SPE2DH19U0001.PDF

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TABLE, FOLDING LEGS Federal contract opportunity
Solicitation number
SPE2DH19U0001
Issued by
Defense Logistics Agency Troop Support Medical

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REQUEST FOR QUOTATIONS THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE

4. CERT.FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

5. ISSUED BY

7. DELIVERY

9. DESTINATION

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5 ON OR

BEFORE CLOSE OF BUSINESS (Date)

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

11. SCHEDULE (See Continuation Sheets)

12. DISCOUNT FOR PROMPT PAYMENT

d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations are are not attached.

13. NAME AND ADDRESS OF QUOTER

a. NAME OF QUOTER

16. SIGNER

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not useable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

1. REQUEST NO.

SPE2DH-19-U-0001

2. DATE ISSUED

2018 NOV 21

3. REQUISITION/PURCHASE REQUEST NO.

See Schedule

RATING

DLA TROOP SUPPORT

MEDICAL SUPPLY CHAIIN FSH

700 ROBBINS AVENUE

PHILADELPHIA PA 19111

USA

Name: Tina Vu Buyer Code:PDPSHB7 Tel: 215-737-2139 Fax: 215-737-5752 Email: Tina.Vu@dla.mil

6. DELIVER BY (Date)

5 DAYS ADO

8. TO:

c. CITY

d. STATE

b. STREET ADDRESS

a. NAME OF CONSIGNEE

e. ZIP CODE

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%)

15. Date of Quotation

a. NAME (Type or Print)

AREA CODE

c. TITLE (Type or Print)d. CITY

c. COUNTY

b. STREET ADDRESS

e. STATE f. ZIP CODE

See Schedule

2018 NOV 27

NUMBER

FOB DESTINATION

OTHER

(See Schedule)

CAGE

b. TELEPHONE

PAGE OF PAGES

POC INFORMATION:

WHEN TECHNICAL DATA IS PROVIDED IT MUST BE OBTAINED AT:https://pcf1x.bsm.dla.mil/cfolders. DISCREPANCIES FOUND IN TECHNICAL DATA SHOULD SUBMIT REQUEST TO THE DLA CUSTOMER SERVICE WEBSITE:https://www.pdmd.dla.mil/cs/

ALL OTHER QUESTIONS (SOLICITATION REQUIREMENTS, ITEM DESCRIPTION, AWARD CHOICE, ETC.), PLEASE CONTACT THE BUYER SHOWN ABOVE.

QUESTIONS REGARDING OPERATION OF THE DLA-BSM INTERNET BID BOARD SYSTEM SHOULD BE E-MAILED TO: DibbsBSM@dla.mil

FOR IMMEDIATE ASSISTANCE, PLEASE REFER TO THE FREQUENTLY ASKED QUESTIONS (FAQS) ON BSM DIBBS AT:

https://www.dibbs.bsm.dla.mil/Refs/help/DIBBSHelp.htm OR PHONE 1-855-DLA-0001 (1-855-352-0001).

MASTER SOLICITATION

THIS SOLICITATION INCORPORATES THE TERMS AND CONDITIONS SET FORTH IN THE DLA MASTER SOLICITATION FOR AUTOMATED SIMPLIFIED

ACQUISITIONS REVISION 52 (OCTOBER 18, 2018) WHICH CAN BE FOUND ON THE WEB AT:

http://www.dla.mil/Portals/104/Documents/J7Acquisition/Master_Solicitation_Rev52_10OCT2018.pdf?ver=2018-10-18-141855-120

This solicitation incorporates technical/quality requirements (‘R’ or ‘I’ number in section B). The full text is in the DLA Technical and Quality Master List of Requirements at:

http://www.dla.mil/HQ/Acquisition/Offers/eprocurement.aspx The revisionof the TQ Master in effect on the award date controls.

