SPRWA1-23-R-0032____0002.pdf

1. CONTRACT ID CODE

J

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO (If applicable)

6. ISSUED BY CODE

Victor J. Henderson/SPRWA1 victor.henderson.2@us.af.mil Phone: (478) 926 5735

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

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

CODE

9A. AMENDMENT OF SOLICITATION NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

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

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

D. OTHER (Specify type of modification and authority)

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

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

ROUTINE

EARLY DELIVERY IS ACCEPTABLE AND PREFERRED

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

15B. CONTRACTOR/OFFEROR

BY ________________________________________________________

(Signature of person authorized to sign)

15C. DATE SIGNED

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

16B. UNITED STATES OF AMERICA

BY ____________________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

FACILITY CODE

NSN 7540011528070

PREVIOUS EDITION UNUSABLE

30105 STANDARD FORM 30 (REV. 1083)

PRESCRIBED BY GSA

FAR (48 CFR) 53.243

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

DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this solicitation amendment is to:

A) Remove Ordering Periods II, III, and IV. The quantities for these periods are hereby included under Ordering Period I. See Schedule B below for details.

B) Extend the date for receipt of proposals as follows:

From: 27 Nov 2023

To: 21 Feb 2024

C) All other terms and conditions remain the same.

SPRWA123R00320002

This request for proposal is for a single Indefinite Delivery/Requirements type contract for the supplies stated herein. All clauses and provisions in this solicitation are important. All fillins in the clauses and provisions should be completed. Signing the face page of the solicitation acknowledges review and agreement of all clauses/provisions contained within.

The quantities represented in the Schedule represent the Government's Best Estimated Quantities (BEQs) based on actual history and projected requirements. These BEQs do not represent a minimum or a maximum quantity. Failure of the Government to order the BEQ shall not entitle the Contractor to an equitable adjustment in price under the contract.

The Government intends to award a single Indefinite Delivery/Requirements Contract for the supplies specified herein. The total period of performance for the contract will not exceed two (2) years.

The resultant contract will have one (1) 12month basic ordering period, and one (1) 12month ordering periods as follows:

000X – BASIC ORDERING PERIOD – Date of award through 12 months 1001 – ORDERING PERIOD I – 13 months through 24 months

Period of performance for the contract will begin upon date of award. Specific delivery dates shall be established upon issuance of each delivery order.

Estimated contract value is determined based on the BEQ under each ordering period, extended by the applicable unit price for that period. For purposes of proposal submission and evaluation, supporting documentation will be provided for the BEQ for each ordering period and will follow the parameters set forth in FAR 15.4035(b)(2) unless stated to be otherwise made available upon request.

FAR clauses 52.21619, 52.21622, and DFARS 252.2167006 shall be updated at time of award to show actual dollar amounts, quantities, and/or dates reflecting negotiated contract terms and conditions at the time of award.

All pricing information should be submitted on the attached Pricing Matrix. Additional instructions can be found within that document.

Transportation of items delivered hereunder shall be in accordance with DD Form 1653 attached to each delivery order issued hereunder.

Items delivered hereunder shall be packaged in accordance with AFMC Form 158 attached to each delivery order issued hereunder.

In the event only one offer is received, DFARS 215.3713 will apply.

See attached AFMC Form 260 for First Article Requirements specific to CLIN 0001.

If the conditions for waiver of First Article Approval met, fill in the applicable information under the “FA Required” tab on the attached Pricing Matrix.

If any of the conditions for waiver of First Article Approval , fill in the applicable information under the “FA Waived” tab on the attached Pricing Matrix.

If the total proposed value exceeds $750K, a subcontracting plan will be required and should be submitted with the proposal.

Firm Fixed Price

2 EA SEE PRICING MATRIX

FA

NSN: 1650013271355UC

P/N: 20091388210

Other Than High Value Item

Origin Destination

Receiving Report Required

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

ISO 90012008 2008

Yes

Serial Number Required

TYPE / SHIP TO CODE F.O.B.

