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PACKAGING REQUIREMENTS

PURCHASE INSTRUMENT NUMBER: FD20301900379-00 VERSION: 1

MIL-STD 129 REVISION: R MIL-STD 2073-1 REVISION: E

THE FOLLOWING STATEMENT IS IN COMPLIANCE WITH THE UNITED NATIONS-IMPLEMENTED RESTRICTIONS ON WOOD PACKAGING MATERIAL (WPM). THIS REQUIREMENT IS SPECIFICALLY CONCERNED WITH INVASIVE SPECIES SUCH AS THE PINEWOOD NEMATODE. WPM IS DEFINED AS WOOD PALLETS, SKIDS, LOAD BOARDS, PALLET COLLARS, WOODEN BOXES, REELS, DUNNAGE, CRATES, FRAMES, AND CLEATS. THE STATEMENT BELOW CITES THE REQUIREMENTS IN DETAIL AND COVERS LUMBER FOR BUILDING CONTAINERS AND PALLETS USED FOR DELIVERIES RESULTING IN SHIPMENTS WORLDWIDE (DIRECT, OR THROUGH AIR LOGISTICS CENTERS (ALC), CONTAINER CONSOLIDATION POINTS (CCP), OR OTHER BASES). WOODEN LUMBER, WOODEN

PALLET AND PACKAGING/CONTAINER STATEMENT:

ALL WOODEN LUMBER, WOODEN PALLET'S, AND WOODEN CONTAINERS PRODUCED ENTIRELY OR IN PART OF WOOD PACKING MATERIAL (WPM) SHALL BE CONSTRUCTED FROM DEBARKED WOOD IN ADDITION TO THE APPLICATION OF HEAT-TREATED (HT) MATERIAL (HT TO 56 DEGREES CENTIGRADE OR 133 DEGREES FAHRENHEIT FOR 30 MINUTES). CERTIFICATION/MARKING IS REQUIRED BY AN ACCREDITED AGENCY RECOGNIZED BY THE AMERICAN LUMBER STANDARDS COMMITTEE (ALSC). FOR REFERENCE DOCUMENTATION, SEE LATEST REVISION OF "INTERNATIONAL STANDARDS FOR PHYTOSANITARY MEASURES" (ISPM)NO.15), "REGULATION OF WOOD PACKAGING MATERIAL IN INTERNATIONAL TRADE."

PACRN: PACKAGING REQUIREMENT: PRESERVATION LEVEL: PACKAGING LEVEL: SPI: SPI REV: SPI DATE:

AAA MIL-STD-2073-1 / SPI MIL B F000228400 H 15300 - 27 OCT 2015

ITEM(S):

1560015297630FL 1560DTH180263 1560DTH180264 1560DTH180265

CODED DATA:

QUP ICQ

PRES

METH CD

PRES

MTL

WRAP

MTL

CUSH

DUNN CT

UNIT

CONT

INT

CONT UCL

SPEC

MKG

UNIT PACK

WEIGHT

LENGTH

WIDTH

DEPTH

CUBE OPI

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

CONTAINER GROUP B

VENDOR PACKAGING INSTRUCTIONS:

Military Packaging and Marking Items shall be packaged in accordance with MIL-STD-2073-1, Standard Practice for Military Packaging. Shipping and storage markings shall be in accordance with MIL-STD-129, Standard Practice for Military Marking.

Shipping Container Marking Shipping containers shall be marked meeting the following criteria: (a) MIL-STD-129, Standard Practice for Military Marking. (b) Bar code format shall conform to bar code symbology Format 3 of 9, Code 39 as specified in MIL- STD-129. (c.) Additional marking and/or bar coding requirements exceeding those of MIL-STD-129 (e.g., unit serial numbers, original equipment manufacturers (OEM) name, or OEM model number, as specified on the AFMC Form 158.

ORGANIZATION / OFFICE SYMBOL:

406 SCMS / GULAA

PACKAGING SPECIALIST:

O'Neal, Michael A

PHONE NUMBER:

405-582-9766 / 852-9766

SIGNATURE:

//SIGNED//O'Neal, Michael A

DATE:

18218 - 06 AUG 2018

Page 1 of 1AFMC 158 Version 1Generated by PRPS using Jasper Reports on 27 Aug 2018

TRANSPORTATION DATA FOR SOLICITATIONS

COMMODITY: See Continuation

PURCHASE INSTRUMENT NUMBER:

FD20301900379-00

DATE INITIATED:

06 AUG 2018

STOCK NUMBER: See Continuation

X ORIGIN DESTINATION X OTHER DATA / FIRST ARTICLE F.O.B. DESTINATION(Specify)

F.O.B. TERMS RECOMMENDED AS BEST SUITED FOR THIS PROCUREMENT

TRANSPORTATION PROVISIONS / CLAUSES FAR CITATION

F.O.B. Origin - Prepaid Freight Shipment(s) shall be made with freight transportation costs prepaid by the Contractor, who shall verify with the freight shipment company that rates for this/these shipment(s) are equal to or lower than those used for U.S. Government shipments. If rates are not equal to or lower than those for Government shipments, contact the Contracting Officer for additional instructions. Shipping charges are to be shown as a separate item on the payment invoice. If the charges are $100 or more, a copy of the freight charges invoice must be attached to the payment invoice. Failure to properly annotate the invoice and provide a copy of the carrier's bill may result in those costs being disallowed.

Vendor Transportation Instructions

Freight Classification Description 52.247-53 Contact DCMA Transportation Contact DCMA Transportation on ALL "DCMA Administered" contracts prior to shipment for shipping instructions using the DCMA Shipment Instruction Request (SIR) eTool System, at http://www.dcma.mil <http://www.dcma.mil/> for ALL FOB:

Origin, Foreign Military Sales (FMS), and FOB: Destination OCONUS/Export movements to obtain the appropriate DOD regulatory clearances, shipping documentation and instructions from your cognizant DCMA Transportation Office. If you are new to DCMA, and do not already have a SIR eTool account, you will first need to request an account via DCMA External Web Access Management (EWAM) application which can be accessed at http://www.dcma.mil. If you need additional assistance, email DCMA Transportation Group at: Transportation.Division@dcma.mil. Do not move any freight to a water or aerial port prior to contacting DCMA or it will become frustrated. Failure to contact the responsible DCMA may result in vendor incurring additional expenditures.

Vendor Transportation Instructions

IAW Basic COntract FD20301900379 IAW Basic Contract FD20301900379 Note to Contractor: Contact CTO if problems arise. Ship Door-to-Door commercial express carrier service for movement of MICAP and project codes (TP-1 and TP-2/RDD 777): 122, 123, 700, 780 (With restrictions), 879, 880, 9FF, 9FV, 9FX, 9GF, 9GJ, 9GV, 9GS, 9GD, Surge and 720.