14. SIGNATURE OF PERSON AUTHORIZED TO SIGN

QUOTATION

1 33

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 2 OF 33 PAGES

SPE2DH-19-U-0001

CONTINUED ON NEXT PAGE

SECTION A

THIS BUY MAY BE A CANDIDATE FOR AUTOMATED AWARD. HOWEVER, AUTOMATED

SOLICITATIONS CONTAINING FIRST ARTICLE TEST REQUIREMENTS ARE NOT

CANDIDATES FOR AN AUTOMATED AWARD. ALL QUOTES MUST BE SUBMITTED VIA THE

DLA INTERNET BID BOARD SYSTEM (DIBBS) AT https://www.dibbs.bsm.dla.mil.

MICRO-PURCHASE QUOTES MAY BE AWARDED PRIOR TO RETURN DATE.

NORTH AMERICAN INDUSTRY CLASSIFICATION SYSTEM 339113 SEE http://www.sba.gov/content/table-small-business-size-standards

FOR THE CORRESPONDING SMALL BUSINESS SIZE STANDARD.

DFARS 252.225-7036 ALTERNATE I, BUY AMERICAN--FREE TRADE

AGREEMENTS--BALANCE OF PAYMENTS PROGRAM, APPLIES.

DESTINATION INSPECTION REQUIRED - FAR 52.246-2 APPLIES.

This solicitation contemplates an award based on destination inspection.

If an offeror proposes inspection and acceptance at origin, then an evaluation factor IAW Procurement Note E07 will be added to the offeror's quoted/offered price for each origin inspection required. If phased deliveries are required or offered, each phase of delivery will be presumed to result in one inspection.

Fast Pay does not apply to this solicitation

Offerors are encouraged to submit price break information with their quotes. Solicitations which are manually evaluated and awarded at increased quantities may be awarded based on the price break information submitted with the offeror's original quotation without further solicitation or discussion.

If you anticipate quoting on a solicitation after the closing date, please submit a DIBBS quote with a bid type of “No Bid” and place an

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 3 OF 33 PAGES

CONTINUED ON NEXT PAGE

SECTION A

anticipated quote date or the reason you are not willing to quote. This does not prevent you from submitting an actual quote on DIBBS at a later date. It will overlay your previous no quote. This informs buyers of your intention to quote and prevents multiple calls for updates and cancelling of requirements assumed to be non-procurable due to no quotes/sources. The submission of an anticipated quote date does not preclude DLA from making an award to another acceptable timely offer.

DLA funds Procurement Technical Assistance Centers (PTACs) to increase the number of U.S. businesses capable of bidding and performing on local, state, and federal government contracts. PTACs have government contracting experts available to assist suppliers at no cost. Visit our website to find your local PTAC:

http://www.dla.mil/HQ/SmallBusiness/PTAP.aspx

Contractors shall not provide parts and supplies made using additive manufacturing (AM), unless AM is specifically authorized in the solicitation/contract. See procurement note L31.

