Solicitation - FA857126Q0117.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30. 1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER 5. SOLICITATION NUMBER

FA857126Q0117

6. SOLICITATION ISSUE DATE

01 Sep 2026

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME Joshua Belzince

b. TELEPHONE NUMBER (no collect calls) 730-326-2134

8. OFFER DUE DATE/

LOCAL TIME

09 Sep 2026

11:00 AM

9. ISSUED BY CODE: FA8571

FA8571 AFSC PZIO MXW

375 PERRY ST BLDG 255, CP 478 222 4098

ROBINS AFB, GA 31098-1672

UNITED STATES

Joshua Belzince, Email: joshua.belzince@us.af.mil Telephone: 730-326-2134 Robert Robinson, Email: robert.robinson.53@us.af.mil Telephone: 732-4642

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

SMALL BUSINESS WOMEN-OWNED SMALL

BUSINESS (WOSB)

NORTH AMERICAN

INDUSTRY

CLASSIFICATION

STANDARD (NAICS):

334513

HUBZONE SMALL

BUSINESS

ECONOMICALLY

DISADVANTAGED WOMEN-

OWNED SMALL BUSINESS

(EDWOSB)

SIZE STANDARD:

SERVICE-DISABLED

VETERAN-OWNED SMALL

BUSINESS (SDVOSB)

8(A)

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS 13a.THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM-DPAS (15 CFR 700)

13b. RATING DO-C9

14. METHOD OF SOLICITATION

REQUEST FOR

QUOTE (RFQ)

INVITATION

FOR BID (IFB)

REQUEST FOR

PROPOSAL (RFP)

15. DELIVER TO CODE:

See Schedule

16. ADMINISTERED BY CODE:

17a. CONTRACTOR/

OFFERER

CODE FACILITY

CODE:

TELEPHONE NUMBER

18a. PAYMENT WILL BE MADE BY CODE:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED SEE ADDENDUM

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT

PRICE

24.

AMOUNT

See Schedule (Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

See Section G - Contract Administration Data

26. TOTAL AWARD AMOUNT (For Government Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR

52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN COPIES TO

ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE

TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REFERENCE OFFER DATED . YOUR

OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR

CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS: See Schedule

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

31c. DATE SIGNED

COMPUTER GENERATED STANDARD FORM 1449 (REV. 11/2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

Solicitation/Contract Form

PZIMA - FDB# 78396 - URGENT NIKON XTV 160

PZIMA - FDB# 78396 - URGENT NIKON XTV 160

Product Service Code: 6635

FA857126Q0117

Supplies or Services & Prices or Costs Additional Information/Notes

This is a solicitation for commercial products or commercial services prepared in accordance with the format in RFO 12.202(b), as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested. This solicitation is being issued as a Request for Quote (RFQ) No.

FA857126Q0117. This is a commercial requirement that will be solicited as a Sole-Source requirement to Nikon Metrology, LLC (CAGE: 1L4U8) using Other than Full and Open Competition as prescribed in RFO 12.102(b).

Item Supplies / Services Quantity Unit Unit Price Amount

XT V 160 Varex 1515Dx, (installation and shipping costs included), IAW Purchase Description dated 16 July 2026 (FFP)

Product Service Code: 6635 Pricing Arrangement: Firm Fixed Price

1 Each

See Exhibits A CDRLs Not Separately

Priced

A001

STATUS REPORT

Product Service Code: 6635 Pricing Arrangement: Firm Fixed Price

1 Each Not Separately Priced

A002

STATUS REPORT - Energy Management System - EnMS

Product Service Code: 6635 Pricing Arrangement: Firm Fixed Price

1 Each Not Separately Priced

A003 Contractor's Safety Plan

Product Service Code: 6635 Pricing Arrangement: Firm Fixed Price

1 Each Not Separately Priced

A004

ACCIDENT/INCIDENT REPORT

Product Service Code: 6635 Pricing Arrangement: Firm Fixed Price

1 Each Not Separately Priced

Description/Specifications/Statement of Work The Contractor shall provide all the all materials, parts, travel, tools, and labor necessary to provide the Nikon XT V 160 to the 402nd Electronics Maintenance Group (EMXG) (568th) to Warner Robins Air Logistics Complex (WR-ALC) at Robins Air Force Base (AFB), Georgia.