TACRN:

AAA

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 648 47GT 15119Z 01N000 00000 GGGTTT 503000 F03000 FSR: 013352 PSR: K15265

First Destination Transportation Account Code: FRS2

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 1560015297630FL

Purchase Instrument Line Item Number: 0002

Ship to (DoDAAC / MAPAC): FY2303

Mark For: FA MONITOR

Ship To (Address): FY2303 DDOO SOP 1ST ARTICLE

8080 PERIMETER RD BLDG 18 DR 16

TINKER AFB OK 73145

73145 - 3145

USA

WPOD:

APOD:

BBP / CCP:

RIC: 0

Requisition Number:

Supplemental Address:

FMS Case:

CP 405 739 8596

Ship To (Remarks):

EVALUATION OF PORT BID OR PROPOSAL:

Page 1 of 4DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 27 Aug 2018

SOLICITATION DATA NOTES:

OTHER TRANSPORTATION DATA:

AAB

Purchase Instrument Line LOA: 97X4930.FC04 648 47GT 15119Z 01N000 00000 GGGTTT 503000 F03000 FSR: 013352 PSR: K15265

NSN / Pseudo NSN: 1560DTH180265

Purchase Instrument Line Item Number: 0003

Ship to (DoDAAC / MAPAC): FA8111

Ship To (Address): FA8111 AFLCMC LZPED

3001 STAFF DR BLDG 3001 STE 1AB85A

TINKER AFB OK 73145-3303

73145 - 3303

CP 405 736 7455

NSN / Pseudo NSN: 1560DTH180264

Purchase Instrument Line Item Number: 0004

Page 2 of 4DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 27 Aug 2018

NSN / Pseudo NSN: 1560DTH180263

Purchase Instrument Line Item Number: 0005

Test Reports, COC

AAC

Purchase Instrument Line LOA: 97X4930.FC04 648 47GT 15119Z 01N000 00000 GGGTTT 503000 F03000 FSR: 013352 PSR: K15265

NSN / Pseudo NSN: 1560015297630FL

Purchase Instrument Line Item Number: 0001

Ship to (DoDAAC / MAPAC): SW3211

Mark For: ACCT 09

Ship To (Address): DLA DISTRIBUTION DEPOT OKLAHOMA

TINKER AFB OK 73145-8000

73145 - 8000

RIC: 1

3301 F AVE CEN REC BLDG 506 DR 22

Page 3 of 4DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 27 Aug 2018

NAME

Jackson, Willie C

ORGANIZATION / OFFICE

SYMBOL

406 SCMS / GULAA

COMMERCIAL / DSN

PHONE

478-926-8905 / 468-8905

SIGNATURE

//SIGNED//Jackson, Willie C

DATE

06 AUG 2018

Page 4 of 4DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 27 Aug 2018

AutoCAD SHX Text

DATE

DESCRIPTION

LTR

REVISIONS

GROSS WT LBS

GROSS CU FT

B

AS SPECIFIED BELOW AND BILL OF MATERIALS

PACKING

CLOSURE

ICQ

QUP

SERVICEABLE METHOD:

CODE ID

SPI NO (TPO)

NATIONAL STOCK NO.

PART OR DRAWING NO.

CURR REV

ORIG DATE

ITEM NOMENCLATURE

SPECIAL PACKAGING INSTRUCTION

CLEANING & DRYING

PRESERVATION

A

F

H

83224

CNTNR O.D.

CNTNR I.D.

F 00-022-8400

SPI N0.

98748

ILL

AUTH

CHK

PS

LEVEL

SPEC

STYLE

TYPE

CL

VRTY

GR

TR

LEVEL A

LEVEL B

SHEET

OF

UNSERVICEABLE METHOD:

NEW

00-022-8400

83224

SEE TABLE ONE

ALL NON SELF-SEALING FUEL CELL

D. CHOI

M. O'NEAL

H. HOLINSWORTH

C. TROTTER

IAW T.O. 00-85A-03-1

IAW MIL-STD-2073

ASTM-D-6251

N/A

III

III

C

D

E

REVISION

REVISED & REDRAWN

REVISED NSN LIST

CHANGED STYLE AND ADD

TYPE OF CONTAINER

REVISED NSN LIST, UPDATED BOM,

REVISED PRESERVATIVE NOTE "A"

88026

01178

01345

06001

09155

COMPUTER GENERATED

form

DD 2169 MOD

MAR 87

GROUP A

29.17

29.17

GROUP B

SEE TABLES

47 1/4

42 1/4

25 1/4

33.35

33.35

56 1/4

24 1/4

PRESERVATIVE

A) COAT INNER LINING OF ALL NON-VITHANE

FUEL CELLS WITH A THIN COAT OF OIL. SPEC

VV-L-825, NSN 9150-00-273-2388.

OILING WILL BE ACCOMPLISHED WITH AN

TO BE WIPED OFF WITH LINT FREE CHEESE

CLOTH PRIOR TO ANY FURTHER PROCESSING

IN PREPARATION FOR PACKAGING.

B) COVER ALL ACCESS OPENINGS WITH BARRIER

MATERIAL CONFORMING TO MIL-PRF-121

GR. A; AND SEAL WITH

TAPE OR EQUIVALENT

IAW MIL-STD-2073,

ADDED GROUP "C" CONTAINER

09355

GROUP C

112 1/4

29 1/4

80.277

80.277

(THIS DOES NOT APPLY TO BTC-101.)

AIR-OPERATED SPRAY GUN. EXCESS OIL

G

ADDED CAUTION STATEMENT FOR

12184

ITEMS CONTAINING RESIDUAL FUEL

SAE-AMS-T-22085

UNNAILED CLOSURE

H

MODIFIED/RE-ARRANGED

15300

NOTES/MARKINGS/BOM

SEE TABLE ONE

ITEMS CONTAINING RESIDUAL FUEL ARE CONSIDERED

CAUTION

HAZARDOUS MATERIALS AND MUST BE

MATERIAL REGULATION AND CERTIFIED BY

PACKED IAW THE APPROPRIATE HAZARDOUS

AUTHORIZED HAZARDOUS MATERIAL PERSONNEL.

ITEMS WHICH HAVE BEEN DRAINED AND PURGED MUST BE ACCOMPANIED WITH A COMPLETED AFTO FORM 20 OR LOCALLY PRODUCED DOCUMENT CERTIFYING THE ITEM HAS BEEN PROPERLY DRAINED AND PURGED. ITEMS CONTAINING RESIDUAL FUEL MUST BE PACKED IN A LEAK-PROOF LINER, ABSORBENT MATERIALS IN A STRONG OUTER CONTAINER. MARK, LABEL AND DOCUMENT THE PACKAGE AS DANGEROUS GOODS IN APPARATUS, UN3363, CLASS 9 LABEL.

M. HEADLEE

ENGR

ALL NON SELF-SEALING FUEL CELLS

WOOD PACKING ENFORCEMENT REGULATIONS BOTH DATED MAY 30, 2001.)

(ALSC IN ACCORDANCE WITH NON-MANUFACTURED WOOD PACKING POLICY AND NON-MANUFACTURED

IFIED BY AN ACCREDITED AGENCY RECOGNIZED BY THE AMERICAN LUMBER STANDARDS COMMITTEE

CONSTRUCTED FROM HEAT TREATED (HT TO 56 DEG. CENTIGRADE FOR 30 MIN.) MATERIAL AND CERT-

ALL WOODEN PALLETS AND WOOD CONTAINERS PRODUCED OF NON-MANUFACTURED WOOD SHALL BE

DO NOT DESTROY

B)

A)

SPECIAL MARKINGS:

IAW MIL-STD-129

MARKING

F 00-022-8400

C)

PART

NO.

QTY.

MATERIAL SPECIFICATION

SIZE (INCHES UNLESS SPECIFIED)

DESCRIPTION

NOMENCLATURE OR

TOLERANCES ON FRAC. 1/8,

DECIMAL .10, ANGLES 1 .

O

NOT FOR OUTSIDE STORAGE

REUSABLE CONTAINER AND DUNNAGE

SPI NO.