A FD2060 DESTINATION

A FD2060 PAA FATDO NOT POST

A FD2060 2 EA *120 Calendar Days

A FD2060 2 EA

Firm Fixed Price

33 EA SEE PRICING MATRIX

Hydraulic Manifold Assembly

NSN: 1650013271355UC

P/N: 20091388210

00000 20091388210

Other Than High Value Item

Origin Origin

Receiving Report Required Higher Level Contract Quality Requirements

The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

ISO 90012008 2008

Buy American Act/Balance of Payments Program

Yes

Serial Number Required

TYPE / SHIP TO CODE F.O.B.

A SW3119 ORIGIN

NONE

A SW3119 PAA RIC FLZ D4S

A SW3119 33 EA *180 Calendar Days

A SW3119 33 EA

Not Separately Priced

1 LO NSP

DATA

Certificate of Quality Compliance and Test Report(s) Data Item Number: A001

A

+ IAW1423 1 LO TBD

+ IAW1423 1 LO

+ IAW1423

+ TBD

A FD2060

DLA CENTRAL RECEIVING

DDWG ER

455 BYRON ST

ROBINS AFB GA 310981887

A SW3119

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS AFB GA 310981887

UNITED STATES

(AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

TO BE CITED ON EACH ORDER $0.00

252.211-7008 USE OF GOVERNMENT-ASSIGNED SERIAL NUMBERS (SEP 2010)

(IAW DFARS 211.274-6(c), DFARS 212.301(f)(xv))

Form Number Description/File Name Date Number of Pages 01 Pricing Matrix_SPRWA123R0032_REV 1 UNDATED

DD FORM 14231 02 CDRL A001 Certificate of Quality Compliance and Test Report

27APR2023 1

AFMC FORM 260 03 First Article Requirements 22MAY2023 2

AFMC FORM 158 04 Packaging Requirements 20JUN2023 2

DD FORM 1653 05 Transportation Data 20JUN2023 3

06 Engineering Data List_REV 2 27JUN2022 9

07 Source Qualification Statement UNDATED 3

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. CONTRACT / PR NO.

FD20602300046

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Certificate of Quality Compliance and Test Report(s)

3. SUBTITLE

N/A

4. AUTHORITY

DI-STDZ-80000C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

6. REQUIRING OFFICE

DLA

7. DD 250 REQ

SS

8. APP CODE

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ASREQ

11. AS OF DATE

12. DATE OF FIRST

SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Crow, Lacie DNAME: 25 APR 2023DATE:

A. Data required by this document will be included in the price of the procured item(s).

B. The supplier shall prepare and furnish a Certificate of Quality Compliance (COQC) for all delivered supplies. If the supplies delivered under this contract are from more than one manufacturing lot, a separate COQC shall be prepared and furnished for each manufacturing lot represented by, manufactured or produced under a product specification, original equipment manufacturer (OEM)/manufacturer's part number, commercial, industry or military standard, or drawings, or other technical data. Each Certificate shall be prepared and include the following:

(1) The supplier's name, address, and commercial and Government entity (CAGE) code number (if assigned), the contract/order number, the applicable specification, drawing, or standard (including revision/amendment and date), identification of the specific supplies manufactured or produced (including National Stock Number or Local Stock Number, nomenclature, type, grade, and class, if applicable). For metal products, the COQC shall include the alloy designation and condition (finish and temper), if applicable. If the supplier is not a manufacturer, the Certificate shall include the name, address and CAGE Code (if assigned) for each of the entities through which the supplies or materials, components, sub-assemblies, assemblies or parts passed, so that traceability to the manufacturer will be readily discernible.

(2) The identification of each parameter and specific requirement for which the contract, specification, drawing, or standard requires inspection or testing of a particular material being produced and covered by the Certificate.

(3) The actual results of inspections or tests conducted by the supplier (or their designated laboratory(s)) to demonstrate conformance with each of the specific requirements of (2), above.

(4) The marking requirement for the material and the source of this requirement (contract and specification or standard)

(5) A statement, signed by an authorized supplier representative responsible for quality assurance, that: (i) the lot has been produced, sampled, tested, and inspected, and marked in accordance with all contract and specification requirements; and (ii) the material complies with all of the contract and specification requirements.

