ATTACHMENTS_1-7.pdf

ENGINEERING DATA LIST

DATE:

23 MAY 2018

REVISION: 1 *HISTORY*

CAGE:

62733

PAGE:

NSN:

5955010411201EW

DATA TECH:

Waggoner, Dean A

END ITEM:

AN/ALQ-122

ORGANIZATION/OFFICE SYMBOL:

429 SCMS GUMACA/

MANUFACTURER NAME:

MOTOROLA INC

REFERENCE NUMBER:

52-P04309D001

NOUN:

OSCILLATOR,NONCRYST

LINE/

SUB CAGE

ENG DRAWING NUM/ ACCOMP

DOC NUM REV

NR

SHEETS

FURN

CODE

DIST

CODE NOUN REMARKS

L 62733 52-P04309D AA S D OSCILLATOR, RADIO

FREQUENCY

Waggoner, Dean A 24 MAY 2018

001.

NAME: DATE:

L 98752 200415485 C S A GENERAL ENGINEERING

NOTES

Waggoner, Dean A 24 MAY 2018

SEE NOTES: 1, 3, 4, AND 12

NAME: DATE:

STANDARD ENGINEERING TEXT

Waggoner, Dean A 23 MAY 2018

FOR GENERAL ENGINEERING DOCUMENT NOTES, SEE DOCUMENT NUMBER 200415485.

NAME: DATE:

C - CLASSIFIED DOCUMENT.

S - FURNISHED WITH SOLICITATION.

M - STABLE BASE DRAWING REQUIRED; FURNISHED WITH

CONTRACT AWARD.

X - DATA SUPPLIED (NOT IN JEDMICS).

R - FURNISHED BY PCO UPON REQUEST.

P - PARTIAL DOCUMENT FURNISHED.

V - VENDOR DRAWING; (NOT PROVIDED).

G - GOV'T DOCUMENT.

O - OTHERS, CONTRACTOR MUST ACQUIRE.

A- DATA NOT AVAILABLE.

FURNISHED METHOD CODE LEGEND:

Page 1 of 1EDL Version 1Generated by PRPS using Jasper Reports on 16 Nov 2018

ITEM DESCRIPTION

NSN

5955016134712EW

CAGE

3TSX4

REFERENCE NUMBER

380-02001-0010

NOUN

OSCILLATOR,CRYSTAL

END ITEM TCTO NUMBER TO NUMBER

12P3-2ALQ161-132/3/4

CRITICALITY CODE

X

DEMILITARIZATION CODE

D

SECURITY CODE

MDC

B3J

ES CODE

5G

REMARKS

INITIATOR

NAME

JOHN.E.TERRELL

ORGANIZATION / OFFICE SYMBOL

408 SCMS / GULB

DSN PHONE

472-4650

COMMERCIAL PHONE

478-222-4650

ITEM DESCRIPTION DATA

LENGTH ( IN )

3.7500

WIDTH ( IN )

1.0000

HEIGHT ( IN )

2.8800

WEIGHT ( LB )

1.0000

OTHER DIMENSIONS

all dimensions and weight are approximate

ITEM MATERIAL

unknown

ITEM FUNCTION

electronic circuit that produces a continuous output wave form with DC applied

SAFETY CRITICAL SCREW

THREADED COMPONENT

ESD CEMS SENSITIVE DATA

STATEMENT OF HELIUM CONTENT (%) 0 PRECIOUS METAL INDICATOR CODE

GFM REQUIRED GFE REQUIRED GFP REQUIRED

JEWEL BEARING JEWEL BEARING RELATED

LEGACY ITEM DESCRIPTION

Page 1 of 1ITEM DESCRIPTION Version 3Generated by PRPS using Jasper Reports on 13 Nov 2018

5955016137952EW

CAGE

3TSX4

REFERENCE NUMBER

380-02001-0013

NOUN

OSCILLATOR,CRYSTAL

END ITEM TCTO NUMBER TO NUMBER

12P3-2ALQ161-132/3/4

CRITICALITY CODE

Y

DEMILITARIZATION CODE

D

SECURITY CODE

MDC

B3J

ES CODE

5G

REMARKS

INITIATOR

NAME

JOHN.E.TERRELL

ORGANIZATION / OFFICE SYMBOL

408 SCMS / GULB

DSN PHONE

472-4650

COMMERCIAL PHONE

478-222-4650

ITEM DESCRIPTION DATA

LENGTH ( IN )

