SPRWA121R0021.pdf

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1447 (REV. 8/2016)

PREVIOUS EDITION NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.214(d)

23. ACCOUNTING AND APPROPRIATION DATA

SEE SCHEDULE

24. TOTAL AWARD AMOUNT (For Government Use Only)

TELEPHONE NUMBER

UNIQUE ENTITY

IDENTIFIER

CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

NO COLLECT CALLS

4. SOLICITATION NUMBER

SPRWA1-21-R-0021

6.SOLICITATION ISSUE DATE

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: 334511

8(A) SIZE STANDARD: 1,250

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:

ROUTINE

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

Please provide proposal and all supporting documents to christine.tomlinson@us.af.mil by COB 14 JUNE 2021

SEE LINE ITEM SCHEDULE

22.

AMOUNT

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

FULL AND OPEN COMPETITION (c) (1 ) (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 BLOCK 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

SPRWA1

2. CONTRACT NUMBER

17.

ITEM NUMBER

12. ADMINISTERED BY CODE

Total

SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK: 14 EFT:T

SCD:B

NAME AND TITLE OF SIGNER (Type or Print) NAME OF CONTRACTING OFFICER

5. SOLICITATION TYPE

SEALED BIDS NEGOTIATED

(IFB) (RFP)

15. PROMPT PAYMENT DISCOUNT

25. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

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 Search, Detection, Navigation, Guidance, Aeronautical, and Nautical System and Instrument Manufacturing

9. (Agency Use) Offers will be received at the issuing office until the date and time specified below. All official United States Postal Service mail and classified material will be delivered to the address shown in block 7. Deliver all parcels to the address shown in block 7, ATTN: Buyer Named Above.

14-JUN-2021 3:30PM

X

18.

SCHEDULE OF SUPPLIES/SERVICES

14. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

X

7. ISSUED BY CODE

DLA AVIATION, DLR PROCUREMENT OPERATIONS (AW)

235 BYRON ST STE 19A

ROBINS AFB GA 31098-1813

BUYER: Christine O. Tomlinson/SPRWA1 christine.tomlinson@us.af.mil Phone: (478) 926- 4970

X

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)SOLICITATION/CONTRACT

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

J

15 MAR 2021

STANDARD FORM 1447 (REV. 8/2016) BACK

NO RESPONSE FOR 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)

UNABLE TO IDENTIFY THE ITEM(S)

CANNOT COMPLY WITH SPECIFICATIONS CANNOT MEET DELIVERY REQUIREMENT

DO NOT REGULARILY MANUFACTURE OR SELL THE TYPE

OF ITEMS INVOLVED

DATE AND LOCAL TIME 14 JUN 2021 3:30 PM

SOLICITATION NUMBER SPRWA121R0021

FROM: AFFIX

STAMP

HERE

TO:

ATTN: Christine O Tomlinson/SPRWA1

DLA AVIATION, DLR PROCUREMENT OPERATIONS (AW)

235 BYRON ST STE 19A

ROBINS AFB GA 31098-1813

SPRWA1-21-R-0021

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

This is a Request for Proposal for Pricing for the NSNs identified in Schedule B to be added by modification to Contract SPE4AX15D9414 and applicable Subsumable Contract SPE4AX16D9441.

a. Quantity The quantities in the schedule represent the Government's Best Estimated Quantities (BEQs). These BEQs do not represent a minumum or maximum quantity.

The requested pricing is for three (3) twelvemonth ordering periods with BEQs as follows:

Ordering Period 1 (est. FY22) 25 Ordering Period 2 (est. FY23) 25 Ordering Period 3 (est. FY24) 25

b. *Range pricing is requested for each ordering period as noted on the attached Schedule Price List spreadsheet. Please fill out this spreadsheet and include it with your proposal submission.

(*Range pricing from qty of 1 ea to qty of 50 ea as noted on the attached Schedule Price List spreadsheet)

c. With your proposal, please provide a Cost Model in Excel format with working formulas.

d. Please complete the attached Proposal Adequacy Checklist.

e. Provisions and Clauses from SPE4AX15D9414 and SPE4AX16D9411 with schedule specific information, or requiring fillins applicable to this effort are included with this RFP. Please complete all fillins.

f. All other terms and conditions of the Umbrella Contract SPE4AX15D9414 and SPE4AX16D9411 remain the same.

AN/ALR-56M Shipset

NSN 1680-K0-10-7337AVM

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

25 EA See Pricing Matrix

NSN: 1680-K0-107-337A VM

AN/ALR-56M Shipset Manufacturer Part Number 81413 333001-011

AN/ALR-56M Shipset

NSN 1680-K0-10-7337AVM

81413 333002-012 Associated Document(s) Line Item(s)

FD20602031571 0001

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF 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.)

Title Number Date Tailoring

ISO 9001-2008 2008

Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ TBC ORIGIN

Type / Ship To PACRN Mark For

+ TBC PAA

Type / Ship To Quantity (U/I) *ARO Delivery to commence 20 months ARO at 5 each per month.

