SPRBL125R0002.pdf
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- Solicitation number
- SPRBL1-25-R0002
About this file
This is a Request for Proposal (RFP) solicitation document for an Indefinite-Delivery, Indefinite-Quantity (IDIQ) contract to provide A8 Frequency Inverters/Converters and repair services for the 3kW Tactical Quiet Generator. The solicitation (SPRBL1-25-R-0002) issued by DLA Land at Aberdeen covers two NSNs: 60 Hz Frequency Converter (NSN 5895-01-477-0855, P/N 29350) and 400 Hz Frequency Converter (NSN 5895-01-477-0858, P/N 29340).
The contract will have a 5-year base period with no options, a guaranteed minimum of $10,000 and maximum ceiling of $25 million. Creating Technology Solutions, LLC (CAGE 60177) is identified as the only approved source, making this an other than full and open competition. Offers are due by January 31, 2025 at 4:30pm. The acquisition uses a Lowest Price Technically Acceptable evaluation approach and requires certified cost and pricing data. The contract includes both hardware procurement and repair services, with varying annual estimated quantities for each NSN detailed in the solicitation. For the 60 Hz converter, estimated quantities range from 437 units in year 1 to 50 units in year 5 for hardware, and 100 to 400 units annually for repairs. The 400 Hz converter estimates range from 5 units in year 1 to 1 unit annually in years 2-5 for hardware, with 10 units annually for repairs.
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SOLICITATION, OFFER AND AWARD 1. This Contract Is A Rated Order Under
DPAS (15 CFR 700)
Rating Page of Pages
2. Contract Number 3. Solicitation Number 4. Type of Solicitation 5. Date Issued 6. Requisition/Purchase Number Sealed Bid (IFB)
Negotiated (RFP)
7. Issued By Code 8. Address Offer To (If Other Than Item 7)
NOTE: In sealed bid solicitations ‘offer’ and ‘offeror’ mean ‘bid’ and ‘bidder’.
SOLICITATION
9. Sealed offers in original and copies for furnishing the supplies or services in the Schedule will be received at the place specified in item 8, or if handcarried, in the depository located in until (hour) local time (Date).
Caution - Late Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.
10. For Information A. Name B. Telephone (No Collect Calls) C. E-mail Address
Call: Area Code Number Ext.
11. Table Of Contents
(X) Sec. Description Page(s) (X) Sec. Description Page(s)
Part I - The Schedule Part II - Contract Clauses A Solicitation/Contract Form I Contract Clauses
B Supplies or Services and Prices/Costs Part III - List Of Documents, Exhibits, And Other Attach.
C Description/Specs./Work Statement J List of Attachments D Packaging and Marking Part IV - Representations And Instructions E Inspection and Acceptance K Representations, Certifications, and F Deliveries or Performance Other Statements of Offerors G Contract Administration Data L Instrs., Conds., and Notices to Offerors H Special Contract Requirements M Evaluation Factors for Award
OFFER (Must be fully completed by offeror) NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.
12. In compliance with the above, the undersigned agrees, if this offer is accepted within _____ calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.
13. Discount For Prompt Payment 10 Calendar Days (%) 20 Calendar Days (%) 30 Calendar Days (%) Calendar Days (%) (See Section I, Clause No. 52.232-8)
14. Acknowledgment of Amendments (The offeror acknowledges Amendment No. Date Amendment No. Date receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated):
15A. Name and Code Facility 16. Name and Title of Person Authorized to Sign Offer Address of (Type or Print) Offeror
15B. Telephone Number 15C. Check if Remittance Address is 17. Signature 18. Offer Date Area Code Number Ext. Different From Above – Enter such
Address In Schedule
AWARD (To be completed by Government)
19. Accepted As To Items Numbered 20. Amount 21. Accounting And Appropriation
22. Authority For Using Other Than Full And Open Competition: 23. Submit Invoices To Address Shown In Item
10 U.S.C. 2304(c)( ) 41 U.S.C. 253(c)( ) (4 copies unless otherwise specified)
24. Administered By (If other than Item 7) Code 25. Payment Will Be Made By Code
26. Name of Contracting Officer (Type or Print) 27. United States Of America 28. Award Date
(Signature of Contracting Officer)
IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.