DECK SCREWS

MIL-PRF-131

A/R

TOP INSIDE END CLEAT

PAD, TOP AND BOTTOM

LINER

1/2 X LENGTH X WIDTH AS REQ'D

NSN:5305-00-722-4632 OR EQUIVALENT

ASTM-D-6199

1 X 2 X LENGTH AS REQ'D

#10 X 2

3 1/2 X 3 X LENGTH AS REQUIRED

ASTM-D-4727 CF, WR, DW

1/2 X LENGTH X WIDTH AS REQ'D

TOP INSIDE SIDE CLEAT

AS REQUIRED

SKID/RUBBING STRIP

BANDING, GIRTHWISE

BANDING, TOP CLOSURE

CUSHIONING

1 X 2 X LENGTH AS REQ'D

5/8 X AS REQUIRED

5/8 X AS REQUIRED

ASTM-D-4727 CF, WR, DW

MIL-PRF-121

ASTM-D-3953

ASTM-D-3953

PPP-C-795

& T.O. 00-85A-03-1

(MARK ON TOP OF CONTAINER)

E)

"DO NOT NAIL TOP, USE BANDING ONLY"

D) CELL TEMPERATURE MUST BE AT OR ABOVE 65° F BEFORE REMOVING OR FLEXING CELLS.

F) CONTAINER GROUP NO. (A,B OR C)

G) ARROWS UP

CONTAINER I.D.

VARIES

SEE LEVEL OF PACK

H) FLASH POINT

I) USE NO NAILS, STAPLES OR TACKS

NOTES:

THE TAG AFFIXED TO THE EXTERIOR CONTAINER WILL BEAR THE FOLLOWING STATEMENT: "TANK PURGED TO LOWER EXPLOSIVE LEVEL READING OF 5% AND PRESERVED IAW T.O. 00-85A-03-1".00-85A-03-1".

NEW CELLS THAT HAVE NEVER CONTAINED FUEL SHALL BE IDENTIFIED ON THE EXTERIOR CONTAINER WITH THE FOLLOWING LEGEND BY A REMOVABLE TAG:"NEW CELL-PURGING NOT REQUIRED". WHEN NEW CELLS ARE REMOVED FROM CONTAINER, TAG STATING "NEW CELL PURGING NOT REQUIRED", WILL BE REMOVED.

A ROLL OR TUBE OF SINGLE-FACED CORRUGATED FIBERBOARD A-A-1051 NOT LESS THAN FOUR INCHES IN DIAMETER, SHALL BE INSERTED INSIDE AND ADJACENT TO PREVENT CREASES, THE CELL SHALL NOT BE COMPRESSED EXCESSIVELY.

WRAP CELL WITH MIL-PRF-131 P/N IAW T.O. 00-85A-03-1

COVER FITTINGS WITH MIL-PRF-121 P/N AND SEAL WITH SAE-AMS-TE-22085 TAPE OR EQUIVALENT.

INSTALL P/N & TO COVER ALL SURFACES OF INTERIOR OF CONTAINER. ALL VOIDS MUST BE FILLED WITH P/N TO PREVENT ITEM MOVEMENT.

CAUTION: CHECK INSIDE OF CONTAINER FOR ANY PROTRUSIONS PRIOR TO INSERTING FUEL CELL.

CONTAINER MUST BE ASSEMBLED USING DECK SCREWS P/N .

DO NOT NAIL TOP CLOSURE. CLOSURE WILL BE ACCOMPLISHED USING P/N . NAILS WILL CAUSE PUNCTURES IN THE FUEL CELL. BAND ONLY.

NEVER REMOVE BANDING P/N . IF BANDING BEGINS TO BECOME LOOSE, REPLACE WITH NEW BANDING. NEVER SHIP THIS CONTAINER WITHOUT THIS BANDING.

NAILS, TACKS, STAPLES OR OTHER METAL FASTENERS SHALL NOT BE USED FOR ATTACHING SHIPPING DOCUMENTS, CONDITION TAGS, ENVELOPES, PACKING LIST, ETC. TO THE CONTAINER.

IF APPLICABLE, MARK TYPE AND FLASH POINT OF PURGING FLUID IAW AFI 24-203, 4.3.3 , MARK TYPE AND FLASH POINT OF PURGING FLUID IAW AFI 24-203, 4.3.3 AND AFMAN 24-204, A3.3.9.5.4.

1 1/2 (TYP.)

BOTTOM SIDE

CONTAINER TOP

2" CHAMFER TYP. 4 CORNERS

2" CHAMFER TYP. 4 CORNERS

1560-00-652-0494 FL

1560-00-607-5155 FL

GROSS WEIGHT

NSN

KC 135 TANK CONTAINER GROUP "B"

1560-00-608-3875 FL

1560-00-607-5153 FL

1560-00-608-3870 FL

1560-00-608-3877 FL

1560-00-608-3871 FL

1560-00-608-3881 FL

1560-00-608-3872 FL

1560-00-565-6406 FL

1560-00-608-3873 FL

1560-00-621-0797 FL

1560-00-110-3058 FL

1560-00-110-3060 FL

1560-00-072-5459 FL

1560-01-085-4163 FL

1560-00-608-3863 FL

1560-00-564-4779 FL

1560-01-085-4162 FL

1560-01-085-2132 FL

1560-01-085-2131 FL

1560-00-110-3059 FL

1560-00-072-5458 FL

1560-00-608-3862 FL

1560-00-608-3876 FL

1560-00-072-5457 FL

1560-00-110-3057 FL

1560-00-608-3861 FL

1560-00-608-3879 FL

1560-01-085-4161 FL

1560-00-022-8400 FL

1560-00-608-3860 FL

1560-01-529-7627 FL

1560-01-286-0744 FL

1560-00-607-5152 FL

1560-00-463-7576 FL

1560-00-463-7575 FL

1560-01-530-1913 FL

1560-01-530-1912 FL

1560-01-529-7631 FL

1560-01-529-7632 FL

1560-01-529-7634 FL

1560-01-529-8635 FL

1560-01-566-7240 FL

KC 135 TANK CONTAINER GROUP "A"

1560-00-564-4780 FL

1560-00-608-3864 FL

1560-00-564-4781 FL

1560-00-608-3865 FL

1560-00-564-4782 FL

1560-00-608-3866 FL

1560-00-564-4783 FL

1560-00-608-3867 FL

1560-00-565-6402 FL

1560-00-608-3868 FL

1560-00-564-4784 FL

1560-00-608-3869 FL

E3A CONTAINER GROUP "A"

1560-01-015-7874 AW

1560-01-013-2738 AW

1560-01-013-2739 AW

1560-01-015-6054 AW

1560-01-021-4821 AW

1560-01-022-8962 AW

1560-01-033-2874 AW

1560-01-469-9897 FL

1560-00-607-5154 FL

1560-00-608-3874 FL

1560-01-625-2675 FL

1560-01-623-4208 FL

1560-01-623-4205 FL

1560-01-623-0370 FL

1560-01-623-0373 FL

1560-00-624-7772 FG

1560-00-652-8790 FG

1560-00-673-8953 FG

1560-00-624-7771 FG

1560-00-652-8799 FG

1560-00-673-8955 FG

1560-00-652-8800 FG

1560-00-673-8956 FG

1560-00-624-7774 FG

1560-00-673-8954 FG

1560-00-624-7773 FG

1560-00-652-8791 FG

1560-01-522-1615 FG

1560-00-624-7775 FG

B-52 G & H TANK CONTAINER GROUP "B"