_ Req No / Pri

Required Delivery

+ TBC 25 EA *20 Months

Proposed Delivery

+ TBC 25 EA

DATA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

LO Not Separately Priced

DATA

DATA

ELIN NUMBER DESCRIPTION

A001 Parts Approval Request

A002 Engineering Change Proposal (ECP)

A003 Product Engineering Design Data and Associated Lists

A004 Status Report

DATA

A005 Test Procedure

A006 Scientific and Technical Reports

A007 Technical Manual Contract Requirement (TMCR)

Limitations of Liability: Other Than High Value Item

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

DELIVERY OF DATA ITEMS SHALL BE IN ACCORDANCE WITH ATTACHED DD1423s. SEE SECTION J.

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + TBC

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

AWARD NUMBER:

PART I THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

52.2462 INSPECTION OF SUPPLIESFIXEDPRICE (AUG 1996)

(IAW FAR 46.302)

(Applicable for supplies, services furnishing of supplies, fixedprice and exceeds the simplified acquisition threshold)

52.246-16 RESPONSIBILITY FOR SUPPLIES (APR 1984)

(IAW FAR 46.316)

(Applicable to the furnishing of supplies, services involving the furnishing of supplies, or research and development, when a fixedprice contract is contemplated and the contract amount is expected to exceed the simplified acquisition threshold)

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503)

(Applicable to all orders issued hereunder)

PART I THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

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

(IAW FAR 47.303-2(c))

(Applicable to f.o.b. origin at contractor's facility)

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

(IAW FAR 47.303-17(f))

(Applicable when specifying f.o.b. origin)

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 FILLIN]

(Applicable when delivery term is f.o.b. origin)

PART I THE SCHEDULE

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))

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

(Contracting Officer: Insert applicable document type(s).

Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (standalone) and “Receiving Report” (standalone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

(Contracting Officer: Insert inspection and acceptance locations or “Not applicable.”)

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table* Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC Issue By DoDAAC Admin DoDAAC Inspect By DoDAAC Ship To Code Ship From Code Mark For Code Service Approver (DoDAAC)

Service Acceptor (DoDAAC) Accept at Other DoDAAC LPO DoDAAC DCAA Auditor DoDAAC Other DoDAAC(s) (*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant backup documentation, as defined in DFARS Appendix F, (e.g.

timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

(Contracting Officer: Insert applicable email addresses or “Not applicable.”)

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

(Contracting Officer: Insert applicable information or “Not applicable.”)

(2) For technical WAWF help, contact the WAWF helpdesk at 8666185988.

(Applicable in solicitations and contracts or task or delivery orders, including solicitations and contracts using FAR part 12 procedures for the acquisition of commercial items, when 252.2327003 is used and none of the exceptions at 232.7002(b)(1) apply. See PGI 232.7004 for instructions on completing the clause)

PART III LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages

DD1423 CONTRACT DATA REQUIREMENTS LIST

A001A007

12FEB2021 13

IUID ITEM UNIQUE IDENTIFICATION 02FEB2021 1

AFMC 807 QUALITY ASSURANCE 02FEB2021 1

AFMC 158 PACKAGING 25FEB2021 2

DD 1653 TRANSPORTATION 25FEB2021 3

MTRIX SCHEDULE PRICE LIST 10MAR2021 1

PART IV REPRESENTATIONS AND INSTRUCTIONS

SECTION K

REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS

OF OFFERORS OR RESPONDENTS

(Applicable to all solicitation for Covered Telecommunications Equipment or ServicesRepresentation.)

52.207-4 ECONOMIC PURCHASE QUANTITY--SUPPLIES (AUG 1987)

(IAW FAR 7.203)

(a) Offerors are invited to state an opinion on whether the quantity(ies) of supplies on which bids, proposals or quotes are requested in this solicitation is (are) economically advantageous to the Government.

(b) Each offeror who believes that acquisitions in different quantities would be more advantageous is invited to recommend an economic purchase quantity. If different quantities are recommended, a total and a unit price must be quoted for applicable items. An economic purchase quantity is that quantity at which a significant price break occurs. If there are significant price breaks at different quantity points, this information is desired as well.

OFFEROR RECOMMENDATIONS

ITEM QUANTITY QUOTATION PRICE TOTAL

(c) The information requested in this provision is being solicited to avoid acquisitions in disadvantageous quantities and to assist the Government in developing a data base for future acquisitions of these items. However, the Government reserves the right to amend or cancel the solicitation and resolicit with respect to any individual item in the event quotations received and the Government's requirements indicate that different quantities should be acquired.

(Applicable to supplies Proposals to include offeror's opinion and recommendations)

52.225-18 PLACE OF MANUFACTURE (AUG 2018)

(IAW FAR 25.1101(f))

(a) Definitions. As used in this provision— “Manufactured end product” means any end product and service codes (PSCs) 10009999, except—

(1) PSC 5510, Lumber and Related Basic Wood Materials;

(2) Product Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

(5) PSC 9410, Crude Grades of Plant Materials;

(6) PSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) PSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) PSC 9610, Ores;

(9) PSC 9620, Minerals, Natural and Synthetic; and

(10) PSC 9630, Additive Metal Materials.

“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

(b) For statistical purposes only, the offeror shall indicate whether the place of manufacture of the end products it expects to provide in response to this solicitation is predominantly—

(1) [ ] In the United States (Check this box if the total anticipated price of offered end products manufactured in the United States exceeds the total anticipated price of offered end products manufactured outside the United States); or

(2) [ ] Outside the United States.