AUTHORIZED FOR LOCAL REPRODUCTION Standard Form 33 (Rev. 9-97) Previous edition is unusable Prescribed By GSA-FAR (48 CFR) 53.214(c)
SPRBL1-25-R-0002
X
2024DEC20
2025JAN3104:30pm
DOA7
2024DEC20 SEE SCHEDULE
SPRBL1
DLA LAND AT ABERDEEN
6565 SURVEILLANCE LOOP, ROOM C1301
APG, MD 21005-1846
AARON D. YOLLES
(443)861-4529
DSCC-ZLAB
AARON.YOLLES@DLA.MIL
X 1 25
1 81
X 1
X 4 X 30
X 32 X 33 X 35
X 41
X 43
X 44
X 57
X 58
X 69
X 79
CONTINUATION SHEET
Reference No. of Document Being Continued Page of
Name of Offeror or Contractor:
PIIN/SIIN MOD/AMD
SECTION A - SUPPLEMENTAL INFORMATION
Buyer Name: AARON D. YOLLES
Buyer Office Symbol/Telephone Number: DSCC-ZLAB/(443)861-4529
Type of Contract 1: Firm Fixed Price
Kind of Contract: Supply Contracts and Priced Orders
*** End of Narrative A0000 ***
This request for proposal will result in a 5-year Firm-Fixed Price (FFP) Indefinite-Delivery/Indefinite- Quantity contract with no option years for supplies and services under FAR Part 15 for the following non-commercial spares:
A8 Frequency Converter, 60 Hz, NSN 5895-01-477-0855
Contract Year: Annual Best Estimated Quantity:
Supply: Service:
2025 437 each 100 each
2026 100 each 350 each
2027 75 each 375 each
2028 50 each 400 each
2029 50 each 400 each
A8 Frequency Converter, 400 Hz, NSN 5895-01-477-0858
Contract Year: Annual Best Estimated Quantity:
Supply: Service:
2025 5 each 10 each
2026 1 each 10 each
2027 1 each 10 each
2028 1 each 10 each
2029 1 each 10 each
Estimated quantities listed above are not guaranteed and should be used for planning purposes only.
The approved source for these NSNs is Technology Research Corporation (TRC), CAGE 60177 and any offeror(s) must prove they are providing approved parts. The Government does not own the complete technical data package for the spare parts for the 3kW The Tactical Quiet
Generators (TQG).
ALTERNATE OFFERS: Procurement Notes L04 Offers for Part Numbered Items (SEP 2016) and M06 Evaluation of Offers for Part Numbered Items
(SEP 2016) are included in this solicitation; however, per Procurement Note M06(3), "Offers of alternate product will not be evaluated for a contract action...(3) When the time proposed for award does not permit evaluation and delay of award would adversely affect the
Government."
Delivery Schedule: Specific performance and schedule requirements will be specified in Task/Delivery Orders issued under this IDIQ contract. This IDIQ contract's ordering period is for five (5) years from the date of contract award with no option years.
Minimum and Maximum Order: At the time of contract award, the Government intends to issue it's first Delivery/Task Order that will satisfy the Government's contractually guaranteed minimum.
MANUFACTURER: Creating Technology Solutions, LLC
CAGE CODE: 60177
GUARANTEED MINIMUM: $10,000
CONTRACT MAXIMUM: $25,000,000.00
Maximum for Services: $ 3,500,000.00
Maximum for Spares : $21,500,000.00
First Article Testing (FAT) is not required for qualified sources for this acquisition.
Ordering Years:
The five-year base period consists of five ordering years as follows:
Ordering Year 1 - Date of Award plus 364 days
Ordering Year 2 - 365 days through 729 days after contract award
Ordering Year 3 - 730 days through 1,094 days after contract award
2 81
Name of Offeror or Contractor:
PIIN/SIIN MOD/AMD
Ordering Year 4 - 1,095 days through 1,459 days after contract award
Ordering Year 5 - 1,460 days through 1,824 days after contract award
Unit Pricing is solicited for F.O.B. Destination.