Procurement History for NSN/FSC:011624443/6530

CAGE Contract Number Quantity Unit Cost AWD Date

7JT32 SPE2DH18P1929 33.000 1865.76000 20180822

0VKN4 SPM2DH12M0023 37.000 1034.71000 20111004

26954 DLA12089D85580046 1953.000 365.48000 19920506

26954 DLA12089D85580036 50.000 352.69000 19911216

26954 DLA12089D85580034 35.000 352.69000 19910821

26954 DLA12089D85580033 35.000 352.69000 19910821

26954 DLA12089D85580032 70.000 352.69000 19910624

26954 DLA12089D85588003 35.000 352.69000 19910619

26954 DLA12089D85580031 35.000 352.69000 19910619

26954 DLA12089D85580029 35.000 352.69000 19910403

26954 DLA12089D85580028 35.000 352.69000 19910403

26954 DLA12089D85580027 35.000 352.69000 19910403

26954 DLA12089D85580026 35.000 352.69000 19910403

26954 DLA12089D85580025 1.000 361.70000 19910322

26954 DLA12091M3497 3.000 413.00000 19910212

26954 DLA12091M3082 1.000 413.00000 19910205

26954 DLA12091M2739 1.000 413.00000 19910124

26954 DLA12091M2343 10.000 413.00000 19910117

26954 DLA12089D85580021 35.000 352.69000 19901218

26954 DLA12089D85580020 35.000 352.69000 19901218

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 4 OF 33 PAGES

CONTINUED ON NEXT PAGE

SECTION B

PR: 0077136410

NSN/MATERIAL:6530011624443

ITEM DESCRIPTION

TABLE,FOLDING LEGS

TABLE, FOLDING LEGS

STEEL,STAINLESS TOP AND STEEL, CORROSION RESISTING OVERALL

45 IN. LG; 36 IN. H; 30 IN. DP; FOLDS AND LOCKS IN OPEN

POSITION MANUALLY; 4-1/2 IN. H WHEN FOLDED; FOR USE AS A

UTILITY TABLE IN FIELD CAB. SYS WHICH ALSO INCLUDES UPPER SECT

PHARMACEUTICAL CAB., 6530-01-162-8237 AND 6530-01-164-9635;

BASE SECT MEDIC CAB., 6530-01-163-3761 AND 6530-01-209-1197;

BASE SECT PHARMACEUTICAL CAB., 6530-01-163-3760;

SCRUB SINK UNIT, 6545-01-163-1899;

WORK COUNTER, 6530-01-169-3150 AND 6530-01-162-6758;

BASE CAB. RETAINING BAR, 6530-01-162-6764;

CASSETTE STORAGE CAB, 6525-01-168-0574;

AND PLASTIC BX, 6530-01-190-4378

UNIT OF ISSUE: EACH (EA)

RA001: THIS DOCUMENT INCORPORATES TECHNICAL AND/OR QUALITY REQUIREMENTS

(IDENTIFIED BY AN 'R' OR AN 'I' NUMBER) SET FORTH IN FULL TEXT IN THE

DLA MASTER LIST OF TECHNICAL AND QUALITY REQUIREMENTS FOUND ON THE WEB

AT: http://www.dla.mil/HQ/Acquisition/Offers/eProcurement.aspx. FOR

SIMPLIFIED ACQUISITIONS, THE REVISION OF THE MASTER IN EFFECT ON THE

SOLICITATION ISSUE DATE OR THE AWARD DATE CONTROLS. FOR LARGE

ACQUISITIONS, THE REVISION OF THE MASTER IN EFFECT ON THE RFP ISSUE DATE

APPLIES UNLESS A SOLICITATION AMENDMENT INCORPORATES A FOLLOW-ON

REVISION, IN WHICH CASE THE AMENDMENT DATE CONTROLS.

RP001: DLA PACKAGING REQUIREMENTS FOR PROCUREMENT

RQ011: REMOVAL OF GOVERNMENT IDENTIFICATION FROM NON-ACCEPTED SUPPLIES

BIDDER: PLEASE SPECIFY SOURCE AND PART

NUMBER BEING SUPPLIED.

ADEQUATE DATA FOR THE EVALUATION OF

ALTERNATE OFFERS IS NOT AVAILABLE AT

THE PROCUREMENT AGENCY. THE OFFEROR

MUST PROVIDE A COMPLETE DATA PACKAGE

INCLUDING DATA FOR THE APPROVED

AND ALTERNATE PART FOR EVALUATION.

THIS ITEM IS NOT REGULATED BY THE FDA.

NSN 6530-01-162-4443, 10.22.2018.

HAMILTON MFG CO 26954 P/N 3-2343-P

HAMILTON MFG CO 26954 P/N 950S9370

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0001 0077136410 0001 EA 4.000

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 5 OF 33 PAGES

CONTINUED ON NEXT PAGE

SECTION B

PR: 0077136410 PRLI: 0001 CONT’D

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

PKGING DATA-QUP:001

SHALL BE PACKAGED IN ACCORDANCE WITH ASTM D 3951.

Markings Paragraph When ASTM D3951, Commercial Packaging is specified, the following apply:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

•,,The Unit of Issue (U/I) and Quantity per Unit Pack (QUP) as specified in the contract take precedence over QUP in ASTM D3951.

PARCEL POST ADDRESS:

SW3400

MEDICAL ASSEMBLY/SHELTER REPAIR

6149 WARDLEIGH ROAD BLDG 1160

POC 385-519-8801

HILL AFB UT 84056

US

SHIP BY FASTEST TRACEABLE MEANS. DO NOT USE PARCEL POST.

