SPRWA117Q00180001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

J

2. AMENDMENT/MODIFICATION NO.

SPRWA1‐17‐Q‐0018‐0001

3. EFFECTIVE DATE

21 JUN 2017

4. REQUISITION/PURCHASE REQ. NO.

FD20601700359

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DLA AVIATION, DLR PROCUREMENT OPERATIONS (AW)

235 BYRON ST STE 19A

ROBINS AFB GA 31098‐1813

BUYER: Vernita M Salter vernita.salter@us.af.mil Phone: (478) 926‐ 5270 Fax: (478) 926‐0000 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODE

SPRWA1

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

SPRWA117Q0018

9B. DATED (SEE ITEM 11)

11‐APR‐2017

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods. ( a ) By completing Items 8 and 15, and returning copies of the amendment; ( b ) By acknowledging receipt of this amendment on each copy of the offer submitted; or ( c ) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

URGENT

The purpose of the amendment to Solicitation SPRWA1-17-Q-0018 is to withdraw this requirement as a SB Set-Aside. The acquisition will be competed among all surplus vendors. Vendors that submitted a proposal to previous solicitation will need to resubmit to solictation amendment. All proposals are due by COB on 30 Jun 2017.

Government/Commercial Surplus is be acceptable in the following conditions: New/Unused, New/Reconditioned, Used/Overhauled.

All other terms and conditions remain unchanged.

15A. NAME AND TITLE OF SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR

BY ________________________________________________________

(Signature of person authorized to sign)

15C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16B. UNITED STATES OF AMERICA

BY ____________________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

FACILITY CODE

NSN 7540‐01‐152‐8070

PREVIOUS EDITION UNUSABLE

30‐105 STANDARD FORM 30 (REV. 10‐83)

PRESCRIBED BY GSA

FAR (48 CFR) 53.243

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

SPRWA1‐17‐Q‐0018‐0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

SUPPLIES OR SERVICES AND PRICES/COSTS

Spectrum Analyzer

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

8 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 6625‐01‐433‐0282 KV

ANALYZER,SPECTRUM

Spectrum Analyzer Manufacturer Part Number

1LQK8 8563E‐006‐104‐K15

1LQK8 8563EC‐006‐104‐K15

26916 A31U29684‐5 Associated Document(s) Line Item(s)

FD20601700359 0001

Priority: B

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF

Quality Assurance: Contractor Responsibility for Inspection Applicability: None ;

Government or Commercial Surplus Acceptable IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

Type / Ship To PACRN Mark For

A SW3119 PAA RIC SDD

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

Required Delivery

A SW3119 8 EA

*90 Calendar Days

Proposed

A SW3119 8 EA

Data in Accordance with DD Form 1423

DATA

Data in accordance with Exhibit A Associated Document(s) Line Item(s)

FD20601700359 0002

Priority: B

ELIN A001‐Data

0002AA

1 LO

Associated with LI: 0002 Item Unique Identification (IUID) Marking Plan ELIN A001 in accordance with attached DD 1423 Priority: B URGENT

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WAWF

Quality Assurance: Commercial Item Inspection

A FB2065 DESTINATION

A FB2065 IAW DD FORM 1423 ELIN A001

Type / Ship To Quantity (U/I) *ARO IAW DD 1423

ELIN A001

_ Req No / Pri

A FB2065 1 LO

ELIN A002‐Data

0002AB

ELIN A002‐Data

IUID Marking Activity, Validation and Verification Report ELIN A002 in accordance with attached DD 1423

Inspection/Acceptance Report: WAWF

Exhibit: A

A FB2065 IAW DD FORM 1423

Type / Ship To Quantity (U/I) *ARO IAW DD FORM

1423 ELIN A002

_ Req No / Pri

ELIN A003‐Data

0002AC

Counterfeit Prevention Plan ELIN A003 in accordance with attached DD 1423 Associated Document(s) Line Item(s)

FD20601700359 0002

ELIN A003‐Data

Inspection/Acceptance Report: WAWF

Exhibit: A

Type / Ship To Quantity (U/I) *ARO IAW DD FORM

1423 ELIN A003

_ Req No / Pri

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A FB2065

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET

ROBINS AFB GA 31098‐0000

USA

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

AWARD NUMBER:

TYPE/CODE: A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

455 BYRON STREET BLDG 376

ROBINS A F B GA 31098‐1887

ROBINS A F B GA 31098‐1887 GA

USA

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

AWARD NUMBER:

ADDENDUM TO CLAUSE 52.212‐4

G-1

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 97 X4930 FC04 64 7 47 GR 84328Z 01N000 00000 503000 HQ0104 $0.00

