S1. SPMYM423Q0043.pdf

DLA DISTRIBUTION

GOVERNMENT REPRESENTATIVE

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

TEL: 808-473-8000 X4961 FAX:

SEE SCHEDULE

REQUEST FOR QUOTATIONS

(THIS IS NOT AN ORDER) 1

PAGE OF PAGES

1. REQUEST NO. 2. DATE ISSUED RATING

SPMYM423Q0043 28-Nov-2022 5a. ISSUED BY

8. TO: NAME AND ADDRESS, INCLUDING ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this

Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State, and local taxes)

ITEM NO.

(a)

SUPPLIES/ SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e) (f)

SEE SCHEDULE

AMOUNT

% No. %

NOTE: Additional provisions and representations [ ] are [ ] are not attached.

13. NAME AND ADDRESS OF QUOTER (Street, City, County, State, and ZIP Code)

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF

QUOTATION

16. NAME AND TITLE OF SIGNER (Type or print) (Include area code)

TELEPHONE NO.

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (REV. 6-95)

PREVIOUS EDITION NOT USABLE Prescribed by GSA FAR (48 CFR) 53.215-1(a)

THIS RFQ X[ ] IS [ ] IS NOT A SMALL BUSINESS SET-ASIDE

6. DELIVER BY (Date)

SEE SCHEDULE

AND/OR DMS REG. 1

UNDER BDSA REG. 2

4. CERT. FOR NAT. DEF.3. REQUISITION/PURCHASE

REQUEST NO.

DLA MARITIME PEARL HARBOR

WONGDUEAN GUAJARDO

COMPETITIVE SOURCING DIV

667 SAFEGUARD ST

JBPHH HI 96860

9. DESTINATION (Consignee and address, including ZIP Code)

7. DELIVERY

[ ] FOB

DESTINATION

[ ] OTHER X

(See Schedule)

02-Dec-2022(Date)

PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS:10.

808-473-8000X4040WONGDUEAN A. GUAJARDO

(Name and Telephone no.) (No collect calls)5b. FOR INFORMATION CALL:

d. CALENDAR DAYSc. 30 CALENDAR DAYSb. 20 CALENDAR DAYS12. DISCOUNT FOR PROMPT PAYMENT a. 10 CALENDAR DAYS

SPMYM423Q0043

Section SF 30 - BLOCK 14 CONTINUATION PAGE

IMPORTANT RFQ INFO

IMPORTANT RFQ INFO

**Trade Agreements apply and the vendor shall list the country of origin for each item**

CONTRACTING OFFICER: WONGDUEAN GUAJARDO TEL: 808-473-8000 X 4040

E-MAIL: WONGDUEAN.A.GUAJARDO@navy.mil FAX: 808-471-1030

THE DOD AND NAVY REQUIRE PAPERLESS DISTRIBUTION OF PURCHASE ORDERS,

CONTRACTS, AND MODIFICATIONS. PLEASE PROVIDE YOUR E-MAIL ADDRESS BELOW:

PLEASE PROVIDE THE FOLLOWING INFORMATION SO YOUR COMPANY CAN BE ENTERED INTO

OUR COMPUTER SYSTEM

CAGE Code (Commercial & Government Entity No.) _____________ DUNS (Dun & Bradstreet) No. _________________________ SAM (System for Award Management) Yes No (circle one)

TAX ID NO. (TIN) _________________________

WITHOUT THE ABOVE INFORMATION AN ORDER MAY NOT BE AWARDED AND YOUR QUOTE

MAY NOT BE FAIRLY EVALUATED. PLEASE CALL 808-473-8000 EXT 5204 WITH ANY

QUESTIONS.

The Contractor shall be registered in the SAM database prior to submitting an invoice and through final payment of any contract, basic agreement, basic ordering agreement, or blanket purchasing agreement resulting from this solicitation.

The SAM registration shall be for the same name and address identified on the contract, with its associated CAGE code and DUNS or DUNS+4.

Contractors may obtain information on registration and annual confirmation requirements via the SAM accessed through https://www.acquisition.gov or by calling 866-606-8220, or 334-206-7828 for international calls.

Unless otherwise provided in the Schedule, offers may not be submitted for quantities less than those specified. The Government reserves the right to make an award on any item for a quantity less than the quantity offered, at the unit prices offered, unless the offeror specified otherwise in the offer.

THE FOLLOWING INFORMATION MUST BE PROVIDED OR YOUR QUOTE MAY NOT BE

ACCEPTED.

Provide your best delivery schedule:

Estimated delivery to Pearl Harbor days weeks months Business size (in accordance with Federal Government Standards)

□ Small □ Large □ Woman-Owned □ Disadvantaged □ Other

Prompt Payment Terms_______% _______Days NET ______

If on GSA Contract: [ ] GSA Contract #____________________Expiration Date: ______

IF PRICING IS ON “OR EQUAL” BRAND, PLEASE PROVIDE COPY OF

LITERATURE/SPECIFICATIONS, MAKE AND MODEL OF ITEM BEING OFFERED.

VENDOR SHALL COMPLETE AND RETURN THE FOLLOWING PRICE INFORMATION: PRICES

ARE BASED ON (Check one or more)

(1) [ ] Commercial catalog/published price list number _______________ date_________page________. ATTACH APPLICABLE CATALOG/PRICE LIST PAGE.

Note: If quoted prices exceeds catalog/published price, explain

(2) Unpublished or internal Price List No. ______________

State means of verification:

Prices audited and approved by DCAA/DCASR ______________________ Last audit was on ________________________ (date).

(3) Sales history of this item for at least the last 12 months:

Government Commercial Sales dollar Volume:

Quantity of units sold:

Unite Price:

Contract number:

Award date:

METHOD OF PAYMENT IS WIDE AREA WORK FLOW (WAWF)

DFAR Clause 252.232-7003 (MAR 2008) ELECTRONIC SUBMISSION OF PAYMENT REQUEST AND RECEIVING REPORTS is applicable to this solicitation. Please note that the WAWF (Wide Area Work Flow) will be used as the method of payment for supplies and/or services procured under this solicitation. Information regarding WAWF is available on the internet at https://wawf.eb.mil. If you are not able to accept payment by WAWF please provide the reason(s) below:

REFERENCE: RFQ

MANUFACTURER:

NOTICE TO OFFERORS

1. An additional document applies to this solicitation. Please submit an email to the Contract Specialist, Wongduean Guajardo at wongduean.a.guajardo@navy.mil. Please note interested vendors must have access to referenced database, as it will not be provided.

2. All questions regarding this solicitation should be submitted in writing to the Contract Specialist Wongduean Guajardo, via email at wongduean.a.guajardo@navy.mil.

3. These assemblies will be used for the USS Hawaii at Pearl Harbor Naval Shipyard & Intermediate Maintenance Facility, Pearl Harbor, HI.

4. The date and closing time for receipt of offers for this solicitation is provided in block X on the Standard Form 1155.

5. Offerors shall submit their signed offers electronically via email to wongduean.a.guajardo@navy.mil.

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

SCREW,CAP,HEXAGON H

FFP

CONTROLLED INDUSTRIAL MATERIAL (CIM) REQUIREMENT.

