PR-00210_Attachments.pdf

PACKAGING REQUIREMENTS

PURCHASE INSTRUMENT NUMBER: FD20601900210-00 VERSION: 3

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 No Packaging Data Required

ITEM(S):

5841DTL19012C

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 MIL-STD-2073-1 / No Packaging Available MIL B

ITEM(S):

5841015518554CW

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:

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.

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PACKAGING REQUIREMENTS

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:

Martinez, Lorenda L

PHONE NUMBER:

478-327-6313 / 497-6313

SIGNATURE:

//SIGNED//Martinez, Lorenda L

DATE:

18333 - 29 NOV 2018

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RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

5841015518554CW

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Hoogerhuis, Dennis A / 478-926-5729

6. EQUIPMENT SPEC / PHONE

Salmon, Butch / 478-926-7796

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 NEW SOURCE

X PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

G

11. SIGNATURE OF TECHNICAL AUTHORITY

Sarr, Abdoulie B

ORGANIZATION / SYMBOL

407 SCMS / GUEA

PHONE

478-926-0929 / 468-0929

DATE

22 MAY 2018

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TRANSPORTATION DATA FOR SOLICITATIONS

COMMODITY: See Continuation

PURCHASE INSTRUMENT NUMBER:

FD20601900210-00

DATE INITIATED:

29 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 15411Z 01N000 00000 000000 503000 F03000 FSR: 013408 PSR: K19311

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: 5841015518554CW

Purchase Instrument Line Item Number: 0001

Ship to (DoDAAC / MAPAC): SW3119

Mark For: SDD RIC

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:

TACRN:

AAB

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TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 649 47GR 15411Z 01N000 00000 000000 503000 F03000 FSR: 013408 PSR: K19311

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: 5841DTL19012C

Purchase Instrument Line Item Number: 0002

Ship to (DoDAAC / MAPAC): FB2065

Mark For: ADDRESSEE ON FORM DD 1423

Ship To (Address): FB2065 AF SUPPLY CNTRL RECV

455 BYRON ST

ROBINS AFB GA 31098

31098 - 1098

USA

WPOD:

APOD:

BBP / CCP:

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

BLDG 376 CP 478 926 2325

Ship To (Remarks): IAW DD FORM 1423 THIS LINE IS FOR DATA ONLY

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

29 NOV 2018

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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 TM OTHER X

D. SYSTEM / ITEM

E-3 AWACS, APY-1/2

E. CONTRACT / PR NO.

FD20601900210

F. CONTRACTOR

Mercury Systems Inc

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan (CPP)

3. SUBTITLE

N/A

4. AUTHORITY

Counterfeit Protection Plan

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

4.6

6. REQUIRING OFFICE

Fa8539

7. DD 250 REQ

DD

8. APP CODE

A

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

Sarr, Abdoulie BNAME: 05 NOV 2018DATE:

Block 10-14: The plan shall be delivered in electronic PDF format through the Wide Area Workflow (WAWF) system no later than 30 calendar days after contract award.

COORDINATORS:

15. TOTAL

G. PREPARED BY

Williams, Samuel L

407 SCMS / GULBD

478-926-1962

H. DATE

28 NOV 2018

I. APPROVED BY

//DIGITALLY SIGNED//

FLOYD.EMILY.N.1364985289

407 SCMS / GULBB 478-926-7824 / 468-7824

J. DATE

28 NOV 2018

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PREVIOUS EDITION MAY BE USED.

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

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

TDP TM OTHER X

D. SYSTEM / ITEM

E-3 AWACS, APY-1/2

E. CONTRACT / PR NO.

FD20601900210

F. CONTRACTOR

Mercury Systems Inc

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

N/A

4. AUTHORITY

Marking Plan = DI-MGMT-81803

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

4.3.1.3

6. REQUIRING OFFICE

FA8539

7. DD 250 REQ

DD

8. APP CODE

N/A

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

Sarr, Abdoulie BNAME: 05 NOV 2018DATE:

Block 10-14: The plan shall be delivered in electronic PDF format through the Wide Area Workflow (WAWF) system and no later than 30 calendar days of contract award.