1560-00-652-8801 FG

1560-00-673-8957 FG

1560-00-624-7776 FG

1560-00-652-8802 FG

1560-00-673-8958 FG

1560-00-624-7777 FG

1560-00-652-8803 FG

1560-00-673-8959 FG

KC 135 TANK CONTAINER GROUP "B"

1560-01-529-8392 FL

1560-01-530-2924 FL

1560-01-080-4055 FL

1560-01-530-2926 FL

1560-01-529-7625 FL

1560-01-198-1988 FL

1560-01-529-8391 FL

1560-01-529-8393 FL

1560-01-529-7626 FL

1560-01-529-7630 FL

1560-01-529-7635 FL

1560-01-522-2637 FG

1560-01-522-1614 FG

1560-01-522-0552 FG

1560-01-522-0554 FG

1560-01-522-1172 FG

1560-01-521-2563 FG

B-52 G & H TANK CONTAINER GROUP "C"

BID SET REQUEST Page 1 of 1

DATE GENERATED

27 AUG 2018 1

VERSION

FD20301900379-00

PURCHASE INSTRUMENT NUMBER

INITIATOR

Apollonio, Brandon M

ORG / OFFICE SYMBOL

424 SCMS / GUMB

DSN PHONE

336-2689

COMMERCIAL PHONE

405-736-2689 07 AUG 2018

DATE INITIATED

BID SET REQUEST DELAYED FOR THE FOLLOWING REASON

METHOD OF DELIVERY

BOEING RIGHTS GUARD CD

LOCATION OF BID SET

REMARKS

BID SET REQUEST LINE ITEM DATA

0001LINE ITEM

81205CAGE:1560015297630FLNSN: REFERENCE NUMBER: 10-2455-20

CELL,FUEL,AIRCRAFTNOUN:

1 / C 05 MAR 2020EXP DATE:

13USE VERSION: 05 MAR 2015DATED:

Complete, Use RevisionBID SET STATUS:

JOB/QUEUE ID: DISTRUBUTION CODE: IMAGES:

AMC / AMSC AMC / AMSC:

EDLEDL

BID SET REQUEST COMPLETED BY

Emerich, Debra M

ORG / OFFICE SYMBOL

429 SCMS / GUMAC

DSN PHONE

336-4210

COMMERCIAL PHONE

405-734-4210

DATE COMPLETED

17 AUG 2018

BIDSET Generated by PRPS using Jasper Reports on 27 Aug 2018 Version 1 Page 1 of 1

CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Executive Services Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

C/KC-135 / Cell, Fuel, Aircraft

E. CONTRACT / PR NO.

FD20301900379

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

First Article Inspection Test Report

4. AUTHORITY

DI-NDTI-80809B/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

6. REQUIRING OFFICE

AFLCMC/LZPED

7. DD 250 REQ

NO

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

1 XTIME

11. AS OF DATE

Test Day

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 09 AUG 2018DATE:

BLOCK 7: ALL INSPECTION AND ACCEPTANCE SHALL BE AT DESTINATION UTILIZING WAWF. A

COMBINATION OF AN INVOICE AND RECEIVING REPORT SHALL BE SUBMITTED THROUGH WAWF IN

ORDER TO RECEIVE PAYMENT FOR DATA REPORTS.

BLOCK 8: GOVERNMENT WRITTEN NOTICE OF APPROVAL/DISAPPROVAL IS DUE 90 DAYS AFTER

RECEIPT OF CONTRACTOR'S REPORT.

BLOCK 9: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is

848 SCMG/424 GUEA.

Disposal and destruction notices: Dispose of by putting it in a recycle container or regular trash receptacle.

BLOCK 12: 180 DAYS AFTER CONTRACT AWARD.

BLOCK 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

SEE ATTACHED DD FORM 1664, DATA ITEM DESCRIPTION.

A. THE PURPOSE OF THE FIRST ARTICLE INSPECTION IS TO GIVE OBJECTIVE EVIDENCE THAT ALL

ENGINEERING, DESIGN AND SPECIFICATION REQUIREMENTS ARE CORRECTLY UNDERSTOOD,

ACCOUNTED FOR, VERIFIED AND RECORDED.

B. SHOW COMPLETION OF INSPECTION AND RESULTS OF INSPECTION PERFORMED TO

DEMONSTRATE THAT THE FIRST ARTICLE UNIT(S) CONFORM TO THE APPLICABLE CONTRACT

TECHNICAL REQUIREMENTS.

C. REPORT SHALL DELINEATE THE SPECIFIC RESULTS OBTAINED, THE WITNESSES, AND ANY

OTHER PERTINENT OBSERVATIONS.

D. INSPECTION RESULTS SHALL BE THE APPLICABLE VARIABLE & ATTRIBUTE DATA IN THE FORM

OF RECORDINGS, INSTRUMENT READINGS AND RELATED DATA.

E. AS APPLICABLE, THE FIRST ARTICLE INSPECTION TEST REPORT SHOULD IDENTIFY ANY

DEVIATIONS OR LIMITATIONS IN THE FIRST ARTICLE UNIT(S) INVOLVED.

DELETE PARAS: 10.2.4(a), 10.2.5, 10.2.6.2, 10.2.6.3, 10.2.6.4.2(b-d), 10.2.6.5, 10.2.6.6, 10.2.7.2 & 10.2.8

AS 9102 FORMAT OR EQUIVALENT IS ACCEPTABLE.

424 SCMS/GUEA 0 1 0

FA MONITOR DODAAC

FA8111

3001 STAFF DRIVE, STE

1AB85A

TINKER AFB, OK 73145-

0 1 0

0 2 015. TOTAL

Page 1 of 3DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 27 Aug 2018

PREVIOUS EDITION MAY BE USED.

REMARK APPLICABLE TO HAZARDOUS ITEMS ONLY: THE TESTS REQUIRED ARE AS

SPECIFIED IN CHAPTER 9 OF THE UNITED NATIONS TRANSPORT OF DANGEROUS GOODS (ORANGE

BOOK) RECOMMENDATIONS.

COORDINATORS:

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

15 AUG 2018

I. APPROVED BY

//DIGITALLY SIGNED//

YOST.MATTHEW.J.1231304815

424 SCMS / GUEA 405-734-7495 / 884-7495

J. DATE

A002

Certification Data for Material

DI-MISC-81020/T

Zilar, Dale NNAME: 02 AUG 2018DATE:

BLOCK 9: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is

Disposal and destruction notices: Dispose of by putting it in a recycle container or regular trash receptacle.

BLOCKS 10 & 12: WITH FIRST ARTICLE SUBMITTAL.

BLOCK 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.

1. CONTRACTOR FORMAT AUTHORIZED, MATERIAL CERTIFICATION SHALL BE SUPPLIED WITH ALL FIRST ARTICLES. COPIES OF ORIGINAL CERTIFICATION SHALL BE PROVIDED IF THE CONTRACT IS

AWARDED TO THE ORIGINAL MANUFACTURER, AND THE ITEM SHALL BE MADE FROM THE SAME

LOT OF MATERIAL. IF A NEW LOT OF MATERIAL IS USED TO PRODUCE THE ITEM, A NEW MATERIAL

CERTIFICATION SHALL BE REQUIRED. IF THE FIRST ARTICLE IS WAIVED, THE MATERIAL

CERTIFICATION IS ALSO WAIVED.