MILSTRIP: N322532312E8561

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E861

PROJECT: 643

NET AMT

0001AA 6 Each

SCREW,CAP,HEXAGON H

FFP

SOCKET HEAD CAP SCREW, 1.500-6UNC-2A X 4.500" LONG, FF-S-86H,

TYPE VI, NICUAL IAW QQ-N-286G DTD 07DEC2000, SELF-LOCKING IAW

MIL-DTL-18240F (TYPE N, PELLET). ***CIM*** (CONT'D BELOW)

ACQUISITION REQUIREMENTS:

A) SCREW, CAP, SOCKET-HEAD; FF-S-86H DTD 07JUN2021.

B) TYPE VI, NICKEL-COPPERALUMINUM ALLOY, 1.500-6UNC-2A X 4.500

LG. C) N/A. D) MATERIAL CERTIFICATION REQUIRED.

E) NOT REQUIRED.

F) NOT REQUIRED.

G) 6UNC-2A.

ADDITIONAL REQUIREMENTS: 1) VENDOR ACKNOWLEDGEMENT OF

K-MONEL HEAT REVIEW IS REQUIRED.

2) SELF LOCKING IAW MIL-DTL-18240F DTD 02JUN97 W/AMD-1 DTD

13MAR00, QPL-18240-QPD DTD 10OCT2022 APPLIES AND IS AVAILABLE

THROUGH ASSIST. 3) DIA OF INSERT 0.281 +/- 0.010 INCH. DEPTH OF

HOLE DRILLED FOR INSERT 0.250 MIN - 0.281 MAX. DISTANCE FROM

INSERT HOLE C/L TO END OF BOLT 0.557 MIN - 0.723 MAX.

DIAMETERAL DIMENSION AT INSERT LOCATION 1.492 MIN - 1.502

MAX. MINIMUM BREAKAWAY TORQUE (IN. LB) - 243.0. TYPE P

"PATCH" SELF LOCKING ELEMENT IS SUFFICIENT SO LONG AS CAP

SCREW CONFORMS TO THE MINIMUM BREAKAWAY TORQUE

REQUIREMENTS.

***Mercury Free*** ***CIM (Controlled Industrial Material)***

***KMONEL REQUIREMENTS***

FOB: Destination

MILSTRIP: N322532312E8561

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E861

PSC CD: 5305

0001AB 1 Each

CERTIFICATION

FFP

CONTRCERTIFICATION IS REQUIRED AS SPECIFIED IN TRACEABLE

OBJECTIVE QUALITY EVIDENCE (OQE), SEE ADDITIONAL CIM

REQUIREMENTS.

***2 COPIES OF CERTIFICATION IS REQUIRED***

FOB: Destination

MILSTRIP: N322532312E8561

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E861

CONTROLLED INDUSTRIAL MATERIAL (CIM) REQ

FFP

SCREW,CAP,HEXAGON H

MILSTRIP: N322532312E862

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E8620

0002AA 6 Each

SCREW,CAP,HEXAGON H

FFP

SOCKET HEAD CAP SCREW, 1.500-6UNC-2A X 4.500 LG, FF-S-86H, TYPE

VI, NICUAL IAW QQ-N-286G DTD 07DEC2000, SELF-LOCKING IAW MIL-

DTL-18240F (TYPE N, PELLET). ***CIM*** (CONT'D BELOW)

ACQUISITION REQUIREMENTS:

A) SCREW, CAP, SOCKET-HEAD; FF-S-86H DTD 07JUN2021.

B) TYPE VI, NICKEL-COPPERALUMINUM ALLOY, 1.500-6UNC-2A X 4.500

LG. C) N/A.

D) MATERIAL CERTIFICATION REQUIRED.

E) NOT REQUIRED.

F) NOT REQUIRED.

G) 6UNC-2A.

ADDITIONAL REQUIREMENTS:

1) VENDOR ACKNOWLEDGEMENT OF K-MONEL HEAT REVIEW IS

REQUIRED

2) SELF LOCKING IAW MIL-DTL-18240F DTD 02JUN97 W/AMD-1 DTD

13MAR00, QPL-18240-QPD DTD 10OCT2022 APPLIES AND IS AVAILABLE

THROUGH ASSIST.

3) DIA OF INSERT 0.281 +/- 0.010 INCH. DEPTH OF HOLE DRILLED FOR

INSERT 0.250 MIN -0.281 MAX. DISTANCE FROM INSERT HOLE C/L TO

END OF BOLT 0.557 MIN - 0.723 MAX. DIAMETERAL DIMENSION AT

INSERT LOCATION 1.492 MIN - 1.502 MAX. MINIMUM BREAKAWAY

TORQUE (IN. LB) - 243.0. TYPE P "PATCH" SELF LOCKING ELEMENT IS

SUFFICIENT SO LONG AS CAP SCREW CONFORMS TO THE MINIMUM

BREAKAWAY TORQUE REQUIREMENTS

***Mercury Free*** CIM (Controlled Industrial Material)

K MONEL

FOB: Destination

MILSTRIP: N322532312E862

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E8620

0002AB 1 Each

CERTIFICATION

FFP

CERTIFICATION IS REQUIRED AS SPECIFIED IN TRACEABLE

OBJECTIVE QUALITY EVIDENCE (OQE), SEE ADDITIONAL CIM

REQUIREMENTS.

***2 COPIES OF CERTIFICATION IS REQUIRED***

FOB: Destination

MILSTRIP: N322532312E862

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E8620

SCREW, CAP, SOC HD

FFP

CONTROLLED INDUSTRIAL MATERIAL (CIM) REQUIREMENT.

MILSTRIP: N322532312E864

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E863

0003AA 6 Each

SCREW, CAP, SOC HD

FFP

SCREW, CAP, SOC HD, 1.500-6UNC-2A X 4.500" LG, FF-S-86H, TYPE 6,

NICUAL IAW QQ-N-286G DTD 07DEC2000, SELF-LOCKING

IAW MIL-DTL-18240F (TYPE N, PELLET). *CIM* (CONT'D BELOW)

ACQUISITION REQUIREMENTS:

A) SCREW, CAP, SOCKET-HEAD; FF-S-86H DTD 07JUN2021.

B) TYPE VI, NICKEL-COPPERALUMINUM ALLOY, 1.500-6UNC-2A X 4.500

LG. C) N/A.

D) MATERIAL CERTIFICATION REQUIRED.

E) NOT REQUIRED.

F) NOT REQUIRED.

G) 6UNC-2A.

ADDITIONAL REQUIREMENTS:

1) VENDOR ACKNOWLEDGEMENT OF K-MONEL HEAT REVIEW IS

REQUIRED

2) SELF LOCKING IAW MIL-DTL-18240F DTD 02JUN97 W/AMD-1 DTD

13MAR00, QPL-18240-QPD DTD 10OCT2022 APPLIES AND IS AVAILABLE

THROUGH ASSIST.

3) DIA OF INSERT 0.281 +/- 0.010 INCH. DEPTH OF HOLE DRILLED FOR

INSERT 0.250 MIN -0.281 MAX. DISTANCE FROM INSERT HOLE C/L TO

END OF BOLT 0.557 MIN - 0.723 MAX. DIAMETERAL DIMENSION AT

INSERT LOCATION 1.492 MIN - 1.502 MAX. MINIMUM BREAKAWAY

TORQUE (IN. LB) - 243.0. TYPE P "PATCH" SELF LOCKING ELEMENT IS

SUFFICIENT SO LONG AS CAP SCREW CONFORMS TO THE MINIMUM

BREAKAWAY TORQUE REQUIREMENTS.