3.7500

WIDTH ( IN )

1.0000

HEIGHT ( IN )

2.8800

WEIGHT ( LB )

1.0000

OTHER DIMENSIONS

all dimensions and weight are approximate

ITEM MATERIAL

unknown

ITEM FUNCTION

electronic circuit that produces a continuous output wave form with DC applied

SAFETY CRITICAL SCREW

THREADED COMPONENT

ESD CEMS SENSITIVE DATA

STATEMENT OF HELIUM CONTENT (%) 0 PRECIOUS METAL INDICATOR CODE

GFM REQUIRED GFE REQUIRED GFP REQUIRED

JEWEL BEARING JEWEL BEARING RELATED

Page 1 of 1ITEM DESCRIPTION Version 2Generated by PRPS using Jasper Reports on 13 Nov 2018

5955016137953EW

CAGE

3TSX4

REFERENCE NUMBER

380-02001-0011

NOUN

OSCILLATOR,CRYSTAL

END ITEM TCTO NUMBER TO NUMBER

12P3-2ALQ161-132/3/4

CRITICALITY CODE

X

DEMILITARIZATION CODE

D

SECURITY CODE

MDC

B3J

ES CODE

5G

REMARKS

INITIATOR

NAME

JOHN.E.TERRELL

ORGANIZATION / OFFICE SYMBOL

408 SCMS / GULB

DSN PHONE

472-4650

COMMERCIAL PHONE

478-222-4650

ITEM DESCRIPTION DATA

LENGTH ( IN )

3.7500

WIDTH ( IN )

1.0000

HEIGHT ( IN )

2.8800

WEIGHT ( LB )

1.0000

OTHER DIMENSIONS

all dimensions and weight are approximate

ITEM MATERIAL

unknown

ITEM FUNCTION

Electronic circuit that produces a continuous output waveform

SAFETY CRITICAL SCREW

THREADED COMPONENT

ESD CEMS SENSITIVE DATA

STATEMENT OF HELIUM CONTENT (%) 0 PRECIOUS METAL INDICATOR CODE

GFM REQUIRED GFE REQUIRED GFP REQUIRED

JEWEL BEARING JEWEL BEARING RELATED

5955016138325EW

CAGE

3TSX4

REFERENCE NUMBER

380-02001-0016

NOUN

OSCILLATOR,CRYSTAL

END ITEM TCTO NUMBER TO NUMBER

12P3-2ALQ161-132/3/4

CRITICALITY CODE

Y

DEMILITARIZATION CODE

D

SECURITY CODE

MDC

B3J

ES CODE

5G

REMARKS

INITIATOR

NAME

JOHN.E.TERRELL

ORGANIZATION / OFFICE SYMBOL

408 SCMS / GULB

DSN PHONE

472-4650

COMMERCIAL PHONE

478-222-4650

ITEM DESCRIPTION DATA

LENGTH ( IN )

3.7500

WIDTH ( IN )

1.0000

HEIGHT ( IN )

2.8800

WEIGHT ( LB )

1.0000

OTHER DIMENSIONS

all dimensions and weight is approximate

ITEM MATERIAL

unknown

ITEM FUNCTION

electronic circuit that produces a continuous output wave form with DC applied

SAFETY CRITICAL SCREW

THREADED COMPONENT

ESD CEMS SENSITIVE DATA

STATEMENT OF HELIUM CONTENT (%) 0 PRECIOUS METAL INDICATOR CODE

GFM REQUIRED GFE REQUIRED GFP REQUIRED

JEWEL BEARING JEWEL BEARING RELATED

5955010411201EW

CAGE

1VPW8

REFERENCE NUMBER

52P04309D001

NOUN

OSCILLATOR,NONCRYST

END ITEM

ALQ-122 Receiver

TCTO NUMBER TO NUMBER

12P3-2ALQ122-4

CRITICALITY CODE

X

DEMILITARIZATION CODE

D

SECURITY CODE

MDC

B42

ES CODE

5M

REMARKS

INITIATOR

NAME

THOMAS.HOYT

ORGANIZATION / OFFICE SYMBOL

408 SCMS / GULA

DSN PHONE

478-7473

COMMERCIAL PHONE

478-926-7473

ITEM DESCRIPTION DATA

LENGTH ( IN )