Requirements

PZIMA - FDB# 78396 - URGENT NIKON XTV 160

Packaging and Marking

Inspection and Acceptance Overall Contract Inspection/Acceptance Locations

Inspection and Acceptance Location

Both Destination Instructions: See Contract Terms and Conditions for Inspection and Acceptance criteria.

DoDAAC: F3QCCM CountryCode: USA

F3QCCM WR ALC OBCA SUPPLIES

AF BPN NO MLSBLS PROC CP4872221708, 155 RICHARD RAY BLVD STE 100 RM 103

ROBINS AFB, GA 31098-1813

UNITED STATES

Nick James Telephone: 4783278628

A001

Destination Instructions: See Contract Terms and Conditions for Inspection and Acceptance criteria.

DoDAAC: F3QCCM CountryCode: USA

F3QCCM WR ALC OBCA SUPPLIES

AF BPN NO MLSBLS PROC CP4872221708, 155 RICHARD RAY BLVD STE 100 RM 103

ROBINS AFB, GA 31098-1813

UNITED STATES

A002

Destination Instructions: See Contract Terms and Conditions for Inspection and Acceptance criteria.

DoDAAC: F3QCCM CountryCode: USA

F3QCCM WR ALC OBCA SUPPLIES

AF BPN NO MLSBLS PROC CP4872221708, 155 RICHARD RAY BLVD STE 100 RM 103

ROBINS AFB, GA 31098-1813

A003

Destination Instructions: See Contract Terms and Conditions for Inspection and Acceptance criteria.

DoDAAC: F3QCCM CountryCode: USA

F3QCCM WR ALC OBCA SUPPLIES

AF BPN NO MLSBLS PROC CP4872221708, 155 RICHARD RAY BLVD STE 100 RM 103

ROBINS AFB, GA 31098-1813

A004

Destination Instructions: See Contract Terms and Conditions for Inspection and Acceptance criteria.

DoDAAC: F3QCCM

CountryCode: USA

F3QCCM WR ALC OBCA SUPPLIES

AF BPN NO MLSBLS PROC CP4872221708, 155 RICHARD RAY BLVD STE 100 RM 103

ROBINS AFB, GA 31098-1813

UNITED STATES

Deliveries or Performance

Line Item Delivery Schedule Quantity Address and POC Special Handling/Notes

Delivery Schedule From date of lead time event to date of latest delivery 21 Calendar Days Date of Award Receipt

1 Each Ship To DoDAAC: FD2046 CountryCode: USA

FD2046 402 EMXG 568 EMXS

CP 478-327-5742, 635 TECH RD BLDG 639

ROBINS AFB, GA 31098

UNITED STATES

Nick James Telephone: 4783278628

FoB Details Contractor Destination

A001

Delivery Schedule 1 Each As Required

1 Each Ship To DoDAAC: FD2046 CountryCode: USA

FD2046 402 EMXG 568 EMXS

CP 478-327-5742, 635 TECH RD BLDG 639

ROBINS AFB, GA 31098

UNITED STATES

FoB Details Contractor Destination

A002

Delivery Schedule 1 Each As Required

1 Each Ship To DoDAAC: FD2046 CountryCode: USA

FD2046 402 EMXG 568 EMXS

CP 478-327-5742, 635 TECH RD BLDG 639

ROBINS AFB, GA 31098

UNITED STATES

FoB Details Contractor Destination

A003

Delivery Schedule 1 Each As Required

1 Each Ship To DoDAAC: FD2046 CountryCode: USA

FD2046 402 EMXG 568 EMXS

CP 478-327-5742, 635 TECH RD BLDG 639

ROBINS AFB, GA 31098

UNITED STATES

FoB Details Contractor Destination

A004

Delivery Schedule 1 Each As Required

1 Each Ship To DoDAAC: FD2046 CountryCode: USA

FD2046 402 EMXG 568 EMXS

CP 478-327-5742, 635 TECH RD BLDG 639

ROBINS AFB, GA 31098

UNITED STATES

FoB Details Contractor Destination

Contract Administration Data

DFARS Clauses Incorporated by Reference

Number Title Effective Date Alternate/ Deviation

Variation Effective Date

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports. Dec 2018

DFARS Clauses Incorporated by Full Text

252.232-7006 Wide Area WorkFlow Payment Instructions. (Jan 2023)

