SPRDL1-16-R-0348.pdf

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)

SPRDL1-16-R-0348

X

2017FEB24

2017MAR2811:30pm

DOA4

2017FEB24 SEE SCHEDULE

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

LORI A. SCHERZI-BRUBAKER

(586)282-3189

ZGA

LORI.A.SCHERZI-BRUBAKER.CIV@MAIL.MIL

1 104

X 1

X 5 X 36

X 45 X 47 X 53

X 60

X 62

X 63

X 76

X 77

X 94

X 102

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: LORI A. SCHERZI-BRUBAKER

Buyer Office Symbol/Telephone Number: ZGA/(586)282-3189

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

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

A-1 52.204-4016 WARREN ELECTRONIC CONTRACTING OCT/2015

(TACOM)

(a) All DLA Land Warren solicitations will be publicized on the Federal Business Opportunities website (https://www.fbo.gov). Any additional attachments, including Technical Data Packages (TDPs) when available electronically, will be separate attachments or links embedded in the solicitation.

(b) Unless directed to do otherwise in Section L of this solicitation, vendors are required to submit a quote or proposal via the

Federal Business Opportunities (FBO) system.

(c) Requirements for the online FBO bid submission:

1. Vendors must log into the FBO System to be able to submit electronic responses for opportunities.

2. Vendors must be registered in the System for Award Management (SAM) at www.sam.gov (a Federal Government owned and operated free web site) and have a CAGE Code and CCR Marketing Partner Identification Number (MPIN).

3. Once logged into the FBO System, vendors will be asked to enter basic information and directed to upload one or more files containing the proposal/quote and any additional information as outlined in the solicitation.

4. FBO will send an email to the vendors registered email address confirming the electronic submission.

5. For additional information on submitting electronic bid responses via the FBO system see the FBO Vendor Guide Section 4.3.1

Submitting an Electronic Response (https://www.fbo.gov/downloads/FBO_Vendor_Guide.pdf).

(d) Note to offerors:

Please pay close attention to the solicitation closing date and time as stated on the cover page of this solicitation, local time (EST), for DLA Land Warren. In accordance with FAR 15.208(a), offerors are responsible for submitting proposals, and any revisions, and modifications, so as to be received by the Government office designated in the solicitation by the time specified.

It is Offeror's responsibility to ensure the proposal/quote is received by the date and time specified on the cover page of this solicitation. In accordance with FAR 15.208, if the proposal/quote was not received at the initial point of entry to the Government infrastructure (in this case, received through FBO) by the exact date and time specified on the cover page of this solicitation, it will be determined late. Proposal/quote is defined to mean that ALL volumes or parts required in the solicitation are included in the electronic submission.

Note: There is no "expected" or "target" length of time for proposal submission; size and content may be factors, therefore offerors are strongly cautioned when submitting proposals to allow adequate time for submission.

Solicitations may remain posted on the FBO after the solicitation closing date. If the response deadline has passed for the solicitation, vendors will no longer be able to submit electronic responses. In this case, send any late quotes, if applicable, directly to the contract specialist identified on the cover page of this solicitation.

(e) Any award issued as a result of this solicitation will be distributed electronically. In the event of a FOIA request for a copy of any award issued as a result of this solicitation, or any subsequent modifications to the contract, the contract and modifications will be released, including the awarded unit price. This is the notice required by Executive Order 12600 (June 23, 1987) of our intention to release unit prices in response to any request under the Freedom of Information Act (FOIA), 5 USC 552. Unit price is defined as the contract price per unit or item purchased as it appears in Section B of the contract and is NOT referring to nor does it include Cost or

Pricing data/information. If you object to such release in the base contract or contract modifications, and you intend to submit an offer, notify the contracting officer in writing prior to the closing date identified in this solicitation and include the rationale for your objection consistent with the provisions of FOIA. A release determination will be made based on rationale given.

2 104

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

(f) Questions pertaining to this solicitation should be directed to the Contract Specialist identified on the cover page of this solicitation. For technical assistance in doing business with the Government, and doing business electronically, please visit the

Procurement Technical Assistance Center (PTAC) website at http://www.aptac-us.org/ to locate a regional center.

[End of Provision]

A-2 52.214-4003 ALL OR NONE MAR/1998

(TACOM)

Offers in response to this solicitation must be submitted for the total quantity of the items identified in the solicitation.

