Solicitation FA852422R0008.pdf

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Repair of the Collective Trim Servo for the HH-60G Helicopter
Solicitation number
FA852422R0008
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AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1447 (REV. 8/2016)

PREVIOUS EDITION NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.214(d)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

24. TOTAL AWARD AMOUNT (For Government Use Only)

TELEPHONE NUMBER

UNIQUE ENTITY

IDENTIFIER

CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

NO COLLECT CALLS

4. SOLICITATION NUMBER

FA8524-22-R-0008

6.SOLICITATION ISSUE DATE

8. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

HUBZONE SMALL

BUSINESS EDWOSB

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS NAICS: 334511

8(A) SIZE STANDARD: 1,250

DATE SIGNED

28. UNITED STATES OF AMERICA (Signature of Contracting Officer)

26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION NUMBER

SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR CHANGES WHICH

ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

ROUTINE

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 120 days.

SEE LINE ITEM SCHEDULE

22.

AMOUNT

16. AUTHORITY FOR USING OTHER THAN 10 USC 2304 41 USC 253

FULL AND OPEN COMPETITION (c) (1 ) (c) ( )

DATE SIGNED

27. SIGNATURE OF OFFEROR/CONTRACTOR

20.

UNIT

21.

UNIT PRICE

19.

QUANTITY

13. CONTRACTOR OFFEROR CODE FACILITY CODE

11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN * ___ CALENDAR DAYS (60 CALENDAR

DAYS UNLESS OFFEROR INSERTS A DIFFERENT PERIOD) FROM THE DATE SET FORTH IN BLOCK 9

ABOVE, THE CONTRACTOR AGREES TO HOLD ITS OFFERED PRICES FIRM FOR THE ITEMS

SOLICITED HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO THE TERMS AND

CONDITIONS STATED HEREIN. *120

RATING

DO: A1

3. AWARD/EFFECTIVE DATE

FA8524

2. CONTRACT NUMBER

X

17.

ITEM NUMBER

12. ADMINISTERED BY CODE

Estimated

SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK: 14 EFT:T

SCD:B

NAME AND TITLE OF SIGNER (Type or Print) NAME OF CONTRACTING OFFICER

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAYMENT DISCOUNT

25. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SETFORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY CONTINUATION SHEETS SUBJECT

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

10. ITEMS TO BE PURCHASED (Brief Description)

SUPPLIES SERVICES Search, Detection, Navigation, Guidance, Aeronautical, and Nautical System and Instrument Manufacturing

9. (Agency Use) Offers will be received at the issuing office until the date and time specified below. Late offers are subject to late proposal provisions incorporated herein. All offers are subject to provisions, representations, certifications, and specifications as are attached or incorporated by reference.

4-APR-2022 3:30PM

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

X

7. ISSUED BY CODE

SOF-FW/RW, AFSC/PZAAA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 327 3661

ROBINS AFB GA 31098-1670

BUYER: Tosha L. Taylor/PZAAA tosha.taylor.2@us.af.mil Phone: (478) 926- 0146

X

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)SOLICITATION/CONTRACT

BIDDER/OFFEROR TO COMPLETE BLOCKS 11, 13, 15, 21, 22, & 27.

J

STANDARD FORM 1447 (REV. 8/2016) BACK

NO RESPONSE FOR REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include Zip Code)

WE DO NOT DESIRE TO BE RETAINED ON THE MAILING LIST FOR FUTURE PROCUREMENT OF THE TYPE OF

ITEMS INVOLVED

WE DO

OTHER (Specify)

UNABLE TO IDENTIFY THE ITEM(S)

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

DO NOT REGULARILY MANUFACTURE OR SELL THE TYPE

OF ITEMS INVOLVED

DATE AND LOCAL TIME 4 APR 2022 3:30 PM

SOLICITATION NUMBER FA852422R0008

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Tosha L Taylor/PZAAA

SOF-FW/RW, AFSC/PZAAA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 327 3661

ROBINS AFB GA 31098-1670

FA8524-22-R-0008

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

BASIC ORDERING PERIOD: Applicable to orders placed during the 12 month period immediately following contract award. The BEQ for each line item is identified in the description of the line item. The Government may require the delivery of increased quantities from items, the exact quantity of which cannot be determined in advance.