FREIGHT SHIPPING ADDRESS:

SW3400

MEDICAL ASSEMBLY/SHELTER REPAIR

5851 F AVENUE BLDG 849

POC 385-519-8898

HILL AFB UT 84056

US

M/F: (TCN) W25MWY80582264

RDD: 065

PROJ: TP 1

SUPP ADD: SW3400 SIG: J

FOR GOVERNMENT USE ONLY: (IPD) 02

DIC: A0A DIST: ADV: 2A FC: 81

Need Ship Date:00/00/0000 Original Required Delivery Date:03/05/2018

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 6 OF 33 PAGES

CONTINUED ON NEXT PAGE

SECTION B

PR: 0077136992 PRLI: 0001 CONT’D

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0002 0077136992 0001 EA 1.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

6149 WARDLEIGH ROAD BLDG 1160

POC 385-519-8801

SW3400

MEDICAL ASSEMBLY/SHELTER REPAIR

5851 F AVENUE BLDG 849

POC 385-519-8898

HILL AFB UT 84056

US

M/F: (TCN) W25MWY80582317

RDD: 065

PROJ: TP 1

SUPP ADD: SW3400 SIG: J

FOR GOVERNMENT USE ONLY: (IPD) 02

DIC: A0A DIST: ADV: 2A FC: 81

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 7 OF 33 PAGES

CONTINUED ON NEXT PAGE

SECTION B

PR: 0077136992 PRLI: 0001 CONT’D

Need Ship Date:00/00/0000 Original Required Delivery Date:03/05/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0003 0077136997 0001 EA 1.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

W904EG

W05J USA WAR RES FS JAPAN

17 ASG KANAGAWA KEN BLDG 116 3

KAMIYABE 600 SAGAMIHARA SHI

KANAGAWA-KEN 2520201

JP

MEDICAL AIR BRIDGE WEST. FOR ELIGIBLE ITEMS: SD0379. CARDINAL HEALTH, 4551 EAST PHILADELPHIA ST ONTARIO, CA (TEXT IN ENHANCEMENT)

M/F: (TCN) W25MWY81931626

RDD: 235

PROJ: TP 1

SUPP ADD: W904EG SIG: J

FOR GOVERNMENT USE ONLY: (IPD) 02

DIC: A0A DIST: ADV: 2A FC: 81

Need Ship Date:00/00/0000 Original Required Delivery Date:07/17/2018

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 8 OF 33 PAGES

CONTINUED ON NEXT PAGE

SECTION B

PR: 0077136999 PRLI: 0001 CONT’D

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0004 0077136999 0001 EA 2.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

17 ASG KANAGAWA KEN BLDG 116 3

KAMIYABE 600 SAGAMIHARA SHI

MEDICAL AIR BRIDGE WEST. FOR ELIGIBLE ITEMS: SD0379. CARDINAL HEALTH, 4551 EAST PHILADELPHIA ST ONTARIO, M/F: (TCN) W25MWY81931630

RDD: 235

PROJ: TP 1

SUPP ADD: W904EG SIG: J

FOR GOVERNMENT USE ONLY: (IPD) 02

DIC: A0A DIST: ADV: 2A FC: 81

Need Ship Date:00/00/0000 Original Required Delivery Date:07/18/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0005 0077137084 0001 EA 4.000

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 9 OF 33 PAGES

CONTINUED ON NEXT PAGE

SECTION B

PR: 0077137084 PRLI: 0001 CONT’D

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

6149 WARDLEIGH ROAD BLDG 1160

POC 385-519-8801

SW3400

MEDICAL ASSEMBLY/SHELTER REPAIR

5851 F AVENUE BLDG 849

POC 385-519-8898

HILL AFB UT 84056

US

M/F: (TCN) W25MWY82331441

RDD: 240

PROJ: TP 1

SUPP ADD: SW3400 SIG: J

FOR GOVERNMENT USE ONLY: (IPD) 02

DIC: A0A DIST: ADV: 2A FC: 81

Need Ship Date:00/00/0000 Original Required Delivery Date:08/27/2018

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 10 OF 33 PAGES

CONTINUED ON NEXT PAGE

SECTION B

PR: 0077137089 PRLI: 0001 CONT’D

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0006 0077137089 0001 EA 3.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