2. CHANGES TO THE DATA ITEM DESCRIPTION:

2.1 CHANGE TITLE (BLOCK 3) TO READ CERTIFICATION DATA FOR MATERIAL.

2.2 PARAGRAPH 3.1 (FIRST LINE) DELETE THE WORDS "FOR NON-NUCLEAR LEVEL 1" AND (FOURTH

LINE) DELETE THE WORDS "LEVEL 1".

424 SCMS/GUEA

3001 Staff Dr.

Tinker AFB, OK 73145

FA MONITOR, DODAAC

FA8111

3001 STAFF DR., STE 1AB

85A

TINKER AFB, OK 73145-

0 2 015. TOTAL

Page 2 of 3DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 27 Aug 2018

A003

Certificate of Compliance

DI-MISC-81356A

Zilar, Dale NNAME: 27 JUL 2018DATE:

BLOCK 9: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is

Disposal and destruction notices: Dispose of by putting it in a recycle container or regular trash receptacle.

BLOCKS 10 & 12: WITH FIRST ARTICLE SUBMITTAL.

BLOCK 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.

1. CONTRACTOR FORMAT AUTHORIZED, CERTIFICATE OF COMPLIANCE SHALL BE SUPPLIED WITH ALL FIRST ARTICLES. COPIES OF ORIGINAL CERTIFICATION SHALL BE PROVIDED IF THE CONTRACT IS AWARDED TO THE ORIGINAL MANUFACTURER, AND THE ITEM SHALL BE MADE FROM THE SAME LOT OF MATERIAL. IF A NEW LOT OF MATERIAL IS USED TO PRODUCE THE ITEM, A NEW MATERIAL CERTIFICATION SHALL BE REQUIRED. IF THE FIRST ARTICLE IS WAIVED, THE CERTIFICATE OF

COMPLIANCE IS ALSO WAIVED.

3001 Staff Dr.

Tinker AFB, OK 73145

0 1 015. TOTAL

Page 3 of 3DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 27 Aug 2018

DATA ITEM DESCRIPTION I Form Approved OMB No.0704.0188

1.nTLE 2.IOENTIFICATIONNUMBER

TEST/ INSPECTION REPORT DI-NM’I-80809B

L OESCRIPTlOtVPURPOSE

3.1 The testl inspection report is used to document testl inspection results, findings, and analyses that will enable the government or contracting agency to evaluate compliance with system requirements, performance objectives, specifications, and test linspection plans.

1.APPROVALDATE 5.OFFICEOFPRIMARYRESPONSIBILITY(OPB) Ea.DTICAPPLICABLE 6b.CWIEP AppliCable

(YVMMOD)

F/AFMC-DCJP

970124

,.APPLlCAT\0NflNTER7iElAT10NSH1P

7.1 This data item description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement

I as delineated in the contract.

I

7.2 This DID is applicable to engineering (developmental ), preliminary qualification, qualification, and acceptance testing.

7.3 This DID supersedes DI-NDTI-80809A and DI-MISC-80653

1.APPROVALLIMITATION 9a.APPLICABLEFORMS 9b.AMSCNUMBER

F7231

10,PREPARATIONlNSTRUCnONS

10.1 Format. Contractor format is acceptable.

paragraph 10.2 and its subparagraphs in a manner understanding

10.2 CQnL!aL. The test/inspection report shall

applicable.

Organize the information required by that facilitates presentation and contain the following information, as

10. 2.1 Cove. and tile uaae. The following information shall appear on the outside front :over and title page:

a. Report date.

b. Report number (contractor or government)

Contractor’ s name, address, and commercia 1 and government entity code.

Contract number and contract line item number or sequence number (if applicable)

e. ‘fvpe of test/inspection (for example. first article acceptance test, aualitv con formanc-e-inspection, d-evelopmental test-, qualification test, f Identification of item tested/inspected.

9. Date or period of test/inspection.

h. Name and address of requiring government activity.

i. Security classification, downgrading and declassifying environmental Lest) .“ information, if applicable.

(Continued on page 2 )

1.DIS77UBUTIONSTATEMEW

DISTRIBUTION STATEMRNT A : APPROVED FOR PUBLIC RELBASE; DISTRIBUTION IS UNLIMITED.

ID Form 1664,APR 89 PreviOLIsedtliomwe obsdem. Page 1 of & Pages 39123

DI-NDTI-80809B

Block 10, Preparation Instructions (continued)

10.2.2 ~. The table of contents shall identify the following:

a. The title and starting page of each major section, paragraph, and apPendix of the report.

b. The page, identifying number, and title of each illustration (for example; figure, table, photograph, chart, and drawing)

10 .2.3 -ductim. The introduction shall include the following information:

10.2 .3.1 obyectlve W. The specific test/ inspection objective (s) as specified in the contract tasking document.

10. 2.3.2 L.temls) tes~. Complete identification of the item(s) testedl inspected including the following:

a. Nomenclature.

b. National stock number.

Model number, part number t and serial number :: Type of item (for example, prototype, production item, laboratory model )

e. Serial or lot number.

f. Applicable engineering changes

9. Production item specification, if applicable.

h. Date of manufacture.

10.2 .3.3 Complete inspection requirements correlated to contractual

Required testl inspection parameters :: Performance requirements, acceptance or environmental criteria.

10.2.4 ~. Complete test/inspection report identification of the testl requirements including the compliance limits, and summary including the

a. A brief discussion of the significant test/inspection results, ObSerVati Qns, conclusions, and recommendations covered in greater detail elsewhere in the report.

b. Proposed corrective actions and schedules for failures or problems encountered.

c. Identification of deviations, departures, or limitations encountered, referenced to the contract requirements.

d. Tables, graphs, illustrations, or charts as appropriate to simplify the summary data.

10.2.5 ~. Complete identification of all documents referenced in the test finspection report including the following, as applicable:

a. Prior testf inspection reports on the same item.

b. Test /inspection plans and procedure documents

c. Prior certifications of compliance.

d. Contractor’ s file designation where test/ inspection records are maintained.

e. Input parameters used.

The applicable issue of the documents cited therein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract.

Page 2 of 4 Pages

10.2.6 ~. The body of the testlinspection report shall be as follows :

10 .2.6.1 KzZL_ + de.tlflca~.

Complete identification of each item of test equipment used in the testlinspection including the following:

a.

b.

c.

d.

e.

f.

9.

10. 2.6.2

Nomenclature.

Model number.

Serial number.

Manufacturer.

Calibration status.

Accuracy data.

Comments, if applicable.

Testlinmection kuhtv mstd.b&mn and set–w. Complete description of the physical set-up used in conducting the test/inspection to include the following:

a. Location or orientation of the item.

b. Location. orientation, or settinm of test equipment and instrumentation.

c. Location, orientation, or settings of sensors and probes

d. Location or orientation of interconnections, cables, and hoop-ups.

e. Electrical power, pneumatic, fluidic, and hydraulic requirements.

Drawings, illustrations, and photographs maY be used for clarification.

10 .2.6.3 wrocedur~. Complete description of the procedures used in conducting the test/inspection to include the following:

a. Item selection and inspection that verified suitability for test/ inspection.

b. Summarized sequence of testing/inspection steps, including a description of how the item was operated during the test/inspection, and any control conditions imposed.

10 .2.6.4 A copy of all testlinspection results and analysis to include the following:

10.2.6 .4.1 ~. The actual recorded data (for example, log book entries, oscillographs, instrument readings, plotter graphs) If the recorded data is extensive, provide it in an appendix.

