Order Form.pdf

G2S Order RFP Number Order RFP Line Item Number

Reserved for G2S Small Business Prime Contractors

Best Value Offer Evaluation/Determination Method to be Used by the Government Tradeoff, or Lowest Price Technically Acceptable (LPTA)

Applicable Clauses from the basic contract (Commercial or Non-Commercial) Note: Separate delivery/task orders required for Commercial and Non- Commercial (Commercial requires FFP) Pricing Type Contract Financing Included (Yes/No)

Army-ILSC PCF Cabinet Number (e.g., PANAPG-XX-P-0000 XXXXXX)

Army-ILSC Directorate

(C3T, PED,

IEWS, ESA,

etc.) Is this Request for Supplies or Services? FSC NIIN

Management Control Number

(MCN)

assigned by the Army for Items without an NSN Item Name

Material Category (MATCAT) 2-character Code

System Name spelled out (Along with any Abbreviated Name and/or Acronym)

Ship To DoDAAC

If this item is high priority (e.g., gap in coverage, supply availability, backorders, etc.)

provide narrative/explanation below if applicable

Is This a One-Time Buy or a Request to Establish Pricing for a Rapid Ordering Catalog Supplement

Total Quantity Required for One-Time Buy Note: Quantity purchased per order allows for quanity adjustments of +/- 20% of the quantities listed below without revisions to this RFP Government Target Initial/First Shipment Quantity

Government Target Initial/First Shipment Production Lead Time

(PLT)

Days After Receipt of Order (ARO) or Days After FAT approval (For new sources of supply)

Government Target Follow-on Shipment Quantity (For any phased/increment al deliveries)

Government Target Follow-on Shipment PLT Days (For any phased/increment al deliveries, Normally every 30 days except for long lead items)

Unit of Issue

(UI)

as listed in

FLIS

Unit of Measure (UM) as listed in FLIS *if different from the

UI

Does the Government own the full Technical Data Package (TDP) required to manufacture this item?

(Yes/No)

Has the Government owned TDP been scrubbed for accuracy & completeness?

(Yes/No)

Has the Government owned TDP been provided to DLA as a consolicated ZIP file with the file name corresponding to the NIIN?

(Yes/No)

Government Target FAT lead time, days after receipt of order until final FAT approval for new sources of supply Default is normally 275 days per the standard timeline in the G2S Exhibit B, ILSC Supplemental

SOW CDRL: L001

(Or N/A if FAT not required)

Is this item known to be Commercially Available?

(Yes/No)

Is this item Brand-Name Specific?

(Required to be procured from a specific source for this action regardless if there is a Government owned TDP)

Is there a statute that expressly authorizes/requires that this item be made from a specific source?

(If so, provide the citation)

Government Inspection/Acceptance Location (Origin if DCMA needs to inspect before shipment, or Destination if the supplies may be inspected at the point of delivery)

DCMA Production Surveillance Criticality Designator (SCD)

Government Required FOB Point (Origin or Destination) Type of Receiving Report/Invoice

IUID

Required?

(Yes/No)

RFID

Required?

(Yes/No)

ITAR

Export Controlled Item?

(Yes/No)

DD-254 Security Classification Controlled Item?

(Yes/No)

Is there any Government Furnished Property (GFP) anticipated for this item?

(Yes/No)

Critical Safety Item (CSI) or Critical Application Item

(CAI)?

(Yes/No)

G2S-2025-050 C5ISR 0001 no LPTA Non-Commercial FFP No W912CH-25-Q-0098 supplies 5975 12630347 N/A Panel, Blank 5975-01-263-0347 Panel, Blank W25G1W Production 178 7/12/2026 each each yes yes no N/A no no no Origin N/A Destination combo No No Yes No no No G2S-2025-050 C5ISR 0002 no LPTA Non-Commercial FFP No W912CH-25-Q-0098 supplies 5975 12630347 N/A Panel, Blank 5975-01-263-0347 Option: Panel, Blank W25G1W Option 178 365 days after award each each yes yes no N/A no no no Origin N/A Destination combo No No Yes No no No

**The Government reserves the right to award line by line or all to 1 vendor

Exhibit A SOW Section 4.4 Production Status Report

CDRL A001

Production Status Report Applicable?

(Yes/No)

Exhibit A SOW Section 4.12 Obsolescence Status Report

CDRL B001

Obsolescence Status Report Applicable?

