Signed W56HZV-20-R-0080.pdf

SOLICITATION, OFFER AND AWARD 1. This Contract Is A Rated Order Under

DPAS (15 CFR 700)

Rating Page of Pages

2. Contract Number 3. Solicitation Number 4. Type of Solicitation 5. Date Issued 6. Requisition/Purchase Number Sealed Bid (IFB)

Negotiated (RFP)

7. Issued By Code 8. Address Offer To (If Other Than Item 7)

NOTE: In sealed bid solicitations ‘offer’ and ‘offeror’ mean ‘bid’ and ‘bidder’.

SOLICITATION

9. Sealed offers in original and copies for furnishing the supplies or services in the Schedule will be received at the place specified in item 8, or if handcarried, in the depository located in until (hour) local time (Date).

Caution - Late Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

10. For Information A. Name B. Telephone (No Collect Calls) C. E-mail Address

Call: Area Code Number Ext.

11. Table Of Contents

(X) Sec. Description Page(s) (X) Sec. Description Page(s)

Part I - The Schedule Part II - Contract Clauses A Solicitation/Contract Form I Contract Clauses

B Supplies or Services and Prices/Costs Part III - List Of Documents, Exhibits, And Other Attach.

C Description/Specs./Work Statement J List of Attachments D Packaging and Marking Part IV - Representations And Instructions E Inspection and Acceptance K Representations, Certifications, and F Deliveries or Performance Other Statements of Offerors G Contract Administration Data L Instrs., Conds., and Notices to Offerors H Special Contract Requirements M Evaluation Factors for Award

OFFER (Must be fully completed by offeror) NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within _____ calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. Discount For Prompt Payment 10 Calendar Days (%) 20 Calendar Days (%) 30 Calendar Days (%) Calendar Days (%) (See Section I, Clause No. 52.232-8)

14. Acknowledgment of Amendments (The offeror acknowledges Amendment No. Date Amendment No. Date receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated):

15A. Name and Code Facility 16. Name and Title of Person Authorized to Sign Offer Address of (Type or Print) Offeror

15B. Telephone Number 15C. Check if Remittance Address is 17. Signature 18. Offer Date Area Code Number Ext. Different From Above – Enter such

Address In Schedule

AWARD (To be completed by Government)

19. Accepted As To Items Numbered 20. Amount 21. Accounting And Appropriation

22. Authority For Using Other Than Full And Open Competition: 23. Submit Invoices To Address Shown In Item

10 U.S.C. 2304(c)( ) 41 U.S.C. 253(c)( ) (4 copies unless otherwise specified)

24. Administered By (If other than Item 7) Code 25. Payment Will Be Made By Code

26. Name of Contracting Officer (Type or Print) 27. United States Of America 28. Award Date

(Signature of Contracting Officer)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

AUTHORIZED FOR LOCAL REPRODUCTION Standard Form 33 (Rev. 9-97) Previous edition is unusable Prescribed By GSA-FAR (48 CFR) 53.214(c)

W56HZV-20-R-0080

X

2021NOV08

2021DEC09

DOA4

2021NOV08 SEE SCHEDULE

W56HZV

ACC-DTA

6501 E. 11 MILE RD.

DETROIT ARSENAL, MI 48397-5000

RISING ORIS

(586)282-3523

CCTA-HDB-S

RISING.M.ORIS.CIV@MAIL.MIL

1 68

X 1

X 6 X 16

X 18 X 20 X 21

X 28

X 30

X 49

X 63

X 68

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION A - SUPPLEMENTAL INFORMATION

Buyer Name: RISING ORIS

Buyer Office Symbol/Telephone Number: CCTA-HDB-S/(586)282-3523

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

This solicitation is intended to result in the award of a single Requirements Contract for the estimated supplies specified. The resulting contract will establish pricing to be utilized through issuance of delivery orders for discrete quantities for the period stated in the schedule. The Government bears no responsibility to issue an initial minimum order upon base contract award. For further guidance related to a Requirements type contract, see FAR clause 52.216-21, Requirements.

Filter Separator LI (50 GPM)with Manufacturer Part Numbers: A2221, A2218 and A2216 is used with Stand-Alone Fuel Tank Farms and the

Tank and Pump Units (TPU.) .

All contractors are to quote the required part for shipment to the Government. DCMA may monitor the loading/shipment.

THIS IS A SOLICITATION NOTICE

The U.S. Army Contracting Command, Warren Michigan intends to issue an 36 month Requirement Contract with an Estimated Maximum Quantity of 63 Each, 50 Each and 219 Each for the following:

Proposed procurement for CLIN 0011:

NSN: 4330-01-610-7636

MPN: A2221

Cage: OBUN9

Noun: Filter Separator LI

NAICS: 333996

Proposed procurement for CLIN 0021:

NSN: 4330-01-610-7632

P/N: A2218

Cage: OBUN9

Noun: Filter Separator LI

NAICS: 333996

Proposed procurement for CLIN 0031:

NSN: 4330-01-610-7627

P/N: A2216

Cage: OBUN9

Noun: Filter Separator LI

NAICS: 333996

Firm Fixed Price Contract (FFP)

Estimated Qty for CLIN 0011: 63 Each

Estimated Qty for CLIN 0021: 50 Each

Estimated Qty for CLIN 0011: 219 Each

Note: THE ORDERING PERIOD QUANTITY IS AN ESTIMATE THAT MAY OR MAY NOT BE ORDERED

OVER AN 36 MONTH PERIOD

EST = ESTIMATE

All shipment will be FOB Destination.

