SPRBL121R0014_Final.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

Offeror To Complete Block 12, 17, 23, 24, & 30

1. Requisition Number Page Of

2. Contract No. 3. Award/Effective Date 4. Order Number 5. Solicitation Number 6. Solicitation Issue Date

7. For Solicitation Information Call:

A. Name B. Telephone Number (No Collect Calls) 8. Offer Due Date/Local Time

9. Issued By Code 10. This Acquisition is Unrestricted OR Set Aside: % For:

Small Business Women-Owned Small Business (WOSB) Eligible Under the Women-Owned Small Business Program

Hubzone Small Business EDWOSB

Service-Disabled Veteran-Owned Small Business NAICS:

Email: 8(A) Size Standard:

11. Delivery For FOB Destination Unless Block Is Marked

12. Discount Terms 13a. This Contract Is A Rated Order Under DPAS (15 CFR 700) 13b. Rating

See Schedule 14. Method Of Solicitation RFQ IFB RFP

15. Deliver To Code 16. Administered By Code

Telephone No.

17a. Contractor/Offeror Code Facility 18a. Payment Will Be Made By Code

Telephone No.

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 No.

20.

Schedule Of Supplies/Services

21.

Quantity

22.

Unit

23.

Unit Price

24.

Amount

(Use Reverse and/or Attach Additional Sheets As Necessary)

25. Accounting And Appropriation Data 26. Total Award Amount (For Govt. Use Only)

27a.Solicitation Incorporates By Reference 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 _________ 29. Award Of Contract: Ref. Offer 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.

Dated . Your Offer On Solicitation (Block 5), Including Any Additions Or Changes Which Are Set Forth Herein, Is Accepted As To Items:

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

Authorized For Local Reproduction Previous Edition Is Not Usable

Standard Form 1449 (Rev. 2/2012) Prescribed By GSA-FAR (48 CFR) 53.212

SPRBL1-21-R-0014 2021SEP30

ESHA GUHANIYOGI (443)252-6504

ESHA.GUHANIYOGI@DLA.MIL

2021NOV05 03:00pm

SPRBL1

DLA LAND AT ABERDEEN

6565 SURVEILLANCE LOOP, ROOM C1301

APG, MD 21005-1846

X

X 100

334511

X DOA7

X

SEE SCHEDULE

SEE SCHEDULE

X X

X 1

1 65

19.

Item No.

20.

Schedule Of Supplies/Services

21.

Quantity

22.

Unit

23.

Unit Price

24.

Amount

32a. Quantity In Column 21 Has Been

Received Inspected Accepted, And Conforms To The Contract, Except As Noted: _________________________________________________

32b. Signature Of Authorized Government Representative 32c. Date 32d. Printed Name and Title of Authorized Government Representative

32e. Mailing Address of Authorized Government Representative 32f. Telephone Number of Authorized Government Representative

32g. E-Mail of Authorized Government Representative

33. Ship Number 34. Voucher Number 35. Amount Verified 36. Payment 37. Check Number Correct For Partial Final Complete Partial Final

38. S/R Account No. 39. S/R Voucher Number 40. Paid By

41a. I Certify This Account Is Correct And Proper For Payment 42a. Received By (Print) 41b. Signature And Title Of Certifying Officer 41c. Date 42b. Received At (Location)

42c. Date Rec’d (YY/MM/DD) 42d. Total Containers

Standard Form 1449 (Rev. 2/2012) Back

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: ESHA GUHANIYOGI

Buyer Office Symbol/Telephone Number: DSCC-ZLAA/(443)252-6504

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

NAICS Code: 334511

Size Standard: 1,250

This Request for Proposal (RFP) is anticipated to result in a Five (5) year Firm Fixed Price (FFP), Indefinite Delivery Indefinite

Quantity (IDIQ) Contract in support of the AN/PVS-7 and AN/PVS-14 Night Vision Goggles. Offers will be evaluated on a NSN basis and this solicitation may result in multiple contracts for one or both NSNs. The Government reserves the right to award both NSNs to one awardee.