Shipment must comply with MIL-STD-129R (Standard Practice for Military Marking).
Accelerated delivery to the Government is accepted and encouraged at no additional cost to the Government.
In the event two or more orders are placed on the same delivery schedule within a 60-calendar day timeframe, the orders will be combined, and the Government will receive the price benefit of the larger combined quantity as if the orders had been placed at the same time. In the event of this occurrence, the contracting officer will adjust the unit prices accordingly on the delivery orders in question. Delivery rates will be unaffected by the combination of the orders as described herein. Orders that are placed on the same delivery schedule within a 60-calendar day timeframe that cross over two contract years (i.e., first base year and second base year) are subject to the order combination and price adjustment provisions discussed above; the pricing on the schedule for the earlier contract year will apply for the combined quantity.
WARRANTY: The contractor shall meet the warranty requirements in FAR 52.246-17, Warranty of Supplies of a Noncomplex Nature.
BUY AMERICAN ACT: The DFARS Buy American Act clauses apply to this solicitation/contract and the applicable clauses are:
DFARS 252.225-7000, Buy American Act-Balance of Payment Program Certificate DFARS 252.225-7001, Buy American Act and Balance of Payments
Program DFARS 252.211-7003 Item Unique Identification and Valuation applies to all Spares and Repair items.
CONTRACTOR MANPOWER REPORTING: Contractor Manpower Reporting is required to account for contractor services applicable to the performance of the repair services. Refer to Attachment 0002 Performance Work Statement.
CONTRACTING OFFICER REPRESENTATIVE (COR): A COR will be appointed for the repair portion of the resultant contract.
AUTHORIZED ORDERING ACTIVITIES: DLA-APG will have the ordering authority to issue Delivery Orders (DOs) and contract administration responsibility for the hardware. ACC-APG will have the ordering authority to issue Task Orders (TOs) and contract administration responsibility for the services. DLA-APG will have contract administration responsibility for the basic contract.
COVERED DEFENSE INFORMATION (CDI): This item and/or associated data has been determined to contain, utilize, or generate CDI. CDI is unclassified controlled technical information or other information, as described in the controlled unclassified information registry that requires safeguarding pursuant to DFARS 252.204-7012.
This solicitation incorporates one or more DLAD Procurement Notes by reference, with the same force and effect as if they were given in full text. The full text of a DLAD Procurement Note may be accessed electronically at http://www.dla.mil/HQ/Acquisition/Offers/eProcurement.aspx
This solicitation sets forth instructions to offerors and evaluation factors for award. The Government intends to evaluate proposals based on Lowest Price Technically Acceptable approach as specified in Sections L & M of this solicitation.
This procurement is being managed through the System for Award Management (SAM) website. All documents and proposals must be submitted electronically to SAM or the Contracting Specialist at aaron.yolles@dla.mil. The URL for SAM is https://www.sam.gov . The use of hyperlinks in proposals is prohibited. Offerors need to have a current profile at the System for Award Management (SAM)
(https://www.sam.gov ) in order to submit proposals.
If you have any questions about this request for proposal, please contact the Contract Specialist Aaron Yolles at 223-797-7887 or aaron.yolles@dla.mil.