4.7500

WIDTH ( IN )

3.0000

HEIGHT ( IN )

2.7500

WEIGHT ( LB )

2.0000

OTHER DIMENSIONS

ITEM MATERIAL

Made of various semiconductor devices, aluminum alloy, copper wire and MIL

ITEM FUNCTION

Produces a certain Intermediate frequency for the ALQ-122

SAFETY CRITICAL SCREW

THREADED COMPONENT

ESD CEMS SENSITIVE DATA X

STATEMENT OF HELIUM CONTENT (%) 0 PRECIOUS METAL INDICATOR CODE

GFM REQUIRED GFE REQUIRED GFP REQUIRED

JEWEL BEARING JEWEL BEARING RELATED

Page 1 of 1ITEM DESCRIPTION Version 1Generated by PRPS using Jasper Reports on 16 Nov 2018

PACKAGING REQUIREMENTS

PURCHASE INSTRUMENT NUMBER: FD20601900112-00 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 Other

Packaging IAW Contract #SPRWA117D0020

ITEM(S):

5955016134712EW 5955016137952EW

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

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

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

AAB Other

Packaging IAW Contract #SPRWA117D0020

ITEM(S):

5955016137953EW 5955016138325EW

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

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

Page 1 of 2AFMC 158 Version 1Generated by PRPS using Jasper Reports on 13 Nov 2018

ORGANIZATION / OFFICE SYMBOL:

406 SCMS / GULAA

PACKAGING SPECIALIST:

Williams, Cedric E

PHONE NUMBER:

478-397-3490 / 497-3490

SIGNATURE:

//SIGNED//Williams, Cedric E

DATE:

18187 - 06 JUL 2018

Page 2 of 2AFMC 158 Version 1Generated by PRPS using Jasper Reports on 13 Nov 2018

PURCHASE INSTRUMENT NUMBER: FD20601900093-00 VERSION: 2

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 Other

Packaging IAW Contract Number SPRWA1-17-D-0020

ITEM(S):

5955010411201EW

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

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

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

AAB Other

Packaging IAW Contract Number SPRWA1-17-D-0020

ITEM(S):

5955DTL190008EW

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

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

Page 1 of 2AFMC 158 Version 2Generated by PRPS using Jasper Reports on 16 Nov 2018

ORGANIZATION / OFFICE SYMBOL:

406 SCMS / GULAA

PACKAGING SPECIALIST:

Martinez, Lorenda L

PHONE NUMBER:

478-327-6313 / 497-6313

SIGNATURE:

//SIGNED//Martinez, Lorenda L

DATE:

18319 - 15 NOV 2018

Page 2 of 2AFMC 158 Version 2Generated by PRPS using Jasper Reports on 16 Nov 2018

RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

5955016134712EW

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Rivera Toro, Robert / 478-222-4669

6. EQUIPMENT SPEC / PHONE

Terrell, John / 478-222-4650

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

X STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

8a. OZONE DEPLETING SUBSTANCES (ODS)

X STATEMENT

"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN

ONLY BE MET BY THE USE OF A CLASS I ODS."

WAIVER (SEE AF FARS 5323)

NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.

9. QUALITY PRE-AWARD SURVEY

YES NEW SOURCE

X PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

C

11. SIGNATURE OF TECHNICAL AUTHORITY

Eidson, James D

ORGANIZATION / SYMBOL

408 SCMS / GUEA

PHONE

478-926-2076 / 468-2076

DATE

26 JUL 2018

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 2Generated by PRPS using Jasper Reports on 13 Nov 2018

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

5955016137952EW

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Rivera Toro, Robert / 478-222-4669

6. EQUIPMENT SPEC / PHONE

Terrell, John / 478-222-4650

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

X STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

8a. OZONE DEPLETING SUBSTANCES (ODS)

X STATEMENT

"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN

ONLY BE MET BY THE USE OF A CLASS I ODS."

WAIVER (SEE AF FARS 5323)

NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.