***Mercury Free*** CIM (Controlled Industrial Material)

ACKNOWLEGMENT OF K-MONEL

K MONEL

FOB: Destination

MILSTRIP: N322532312E864

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E863

0003AB 1 Each

CERTIFICATION

FFP

CERTIFICATION IS REQUIRED AS SPECIFIED IN TRACEABLE

OBJECTIVE QUALITY EVIDENCE (OQE), SEE ADDITIONAL CIM

REQUIREMENTS.

***2 COPIES OF CERTIFICATION IS REQUIRED***

FOB: Destination

MILSTRIP: N322532312E864

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E863

SCREW,CAP,HEXAGON H

FFP

CONTROLLED INDUSTRIAL MATERIAL (CIM) REQUIREMENT.

MILSTRIP: N3223532312E864

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E864

0004AA 6 Each

SCREW,CAP,HEXAGON H

FFP

SOCKET HEAD CAP SCREW, 1.500-6UNC-2A X 4.500 LG, FF-S-86H, TYPE

VI, NICUAL IAW QQ-N-286G DTD 07DEC2000, SELFLOCKING

IAW MIL-DTL-18240F (TYPE N, PELLET). ***CIM*** (CONT'D BELOW)

ACQUISITION REQUIREMENTS:

A) SCREW, CAP, SOCKET-HEAD; FF-S-86H DTD 07JUN2021.

B) TYPE VI, NICKEL-COPPERALUMINUM ALLOY, 1.500-6UNC-2A X 4.500

LG.

C) N/A.

D) MATERIAL CERTIFICATION REQUIRED.

E) NOT REQUIRED.

F) NOT REQUIRED.

G) 6UNC-2A.

ADDITIONAL REQUIREMENTS:

1) VENDOR ACKNOWLEDGEMENT OF K-MONEL HEAT REVIEW IS

REQUIRED (SEE ATTACHED).

2) SELF LOCKING IAW MIL-DTL-18240F DTD 02JUN97 W/AMD-1 DTD

13MAR00, QPL-18240-QPD DTD 10OCT2022 APPLIES AND IS AVAILABLE

THROUGH ASSIST.

3) DIA OF INSERT 0.281 +/- 0.010 INCH. DEPTH OF HOLE DRILLED FOR

INSERT 0.250 MIN - 0.281 MAX. DISTANCE FROM INSERT HOLE C/L TO

END OF BOLT 0.557 MIN - 0.723 MAX. DIAMETERAL DIMENSION AT

INSERT LOCATION 1.492 MIN - 1.502 MAX. MINIMUM BREAKAWAY

TORQUE (IN. LB) - 243.0. TYPE P "PATCH" SELF LOCKING ELEMENT IS

SUFFICIENT SO LONG AS THE CAP SCREW CONFORMS TO THE

MINIMUM BREAKAWAY TORQUE REQUIREMENTS.

Mercury Free CIM (Controlled Industrial Material) FOB: Destination

MILSTRIP: N3223532312E864

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E864

0004AB 1 Each

CERTIFICATION

FFP

CERTIFICATION IS REQUIRED AS SPECIFIED IN TRACEABLE

OBJECTIVE QUALITY EVIDENCE (OQE), SEE ADDITIONAL CIM

REQUIREMENTS.

***2 COPIES OF CERTIFICATION IS REQUIRED***

FOB: Destination

MILSTRIP: N3223532312E864

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E864

SCREW, CAP, SOC HD

FFP

CONTROLLED INDUSTRIAL MATERIAL (CIM) REQUIREMENT.

MILSTRIP: N322532312E865

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E865

0005AA 6 Each

SCREW, CAP, SOC HD

FFP

SCREW, CAP, SOC HD, 1.500-6UNC-2A X 4.500 LG, FF-S-86H, TYPE VI,

NICUAL IAW QQ-N-286G DTD 07DEC2000, SELF-LOCKING

IAW MIL-DTL-18240 (TYPE N, PELLET). *CIM* (CONT'D BELOW)

ACQUISITION REQUIREMENTS:

A) SCREW, CAP, SOCKET-HEAD; FF-S-86H DTD 07JUN2021.

B) TYPE VI, NICKEL-COPPERALUMINUM ALLOY, 1.500-6UNC-2A X 4.500

LG. C) N/A.

D) MATERIAL CERTIFICATION REQUIRED.

E) NOT REQUIRED.

F) NOT REQUIRED.

G) 6UNC-2A.

ADDITIONAL REQUIREMENTS:

1) VENDOR ACKNOWLEDGEMENT OF K-MONEL HEAT REVIEW IS

REQUIRED (SEE ATTACHED).

2) SELF LOCKING IAW MIL-DTL-18240F DTD 02JUN97 W/AMD-1 DTD

13MAR00, QPL-18240-QPD DTD 10OCT2022 APPLIES AND IS AVAILABLE

THROUGH ASSIST. 3) DIA OF INSERT 0.281 +/- 0.010 INCH. DEPTH OF

HOLE DRILLED FOR INSERT 0.250 MIN - 0.281 MAX. DISTANCE FROM

INSERT HOLE C/L TO END OF BOLT 0.557 MIN - 0.723 MAX.

DIAMETERAL DIMENSION AT INSERT LOCATION 1.492 MIN - 1.502

MAX. MINIMUM BREAKAWAY TORQUE (IN. LB) - 243.0. TYPE P

"PATCH" SELF LOCKING ELEMENT IS SUFFICIENT SO LONG AS THE

CAP SCREW CONFORMS TO THE MINIMUM BREAKAWAY TORQUE

REQUIREMENTS.

Mercury Free CIM (Controlled Industrial Material)

K MONEL REQUIREMENT

FOB: Destination

MILSTRIP: N322532312E865

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E865

0005AB 1 Each

CERTIFICATION

FFP

CERTIFICATION IS REQUIRED AS SPECIFIED IN TRACEABLE

OBJECTIVE QUALITY EVIDENCE (OQE), SEE ADDITIONAL CIM

REQUIREMENTS.

***2 COPIES OF CERTIFICATION IS REQUIRED***

FOB: Destination

MILSTRIP: N322532312E865

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E865

SCREW,CAP,HEXAGON H

FFP

CONTROLLED INDUSTRIAL MATERIAL (CIM) REQUIREMENT.

MILSTRIP: N322532312E866

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E866

0006AA 6 Each

SCREW,CAP,HEXAGON H

FFP

SOCKET HEAD CAP SCREW, 1.500-6UNC-2A X 4.500 LG, FF-S-86H, TYPE

VI, NICUAL IAW QQ-N-286G DTD 07DEC2000, SELFLOCKING

IAW MIL-DTL-18240F (TYPE N, PELLET). ***CIM *** (CONT'D BELOW)

ACQUISITION REQUIREMENTS:

A) SCREW, CAP, SOCKET-HEAD; FF-S-86H DTD 07JUN2021.

B) TYPE VI, NICKEL-COPPERALUMINUM ALLOY, 1.500-6UNC-2A X 4.500

LG. C) N/A.