6149 WARDLEIGH ROAD BLDG 1160

POC 385-519-8801

SW3400

MEDICAL ASSEMBLY/SHELTER REPAIR

5851 F AVENUE BLDG 849

POC 385-519-8898

HILL AFB UT 84056

US

M/F: (TCN) W25MWY83041140

RDD: 311

PROJ: TP 1

SUPP ADD: SW3400 SIG: J

DIC: A0A DIST: ADV: 2A FC: 91

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 11 OF 33 PAGES

CONTINUED ON NEXT PAGE

SECTION B

PR: 0077137089 PRLI: 0001 CONT’D

Need Ship Date:00/00/0000 Original Required Delivery Date:11/06/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0007 0077137090 0001 EA 3.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

6149 WARDLEIGH ROAD BLDG 1160

POC 385-519-8801

SW3400

MEDICAL ASSEMBLY/SHELTER REPAIR

5851 F AVENUE BLDG 849

POC 385-519-8898

HILL AFB UT 84056

US

M/F: (TCN) W25MWY83040521

RDD: 311

PROJ: TP 1

SUPP ADD: SW3400 SIG: J

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 12 OF 33 PAGES

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SECTION B

PR: 0077137090 PRLI: 0001 CONT’D

DIC: A0A DIST: ADV: 2A FC: 91

Need Ship Date:00/00/0000 Original Required Delivery Date:11/06/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0008 0077137082 0001 EA 3.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

6149 WARDLEIGH ROAD BLDG 1160

POC 385-519-8801

SW3400

MEDICAL ASSEMBLY/SHELTER REPAIR

5851 F AVENUE BLDG 849

POC 385-519-8898

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 13 OF 33 PAGES

CONTINUED ON NEXT PAGE

PR: 0077137082 PRLI: 0001 CONT’D

M/F: (TCN) W25MWY82111541

RDD: 218

PROJ: TP 1

SUPP ADD: SW3400 SIG: J

FOR GOVERNMENT USE ONLY: (IPD) 02

DIC: A0A DIST: ADV: 2A FC: 81

Need Ship Date:00/00/0000 Original Required Delivery Date:08/02/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0009 0077137083 0001 EA 3.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

6149 WARDLEIGH ROAD BLDG 1160

POC 385-519-8801

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 14 OF 33 PAGES

CONTINUED ON NEXT PAGE

SECTION B

PR: 0077137083 PRLI: 0001 CONT’D

MEDICAL ASSEMBLY/SHELTER REPAIR

5851 F AVENUE BLDG 849

POC 385-519-8898

HILL AFB UT 84056

US

M/F: (TCN) W25MWY82331369

RDD: 240

PROJ: TP 1

SUPP ADD: SW3400 SIG: J

FOR GOVERNMENT USE ONLY: (IPD) 02

DIC: A0A DIST: ADV: 2A FC: 81

Need Ship Date:00/00/0000 Original Required Delivery Date:08/27/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0010 0077137085 0001 EA 1.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

6149 WARDLEIGH ROAD BLDG 1160

POC 385-519-8801

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 15 OF 33 PAGES

CONTINUED ON NEXT PAGE

PR: 0077137085 PRLI: 0001 CONT’D

MEDICAL ASSEMBLY/SHELTER REPAIR

5851 F AVENUE BLDG 849

POC 385-519-8898

HILL AFB UT 84056

US

M/F: (TCN) W25MWY82331770

RDD: 240

PROJ: TP 1

SUPP ADD: SW3400 SIG: J

FOR GOVERNMENT USE ONLY: (IPD) 02

DIC: A0A DIST: ADV: 2A FC: 81

Need Ship Date:00/00/0000 Original Required Delivery Date:08/27/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0011 0077136994 0001 EA 3.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