(Applicable to solicitations for manufactured end products)

PART IV REPRESENTATIONS AND INSTRUCTIONS

SECTION L

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS OR RESPONDENTS

52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES -

REPRESENTATION (OCT 2020)

(IAW FAR 4.2105(c))

(a) Definitions. As used in this provision, “covered telecommunications equipment or services” and ‘‘reasonable inquiry’’ have the meaning provided in the clause 52.20425, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services”.

(c) Representations.

(1) The Offeror represents that it [ ] does, [ ] does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

(2) After conducting a reasonable inquiry for purposes of this representation, the offeror represents that it [ ] does, [ ] does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services.

252.215-7009 PROPOSAL ADEQUACY CHECKLIST (JAN 2014)

(IAW DFARS 215.408(4))

The offeror shall complete the following checklist, providing location of requested information, or an explanation of why the requested information is not provided. In preparation of the offeror's checklist, offerors may elect to have their prospective subcontractors use the same or similar checklist as appropriate.

PROPOSAL ADEQUACY CHECKLIST

REFERENCES SUBMISSION ITEM PROPOSAL

PAGE No If not provided

EXPLAIN (may use continuation pages

GENERAL INSTRUCTIONS

1. FAR 15.408, Table

152, Section I Paragraph A

Is there a properly completed first page of the proposal per FAR 15.408 Table 152 I.A or as specified in the solicitation?

2. FAR 15.408, Table 152, Section I Paragraph A(7)

Does the proposal identify the need for Government furnished material/tooling/test equipment? Include the accountable contract number and contracting officer contact information if known.

3. FAR 15.408, Table 152, Section I Paragraph A(8)

Does the proposal identify and explain notifications of noncompliance with Cost Accounting Standards Board or Cost Accounting Standards (CAS); any proposal inconsistencies with your disclosed practices or applicable CAS; and inconsistencies with your established estimating and accounting principles and procedures?

4. FAR 15.408, Table 152, Section I, Paragraph C(1)

FAR 2.101, “Cost or pricing data”

Does the proposal disclose any other known activity that could materially impact the costs? This may include, but is not limited to, such factors as

(1) Vendor quotations;

(2) Nonrecurring costs;

(3) Information on changes in production methods and in production or purchasing volume;

(4) Data supporting projections of business prospects and objectives and related operations costs;

(5) Unitcost trends such as those associated with labor efficiency;

(6) Makeorbuy decisions;

(7) Estimated resources to attain business goals; and

(8) Information on management decisions that could have a significant bearing on costs.

5. FAR 15.408, Table 152, Section I Paragraph B

Is an Index of all certified cost or pricing data and information accompanying or identified in the proposal provided and appropriately referenced?

6. FAR 15.4031(b) Are there any exceptions to submission of certified cost or pricing data pursuant to FAR 15.4031(b)? If so, is supporting documentation included in the proposal? (Note questions 1820.)

7. FAR 15.408, Table 152, Section I Paragraph C(2)(i)

Does the proposal disclose the judgmental factors applied and the mathematical or other methods used in the estimate, including those used in projecting from known data?

8. FAR 15.408, Table 152, Section I Paragraph C(2)(ii)

Does the proposal disclose the nature and amount of any contingencies included in the proposed price?

9. FAR 15.408, Table 152, Section II, Paragraph A or B

Does the proposal explain the basis of all cost estimating relationships (labor hours or material) proposed on other than a discrete basis?

10. FAR 15.408, Table 152, Section I Paragraphs D and E

Is there a summary of total cost by element of cost and are the elements of cost crossreferenced to the supporting cost or pricing data? (Breakdowns for each cost element must be consistent with your cost accounting system, including breakdown by year.)

11. FAR 15.408, Table 152, Section I Paragraphs D and E

If more than one Contract Line Item Number (CLIN) or sub Contract Line Item Number (subCLIN) is proposed as required by the RFP, are there summary total amounts covering all line items for each element of cost and is it crossreferenced to the supporting cost or pricing data?

12. FAR 15.408, Table 152, Section I Paragraph F

Does the proposal identify any incurred costs for work performed before the submission of the proposal?

13. FAR 15.408, Table 152, Section I Paragraph G

Is there a Government forward pricing rate agreement (FPRA)? If so, the offeror shall identify the official submittal of such rate and factor data. If not, does the proposal include all rates and factors by year that are utilized in the development of the proposal and the basis for those rates and factors?

COST ELEMENTS

MATERIALS AND SERVICES

14. FAR 15.408, Table 152, Section II Paragraph A

Does the proposal include a consolidated summary of individual material and services, frequently referred to as a Consolidated Bill of Material (CBOM), to include the basis for pricing? The offeror's consolidated summary shall include raw materials, parts, components, assemblies, subcontracts and services to be produced or performed by others, identifying as a minimum the item, source, quantity, and price.

SUBCONTRACTS (Purchased materials or services)

15. DFARS 215.4043 Has the offeror identified in the proposal those subcontractor proposals, for which the contracting officer has initiated or may need to request field pricing analysis?

16. FAR 15.4043(c)

FAR 52.2442

Per the thresholds of FAR 15.4043(c), Subcontract Pricing Considerations, does the proposal include a copy of the applicable subcontractor's certified cost or pricing data?

17. FAR 15.408, Table 152, Note 1;

Section II Paragraph A

Is there a price/cost analysis establishing the reasonableness of each of the proposed subcontracts included with the proposal?