*** END OF NARRATIVE A0001 ***
3 81
PIIN/SIIN
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS
1001 PRODUCTION YEAR 1 $ _________________ __________________
See Range Pricing
NSN: 5895-01-477-0855
COMMODITY NAME: FREQUENCY INVERTER 60HZ
CLIN CONTRACT TYPE:
Firm Fixed Price
Mfr CAGE: 60177
Mfr Part Number: 29350
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
50 250 $
251 400 $
401 550 $
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) SR W1A8 DLA DISTRIBUTION
DDSP NEW CUMBERLAND FACILITY
2083 NORMANDY DRIVE DOOR 113 TO 134
NEW CUMBERLAND,PA,17070-5002
1002 PRODUCTION YEAR 1 $ _________________ __________________
See Range Pricing
NSN: 5895-01-477-0858
COMMODITY NAME: FREQUENCY INVERTER 400HZ
CLIN CONTRACT TYPE:
Firm Fixed Price
Mfr CAGE: 60177
Mfr Part Number: 29340
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
1 5 $
6 10 $
4 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
11 0 $
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) SR W1A8 DLA DISTRIBUTION
DDSP NEW CUMBERLAND FACILITY
2083 NORMANDY DRIVE DOOR 113 TO 134
NEW CUMBERLAND,PA,17070-5002
1011 TEST AND INSPECT 60HZ YEAR 1 $ ____________________________ __________________
See Range Pricing
SERVICE REQUESTED: TEST AND INSPECT
CLIN CONTRACT TYPE:
Firm Fixed Price
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
100 528 $
Contractor approval is required for
Order Quantity less than 100 units.
A8 FC T&I will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
1012 REPAIR 60HZ YEAR 1 $ __________________ __________________
5 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
SERVICE REQUESTED: MINOR REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
1013 REPAIR 60HZ YEAR 1 $ __________________ __________________
SERVICE REQUESTED: STANDARD REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
1014 REPAIR 60 HZ YEAR 1 $ ___________________ __________________
SERVICE REQUESTED: MAJOR REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
6 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
1022 TEST AND INSPECT 400HZ YEAR 1 $ _____________________________ __________________
See Range Pricing
SERVICE REQUESTED: TEST AND INSPECT
CLIN CONTRACT TYPE:
Firm Fixed Price
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
1 10 $
A8 FC T&I will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
2001 PRODUCTION YEAR 2 $ _________________ __________________
See Range Pricing
NSN: 5895-01-477-0855
COMMODITY NAME: FREQUENCY INVERTER 60HZ
CLIN CONTRACT TYPE:
Firm Fixed Price
Mfr CAGE: 60177
Mfr Part Number: 29350
7 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
50 250 $
251 400 $
401 550 $
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) SR W1A8 DLA DISTRIBUTION
DDSP NEW CUMBERLAND FACILITY
2083 NORMANDY DRIVE DOOR 113 TO 134
NEW CUMBERLAND,PA,17070-5002
2002 PRODUCTION YEAR 2 $ _________________ __________________
See Range Pricing
NSN: 5895-01-477-0858
COMMODITY NAME: FREQUENCY INVERTER 400HZ
CLIN CONTRACT TYPE:
Firm Fixed Price
Mfr CAGE: 60177
Mfr Part Number: 29340
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
1 5 $
6 10 $
11 0 $
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 _________________________
8 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
FOB POINT: Destination
SHIP TO:
(W25G1U) SR W1A8 DLA DISTRIBUTION
DDSP NEW CUMBERLAND FACILITY
2083 NORMANDY DRIVE DOOR 113 TO 134
NEW CUMBERLAND,PA,17070-5002
2011 TEST AND INSPECT 60HZ YEAR 2 $ ____________________________ __________________
See Range Pricing
SERVICE REQUESTED: TEST AND INSPECT
CLIN CONTRACT TYPE:
Firm Fixed Price
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
100 528 $
Contractor approval is required for
Order Quantity less than 100 units.