(Yes/No)

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

A002 Data Accession List Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

A003 Reliability Test Procedure Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

A004 Environmental Stress Screening Procedures and Implementation Plan Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

A005 Environmental Stress Screening Report Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

A006 Failure Analysis and Corrective Action Reports Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

A007 Record of Meeting/Minutes Report: Failure Review Board Meeting Minutes Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

B002 Technical Report, Study- Services: 10-year Rolling Technology Refreshment Plan Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

C001 Training Conduct Support Document Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

C002 Course Conduct Information Package Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

D001 Test Plans/Test Procedures Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

E001 Failure Summary and Analysis Report Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

A003 Notice of Revision Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

E003 Specification Change Notice Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

E004 Logistics Management Information Data Products Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

A001 Engineering Change Proposal Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

F002 Failure Modes, Effects, Criticality Analysis Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

F003 Scientific and Technical Reports: Corrosion Prevention and Control Plan Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

F004 Test Procedure Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

F005 Parts Management Plan Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

F006 Product Engineering Design Data and Associated Lists Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

F007 Reliability and Maintainability Program Plan Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

G001 Supply Chain Risk Management Plan Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

H001 Production Surge Plan Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware Attachment 0001 Special Packaging Instructions Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

I002 Program-Unique Specification Documents Applicable ?

Exhibit B ILSC Supplemental SOW Section 3.1 Hardware

CDRL

I003 Configuration Baseline Drawings Applicable ?

Packaging (Commercial or Military)

Packaging Reference or Special Packaging Instruction (PKG-REF or

SPI)

Packaging Unit of Issue (UI, As listed in FLIS)

Packaging Quantity Unit Pack (QUP, As listed in

FLIS)

Packaging Intermediate Container Quantity (ICQ) maximum allowed Packaging Special Markings Packaging Supplemental Info (If applicable)

G2S Prime Contractor proposal expiration date (By default, the Government requests the proposal be valid for 90 days)

G2S Prime Contractor proposing the product of a FAT Approved Source (Yes/No, or N/A if FAT not required)

G2S Prime Contractor proposed manufacturer Name & CAGE Code (If the G2S Offeror is the proposed manufacturer, enter the G2S Offeror Name & CAGE Code)

G2S Prime Contractor proposed manufacturer Country of Origin (Even if USA, the G2S Offeror must state USA)

G2S Prime Contractor proposed FAT lead time, days after receipt of order until final FAT approval (N/A if Offering the product of a FAT Approved Source)

G2S Offeror proposed lump sum price for FAT (N/A if Offering the product of a FAT Approved Source)

G2S Prime Contractor proposed Inspection/Acceptance CAGE Code (If Government Source Inspection/Acceptance specified)

No No No No No No No No No No No No No Yes No No Yes No No No No No No No No Yes No No military SPI each 1 See SPI See Attachment 0001 SPI_SOW_9396044 See Attachment 0001 SPI_SOW_9396044 No No No No No No No No No No No No No Yes No No Yes No No No No No No No No Yes No No military SPI each 1 See SPI See Attachment 0001 SPI_SOW_9396044 See Attachment 0001 SPI_SOW_9396044

G2S Prime Contractor proposed Initial/First Shipment Quantity

G2S Prime Contractor proposed Initial/First Shipment Production Lead Time (PLT) Days After Receipt of Order (ARO) or Days After FAT approval if proposing a new source

G2S Prime Contractor proposed Follow-on Shipment Quantity (For any phased/incremental deliveries)

G2S Prime Contractor proposed Follow-on Shipment PLT Days (For any phased/incremental deliveries)

G2S Prime Contractor proposed unit price for One-Time Buy

G2S Prime Contractor proposed Quantity Range #1 From

G2S Prime Contractor proposed Quantity Range #1 To

G2S Prime Contractor proposed unit price for Quantity Range #1 Year 1

G2S Prime Contractor proposed unit price for Quantity Range #1 Year 2

G2S Prime Contractor proposed Quantity Range #2 From

G2S Prime Contractor proposed Quantity Range #2 To

G2S Prime Contractor proposed unit price for Quantity Range #2 Year 1

G2S Prime Contractor proposed unit price for Quantity Range #2 Year 2

G2S Prime Contractor proposed Quantity Range #3 From

G2S Prime Contractor proposed Quantity Range #3 To

G2S Prime Contractor proposed unit price for Quantity Range #3 Year 1

G2S Prime Contractor proposed unit price for Quantity Range #3 Year 2