A.1.This Solicitation, W56HZV-20-R-0080, is being issued under the authority of the Federal Acquisition Regulations (FAR) Part 6.1. This

Solicitation will be issued as a Full and Open Competition and will result in a single Firm-Fixed Price (FFP) Requirement Contract over a 36 month period for the following items:

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

(1) Item Name: Filter Separator LI (50 GPM)

This 50 GPM Filter-Separator is used with Stand-Alone Fuel Tank Farms and the Tank and Pump Units (TPU.) .

NSN: 4330-00-610-7636

Under the following Manufacturer Part Numbers: A2221, A2218 and A2216

(2)Item Name: Filter Separator LI (50 GPM).

The Filter Separator is a none commercial Separator used with Stand-Alone Fuel Tank Farms and the Tank and Pump Units (TPU.) .

NSN: 4330-01-610-7632

(3)Item Name: Filter Separator LI (50 GPM).

The Filter Separator is a none commercial Separator used with Stand-Alone Fuel Tank Farms and the Tank and Pump Units (TPU.) .

NSN: 4330-01-610-7627

A.1.2 QUANTITIES FOR ORDERING: THIS EFFORT WILL BE AWARDED WITH THE FOLLOWING ESTIMATED QUANTITIES FOR CLIN 0011, 0021 and 0031 IF

ORDERED UPON AWARD:

Item Name: Filter Separator LI (50GPM)

NSN: 4330-00-610-7636

Available part numbers: A2221

Quantity:

Ettimated Qty: 63 EACH

Item Name: Filter Separator LI (50GPM

NSN: 4330-01-610-7632

Available part numbers: A2218, Quantity:

Estimated Qty: 50 EACH

Item Name: Filter Separator LI (50GPM)

NSN: 4330-00-610-7627

Available part numbers: A2216

Quantity:

Estimated Qty: 219 EACH

A.1.3 UNIQUE ASPECTS OF THIS SOLICITATION: We shall award no more than one Contract under this RFP.

Packaging shall be in accordance with Mil-STD-2073E (Military/A) or otherwise specified

A.1.4 NOTICE REGARDING FILL-INS: Please note that this solicitation contains several clauses and provisions which require you to complete a fill-in or representation. If you don't complete these fill-ins, your offer may be determined ineligible for award. So,please be careful to read and complete each such clause and provision, especially Section K of the solicitation. The completed Section K should be returned with your proposal.

A.1.5 NOTICE REGARDING CAGE CODES: DFARS provision 252.204-7001 requires you to include your Commercial and Government Entity (CAGE)code in block 15A on page one (1) of this solicitation, along with your name and address. If it will not fit in the space provided in block

15A please insert it here: ___________________________________________________________________.

A.1.6 REQUIRED NOTIFICATION TO SUBCONTRACTORS: If awarded the contract, you should advise all potential suppliers and subcontractors of the DO/DX Rating assigned to orders resulting from your subcontractors. The Rating can be found next to Block 1 on the first line of the

Standard Form 1449 (SF1449).

A.1.7 ACKNOWLEDGEMENT OF AMENDMENTS: Please acknowledge any amendments to this solicitation in the space provided in A.5 below. Include the number and date of each amendment. Acknowledgment of all amendments received is important because failure to do so may make your offer ineligible for award.

A.1.8 REQUIRED COPIES IN RESPONSE TO THIS SOLICITATION: To be considered for award, you must return one signed original of your offer, completed and properly executed, by the time and date shown in block 8 of the SF1449.

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

A.1.9 QUESTION/PROBLEM RESOLUTION: Routine questions regarding this solicitation should be directed to the buyer identified in Block 9 of the SF1449.

A.1.10 INCONSISTENCIES BETWEEN THE ADMINISTRATIVE SUMMARY AND THE SOLICITATION: This administrative summary has been prepared as an aid to you the potential offeror. We have made every attempt to accurately reflect the requirements and information contained in the balance of this solicitation. However, if you find any inconsistency between this administrative summary and the solicitation, please contact the buyer identified in Block 9 of the SF1449.

A.2. Electronic Contracting

(a) All Army Contracting Command Warren solicitations will be publicized on the System for Award Management website

(https://www.sam.gov ). Any additional attachments, including Technical Data Packages (TDPs) when available electronically, will be separate attachments or links embedded in the solicitation.

(b) As of 10 August 2015, vendors are required to submit a quote or proposal beta.SAM.gov, however until beta.SAM.gov can accept proposals offerors should follow the instructions in paragraph (c) below.

(c) With the recent transition from www.FBO.gov to www.beta.sam.gov the site have been experiencing a number of issues. Interested Offerors shall submit a proposal via email to the Contract Specialist William Spengler

(william.spengler4.civ@mail.mil) and cc the corresponding Contracting Officer James Jones (james.r.jones3.civ@usa.army.mil) with the subject header: Proposal Submission - W56HZV-20-R-0080 (company name). Once a proposal is received, the Contract Specialist/Contracting

Officer will reply with the respective Offeror stating receipt of proposal submission.

(1) Maximum size of each e-mail shall be 10 megabytes. You may use multiple e-mail messages for each bid/submission, however,you must annotate the subject lines as described above for each message, and number them in this manner: Message 1 of 3, 2 of 3, 3 of 3. Bids can be submitted can be submitted using any of the following electronic formats:

(2) Microsoft Office Products ; Word, Excel, or PowerPoint. Spreadsheets must be sent in a format that includes all formulate macro and format information. Print image is not acceptable.