10. 2.6.4.2 Test/ insQec!iion resu. Identification of all testlinspection results to include the following:

a. Matrices comparing results achieved against test/inspection objectives or requirements

b. A discussion of these matrices as to their significance, and how they compare to any prior testlinspections.

Calculation examples.

;; Discussion of anomalies, deviations, discrepancies, or failures, including their impact, causes, and proposed corrective actions The discussion shall address discrepancies between design requirements and the tested/inspected Configuration.

10. 2.6.5 Conclusicxls Test/ inspection conclusions distinguished between objective and subjective to include the following:

a. The effectiveness of the testlinspection procedures in measuring item performance.

Page 3 of 4 Pages

b. The success or failure of the item to meet required test/inspection objectives.

c. The need for repeat, additional, or alternative tests linspections.

d. The need for item redesign or further development.

e. The need for improved test/inspection procedures, techniques, or facilities.

f. The adequacy and completeness of the test/inspection requirements.

10.2 .6.6 Recommendations appropriate to the test/inspection results and conclusions including the following:

a b.

c.

d.

e.

f.

h.

Acceptability of the item tested/inspected (pass or fail) Additional testing/inspection required. ,.

Redesign required.

Problem resolution.

Test/inspection procedure or facility improvements Disposition of items tested/inspected.

Documentation changes required.

Testing/ inspection improvements

10.2.7 The following certifications shall be included, .as

applicable:

10.2 .7.1 A statement that the testlinspection was performed in accordance with applicable testlinspection plans and procedures, and that the results are true and accurate. The authentication shall include the signature of the contractor personnel that performed the test(s) /inspection(s) , a contractor representative authorized to make such certification, and any government witnesses

10.2 .7.2 A statement identifying those requirements not tested/inspected or measured that were previously validated.

Include identification of the data and method employed for such validation (for example, prior test/inspection, analytical verification, equivalent item, and so on) The authentication shall include the signature of a contractor representative authorized to make such authentication and any government witness.

10.2 .7.3 A statement that the item tested/ inspected either passed or failed item acceptability requirements This authentication shall include the signature of a contractor representative authorized to make such authentication and any government witness

10.2.8 Appendices shall be used to append detailed

test/inspection daia, drawings, photographs , or other documentation too voluminous to include in the main body of the report This includes referenced documentation not previously provided by the government, and test/ inspection reports from any associated test/inspection activity that may have performed some of the testing/inspecting requirements.

Page 4 of 4 Pages

DATA ITEM DESCRIPTION

Title: Certificate of Compliance Number DI-MISC-81356A Approval Date: 20071218 AMSC Number: N9036 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Office of Primary Responsibility: NAVICP Code 8741 Applicable Forms: N/A

Use/Relationship: The Certificate of Compliance provides certification from the contractor that the materiel supplied is in full compliance with all contract requirements. This DID contains the format, content, and intended use information for the data deliverable required by the contract.

This DID supersedes DI-MISC-81356.

Requirements:

1. Format. The Certificate of Compliance shall be presented in a format similar to that of Figure 1.

2. Content. The Certificate of Compliance shall contain:

a. Contractor’s name.

b. Contractor’s address.

c. Contractor’s phone number.

d. Date.

e. Contracting Agency’s name.

f. Contract Number.

g. National Stock Number (NSN).

h. Item nomenclature.

i. A statement certifying that all items furnished on the contract are in full compliance with all specification and contract requirements.

j. Authorized personnel’s signature.

k. Authorized personnel’s printed name and title.

DI-MISC-81356A

From: ______________________ (Contractor’s name)

Address: ______________________ (Contractor’s address)

Phone Number: ________________ (Contractor’s phone number)

Date: ________________

To: _______________ (Contracting Agency)

Contract Number: _______________

National Stock Number: _______________

Item Nomenclature: ___________________

“All items furnished on this contract are in full compliance with all specification and contract requirements.”

(Signature of Authorized Personnel

(Printed Name and Title of Authorized Personnel)

Note: The recording of false, fictitious, or fraudulent statements or entries on this document may be punished as a felony under Federal Statutes.

3. End of DI-MISC-81356A

Figure 1 – Sample format for a Certificate of Compliance

STANDARD FORM 1447 (2/2012)

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

4. SOLICITATION NUMBER

SPRTA1-19-R-0199

X

6.SOLICITATION ISSUE DATE

5 FEB 2019

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

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

HUBZONE SMALL

BUSINESS EDWOSB

SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS NAICS CODE: 336413

8(A) SIZE STANDARD: 1250

DATE SIGNED

28. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

26. AWARD OF CONTRACT: YOUR OFFER ON SOLICITATION NUMBER

SHOWN IN BLOCK 4 INCLUDING ANY ADDITIONS OR CHANGES WHICH

ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

Subject to the terms and conditions stated herein, the Contractor agrees to hold its offered prices firm for 120 days.

--SPARES REQUIREMENT

--FIRST ARTICLE REQUIRED - See Conditions for First Article Waiver

--NEW MANUFACTURE MATERIAL ONLY - SURPLUS NOT ACCEPTABLE, AMC 1/C

--VENDORS MUST BE AN APPROVED SOURCE ACCORDING TO THE QUALIFICATION REQUIREMENTS IAW CLAUSE 52.209-1 AT TIME OF AWARD --This is an EXPORT CONTROLLED requirement. You are REQUIRED to be "EXPORT CONTROLLED" certified in order to receive and view the drawings for this solicitation. If your company intends to become Export Control Certified, a web site for registration exists: http://www.dlis.dla.mil/jcp/.

--This is a Boeing Rights Guard requirement. You are REQUIRED to be RIGHTS GUARD certified in order to receive and view the drawings for this solicitation. Contact rhonda.white.5@us.af.mil to receive the data package.

--Accelerated & consolidated deliveries are acceptable.

--Clause 252.211-7003 is applicable.

22.

AMOUNT

16. AUTHORITY FOR USING OTHER THAN 10 USC 2304 41 USC 253

FULL AND OPEN COMPETITION (c) ( ) (c) ( )

DATE SIGNED

27. SIGNATURE OF OFFEROR/CONTRACTOR

20.

UNIT

21.

UNIT PRICE

19.

QUANTITY

13. CONTRACTOR OFFEROR CODE FACILITY CODE

11. IF OFFER IS ACCEPTED BY THE GOVERNMENT WITHIN * ___ CALENDAR DAYS (60 CALENDAR DAYS UNLESS OFFEROR

INSERTS A DIFFERENT PERIOD) FROM THE DATE SET FORTH IN BLK 9 ABOVE, THE CONTRACTOR AGREES TO HOLD ITS

OFFERED PRICES FIRM FOR THE ITEMS SOLICITED HEREIN AND TO ACCEPT ANY RESULTING CONTRACT SUBJECT TO

THE TERMS AND CONDITIONS STATED HEREIN. *120

RATING

DO: A1

3. AWARD/EFFECTIVE DATE

SPRTA1

2. CONTRACT NO.

CHECK IF REMITTANCE IS DIFFERENT

AND PUT SUCH ADDRESS IN OFFER

17.

ITEM NO.

12. ADMINISTERED BY CODE

Total

SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK: 14

SCD:B

NAME AND TITLE OF SIGNER (TYPE OR PRINT) NAME OF CONTRACTING OFFICER

24. AWARD AMOUNT (FOR GOVT USE ONLY)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAY DISCOUNT

25. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SETFORTH OR OTHERWISE

IDENTIFIED ABOVE AND ON ANY CONTINUATION SHEETS SUBJECT

THE TERMS AND CONDITIONS SPECIFIED HEREIN.