COORDINATORS:

15. TOTAL

G. PREPARED BY

Williams, Samuel L

407 SCMS / GULBD

478-926-1962

H. DATE

28 NOV 2018

I. APPROVED BY

//DIGITALLY SIGNED//

FLOYD.EMILY.N.1364985289

407 SCMS / GULBB 478-926-7824 / 468-7824

J. DATE

28 NOV 2018

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

TDP TM OTHER X

D. SYSTEM / ITEM

E-3 AWACS, APY-1/2

E. CONTRACT / PR NO.

FD20601900210

F. CONTRACTOR

Mercury Systems Inc

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Activity, Validation and Verification Report

3. SUBTITLE

N/A

4. AUTHORITY

di-mgmt81804

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.3.2.2

6. REQUIRING OFFICE

FA8539

7. DD 250 REQ

DD

8. APP CODE

N/A

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

Sarr, Abdoulie BNAME: 05 NOV 2018DATE:

Block 10-14: The report shall be delivered in electronic PDF format through the Wide Area Workflow (WAWF) system no later than 30 calendar days of marking activity

COORDINATORS:

15. TOTAL

G. PREPARED BY

Williams, Samuel L

407 SCMS / GULBD

478-926-1962

H. DATE

28 NOV 2018

I. APPROVED BY

//DIGITALLY SIGNED//

FLOYD.EMILY.N.1364985289

407 SCMS / GULBB 478-926-7824 / 468-7824

J. DATE

28 NOV 2018

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PREVIOUS EDITION MAY BE USED.

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

5841015518554CW

VERSION NUMBER

NOUN

RADAR SET SUBASSEMB

INITIATOR

Sarr, Abdoulie B

ORGANIZATION CODE / OFFICE SYMBOL

407 SCMS / GUEA

COMMERCIAL PHONE

478-926-0929

DSN PHONE

468-0929

CAGE / REFERENCE NUMBER

3FDH9 / A249001-1

97942 / 561R866H01

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

MARKING GUIDANCE

Recommended Marking Instruction

ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE

Data Label

MARKING METHOD

Laser Etched

DESCRIPTION / LOCATION

Apply the IUID label next to the current identification marking in accordance with MIL-STD-130 (latest revision) and the following instructions:

a) Laser etch the IUID matrix on Tesa Tape 6973, or equivalent; refer to USAF (98748) drawing 200945085 for details.

b) Do not cover any existing markings on the item when applying the IUID label.

c) For electrostatic discharge (ESD) sensitive parts, refer to general standard shop practices TO 00-25-234 for proper ESD precautions and procedures.

d) Prior to label application, clean the surface of the applicable part using isopropyl alcohol IAW TT-I-735, or equivalent, in accordance with general standard shop practices TO 00-25-234; refer to TO 00-25-260 as applicable. Allow the surface to dry completely before applying the IUID label.

e) Apply the label to the clean, dry surface by removing the adhesive backing from the label (do not touch the adhesive surface) and placing the label on the item. Apply pressure by rubbing the label surface to thoroughly activate the adhesive and insure the label is attached securely. Allow the label to set undisturbed for one hour before handling.

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: 5841015518554CW

MARKING GUIDANCE ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

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ITEM UNIQUE IDENTIFICATION (IUID) CHECKLIST

REMARKS

ATTACHMENT(S)

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ITEM DESCRIPTION

NSN

5841015518554CW

CAGE

97942

REFERENCE NUMBER

561R866H01

NOUN

RADAR SET SUBASSEMB

END ITEM TCTO NUMBER TO NUMBER

12P2-2APY1-74

CRITICALITY CODE

X

DEMILITARIZATION CODE

D

SECURITY CODE

MDC

Q4A

ES CODE

8P

REMARKS

Salmon, ButchNAME: 05 SEP 2018DATE:

being condemned

INITIATOR

NAME

BUTCH.SALMON

ORGANIZATION / OFFICE SYMBOL

407 SCMS / GULB

DSN PHONE

468-7796

COMMERCIAL PHONE

478-926-7796

ITEM DESCRIPTION DATA

LENGTH ( IN )

12.0000

WIDTH ( IN )

8.0000

HEIGHT ( IN )

1.5000

WEIGHT ( LB )

2.0000

OTHER DIMENSIONS

ITEM MATERIAL

aluminum

ITEM FUNCTION

rf switch

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

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