(3) Files in Adobe PDF (Portable Document Format). Scanners should be set to 300 dots per inch.

(4) Files in HTML (Hypertext Markup Language). HTML documents must not contain active links to live Internet sites or pages. All linked information must be contained within your electronic bid/offer and be accessible offline.

(5) Other electronic formats are not acceptable. Ensure that filenames of attachments DO NOT contain spaces to limit virus scanners rejecting the email as unscannable.

(d) Please pay close attention to the Issued By block location on the cover page of the solicitation for closing date and time. The closing date and time is based on the local time of the listed location of the Issued By office. In accordance with FAR

15.208(a),offerors are responsible for submitting proposals, and any revisions, and modifications, so as to be received by the

Government office designated in the solicitation by the time specified.

(e) It is the responsibility of the Offeror to ensure the proposal/quote is received by the date and time specified on the cover page of this solicitation. In accordance with FAR 15.208, if the proposal/quote was not received at the initial point of entry to the Government infrastructure (in this case, received through SAM) by the exact date and time specified on the cover page of this solicitation, it will be determined late. Proposal/quote is defined to mean ALL volumes or parts required in the solicitation are included in the electronic submission. Note: There is no "expected" or "target" length of time for proposal submission; size and content may be factors, therefore offerors are strongly cautioned when submitting proposals to allow adequate time for submission.

(f) Solicitations may remain posted on beta.SAM.gov after the solicitation closing date. If the response deadline has passed for the solicitation, vendors will no longer be able to submit electronic responses.

(g) Any award issued as a result of this solicitation will be distributed electronically. In the event of a FOIA request for a copy of any award issued as a result of this solicitation, or any subsequent modifications to the contract, the contract and modifications will be released, including the awarded unit price. This is the notice required by Executive Order 12600 (June 23, 1987) of the Governments intention to release unit prices in response to any request under the Freedom of Information Act (FOIA), 5 USC 552. Unit price is defined as the contract price per unit or item purchased as it appears in Section B of the contract and is NOT referring to nor does it include Cost or Pricing data/information. If an Offeror objects to such release in the base contract or contract modifications, the

Offeror must notify the contracting officer in writing prior to the closing date identified in this solicitation and include the rationale for the objection consistent with the provisions of FOIA. A release determination will be made based on rationale given.

(h) Questions pertaining to this solicitation should be directed to the Contract Specialist identified on the cover page of this solicitation. For technical assistance in doing business with the Government, and doing business electronically, please visit the

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

Procurement Technical Assistance Center (PTAC) website at http://www.aptac-us.org/ to locate a regional center.

A.3. ACKNOWLEDGEMENT OF AMENDMENTS

Acknowledge all the amendments received from the Government by identifying the amendment number and its issue date below:

Amendment Number: Date:

A.4. ARMY CONTRACTING COMMAND WARREN (DTA) OMBUDSPERSON Information regarding the Ombudsperson for this contract is located at the following website: http://acc.army.mil/contractingcenters/acc-wrn/CompMgmtOffice.html

A.5. ALL OR NONE-COMMERCIAL ITEM ACQUISITION

(a) This provision serves as an addendum that modifies paragraph (h) of FAR 52.212-1, entitled INSTRUCTIONS TO OFFERORS--COMMERCIAL

ITEMS. Paragraph (h) is modified to say that the proposal or quote must offer to provide the total quantity of the items in this solicitation.

(b) Only one award will be made as a result of this solicitation. Offers submitted for less than the total quantities of all the items in this solicitation will NOT be considered for award.

*** END OF NARRATIVE A0001 ***

5 68

PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS

SUPPLIES AND PRICES/COSTS:

THIS IS A REQUIREMENTS CONTRACT, FAR 52.216-21

IN THE FOUR DIGIT ITEM NUMBERS

(CLINS) THAT FOLLOW, THE NUMBERING SYSTEM

THAT IS USED IS AS FOLLOWS:

THE FIRST THREE DIGITS SIGNIFY ITEM AND

THE FOURTH (LAST) DIGIT SIGNIFIES THE

APPLICABLE CONTRACT YEAR, i.e., CLIN 0011

IS FOR THE FIRST ITEM - FIRST ORDERING

YEAR/PERIOD.

THE FOLLOWING DEFINITIONS APPLY TO THE

ENTIRE SOLICITATION AND RESULTING CONTRACT:

FIRST ORDERING YEAR/PERIOD OF THE CONTRACT IS__________________________

THE DATE OF AWARD PLUS 1096 DAYS (36 MONTHS).

NOTE: THE PRICE APPLICABLE TO AN INDIVIDUAL

ORDER IS THE PRICE FOR THE ORDERING YEAR IN

WHICH THE ORDER IS ISSUED. THE DELIVERY DATE

DOES NOT DETERMINE THE ORDERING YEAR.

The information presented below applies to

CLIN 0011.

Estimated Quantity: 219 Each

Note:

There is no Guaranteed quantity

6 68

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(End of narrative A001)

0011 ORDERING PERIOD ONE - CLIN 0011 EST 219 EA $ _______________________________ __________________

See Range Pricing

NSN: 4330-01-610-7636

COMMODITY NAME: FILTER-SEPARATOR,LI

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 0BUN9

Mfr Part Number: A2221

PROGRAM YEAR: 1

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

15 100 $

101 219 $

Please Note:

This is Manufacturer's Part. No additional technical data

No. QA Review required. Certificate of Conformance

(CoC)clause EF00018 in solicitation.