10. ITEMS TO BE PURCHASED (BRIEF DESCRIPTION)

SUPPLIES SERVICES Other Aircraft Part and Auxiliary Equipment Manufacturing

LATE OFFERS ARE SUBJECT TO LATE PROPOSAL PROVISIONS INCORPORATED HEREIN. ALL OFFERS ARE SUBJECT TO SUCH PROVISIONS, REPRESENTATIONS, CERTIFICATIONS AND SPECIFICATIONS AS ARE ATTACHED OR INCORPORATED BY REFERENCE. SOLICITATION: OFFERS WILL BE RECEIVED AT THE ISSUING OFFICE

UNTIL

7-MAR-2019 3:00PM

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

7. ISSUED BY CODE

DLA AVIATION AT OKLAHOMA CITY, OK

DLR PROCUREMENT OPERATIONS (AO)

3001 STAFF DRIVE

TINKER AFB OK 73145-3070

BUYER: Rhonda L. White/DLA-AOBA rhonda.white.5@us.af.mil Phone: (405) 855- 3570 Fax: (405) 739-4237 No Collect Calls

1. THIS CONTRACT IS A RATED ORDER UNDER DPAS

(15 CFR 350)SOLICITATION/CONTRACT

BIDDER/OFFEROR TO COMPLETE BLOCKS 11, 13, 15, 21, 22, & 27.

J

SF 1447 (rev 2/2012) BACK

NO RESPONSE FOR THE REASONS CHECKED

TYPE OR PRINT NAME AND TITLE OF SIGNER

SIGNATURENAME AND ADDRESS OF FIRM (Include Zip Code)

WE DO NOT DESIRE TO BE RETAINED ON THE MAILING LIST FOR FUTURE PROCUREMENT OF THE TYPE OF

ITEMS INVOLVED

WE DO

OTHER (Specify)

CANNOT COMPLY WITH SPECIFICATIONS

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

FOLD

FOLD

FOLD FOLD

SOLICITATION NO. SPRTA119R0199

DUE: 7 MAR 2019 3:00 PM

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Rhonda White/DLA-AOBA

DLA AVIATION AT OKLAHOMA CITY, OK

DLR PROCUREMENT OPERATIONS (AO)

3001 STAFF DRIVE

TINKER AFB OK 73145-3070

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

The current required production quantity is 6 each. However, the required quantity may change therefore contractor shall provide proposed prices to the following ranges. If the quantity ranges provided in this solicitation do not provide the best pricing option then the contractor shall submit quantity ranges that yield the best prices to the Government based on the Min quantity of 2 ea and Max quantity of 9 ea, which includes the First Article Exhibit. See Clause 52.207-4. The quantity of this solicitation will be re-evaluated upon receipt of the contractor's proposal.

This solicitation contemplates award of a Firm Fixed Price contract. .

UID Requirement: The Government does not intend to tell contractors the specific data to be put into each mark.

International Standards and MIL-STD-130L provide the guidance needed by the contractor to determine what information is required within the mark and acceptable formats for applying the mark. It is the contractor’s discretion on which UID construct to use according to current business practices. Still, “The preferred format for Unique Identification (UID) is Construct 2 (Issuing Agency Code, Enterprise Identification [CAGE Code], Original Part Number, and Serial Number) as set forth by MIL-STD-130L (or later revision) and the DOD Guide to Uniquely Identifying Items, version 1.4, April 2004 (or later revision).

This guide is available online at http://www.acq.osd.mil/uid/ or from the Office of the Under Secretary of Defense, 3000 Defense Pentagon, Washington DC, 20301-3000. UID shall be in addition to the original Human Readable Information and applied using comparable marking methods. Application of UID markings shall in no way compromise the integrity of the item.”

NOTES APPLICABLE TO FIRST ARTICLE CLIN 0001AD:

FIRST ARTICLES ARE REQUIRED AND MUST BE IAW REVISED TECHNICAL DATA PACKAGE

There is a requirement for a Fit Check in addition to the First Article Test Report, Material Certification, Certificate of Compliance, and Non-Destructive Test. After the Non-Destructive Testing has been performed by the contractor in accordance with 52.209-3 (Contractor Test), it is to be shipped to Tinker. The Government will perform a Fit Check in accordance with 52.209-4 (Government Test). If the First Article Reports and Fit Check are approved, this exhibit will remain on the aircraft and will not be forwarded to USAF supply but will be considered part of the contract quantity.. The Contractor shall not proceed with production quantities until notice of First Article approval is received from the Contracting Officer.

ENSURE THE WORDS "FIRST ARTICLE" ARE MARKED ON THE OUTSIDE OF THE BOX IN LARGE RED CONSPICUOUS

LETTERS.

Government Furnished Property:

Government Furnished Property (GFP) required to Fit Check the items solicited in this RFP. GFP will be added to the final award document to use the GFP on a Rent Free Non-Interference Basis (See Section J - Attachments). The Contractor's Plant Clearance Officer shall request tooling disposition instructions in writing from the Contracting Officer not later than 60 days after the last item on the contract has been shipped.

The request for disposition instructions must include:

(1) Tool number

(2) The part number of the item on which the tool is used.

(3) Contract number under which the tool was used.

(4) The date by which the tool could be ready to ship.

(5) Any related packing, crating, or handling costs proposed for the service

NEW MANUFACTURED MATERIAL - INFORMATIONAL CLIN ONLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

6 EA

Minimum Quantity Maximum Quantity

NSN: 1560-01-529-7630 FL

CELL,FUEL,AIRCRAFT

Fuel Cell Rubber Alumimum Manufacturer Part Number 05476 36880-1

1NNE7 A024012S116-010

56221 2T-6-C3981-103 81205 10-2455-20 Associated Document(s) Line Item(s)

FD20301900379ADV 0001

Priority: R Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Serial Number Required Class I ODS Substance Application/Use Quantity

NONE NONE NONE

FIRST ARTICLE TEST REPORT

0001AA

Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0001AA AA

Data FA Test Report Associated Document(s) Line Item(s)

FD20301900379ADV 0005

Priority: R

FIRST ARTICLE TEST REPORT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FA8111 ORIGIN

Type / Ship To PACRN Mark For

A FA8111 FA MONITOR

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A FA8111 1 LO 1 JUL 2019 Non-MilStrip

Proposed

A FA8111 1 LO

FIRST ARTICLE CERTIFICATE OF COMPLIANCE

0001AB

0001AB AA

Data FA Certificate of Compliance Associated Document(s) Line Item(s)

FD20301900379ADV 0003

FIRST ARTICLE CERTIFICATE OF COMPLIANCE

FIRST ARTICLE MATERIAL CERTIFICATION

0001AC

0001AC AA

Data FA Material Certification Data Associated Document(s) Line Item(s)

FD20301900379ADV 0004

NEW MANUFACTURED MATERIAL - FIRST ARTICLE EXHIBIT

0001AD

NEW MANUFACTURED MATERIAL - FIRST ARTICLE EXHIBIT

1 EA

0001AD AA

NSN: 1560-01-529-7630 FL

CELL,FUEL,AIRCRAFT

Manufacturer Part Number 05476 36880-1

1NNE7 A024012S116-010

56221 2T-6-C3981-103 81205 10-2455-20 Associated Document(s) Line Item(s)

FD20301900379ADV 0002

Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Serial Number Required

A FY2303 ORIGIN

A FY2303 AAA FA MONITOR

Type / Ship To Quantity (U/I) *ARO Written Notice of Award Req No / Pri

A FY2303 1 EA *90 Calendar Days Non-MilStrip

A FY2303 1 EA

FIRST ARTICLE NOTES: FIT CHECK

1. Contractor First Article, none to be expended – in accordance with DD 1423.

2. The First Article will be installed on aircraft/equipment to determine proper fit/function.

3. If the First Article(s) are approved by the government and are inspected / accepted by the government as required by FAR Clause 52.209-4, the approved article will remain on the aircraft/equipment and will be considered part of the contract quantity.