9. QUALITY PRE-AWARD SURVEY

YES NEW SOURCE

X PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

C

11. SIGNATURE OF TECHNICAL AUTHORITY

Eidson, James D

ORGANIZATION / SYMBOL

408 SCMS / GUEA

PHONE

478-926-2076 / 468-2076

DATE

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 2Generated by PRPS using Jasper Reports on 13 Nov 2018

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

5955016137953EW

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Rivera Toro, Robert / 478-222-4669

6. EQUIPMENT SPEC / PHONE

Terrell, John / 478-222-4650

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

X STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

8a. OZONE DEPLETING SUBSTANCES (ODS)

X STATEMENT

"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN

ONLY BE MET BY THE USE OF A CLASS I ODS."

WAIVER (SEE AF FARS 5323)

NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.

9. QUALITY PRE-AWARD SURVEY

YES NEW SOURCE

X PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

C

11. SIGNATURE OF TECHNICAL AUTHORITY

Eidson, James D

ORGANIZATION / SYMBOL

408 SCMS / GUEA

PHONE

478-926-2076 / 468-2076

DATE

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 2Generated by PRPS using Jasper Reports on 13 Nov 2018

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

5955016138325EW

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Rivera Toro, Robert / 478-222-4669

6. EQUIPMENT SPEC / PHONE

Terrell, John / 478-222-4650

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

X STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

8a. OZONE DEPLETING SUBSTANCES (ODS)

X STATEMENT

"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN

ONLY BE MET BY THE USE OF A CLASS I ODS."

WAIVER (SEE AF FARS 5323)

NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.

9. QUALITY PRE-AWARD SURVEY

YES NEW SOURCE

X PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

C

11. SIGNATURE OF TECHNICAL AUTHORITY

Eidson, James D

ORGANIZATION / SYMBOL

408 SCMS / GUEA

PHONE

478-926-2076 / 468-2076

DATE

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 2Generated by PRPS using Jasper Reports on 13 Nov 2018

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

5955010411201EW

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Enfinger, Courtney M / 478-222-4581

6. EQUIPMENT SPEC / PHONE

Hoyt, Thomas / 418-926-7473

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

X HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

ISO 9001:2000

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

8a. OZONE DEPLETING SUBSTANCES (ODS)

X STATEMENT

"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN

ONLY BE MET BY THE USE OF A CLASS I ODS."

WAIVER (SEE AF FARS 5323)

NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.

9. QUALITY PRE-AWARD SURVEY

YES X NEW SOURCE

PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

G

11. SIGNATURE OF TECHNICAL AUTHORITY

Riley, Winston

ORGANIZATION / SYMBOL

408 SCMS / GUEA

PHONE

478-926-2046 / 468-2046

DATE

31 OCT 2018

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 2Generated by PRPS using Jasper Reports on 16 Nov 2018

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages

Reset

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 the Department of Defense, Executive Services and Communications 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

A

C. CATEGORY: X

TDP TM OTHER

D. SYSTEM/ITEM

AN/ALQ-122 VCO

E. CONTRACT/PR NO.

FD2060-19-00093

F. CONTRACTOR

Syntonic

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Test Inspection Report

3. SUBTITLE

Acceptance Test Report (ATR)

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

408 SCMS/GUEA

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

As Required

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor format is acceptable. ATR shall be type written in Microsoft Word with support files in Microsoft Excel and Microsoft Project. ATR shall be formatted for printing on standard 8.5" x 11" paper and shall document the testing of units in accordance with Government approved ATP. Contractor shall retain test data at contractor's facility for five years after report date.

BLK 7: For invoice submittal in WAWF, use ship to DoDAAC FA8522

BLK 9: Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to critical technology. Date of determination was 11 September 2018. Other requests shall be referred to

AFLCMC/WNYCB.

BLKS 8, 10-13: Contractor shall generate a report for each unit produced.

Submission shall be As Required by the Government. Contractor will submit a Letter of Transmittal at end of each ordering period documenting units by serial number that have been tested.

BLK 14: Submissions shall be made electronically to the Contracting Officer, Program Manager, and Program Engineer. Contractor shall request point of contact names and email addresses prior to submission.