Inspection/Acceptance point is origin

(End of narrative B001)

PRODUCT ENGINEERING REQUIREMENTS

The following Item Description, Drawing(s) and/or

Specification(s) represent maximum

Government requirements and are applicable to this Procurement.

National Stock Number (NSN):

4330-01-610-7636

Item: Filter Separator In

Accordance With: MPN A2221

End Article Application: 50 Gallon Per Minute (GPM) Filter-Separator, NSN: 4330-

01-610-7636

(End of narrative B002)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MPN A2221

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

PACKAGING REQUIREMENT IN SEC D

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0021 ORDERING PERIOD ONE - CLIN 0021 EST 50 EA $ _________________________________ __________________

See Range Pricing

NSN: 4330-01-610-7632

COMMODITY NAME: FILTER-SEPARATOR,LI

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 0BUN9

Mfr Part Number: A2218

SUPPLIES AND PRICES/COSTS:

THIS IS A REQUIREMENTS CONTRACT, FAR 52.216-21

IN THE FOUR DIGIT ITEM NUMBERS

(CLINS) THAT FOLLOW, THE NUMBERING SYSTEM

THAT IS USED IS AS FOLLOWS:

THE FIRST THREE DIGITS SIGNIFY ITEM AND

THE FOURTH (LAST) DIGIT SIGNIFIES THE

APPLICABLE CONTRACT YEAR, i.e., CLIN 0021

IS FOR THE FIRST ITEM - FIRST ORDERING

YEAR/PERIOD.

THE FOLLOWING DEFINITIONS APPLY TO THE

ENTIRE SOLICITATION AND RESULTING CONTRACT:

FIRST ORDERING YEAR/PERIOD OF THE CONTRACT IS__________________________

THE DATE OF AWARD PLUS 1096 DAYS (36 MONTHS).

NOTE: THE PRICE APPLICABLE TO AN INDIVIDUAL

ORDER IS THE PRICE FOR THE ORDERING YEAR IN

WHICH THE ORDER IS ISSUED. THE DELIVERY DATE

DOES NOT DETERMINE THE ORDERING YEAR.

The information presented below applies to

CLIN 0021.

Estimated Quantity: 50 Each

Note:

There is no Guaranteed quantity

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(End of narrative A001)

PROGRAM YEAR: 1

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

3 10 $

11 30 $

31 50 $

Please Note:

This is Manufacturer's Part. No additional technical data

No. QA Review required. Certificate of Conformance

(CoC)clause EF00018 in solicitation.

Inspection/Acceptance point is origin

(End of narrative B001)

PRODUCT ENGINEERING REQUIREMENTS

The following Item Description, Drawing(s) and/or

Specification(s) represent maximum

Government requirements and are applicable to this Procurement.

National Stock Number (NSN):

4330-01-610-7632

Item: Filter Separator In

Accordance With: MPN A2218

End Article Application: 100 Gallon Per Minute (GPM) Filter-Separator, NSN: 4330-

01-610-7632

(End of narrative B002)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MPN A2218

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

PACKAGING REQUIREMENT IN SEC D

UNIT PACK: 1

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0031 ORDERING PERIOD ONE - CLIN 003 EST 63 EA $ _______________________________ __________________

See Range Pricing

NSN: 4330-01-610-7627

COMMODITY NAME: FILTER-SEPARATOR, LI

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 0BUN9

Mfr Part Number: A2216

SUPPLIES AND PRICES/COSTS:

THIS IS A REQUIREMENTS CONTRACT, FAR 52.216-21

IN THE FOUR DIGIT ITEM NUMBERS

(CLINS) THAT FOLLOW, THE NUMBERING SYSTEM

THAT IS USED IS AS FOLLOWS:

THE FIRST THREE DIGITS SIGNIFY ITEM AND

THE FOURTH (LAST) DIGIT SIGNIFIES THE

APPLICABLE CONTRACT YEAR, i.e., CLIN 0031

IS FOR THE FIRST ITEM - FIRST ORDERING

YEAR/PERIOD.

THE FOLLOWING DEFINITIONS APPLY TO THE

ENTIRE SOLICITATION AND RESULTING CONTRACT:

FIRST ORDERING YEAR OF THE CONTRACT IS THE DATE___________________

OF AWARD PLUS 1096 DAYS (36 MONTHS).

NOTE: THE PRICE APPLICABLE TO AN INDIVIDUAL

ORDER IS THE PRICE FOR THE ORDERING YEAR IN

WHICH THE ORDER IS ISSUED. THE DELIVERY DATE

DOES NOT DETERMINE THE ORDERING YEAR.

The information presented below applies to

CLIN 0031.

Estimated Quantity: 63 Each

Note:

There is no Guaranteed quantity

12 68

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(End of narrative A001)

PROGRAM YEAR: 1

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

14 30 $

31 63 $

Please Note:

This is Manufacturer's Part. No additional technical data

No. QA Review required. Certificate of Conformance

(CoC)clause EF00018 in solicitation.

Inspection/Acceptance point is origin

(End of narrative B001)

PRODUCT ENGINEERING REQUIREMENTS

The following Item Description, Drawing(s) and/or

Specification(s) represent maximum

Government requirements and are applicable to this Procurement.

National Stock Number (NSN):

4330-01-610-7627

Item: Filter Separator In

Accordance With: MPN A2216

End Article Application: 350 Gallon Per Minute (GPM) Filter-Separator, NSN: 4330-

01-610-7627

(End of narrative B002)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MPN A2216

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

PACKAGING REQUIREMENT IN SEC D

LEVEL PRESERVATION: Military

LEVEL PACKING: B

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

14 68

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

15 68

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION C - DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

C.01__ TECHNICAL DATA PACKAGE INFORMATION

[X] 1. There is no Technical Data Package (TDP) included with this solicitation.