(1) ONLY ONE AWARD WILL BE MADE AS A RESULT OF THIS SOLICITATION.

(2) OFFERS SUBMITTED FOR LESS THAN THE TOTAL QUANTITIES OF ALL THE ITEMS IN THIS SOLICITATION ARE INELIGIBLE FOR AWARD.

[End of clause]

A-3 52.215-4000 ACKNOWLEDGMENT OF AMENDMENTS OCT/1993

Acknowledge all the amendments you've received from us by identifying the amendment number and its issue date below:

Amendment Number Date

(End of Provision)

A-4 52.215-4801 NOTICE OF REVERSE AUCTION PROVISION JAN/2014

(DLA LAND-

WARREN)

This solicitation contains standard DLAD provision 52.215-9023, Reverse Auction. After receipt of proposals, the contracting officer will determine if a reverse auction will be conducted. However, the use of a reverse auction does not preclude additional methods of price and/or cost analysis.

If a reverse auction is held, Contractors must be registered in the reverse auction system in order to participate in the auction.

Additionally, the Contractor representative participating in the auction must have taken the on-line reverse auction training prior to the reverse auction. Registration, on-line training, and other information regarding the reverse auction can be found at https://dla.procurexinc.com. If a reverse auction is held and a Contractor that provided a proposal to the solicitation does not participate in the auction, the initially proposed price(s) will be considered and evaluated.

3 104

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

[End of Provision]

***** Procurement Information ******

1. Long Term Contract

2. Total Small Business Set-Aside

3. Items being procured include:

ITEM #1:

3K TANK, FABRIC, COLLAPSIBLE

NSN: 5430-01-473-2318

Mfr CAGE: 97403

Size: I

Mfr Part Number: 3K FUEL ASSY

Minimum 5 Year Quantity: 7 EACH

Maximum 5 Year Quantity: 435 EACH

ITEM #2:

20K TANK, FABRIC, COLLAPSIBLE

NSN: 5430-01-473-2321

Mfr CAGE: 97403

Size: I

Mfr Part Number: 20K FUEL ASSY

Minimum 5 Year Quantity: 10 EACH

Maximum 5 Year Quantity: 798 EACH

ITEM #3:

50K TANK, FABRIC, COLLAPSIBLE

NSN: 5430-01-473-2320

Mfr CAGE: 97403

Size: IV

Mfr Part Number: 50K FUEL ASSY

Minimum 5 Year Quantity: 8 EACH

Maximum 5 Year Quantity: 495 EACH

4. The following items are REQUIRED with all items listed above:

Accessories per 3.7

Berm Liner per 3.13

Emergency Field Repair Kit per 3.14

5. The following items are NOT required:

Long term field repair kit (3.15)

Hose Support Pads (3.16)

Tank chests (see 3.17)

*** END OF NARRATIVE A0001 ***

4 104

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

IN THE FOUR DIGIT ITEM NUMBERS

(CLINS) THAT FOLLOW, THE NUMBERING SYSTEM

THAT IS USED IS AS FOLLOWS:

THE FIRST THREE DIGITS SIGNIFY ITEM AND

THE FOURTH (LAST) DIGIT SIGNIFIES THE

APPLICABLE ORDERING YEAR, i.e., CLIN 0011

IS FOR THE FIRST ITEM - FIRST ORDERING

YEAR, CLIN 0012 IS FOR THE FIRST ITEM -

SECOND ORDERING YEAR, CLIN 0013 IS FOR THE

FIRST ITEM - THIRD ORDERING YEAR, ETC.

THE FINAL LINE ITEM(S) ASSOCIATED WITH EACH

PART, SUCH AS FAT, TECHNICAL MANUALS, SERVICES,

OR TRAINING, WILL BECOME THE LAST ITEM NUMBER

IN NUMERICAL SEQUENCE FOR EACH ITEM, e.g.

0016 (5 YEAR LONG TERM CONTRACT) OR 0014

(3 YEAR LONG TERM CONTRACT). IF MORE THAN

ONE ITEM IS BEING PROCURED, THE NUMBERS WILL

BE 0026 OR 0024 DEPENDING ON THE LENGTH OF THE

LONG TERM CONTRACT.

THE FOLLOWING DEFINITIONS APPLY TO THE

ENTIRE SOLICITATION AND RESULTING CONTRACT:

FIRST ORDERING YEAR OF THE CONTRACT IS THE DATE ___________________

OF AWARD PLUS 364 DAYS.