D) MATERIAL CERTIFICATION REQUIRED.

E) NOT REQUIRED.

F) NOT REQUIRED.

G) 6UNC-2A.

ADDITIONAL REQUIREMENTS:

1) VENDOR ACKNOWLEDGEMENT OF K-MONEL HEAT REVIEW IS

REQUIRED (SEE ATTACHED).

2) SELF LOCKING IAW MIL-DTL-18240F DTD 02JUN97 W/AMD-1 DTD

13MAR00, QPL-18240-QPD DTD 10OCT2022 APPLIES AND IS AVAILABLE

THROUGH ASSIST.

3) DIA OF INSERT 0.281 +/- 0.010 INCH. DEPTH OF HOLE DRILLED FOR

INSERT 0.250 MIN - 0.281 MAX. DISTANCE FROM INSERT HOLE C/L TO

END OF BOLT 0.557 MIN - 0.723 MAX. DIAMETERAL DIMENSION AT

INSERT LOCATION 1.492 MIN - 1.502 MAX. MINIMUM BREAKAWAY

TORQUE (IN. LB) - 243.0. TYPE P "PATCH" SELF LOCKING ELEMENT IS

SUFFICIENT SO LONG AS THE CAP SCREW CONFORMS TO THE

MINIMUM BREAKAWAY TORQUE REQUIREMENTS.

Mercury Free CIM (Controlled Industrial Material) FOB: Destination

MILSTRIP: N322532312E866

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E866

0006AB 1 Each

CERTIFICATION

FFP

CERTIFICATION IS REQUIRED AS SPECIFIED IN TRACEABLE

OBJECTIVE QUALITY EVIDENCE (OQE), SEE ADDITIONAL CIM

REQUIREMENTS.

***2 COPIES OF CERTIFICATION IS REQUIRED***

FOB: Destination

MILSTRIP: N322532312E866

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E866

SCREW,CAP,HEXAGON H

FFP

CONTROLLED INDUSTRIAL MATERIAL (CIM) REQUIREMENT.

MILSTRIP: N322532312E867

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E867

0007AA 6 Each

SCREW,CAP,HEXAGON H

FFP

SOCKET HEAD CAP SCREW, 1.500-6UNC-2A X 4.500 LG, FF-S-86H, TYPE

VI, NICUAL IAW QQ-N-286G DTD 07DEC2000, SELFLOCKING

IAW MIL-DTL-18240F (TYPE N, PELLET). ***CIM *** (CONT'D BELOW)

ACQUISITION REQUIREMENTS:

A) SCREW, CAP, SOCKET-HEAD; FF-S-86H DTD 07JUN2021.

B) TYPE VI, NICKEL-COPPERALUMINUM ALLOY, 1.500-6UNC-2A X 4.500

LG. C) N/A.

D) MATERIAL CERTIFICATION REQUIRED.

E) NOT REQUIRED.

F) NOT REQUIRED.

G) 6UNC-2A.

ADDITIONAL REQUIREMENTS:

1) VENDOR ACKNOWLEDGEMENT OF K-MONEL HEAT REVIEW IS

REQUIRED (SEE ATTACHED).

2) SELF LOCKING IAW MIL-DTL-18240F DTD 02JUN97 W/AMD-1 DTD

13MAR00, QPL-18240-QPD DTD 10OCT2022 APPLIES AND IS AVAILABLE

THROUGH ASSIST.

3) DIA OF INSERT 0.281 +/- 0.010 INCH. DEPTH OF HOLE DRILLED FOR

INSERT 0.250 MIN - 0.281 MAX. DISTANCE FROM INSERT HOLE C/L TO

END OF BOLT 0.557 MIN - 0.723 MAX. DIAMETERAL DIMENSION AT

INSERT LOCATION 1.492 MIN - 1.502 MAX. MINIMUM BREAKAWAY

TORQUE (IN. LB) - 243.0. TYPE P "PATCH" SELF LOCKING ELEMENT IS

SUFFICIENT SO LONG AS THE CAP SCREW CONFORMS TO THE

MINIMUM BREAKAWAY TORQUE

REQUIREMENTS.

Mercury Free CIM (Controlled Industrial Material) FOB: Destination

MILSTRIP: N322532312E867

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E867

0007AB 1 Each

CERTIFICATION

FFP

CERTIFICATION IS REQUIRED AS SPECIFIED IN TRACEABLE

OBJECTIVE QUALITY EVIDENCE (OQE), SEE ADDITIONAL CIM

REQUIREMENTS.

***2 COPIES OF CERTIFICATION IS REQUIRED***

FOB: Destination

MILSTRIP: N322532312E867

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E867

SCREW,CAP,HEXAGON H

FFP

SCONTROLLED INDUSTRIAL MATERIAL (CIM) REQUIREMENT.

MILSTRIP: N322532312E868

MFR PART NR: 68-13-C450A

PC NR: 41

PURCHASE REQUEST NUMBER: N322532312E8680

0008AA 6 Each

SCREW,CAP,HEXAGON H

FFP

SOCKET HEAD CAP SCREW, 1.500-6UNC-2A X 4.500" LG, FF-S-86H, TYPE

VI, NICUAL IAW QQ-N-286G DTD 07DEC2000, SELF-LOCKING IAW MIL-

DTL-18240F (TYPE N, PELLET). ***CIM*** (CONT'D BELOW)

ACQUISITION REQUIREMENTS:

A) SCREW, CAP, SOCKET-HEAD; FF-S-86H DTD 07JUN2021.

B) TYPE VI, NICKEL-COPPERALUMINUM ALLOY, 1.500-6UNC-2A X 4.500

LG. C) N/A.

D) MATERIAL CERTIFICATION REQUIRED.

E) NOT REQUIRED.

F) NOT REQUIRED.

G) 6UNC-2A.

ADDITIONAL REQUIREMENTS: 1) VENDOR ACKNOWLEDGEMENT OF

K-MONEL HEAT REVIEW IS REQUIRED

2) SELF LOCKING IAW MIL-DTL-18240F DTD 02JUN97 W/AMD-1 DTD

13MAR00, QPL-18240-QPD DTD 10OCT2022 APPLIES AND IS AVAILABLE

THROUGH ASSIST.

3) DIA OF INSERT 0.281 +/- 0.010 INCH. DEPTH OF HOLE DRILLED FOR

INSERT 0.250 MIN - 0.281 MAX. DISTANCE FROM INSERT HOLE C/L TO

END OF BOLT 0.557 MIN - 0.723 MAX. DIAMETERAL DIMENSION AT

INSERT LOCATION 1.492 MIN - 1.502 MAX. MINIMUM BREAKAWAY

TORQUE (IN. LB) - 243.0. TYPE P "PATCH" SELF LOCKING ELEMENT IS

SUFFICIENT SO LONG AS THE CAP SCREW CONFORMS TO THE

MINIMUM BREAKAWAY TORQUE REQUIREMENTS.