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

(a) Definitions. As used in this clause-

"Department of Defense Activity Address Code (DoDAAC)" is a six position code that uniquely identifies a unit, activity, or organization.

"Document type" means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

"Local processing office (LPO)" is the office responsible for payment certification when payment certification is done external to the entitlement system.

"Payment request" and "receiving report" are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall-

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the "Web Based Training" link on the WAWF home page at https://wawf.eb.mil/

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

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

(1) Document type. The Contractor shall submit payment requests using the following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items-

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

(Contracting Officer: Insert applicable invoice and receiving report document type(s) for fixed price line items that require shipment of a deliverable.)

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

(Contracting Officer: Insert either "Invoice 2in1" or the applicable invoice and receiving report document type(s) for fixed price line items for services.)

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial financing, submit a commercial financing request.

(2) ) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

[Note: The Contractor may use a WAWF "combo" document type to create some combinations of invoice and receiving report in one step.]

(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 F03000 Issue By DoDAAC FA8571 Admin DoDAAC FA8571 Inspect By DoDAAC F3QCCM Ship To Code FD2046 Ship From Code 1L4U8 Mark For Code N/A Service Approver (DoDAAC) N/A Service Acceptor (DoDAAC) N/A Accept at Other DoDAAC N/A LPO DoDAAC N/A DCAA Auditor DoDAAC N/A Other DoDAAC(s) N/A (*Contracting Officer: Insert applicable DoDAAC information. If multiple ship to/acceptance locations apply, insert "See Schedule" or "Not applicable.")

(**Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)

(4) Payment request. The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) Receiving report. The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F.

(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.

WAWF Acceptor: Jayde Sparks, jayde.sparks@us.af.mil, (478) 926-8885; WAWF Alternate: Kelsey Jackson, kelsey.jackson.9@us.af.mil, (478) 327-2607

(Contracting Officer: Insert applicable information or "Not applicable.")

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.

(End of clause)

Special Contract Requirements

Contract Clauses All references to FAR/DFARS numbers are actually references to Revolutionary FAR Overhaul (RFO) and R-DFARS provisions and clauses.

FAR Clauses Incorporated by Reference

Number Title Effective Date Alternate/ Deviation

Variation Effective Date

52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements. Jan 2017 52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards. (Deviation 2026-O0038) Feb 2026 52.204-13 System for Award Management-Maintenance. (Deviation 2026-O0038) Feb 2026 52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded. (Deviation 2026-O0038) Feb 2026

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (Deviation 2026-O0038) Feb 2026 52.211-15 Defense Priority and Allocation Requirements. Apr 2008 52.212-4 Terms and Conditions-Commercial Products and Commercial Services. (Deviation 2026-O0038) Feb 2026 52.222-3 Convict Labor. (Deviation 2026-O0038) Feb 2026 52.222-35 Equal Opportunity for Veterans. (Deviation 2026-O0038) Feb 2026 52.222-36 Equal Opportunity for Workers with Disabilities. (Deviation 2026-O0038) Feb 2026 52.222-37 Employment Reports on Veterans. (Deviation 2026-O0038) Feb 2026 52.222-50 Combating Trafficking in Persons. (Deviation 2026-O0038) Feb 2026 52.222-62 Paid Sick Leave Under Executive Order 13706. (Deviation 2026-O0038) Feb 2026 52.222-90 Addressing DEI Discrimination by Federal Contractors. (Deviation 2026-O0040, Revision 1) Apr 2026 52.223-23 Sustainable Products. (Deviation 2026-O0038) Feb 2026 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving. May 2024 52.232-33 Payment by Electronic Funds Transfer-System for Award Management. Oct 2018 52.232-40 Providing Accelerated Payments to Small Business Subcontractors. Mar 2023 52.233-3 Protest after Award. (Deviation 2026-O0038) Feb 2026 52.233-4 Applicable Law for Breach of Contract Claim. (Deviation 2026-O0038) Feb 2026 52.240-91 Security Prohibitions and Exclusions. (Deviation 2026-O0038) Feb 2026 52.244-6 Subcontracts for Commercial Products and Commercial Services. (Deviation 2026-O0038) Apr 2026