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SECTION B

PR: 0077136994 PRLI: 0001 CONT’D

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DIC: A0A DIST: ADV: 2A FC: 81

Need Ship Date:00/00/0000 Original Required Delivery Date:05/16/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0012 0077136993 0001 EA 4.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

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SECTION B

PR: 0077136993 PRLI: 0001 CONT’D

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Need Ship Date:00/00/0000 Original Required Delivery Date:05/16/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0013 0077137086 0001 EA 3.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

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PR: 0077137086 PRLI: 0001 CONT’D

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Need Ship Date:00/00/0000 Original Required Delivery Date:08/28/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0014 0077136995 0001 EA 3.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

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SECTION B

PR: 0077136995 PRLI: 0001 CONT’D

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

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Need Ship Date:00/00/0000 Original Required Delivery Date:05/16/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0015 0077136996 0001 EA 3.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

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PR: 0077136996 PRLI: 0001 CONT’D

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

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CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0016 0077136998 0001 EA 3.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

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PR: 0077136998 PRLI: 0001 CONT’D

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

17 ASG KANAGAWA KEN BLDG 116 3

KAMIYABE 600 SAGAMIHARA SHI

MEDICAL AIR BRIDGE WEST. FOR ELIGIBLE ITEMS: SD0379. CARDINAL HEALTH, 4551 EAST PHILADELPHIA ST ONTARIO, M/F: (TCN) W25MWY81931678

RDD: 235

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Need Ship Date:00/00/0000 Original Required Delivery Date:07/18/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0017 0077137000 0001 EA 4.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

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PR: 0077137000 PRLI: 0001 CONT’D

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

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RDD: 214

PROJ: TP 1

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DIC: A0A DIST: ADV: 2A FC: 81

Need Ship Date:00/00/0000 Original Required Delivery Date:08/01/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0018 0077137081 0001 EA 3.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

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PR: 0077137081 PRLI: 0001 CONT’D

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

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RDD: 218

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DIC: A0A DIST: ADV: 2A FC: 81

Need Ship Date:00/00/0000 Original Required Delivery Date:08/02/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0019 0077137088 0001 EA 1.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

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SECTION B

PR: 0077137088 PRLI: 0001 CONT’D

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

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RDD: 311

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FOR GOVERNMENT USE ONLY: (IPD) 02

DIC: A0A DIST: ADV: 2A FC: 91

Need Ship Date:00/00/0000 Original Required Delivery Date:11/06/2018

CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE .

0020 0077137087 0001 EA 3.000

NSN/MATERIAL:6530011624443

DELIVERY (IN DAYS):0005

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PR: 0077137087 PRLI: 0001 CONT’D

DELIVER FOB: DESTINATION

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

PREP FOR DELIVERY:

•,,All Section “D” Packaging and Marking Clauses take precedence over

ASTM D3951.

•,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be “CP” Commercial Pack.

MEDICAL ASSEMBLY/SHELTER REPAIR

6149 WARDLEIGH ROAD BLDG 1160

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RDD: 303

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DIC: A0A DIST: ADV: 2A FC: 91

Need Ship Date:00/00/0000 Original Required Delivery Date:10/29/2018

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SECTION F - DELIVERIES OR PERFORMANCE

52.242-17 GOVERNMENT DELAY OF WORK (APR 1984) (FAR)

SECTION I - CONTRACT CLAUSES

252.203-7000 REQUIREMENTS RELATING TO COMPENSATION OF FORMER DoD OFFICIALS (SEPT 2011) (DFARS)

252.203-7002 REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS (SEPT 2013) (DFARS)

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

252.204-7009 LIMITATIONS ON THE USE OR DISCLOSURE OF THIRD-PARTY CONTRACTOR REPORTED CYBER INCIDENT

INFORMATION (OCT 2016) (DFARS)

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT REPORTING (OCT 2016) (DFARS)

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION TO LITIGATION SUPPORT CONTRACTORS (MAY 2016)

(DFARS)