408 SCMS/GUEA 0 1 0

15. TOTAL 0 1 0

G. PREPARED BY

Winston Riley / 926-2046

H. DATE

9/11/2018

I. APPROVED BY

Doug Mitchell / 408th Data Manager

J. DATE

1 Oct 2018

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 the Department of Defense, Executive Services and Communications 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

A

C. CATEGORY: X

TDP TM OTHER

D. SYSTEM/ITEM

AN/ALQ-122 VCO

E. CONTRACT/PR NO.

FD2060-19-00093

F. CONTRACTOR

A002

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

IUID Marking Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81803

5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

408 SCMS/GUEA

7. DD 250 REQ

DD

ONE/R

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor format is acceptable. IUID Marking Plan shall be typewritten in Microsoft Word with support files in Microsoft Excel and Microsoft Project as required. Report shall be formatted for printing on standard 8.5" x 11" paper.

BLK 7: For invoice submittal in WAWF, use ship to DoDAAC FA8522

BLK 9: Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to critical technology. Date of determination was 11 September 2018. Other requests shall be referred to

AFLCMC/WNYCB.

BLKS 8,10-13: Initial submission shall be NLT 30 days after contract award.

Government comments/approval will be provided within 30 days after receipt.

The contractor shall resubmit within 15 days after receipt of Government comments.

BLK 14: Submissions shall be made electronically to the Contracting Officer, Program Manager, and Program Engineer. Contractor shall request point of

408 SCMS/GUEA 1 1 0

15. TOTAL 1 1 0

Winston Riley / 926-2046

H. DATE

9/11/2018

I. APPROVED BY

Doug Mitchell / 408th Data Manager

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 the Department of Defense, Executive Services and Communications 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

A

C. CATEGORY: X

TDP TM OTHER

D. SYSTEM/ITEM

AN/ALQ-122 VCO

E. CONTRACT/PR NO.

FD2060-19-00093

F. CONTRACTOR

A003

Item Unique Identification (IUID) Marking Activity and Verification Report

3. SUBTITLE

IUID Marking Activity and Verification Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81804A

5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

408 SCMS/GUEA

7. DD 250 REQ

LT

See Block 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor format is acceptable. One hundred percent of units shall be inspected, evaluated, and added to the activity and verification report. The Contractor shall mark items in accordance with DFARS 211.274-2, DFARS 252.211-7003, and Military Standard (MIL-STD)-130, Department of Defense Standard Practice/Identification Marking of U.S. Military Property.

BLK 7: Contractor shall submit each report with a letter of transmittal. The last report shall summarize all reports and shall be submitted on DD Form 250 for payment.

BLK 9: Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to critical technology. Date of determination was 11 September 2018. Other requests shall be referred to

AFLCMC/WNYCB.

BLK 10-13: Submission shall be no later than the 15th day of the month following each calendar quarter (Jan, Apr, Jul, Oct) during which units are completed.

BLK 14: Submissions shall be made electronically to the Contracting Officer, Program Manager, and Program Engineer. Contractor shall request point of

408 SCMS/GUEA 1 2 0

15. TOTAL 1 2 0

Winston Riley / 926-2046

H. DATE

9/11/2018

I. APPROVED BY

Doug Mitchell / 408th Data Manager

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 the Department of Defense, Executive Services and Communications 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

A

C. CATEGORY: X

TDP TM OTHER

D. SYSTEM/ITEM

AN/ALQ-122 VCO

E. CONTRACT/PR NO.

FD2060-19-00093

F. CONTRACTOR

A004

Counterfeit Prevention Plan

3. SUBTITLE

CPP

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81832

5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

408 SCMS/GUEA

7. DD 250 REQ

DD

See Block 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor format is acceptable. Counterfeit Prevention Plan shall be typewritten in Microsoft Word with support files in Microsoft Excel and Microsoft Project as required. Report shall be formatted for printing on standard 8.5" x 11" paper. Submission shall be delivered electronically via email.

BLK 7: Submit invoice in WAWF after submittal of final report to account for all previously submitted. For invoice submittal in WAWF, use ship to DoDAAC

FA8522

BLK 9: Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to critical technology. Date of determination was 11 September 2018. Other requests shall be referred to

AFLCMC/WNYCB.

BLK 8, 10-13: Contractor shall deliver a CPP within 30 calendar days after contract award. Government comments will be provided to the contractor within 15 calendar days after receipt, with contractor re-submittal due 7 calendar days after receipt of comments. Updates to the CPP shall be provided to the Government within 20 calendar days after the initial counterfeit part(s) identification/notification.