DFARS Clauses Incorporated by Reference

Number Title Effective Date Alternate/ Deviation

Variation Effective Date

252.203-7000 Requirements Relating to Compensation of Former DoD Officials. Sep 2011 252.203-7002 Requirement to Inform Employees of Whistleblower Rights. Dec 2022 252.225-7012 Preference for Certain Domestic Commodities. Apr 2022 252.225-7056 Prohibition Regarding Business Operations with the Maduro Regime. Jan 2023 252.225-7060 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region. Jun 2023 252.232-7010 Levies on Contract Payments. Dec 2006 252.237-7010 Prohibition on Interrogation of Detainees by Contractor Personnel. Jan 2023 252.247-7023 Transportation of Supplies by Sea. Oct 2024

List of Attachments

Number Attachment Name Attachment Description Reference Identifier Date Line Item

01 Purchase Description Performance Work Statement 16 Jul 2026

78396 - CDRL A001

- Status Report EMS training

Contract Data Requirements List (CDRL) 02 Jul 2026

78396 - CDRL A002

- Status Report_EnMS Training

Contract Data Requirements List (CDRL) 02 Jul 2026

78396 - CDRL A003

- Contractors Safety Plan

Contract Data Requirements List (CDRL) 02 Jul 2026

78396 - CDRL A004

- Accident Incident Report

Contract Data Requirements List (CDRL) 02 Jul 2026

CDRLsA

Representations, Certification, & Other Statements

FAR Clauses Incorporated by Reference

Number Title Effective Date Alternate/ Deviation

Variation Effective Date

52.203-11 Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. Sep 2024 52.240-90 Security Prohibitions and Exclusions Representations and Certifications. (Deviation 2026-O0038) Feb 2026

DFARS Clauses Incorporated by Reference

Number Title Effective Date Alternate/ Deviation

Variation Effective Date

252.203-7005 Representation Relating to Compensation of Former DoD Officials. Sep 2022 252.225-7055 Representation Regarding Business Operations with the Maduro Regime. May 2022 252.225-7059 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region-Representation. Jun 2023

Instructions, Conditions, & Notices to Offerors or Quoters

FAR Clauses Incorporated by Reference

Number Title Effective Date Alternate/ Deviation

Variation Effective Date

52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements-Representation.

Jan 2017

52.204-7 System for Award Management-Registration. (Deviation 2026-O0038) Feb 2026

DFARS Clauses Incorporated by Reference

Number Title Effective Date Alternate/ Deviation

Variation Effective Date

252.204-7024 Notice on the Use of the Supplier Performance Risk System. Mar 2023

FAR Clauses Incorporated by Full Text

52.211-14 Notice of Priority Rating for National Defense, Emergency Preparedness, and Energy Program Use. (Apr 2008)

Notice of Priority Rating for National Defense, Emergency Preparedness, and Energy Program Use (Apr 2008)

Any contract awarded as a result of this solicitation will be [ ] DX rated order; [X] DO rated order certified for national defense, emergency preparedness, and energy program use under the Defense Priorities and Allocations System (DPAS) (15 CFR700), and the Contractor will be required to follow all of the requirements of this regulation. [Contracting Officer check appropriate box.]

(End of provision)

Evaluation Factors for Award The Government intends to award a sole source contract resulting from this solicitation to Nikon Metrology LLC. (CAGE: 1L4U8).