If the offeror's price/cost analyses are not provided with the proposal, does the proposal include a matrix identifying dates for receipt of subcontractor proposal, completion of fact finding for purposes of price/cost analysis, and submission of the price/cost analysis?

EXCEPTIONS TO CERTIFIED COST OR PRICING DATA

18. FAR 52.21520

FAR 2.101,

“commercial item”

Has the offeror submitted an exception to the submission of certified cost or pricing data for commercial items proposed either at the prime or subcontractor level, in accordance with provision 52.21520?

a. Has the offeror specifically identified the type of commercial item claim (FAR 2.101 commercial item definition, paragraphs (1) through (8)), and the basis on which the item meets the definition?

b. For modified commercial items (FAR 2.101 commercial item definition paragraph (3)); did the offeror classify the modification(s) as either

i. A modification of a type customarily available in the commercial marketplace (paragraph (3)(i)); or

ii. A minor modification (paragraph (3)(ii)) of a type not customarily available in the commercial marketplace made to meet Federal Government requirements not exceeding the thresholds in FAR 15.4031(c)(3)(iii)(B)?

c. For proposed commercial items “of a type”, or “evolved” or modified (FAR 2.101 commercial item definition paragraphs (1) through (3)), did the contractor provide a technical description of the differences between the proposed item and the comparison item(s)?

19. [Reserved]

20. FAR 15.408, Table

152, Section II Paragraph A(1)

Does the proposal support the degree of competition and the basis for establishing the source and reasonableness of price for each subcontract or purchase order priced on a competitive basis exceeding the threshold for certified cost or pricing data?

INTERORGANIZATIONAL TRANSFERS

21. FAR 15.408, Table

152, Section II For interorganizational transfers proposed at cost, does the proposal include a complete cost proposal in

Paragraph A.(2) compliance with Table 152?

22. FAR 15.408, Table

152, Section II Paragraph A(1)

For interorganizational transfers proposed at price in provide accordance with FAR 31.20526(e), does the proposal an analysis by the prime that supports the exception from certified cost or pricing data in accordance with FAR 15.4031?

DIRECT LABOR

23. FAR 15.408, Table

15 2, Section II Paragraph B

Does the proposal include a time phased (i.e.; monthly, quarterly) breakdown of labor hours, rates and costs by category or skill level? If labor is the allocation base for indirect costs, the labor cost must be summarized in order that the applicable overhead rate can be applied.

24. FAR 15.408, Table 152, Section II Paragraph B

For labor Basis of Estimates (BOEs), does the proposal include labor categories, labor hours, and task descriptions(e.g.; Statement of Work reference, applicable CLIN, Work Breakdown Structure, rationale for estimate, applicable history, and timephasing)?

25. FAR subpart 22.10 If covered by the Service Contract Labor Standards statute (41 U.S.C. chapter 67), are the rates in the proposal in compliance with the minimum rates specified in the statute?

INDIRECT COSTS

26. FAR 15.408, Table

152, Section II Paragraph C

Does the proposal indicate the basis of estimate for proposed indirect costs and how they are applied?

(Support for the indirect rates could consist of cost breakdowns, trends, and budgetary data.)

OTHER COSTS

27. FAR 15.408, Table

152, Section II Paragraph D.

Does the proposal include other direct costs and the basis for pricing? If travel is included does the proposal include number of trips, number of people, number of days per trip, locations, and rates (e.g. airfare, per diem, hotel, car rental, etc)?

28. FAR 15.408, Table 152, Section II Paragraph E

If royalties exceed $1,500 does the proposal provide the information/data identified by Table 152?

29. FAR 15.408, Table 152, Section II Paragraph F

When facilities capital cost of money is proposed, does the proposal include submission of Form CASBCMF or reference to an FPRA/FPRP and show the calculation of the proposed amount?

FORMATS FOR SUBMISSION OF LINE ITEM SUMMARIES

30. FAR 15.408, Table

152, Section III Are all cost element breakdowns provided using the applicable format prescribed in FAR 15.408, Table 152 III? (or alternative format if specified in the request for proposal)

31. FAR 15.408, Table 152, Section III Paragraph B

If the proposal is for a modification or change order, have cost of work deleted (credits) and cost of work added (debits) been provided in the format described in FAR 15.408,Table 152.III.B?

32. FAR 15.408, Table 152, Section III Paragraph C

For price revisions/redeterminations, does the proposal follow the format in FAR 15.408, Table 152.III.C?

OTHER

33. FAR 16.4 If an incentive contract type, does the proposal include offeror proposed target cost, target profit or fee, share ratio, and, when applicable, minimum/maximum fee, ceiling price?

34. FAR 16.2034 and FAR 15.408,Table

If Economic Price Adjustments are being proposed, does the proposal show the rationale and application for the

152, Section II, Paragraphs A, B, C, and D economic price adjustment?

35. FAR 52.23228 If the offeror is proposing PerformanceBased Paymentsdid the offeror comply with FAR 52.23228?

36. FAR 15.408(n)

FAR 52.21522

FAR 52.21523

Excessive Passthrough ChargesIdentification of Subcontract Effort: If the offeror intends to subcontract more than 70%of the total cost of work to be performed, does the proposal identify: (i) the amount of the offeror's indirect costs and profit applicable to the work to be performed by the proposed subcontractor(s); and (ii) a description of the added value provided by the offeror as related to the work to be performed by the proposed subcontractor(s)?