4. The First Article is one of the requirements set forth in FAR Clause 52.209-3.

NEW MANUFACTURED MATERIAL - PRODUCTION - FUEL CELLS

0001AE

Maximum Quantity CLIN ACRN ACRN Total

0001AE AA

NSN: 1560-01-529-7630 FL

CELL,FUEL,AIRCRAFT

Fuel Cell Rubber Alumimum Manufacturer Part Number 05476 36880-1

1NNE7 A024012S116-010

56221 2T-6-C3981-103 81205 10-2455-20 Associated Document(s) Line Item(s)

FD20301900379ADV 0001

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Buy American Act/Balance of Payments Program IUID Required: Yes

A SW3211 ORIGIN

NONE NONE NONE

Type / Ship To PACRN Mark For

A SW3211 AAA ACCT 09

A SW3211 AAA ACCT 09

A SW3211 4 EA 1 JUL 2019 Non-MilStrip

NEW MANUFACTURED MATERIAL - PRODUCTION - FUEL CELLS

A SW3211 2 EA 1 AUG 2019 Non-MilStrip

A SW3211 4 EA

A SW3211 2 EA

NEW MANUFACTURED MATERIAL - FIRST ARTICLE WAIVED PRODUCTION -

0001AF

Maximum Quantity CLIN ACRN ACRN Total

0001AF AA

NSN: 1560-01-529-7630 FL

CELL,FUEL,AIRCRAFT

Fuel Cell Rubber Alumimum Manufacturer Part Number 05476 36880-1

1NNE7 A024012S116-010

56221 2T-6-C3981-103 81205 10-2455-20 Associated Document(s) Line Item(s)

FD20301900379ADV 0001

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Buy American Act/Balance of Payments Program IUID Required: Yes

A SW3211 ORIGIN

NEW MANUFACTURED MATERIAL - FIRST ARTICLE WAIVED PRODUCTION -

NONE NONE NONE

Type / Ship To PACRN Mark For

A SW3211 AAA ACCT 09

A SW3211 AAA ACCT 09

A SW3211 4 EA 1 JUL 2019 Non-MilStrip

A SW3211 2 EA 1 AUG 2019 Non-MilStrip

A SW3211 4 EA

A SW3211 2 EA

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A FA8111

FA8111 AFLCMC LZPED

3001 STAFF DR BLDG 3001 STE 1AB85A

TINKER AFB OK 73145-3303 73145-3303

MARK FOR: (See Individual Line Item) REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER:

TYPE/CODE: A FY2303

FY2303 DDOO SOP 1ST ARTICLE

CP 405 739 8596

8080 PERIMETER RD BLDG 18 DR 16

TINKER AFB OK 73145

TINKER AFB OK 73145

TYPE/CODE: A SW3211

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

TINKER AFB OK 73145-8000 73145-8000

SECTION E

INSPECTION AND ACCEPTANCE

FIRST ARTICLE TEST, CERTIFICATION AND DISPOSITION REQUIREMENTS (FEB 1998)

(IAW FAR 9.308-2)

Test criteria are as follows:

Item No(s) Government Test Criteria/Technical Requirements

0001AD After the Non-Destructive Testing has been performed by the contractor in accordance with 52.209-3 (Contractor Test), it is to be shipped to Tinker. The Government will perform a Fit Check in accordance with 52.209-4 (Government Test). First Articles will be installed on aircraft to determine proper fit/function. Approved article will remain on the aircraft and will not be forwarded to USAF Supply, but will be considered part of the contract quantity. Government approval IAW ENGINEERING DWG AND

GOVERNMENT EVALUATION.

Item No(s) Contractor Test Criteria/Technical Requirements

0001AD DEFINED BY ENGINEERING DWG: DOCUMENTED IN FIRST ARTICLE INSPECTION (TEST) REPORT. TEST REPORT SHALL INCLUDE RESULTS OF A MINIMUM OF FIVE FITTING PULLOUT TESTS PERFORMED IN ACCORDANCE WITH THE REQUIREMENTS OF MIL-DTL-6396 PARAGRAPH 4.5.28.3 USING BODY CELL UPPER VENT FITTING INTERCONNECT ASSEMBLIES MANUFACTURED WITHIN 180 DAYS OF FIRST ARTICLE

REPORT SUBMISSION.

Disposition of the First Article shall be as follows:

Item No(s) Quantity Approved

0001AD 1 each REMAIN ON THE AIRCRAFT

Item No(s) Quantity Disapproved

0001AD 1 each Will be returned to the contractor. See Resubmission of First Article Clause below for costs.

(The above Clause/Provision has been modified.)

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

(IAW FAR 46.302)

52.246-11 HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT (DEC 2014)

(IAW FAR 46.311, DFARS 246.202-4(1))

(a) The Contractor shall comply with the higher-level quality standard(s) listed below. [If more than one standard is listed, the offeror shall indicate its selection by checking the appropriate block.]*

Title Number Date Tailoring *See Individual Line Item Schedule

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) Government Contract Quality Assurance Inspection and Acceptance will be at (Final):

[CONTRACTOR FILL-IN]

Item No(s): See schedule for items with the following code(s) listed below :

Inspection Code and Address:

Government Contract Quality Assurance Inspection and Acceptance will be at destination(s) specified herein (Final).

Item No(s): 0001AA, 0001AB, 0001AC, 0001AD

SECTION F

DELIVERIES OR PERFORMANCE

52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

(IAW FAR 11.703(b))

52.242-15 STOP-WORK ORDER (AUG 1989)

(IAW FAR 42.1305(b)(1))

52.242-17 GOVERNMENT DELAY OF WORK (APR 1984)

(IAW FAR 42.1305(c))

52.247-29 F.O.B. ORIGIN (FEB 2006)

(IAW FAR 47.303-1(c))

52.247-30 F.O.B. ORIGIN, CONTRACTOR'S FACILITY (FEB 2006)

(IAW FAR 47.303-2(c))

52.247-48 F.O.B. DESTINATION--EVIDENCE OF SHIPMENT (FEB 1999)

(IAW FAR 47.305-4(c)) Applicable Item No(s)

52.247-55 F.O.B. POINT FOR DELIVERY OF GOVERNMENT-FURNISHED PROPERTY

(JUN 2003)

(IAW FAR 47.305-12(a)(2))

52.247-65 F.O.B. ORIGIN, PREPAID FREIGHT--SMALL PACKAGE SHIPMENTS (JAN 1991)

(IAW FAR 47.303-17(f))

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b)) Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address:

[CONTRACTOR FILL-IN]

SECTION G

CONTRACT ADMINISTRATION DATA

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(IAW DFARS 232.7004(b), PGI 232.7004(b)(1), DFARS 212.301(f)(liii))

(a) Definitions. As used in this clause— “Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or…