The existing approved part numbers are as follows:

NSN: 5855-01-612-5116

PART NUMBER: 1955010-1GC-1/56100G20

Nomenclature: PASGT-Helmet Mount

Best Estimated Quantity (BEQ):

Year 1: 16,000

Year 2: 16,000

Year 3: 16,000

Year 4: 16,000

Year 5: 16,000

NSN: 5855-01-610-8704

PART NUMBER: 1955010-2GC-1/56100G19

Nomenclature: ACH Helmet Mount

Best Estimated Quantity (BEQ):

Year 1: 80,000

Year 2: 80,000

Year 3: 80,000

Year 4: 80,000

Year 5: 80,000

The Best Estimated Quantities listed above are not guaranteed and should be used for planning purposes only. The Government may purchase more or less of each part.

This Solicitation is a one-hundred percent (100%) small business set-aside.

Accelerated or partial deliveries are accepted at no additional cost to the Government.

Packaging, inspection, acceptance, and FOB points are stated at the Contract Line Item Number (CLIN) level.

Proposed unit prices will be for the items specified in Section B of this Solicitation, for a period of five (5) years from the contract award date. The Contracting Officer must determine prices to be fair and reasonable for each quantity range; therefore offers shall insert prices for all quantity ranges.

A standard no-cost commercial warranty should be included in the proposal.

A full description of the items and technical requirements can be found within Attachment 00001

This Solicitation sets forth Instructions, Conditions, & Notices to Offerors (Section L) and Evalutation Factors for Award (Section M).

Offers shall be submitted in accordance with Section L. Offers will be evaluated in accordance with Section M. Offerors should insert

Firm Fixed Prices for each year of the Solicitation and include all other fill-in information required in the Solicitation. Awardees are subject to testing and approval requirements, such as, but not limited to First Article Testing (FAT), and shall not receive orders after the guaranteed minimum is satisfied until satisfactory completion of any test requirements.

This procurement is being managed through the SAM beta GOV (beta.sam.gov) website. All documents and proposals must be submitted through electronic mail (email) to the Contract Specialist listed on Page 1 in Block 10. An email confirmation will be provided upon receipt. A

2 65

SPRBL1-21-R-0014

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

proposal has not been received if a confirmation email is not received by the offeror. The URL for SAM is https://beta.sam.gov

Drawings will be sent via DoDSAFE, to interested parties upon request.

For any questions about this Request for Proposal, please contact the Contracting Specialist Esha Guhaniyogi at 443-252-6504 or esha.guhaniyogi@dla.mil.

*** END OF NARRATIVE A0001 ***

Awards to More Than One Contractor: Offers will be evaluated on an NSN basis, based on the evaluation criteria identified in Section M___________________________________ of this Solicitation. Therefore, this Solicitation may result in the award of multiple contracts for one or both NSNs. In the event of two or more contract awards, the contract shall be split between the awards on a 60/40 basis. The vendor with the lowest price technically acceptable offer will be awarded the highest percentage.

Guaranteed Minimum: In the event that the evaluation results in a single award for all NSNs, the guaranteed minimum for the contract___________________ will be $25,000 and the contract maximum will be $49,950,000. In the event that the evaluation results in the award of mroe than one contract, the guaranteed minimum of all awarded contracts will not exceed $25,000 in total and the contract maximum will not exceed

$49,950,000 in total.

Contract Maximum: Each contract shall have one maximum, which shall be equal to the sum of the awarded NSN maximum values. The contract_________________ maximum (ceiling) can be reached by ordering any combination of the NSNs, and is inclusive of the entire 5-year term of the contract.

*** END OF NARRATIVE A0002 ***

3 65

PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SUPPLIES OR SERVICES AND PRICES/COSTS

1001 PRODUCTION QUANTITY YEAR 1 $ __________________________ __________________

See Range Pricing

NSN: 5855-01-612-5116

COMMODITY NAME: PASGT HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

5000 10000 $

10001 15000 $

15001 20000 $

20001 25000 $

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W25G1U) SU W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND,PA,17070-5002

1002 PRODUCTION QUANTITY YEAR 1 $ __________________________ __________________

See Range Pricing

NSN: 5855-01-610-8704

COMMODITY NAME: ACH HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

25000 50000 $

50001 75000 $

75001 100000 $

100001 125000 $

4 65

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W25G1U) SU W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND,PA,17070-5002

2001 PRODUCTION QUANTITY YEAR 2 $ __________________________ __________________

See Range Pricing

NSN: 5855-01-612-5116

COMMODITY NAME: PASGT HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

5000 10000 $

10001 15000 $

15001 20000 $

20001 25000 $

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W25G1U) SU W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND,PA,17070-5002