PACKAGING REQUIREMENTS

(X)(X)(X)(A/B)(X)(#)

MIL-STD-2073-1

PRES

SPECIAL

PACKAGING

INSTRUCTION

NUMBER

COMMERCIAL

ASTM D3951 MIL-STD-129

MARKINGPACKPACKPRES

QUP

ITEM ID

PR, MIPR, OR DOCUMENT

U C L

T

D

1000TH

O P

I1010 WHOLE CUBEDEPTHWIDTH10LENGTH10

UNIT PACK CUBEUNIT PACK SIZEUNIT PACK WEIGHT

SPEC

MKG

INT

CONT

UNIT

CONT

CUSH

DUNN

WRAP

MTL

MTL

METH

ICQQUP

QUANTITY

Page 1 of 2 PagesPREVIOUS EDITIONS ARE OBSOLETE

DATEPACKAGING SPECIALIST SIGNATUREPACKAGING SPECIALIST (Typed Name)

AFMC FORM 158, 20150424

ORGANIZATION

4. CODED DATA: Coded requirements shall be interpreted in accordance with MIL-STD-2073-1

2. ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS (Specify all revisions and dates or required specifications)

E. WOOD PACKAGING MATERIAL ISPM 15

D. MARKING OF WARRANTED ITEMS, ITEM NAME(S)

C. PACKAGING DATA (Coded and/or Special Packaging Instructions)

B. PACKAGING OF HAZARDOUS MATERIALS

A. ENGINEERED OR SPECIALIZED CONTAINERS (CDRS)

3. INSTRUCTIONS TO CONTRACTING OFFICER: Insert appropriate vendor packaging instructions in Section D for applicable item(s) as indicated below:

SEE REVERSE FOR SPECIFIC INSTRUCTIONS:

1. PACKING REQUIREMENTS: Block 1 shall always be completed and may be further defined in Blocks 2, 3, or 4. The term “Item ID” refers to line item number, item name, NSN/MMAC, or any other way of identifying a particular item. MIL-STD-2073-1 represents Military Preservation (PRES) and Packing (PACK). Military packing consists of levels A and B. ASTM D3951 may be substituted by another document if specified in Block 2. Quantity Per Unit (QUP) is abbreviated.

ADDITIONAL INFORMATION

Page 2 of 2 PagesAFMC FORM 158, 20150424

ID 1: 1680-KO-107-337

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WR1:

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CDUNN:

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CT1:

UC1:

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IC1:

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UPW 1:

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Organization: 406 SCMS/GULAA

PS Name: [Michael Raines/DSN 497-6318]

2021-03-11T13:18:01-0500

RAINES.MICHAEL.B.1065680110

Date: Mar 11, 2021

Add Info: SHIPPING CONTAINER MARKING - SHIPPING CONTAINERS SHALL BE MARKED MEETING THE FOLLOWING CRITERIA: (a) MIL-STD-129R, STANDARD PRACTICE FOR MILITARY MARKING. (b) ADDITIONAL MARKING AND/OR BAR CODE REQUIREMENTS EXCEEDING THOSE OF MIL-STD-129R, e.g., UNIT SERIAL NUMBERS, ORIGINAL EQUIPMENT MANUFACTURER'S (OEM) NAME, OR OEM MODEL NUMBER, AS SPECIFIED ON THE AFMC FORM 158.

MILITARY PACKAGING AND MARKING - ITEMS SHALL BE PACKAGED IN ACCORDANCE WITH MIL-STD-2073-1E, STANDARD PRACTICE FOR MILITARY PACKAGING. SHIPPING AND STORAGE MARKINGS SHALL BE IN ACCORDANCE WITH MIL-STD-129R, STANDARD PRACTICE FOR MILITARY MARKING.

FOR REPAIRS - WHEN SHIPPING CONTAINERS ARE RECEIVED THAT MEET THE REQUIREMENTS OF THE AFMC FORM 158 AND ARE SUITABLE FOR RETURN SHIPMENT OF SERVICEABLES ASSETS, THEY SHALL BE RECLAIMED, STORED AND PROTECTED FOR REUSE. UNSERVICEABLE CONTAINERS SHALL BE DISPOSED OF AND REPLACED WITH NEW CONTAINERS BY THE CONTRACTOR THAT MEET THE REQUIREMENTS OF THE AFMC FORM 158.

PACKAGING AND MARKING OF HAZARDOUS MATERIAL - HAZARDOUS MATERIALS SHALL BE PREPARED FOR SHIPMENT IN ACCORDANCE WITH THE FOLLOWING APPLICABLE REGULATIONS FOR THE INDIVIDUAL SHIPMENT HAZARD, ULTIMATE DESTINATION, AND MODE OF TRANSPORTATION: (a) CODE OF FEDERAL REGULATIONS (CFR) TITLE 29, PART 1910.1200; (b) CODE OF FEDERAL REGUALTIONS (CFR) TITLE 49; (c) AIR FORCE MANUAL (AFMAN) 24-204_IP, PREPARING HAZARDOUS MATERIALS FOR MILITARY AIR SHIPMENT; (d) INTERNATIONAL CIVIL AVIATION ORGANIZATION (ICAO) TECHNICAL INSTRUCTIONS FOR THE SAFE TRANSPORT OF DANGEROUS GOODS BY AIR; AND (e) INTERNATIONAL MARITIME DANGEROUS GOODS (IMDG) CODE.