BLK 14: Submissions shall be made electronically to the Contracting Officer, Program Manager, and Program Engineer. Contractor shall request point of

408 SCMS/GUEA 1 1 0

Winston Riley / 926-2046

H. DATE

9/11/2018

I. APPROVED BY

Doug Mitchell / 408th Data Manager

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 the Department of Defense, Executive Services and Communications 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

A

C. CATEGORY: X

TDP TM OTHER

D. SYSTEM/ITEM

AN/ALQ-122 VCO

E. CONTRACT/PR NO.

FD2060-19-00093

F. CONTRACTOR

A007

Management Plan

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80004A

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

408 SCMS/GULB

7. DD 250 REQ

DD

ONE/R

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: The Program Management Plan must describe how the program shall be accomplished. The plan shall identify as a minimum: applicable tasks, reviews, status reports, data deliveries and milestones. The PMP shall include an overall program schedule highlighting each development phase in accordance with contract POP and associated ordering periods this schedule shall be depicted in an Integrated Master Schedule (IMS). The Management Plan must detail how the Contractor will manage the configuration control of the program.

BLK 7: Submit invoice in WAWF after submittal of final report to account for all previously submitted. for invoice submittal in WAWF, use ship to DoDAAC

FA8522

BLK 9: Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to critical technology. Date of determination was 11 September 2018. Other requests shall be referred to

AFLCMC/WNYCB.

BLKS 8, 10-13: First submission of the PMP is due NLT 45 calendar days after contract award. Government will provide comments or approval within 15 calendar days after receipt of management plan. Government approved comments/corrections shall be resubmitted within 7 calendar days of receipt by the Contractor. Later submissions will be required as revisions are made.

BLK 14: Submissions shall be made electronically to the Contracting Officer, Program Manager, and Program Engineer. Contractor shall request point of contract names and email addresses prior to submission.

408 SCMS/GULB 1 1 0

Winston Riley / 926-2046

H. DATE

9/11/2018

I. APPROVED BY

Doug Mitchell / 408th Data Manager

ITEM UNIQUE IDENTIFICATION (IUID) CHECKLIST

I. IUID DETAILS: DFARS 252.211.7003

SECTION (c) (1) (i) APPLIES TO THE FOLLOWING:

ITEM REQUIRING IUID MARKING

NSN

5955016134712EW

VERSION NUMBER

NOUN

OSCILLATOR,CRYSTAL

INITIATOR

Eidson, James D

ORGANIZATION CODE / OFFICE SYMBOL

408 SCMS / GUEA

COMMERCIAL PHONE

478-926-2076

DSN PHONE

468-2076

CAGE / REFERENCE NUMBER

3TSX4 / 030-02001-0001

3TSX4 / 380-02001-0010

MARKING IS TO BE PERFORMED IN ACCORDANCE WITH THE LATEST VERSION OF MIL-STD-130

MARKING GUIDANCE

Contractor Determined Location and Method

ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

ATTACHMENT(S)

II. EMBEDDED ITEMS

SECTION (c) (1) (iii) APPLIES TO THE FOLLOWING:

NSN NOUN

CAGE / REFERENCE NUMBER

ITEM IS AN EMBEDDED ITEM FOR NSN / PSEUDO NSN: 5955016134712EW

MARKING GUIDANCE ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

ATTACHMENT(S)

Page 1 of 1IUID Version 2Generated by PRPS using Jasper Reports on 13 Nov 2018

SECTION (c) (1) (i) APPLIES TO THE FOLLOWING:

ITEM REQUIRING IUID MARKING

NSN

5955016137952EW

VERSION NUMBER

NOUN

OSCILLATOR,CRYSTAL

INITIATOR

Eidson, James D

ORGANIZATION CODE / OFFICE SYMBOL

408 SCMS / GUEA

COMMERCIAL PHONE

478-926-2076

DSN PHONE

468-2076

CAGE / REFERENCE NUMBER

3TSX4 / 030-02001-0001

3TSX4 / 380-02001-0013

MARKING IS TO BE PERFORMED IN ACCORDANCE WITH THE LATEST VERSION OF MIL-STD-130

MARKING GUIDANCE

Contractor Determined Location and Method

ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

ATTACHMENT(S)