PSR: 012722 FSR: 013408 DSR: 257088

ACRN TOTAL $ 0.00

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

Form Number Description/File Name Date Number of Pages AFMC 158 AFMC158.pdf

Packaging Requirements

02MAR2017 1

AFMC 813 AFMC813.pdf Surplus Materiel Worksheet

13FEB2017 1

DD FORM 1423 DD1423.pdf Contract Data Requirements List

21MAR2017 3

DD FORM 1653 DD1653.pdf Transportation Data Sheet

02MAR2017 1

PACKAGING REQUIREMENTS

PURCHASE INSTRUMENT NUMBER: FD20601700359-00 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 Long Line Packaging MIL B

ITEM(S):

6625014330282KV

CODED DATA:

QUP ICQ

PRES

METH CD

PRES

MTL

WRAP

MTL

CUSH

DUNN CT

UNIT

CONT

INT

CONT UCL

SPEC

MKG

UNIT PACK

WEIGHT

UNIT PACK

LENGTH

UNIT PACK

WIDTH

UNIT PACK

DEPTH

UNIT PACK

CUBE OPI

1 000 GX 1 00 K3 NB A NV 00 B 39 62.00 36.5 26.5 19.0 10.635 M

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

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:

Edwards, Bernadette M

PHONE NUMBER:

478-327-3486 / 497-3486

SIGNATURE:

//SIGNED//Edwards, Bernadette M

DATE:

17061 - 02 MAR 2017

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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 X TM OTHER

D. SYSTEM / ITEM E. CONTRACT / PR NO.

FD20601700359

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

N/A

4. AUTHORITY

DI-MGMT-81803

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

DFARS 252.211-7003

6. REQUIRING OFFICE

410 SCMS/GULA

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Pham, Phong DNAME: 17 MAR 2017DATE:

The Contractor shall label all items IAW MIL-STD-130N and associated technical data Engineering Orders (EO) & Technical Order Publication Change Request (252). Label for each item shall contains the following information:

nomenclature, part number, serial number, date of manufacture, manufacturer's name, Commercial and Government Entity (CAGE) code, date of warranty expiration, and National Stock Number (NSN). The Contractor's IUID Marking Plan shall fully detail and document the strategy and scope to be used to meet MIL-STD-130, DoD Standard Practice Identification Marking of US Military Property.

Block 9: Submit to U.S. Government only. Distribution Statement "B" which states 448 SCMG/PKH. Distribution authorized to U.S. Government Agencies only (Proprietary Information).

Blocks 10 - 13: The Contractor shall develop and submit a complete IUID marking plan within 30 days after contract award. The Government will review and determine acceptance or rejection and notify contractor within 10 business days of receipt. If rejected, the Contractor shall have 10 business days to correct any errors and return a corrected IUID Marking Plan to the Government for review. The Contractor shall provide updates to the IUID Marking Plan as necessary due to any repair procedure change that impacts the IUID marking of

NSN.

Block 14: Document submission shall be made electronically via MS Office (Power Point, Excel, or Word) 2010 format.

Final submittal both via Email addresses and in Wide Area Work Flow (WAWF). Submittal in WAWF will be accepted/approved by Government personnel. When information is submitted in WAWF utilizing DODAAC FB2065, the contractor shall provide email notification to email addresses below:

Program Managers:

warren.singletary@us.af.mil willie.fearn@us.af.mil

Program Engineer phong.pham@us.af.mil

Program Equip Specialist anthony.bruno@us.af.mil

COORDINATORS:

Program Engineer, Attn: Phong Pham

410 SCMS/GUEA

235 Byron St., Ste 19A Robins AFB, GA 31098

1 1 0

Program Equipment Specialist, Attn: Anthony Bruno

410 SCMS/GULA

235 Byron St., Ste 19A Robins AFB, GA 31098

1 1 0

Program Manager, Attn: Warren Singletary/Willie Fearn

410 SCMS/GULA

235 Byron St., Ste 19A Robins AFB, GA 31098

1 1 0

3 3 015. TOTAL

G. PREPARED BY

Rivera, John

410 SCMS / GULA

478-222-2160

H. DATE

21 MAR 2017

I. APPROVED BY

//DIGITALLY SIGNED//

HEADLAND.PAUL.D.1246894490

410 SCMS / GUEA 478-327-3038 / 497-3038

J. DATE

21 MAR 2017

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PREVIOUS EDITION MAY BE USED.

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

TDP X TM OTHER

D. SYSTEM / ITEM E. CONTRACT / PR NO.

FD20601700359

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

IUID Marking Activity, Validation and Verification Report

3. SUBTITLE

N/A

4. AUTHORITY

DI-MGMT-81804A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

DFARS 252.211-7003

6. REQUIRING OFFICE

410 SCMS/GULA

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Pham, Phong DNAME: 17 MAR 2017DATE:

Blk 4: Contractor format is acceptable.

Blks 10, 11, 12, and 13: The Contractor shall deliver an IUID Marking Activity and Verification Report. The report shall contain a brief narrative of accomplishments, NSNs marked, and registry status. The Contractor shall deliver a IUID Marking Activity and Verification Report 90 days after the first NSN has been marked and quarterly thereafter.