ALL WOODEN LUMBER, WOODEN PALLETS, AND WOODEN CONTAINERS PRODUCED ENTIRELY OR IN PART OF WOOD PACKING MATERIAL (WPM) SHALL BE CONSTRUCTED FROM DEBARKED WOOD IN ADDITION TO HEAT TREATED (HT) MATERIAL (HT 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 INTERNATIONAL STANDARDS FOR PHYTOSANITARY MEASURES (LATEST REVISION OF ISPM NO.15) AND DOD 4140.01-M-1 COMPLIANCE FOR DEFENSE PACKAGING: PHYTOSANITARY REQUIREMENTS FOR WOOD PACKAGING MATERIAL (WPM) OFFICE. THIS INFORMATION CAN BE FOUND AT WWW.IPPC.INT.

QUP 1: 1

QUP 2:

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MP 1: X

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CPK 10:

DDFORM 1653 APR 1999 (PREVIOUS EDITIONS ARE OBSOLETE) 406 SCMS/GUMA OVERPRINT

TRANSPORTATION DATA FOR SOLICITATIONS

(USE REVERSE FOR ADDITIONAL REMARKS)

1. PR. PO or MIPR NUMBER 2. DATE (PR PREPARED)

3. COMMODITY

NMFC: DATA/FIRST ARTICLE: FOB DESTINATION

4. STOCK NUMBER

5. F.O.B. TERMS RECOMMENDED AS BEST SUITED FOR THIS PROCUREMENT (X ONE OR MORE)

A. ORIGIN C. OTHER – (DESTINATION APOE/WPOE)

B. DESTINATION

6. TRANSPORTATION PROVISIONS / CLAUSES (X APPROPRIATE BLOCKS) 7. FAR CITATION

a.

b. REPORT OF SHIPMENT (REPSHIP)(FEB 2006) 52.247-68

c. COMMERCIAL BILL OF LADING NOTATIONS(FEB 2006) 52.247-1

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

e. F.O.B. ORIGIN WITH DIFFERENTIALS (FEB 2006) 52.247-33

f. F.O.B. DESTINATION (NOV 1991) 52.247-34

g. F.O.B. ORIGIN AND/OR DESTINATION EVALUATION (APR 1984) 52.247-45

h. SHIPPING POINT (S) USED IN EVALUATION OF F.O.B. ORIGIN OFFERS (APR 1984) 52.247-46

i. EVALUATION – F.O.B. ORIGIN (JUN 2003) 52.247-47

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

k. DESTINATION – UNKNOWN (APR 1984) 52.247-49

l. NO EVALUATION OF TRANSPORTATION COSTS (APR 1984) 52.247-50

m. EVALUATION OF EXPORT OFFERS (JAN 2001) 52.247-51

n. CLEARANCE AND DOCUMENTATION REQUIREMENTS-SHIPMENTS TO DOD AIR OR WATER

TERMINAL TRANSSHIPMENT POINTS (FEB 2006)

52.247-52

o. FREIGHT CLASSIFICATION DESCRIPTION (APR 1984) IAW CONTRACT 52.247-53

p. F.OB. POINT FOR FMS SHIPMENTS ORIGINATING OUTSIDE THE U.S. (FMS) (JUL 1997) See CONTINUATION

q. F.O.B. POINT OF DELIVERY OF GOVERNMENT – FURNISHED PROPERTY (JUN 2003) 52.247-55

r. TRANSIT ARRANGEMENTS (APR 1984) 52.247-56

s. TRANSPORTATION TRANSIT PRIVILEGE CREDITS (APR 1984) 52.247-57

t. LOADING, BLOCKING, AND BRACING OF FREIGHT CARS (APR 1984) 52.247-58

u. F.O.B. ORIGIN – CARLOAD AND TRUCKLOAD SHIPMENTS (APR 1984) 52.247-59

v. GUARANTEED SHIPPING CHARACTERISTICS (DEC 1989) 52.247-60

w. F.O.B. ORIGIN – MINIMUM SIZE OF SHIPMENTS (APR 1984) 52.247-61

x. MARKING OF SHIPMENTS

y. F.O.B. ORIGIN – PREPAID FREIGHT (FEB 2006), * SEE 6Z BELOW 52.247-32

8. EVALUATION OF PORT BIDS OR PROPOSAL (Ports and combined handling and transportation charges per measurement ton used by the Government for evaluation purposes).

a. DESTINATION COUNTRIES b. ORIGIN PORTS (Air or Water)

BAYONNE NJ

NORFOLK VA

CONCORD CA

SEATTLE WA

6Z. 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.

(X) SEE REVERSE

a. TYPED OR PRINTED NAME (Last, First, Middle) b. SIGNATURE c. DATE (YYYYMMDD)

PR:

DD FORM 1653: ADDITIONAL TRANSPORTATION DATA FROM: 406 SCMS/GULAA

1. REMARKS

A. FOREIGN MILITARY SALES:

(1) NOTE TO CONTRACTOR: FOREIGN MILITARY SALES: 10-15 DAYS PRIOR TO

SHIPMENT, CONTACT THE DCMA/ ACO TRANSPORTATION OFFICE FOR SHIPPING

ADDRESS / INSTRUCTIONS.

(2) FOR REPAIR & RETURN FMS: ALL INBOUND SHIPPING DOCUMENTS MUST BE

MAINTAINED FOR USE IN OUTBOUND SHIPPING.