A8 FC T&I will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
2012 REPAIR 60HZ YEAR 2 $ __________________ __________________
SERVICE REQUESTED: MINOR REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
9 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
2013 REPAIR 60HZ YEAR 2 $ __________________ __________________
SERVICE REQUESTED: STANDARD REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
2014 REPAIR 60HZ YEAR 2 $ __________________ __________________
SERVICE REQUESTED: MAJOR REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
10 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
2022 TEST AND INSPECT 400HZ YEAR 2 $ _____________________________ __________________
See Range Pricing
SERVICE REQUESTED: TEST AND INSPECT
CLIN CONTRACT TYPE:
Firm Fixed Price
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
1 10 $
A8 FC T&I will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
3001 PRODUCTION YEAR 3 $ _________________ __________________
See Range Pricing
NSN: 5895-01-477-0855
COMMODITY NAME: FREQUENCY INVERTER 60HZ
CLIN CONTRACT TYPE:
Firm Fixed Price
Mfr CAGE: 60177
Mfr Part Number: 29350
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
50 250 $
251 400 $
401 550 $
Packaging and Marking _____________________
PACKAGING/PACKING/SPECIFICATIONS:
MIL-STD-2073-1E
LEVEL PRESERVATION: Military
LEVEL PACKING: B
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
11 81
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:
(W25G1U) SR W1A8 DLA DISTRIBUTION
DDSP NEW CUMBERLAND FACILITY
2083 NORMANDY DRIVE DOOR 113 TO 134
NEW CUMBERLAND,PA,17070-5002
3002 PRODUCTION YEAR 3 $ _________________ __________________
See Range Pricing
NSN: 5895-01-477-0858
COMMODITY NAME: FREQUENCY INVERTER 400HZ
CLIN CONTRACT TYPE:
Firm Fixed Price
Mfr CAGE: 60177
Mfr Part Number: 29340
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
1 5 $
6 10 $
11 0 $
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) SR W1A8 DLA DISTRIBUTION
DDSP NEW CUMBERLAND FACILITY
2083 NORMANDY DRIVE DOOR 113 TO 134
NEW CUMBERLAND,PA,17070-5002
3011 TEST AND INSPECT 60HZ YEAR 3 $ ____________________________ __________________
See Range Pricing
SERVICE REQUESTED: TEST AND INSPECT
12 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
CLIN CONTRACT TYPE:
Firm Fixed Price
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
100 528 $
Contractor approval is required for
Order Quantity less than 100 units.
A8 FC T&I will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
3012 REPAIR 60HZ YEAR 3 $ __________________ __________________
SERVICE REQUESTED: MINOR REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
3013 REPAIR 60HZ YEAR 3 $ __________________ __________________
SERVICE REQUESTED: STANDARD REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
13 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
3014 REPAIR 60HZ YEAR 3 $ __________________ __________________
SERVICE REQUESTED: MAJOR REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
3022 TEST AND INSPECT 400HZ YEAR 3 $ _____________________________ __________________
See Range Pricing
SERVICE REQUESTED: TEST AND INSPECT
CLIN CONTRACT TYPE:
Firm Fixed Price
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
1 10 $
14 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
A8 FC T&I will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
4001 PRODUCTION YEAR 4 $ _________________ __________________
See Range Pricing
NSN: 5895-01-477-0855
COMMODITY NAME: FREQUENCY INVERTER 60HZ
CLIN CONTRACT TYPE:
Firm Fixed Price
Mfr CAGE: 60177
Mfr Part Number: 29350
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
50 250 $
251 400 $
401 550 $
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) SR W1A8 DLA DISTRIBUTION
DDSP NEW CUMBERLAND FACILITY
2083 NORMANDY DRIVE DOOR 113 TO 134
NEW CUMBERLAND,PA,17070-5002
4002 PRODUCTION YEAR 4 $ _________________ __________________
15 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
See Range Pricing
NSN: 5895-01-477-0858
COMMODITY NAME: FREQUENCY INVERTER 400HZ
CLIN CONTRACT TYPE:
Firm Fixed Price
Mfr CAGE: 60177
Mfr Part Number: 29340
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
1 5 $
6 10 $
11 0 $
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) SR W1A8 DLA DISTRIBUTION
DDSP NEW CUMBERLAND FACILITY
2083 NORMANDY DRIVE DOOR 113 TO 134
NEW CUMBERLAND,PA,17070-5002
4011 TEST AND INSPECT 60HZ YEAR 4 $ ____________________________ __________________
See Range Pricing
SERVICE REQUESTED: TEST AND INSPECT
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
100 528 $
Contractor approval is required for
Order Quantity less than 100 units.