Repair

Collective Trim Servo Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

10 EA

NSN: 6615-01-433-7433 GC

Collective Trim Servo repair Manufacturer Part Number 05088 9139867-10 Associated Document(s) Line Item(s)

FD20602200027 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For A SW3119 PAA Please post to the FLB RIC Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order whichever is first.

_ Req No / Pri

Required Delivery

A SW3119 10 EA *180 Calendar Days

Proposed Delivery

Repair

Collective Trim Servo

A SW3119 10 EA

Early Delivery is Acceptable.

NO FAULT FOUND

COLLECTIVE TRIM SERVO

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1 EA

NSN: 6615-01-433-7433 GC

NO FAULT FOUND

Manufacturer Part Number 05088 9139867-10 Associated Document(s) Line Item(s)

FD20602200027 0002

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order whichever is first.

_ Req No / Pri

Required Delivery

A SW3119 1 EA *180 Calendar Days

Proposed Delivery

A SW3119 1 EA

Early Delivery is Acceptable

Exhibit A-Data

Item No.

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

FY21 CONTRACT DEPOT MAINTENANCE PROGRAM

Exhibit A-Data

See Individual Data CDRLs for Detailed Requirements.A001-DI-MGMT-81838, A002-DI-PSSS-81995, A003-DI-MGMT-81803A, A004-DI-MGMT-81804A, A005-DI-QCIC-80125B, A006-DI-QCIC-80126B, A007-DI-MISC-81832, A008-DI-MGMT-80441D

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

DATA (A001) Commercial Asset Visibility Air Force

Item No.

0003AA

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA A001 DI-.MGMT-81838, PWS IAW Paragraph: 4.3.3 Commercial Asset Visibility Air Force End Item

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A002) CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

0003AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A002 DI-PSSS-81995, PWS Paragraph 4.6: Contract Depot Maintenance Production Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal

Data (A002) CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Quality Assurance: Standard Inspection Delivery IAW DD FORM 1423

Data (A003) IUID MARKING PLAN

Item No.

0003AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A003 DI-MGMT-81803A, PWS Paragraph: 4.3.1.2.1 Item Unique Identification Marking Plan

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A004) IUID MARKING ACTIVITY/VALIDATION/VERIFICATION REPORT

Item No.

0003AD

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A004 DI-MGMT-81804A, PWS Paragraph: 4.3.1.2.2 IUID Marking Activity, Validation and VerificationReport

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A005) GIDEP ALERT/SAFETY REPORT

Item No.

0003AE

Not Separately Priced Quantity U/I Unit Price

Data (A005) GIDEP ALERT/SAFETY REPORT

1 LO NSP

DATA

A005 DI-QCIC-80125B, PWS Paragraph: 4.3.6.1 Government Industry Exchange Program (GIDEP) Alert-Safe Alert Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A006) GIDEP ALERT/RESPONSE

Item No.

0003AF

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A006 DI-QCIC-80126B, PWS Paragraph: 4.3.6.2 Government Industry Exchange Program (GIDEP)Alert/Safe-Alert Response

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A007) COUNTERFEIT PREVENTION PLAN

Item No.

0003AG

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A007 DI-MISC-81832, PWS Paragraph: 4.3.5, Counterfeit Prevention Plan

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Data (A007) COUNTERFEIT PREVENTION PLAN

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A008) GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

0003AH

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A008 DI-MGMT-80441D, PWS Paragraph: 4.5, Government Property Inventory Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

ORDERING PERIOD I: Applicable to orders placed during the 12 month period immediately following the Basic Contract Period. The BEQ for each line item is identified in the description of the line item. The Government may require the delivery of increased quantities from items, the exact quantity of which cannot be determined in advance.