***Mercury Free*** ***CIM (Controlled Industrial Material)***

***KMONEL REQUIREMENTS***

FOB: Destination

MILSTRIP: N322532312E868

MFR PART NR: 68-13-C450A

PC NR: 41

PURCHASE REQUEST NUMBER: N322532312E8680

0008AB 1 Each

CERTIFICATION

FFP

CONTRCERTIFICATION IS REQUIRED AS SPECIFIED IN TRACEABLE

OBJECTIVE QUALITY EVIDENCE (OQE), SEE ADDITIONAL CIM

REQUIREMENTS.

***2 COPIES OF CERTIFICATION IS REQUIRED***

FOB: Destination

MILSTRIP: N322532312E868

MFR PART NR: 68-13-C450A

PC NR: 41

PURCHASE REQUEST NUMBER: N322532312E8680

SCREW,CAP,HEXAGON H

FFP

CONTROLLED INDUSTRIAL MATERIAL (CIM) REQUIREMENT.

MILSTRIP: N322532312E869

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E869

0009AA 6 Each

SCREW,CAP,HEXAGON H

FFP

SOCKET HEAD CAP SCREW, 1.500-6UNC-2A X 4.500 LG, FF-S-86H, TYPE

VI, NICUAL IAW QQ-N-286G DTD 07DEC2000, SELFLOCKING

IAW MIL-DTL-18240F (TYPE N, PELLET). ***CIM*** (CONT'D BELOW)

ACQUISITION REQUIREMENTS:

A) SCREW, CAP, SOCKET-HEAD; FF-S-86H DTD 07JUN2021.

B) TYPE VI, NICKEL-COPPERALUMINUM ALLOY, 1.500-6UNC-2A X 4.500

LG. C) N/A.

D) MATERIAL CERTIFICATION REQUIRED.

E) NOT REQUIRED.

F) NOT REQUIRED.

G) 6UNC-2A.

ADDITIONAL REQUIREMENTS:

1) VENDOR ACKNOWLEDGEMENT OF K-MONEL HEAT REVIEW IS

REQUIRED (SEE ATTACHED).

2) SELF LOCKING IAW MIL-DTL-18240F DTD 02JUN97 W/AMD-1 DTD

13MAR00, QPL-18240-QPD DTD 10OCT2022 APPLIES AND IS AVAILABLE

THROUGH ASSIST.

3) DIA OF INSERT 0.281 +/- 0.010 INCH. DEPTH OF HOLE DRILLED FOR

INSERT 0.250 MIN - 0.281 MAX. DISTANCE FROM INSERT HOLE C/L TO

END OF BOLT 0.557 MIN - 0.723 MAX. DIAMETERAL DIMENSION AT

INSERT LOCATION 1.492 MIN - 1.502 MAX. MINIMUM BREAKAWAY

TORQUE (IN. LB) - 243.0. TYPE P "PATCH" SELF LOCKING ELEMENT IS

SUFFICIENT SO LONG AS THE CAP SCREW CONFORMS TO THE

MINIMUM BREAKAWAY TORQUE

REQUIREMENTS.

Mercury Free CIM (Controlled Industrial Material) FOB: Destination

MILSTRIP: N322532312E869

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E869

0009AB 1 Each

CERTIFICATION

FFP

CERTIFICATION IS REQUIRED AS SPECIFIED IN TRACEABLE

OBJECTIVE QUALITY EVIDENCE (OQE), SEE ADDITIONAL CIM

REQUIREMENTS.

***2 COPIES OF CERTIFICATION IS REQUIRED***

FOB: Destination

MILSTRIP: N322532312E869

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E869

SCREW, CAP, SOC HD

FFP

CONTROLLED INDUSTRIAL MATERIAL (CIM) REQUIREMENT.

MILSTRIP: N322532312E870

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E870

0010AA 6 Each

SCREW, CAP, SOC HD

FFP

SCREW, CAP, SOC HD, 1.500-6UNC-2A X 4.500 LG, FF-S-86H, TYPE VI,

NICUAL IAW QQ-N-286G DTD 07DEC2000, SELF-LOCKING

IAW MIL-DTL-18240F (TYPE N, PELLET). *CIM* (CONT'D BELOW)

ACQUISITION REQUIREMENTS:

A) SCREW, CAP, SOCKET-HEAD; FF-S-86H DTD 07JUN2021.

B) TYPE VI, NICKEL-COPPERALUMINUM ALLOY, 1.500-6UNC-2A X 4.500

LG. C) N/A.

D) MATERIAL CERTIFICATION REQUIRED.

E) NOT REQUIRED.

F) NOT REQUIRED.

G) 6UNC-2A.

ADDITIONAL REQUIREMENTS:

1) VENDOR ACKNOWLEDGEMENT OF K-MONEL HEAT REVIEW IS

REQUIRED

2) SELF LOCKING IAW MIL-DTL-18240F DTD 02JUN97 W/AMD-1 DTD

13MAR00, QPL-18240-QPD DTD 10OCT2022 APPLIES AND IS AVAILABLE

THROUGH ASSIST.

3) DIA OF INSERT 0.281 +/- 0.010 INCH. DEPTH OF HOLE DRILLED FOR

INSERT 0.250 MIN - 0.281 MAX. DISTANCE FROM INSERT HOLE C/L TO

END OF BOLT 0.557 MIN - 0.723 MAX. DIAMETERAL DIMENSION AT

INSERT LOCATION 1.492 MIN - 1.502 MAX. MINIMUM BREAKAWAY

TORQUE (IN. LB) - 243.0. TYPE P "PATCH" SELF LOCKING ELEMENT IS

SUFFICIENT SO LONG AS THE CAP SCREW CONFORMS TO THE

MINIMUM BREAKAWAY TORQUE REQUIREMENTS.

Mercury Free CIM (Controlled Industrial Material)

KMONEL REQUIREMENTS

FOB: Destination

MILSTRIP: N322532312E870

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E870

0010AB 1 Each

CERTIFICATION

FFP

CERTIFICATION IS REQUIRED AS SPECIFIED IN TRACEABLE

OBJECTIVE QUALITY EVIDENCE (OQE), SEE ADDITIONAL CIM

REQUIREMENTS.

***2 COPIES OF CERTIFICATION IS REQUIRED***

FOB: Destination

MILSTRIP: N322532312E870

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E870

SCREW,CAP,HEXAGON H

FFP

CONTROLLED INDUSTRIAL MATERIAL (CIM) REQUIREMENT.

MILSTRIP: N322532312E871

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E871

0011AA 6 Each

SCREW,CAP,HEXAGON H

FFP

SOCKET HEAD CAP SCREW, 1.500-6UNC-2A X 4.500 LG, FF-S-86H, TYPE

VI, NICUAL IAW QQ-N-286G DTD 07DEC2000, SELFLOCKING

IAW MIL-DTL-18240F (TYPE N, PELLET). ***CIM*** (CONT'D BELOW)

ACQUISITION REQUIREMENTS:

A) SCREW, CAP, SOCKET-HEAD; FF-S-86H DTD 07JUN2021.

B) TYPE VI, NICKEL-COPPERALUMINUM ALLOY, 1.500-6UNC-2A X 4.500

LG. C) N/A.

D) MATERIAL CERTIFICATION REQUIRED.

E) NOT REQUIRED.

F) NOT REQUIRED.

G) 6UNC-2A.

ADDITIONAL REQUIREMENTS:

1) VENDOR ACKNOWLEDGEMENT OF K-MONEL HEAT REVIEW IS

REQUIRED (SEE ATTACHED).