SECOND ORDERING YEAR OF THE CONTRACT IS 365 DAYS ____________________

THROUGH 729 DAYS AFTER CONTRACT AWARD.

THIRD ORDERING YEAR OF THE CONTRACT IS 730 DAYS ___________________

THROUGH 1,094 DAYS AFTER CONTRACT AWARD.

FOURTH ORDERING YEAR OF THE CONTRACT IS 1,095 ____________________

DAYS THROUGH 1,459 DAYS AFTER CONTRACT AWARD.

FIFTH ORDERING YEAR OF THE CONTRACT IS 1,460 ___________________

DAYS THROUGH 1,824 DAYS AFTER CONTRACT AWARD.

NOTE: THE PRICE APPLICABLE TO AN INDIVIDUAL

ORDER IS THE PRICE FOR THE ORDERING YEAR IN

WHICH THE ORDER IS ISSUED. THE DELIVERY DATE

DOES NOT DETERMINE THE ORDERING YEAR.

The information presented below applies to

Item No. 0011 Through 0015:

Minimum 5 Year Quantity: 7 EACH

Maximum 5 Year Quantity: 435 EACH

ONLY THE MINIMUM 5 YEAR QUANTITY IS

GUARANTEED.

NOTE: EACH ORDERING YEAR IS ONLY AN ESTIMATE. ____

(End of narrative A001)

5 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0011 3K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2318

Mfr CAGE: 97403

Mfr Part Number: 3K FUEL ASSY

0011AA FIRST ORDERING YEAR EST 87 EA $ $ ___________________________ ______________ __________________

COMMODITY NAME: 3K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0012 3K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2318

Mfr CAGE: 97403

Mfr Part Number: 3K FUEL ASSY

0012AA SECOND ORDERING YEAR EST 87 EA $ $ ___________________________ ______________ __________________

COMMODITY NAME: 3K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

6 104

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

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0013 3K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2318

Mfr CAGE: 97403

Mfr Part Number: 3K FUEL ASSY

0013AA THIRD ORDERING YEAR EST 87 EA $ $ ___________________________ ______________ __________________

COMMODITY NAME: 3K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

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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 _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0014 3K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2318

Mfr CAGE: 97403

Mfr Part Number: 3K FUEL ASSY

0014AA FOURTH ORDERING YEAR EST 87 EA $ $ ___________________________ ______________ __________________

COMMODITY NAME: 3K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

8 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0015 3K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2318

Mfr CAGE: 97403

Mfr Part Number: 3K FUEL ASSY

0015AA FIFTH ORDERING YEAR EST 87 EA $ $ ___________________________ ______________ __________________

COMMODITY NAME: 3K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0016 FIRST ARTICLE TEST REPORT 1 EA $ $ _________________________ ______________ __________________

COMMODITY NAME: FIRST ARTICLE TEST REPORT

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 97403

Mfr Part Number: 3K FUEL ASSY

Packaging and Marking _____________________

9 104

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: Destination

Government Approval/Disapproval Days: 30

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00006) SEE FIRST ARTICLE TEST CLAUSE

FOR DISTRIBUTION

0017 DATA ITEMS __________

A001 REPORT, RECORD OF MEETING MINUTES $ ** NSP ** _________________________________ __________________

SERVICE REQUESTED: IN ACCORDANCE WITH C.2

CLIN CONTRACT TYPE:

Firm Fixed Price

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A002 BASIC ISSUE ITEMS (BII) $ $ _______________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.8

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

A003 EXPENDABLE/DURABLE ITEMS LIST (EDIL) $ $ ____________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.9

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

A004 COMPONENT OF END ITEMS LIST (COEI) $ $ __________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.10

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

A005 PROVISIONING AND PRE-PROCUREMENT SCREENING (PPS) $ $ ________________________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.11

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

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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 _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

A006 PROVISIONING PARTS LIST (PPL) $ $ _____________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.4.1

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

A007 ENGINEERING DATA FOR PROVISIONING (EDFP) $ $ ________________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.3

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

12 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(Y00003) SEE NARRATIVE ON DD 1423

A008 PACKAGING DATA $ $ ______________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.13.3

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

A009 SPECIAL PACKAGING INSTRUCTIONS (SPI) $ $ ____________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.13.4.4

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

A010 PACKAGING TEST REPORT $ $ _____________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.13.4.1