[ ] 2. The TDP for this solicitation resides within the Beta System for Award Management (SAM) (https://beta.SAM.gov ) associated with this solicitation number:

To access the data through Beta.SAM:

a. Log on to the Beta.SAM web site: https://beta.SAM.gov .

b. Search for the solicitation number.

c. Click on the attachment you would like to view.

d. If the attachment is restricted, request access to the document.

(1) TDPs that have an Export Control Warning Notice are subject to the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et.seq.)

or the Export Administration Act of 1979, as amended, Title 50, U.S.C, App. 2401 et. seq..

(2) Further dissemination must be in accordance with provisions of DoD Directive 5230.25. This also applies to distribution of the

TDP to all SUBCONTRACTORS at every level.

(3) To obtain these TDPs, contractors must have a current DD 2345, Militarily Critical Technical Data Agreement on file with Defense

Logistics Information Service (DLIS). To obtain certification, go to https://public.logisticsinformationservice.dla.mil/jcp/search.aspx .

(4) Upon completion of the purposes for which Government Technical Data has been provided, the Contractor is required to destroy all documents, including all reproductions, duplications, or copies thereof as may have been further distributed by the Contractor.

Destruction of this technical data shall be accomplished by: shredding, pulping, burning, or melting any physical copies of the TDP and/or deletion or removal of downloaded TDP files from computer drives and electronic devices, and any copies of those files.

e. If technical data is otherwise restricted, select Request Explicit Access. This will generate an email to the Contract Specialist and

Contracting Officer at Army Contract Command - Warren (DTA) with all the information needed to grant contractor access to restricted documents. Beta.SAM will automatically generate an email stating when the requesting contractor has permission to view or download TDP items.

f. If multiple individuals in the contractors organization need access to the Technical Data Package (TDP) for a solicitation and an explicit access request is required, each individual MUST submit an explicit access request to be granted approval to view the TDP.

Those same individuals MUST be registered in SAM. Any individuals no longer with the company should be deleted.

Questions related to registration in SAM should be directed to https://www.sam.gov . The SAM helpdesk phone number is (866) 606-8220.

Vendors are responsible for placing correct information in Beta.SAM.

g. It is strongly suggested that contractors submit the explicit access request and provide the buyer with the completed Use and Non-

Disclosure Agreement at the same time if the solicitation requires both to gain access to view the TDP.

C._02_ ACQUISITION OF MANUFACTURER'S PART NUMBER

This acquisition is restricted to the item description set forth in the Schedule which specifies a manufacturer's part number. Since complete Government data for the item are not available, it is understood and agreed that references to specifications and drawings herein shall be deemed to include all changes or revisions thereto which the contractor has made effective as of the date of delivery of any of the items provided for in this contract; provided, that no such change or revision which affects the interchangeability of the item (ability to be interchanged with previous parts or to connect with all mating parts when assembled) shall be effected without the approval of the Contracting Officer. The contractor agrees that he will furnish to the Administrative Contracting Officer or Government

Inspector, for the purpose of making inspection under any resulting contract, copies of the applicable specifications and drawings indicating all changes or revisions.

C._03_ ACQUISITION OF SOURCE-CONTROLLED PART NUMBER

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Acquisition under this contract is restricted to:

(1) The manufacturers part number or numbers set forth in the Schedule or the Technical Data Package; and (2) Other manufacturer's part numbers that are physically, functionally, and mechanically interchangeable with the manufacturer's part number(s) listed in the

Technical Data Package; provided the nonlisted part numbers have been furnished to one of the approved manufacturers listed in the

Technical Data Package and that manufacturer has substituted the nonlisted part with one of the approved part numbers, without making any changes in the characteristics or properties of the part.

*** END OF NARRATIVE C0001 ***

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SECTION D - PACKAGING AND MARKING

DS6514

D._01_ PACKAGING REQUIREMENTS (SPECIFICATIONS/STANDARDS)

(a) The preservation, packing, and marking requirements for this contract/order shall be accomplished in accordance with the requirements in the specification/standard defined below.

(b) The following requirements shall apply:

(1) LEVEL OF PRESERVATION: Military

(2) LEVEL OF PACKING: A

(3) QUANTITY PER UNIT PACKAGE: 001

(4) SPECIFICATION/STANDARD: MIL-STD-2073-1E

(c) The specification/standard cited is intended to give a clear and accurate description of the technical packaging requirements for the item being procured, including the procedure by which it can be determined that the requirements have been met. Specific instructions and/or tailoring of the specification/standard is detailed in the supplemental instructions below. Any design changes or changes in the method of preservation that provide a cost savings without degrading the method of preservation or packing and without affecting the serviceability of the item will be considered and responded to within 10 days of submission to PCO with copies to the ACO.

The government reserves the right to require testing to validate alternate industrial preservation methods, materials, blocking, bracing, cushioning, and packing.

(d) Marking:

In addition to any special markings called out by the specification/standard above, all unit packages, intermediate packs, exterior shipping containers, and, as applicable, unitized loads shall be marked in accordance with MIL-STD-129, The contractor is responsible for application of special markings as discussed in the Military Standard regardless of whether specified in the contract/order or not.