Repair

Collective Trim Servo Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

8 EA

NSN: 6615-01-433-7433 GC

Collective Trim Servo Manufacturer Part Number 05088 9139867-10 Associated Document(s) Line Item(s)

FD20602200027 0001

Repair

Collective Trim Servo

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For A SW3119 PAA Please post to the FLB RIC Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order whichever is first.

_ Req No / Pri

Required Delivery

A SW3119 8 EA *180 Calendar Days

Proposed Delivery

A SW3119 8 EA

Early Delivery is Acceptable

NO FAULT FOUND

COLLECTIVE TRIM SERVO

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 6615-01-433-7433 GC

NO FAULT FOUND

Manufacturer Part Number 05088 9139867-10 Associated Document(s) Line Item(s)

FD20602200027 0002

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order whichever is first.

_ Req No / Pri

NO FAULT FOUND

COLLECTIVE TRIM SERVO

Required Delivery

A SW3119 1 EA *180 Calendar Days

Proposed Delivery

A SW3119 1 EA

Early Delivery is Acceptable

Exhibit A-Data

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA

A001-A008 Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

DATA (A001) Commercial Asset Visibility Air Force

Item No.

1003AA

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA A001 DI-.MGMT-81838, PWS IAW Paragraph: 4.3.3 Commercial Asset Visibility Air Force End Item

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A002) CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

1003AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A002 DI-PSSS-81995, PWS Paragraph 4.6: Contract Depot Maintenance Production Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A003) IUID MARKING PLAN

Item No.

1003AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A003 DI-MGMT-81803A, PWS Paragraph: 4.3.1.2.1 Item Unique Identification Marking Plan

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A004) IUID MARKING ACTIVITY/VALIDATION/VERIFICATION REPORT

Item No.

1003AD

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A004 DI-MGMT-81804A, PWS Paragraph: 4.3.1.2.2 IUID Marking Activity, Validation and VerificationReport

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Data (A004) IUID MARKING ACTIVITY/VALIDATION/VERIFICATION REPORT

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A005) GIDEP ALERT/SAFETY REPORT

Item No.

1003AE

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A005 DI-QCIC-80125B, PWS Paragraph: 4.3.6.1 Government Industry Exchange Program (GIDEP) Alert-Safe Alert Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A006) GIDEP ALERT/RESPONSE

Item No.

1003AF

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A006 DI-QCIC-80126B, PWS Paragraph: 4.3.6.2 Government Industry Exchange Program (GIDEP)Alert/Safe-Alert Response

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination

Delivery IAW DD FORM 1423

Data (A007) COUNTERFEIT PREVENTION PLAN

Item No.

1003AG

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A007 DI-MISC-81832, PWS Paragraph: 4.3.5, Counterfeit Prevention Plan

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A008) GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

1003AH

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A008 DI-MGMT-80441D, PWS Paragraph: 4.5, Government Property Inventory Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

ORDERING PERIOD II: Applicable to orders placed during the 12 month period immediately following the Ordering Period I. The BEQ for each line item is identified in the description of the line item. The Government may require the delivery of increased quantities from items, the exact quantity of which cannot be determined in advance.

Repair

Collective Trim Servo Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

NSN: 6615-01-433-7433 GC

Collective Trim Servo Manufacturer Part Number 05088 9139867-10 Associated Document(s) Line Item(s)

FD20602200027 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For A SW3119 PAA Please post to the FLB RIC Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order whichever is first.

_ Req No / Pri

Required Delivery

A SW3119 7 EA *180 Calendar Days

Proposed Delivery

A SW3119 7 EA

Early Delivery is Acceptable

NO FAULT FOUND

COLLECTIVE TRIM SERVO

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 6615-01-433-7433 GC

NO FAULT FOUND

Manufacturer Part Number 05088 9139867-10

FD20602200027 0002

NO FAULT FOUND

COLLECTIVE TRIM SERVO

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order whichever is first.