A8 FC T&I will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
16 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
4012 REPAIR 60HZ YEAR 4 $ __________________ __________________
SERVICE REQUESTED: MINOR REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
4013 REPAIR 60HZ YEAR 4 $ __________________ __________________
SERVICE REQUESTED: STANDARD REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
17 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
4014 REPAIR 60HZ YEAR 4 $ __________________ __________________
SERVICE REQUESTED: MAJOR REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
4022 TEST AND INSPECT 400HZ YEAR 4 $ _____________________________ __________________
See Range Pricing
SERVICE REQUESTED: TEST AND INSPECT
CLIN CONTRACT TYPE:
Firm Fixed Price
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
1 10 $
A8 FC T&I will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
18 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
5001 PRODUCTION YEAR 5 $ _________________ __________________
See Range Pricing
NSN: 5895-01-477-0855
COMMODITY NAME: FREQUENCY INVERTER 60HZ
CLIN CONTRACT TYPE:
Firm Fixed Price
Mfr CAGE: 60177
Mfr Part Number: 29350
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
50 250 $
251 400 $
401 550 $
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) SR W1A8 DLA DISTRIBUTION
DDSP NEW CUMBERLAND FACILITY
2083 NORMANDY DRIVE DOOR 113 TO 134
NEW CUMBERLAND,PA,17070-5002
5002 PRODUCTION YEAR 5 $ _________________ __________________
See Range Pricing
NSN: 5895-01-477-0858
COMMODITY NAME: FREQUENCY INVERTER 400HZ
CLIN CONTRACT TYPE:
Firm Fixed Price
Mfr CAGE: 60177
Mfr Part Number: 29340
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
1 5 $
6 10 $
11 0 $
19 81
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) SR W1A8 DLA DISTRIBUTION
DDSP NEW CUMBERLAND FACILITY
2083 NORMANDY DRIVE DOOR 113 TO 134
NEW CUMBERLAND,PA,17070-5002
5011 TEST AND INSPECT 60HZ YEAR 5 $ ____________________________ __________________
See Range Pricing
SERVICE REQUESTED: TEST AND INSPECT
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
100 528 $
Contractor approval is required for
Order Quantity less than 100 units.
A8 FC T&I will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
5012 REPAIR 60HZ YEAR 5 $ __________________ __________________
SERVICE REQUESTED: MINOR REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
20 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
5013 REPAIR 60HZ YEAR 5 $ __________________ __________________
SERVICE REQUESTED: STANDARD REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
5014 REPAIR 60HZ YEAR 5 $ __________________ __________________
SERVICE REQUESTED: MAJOR REPAIR
CLIN CONTRACT TYPE:
Firm Fixed Price
A8 FC Repair will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
21 81
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)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
5022 TEST AND INSPECT 400HZ YEAR 5 $ _____________________________ __________________
See Range Pricing
SERVICE REQUESTED: TEST AND INSPECT
CLIN CONTRACT TYPE:
Firm Fixed Price
Range Quantities ________________
FROM TO UNIT PRICE ____ __ __________
1 10 $
A8 FC T&I will be conducted
IAW paragraph 6.2 of the PWS, attached in
Attachment 2-Performance Work Statement in Section J.
(End of narrative B001)
Inspection and Acceptance _________________________
INSPECTION: Origin ACCEPTANCE: Origin
Deliveries or Performance _________________________
9000 BASIC CLIN FOR ELIN ___________________
The below ELINs are associated with the Data Item
Numbers on the Contract Data Requirements List (CDRL)
(DD Form 1423), in Section J.
(End of narrative A001)
A001 SCIENTIFIC AND TECHNICAL REPORTS 1 EA $ ** NSP ** $ ** NSP ** ________________________________ ______________ __________________
COMMODITY NAME: CONFIGURATION MANAGEMENT
CLIN CONTRACT TYPE:
22 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
Firm Fixed Price
CDRL A001 applies to the TRD para.
Configuration Baseline and Exhibit A -
CDRL List within Section J.