Special markings include, but are not limited to, Shelf-life markings, structural markings, and transportation special handling markings. The marking of pilferable and sensitive material will not identify the nature of the material. NOTE: Passive RFID tagging is required in all contracts that contain DFARS clause 252.211-7006. For details and most recent information, see

"http://www.acq.osd.mil/log/sci/ait.html " (best viewed with Internet Explorer 11 or higher, or FireFox) for the current DoD Suppliers

Passive RFID Information Guide and Supplier Implementation Plan. When an item has Unique Item Identifier (UII) markings as indicated by the inclusion of contract clause DFARS 252.211-7003, refer to the DoD Guide to Uniquely Identifying Items (available at:

https://www.acq.osd.mil/dpap/pdi/uid/guides.html ) for development of the UII and MIL-STD-129 for UII package marking requirements.

Contractors must verify the RFID and UII clauses cited above are included in this solicitation/contract.

(e) Heat Treatment and Marking of Wood Packaging Materials (WPM):

(1) In accordance with DOD 4140.65-M and the requirements of the International Standards for Phytosanitary Measures 15 (ISPM), Regulation of Wood Packaging Material in International Trade, current edition, (hereinafter ISPM 15), the following commercial heat treatment and marking process has been approved by the American Lumber Standards Committee (ALSC) and is required for all Wood Packaging

Material (WPM). Foreign manufacturers shall comply with ISPM 15, and have the WPM heat treatment and marking verified in accordance with their National Plant Protection Organizations compliance program.

(2) Boxes/pallets and any wood used as inner packaging made of non-manufactured wood shall be heat-treated. All WPM using a conventional steam or dry kiln heat chamber (treatment code for the mark: HT) shall be heat treated to a minimum core temperature of 56 degrees Celsius for a minimum of 30 minutes, and certified by an agency accredited by the ALSC in accordance with Wood Packaging

Material Policy and Wood Packaging Material Enforcement Regulations (see URL: http://www.alsc.org ). WPM heat treated wood using dielectric heating (treatment code for the mark: DH) shall follow the requirements in ISPM 15, and shall be certified by an agency accredited by the ALSC in accordance with Wood Packaging Material Policy and Wood Packaging Material Enforcement Regulations (see URL:

http://www.alsc.org ). The box/pallet manufacturer and the manufacturer of wood used as inner packaging shall ensure the materials used in manufacture can be traced to the original source of heat treatment, and that the original source of the heat treatment obtained the necessary certifications.

(3) Marking. Each box/pallet shall be marked to show the conformance to the International Plant Protection Convention Standard.

The ALSC approved quality mark shall be placed on both ends of the outer packaging, between the end cleats or end battens. Pallet markings shall be applied to the side of the stringer or end of the block on diagonally opposite sides and ends of the pallet and be contrasting and clearly visible. All dunnage used in configuring and/or securing the load shall also comply with ISPM 15 and be marked with an ALSC approved DUNNAGE stamp.

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(f) Hazardous Materials (As applicable):

(1) Hazardous Materials is defined as a substance, or waste which has been determined by the Secretary of Transportation to be capable of posing an unreasonable risk to health, safety, and property when transported in commerce and which has been so designated.

(This includes all items listed as hazardous in Titles 29, 40 and 49 CFR and other applicable modal regulations effective at the time of shipment.)

(2) When applicable, packaging and marking for hazardous material shall comply with the requirements herein for the mode of transport and the applicable performance packaging contained in the following documents:

- International Air Transport Association (IATA) Dangerous Goods Regulations

- International Maritime Dangerous Goods Code (IMDG)

- Code of Federal Regulations (CFR) Title 29, Title 40 and Title 49

- Joint Service Regulation AFJMAN24-204(I)/TM38-250/NAVSUPPUB 505/MCO P4030.19(I)/DLAM 4145.3(I) (for military air shipments).

(3) If the shipment originates from outside the continental United States, the shipment shall be prepared in accordance with the

United Nations Recommendations on the Transport of Dangerous Goods in a manner acceptable to the Competent Authority of the nation of origin and in accordance with regulations of all applicable carriers. A Product Material Safety Data Sheets (MSDS) is required to be included with every unit pack and intermediate container and shall be included with the packing list inside the sealed pouch attached to the outside of the package.

(g) SUPPLEMENTAL INSTRUCTIONS: WEIGHT AND CUBE ONLY - PACKAGE IAW MIL-STD-2073-1E

*** END OF NARRATIVE D0001 ***

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SECTION E - INSPECTION AND ACCEPTANCE

Regulatory Cite Title Date Regulatory Cite Title Date _______________ ______________________________________________________________________ ____________ _______________ ______________________________________________________________________ ____________

E-1 52.246-2 INSPECTION OF SUPPLIES--FIXED-PRICE AUG/1996

E-2 52.246-15 CERTIFICATE OF CONFORMANCE APR/1984

E-3 52.246-16 RESPONSIBILITY FOR SUPPLIES APR/1984

E-4 52.246-11 HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT DEC/2014

(a) The contractor shall comply with the higher-level quality standard(s) listed below.

N/A per QAR review

(b) The contractor shall include applicable requirements of the higher-level quality standard(s) listed in paragraph (a) of this clause and the requirement to flow down such standards, as applicable, to lower-tier subcontracts in--

(1) Any subcontract for critical and complex items (see 46.203(b) and (c)); or

(2) When the technical requirements of a subcontract require--

(i) Control of such things as design, work operations, in-process control, testing and inspection; or

(ii) Attention to such factors as organization, planning, work instructions, documentation control, and advanced metrology.