CLIN CONTRACT TYPE:

Firm Fixed Price

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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 _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

A011 ITEM UNIQUE IDENTIFICATION (IUID) $ $ _________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH D.3

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

A012 INSPECTION AND TEST PLAN $ $ ________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH E.5.3

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

14 104

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:

(Y00003) SEE NARRATIVE ON DD 1423

A013 MAINTENANCE ANALYSIS (MA) $ $ _________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.7

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

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Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

The information presented below applies to

Item No. 0021 Through 0025:

Minimum 5 Year Quantity: 10 EACH

Maximum 5 Year Quantity: 798 EACH

ONLY THE MINIMUM 5 YEAR QUANTITY IS

GUARANTEED.

NOTE: EACH ORDERING YEAR IS ONLY AN ESTIMATE. ____

(End of narrative A001)

0021 20K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2321

Mfr CAGE: 97403

Mfr Part Number: 20K FUEL ASSY

0021AA FIRST ORDERING YEAR EST 159 EA $ $ ____________________________ ______________ __________________

COMMODITY NAME: 20K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

16 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0022 20K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2321

Mfr CAGE: 97403

Mfr Part Number: 20K FUEL ASSY

0022AA SECOND ORDERING YEAR EST 159 EA $ $ ____________________________ ______________ __________________

COMMODITY NAME: 20K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0023 20K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2321

Mfr CAGE: 97403

Mfr Part Number: 20K FUEL ASSY

0023AA THIRD ORDERING YEAR EST 159 EA $ $ ____________________________ ______________ __________________

17 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

COMMODITY NAME: 20K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0024 20K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2321

Mfr CAGE: 97403

Mfr Part Number: 20K FUEL ASSY

0024AA FOURTH ORDERING YEAR EST 159 EA $ $ ____________________________ ______________ __________________

COMMODITY NAME: 20K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

18 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0025 20K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2321

Mfr CAGE: 97403

Mfr Part Number: 20K FUEL ASSY

0025AA FIFTH ORDERING YEAR EST 159 EA $ $ ____________________________ ______________ __________________

COMMODITY NAME: 20K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

19 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

ITEMS REQUIRED UNDER THIS

REQUISITION.

0026 FIRST ARTICLE TEST REPORT 1 EA $ $ _________________________ ______________ __________________

COMMODITY NAME: FIRST ARTICLE TEST REPORT

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 97403

Mfr Part Number: 20K FUEL ASSY

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00006) SEE FIRST ARTICLE TEST CLAUSE

FOR DISTRIBUTION

0027 DATA ITEMS __________

B001 REPORT, RECORD OF MEETING MINUTES $ ** NSP ** _________________________________ __________________

SERVICE REQUESTED: IN ACCORDANCE WITH C.2

CLIN CONTRACT TYPE:

Firm Fixed Price

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

B002 BASIC ISSUE ITEMS (BII) $ $ _______________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.8

20 104

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

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

B003 EXPENDABLE/DURABLE ITEMS LIST (EDIL) $ $ ____________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.9

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

B004 COMPONENT OF END ITEMS LIST (COEI) $ $ __________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.10

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

21 104

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:

(Y00003) SEE NARRATIVE ON DD 1423

B005 PROVISIONING AND PRE-PROCUREMENT SCREENING (PPS) $ $ ________________________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.11

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

B006 PROVISIONING PARTS LIST (PPL) $ $ _____________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.4.1

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

22 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

B007 ENGINEERING DATA FOR PROVISIONING (EDFP) $ $ ________________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.3

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

B008 PACKAGING DATA $ $ ______________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.13.3

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

B009 SPECIAL PACKAGING INSTRUCTIONS (SPI) $ $ ____________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.13.4.4

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

23 104

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 _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

B010 PACKAGING TEST REPORT $ $ _____________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.13.4.1

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

B011 ITEM UNIQUE IDENTIFICATION (IUID) $ $ _________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH D.3

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

24 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

B012 INSPECTION AND TEST PLAN $ $ ________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH E.5.3

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

B013 MAINTENANCE ANALYSIS (MA) $ $ _________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.7

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

25 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

The information presented below applies to

Item No. 0031 Through 0035:

Minimum 5 Year Quantity: 8 EACH

Maximum 5 Year Quantity: 495 EACH

ONLY THE MINIMUM 5 YEAR QUANTITY IS

GUARANTEED.