5 65

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

2002 PRODUCTION QUANTITY YEAR 2 $ __________________________ __________________

See Range Pricing

NSN: 5855-01-610-8704

COMMODITY NAME: ACH HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

25000 50000 $

50001 75000 $

75001 100000 $

100001 125000 $

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W25G1U) SU W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND,PA,17070-5002

3001 PRODUCTION QUANTITY YEAR 3 $ __________________________ __________________

See Range Pricing

NSN: 5855-01-612-5116

COMMODITY NAME: PASGT HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

5000 10000 $

10001 15000 $

15001 20000 $

20001 25000 $

6 65

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W25G1U) SU W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND,PA,17070-5002

3002 PRODUCTION QUANTITY YEAR 3 $ __________________________ __________________

See Range Pricing

NSN: 5855-01-610-8704

COMMODITY NAME: ACH HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

25000 50000 $

50001 75000 $

75001 100000 $

100001 125000 $

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W25G1U) SU W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND,PA,17070-5002

7 65

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

4001 PRODUCTION QUANTITY YEAR 4 $ __________________________ __________________

See Range Pricing

NSN: 5855-01-612-5116

COMMODITY NAME: PASGT HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

5000 10000 $

10001 15000 $

15001 20000 $

20001 25000 $

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W25G1U) SU W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND,PA,17070-5002

4002 PRODUCTION QUANTITY YEAR 4 $ __________________________ __________________

See Range Pricing

NSN: 5855-01-610-8704

COMMODITY NAME: ACH HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

25000 50000 $

50001 75000 $

75001 100000 $

100001 125000 $

8 65

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W25G1U) SU W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND,PA,17070-5002

5001 PRODUCTION QUANTITY YEAR 5 $ __________________________ __________________

See Range Pricing

NSN: 5855-01-612-5116

COMMODITY NAME: PASGT HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: OB5K8

Mfr Part Number: 1955010-1GC-1

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

5000 10000 $

10001 15000 $

15001 20000 $

20001 25000 $

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W25G1U) SU W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

9 65

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND,PA,17070-5002

5002 PRODUCTION QUANTITY YEAR 5 $ __________________________ __________________

See Range Pricing

NSN: 5855-01-610-8704

COMMODITY NAME: ACH HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 0B5K8

Mfr Part Number: 1955010-2GC-1

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

25000 50000 $

50001 75000 $

75001 100000 $

100001 125000 $

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W25G1U) SU W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND,PA,17070-5002

8001 FAT SAMPLE $ $ __________ ______________ __________________

NSN: 5855-01-612-5116

COMMODITY NAME: PASGT HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

22 helmet mounts will be subjected to the FAT, with an additional 16 in the case of any failures.

10 65

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Government Approval/Disapproval Days: 180

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(SPRBL1) DLA LAND AT ABERDEEN

DLR PROCUREMENT OPERATIONS - ZL

6565 SURVEILLANCE LOOP RM C1-301

ABER PROV GRD,MD,21005

8002 FAT SAMPLE $ $ __________ ______________ __________________

NSN: 5855-01-610-8704

COMMODITY NAME: ACH HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

22 helmet mounts will be subjected to the FAT, with an additional 16 in the case of any failures.

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Government Approval/Disapproval Days: 180

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

11 65

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(SPRBL1) DLA LAND AT ABERDEEN

DLR PROCUREMENT OPERATIONS - ZL

6565 SURVEILLANCE LOOP RM C1-301

ABER PROV GRD,MD,21005

9000 BASIC CLIN FOR ELIN ___________________

The following ELINs associated with this CLIN are in effect for the life of the Contract.

(End of narrative A001)

A001 CDRL SCIENTIFIC AND TECHNICAL DATA REPORT $ ** NSP ** $ ** NSP ** _________________________________________ ______________ __________________

COMMODITY NAME: ENGINEERING CHANGE PROPOSAL

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(SPRBL1) DLA LAND AT ABERDEEN

DLR PROCUREMENT OPERATIONS - ZL

6565 SURVEILLANCE LOOP RM C1-301

ABER PROV GRD,MD,21005

A002 CDRL SCIENTIFIC AND TECHNICAL DATA REPORT $ ** NSP ** $ ** NSP ** _________________________________________ ______________ __________________