_ Req No / Pri

Required Delivery

A SW3119 1 EA *180 Calendar Days

Proposed Delivery

A SW3119 1 EA

Early Delivery is Acceptable

Exhibit A-Data

A001-A008 Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA

FY21 CONTRACT DEPOT MAINTENANCE PROGRAM

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

DATA (A001) Commercial Asset Visibility Air Force

Item No.

2003AA

Not Separately Priced

1 LO NSP

DATA (A001) Commercial Asset Visibility Air Force

DATA

DATA A001 DI-.MGMT-81838, PWS IAW Paragraph: 4.3.3 Commercial Asset Visibility Air Force End Item

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A002) CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

2003AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A002 DI-PSSS-81995, PWS Paragraph 4.6: Contract Depot Maintenance Production Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A003) IUID MARKING PLAN

Item No.

2003AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A003 DI-MGMT-81803A, PWS Paragraph: 4.3.1.2.1 Item Unique Identification Marking Plan

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Limitations of Liability: Other Than High Value Item

Data (A003) IUID MARKING PLAN

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A004) IUID MARKING ACTIVITY/VALIDATION/VERIFICATION REPORT

Item No.

2003AD

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A004 DI-MGMT-81804A, PWS Paragraph: 4.3.1.2.2 IUID Marking Activity, Validation and VerificationReport

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A005) GIDEP ALERT/SAFETY REPORT

Item No.

2003AE

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A005 DI-QCIC-80125B, PWS Paragraph: 4.3.6.1 Government Industry Exchange Program (GIDEP) Alert-Safe Alert Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal

Data (A006) GIDEP ALERT/RESPONSE

Item No.

2003AF

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A006 DI-QCIC-80126B, PWS Paragraph: 4.3.6.2 Government Industry Exchange Program (GIDEP)Alert/Safe-Alert Response

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A007) COUNTERFEIT PREVENTION PLAN

Item No.

2003AG

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A007 DI-MISC-81832, PWS Paragraph: 4.3.5, Counterfeit Prevention Plan

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A008) GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

2003AH

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A008 DI-MGMT-80441D, PWS Paragraph: 4.5, Government Property Inventory Report

6615DTL210150GC

Data (A008) GOVERNMENT PROPERTY INVENTORY REPORT

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

ORDERING PERIOD III: Applicable to orders placed during the 12 month period immediately following the Ordering Period II. The BEQ for each line item is identified in the description of the line item. The Government may require the delivery of increased quantities from items, the exact quantity of which cannot be determined in advance.

Repair

Collective Trim Servo Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

NSN: 6615-01-433-7433 GC

Collective Trim Servo Manufacturer Part Number 05088 9139867-10 Associated Document(s) Line Item(s)

FD20602200027 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For A SW3119 PAA Please post to the FLB RIC Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order whichever is first.

_ Req No / Pri

Required Delivery

Repair

Collective Trim Servo A SW3119 7 EA *180 Calendar Days

Proposed Delivery

A SW3119 7 EA

Early Delivery is Acceptable

NO FAULT FOUND

COLLECTIVE TRIM SERVO

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 6615-01-433-7433 GC

NO FAULT FOUND

Manufacturer Part Number 05088 9139867-10 Associated Document(s) Line Item(s)

FD20602200027 0002

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order whichever is first.

_ Req No / Pri

Required Delivery

A SW3119 1 EA *180 Calendar Days

Proposed Delivery

A SW3119 1 EA

Early Delivery is Acceptable

Exhibit A-Data

A001-A008 Item No.

Not Separately Priced

Exhibit A-Data

A001-A008

1 LO NSP

DATA

DATA

FY21 CONTRACT DEPOT MAINTENANCE PROGRAM

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

DATA (A001) Commercial Asset Visibility Air Force End Item

ELIN A001 IAW DD FORM 1423

Item No.