(3) EVIDENCE OF SHIPMENT (FMS) FOREIGN MILITARY SALES

B. CLASSIFIED MATERIAL: TRANSPORTATION MUST BE BY CARRIERS THAT PROVIDE DOD

CONSTANT SURVEILLANCE SERVICE (DOD CSS) IAW DOD 4500.9-R.

C. SHIPPING INSTRUCTIONS (See Page 3)

D. SAME AS BASIC PR WITH NOTED CHANGES

E. BASIC CONTRACT NUMBER

F. F.O.B. POINT FOR U.S. SHIPMENTS ORIGINATING OUTSIDE THE CONTINENTAL U.S. (SEE

CONTINUATION)

G. 52.247-38 – F.O.B. – INLAND CARRIER, POINT OF EXPORTATION. (FEB 2006)

H. NOTE TO CONTRACTOR: PRIOR TO SHIPPING, Contractor must contact the DCMA

Transportation Officer for the current aerial or water point of embarkation (APOE/WPOE) and assistance with required export documentations.

I. NOTE TO CONTRACTOR: PRIOR TO SHIPPING, Contractor must contact the DCMA Transportation Officer for assistance with required export documentations.

J. NOTE TO BUYER: IF NECESSARY TO DEVIATE FROM THIS DOCUMENT, CONSOLIDATE WITH

ANOTHER PR, MIPR, SI, ASI OR ANTICIPATE AWARD TO OVERSEAS ORIGIN POINT REQUEST

YOU RECOORDINATE WITH 406 SCMS/GUMA FOR INCLUSION OF ADDITIONAL FAR CLAUSES

OR CHANGES TO OUR ORIGINAL RECOMMENDATIONS.

2. ESTIMATED SHIPPING CHARACTERISTICS:

3. TRANSPORTATION APPROPRIATION CHARGEABLE:

4. FAST TRANSPORTATION

(a) Domestic shipments – use door-to-door carriers for all shipments regardless of weight.

(b) Export shipments – use Worldwide Express (WWX) for all shipments of 0-300 pounds.

Contact The Cognizant Transportation Officer (CTO) if commercial services are not available.

(c) Foreign Military Sales (FMS) shipments are excluded from these requirements.

5. NOTE TO BUYER: FOR TRANSPORTATION BID EVALUATION PURPOSES: IF DIFFERENCE

BETWEEN BIDDERS EXCEEDS , TRANSPORTATION COST WILL NOT BE A

DETERMINING FACTOR IN CONTRACT AWARD.

6. TRANSPORTATION RECOMMENDATIONS TO BE CITED ON FUTURE PR COORDINATION.

Beverly Brown, Supervisor Transportation & Packaging (406 SCMS/GULAA) Mission Support Section (10/14/2015)

PR:

SHIP TO:

2 DATE PR PREPARED: 2021-03-11

4 STOCK NUMBER:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow1: X

7 FAR CITATIONa:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow2:

b REPORT OF SHIPMENT REPSHIPFEB 2006:

5224768:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow3:

c COMMERCIAL BILL OF LADING NOTATIONSFEB 2006:

522471:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow4: X d FOB ORIGIN FEB 2006:

5224729:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow5:

e FOB ORIGIN WITH DIFFERENTIALS FEB 2006:

5224733:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow6:

f FOB DESTINATION NOV 1991:

5224734:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow7:

g FOB ORIGIN ANDOR DESTINATION EVALUATION APR 1984:

5224745:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow8:

5224746:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow9:

i EVALUATION FOB ORIGIN JUN 2003:

5224747:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow10:

j FOB DESTINATION EVIDENCE OF SHIPMENT FEB 1999:

5224748:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow11:

k DESTINATION UNKNOWN APR 1984:

5224749:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow12:

l NO EVALUATION OF TRANSPORTATION COSTS APR 1984:

5224750:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow13:

m EVALUATION OF EXPORT OFFERS JAN 2001:

5224751:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow14:

5224752:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow15: X

5224753:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow16:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow17:

5224755:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow18:

r TRANSIT ARRANGEMENTS APR 1984:

5224756:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow19:

s TRANSPORTATION TRANSIT PRIVILEGE CREDITS APR 1984:

5224757:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow20:

5224758:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow21:

5224759:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow22:

v GUARANTEED SHIPPING CHARACTERISTICS DEC 1989:

5224760:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow23:

w FOB ORIGIN MINIMUM SIZE OF SHIPMENTS APR 1984:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow24:

5224761x MARKING OF SHIPMENTS:

6 TRANSPORTATION PROVISIONS CLAUSES X APPROPRIATE BLOCKSRow25:

y FOB ORIGIN PREPAID FREIGHT FEB 2006 SEE 6Z BELOW:

5224732:

b ORIGIN PORTS Air or Water:

a DESTINATION COUNTRIESRow1:

BAYONNE NJ:

a DESTINATION COUNTRIESRow2:

NORFOLK VA:

a DESTINATION COUNTRIESRow3:

CONCORD CA:

a DESTINATION COUNTRIESRow4:

SEATTLE WA:

c DATE YYYYMMDD: 2021-03-11

1 PR PO or MIPR NUMBER: F3QCDG1055B050 FD2060-20-31571 Amend 1

5C: Off

5B: Off

5A: Yes

3: Yes

6A: ALR-56M RWR systems assets

2021-02-25T07:23:47-0500

HOGAN.DARRICK.DAUSHUN.1059573736

Dropdown6: [HOGAN, DARRICK D.]