COMMODITY NAME: REQUEST FOR VARIANCE

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

12 65

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(SPRBL1) DLA LAND AT ABERDEEN

DLR PROCUREMENT OPERATIONS - ZL

6565 SURVEILLANCE LOOP RM C1-301

ABER PROV GRD,MD,21005

A003 SCIENTIFIC AND TECHNICAL DATA REPORT $ ** NSP ** $ ** NSP ** ____________________________________ ______________ __________________

COMMODITY NAME: NOTICE OF REVISION

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(SPRBL1) DLA LAND AT ABERDEEN

DLR PROCUREMENT OPERATIONS - ZL

6565 SURVEILLANCE LOOP RM C1-301

ABER PROV GRD,MD,21005

A004 SCIENTIFIC AND TECHNICAL DATA REPORT $ ** NSP ** $ ** NSP ** ____________________________________ ______________ __________________

COMMODITY NAME: TEST REPORT

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

13 65

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SHIP TO:

(SPRBL1) DLA LAND AT ABERDEEN

DLR PROCUREMENT OPERATIONS - ZL

6565 SURVEILLANCE LOOP RM C1-301

ABER PROV GRD,MD,21005

A005 CDRL SCIENTIFIC AND TECHNICAL DATA $ ** NSP ** $ ** NSP ** __________________________________ ______________ __________________

COMMODITY NAME: FAT QUALIFICATION PLAN

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(SPRBL1) DLA LAND AT ABERDEEN

DLR PROCUREMENT OPERATIONS - ZL

6565 SURVEILLANCE LOOP RM C1-301

ABER PROV GRD,MD,21005

A006 CDRL SCIENTIFIC AND TECHNICAL DATA REQUIREMENT $ ** NSP ** $ ** NSP ** ______________________________________________ ______________ __________________

COMMODITY NAME: TEST/INSPECTION REPORT

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(SPRBL1) DLA LAND AT ABERDEEN

DLR PROCUREMENT OPERATIONS - ZL

6565 SURVEILLANCE LOOP RM C1-301

ABER PROV GRD,MD,21005

14 65

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

A007 CDRL SCIENTIFIC AND TECHNICAL DATA REPORT $ ** NSP ** $ ** NSP ** _________________________________________ ______________ __________________

COMMODITY NAME: TEST/INSPECTION REPORT

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(SPRBL1) DLA LAND AT ABERDEEN

DLR PROCUREMENT OPERATIONS - ZL

6565 SURVEILLANCE LOOP RM C1-301

ABER PROV GRD,MD,21005

15 65

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

Full text of procurement notes may be found at http://www.dla.mil/HQ/Acquisition/Offers/eProcurement.aspx under DLA Directive

(DLAD) Procurement Notes. Applicable version is dated August 1, 2019.

The following procurement notes apply:

C01 - Superseded Part Numbered Items (September 2016)

C02 - Manufacturing Phase-Out or Discontinuation of Production, Diminishing Sources, and Obsolete Materials or Components (DEC 2016)

C03 - Contractor Retention of Supply Chain Traceability Documentation (September 2016)

C07 - Warstopper Program Material Buffer Availability (MAY 2017)

C14 - Repackaging or Relabeling to Correct Deficiencies (AUG 2017)

*** END OF NARRATIVE C0001 ***

C04 Unused Former Government Surplus Property (DEC 2016)

To be considered for award, the offeror must complete and submit the following representation with their offer. Additional supporting documentation to demonstrate the surplus material offered was previously owned by the Government and meets solicitation requirements must be provided within 24 hours of request by the contracting officer.

(1) The material is new, unused, and not of such age or so deteriorated as to impair its usefulness or safety. Yes __ No __

The material conforms to the technical requirements cited in the solicitation (e.g., Commercial and Government Entity (CAGE) Code and part number, specification, etc.). Yes __ No __ The material conforms to the revision letter/number, if any is cited. Yes __ No __

Unknown __ If No, the revision does not affect form, fit, function, or interface. Yes__ No __ Unknown __ The material was manufactured by:

(Name):__________________________________________________________

(Address):_______________________________________________________

(2) The offeror currently possesses the material Yes __ No __

If yes, the offeror purchased the material from a Government selling agency or other source.