3003AA

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DI-MGMT-81838

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A002) CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

3003AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A002 DI-PSSS-81995, PWS Paragraph 4.6: Contract Depot Maintenance Production Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Data (A002) CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A003) IUID MARKING PLAN

Item No.

3003AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A003 DI-MGMT-81803A, PWS Paragraph: 4.3.1.2.1 Item Unique Identification Marking Plan

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A004) IUID MARKING ACTIVITY/VALIDATION/VERIFICATION REPORT

Item No.

3003AD

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A004 DI-MGMT-81804A, PWS Paragraph: 4.3.1.2.2 IUID Marking Activity, Validation and VerificationReport

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal

Data (A005) GIDEP ALERT/SAFETY REPORT

Item No.

3003AE

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A005 DI-QCIC-80125B, PWS Paragraph: 4.3.6.1 Government Industry Exchange Program (GIDEP) Alert-Safe Alert Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A006) GIDEP ALERT/RESPONSE

Item No.

3003AF

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A006 DI-QCIC-80126B, PWS Paragraph: 4.3.6.2 Government Industry Exchange Program (GIDEP)Alert/Safe-Alert Response

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A007) COUNTERFEIT PREVENTION PLAN

Item No.

3003AG

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A007 DI-MISC-81832, PWS Paragraph: 4.3.5, Counterfeit Prevention Plan

Data (A007) COUNTERFEIT PREVENTION PLAN

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A008) GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

3003AH

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A008 DI-MGMT-80441D, PWS Paragraph: 4.5, Government Property Inventory Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

ORDERING PERIOD IV: Applicable to orders placed during the 12 month period immediately following the Ordering Period III. The BEQ for each line item is identified in the description of the line item. The Government may require the delivery of increased quantities from items, the exact quantity of which cannot be determined in advance.

Repair

Collective Trim Servo Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

7 EA

NSN: 6615-01-433-7433 GC

Repair

Collective Trim Servo Collective Trim Servo Manufacturer Part Number 05088 9139867-10 Associated Document(s) Line Item(s)

FD20602200027 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For A SW3119 PAA Please post to the FLB RIC Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order whichever is first.

_ Req No / Pri

Required Delivery

A SW3119 7 EA *180 Calendar Days

Proposed Delivery

A SW3119 7 EA

Early Delivery is Acceptable

NO FAULT FOUND

COLLECTIVE TRIM SERVO

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

NSN: 6615-01-433-7433 GC

NO FAULT FOUND

Manufacturer Part Number 05088 9139867-10 Associated Document(s) Line Item(s)

FD20602200027 0002

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required

NO FAULT FOUND

COLLECTIVE TRIM SERVO

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To Quantity (U/I) *ARO After receipt of repairable asset or funded order whichever is first.

_ Req No / Pri

Required Delivery

A SW3119 1 EA *180 Calendar Days

Proposed Delivery

A SW3119 1 EA

Early Delivery is Acceptable

Exhibit A-Data

A001-A008 Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA

FY21 CONTRACT DEPOT MAINTENANCE PROGRAM

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

DATA (A001) Commercial Asset Visibility Air Force End Item

ELIN A001 IAW DD FORM 1423

Item No.

4003AA

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DI-MGMT-81838

Associated Document(s) Line Item(s)

FD20602200027 0003

DATA (A001) Commercial Asset Visibility Air Force End Item

ELIN A001 IAW DD FORM 1423

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A002) CONTRACT DEPOT MAINTENANCE PRODUCTION REPORT

Item No.

4003AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A002 DI-PSSS-81995, PWS Paragraph 4.6: Contract Depot Maintenance Production Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A003) IUID MARKING PLAN

Item No.

4003AC

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A003 DI-MGMT-81803A, PWS Paragraph: 4.3.1.2.1 Item Unique Identification Marking Plan

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal

Data (A004) IUID MARKING ACTIVITY/VALIDATION/VERIFICATION REPORT

Item No.