(End of narrative B001)
Packaging and Marking _____________________
Inspection and Acceptance _________________________
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance _________________________
DOC SUPPL
REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____
001 3
DEL REL CD QUANTITY DEL DATE __________ ______________ ___________
001 1 SEE DD FORM 1423
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
B001 GOVERNMENT PROPERTY INVENTORY REPORT 1 EA $ ** NSP ** $ ** NSP ** ____________________________________ ______________ __________________
COMMODITY NAME: TAV-C
CLIN CONTRACT TYPE:
Firm Fixed Price
Contractor shall complete the required government property inventory reporting in accordance with the PWS Para 8.2.1 and
CDRL list attached in Section J. This CLIN applies during all five (5) years of the ordering period.
(End of narrative B001)
Packaging and Marking _____________________
Inspection and Acceptance _________________________
INSPECTION: Destination ACCEPTANCE: Destination
23 81
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 _________________________
DOC SUPPL
REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____
001 3
DEL REL CD QUANTITY DEL DATE __________ ______________ ___________
001 1 SEE DD FORM 1423
FOB POINT: Destination
SHIP TO:
(W56JSR) XR W6QK ACC-APG
DIV E HQ CECOM CONTRACTING CTR
6565 SURVEILLANCE LOOP
ABERDEEN PROVING GROUND,MD,21005-18
C001 OBSOLESCENCE ALERT NOTICE 1 EA $ ** NSP ** $ ** NSP ** _________________________ ______________ __________________
COMMODITY NAME: OBSOLESCENCE ALERT NOTICE
CLIN CONTRACT TYPE:
Firm Fixed Price
Contractor shall provide the required obsolescence alert notice in accordance with the PWS Para 6.1 and
CDRL list attached in Section J.
(End of narrative B001)
Packaging and Marking _____________________
Inspection and Acceptance _________________________
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance _________________________
DOC SUPPL
REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____
001 3
DEL REL CD QUANTITY DEL DATE __________ ______________ ___________
001 1 SEE DD FORM 1423
FOB POINT: Destination
SHIP TO:
(W56JSR) XR W6QK ACC-APG
DIV E HQ CECOM CONTRACTING CTR
6565 SURVEILLANCE LOOP
ABERDEEN PROVING GROUND,MD,21005-18
24 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
D001 SCIENTIFIC AND TECHNICAL REPORTS 1 EA $ ** NSP ** $ ** NSP ** ________________________________ ______________ __________________
COMMODITY NAME: TEST AND INSPECTION REPORT
CLIN CONTRACT TYPE:
Firm Fixed Price
Contractor shall provide the required
Test and Inspect Report in accordance with the PWS Para 6.8.1.1 and
Exhibit A- CDRL list attached in Section J.
(End of narrative B001)
Packaging and Marking _____________________
Inspection and Acceptance _________________________
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance _________________________
DOC SUPPL
REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____
001 3
DEL REL CD QUANTITY DEL DATE __________ ______________ ___________
001 1 SEE DD FORM 1423
FOB POINT: Destination
SHIP TO:
(W56JSR) XR W6QK ACC-APG
DIV E HQ CECOM CONTRACTING CTR
6565 SURVEILLANCE LOOP
ABERDEEN PROVING GROUND,MD,21005-18
E001 STATUS REPORT 1 EA $ ** NSP ** $ ** NSP ** _____________ ______________ __________________
COMMODITY NAME: STATUS REPORT
CLIN CONTRACT TYPE:
Firm Fixed Price
Contractor shall provide the required
Status Report in accordance with the QASP Para 3.2.3 and
Exhibit A- CDRL list attached in Section J.
(End of narrative B001)
Packaging and Marking _____________________
25 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
Inspection and Acceptance _________________________
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance _________________________
DOC SUPPL
REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____
001 3
DEL REL CD QUANTITY DEL DATE __________ ______________ ___________
001 1 SEE DD FORM 1423
FOB POINT: Destination
SHIP TO:
(W56JSR) XR W6QK ACC-APG
DIV E HQ CECOM CONTRACTING CTR
6565 SURVEILLANCE LOOP
ABERDEEN PROVING GROUND,MD,21005-18
F001 FOREIGN INFLUENCE REPORT 1 EA $ ** NSP ** $ ** NSP ** ________________________ ______________ __________________
COMMODITY NAME: TECH REPORT-STUDY/SERVICES
CLIN CONTRACT TYPE:
Firm Fixed Price
Contractor shall provide the required
Foreign Influence Report in accordance with the PWS Para 4.2 and
Exhibit A- CDRL list attached in Section J.