(End of clause)

E._01_ INSPECTION AND ACCEPTANCE POINTS: ORIGIN

The Government's inspection and acceptance of the supplies offered under this contract/purchase order shall take place at ORIGIN.

Offeror must specify below the exact name, address, and CAGE of the facility where supplies to be furnished under this contract/purchase order will be available for inspection/acceptance.

INSPECTION POINT: __________________________________________

(Name) (CAGE)

(Address) (City) (State) (Zip)

ACCEPTANCE POINT: __________________________________________

(Name) (CAGE)

(Address) (City) (State) (Zip)

E._02_ DRAWINGS FOR INSPECTION

(a) When requested, the Contractor shall make available to the Government Inspector, the drawings, specifications and any applicable

Engineering Exceptions associated to the drawings, to which the product was manufactured. Upon completion of product inspection and acceptance by the Government Inspector, all drawings, specifications and Engineering Exceptions, will be returned to the Contractor.

(b) If the contractor is not the actual manufacturer of the item being procured (i.e. dealer, distributor, etc.) the contractor shall ensure that subcontractor drawings are available for review to support the Government's inspection requirements.

*** END OF NARRATIVE E0001 ***

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SECTION F - DELIVERIES OR PERFORMANCE

Regulatory Cite Title Date Regulatory Cite Title Date _______________ ______________________________________________________________________ ____________ _______________ ______________________________________________________________________ ____________

F-1 52.211-17 DELIVERY OF EXCESS QUANTITIES SEP/1989

F-2 52.242-15 STOP-WORK ORDER AUG/1989

F-3 52.242-17 GOVERNMENT DELAY OF WORK APR/1984

F-4 52.247-29 F.O.B. ORIGIN FEB/2006

F-5 52.247-30 F.O.B. ORIGIN, CONTRACTOR'S FACILITY FEB/2006

F-6 52.247-34 F.O.B. DESTINATION NOV/1991

F-7 52.247-48 F.O.B. DESTINATION--EVIDENCE OF SHIPMENT FEB/1999

F-8 52.247-58 LOADING, BLOCKING, AND BRACING OF FREIGHT CAR SHIPMENTS APR/1984

F-9 52.247-59 F.O.B. ORIGIN--CARLOAD AND TRUCKLOAD SHIPMENTS APR/1984

F-10 52.211-8 TIME OF DELIVERY JUN/1997

(a) The Government requires delivery to be made according to the following schedule:

REQUIRED DELIVERY SCHEDULE

ITEM NO. QUANTITY WITHIN DAYS

AFTER DATE OF

CONTRACT

0011 TBD PER EACH DO 210 DARO

0021 TBD PER EACH DO 210 DARO

0031 TBD PER EACH DO 210 DARO

*REFERENCE - W56HZV-20-R-0080 DELIVERY SCHEDULE (FILL OUT PROPOSED SECTION)*

The Government will evaluate equally, as regards time of delivery, offers that propose delivery of each quantity within the applicable delivery period specified above. Offers that propose delivery that will not clearly fall within the applicable required delivery period specified above, will be considered nonresponsive and rejected. The Government reserves the right to award under either the required delivery schedule or the proposed delivery schedule, when an offeror offers an earlier delivery schedule than required above. If the offeror proposes no other delivery schedule, the required delivery schedule above will apply.

OFFERORS PROPOSED DELIVERY SCHEDULE

ITEM NO. QUANTITY WITHIN DAYS

AFTER DATE OF

CONTRACT

*REFERENCE - W56HZV-20-R-0080 DELIVERY SCHEDULE (FILL OUT PROPOSED SECTION)*

(b) Attention is directed to the Contract Award provision of the solicitation that provides that a written award or acceptance of offer mailed, or otherwise furnished to the successful offeror, results in a binding contract. The Government will mail or otherwise furnish to the offeror an award or notice of award not later than the day award is dated. Therefore, the offeror should compute the time available for performance beginning with the actual date of award, rather than the date the written notice of award is received from the

Contracting Officer through the ordinary mails. However, the Government will evaluate an offer that proposes delivery based on the

Contractors date of receipt of the contract or notice of award by adding

(1) five calendar days for delivery of the award through the ordinary mails, or

(2) one working day if the solicitation states that the contract or notice of award will be transmitted electronically. (The term working day excludes weekends and U.S. Federal holidays.) If, as so computed, the offered delivery date is later than the required delivery date, the offer will be considered nonresponsive and rejected.

(End of Clause)

F-11 252.211-7003 ITEM UNIQUE IDENTIFICATION AND VALUATION MAR/2016

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(a) Definitions. As used in this clause--

"Automatic identification device" means a device, such as a reader or interrogator, used to retrieve data encoded on machine-readable media.

"Concatenated unique item identifier" means

(1) For items that are serialized within the enterprise identifier, the linking together of the unique identifier data elements in order of the issuing agency code, enterprise identifier, and unique serial number within the enterprise identifier; or

(2) For items that are serialized within the original part, lot, or batch number, the linking together of the unique identifier data elements in order of the issuing agency code; enterprise identifier; original part, lot, or batch number; and serial number within the original part, lot, or batch number.

"Data matrix" means a two-dimensional matrix symbology, which is made up of square or, in some cases, round modules arranged within a perimeter finder pattern and uses the Error Checking and Correction 200 (ECC200) specification found within International Standards

Organization (ISO)/International Electrotechnical Commission (IEC) 16022.

"Data qualifier" means a specified character (or string of characters) that immediately precedes a data field that defines the general category or intended use of the data that follows.