II. EMBEDDED ITEMS

SECTION (c) (1) (iii) APPLIES TO THE FOLLOWING:

NSN NOUN

CAGE / REFERENCE NUMBER

ITEM IS AN EMBEDDED ITEM FOR NSN / PSEUDO NSN: 5955016137952EW

MARKING GUIDANCE ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

SECTION (c) (1) (i) APPLIES TO THE FOLLOWING:

ITEM REQUIRING IUID MARKING

NSN

5955016137953EW

VERSION NUMBER

NOUN

OSCILLATOR,CRYSTAL

INITIATOR

Eidson, James D

ORGANIZATION CODE / OFFICE SYMBOL

408 SCMS / GUEA

COMMERCIAL PHONE

478-926-2076

DSN PHONE

468-2076

CAGE / REFERENCE NUMBER

3TSX4 / 030-02001-0001

3TSX4 / 380-02001-0011

MARKING IS TO BE PERFORMED IN ACCORDANCE WITH THE LATEST VERSION OF MIL-STD-130

MARKING GUIDANCE

Contractor Determined Location and Method

ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

ATTACHMENT(S)

II. EMBEDDED ITEMS

SECTION (c) (1) (iii) APPLIES TO THE FOLLOWING:

NSN NOUN

CAGE / REFERENCE NUMBER

ITEM IS AN EMBEDDED ITEM FOR NSN / PSEUDO NSN: 5955016137953EW

MARKING GUIDANCE ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

SECTION (c) (1) (i) APPLIES TO THE FOLLOWING:

ITEM REQUIRING IUID MARKING

NSN

5955016138325EW

VERSION NUMBER

NOUN

OSCILLATOR,CRYSTAL

INITIATOR

Eidson, James D

ORGANIZATION CODE / OFFICE SYMBOL

408 SCMS / GUEA

COMMERCIAL PHONE

478-926-2076

DSN PHONE

468-2076

CAGE / REFERENCE NUMBER

3TSX4 / 030-02001-0001

3TSX4 / 380-02001-0016

MARKING IS TO BE PERFORMED IN ACCORDANCE WITH THE LATEST VERSION OF MIL-STD-130

MARKING GUIDANCE

Contractor Determined Location and Method

ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

ATTACHMENT(S)

II. EMBEDDED ITEMS

SECTION (c) (1) (iii) APPLIES TO THE FOLLOWING:

NSN NOUN

CAGE / REFERENCE NUMBER

ITEM IS AN EMBEDDED ITEM FOR NSN / PSEUDO NSN: 5955016138325EW

MARKING GUIDANCE ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

SECTION (c) (1) (i) APPLIES TO THE FOLLOWING:

ITEM REQUIRING IUID MARKING

NSN

5955010411201EW

VERSION NUMBER

NOUN

OSCILLATOR,NONCRYST

INITIATOR

Brooks, Barry P

ORGANIZATION CODE / OFFICE SYMBOL

408 SCMS / GUEA

COMMERCIAL PHONE

478-327-5798

DSN PHONE

497-5798

CAGE / REFERENCE NUMBER

1VPW8 / 52-P04309D

1VPW8 / 52P04309D001

94990 / 52P04309D001

MARKING IS TO BE PERFORMED IN ACCORDANCE WITH THE LATEST VERSION OF MIL-STD-130

MARKING GUIDANCE

Contractor Determined Location and Method

ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

ATTACHMENT(S)

II. EMBEDDED ITEMS

SECTION (c) (1) (iii) APPLIES TO THE FOLLOWING:

NSN NOUN

CAGE / REFERENCE NUMBER

ITEM IS AN EMBEDDED ITEM FOR NSN / PSEUDO NSN: 5955010411201EW

MARKING GUIDANCE ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

Page 1 of 1IUID Version 1Generated by PRPS using Jasper Reports on 16 Nov 2018

TRANSPORTATION DATA FOR SOLICITATIONS

COMMODITY: See Continuation

PURCHASE INSTRUMENT NUMBER:

FD20601900112-00

DATE INITIATED:

01 NOV 2018

STOCK NUMBER: See Continuation

X ORIGIN DESTINATION OTHER X 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 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 FD20601900112-00