The Government will review and determine acceptance or rejection and notify contractor within 10 business days of receipt. If rejected, the Contractor shall have 10 business days to correct any errors and return a corrected IUID Marking Activity and Verification Report to the Government for review.

Blk 14: Document submission shall be made electronically via MS Office (Power Point, Excel, or Word) 2010 format.

Final submittal both via Email addresses and in Wide Area Work Flow (WAWF). Submittal in WAWF will be accepted/approved by Government personnel. When information is submitted in WAWF utilizing DODAAC FB2065, the contractor shall provide email notification to email addresses below:

Program Managers:

warren.singletary@us.af.mil willie.fearn@us.af.mil

Program Engineer phong.pham@us.af.mil

Program Equip Specialist anthony.bruno@us.af.mil

COORDINATORS:

Program Engineer, Attn: Phong Pham

410 SCMS/GUEA

235 Byron St., Ste 19A Robins AFB, GA 31098

1 1 0

Program Equipment Specialist, Attn: Anthony Bruno

410 SCMS/GULA

235 Byron St., Ste 19A Robins AFB, GA 31098

1 1 0

Program Manager, Attn: Warren Singletary/Willie Fearn

410 SCMS/GULA

235 Byron St., Ste 19A Robins AFB, GA 31098

1 1 0

3 3 015. TOTAL

G. PREPARED BY

Rivera, John

410 SCMS / GULA

478-222-2160

H. DATE

21 MAR 2017

I. APPROVED BY

//DIGITALLY SIGNED//

HEADLAND.PAUL.D.1246894490

410 SCMS / GUEA 478-327-3038 / 497-3038

J. DATE

21 MAR 2017

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

TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO.

FD20601700359

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

N/A

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

DFARS 252.246-7007

6. REQUIRING OFFICE

410 SCMS/GUEA

7. DD 250 REQ

DD

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Pham, Phong DNAME: 21 MAR 2017DATE:

Blk 2: Contractor format is acceptable.

Block 10-12: Contractor shall deliver a Counterfeit Prevention Plan (CPP) within 30 days after contract award.

Government comments will be provided to the contractor within 14 days after receipt, with contractor re-submittal due 7 days after receipt of comments. Updates to the CPP shall be provided to the Government within twenty (20) calendar days after the initial counterfeit part(s) identification/notification.

Block 13: Updates to the CPP shall be provided within twenty (20) calendar days after each additional counterfeit part(s) identification/notification.

Blk 14: Document submission shall be made electronically via MS Office (Power Point, Excel, or Word) 2010 format or PDF. Final submittal both via Email addresses and in Wide Area Work Flow (WAWF). Submittal in WAWF will be accepted/approved by Government personnel. When information is submitted in WAWF utilizing DODAAC FB2065, the contractor shall provide email notification to email addresses below:

Program Managers:

warren.singletary@us.af.mil willie.fearn@us.af.mil

Program Engineer phong.pham@us.af.mil

COORDINATORS:

410 SCMS/GUEA

Attn: Phong Pham 235 Byron St., Ste 19A Robins AFB, GA 31098

1 1 0

410 SCMS/GULA

Attn: Warren Singletary/Willie Fearn 235 Byron St., Ste 19A Robins AFB, GA 31098

1 1 0

2 2 015. TOTAL

G. PREPARED BY

Rivera, John

410 SCMS / GULA

478-222-2160

H. DATE

21 MAR 2017

I. APPROVED BY

//DIGITALLY SIGNED//

HEADLAND.PAUL.D.1246894490

410 SCMS / GUEA 478-327-3038 / 497-3038

J. DATE

21 MAR 2017

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TRANSPORTATION DATA FOR SOLICITATIONS

COMMODITY: See Continuation

PURCHASE INSTRUMENT NUMBER:

FD20601700359-00

DATE INITIATED:

02 MAR 2017

STOCK NUMBER: See Continuation

X ORIGIN DESTINATION 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 52.247-29 Freight Classification Description 52.247-53

TACRN:

AAA

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 647 47GR 84328Z 01N000 00000 000000 503000 HQ0104 FSR: 013408 PSR: 012722

First Destination Transportation Account Code: FRS6

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 6625014330282KV

Purchase Instrument Line Item Number: 0001

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): ERRC T

CC: LD

QUPC: 1

IMQ: 2

TLI: 1

DRMS: no DRMS assets IUID: is appliciable

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

OTHER TRANSPORTATION DATA:

NAME

Pate, Robert T

ORGANIZATION / OFFICE

SYMBOL

406 SCMS / GULAA

COMMERCIAL / DSN

PHONE

478-926-2771 / 468-2771

SIGNATURE

//SIGNED//Pate, Robert T

DATE

02 MAR 2017

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