Yes __ No __ If yes, provide the following:

Government Selling Agency:_______________________________________

Contract Number: ________________________________________________

Contract Date: (Month, Year): ___________________________________

Other Source: ___________________________________________________

Address: ________________________________________________________

Date Acquired: (Month/Year) _____________________________________

(3) The material has been altered or modified. Yes __ No __

If Yes, the offeror must provide the name of the company that performed the alteration or modification and attach or forward to the contracting officer a complete description of the alterations or modifications.

(4) The material has been reconditioned. Yes __ No __

If Yes, (i) the price offered includes the cost of reconditioning /refurbishment. Yes __ No __; and (ii) the offeror must provide information on the company that reconditioned the material with the certifications and attach or forward to the contracting officer a complete description of any work done or to be done, including the components to be replaced and the applicable rebuild standard. The material contains cure-dated components. Yes __ No __

If Yes, (i) the price includes replacement of cure-dated components. Yes __ No __; and (ii) provide cure date to the contracting officer.

(5) The material has data plates attached. Yes __ No __

If Yes, the offeror must state below all information contained thereon, or forward a copy or facsimile of the data plate to the contracting officer. ____________________________________________

(6) The offered material is in its original package. Yes __ No __

If yes, the offeror has stated below all original markings and data cited on the package; or has attached or forwarded to the contracting officer a copy or facsimile of original package markings:

Contract Number _________________________________________________

NSN______________________________________________________________

CAGE Code________________________________________________________

Part Number _____________________________________________________ Other Markings/Data______________________________________________

(7) The offeror has supplied this same material (National Stock Number) to the Government before. Yes __ No __

If Yes, (i) the material being offered is from the same original Government contract number as that provided previously. Yes __ No __;

and (ii) state below the Government Agency and contract number under which the material was previously provided:

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Agency __________________________________________________________

Contract Number__________________________________________________________

(8) The material is manufactured in accordance with a specification or drawing. Yes __ No __

If Yes, (i) the specification/drawing is in the possession of the offeror. Yes __ No __; and (ii) the offeror has stated the applicable information below, or forwarded a copy or facsimile to the contracting officer. Yes __ No __

Specification/Drawing Number ____________________________________ Revision (if any) _______________________________________________

Date_____________________________________________________________

(9) The material has been inspected for correct part number and for absence of corrosion or any obvious defects. Yes __ No __

If Yes, (i) material has been re-preserved. Yes __ No __; (ii) material has been repackaged. Yes __ No __; (iii) percentage of material that has been inspected is ____%; and/or (iv) number of items inspected is _______; and (v) a written report was prepared. Yes __ No __;

and if Yes, the offeror has attached the written report or forwarded it to the contracting officer. Yes__ No__

The offeror agrees that in the event of award and notwithstanding the provisions of the solicitation, Inspection and acceptance of the surplus material will be performed at source or destination subject to all applicable provisions for source or destination inspection.

The offeror has attached or forwarded to the contracting officer one of the following, to demonstrate that the material being offered was previously owned by the Government (offeror check which one applies):

___ For national or local sales, conducted by sealed bid, spot bid or auction methods, a solicitation/Invitation For Bid and corresponding DLA Disposition Services Form 1427, Notice of Award, Statement and Release Document.

___ For DLA Disposition Services Commercial Venture (CV) Sales, the shipment receipt/delivery pass document and invoices/receipts used by the original purchaser to resell the material.

___ When the above documents are not available, or if they do not identify the specific NSN being acquired, a copy or facsimile of all original package markings and data, including NSN, commercial and Government entity (CAGE) code and part number, and original contract number. (This information has already been provided in paragraph (c)(6) of this clause. Yes __ No __.)

___ When none of the above are available, other information to demonstrate that the offered material was previously owned by the

Government. Describe and/or attach.

This only applies to offers of Government surplus material. Offers of commercial surplus, manufacturers overruns, residual inventory resulting from terminated Government contracts, and any other material that meets the technical requirements in the solicitation but was not previously owned by the Government will be evaluated in accordance with the DLAD procurement note L04, Offers for Part Numbered

Items.

If requested by the contracting officer, the offeror shall furnish sample units, in the number specified, to the contracting officer or to another location specified by the contracting officer, within 10 days after the contracting officer's request. The samples will be furnished at no cost to the Government. All such samples not destroyed in evaluation will be returned at the offeror's expense. The samples will be evaluated for form, fit, and function with subassembly, assembly, or equipment with which the items are to be used. End items furnished under any contract award to the offeror furnishing the samples can include the returned samples, and all acceptable end items will have a configuration identical to the samples. If specific tests of the samples' performance are made by the Government, the offeror will be furnished the results of such tests prior to a contract being entered into. In addition to any other inspection examinations and tests required by the contract, the performance of the end items will be required to be as good as that of the samples submitted.