NOTE: EACH ORDERING YEAR IS ONLY AN ESTIMATE. ____

(End of narrative A001)

0031 50K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2320

Mfr CAGE: 97403

Mfr Part Number: 50K FUEL ASSY

0031AA FIRST ORDERING YEAR EST 99 EA $ $ ____________________________ ______________ __________________

COMMODITY NAME: 50K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

26 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

ITEMS REQUIRED UNDER THIS

REQUISITION.

0032 50K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2320

Mfr CAGE: 97403

Mfr Part Number: 50K FUEL ASSY

0032AA SECOND ORDERING YEAR EST 99 EA $ $ ____________________________ ______________ __________________

COMMODITY NAME: 50K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0033 50K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2320

Mfr CAGE: 97403

Mfr Part Number: 50K FUEL ASSY

0033AA THIRD ORDERING YEAR EST 99 EA $ $ ____________________________ ______________ __________________

27 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

COMMODITY NAME: 50K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0034 50K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2320

Mfr CAGE: 97403

Mfr Part Number: 50K FUEL ASSY

0034AA FOURTH ORDERING YEAR EST 99 EA $ $ ____________________________ ______________ __________________

COMMODITY NAME: 50K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

28 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0035 50K TANK,FABRIC,COLLAPSIBLE

NSN: 5430-01-473-2320

Mfr CAGE: 97403

Mfr Part Number: 50K FUEL ASSY

0035AA FIFTH ORDERING YEAR EST 99 EA $ $ ____________________________ ______________ __________________

COMMODITY NAME: 50K TANK,FABRIC,COLLAPSIBLE

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: MIL-PRF-32233B

DATE: 04-MAY-2015

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

29 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

REQUISITION.

0036 FIRST ARTICLE TEST REPORT 1 EA $ $ _________________________ ______________ __________________

COMMODITY NAME: FIRST ARTICLE TEST REPORT

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 97403

Mfr Part Number: 50K FUEL ASSY

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Destination

Government Approval/Disapproval Days: 30

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00006) SEE FIRST ARTICLE TEST CLAUSE

FOR DISTRIBUTION

0037 DATA ITEMS __________

C001 REPORT, RECORD OF MEETING MINUTES $ ** NSP ** _________________________________ __________________

SERVICE REQUESTED: IN ACCORDANCE WITH C.2

CLIN CONTRACT TYPE:

Firm Fixed Price

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

C002 BASIC ISSUE ITEMS (BII) $ $ _______________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.8

30 104

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

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

C003 EXPENDABLE/DURABLE ITEMS LIST (EDIL) $ $ ____________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.9

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

C004 COMPONENT OF END ITEMS LIST (COEI) $ $ __________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.10

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

31 104

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:

(Y00003) SEE NARRATIVE ON DD 1423

C005 PROVISIONING AND PRE-PROCUREMENT SCREENING (PPS) $ $ ________________________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.11

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

C006 PROVISIONING PARTS LIST (PPL) $ $ _____________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.4.1

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

32 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

C007 ENGINEERING DATA FOR PROVISIONING (EDFP) $ $ ________________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.3

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

C008 PACKAGING DATA $ $ ______________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.13.3

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

C009 SPECIAL PACKAGING INSTRUCTIONS (SPI) $ $ ____________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.13.4.4

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

33 104

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 _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

C010 PACKAGING TEST REPORT $ $ _____________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.13.4.1

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

C011 ITEM UNIQUE IDENTIFICATION (IUID) $ $ _________________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH D.3

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

34 104

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

C012 INSPECTION AND TEST PLAN $ $ ________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH E.5.3

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

C013 MAINTENANCE ANALYSIS (MA) $ $ _________________________ ______________ __________________

COMMODITY NAME: IN ACCORDANCE WITH C.7

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

35 104

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION C - DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

C.1 LOGISTICS REQUIREMENTS

C.1.1 The TANK, FABRIC, COLLAPSIBLE, 3,000, 20,000 and 50,000 U.S GALLONS and hereafter referred to as 3K, 20K & 50K Fuel Tank

Assemblies, will be manufactured in accordance with MIL-PRF-32233. Specification can be found using ASSIST Quick Search at http://quicksearch.dla.mil/

C.1.2 APPLICABLE DOCUMENTS

Note: The most recent versions of these documents shall be used.

DATA ITEMS:___________

DI-ADMN-81505 REPORT,…