2) SELF LOCKING IAW MIL-DTL-18240F DTD 02JUN97 W/AMD-1 DTD

13MAR00, QPL-18240-QPD DTD 10OCT2022 APPLIES AND IS AVAILABLE

THROUGH ASSIST. 3) DIA OF INSERT 0.281 +/- 0.010 INCH. DEPTH OF

HOLE DRILLED FOR INSERT 0.250 MIN - 0.281 MAX. DISTANCE FROM

INSERT HOLE C/L TO END OF BOLT 0.557 MIN - 0.723 MAX.

DIAMETERAL DIMENSION AT INSERT LOCATION 1.492 MIN - 1.502

MAX. MINIMUM BREAKAWAY TORQUE (IN. LB) - 243.0. TYPE P

"PATCH" SELF LOCKING ELEMENT IS SUFFICIENT SO LONG AS THE

CAP SCREW CONFORMS TO THE MINIMUM BREAKAWAY TORQUE

REQUIREMENTS.

Mercury Free CIM (Controlled Industrial Material) FOB: Destination

MILSTRIP: N322532312E871

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E871

0011AB 1 Each

CERTIFICATION

FFP

CERTIFICATION IS REQUIRED AS SPECIFIED IN TRACEABLE

OBJECTIVE QUALITY EVIDENCE (OQE), SEE ADDITIONAL CIM

REQUIREMENTS.

***2 COPIES OF CERTIFICATION IS REQUIRED***

FOB: Destination

MILSTRIP: N322532312E871

MFR PART NR: 68-13-C450A

PURCHASE REQUEST NUMBER: N322532312E871

Section D - Packaging and Marking

CLAUSES INCORPORATED BY FULL TEXT

PROHIBITED PACKING MATERIALS

The use of asbestos, excelsior, newspaper or shredded paper (all types including waxed paper, computer paper and similar hygroscopic or non-neutral material) is prohibited. In addition, loose fill polystyrene is prohibited for shipboard use.

EUROPEAN UNION RESTRICTIONS REGARDING NONMANUFACTURED WOOD PACKAGING

AND PALLETS

All European shipments with wood pallets and wood containers produced of nonmanufactured wood shall be constructed from Heat Treated (HT to 56 degrees Centigrade for 30 minutes) material and certified by an accredited agency recognized by the American Lumber Standards Committee (ALSC) in accordance with Nonmanufactured Wood Packing Policy and Nonmanufactured Wood Packing Enforcement Regulations dated May 30, 2001.

Reference:

http://www.aphis.usda.gov/ppq/swp/eunmwp.html for information and material sources

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A N/A 0001AA Destination Government Destination Government 0001AB Destination Government Destination Government 0002 N/A N/A N/A N/A 0002AA Destination Government Destination Government 0002AB Destination Government Destination Government 0003 N/A N/A N/A N/A 0003AA Destination Government Destination Government 0003AB Destination Government Destination Government 0004 N/A N/A N/A N/A 0004AA Destination Government Destination Government 0004AB Destination Government Destination Government 0005 N/A N/A N/A N/A 0005AA Destination Government Destination Government 0005AB Destination Government Destination Government 0006 N/A N/A N/A N/A 0006AA Destination Government Destination Government 0006AB Destination Government Destination Government 0007 N/A N/A N/A N/A 0007AA Destination Government Destination Government 0007AB Destination Government Destination Government 0008 N/A N/A N/A N/A 0008AA Destination Government Destination Government 0008AB Destination Government Destination Government 0009 N/A N/A N/A N/A 0009AA Destination Government Destination Government 0009AB Destination Government Destination Government 0010 N/A N/A N/A N/A 0010AA Destination Government Destination Government 0010AB Destination Government Destination Government 0011 N/A N/A N/A N/A 0011AA Destination Government Destination Government 0011AB Destination Government Destination Government

MERCURY EXCLUSION CLAUSE FOR MERCURY FREE PROCUREMENT ( LC-2, JAN 2013)

1. Mercury or mercury compounds shall not be intentionally added or come in direct contact with hardware or supplies furnished under this contract. Supplier shall certify that all items furnished under this contract are free of mercury or mercury compounds.

TRACEABLE OBJECTIVE QUALITY EVIDENCE (OQE) (CIM 2012-1)

Traceable Objective Quality Evidence (OQE) that shows actual test results for chemical and mechanical properties in conformance to the material specification is required. The material specification along with the revision/amendment shall be cited on the OQE. Also, a signed statement shall be provided which certifies that the material conforms to all specification requirements. Traceability shall be provided via a unique heat/lot number/code permanently marked on the material per MIL-STD-792 (latest) and shown on the OQE certification document. Where the applicable product specification does not require permanent heat/lot markings, the material shall be tagged or received in a package, envelope, bag or box that is annotated with the heat/lot number/code that is traceable to the OQE certification document.

ADDITIONAL CIM REQUIREMENTS (CIM 2012-1)

1. All certifications are required to be delivered with the material. Payment on material for which certifications are not received will be withheld.

2. Material markings shall comply with the requirements and limitations set forth in MIL-STD-792 (latest).

3. All nickel-copper-aluminum alloy (K-500) raw stock, and K-500 raw stock used in the manufacture of finished products, shall be procured to QQ-N-286 Revision G with slow strain rate tests done by the following approved laboratories:

a. Huntington Alloys, a Special Metals Company 3200 Riverside Drive Huntington, WV 25705

b. Metallurgical Consultants, Inc.

4820 Caroline PO Box 88046 Houston, TX 77288-0046

c. Naval Surface Warfare Center, Caderock Division Code 614

9500 Macarthur Blvd West Bethesda, MD 20817-5700

d. Teledyne Allvac 2020 Ashcraft Ave.

Monroe, NC 28110

e. Mannesmann Rohrenwerke Mannesmann Forschungsinstitut (MFI) Postfach 251160 47251 Duisburg Germany

4. Vendor acknowledgement of K-Monel heat review.

a. Recent investigations into mechanical property failures of fasteners manufactured from NiCuAl(K-Monel) material that was produced by Special Metals Corporation (formerly INCO Alloys) of Huntington, West Virginia have found eighty (80) heats of material which may not meet the mechanical property requirements of QQ-N-286 throughout the heat. In 1994, Special Metals Corporation implemented a process change that eliminated the addition of extra aluminum at the toe of each NiCuAl(K-Monel) ingot resulting in the toe portion of the heat being non-homogeneous in comparison to the rest of the heat. Due to cropping practices at Special Metals Corporation, material from the toe of the ingot with non-homogeneous aluminum content was not cropped from production material prior to shipment. A recent study has shown that the aluminum concentration in the toe portion of the ingot could be as low as approximately 2.0% with a corresponding yield strength as low as approximately 40,000 PSI. QQ-N-286 specifies an aluminum content of 2.3% minimum and a yield strength of 90,000 PSI minimum or 85,000 PSI minimum for material ≥ 1”. As a result of the investigation, the eighty (80) heats listed in Table I are considered suspect of having problems with insufficient aluminum content and an inability to consistently attain the required minimum yield strength.

