA ITEM)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No listed in block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP ___ X___ TM _________ OTHER _____________________________

D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR

Weapons Shipping Harness

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A007 Test Report Weight test

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80809B Section C.9 CODE 245

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION

W/Material

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

Reg Repro

16. REMARKS

1. Sections 10.2.2, 10.2.4, 10.2.5, 10.2.6.1, 10.2.6.2, 10.2.6.5 and

10.2.6.6 of DI-NDTI-80809B do not apply.

2. Vendor’s Weight test results IAW Drawing NAVSEA DWG

5549373 Rev L.

3. For Payment & Submission of Data refer to Clauses 252.232-7006

& 252.232-7003 or 52.232-36. Each Data Item Submitted by

Vendor must be submitted under a Separate Shipment Number.

CODE 133.2 0 1 0

0 0 0

15. TOTAL

0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

Reg Repro

16. REMARKS

15. TOTAL 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

Reg Repro

16. REMARKS

15. TOTAL 0

G. PREPARED BY Code 245.2 Ext H. DATE I. APPROVED BY 1 2 / 0 5 / 2 0 1 6

X N o r m a n W h i te h i l l

S ig n e d b y : W H I T E H I L L . N O R M A N . F . J R . 1 2 9 5 3 2 2 5 8 2

J. DATE

Frank Stanczyc Ext. X3188 December 2, 2016 12/05/16 DD FORM 1423, JUNE 90 Previous editions are obsolete Page __1__ of __1__ Pages

SECURITY AGREEMENT FOR PROTECTION

OF EXPORT CONTROL DATA

The undersigned acknowledges that he/she will be provided specifications or documents as part of _________________________, which are marked as containing sensitive information which is controlled pursuant to federal law. These specifications and documents and the information contained therein, shall be used only for the purpose of preparing quotations or processing orders, and shall in no case be transmitted outside the company or to any foreign national within the company. While in use, the specifications shall be maintained under surveillance and shall be kept secure, so as to preclude access by any persons who do not have a legitimate need to view them. The specifications and documents shall not be copied, and unless otherwise permitted by the Contracting Officer, shall be returned in their entirety to the Portsmouth Naval Shipyard upon completion of the contract.

The undersigned hereby agrees to comply with the above stipulations.

Signature/Date

Typed Name & Title

Company Name

Address

City/State/Zip Code

N39040-17-T-0107

REQUEST FOR QUOTATION

THIS IS NOT AN ORDER

PLEASE COMPLETE THIS QUOTE FORM IN ITS ENTIRETY.

REFERENCE NUMBER

PR #N3904017RQ70141- 142

RFQ #N39040-17-T-0107

DATE OF ISSUE: 01/17/2017

DUE DATE: Quotes are due for submission by 11:00 a.m., EST Thursday, 01/26/2017

PORTSMOUTH NAVAL SHIPYARD OFFEROR INFORMATION

Deana Manfredi Contract Specialist Code 410 Contracting and Logistics Div.

Portsmouth NH 03801-2590

PHONE: 207-438-1630

FAX: 207-438-4193

EMAIL ADDRESS: deana.manfredi@navy.mil

Business Name:____________________________ POC(s): __________________________________ Address:__________________________________ City, ST, Zip:______________________________

PHONE:__________________________________

FAX:_____________________________________

EMAIL ADDRESS(es):______________________

Business Size: (check one) ___Small ___Large

DUNS NUMBER:____________________________

CAGE CODE: ______________________________

TAXPAYER ID:_____________________________

Delivery date/time: ____________ARO (Best Date Possible, Please!)

F.O.B. DESTINATION: Y___N____

PAYMENT TERMS ______%______DAYS

PRICES DERIVED FROM (CHECK ONE ):

___COMMERCIAL PRICE LIST DATED__________

___INTERNAL PRICE LIST DATED______________

___OTHER (PLEASE EXPLAIN)__________________

WAWF Registered (check one)? Yes ____ No____ Government credit card accepted? Yes ____ No____ Place of Manufacture:____________________________

Please indicate your preferred payment method by checking one of the options below. Payment options available are WAWF and GCPC: Government Commercial Purchase Card (up to $100,000). Please ensure that you register for WAWF (www.wawftraining.com)

GCPC_____ WAWF (Wide Area Workflow) _____

*Please note that purchase card orders are not paid up front. Once material is received, a Government cardholder may be contacted for purchase card information.