In the event of award, the contractor will be responsible for providing material that is in full compliance with all requirements in the contract or order. The surplus material to be furnished must meet the requirements of the current contract or order, whether or not the material met Government requirements in existence at the time the material was initially manufactured or sold to the Government. If higher-level contract quality requirements apply to the material being acquired, those requirements do not apply to surplus material furnished under this contract.

*** END OF NARRATIVE C0002 ***

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PACKAGING AND MARKING

SECTION D Packaging and Marking________________________________

Refer to Section B for packaging and marking requirements.

PACKAGING: Packaging shall be in accordance with, (IAW):_________

MIL-STD-2073-1E

The packaging requirements may also be included in the Technical Requirements Document (TRD), if included under Section J.

MARKING: Marking shall be IAW MIL-STD-129R._______

GENERAL:_______

Level of Preservation (LOP): Military

Level of Pack (LPK): Moderate

Quantity Unit Pack (QUP): 001.

*** END OF NARRATIVE D0001 ***

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INSPECTION AND ACCEPTANCE

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

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

2 52.246-11 HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT DEC/2014

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

Quality Management Systems Requirements ANSI/ISO/ASQ (E)Q 9001-2015 Dated October 1, 2015

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

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

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

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

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

(End of clause)

E06 Inspection and Acceptance at Source (JUN 2018)

Inspection and acceptance are at source. The place of acceptance is the location where the Government conducts the last inspection before shipment, unless the contractor indicated a different physical location for acceptance below.

The contractor shall indicate the location where supplies will be inspected, if different from the production location:

Commercial and Government Entity (CAGE) code:________________________________

Address:_____________________________________________________________________

Applicable to contract line item numbers(s) (CLIN(s)):_______________________

The contractor shall indicate the location where packaging will be inspected, if different from the production location:

( ) Same as for supplies OR

CAGE code: __________________________________________________________________

Address: ____________________________________________________________________

Applicable to CLIN(s): ______________________________________________________

The contractor shall indicate the location where supplies will be accepted, if different from the inspection location:

Commercial and Government Entity (CAGE) code:________________________________

Address:_____________________________________________________________________

Applicable to contract line item numbers(s) (CLIN(s)):_______________________

RQ009: INSPECTION AND ACCEPTANCE AT ORIGIN

The inspection location for supplies is the awardees CAGE CODE address unless otherwise indicated in the contract/purchase order.

Inspection will be conducted by the Governments Quality Assurance Representative (QAR). Inspection of packaging, if required, may be conducted at the packaging location cited in the award.

SECTION I (All Awards)

a. Objective evidence of conformance with all contract quality assurance requirements must be present at the inspection location. When requested, manufacturer drawings and technical information and complete records of all inspection work performed to verify that the supplies meet technical requirements shall be provided. If required to determine conformity with contract requirements, subcontractor records shall also be provided.

b. Objective evidence to establish the location of the actual manufacturing source may also requested to confirm the end product country of origin and/or business size of the manufacturer.

c. If the supplier is not the manufacturer of the supplies, objective evidence must be furnished to establish the supplies were produced by an approved manufacturer an approved source.

d. The QAR is required to notify the Post Award Administrator (PCO), if at time of Government Source Inspection (GSI), the QAR is denied access to the offerors facility. If supplies being provided are described only by manufacturers name/CAGE Code and part number, objective evidence must be furnished to establish that the supplies were manufactured under the direction of or under agreement with the

CAGE Code of the part number offered.

e. The QAR may require additional examinations and tests to determine:

i. Completeness of item

ii. Material is new and unused

iii. Absence of rust

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iv. Contamination, or deterioration

v. Correct identification/item marking 824 vi. Correct packaging

vii. Absence of any damage

viii. Compliance with preparation for delivery

(End of TQ Requirement)

*** END OF NARRATIVE E0001 ***

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DELIVERIES OR PERFORMANCE

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

1 52.211-17 DELIVERY OF EXCESS QUANTITIES SEP/1989

2 52.242-15 STOP-WORK ORDER AUG/1989

3 52.247-34 F.O.B. DESTINATION NOV/1991

4 252.211-7008 USE OF GOVERNMENT-ASSIGNED SERIAL NUMBERS SEP/2010

5 252.211-7003 ITEM UNIQUE IDENTIFICATION AND VALUATION MAR/2016

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

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

"Concatenated unique item identifier" means

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

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

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

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

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

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

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

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

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

"Governments unit acquisition cost" means

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

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

Government at the time of delivery; and

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

(c) Unique item identifier.