"DoD recognized unique identification equivalent" means a unique identification method that is in commercial use and has been recognized by DoD. All DoD recognized unique identification equivalents are listed at http://www.acq.osd.mil/dpap/pdi/uid/iuid_equivalents.html .

"DoD item unique identification" means a system of marking items delivered to DoD with unique item identifiers that have machine-readable data elements to distinguish an item from all other like and unlike items. For items that are serialized within the enterprise identifier, the unique item identifier shall include the data elements of the enterprise identifier and a unique serial number. For items that are serialized within the part, lot, or batch number within the enterprise identifier, the unique item identifier shall include the data elements of the enterprise identifier; the original part, lot, or batch number; and the serial number.

"Enterprise" means the entity (e.g., a manufacturer or vendor) responsible for assigning unique item identifiers to items.

"Enterprise identifier" means a code that is uniquely assigned to an enterprise by an issuing agency.

"Governments unit acquisition cost" means

(1) For fixed-price type line, subline, or exhibit line items, the unit price identified in the contract at the time of delivery;

(2) For cost-type or undefinitized line, subline, or exhibit line items, the Contractors estimated fully burdened unit cost to the

Government at the time of delivery; and

(3) For items produced under a time-and-materials contract, the Contractors estimated fully burdened unit cost to the Government at the time of delivery.

"Issuing agency" means an organization responsible for assigning a globally unique identifier to an enterprise, as indicated in the

Register of Issuing Agency Codes for ISO/IEC 15459, located at http://www.aimglobal.org/?Reg_Authority15459 .

"Issuing agency code" means a code that designates the registration (or controlling) authority for the enterprise identifier.

"Item" means a single hardware article or a single unit formed by a grouping of subassemblies, components, or constituent parts.

"Lot or batch number" means an identifying number assigned by the enterprise to a designated group of items, usually referred to as either a lot or a batch, all of which were manufactured under identical conditions.

"Machine-readable" means an automatic identification technology media, such as bar codes, contact memory buttons, radio frequency identification, or optical memory cards.

"Original part number" means a combination of numbers or letters assigned by the enterprise at item creation to a class of items with the same form, fit, function, and interface.

"Parent item" means the item assembly, intermediate component, or subassembly that has an embedded item with a unique item identifier or DoD recognized unique identification equivalent.

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"Serial number within the enterprise identifier" means a combination of numbers, letters, or symbols assigned by the enterprise to an item that provides for the differentiation of that item from any other like and unlike item and is never used again within the enterprise.

"Serial number within the part, lot, or batch number" means a combination of numbers or letters assigned by the enterprise to an item that provides for the differentiation of that item from any other like item within a part, lot, or batch number assignment.

"Serialization within the enterprise identifier" means each item produced is assigned a serial number that is unique among all the tangible items produced by the enterprise and is never used again. The enterprise is responsible for ensuring unique serialization within the enterprise identifier.

"Serialization within the part, lot, or batch number" means each item of a particular part, lot, or batch number is assigned a unique serial number within that part, lot, or batch number assignment. The enterprise is responsible for ensuring unique serialization within the part, lot, or batch number within the enterprise identifier.

"Type designation" means a combination of letters and numerals assigned by the Government to a major end item, assembly or subassembly, as appropriate, to provide a convenient means of differentiating between items having the same basic name and to indicate modifications and changes thereto.

"Unique item identifier" means a set of data elements marked on items that is globally unique and unambiguous. The term includes a concatenated unique item identifier or a DoD recognized unique identification equivalent.

"Unique item identifier type" means a designator to indicate which method of uniquely identifying a part has been used. The current list of accepted unique item identifier types is maintained at http://www.acq.osd.mil/dpap/pdi/uid/uii_types.html .

(b) The Contractor shall deliver all items under a contract line, subline, or exhibit line item.

(c) Unique item identifier.

(1) The Contractor shall provide a unique item identifier for the following:

(i) Delivered items for which the Government's unit acquisition cost is $5,000 or more, except for the following line items:

Contract Line, Subline, or

Exhibit Line Item Number Item Description

__N/A______________ N/A___________________________________

__N/A______________ N/A___________________________________

__N/A______________ N/A___________________________________

(ii) Items for which the Government's unit acquisition cost is less than $5,000 that are identified in the Schedule or the following table:

Contract Line, Subline, or

Exhibit Line Item Number Item Description

__N/A______________ N/A___________________________________

__N/A______________ N/A___________________________________

__N/A______________ N/A___________________________________

(iii) Subassemblies, components, and parts embedded within delivered items, items with warranty requirements, DoD serially managed reparables and DoD serially managed nonreparables as specified in

Attachment Number -5-.

(iv) Any item of special tooling or special test equipment as defined in FAR 2.101 that have been designated for preservation and storage for a Major Defense Acquisition Program as specified in

Attachment Number -6-.

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(v) Any item not included in paragraphs (c)(1)(i), (ii), (iii), or (iv) of this clause for which the contractor creates and marks a unique item identifier for traceability.

(2) The unique item identifier assignment and its component data element combination shall not be duplicated on any other item marked or registered in the DoD Item Unique Identification Registry by the contractor.

(3) The unique item identifier component data elements shall be marked on an item using two dimensional data matrix symbology that complies with ISO/IEC International Standard 16022, Information technology--International symbology specification--Data matrix; ECC200 data matrix specification.

(4) Data syntax and semantics of unique item identifiers. The Contractor shall ensure that--

(i) The data elements (except issuing agency code) of the unique…