_X_ If checked, to be awarded on an “All or None” basis, NAVSUP Provision L70011, _X_ PPIRS evaluation procedures apply.

Prospective vendor must be registered in the System for Award Management (SAM) database prior to award. Information, instructions, forms, etc. are available on www.SAM.gov. Click on "Register/Update Entity" located in the center of the Homepage screen.

OFFEROR SIGNATURE_______________________________________________DATE_________________

ITEM DESCRIPTION QTY

Unit Extended Price Price

Unit of Issue

JOBVendor Services, Refurbish Weapons Shipping Harness (WHS) #1 (LOG ID 145). All work shall be performed in accordance with the Statement of Work. The Government Furnished Material (GFM) will be shipped and received on a DD1149 A-Invoice. Pricing of Item 0001 is requested for the required vendor services only.

The Required Delivery Date (RDD) is no later than (nlt) 05/15/2017.

0003 Contract Data Requirements for Item 0001 WHS #1 (LOG ID 145) in accordance with Exhibit A Contract Data Requirements List (A001- A007). This item is Not Separately Priced (NSP).

1 SET

0004 Contract Data Requirements for Item 0002 WHS #2 (LOG ID 205)in accordance with Exhibit A Contract Data Requirements List (A001- A007). This item is Not Separately Priced (NSP).

1 SET

SUM TOTAL QUOTE:

NSP**

NSP**

0002 Vendor Services, Refurbish WHS #2 (LOG ID 205). All work shall be performed in accordance with the Statement of Work. The Government Furnished Material (GFM) will be shipped and received on a DD1149 A-Invoice.

Pricing of Item 0002 is requested for the required vendor services only. The Required Delivery Date (RDD) is no later than (nlt) 05/15/2017.

1 JOB

Attachments:

1) Statement(s) of Work: WHS LOG ID 145 and WHS LOG ID 205

a) NAVSEA DWG 709-5590215 Rev N

b) PY 81066

c) DWG 632D-M-4836

d) NAVSEA DWG 709-5549373 (LAT)

2) Exhibit A, Contract Data Requirements List (Item 0003, Data Items A001-A007)

3) DD 2345 Militarily Critical Technical Data Agreement*

4) Security Agreement for Protection of Export control Data

*INSTRUCTIONS TO RECEIVE DATA

The attachments to this solicitation (referenced drawing numbers 1a, 1b, 1c, and 1d above) contain controlled Unclassified Technical Data related to critical technologies with military and space applications, which may not be lawfully exported without an approval under executive order 12470 or the Arms Export Control Act. Such data are protected from Government disclosure pursuant to 10 USC Section 140C and are exempt from mandatory disclosure under the Freedom of Information Act (FOIA) pursuant to the third exemption, 5 USC 552 (b) (3). The third exemption of the FOIA permits withholding information from public disclosure when it is protected by statute.

As a result of these restrictions, vendors must be “qualified” U.S. Contractors to receive the attachments (referenced drawing numbers 1a, 1b, 1c, and 1d above). To become qualified, complete the attached DD Form 2345 (Attachment 3) and forward it to the Defense Logistics Service Center, Battle Creek, MI. An instruction sheet is on the reverse of the form.

To receive the attached data (referenced drawing numbers 1a, 1b, 1c, and 1d above) you must: (i) complete the attached Security Agreement (Attachment 4) and (ii) attach copy of your approved DD Form 2345 (Attachment 3) to it, and return to Portsmouth Naval Shipyard, Contract Division, Attn: Code 410, Portsmouth, NH 03801. If you have any questions, please contact Deana Manfredi at 207-438-1630.