4003AD

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A004 DI-MGMT-81804A, PWS Paragraph: 4.3.1.2.2 IUID Marking Activity, Validation and VerificationReport

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A005) GIDEP ALERT/SAFETY REPORT

Item No.

4003AE

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A005 DI-QCIC-80125B, PWS Paragraph: 4.3.6.1 Government Industry Exchange Program (GIDEP) Alert-Safe Alert Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A006) GIDEP ALERT/RESPONSE

Item No.

4003AF

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A006 DI-QCIC-80126B, PWS Paragraph: 4.3.6.2 Government Industry Exchange Program (GIDEP)Alert/Safe-Alert Response

Data (A006) GIDEP ALERT/RESPONSE

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A007) COUNTERFEIT PREVENTION PLAN

Item No.

4003AG

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A007 DI-MISC-81832, PWS Paragraph: 4.3.5, Counterfeit Prevention Plan

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal Quality Assurance: Standard Inspection

Delivery IAW DD FORM 1423

Data (A008) GOVERNMENT PROPERTY INVENTORY REPORT

Item No.

4003AH

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

A008 DI-MGMT-80441D, PWS Paragraph: 4.5, Government Property Inventory Report

6615DTL210150GC

Associated Document(s) Line Item(s)

FD20602200027 0003

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination

Delivery IAW DD FORM 1423

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS AFB GA 31098-1887

UNITED STATES

MARK FOR: (See Individual Line Item) REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

52.246-4 INSPECTION OF SERVICES--FIXED-PRICE (AUG 1996)

(IAW FAR 46.304)

(Applicable for fixed-price services, or supplies furnishing services over the simplified acquisition threshold)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503)

(Applicable to all orders issued hereunder)

Government Contract Quality Assurance Inspection and Acceptance will be at (Final):

[CONTRACTOR FILL-IN]

Item No(s): See schedule for items with the following code(s) listed below :

Inspection Code and Address:

Government Contract Quality Assurance Inspection and Acceptance will be at destination(s) specified herein (Final).

Item No(s): 0003, 0003AA, 0003AB, 0003AC, 0003AD, 0003AE, 0003AF, 0003AG, 0003AH, 1003, 1003AA, 1003AB, 1003AC, 1003AD, 1003AE, 1003AF, 1003AG, 1003AH, 2003, 2003AA, 2003AB, 2003AC, 2003AD, 2003AE, 2003AF, 2003AG, 2003AH, 3003, 3003AA, 3003AB, 3003AC, 3003AD, 3003AE, 3003AF, 3003AG, 3003AH, 4003, 4003AA, 4003AB, 4003AC, 4003AD, 4003AE, 4003AF, 4003AG, 4003AH

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

52.211-8 TIME OF DELIVERY (JUN 1997)

(IAW FAR 11.404(a)(2))

DELIVERY FOR EACH ITEM IS ANNOTATED IN THE SCHEDULE (PART I SECTION B) UNDER EACH LINE

ITEM.

(Applicable when the Government desires delivery by a certain time but requires delivery by a specified later time, and the delivery schedule is to be based on the date of the contract)

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1))

(Applicable for supplies, services, or research and development)

52.247-30 F.O.B. ORIGIN, CONTRACTOR'S FACILITY (FEB 2006)

(IAW FAR 47.303-2(c))

(Applicable to f.o.b. origin at contractor's facility)

52.247-65 F.O.B. ORIGIN, PREPAID FREIGHT--SMALL PACKAGE SHIPMENTS (JAN 1991)

(IAW FAR 47.303-17(f))

(Applicable when specifying f.o.b. origin)

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b))

Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address

[CONTRACTOR FILL-IN]

(Applicable when delivery term is f.o.b. origin)

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(IAW DFARS 232.7004(b), PGI 232.7004(b)(1), DFARS 212.301(f)(liii))

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

(Contracting Officer: Insert applicable document type(s).

Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (stand-alone) and “Receiving Report” (stand-alone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

(Contracting Officer: Insert inspection and acceptance locations or “Not applicable.”)

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table* Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC Issue By DoDAAC Admin DoDAAC Inspect By DoDAAC Ship To Code Ship From Code Mark For Code Service Approver (DoDAAC) Service Acceptor (DoDAAC) Accept at Other DoDAAC LPO DoDAAC DCAA Auditor DoDAAC Other DoDAAC(s) (*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the e-mail address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

(Contracting Officer: Insert applicable email addresses or “Not applicable.”)

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

(Contracting Officer: Insert applicable information or “Not applicable.”)

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

(Applicable in solicitations and contracts or task or delivery orders, including solicitations and contracts using FAR part 12 procedures for the acquisition of commercial items, when 252.232-7003 is used and none of the exceptions at 232.7002(b)(1) apply. See PGI 232.7004 for instructions on completing the clause)

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA TO BE CITED ON EACH INDIVIDUAL ORDER $0.00

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

ACRN TOTAL $ 0.00

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

252.201-7000 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 1991)

(IAW DFARS 201.602-70)

(Applicable to all orders issued hereunder)

52.202-1 DEFINITIONS (JUN 2020)

(IAW FAR 2.201)

(Applicable when the simplified acquisition threshold is exceeded)

52.203-3 GRATUITIES (APR 1984)

(IAW FAR 3.202)

(Applicable when simplified acquisition threshold is exceeded, except for personal services and those between military departments or defense agencies and foreign governments that do not obligate any funds appropriated to the Department of Defense)

52.203-5 COVENANT AGAINST CONTINGENT FEES (MAY 2014)

(IAW FAR 3.404)

(Applicable when simplified acquisition threshold is exceeded other than those for commercial items (see Parts 2 and 12))

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT (JUN 2020)

(IAW FAR 3.503-2)

(Applicable when the simplified acquisition threshold is exceeded)

52.203-7 ANTI-KICKBACK PROCEDURES (JUN 2020)

(IAW FAR 3.502-3)

(Applicable when the simplified acquisition threshold is exceeded)

52.203-8 CANCELLATION, RESCISSION, AND RECOVERY OF FUNDS FOR ILLEGAL OR

IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(a))

(Applicable when noncommercial and the simplified acquisition threshold is exceeded)

52.203-10 PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR IMPROPER ACTIVITY (MAY 2014)

(IAW FAR 3.104-9(b))

(Applicable when the simplified acquisition threshold is exceeded)

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS

(JUN 2020)

(IAW FAR 3.808(b))

(Applicable over $150,000)

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY

AGREEMENTS OR STATEMENTS (JAN 2017)

(IAW FAR 3.909-3 (b))

(Applicable in all solicitations and resultant contracts other than personal services contracts with individuals)

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DOD OFFICIALS

(SEP 2011)

(IAW DFARS 203.171-4(a), DFARS 212.301(f)(ii))

(Applicable to all solicitations and contracts)

252.203-7001 PROHIBITION ON PERSONS CONVICTED OF FRAUD OR OTHER

DEFENSE-CONTRACT-RELATED FELONIES (DEC 2008)

(IAW DFARS 203.570-3)

(Applicable when exceeding the simplified acquisition threshold (except for commercial items))

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

(SEP 2013)

(IAW DFARS 203.970)

(Applicable to all solicitations and contracts)

52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED PAPER (MAY 2011)

(IAW FAR 4.303)

(Applicable when the simplified acquisition threshold is exceeded)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT

AWARDS (JUN 2020)

(IAW FAR 4.1403(a))

(Applicable over $30,000, unless not required to be reported in FPDS)

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (OCT 2018)

(IAW FAR 4.1105(b))

(Applicable to solicitations that contain the provision at 52.204-7, and resulting contracts)

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (AUG 2020)

(IAW FAR 4.1804(c), FAR 12.301(d))

(Applicable when there is a requirement to be registered in SAM or to have a DUNS Number)