252.225-7007 PROHIBITION ON ACQUISITION OF UNITED STATES MUNITIONS LIST ITEMS FROM COMMUNIST CHINESE MILITARY

COMPANIES (SEP 2006) DFARS (JUN 2018) (DFARS)

252.225-7048 EXPORT-CONTROLLED ITEMS (JUN 2013) (DFARS)

252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND RECEIVING REPORTS (JUN 2012) (DFARS)

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013) (DFARS)

(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.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by 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.acquisition.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 must use the following information when submitting payment requests and receiving reports in http://www.acq.osd.mil/dpap/dars/dfars/html/current/252232.htm https://www.acquisition.gov https://wawf.eb.mil/ https://wawf.eb.mil/

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SECTION I - CONTRACT CLAUSES (CONTINUED)

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WAWF for this contract/order:

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

*** When creating documents in Wide Area Workflow, both an invoice and receiving report are required for origin inspection awards or awards shipping to a DLA depot for stock regardless of inspection point (see clause 252.246-7000 for additional information regarding receiving reports). For awards requiring both a receiving report and invoice, a combo type document may be used. For awards in accordance with fast payment procedures, only create an invoice and check the Fast Payment Procedure in Wide Area Workflow. See clause 252.232-7006 for further Wide Area Workflow information. For service contracts, a two-in-one invoice is required. (DoDAAC information should be completed.)***

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.

____________________ *** SEE AWARD ***____________________

(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 See Resulting Award- Block 14 of 1155

Issue By DoDAAC See Block 5 of Form SF18

Admin DoDAAC See Resulting Award- Block 7 of Form 1155

Inspect By DoDAAC If at Origin- see Admin DODAAC, if at Dest- see

Ship to Ship To Code See Schedule in Section B of Form 1155 Ship From Code TBD

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

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item

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SECTION I - CONTRACT CLAUSES (CONTINUED)

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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.

____________________*** SEE BLOCK 24 OF FORM 1155 *** ____________________

(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.

____________________*** SEE BLOCK 24 OF FORM 1155 *** ____________________

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

(End of clause)

252.232-7010 LEVIES ON CONTRACT PAYMENTS (DEC 2006) (DFARS)

252.243-7001 PRICING OF CONTRACT MODIFICATIONS (DEC 1991) (DFARS)

252.244-7000 SUBCONTRACTS FOR COMMERCIAL ITEMS (JUN 2013) (DFARS)

252.246-7003 NOTIFICATION OF POTENTIAL SAFETY ISSUES (JUN 2013) (DFARS)

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS OR STATEMENTS (JAN 2017) (FAR)

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS (JUN 2016) (FAR)

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

52.211-5 MATERIAL REQUIREMENTS (AUG 2000) (FAR)

52.213-4 TERMS AND CONDITIONS—SIMPLIFIED ACQUISITIONS (OTHER THAN COMMERCIAL ITEMS) (JAN 2018) (FAR)

(c) FAR . This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

FAR: https://www.acquisition.gov/?q=browsefar

DFARS: https://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html

DLAD: http://www.dla.mil/HQ/Acquisition/Offers/DLAD.aspx

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES, ALT I (JUL 2014) (FAR) As prescribed in 22.1408(b), add the following as a preamble to the clause:

Notice: The following term(s) of this clause are waived for this contract: _______________ [List term(s)].

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE DRIVING (AUG 2011) (FAR) https://www.acquisition.gov/sites/default/files/current/far/html/Subpart%2022_14.html

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SECTION I - CONTRACT CLAUSES (CONTINUED)

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS (JUN 2013) (FAR)

52.243-1 CHANGES - FIXED PRICE (AUG 1987) (FAR)

52.246-2 INSPECTION OF SUPPLIES- FIXED PRICE (AUG 1996) (FAR)

52.249-8 DEFAULT (FIXED-PRICE SUPPLY AND SERVICE) (APR 1984) (FAR)

SECTION K - REPRESENTATIONS, CERTIFICATIONS AND STATEMENTS

252.203-7005 REPRESENTATION RELATING TO COMPENSATION OF FORMER DOD OFFICIALS (NOV 2011) (DFARS)