TACS: []

CONTRACT: SPE4AX-15-D-9414

NOTE 5:

SHIPPING: [WT: , DIM: ]

1A1: Off

NOTE: Off

TRANS: Off

4C: Off

4B: Off

4A: Off

TAC: Off

ESTIMATE: Off

B: Off

C: Yes

D: Off

E: Yes

F: Off

G: Off

H: Off

I: Off

J: Yes

1A2: Off

1A3: Off

SHIP TO 1: IAW BASIC CONTRACT

SHIP TO 2:

SHIP TO 3:

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

1680K0107337AVM

VERSION NUMBER

NOUN

RECEIVER SET, COUNT

INITIATOR

Truong, Kevin

ORGANIZATION CODE / OFFICE SYMBOL

408 SCMS / GUEA

COMMERCIAL PHONE

478-327-5941

DSN PHONE

497-5941

CAGE / REFERENCE NUMBER

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: 1680K0107337AVM

MARKING GUIDANCE ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

ATTACHMENT(S)

Page 1 of 1IUID Version 1Generated by PRPS using Jasper Reports on 02 Feb 2021

RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

1680K0107337AVM

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

5. ITEM MANAGER / PHONE

6. EQUIPMENT SPEC / PHONE

Burkes, Michelle A / 478-222-4677

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

Truong, Kevin

ORGANIZATION / SYMBOL

408 SCMS / GUEA

PHONE

478-327-5941 / 497-5941

DATE

02 FEB 2021

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 1Generated by PRPS using Jasper Reports on 02 Feb 2021

FD2060-20-31571

Sheet2 (2)

CLIN* Buying Site NSN Nomenclature PN CAGE DEL DAYS ARO receipt of Order Proposed Delivery Months Capacity Per Month IUID (Y/N) Contract Type Best Estimated Qty U/I Range Pricing From 2 Range Pricing To Unit Price 1 U/I Extended Price FOB Inspection & Acceptance

0001 Robins 1680-K0-107-337AVM ALR-56M Radar Warning Receiver Shipset 478500-09-01 81413 20 months Y FFP 25 Ea Ea $0.00 Origin Origin / Origin

Enter Range Pricing beginning here 1

Ordering Period 1 (Award-12 months)

1001 Robins 1680-K0-107-337AVM ALR-56M Radar Warning Receiver Shipset 478500-09-01 81413 20 months Y FFP 25 Ea Ea $0.00 Origin Origin / Origin

Ordering Period 2 (12 months-24 months) 1

2001 Robins 1680-K0-107-337AVM ALR-56M Radar Warning Receiver Shipset 478500-09-01 81413 20 months Y FFP 25 Ea Ea $0.00 Origin Origin / Origin

(Ordering Period 3 (24 months -36 months) 1

0002 Robins DATA NSP 1 Lot Lot NSP Destination IAW DD1423

A001 Parts Approval Request

A002 Engineering Change Proposal (ECP)

A003 Product Engineering Design Data and Associated Lists

A004 Status Report

A005 Test Procedure

A006 Scientific and Technical Reports

A007 Technical Manual Contract Requirement (TMCR)

*CLIN number to change to next available CLIN on SPE4AX-16-D-9411 upon award

Early Deliveries acceptable at no additional cost to the Government

Notes: TOTAL Est. Price ERROR:#REF!

1 In Column P provide unit cost at BEQ (used for calculated total value of effort)

2 Provide Range Pricing beginning with quantity of 1 for each NSN up to qty 50+

3 Range Pricing must begin with qty of 1 each

G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

AN/ALR-56M

FD2060-20-31571 BAE Systems

A001 Parts Approval Requests NA

DI-MISC-80071E NOT 1 See Block 16 AFLCMC/WNY

DD

NA

AS REQ

N/A

See Block

See Block 16

AFLCMC/WNY 1

235 Byron St.

Ste 19A

Robins AFB, GA

31098-1813 robert rickerson@us.af.mil

Block 4: All requirements in the Data Item Description shall be interpreted as applicable, unless specifically waived by letter from the PCO.

Block 5. Deliverables in accordance with Data Item Description only. No Statement of Work (SOW) or Statement of Objectives (SOO) is available for this tasking. This is strictly an ALR-56M installs buy in support of C-130J aircraft. Contract SPE4AX-15-D-9414/ Subsumable SPE4AX-15-D-9441

Block 7: Acceptance through Wide Area Workflow under DODAAC FA8523 after final submittal only

Blocks 10, 12, 13:

a. DSCC AND DISC will provide approval for parts when they are the reviewing agency.

b. The data shall be submitted at the time the contractor determines there is a need for the part.

Block 9: Classified documents shall be handled in accordance with current security guidelines.

DISTRIBUTION STATEMENT: D, Distribution authorized to DoD and U.S. DoD contractors only, Administrative or Operational use, September 2010. Further dissemination only as directed by AFLCMC/WNY, 235 Byron St., STE 19A, Robins AFB, GA 31098-1813.

Robert Rickerson 8 Feb 2021 Joe Harper 12 Feb 2021

1 1

DD FORM 1423-1, AUG 96

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor’s performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is…