b. You are requested to review your records of in stock and in process K-Monel material from the Special Metals Corporation for the suspect heat numbers listed in Table I below. You are prohibited from providing raw stock or finished products made from the suspect K-Monel heats. If suspect heats are intended to be used, contact the PHNS & IMF contracting officer for adjudication of the material. Table I - List of Suspect Special Metals Corporation K- Monel Heat Numbers

M00J6KG M00J7KG M01J1KG M02J8KG

M02J9KG M03J8KG M04J2KG M04J6KG

M04J7KG M06J5KG M06J8KG M11J2KG

M11J3KG M11J4KG M11J5KG M15J6KG

M17J2KG M17J3KG M17J4KG M18J7KG

M19J7KG M21J2KG M22J7KG M22J8KG

M23J2KG M24J5KG M26J8KG M26J9KG

M27J9KG M28J4KG M30J9KG M31J9KG

M33J7KG M34H4KG M35H0KG M35J0KG

M35J7KG M35H8KG M36H7KG M36J2KG

M36J3KG M37J4KG M39J3KG M41J1KG

M41J2KG M41H3KG M41J3KG M41J7KG

M41J8KG M44J4KG M44J6KG M45J2KG

M45J8KG M45J9KG M46J7KG M52H9KG

M61J8KG M61J9KG M62J5KG M64J4KG

M64J5KG M64J6KG M67H2KG M67J4KG

M69J1KG M70J6KG M73J4KG M76H6KG

M80H2KG M80H3KG M84H9KG M85H0KG

M88H6KG M88H7KG M89H5KG M89H6KG

M92H0KG M95H7KG M97H8KG M99H3KG

HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT (GOVERNMENT SPECIFICATION) (LC-2,

JAN 2013)

(a) Definition. "Contract Date" as used in this clause, means the date set for bid opening or, if this is a negotiated contract or a modification, the effective date of this contract modification.

(b) The contractor shall comply with the attached QA No. 133-1, Pearl Harbor Naval Shipyard Quality Assurance procurement specification for LEVEL I/SUBSAFE and DSS material, in effect on the contract date, which is hereby incorporated into this contract.

SPECIAL INSPECTION CLAUSE

In accordance with the provisions of Paragraph 46.201(c), Federal Acquisition Regulation, the Government reserves the right to perform technical inspections, at the receiving station, in accordance with any provision of this contract or in accordance with the provisions of any military or standard specification referenced in this contract or to inspect for latent defects and to reject any material purchased under this contract for non-conformance. If any material is rejected in accordance with this clause, the contractor shall be so notified. The contractor shall be responsible to reimburse the Government for materials so rejected or to replace the rejected material with acceptable material at the discretion of the Contracting Officer. Rejected material which the contractor has not removed or otherwise disposed of within 180 days following notification of its rejection shall become subject to disposal at the option of the Government with cost of disposal to be paid by the contractor. Rejected material for which the contractor has not been notified within 180 days shall become property of the Government without recourse.

W A R N I N G

MATERIAL WILL BE REJECTED FOR NON-COMPLIANCE WITHOUT RECOURSE IF YOU FAIL TO

PACKAGE, PACK, PRESERVE, MARK, SUBMIT REQUIRED PHYSICAL AND/OR CHEMICAL

CERTIFICATIONS AND TEST RESULTS FOR MATERIAL AS PRESCRIBED IN THE PROVISIONS OF

THIS CONTRACT/PURCHASE ORDER OR PROVISIONS OF ANY MILITARY/FEDERAL

SPECIFICATIONS REFERRED TO IN THIS CONTRACT/PURCHASE

ORDER.

CERTIFICATIONS REQUIRED WITH DELIVERY OF MATERIAL (CIM 2012-1)

All certifications are required to be delivered with the material. Payment on material for which certifications are not received will be withheld.

PLACE OF DELIVERY-DESTINATION

(a) The articles to be furnished hereunder shall be delivered all transportation charges paid by the contractor to:

DLA DISTRIBUTION

GOVERNMENT REPRESENTATIVE

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

(b) Proposals may be deemed unacceptable when submitted on a basis other than F.O.B. destination.

Section F - Deliveries or Performance

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 N/A N/A N/A N/A

0001AA N/A N/A N/A N/A

0001AB 20-MAY-2023 1 DLA DISTRIBUTION

GOVERNMENT REPRESENTATIVE

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

808-473-8000 X4961 FOB: Destination

N32253

0002 N/A N/A N/A N/A

0002AA 20-MAY-2022 6 DLA DISTRIBUTION

GOVERNMENT REPRESENTATIVE

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

808-473-8000 X4961

0002AB 20-MAY-2022 1 (SAME AS PREVIOUS LOCATION)

0003 N/A N/A N/A N/A

0003AA 20-MAY-2023 6 DLA DISTRIBUTION

GOVERNMENT REPRESENTATIVE

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

808-473-8000 X4961

0003AB 20-MAY-2023 1 (SAME AS PREVIOUS LOCATION)

0004 N/A N/A N/A N/A

0004AA 20-MAY-2023 6 DLA DISTRIBUTION

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

808-473-8000 X4961

0004AB 20-MAY-2023 1 (SAME AS PREVIOUS LOCATION)

0005 N/A N/A N/A N/A

0005AA 20-MAY-2023 6 DLA DISTRIBUTION

GOVERNMENT REPRESENTATIVE

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

808-473-8000 X4961

0005AB 20-MAY-2023 1 (SAME AS PREVIOUS LOCATION)

0006 N/A N/A N/A N/A

0006AA 20-MAY-2023 6 DLA DISTRIBUTION

GOVERNMENT REPRESENTATIVE

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

808-473-8000 X4961

0006AB 20-MAY-2023 1 (SAME AS PREVIOUS LOCATION)

0007 N/A N/A N/A N/A

0007AA 20-MAY-2023 6 DLA DISTRIBUTION

GOVERNMENT REPRESENTATIVE

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

808-473-8000 X4961

0007AB 20-MAY-2023 1 (SAME AS PREVIOUS LOCATION)

0008 N/A N/A N/A N/A

0008AA 20-MAY-2023 6 DLA DISTRIBUTION

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

808-473-8000 X4961

0008AB 20-MAY-2023 1 (SAME AS PREVIOUS LOCATION)

0009 N/A N/A N/A N/A

0009AA 20-MAY-2023 6 DLA DISTRIBUTION

GOVERNMENT REPRESENTATIVE

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

808-473-8000 X4961

0009AB 20-MAY-2023 1 (SAME AS PREVIOUS LOCATION)

0010 N/A N/A N/A N/A

0010AA 20-MAY-2023 6 DLA DISTRIBUTION

GOVERNMENT REPRESENTATIVE

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

808-473-8000 X4961

0010AB 20-MAY-2023 1 (SAME AS PREVIOUS LOCATION)

0011 N/A N/A N/A N/A

0011AA 20-MAY-2023 6 DLA DISTRIBUTION

GOVERNMENT REPRESENTATIVE

RECEIVING DEPT, CODE Z0S

667 SAFEGUARD ST, BLDG 167-1

JBPHH HI 96860-5033

808-473-8000 X4961

0011AB 20-MAY-2023 1 (SAME AS PREVIOUS LOCATION)

Section G - Contract Administration Data

Section H - Special Contract Requirements

PRODUCTION LOT TESTING-CONTRAC

E04 Production Lot Testing – Government (APR 2020) UCF Section E

(1) The purpose of production lot testing (PLT) is to validate quality conformance of products.