252.204-7008 COMPLIANCE WITH SAFEGUARDING COVERED DEFENSE INFORMATION CONTROLS (OCT 2016) (DFARS)

52.204-17 OWNERSHIP OR CONTROL OF OFFEROR (JUL 2016) (FAR)

(a) Definitions. As used in this provision–

“Commercial and Government Entity (CAGE) code” means–

(1) An identifier assigned to entities located in the United States or its outlying areas by the Defense Logistics Agency (DLA) Commercial and Government Entity (CAGE) Branch to identify a commercial or government entity; or

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support and Procurement Agency (NSPA) to entities located outside the United States and its outlying areas that the DLA Commercial and Government Entity (CAGE) Branch records and maintains in the CAGE master file. This type of code is known as a NATO CAGE (NCAGE) code.

“Highest-level owner” means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

“Immediate owner” means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

(b) The Offeror represents that it has or does not have an immediate owner. If the Offeror has more than one immediate owner (such as a joint venture), then the Offeror shall respond to paragraph (c) and if applicable, paragraph (d) of this provision for each participant in the joint venture.

(c) If the Offeror indicates “has” in paragraph (b) of this provision, enter the following information:

Immediate owner CAGE code: ____________________

Immediate owner legal name: ______________________

(Do not use a “doing business as” name)

Is the immediate owner owned or controlled by another entity?: Yes or No.

(d) If the Offeror indicates “yes” in paragraph (c) of this provision, indicating that the immediate owner is owned or controlled by another entity, then enter the following information:

Highest-level owner CAGE code: ___________________

Highest-level owner legal name: ___________________ (Do not use a “doing business as” name)

(End of provision)

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (JAN 2018) (FAR)

(a) The North American Industry classification System (NAICS) code for this acquisition is ___SEE SECTION A OF FORM SF18___ .

(2) The small business size standard is ___SEE SECTION A OF FORM SF18___.

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SECTION K - REPRESENTATIONS, CERTIFICATIONS AND STATEMENTS (CONTINUED)

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

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

(2) If the provision at 52.204-7 is not included in this solicitation, and the offeror is currently registered in the System for Award Management (SAM), and has completed the Representations and Certifications section of SAM electronically, the offeror may choose to use paragraph

(d) of this provision instead of completing the corresponding individual representations and certification in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

[_] (i) Paragraph (d) applies.

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

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

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

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

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

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

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

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

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

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

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

(B) Exceed the simplified acquisition threshold; and

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

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

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

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

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

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

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

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

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

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

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

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

(xv) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated https://www.acquisition.gov/sites/default/files/current/far/html/52_200_206.html https://www.acquisition.gov/sites/default/files/current/far/html/FARTOCP13.html https://www.acquisition.gov/sites/default/file
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SECTION K - REPRESENTATIONS, CERTIFICATIONS AND STATEMENTS (CONTINUED)

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the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

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

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

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

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

(xx) 52.225-4, Buy American --Free Trade Agreements --Israeli Trade Act Certificate. (Basic, Alternates I, II, and III.) This provision applies to solicitations containing the clause at 52.225-3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $80,317, the provision with its Alternate II applies.

(D) If the acquisition value is $80,317 or more but is less than $100,000, the provision with its Alternate III applies.

(xxi) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xxii) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan --Certification. This provision applies to all solicitations.

(xxiii) 52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran-Representation and Certifications. This provision applies to all solicitations.

(xxiv) 52.226-2, Historically Black College or University and Minority Institution Representation. This provision applies to solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions.

(2) The following representations or certifications are applicable as indicated by the Contracting Officer:

___ (i) 52.204-17, Ownership or Control of Offeror.

___ (ii) 52.204-20, Predecessor of Offeror.

___ (iii) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.

___ (iv) 52.222-48, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Certification.

___ (v) 52.222-52 Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services--Certification.

___ (vi) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material Content for EPA-Designated Products (Alternate I only).

___ (vii) 52.227-6, Royalty Information.

___ (A) Basic.

___ (B) Alternate I.

___ (viii) 52.227-15, Representation of Limited Rights Data and Restricted Computer…

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