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS

(DEC 2014)

(IAW FAR 4.1202(b))

(Applicable to all solicitations and contracts)

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(NOV 2021)

(IAW FAR 4.1903)

(Applicable to all solicitations and contracts, except COTs, when a contractor’s system may contain Federal contract information)

52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES

DEVELOPED OR PROVIDED BY KASPERSKY LAB AND OTHER COVERED

ENTITIES (NOV 2021)

(IAW FAR 4.2004)

(Applicable in all contracts and solicitations)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

(IAW 4.2105(b))

252.204-7002 PAYMENT FOR SUBLINE ITEMS NOT SEPARATELY PRICED (APR 2020)

(IAW DFARS 204.7109(a))

(Applicable to all not separately priced subline items)

252.204-7003 CONTROL OF GOVERNMENT PERSONNEL WORK PRODUCT (APR 1992)

(IAW DFARS 204.404-70(b))

(Applicable to all orders issued hereunder)

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (DEC 2019)

(IAW DFARS 204.7304(c))

(Applicable to all solicitations and contracts, including commercial except when solely for commercial-off-the-shelf items)

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION

SUPPORT (MAY 2016)

(IAW DFARS 204.7403(b), DFARS 212.301(f)(i)(F))

(Applicable to solicitations and contracts that involve litigation support services when 252.204-7014 is not included)

252.204-7018 PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES (JAN 2021)

(IAW DFARS 204.2105(c))

(Applicable to all soliciations.)

252.204-7020 NIST SP 800-171 DOD ASSESSMENT REQUIREMENTS (NOV 2020)

(IAW DFARS 204.7304(e))

(Applicable in all solicitations and contracts, task orders, or delivery orders, including those using FAR part 12 procedures for the acquisition of commercial items, except for those that are solely for the acquisition of COTS items)

252.204-7022 EXPEDITING CONTRACT CLOSEOUT (MAY 2021)

(IAW DFARS 204.804-70)

(Applicable in solicitations and contracts when the contracting officer intends to expedite contract closeout through the mutual waiver of entitlement to a residual dollar amount of $1,000 or less determined at the time of contract closeout)

52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN SUBCONTRACTING WITH

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

(NOV 2021)

(IAW FAR 9.409)

(Applicable when exceeding $35,000)

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS

(NOV 2015)

(IAW FAR 9.108-5(b))

(Applicable to all solicitations and contracts for the acquisition of products and services (including construction) unless waived IAW FAR 9.108-4)

252.209-7004 SUBCONTRACTING WITH FIRMS THAT ARE OWNED OR CONTROLLED BY THE

GOVERNMENT OF A COUNTRY THAT IS A STATE SPONSOR OF TERRORISM

(MAY 2019)

(IAW DFARS 209.409)

(Applicable to solicitations and contracts with a value of $150,000 or more)

52.211-15 DEFENSE PRIORITY AND ALLOCATION REQUIREMENTS (APR 2008)

(IAW FAR 11.604(b))

This is a rated order certified for national defense, emergency preparedness, and energy program use, and the Contractor shall follow all the requirements of the Defense Priorities and Allocations System regulation (15 CFR 700).

(Applicable to all rated orders)

252.211-7003 ITEM UNIQUE IDENTIFICATION AND VALUATION (MAR 2016)

(IAW DFARS 211.274-6(a)(1), DFARS 212.301(f)(xii))

(a) Definitions. As used in this clause—

“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 .

“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 .

(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

See Schedule as Applicable

(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

*Items less than $5000, which require UID, will be specifically identified in the schedule.

See Schedule as Applicable

(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 _____( or See Schedule as Applicable).

(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 _____( or See Schedule as Applicable).

(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.

(f) The Contractor shall submit the information required by paragraphs (d) and (e) of this clause as follows:

(1) End items shall be reported using the receiving report capability in Wide Area WorkFlow (WAWF) in accordance with the clause at 252.232-7003.

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