The Government conducts PLT on the production lot(s) after first article approval, when a first article is required. The contractor shall price the PLT CLIN to cover the cost of any approved samples that are consumed, destroyed, or otherwise rendered unusable during testing. The unit of issue for the PLT CLIN, EACH, is equal to one Production Lot Test (1EA=1PLT).

(2) For purposes of facilitating PLT, the engineering support activity and/or testing facility has authority to communicate and conduct clarifications directly with contractors. If this results in necessary changes to contract requirements, the contractor shall contact the post award contracting officer or contract administrator (see the “Issued By” blocks on the contract award or order) for written approval. The contractor shall not act on any revisions or other changes until the contracting officer issues a written modification approving the proposed revision(s)/change(s).

(3) The contractor shall provide and maintain an inspection system acceptable to the Government in accordance with FAR Clause 52.246-2 or 52.246-3, and maintain and make available all records evidencing those details if requested by the Government. At least fourteen (14) calendar days (or as otherwise specified in the contract) prior to the date when the contractor will present the production lot for selection of PLT samples, the contractor shall provide written notice to the contracting officer (and the cognizant DCMA functional specialist when full administration or quality support administration is delegated to DCMA).

(4) Unless otherwise stated, the contractor shall select [contracting officer shall insert the number of samples identified in the material master] samples, at random from the production lot(s) produced. If the quantity stated in the previous sentence equals “ZZ,” the contractor shall use the appropriate sample size identified in the technical data package or applicable sample plan provided by the Government. If the contractor cannot determine the sample quantity, the contractor shall obtain written confirmation of the sample size from the contracting officer.

(5) If a PLT sample fails, the entire production lot from which the contractor took the sample fails. The contractor shall propose corrective action, if appropriate.

(6) The Government will return PLT samples to the contractor, with a copy of the test report, at contractor expense.

(7) The contractor shall prepare and disseminate the samples as follows:

(a) Ship the selected PLT samples by traceable means. [Mark the shipment “Production Lot Samples – Do Not Post To Stock,” Contract Number [contractor insert] and Lot/Item Number [contractor insert]”. Place a copy of the system of record receiving report (i.e., WAWF or DD Form 250) on the exterior of the shipping container in accordance with DFARS Appendix F.

Mark the exterior of the shipping container in accordance with MIL-STD-129 (latest revision), paragraph 5.11.

(b) Include the following interior documentation:

(i) DD Form 1222 and system of record receiving report (i.e., WAWF or DD Form 250);

(ii) Copy of contract/order;

(iii) Copy of test reports, showing actual results and tolerances specified in the technical data package;

(iv) Material and process certifications;

(v) Process operations and inspection method sheets;

(vi) Copies of drawings used to manufacture the PLT sample (proper marking to assert proprietary or other rights to restrict public disclosure is the contractor’s responsibility);

(vii) Documents required under contract deliverables requirements list; and

(viii) A prepaid shipping label or document with the information required to return the PLT samples to the contractor at no cost to the Government.

(8) At the time of shipment, the contractor shall sign and provide copies of the DD Form 1222, system of record receiving report (i.e., WAWF or DD Form 250), transportation tracking information, and information for return of the PLT samples to the contracting officer. The Government testing time will be [contracting officer insert number of days for test, as shown in the[material master] calendar days for the test results to be provided to the contractor.

(9) For PLT, the Government will conduct inspection at source and acceptance at destination.

The FOB point is destination.

(10) Delivery.

(a) Ship samples to [contracting officer insert address of the Government activity to receive the samples].

(b) Delivery Schedule Information:

(i)___ Total Delivery Days for FAT (If Applicable) (ii)___ Days: Completion of Production Units (to include PLT samples), and Submission of samples for Government Testing (iii)___ Days: Government PLT Report Evaluation and Notification to Contractor (iv)___ Days: Delivery of final production quantity to Government (v)___ Total Delivery Days (Sum of paragraph (i) through (iv))

Section I - Contract Clauses

CLAUSES INCORPORATED BY REFERENCE

52.204-7 System for Award Management OCT 2018 52.204-13 System for Award Management Maintenance OCT 2018 52.214-34 Submission Of Offers In The English Language APR 1991 52.214-35 Submission Of Offers In U.S. Currency APR 1991 52.215-8 Order of Precedence--Uniform Contract Format OCT 1997 52.225-18 Place of Manufacture AUG 2018 52.242-17 Government Delay Of Work APR 1984 52.243-1 Changes--Fixed Price AUG 1987 52.253-1 Computer Generated Forms JAN 1991 252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7004 Alt A System for Award Management Alternate A FEB 2014 252.204-7007 Alternate A, Annual Representations and Certifications JUN 2019 252.211-7005 Substitutions for Military or Federal Specifications and

Standards

NOV 2005

252.225-7001 Buy American And Balance Of Payments Program-- Basic DEC 2017 252.225-7002 Qualifying Country Sources As Subcontractors DEC 2017 252.225-7041 Correspondence in English JUN 1997 252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

DEC 2018

252.232-7006 Wide Area WorkFlow Payment Instructions DEC 2018 252.246-7000 Material Inspection And Receiving Report MAR 2008 252.246-7003 Notification of Potential Safety Issues JUN 2013 252.247-7023 Transportation of Supplies by Sea FEB 2019

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (JAN 2017)

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 332722.

(2) The small business size standard is 500.

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)(1) If the provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the provision at 52.204-7 is not included in this solicitation, and the offeror is currently registered in System for Award Management (SAM), and has completed the Representations and Certifications section of SAM electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

( ) Paragraph (d) applies.

( ) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c) (1) The following representations or certifications in SAM are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $150,000.

(iii) 52.203-18, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements--Representation. This provision applies to all solicitations.

(iv) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.

(v) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(vi) 52.209-2; Prohibition on Contracting with Inverted Domestic Corporations--Representation.

(vii) 52.209-5; Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(viii) 52.209-11, Representation by Corporations Regarding elinquent Tax Liability or a Felony Conviction under any Federal Law. This provision applies to all solicitations.

(ix) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(x) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(xi) 52.219-1, Small Business Program Representations (Basic & Alternate I). This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(xii) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(xiii) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xiv) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xv) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xvi) 52.222-57, Representation Regarding Compliance with Labor Laws (Executive Order 13673). This provision applies to solicitations expected to exceed $50 million which are issued from October 25, 2016 through April 24, 2017, and solicitations expected to exceed $500,000, which are issued after April 24, 2017.

Note to paragraph (c)(1)(xvi): By a court order issued on October 24, 2016, 52.222-57 is enjoined indefinitely as of the date of the order. The enjoined paragraph will become effective immediately if the court terminates the injunction. At that time, DoD, GSA, and NASA will publish a document in the Federal Register advising the public of the termination of the injunction.

(xvii) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA-designated items; or include the clause at 52.223-2, Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

(xviii) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA- designated items.

(xix) 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals--Representation. This provision applies to solicitations that include the clause at 52.204-7.)

(xx) 52.225-2, Buy American Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xxi) 52.225-4, Buy American--Free Trade Agreements--Israeli Trade Act Certificate.