TACRN:

AAA

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 649 47GR 15661P 01N000 00000 000000 503000 F03000 FSR: 013408 PSR: K19378

First Destination Transportation Account Code: FRS6

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

ZERO DOLLAR PR

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 5955016137952EW

Purchase Instrument Line Item Number: 0002

Ship to (DoDAAC / MAPAC): SW3119

Mark For: FLB

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP:

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): SW3119

Page 1 of 3DD FORM 1653 Version 2Generated by PRPS using Jasper Reports on 13 Nov 2018

NSN / Pseudo NSN: 5955016137953EW

Purchase Instrument Line Item Number: 0003

Ship to (DoDAAC / MAPAC): SW3119

Mark For: FLB

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP:

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): SW3119

NSN / Pseudo NSN: 5955016138325EW

Purchase Instrument Line Item Number: 0004

Ship to (DoDAAC / MAPAC): SW3119

Mark For: FLB

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP:

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): SW3119

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

OTHER TRANSPORTATION DATA:

TACRN:

AAB

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 649 47GR 15661P 01N000 00000 000000 503000 F03000 FSR: 013408 PSR: K19378

First Destination Transportation Account Code: FRS6

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

ZERO DOLLAR PR

ITEM / SHIP TO(s):

Page 2 of 3DD FORM 1653 Version 2Generated by PRPS using Jasper Reports on 13 Nov 2018

NSN / Pseudo NSN: 5955016134712EW

Purchase Instrument Line Item Number: 0001

Ship to (DoDAAC / MAPAC): FD2060

Mark For: Mark all boxes: First Article-DO NOT POST

Ship To (Address): FD2060 DDWG ER DLA CENTRAL RCVG

455 BYRON ST

ROBINS AFB GA 31098

31098 - 1098

USA

WPOD:

APOD:

BBP / CCP:

RIC: 3

Requisition Number:

Supplemental Address:

FMS Case:

CP 478 926 3638

Ship To (Remarks):

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

OTHER TRANSPORTATION DATA:

NAME

Langford-Scott, Dorothy A

ORGANIZATION / OFFICE

SYMBOL

406 SCMS / GULAA

COMMERCIAL / DSN

PHONE

478-327-6592 / 497-6593

SIGNATURE

//SIGNED//Langford-Scott, Dorothy A

DATE

01 NOV 2018

Page 3 of 3DD FORM 1653 Version 2Generated by PRPS using Jasper Reports on 13 Nov 2018

TRANSPORTATION DATA FOR SOLICITATIONS

COMMODITY: See Continuation

PURCHASE INSTRUMENT NUMBER:

FD20601900093-00

DATE INITIATED:

15 NOV 2018

STOCK NUMBER: See Continuation

X ORIGIN DESTINATION OTHER X 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 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

TACRN:

AAA

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 649 47GR 15652P 01N000 00000 000000 503000 F03000 FSR: 013408 PSR: K19214

First Destination Transportation Account Code:

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

FOB DESTINATION/DATA

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 5955DTL190008EW

Purchase Instrument Line Item Number: 0002

Ship to (DoDAAC / MAPAC): FA8522

Mark For:

Ship To (Address): FA8522 AFSC PZABB

235 BYRON ST BLDG 300 STE 19A

ROBINS AFB GA 31098

31098 - 1098

USA

WPOD:

APOD:

BBP / CCP:

RIC: 2

Requisition Number:

Supplemental Address:

FMS Case:

CP 478 926 7405

Ship To (Remarks):

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

OTHER TRANSPORTATION DATA:

TACRN:

AAB

Page 1 of 2DD FORM 1653 Version 2Generated by PRPS using Jasper Reports on 16 Nov 2018

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 649 47GR 15652P 01N000 00000 000000 503000 F03000 FSR: 013408 PSR: K19214

First Destination Transportation Account Code: FRS6

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

ZERO DOLLAR

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 5955010411201EW

Purchase Instrument Line Item Number: 0001

Ship to (DoDAAC / MAPAC): SW3119

Mark For: FLB

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP:

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks):

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

15 NOV 2018

Page 2 of 2DD FORM 1653 Version 2Generated by PRPS using Jasper Reports on 16 Nov 2018