(End of narrative B001)
Packaging and Marking _____________________
Inspection and Acceptance _________________________
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance _________________________
DOC SUPPL
REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____
001 3
DEL REL CD QUANTITY DEL DATE __________ ______________ ___________
001 1 SEE DD FORM 1423
FOB POINT: Destination
SHIP TO:
(W56JSR) XR W6QK ACC-APG
DIV E HQ CECOM CONTRACTING CTR
26 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
6565 SURVEILLANCE LOOP
ABERDEEN PROVING GROUND,MD,21005-18
G001 GFM REQUISITION AND INVENTORY REPORT 1 EA $ ** NSP ** $ ** NSP ** ____________________________________ ______________ __________________
COMMODITY NAME: TAV-C
CLIN CONTRACT TYPE:
Firm Fixed Price
Contractor shall provide the required
Government Furnished Material (GFM) Requisition and Inventory Report in accordance with the PWS Para 8 and
Exhibit A- CDRL list attached in Section J.
(End of narrative B001)
Packaging and Marking _____________________
Inspection and Acceptance _________________________
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance _________________________
DOC SUPPL
REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____
001 3
DEL REL CD QUANTITY DEL DATE __________ ______________ ___________
001 1 SEE DD FORM 1423
FOB POINT: Destination
SHIP TO:
(W56JSR) XR W6QK ACC-APG
DIV E HQ CECOM CONTRACTING CTR
6565 SURVEILLANCE LOOP
ABERDEEN PROVING GROUND,MD,21005-18
H001 SCIENTIFIC AND TECHNICAL REPORTS 1 EA $ ** NSP ** $ ** NSP ** ________________________________ ______________ __________________
COMMODITY NAME: CONFIGURATION MANAGEMENT
CLIN CONTRACT TYPE:
Firm Fixed Price
Contractor shall provide the required
Inventory Spreadsheet Report in accordance with the PWS Para 3.5 and
Exhibit A- CDRL list attached
27 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
in Section J.
(End of narrative B001)
Packaging and Marking _____________________
Inspection and Acceptance _________________________
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance _________________________
DOC SUPPL
REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____
001 3
DEL REL CD QUANTITY DEL DATE __________ ______________ ___________
001 1 SEE DD FORM 1423
FOB POINT: Destination
SHIP TO:
(W56JSR) XR W6QK ACC-APG
DIV E HQ CECOM CONTRACTING CTR
6565 SURVEILLANCE LOOP
ABERDEEN PROVING GROUND,MD,21005-18
J001 ACCEPTANCE TEST REPORT 1 EA $ ** NSP ** $ ** NSP ** ______________________ ______________ __________________
COMMODITY NAME: ACCEPTANCE TEST REPORT
CLIN CONTRACT TYPE:
Firm Fixed Price
Contractor shall provide the required
Acceptance Test Report in accordance with the PWS Para 6.8.4 and
Exhibit A- CDRL list attached in Section J.
(End of narrative B001)
Packaging and Marking _____________________
Inspection and Acceptance _________________________
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance _________________________
DOC SUPPL
REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____
001 3
DEL REL CD QUANTITY DEL DATE __________ ______________ ___________
001 1 SEE DD FORM 1423
28 81
Page of
Name of Offeror or Contractor:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
Reference No. of Document Being Continued
MOD/AMD
FOB POINT: Destination
SHIP TO:
(W56JSR) XR W6QK ACC-APG
DIV E HQ CECOM CONTRACTING CTR
6565 SURVEILLANCE LOOP
ABERDEEN PROVING GROUND,MD,21005-18
29 81
Name of Offeror or Contractor:
PIIN/SIIN MOD/AMD
SECTION C - 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 June 22, 2018.
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 __;
30 81
Name of Offeror or Contractor:
PIIN/SIIN MOD/AMD
and (ii) state below the Government Agency and contract number under which the material was previously provided:
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.
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