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

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

Contract Line, Subline, or

Exhibit Line Item Number Item Description

N/A N/A

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

Contract Line, Subline, or

Exhibit Line Item Number Item Description

N/A N/A

(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 N/A.

(iv) Any item of special tooling or special test equipment as defined in FAR 2.101 that have been designated for preservation and

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storage for a Major Defense Acquisition Program as specified in

Attachment Number N/A.

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

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

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

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

(i) The data elements (except issuing agency code) of the unique item identifier are encoded within the data matrix symbol that is marked on the item using one of the following three types of data qualifiers, as determined by the Contractor:

(A) Application Identifiers (AIs) (Format Indicator 05 of ISO/IEC International Standard 15434), in accordance with ISO/IEC

International Standard 15418, Information Technology--EAN/UCC Application Identifiers and Fact Data Identifiers and Maintenance and ANSI

MH 10.8.2 Data Identifier and Application Identifier Standard.

(B) Data Identifiers (DIs) (Format Indicator 06 of ISO/IEC International Standard 15434), in accordance with ISO/IEC International

Standard 15418, Information Technology--EAN/UCC Application Identifiers and Fact Data Identifiers and Maintenance and ANSI MH 10.8.2

Data Identifier and Application Identifier Standard.

(C) Text Element Identifiers (TEIs) (Format Indicator 12 of ISO/IEC International Standard 15434), in accordance with the Air

Transport Association Common Support Data Dictionary; and

(ii) The encoded data elements of the unique item identifier conform to the transfer structure, syntax, and coding of messages and data formats specified for Format Indicators 05, 06, and 12 in ISO/IEC International Standard 15434, Information Technology-Transfer

Syntax for High Capacity Automatic Data Capture Media.

(5) Unique item identifier.

(i) The Contractor shall--

(A) Determine whether to--

(1) Serialize within the enterprise identifier;

(2) Serialize within the part, lot, or batch number; or

(3) Use a DoD recognized unique identification equivalent (e.g. Vehicle Identification Number); and

(B) Place the data elements of the unique item identifier (enterprise identifier; serial number; DoD recognized unique identification equivalent; and for serialization within the part, lot, or batch number only: Original part, lot, or batch number) on items requiring marking by paragraph (c)(1) of this clause, based on the criteria provided in MIL-STD-130, Identification Marking of

U.S. Military Property, latest version;

(C) Label shipments, storage containers and packages that contain uniquely identified items in accordance with the requirements of

MIL-STD-129, Military Marking for Shipment and Storage, latest version; and

(D) Verify that the marks on items and labels on shipments, storage containers, and packages are machine readable and conform to the applicable standards. The contractor shall use an automatic identification technology device for this verification that has been programmed to the requirements of Appendix A, MIL-STD-130, latest version.

(ii) The issuing agency code--

(A) Shall not be placed on the item; and

(B) Shall be derived from the data qualifier for the enterprise identifier.

(d) For each item that requires item unique identification under paragraph (c)(1)(i), (ii), or (iv) of this clause or when item unique identification is provided under paragraph (c)(1)(v), in addition to the information provided as part of the Material Inspection and

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Receiving Report specified elsewhere in this contract, the Contractor shall report at the time of delivery, as part of the Material

Inspection and Receiving Report, the following information:

(1) Unique item identifier.

(2) Unique item identifier type.

(3) Issuing agency code (if concatenated unique item identifier is used).

(4) Enterprise identifier (if concatenated unique item identifier is used).

(5) Original part number (if there is serialization within the original part number).

(6) Lot or batch number (if there is serialization within the lot or batch number).

(7) Current part number (optional and only if not the same as the original part number).

(8) Current part number effective date (optional and only if current part number is used).

(9) Serial number (if concatenated unique item identifier is used).

(10) Governments unit…