COORDINATORS:

Designation on contract as specified in block 16 https://wawf.eb.mil DLA-

7 1 1

7 1 115. TOTAL

G. PREPARED BY

Crow, Lacie D

409 SCMS / GUMAD

478-926-1653

H. DATE

27 APR 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Cheatham, Anthony M

409 SCMS / GUEA 478-926-2333 / 468-2333

J. DATE

27-APR-23

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PREVIOUS EDITION MAY BE USED.

FIRST ARTICLE REQUIREMENTS 1. DATE

22 MAY 2023(AFMCI 64-110, AFMCI 23-102 and FAR Part 9, Sub Part 9.3)(Additional Instructions on Page 3)

2. PR / MIPR NUMBER 3. CAGE / REFERENCE NUMBER

98752 / 200913882-10

4. NSN

1650013271355UC

5. FIRST ARTICLE QUANTITY

THE FIRST ARTICLE IS 2 UNIT(S) OF LOT / ITEM 1

AND WILL BE: PART OF PRODUCTION QUANTITY X IN ADDITION TO PRODUCTION QUANTITY

6. ARTICLES

WILL X WILL NOT SERVE AS A MANUFACTURING STANDARD

7. LONG LEAD TIME ITEMS

REQUIRED X NOT REQUIRED

(See FAR 52.209-3 OR -4, alternate II)

8. SPECIAL REQUIREMENT/PRODUCTION FACILITIES (See FAR 52.209-3 OR -4 Alternate I)

REQUIRED X NOT REQUIRED

"The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must accompany each First Article which is offered."

9. TEST / INSPECTION REQUIREMENTS

A.

X

CONTRACTOR TESTING

GOVERNMENT TESTING

Performance or other characteristics which the First Articles must meet are

Performance or other characteristics which the First Articles must meet are materials, dimensions, coatings, certs

B. The detailed technical requirements for First Article approval tests are contained in

200913882-10

(Cite Spec and Para number)

C. TEST PLAN REQUIRED

Number of days for government approval / disapproval days.

D. Contractor's notification to ACO and

(Requesting Activity) of test time and location due days prior to start of testing.

E. TEST REPORT REQUIRED

(1) Forwarded to

(2) Government written notice of approval / disapproval due days after receipt of contractor's report.

F. FIRST ARTICLE DELIVERY

(1) Due within 120 calendar days from date contract.

(2) Notify 30 calendar days prior to shipment.

(3) Delivered to government at

FD2060 Special Handling Unit

FAT Unit, 455 Byron Street

Robins AFB, GA 31098-1887

Mark for: FAT-DO NOT POST

(Set Forth Consignee and Address)

(4) Government written notice of approval / disapproval within 120 days after receipt of first article package.

G. Estimated cost of government testing / inspection evaluation.

$11,492.6700

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FIRST ARTICLE REQUIREMENTS 1. DATE

22 MAY 2023(AFMCI 64-110, AFMCI 23-102 and FAR Part 9, Sub Part 9.3)(Additional Instructions on Page 3)

10. DISPOSITION OF FIRST ARTICLES

X Approved First Articles will be forwarded to supply

X 1 (insert quantity) First Articles will be expended in testing. Residual components of disapproved First Articles will be returned to the contractor

X will be retained by wr-alc pending disposition instructions from the contractor.

First Articles will be installed on aircraft/equipment to determine proper fit/function. Approved article will remain on the aircraft/equipment and will not be forwarded to USAF Supply, but will be considered part of the contract quantity.

X Disapproved First Articles will be returned to the contractor

X will be retained by wr-alc pending disposition instructions from the contractor.

On purchase requests designated as direct shipments the following disposition will apply. (NOTE: Always applicable on Foreign Military Sales (FMS)).

a. Approved First Articles will be returned to the contractor for shipment with production item.

b. Disposition of disapproved First Articles will remain the same as marked above.

Other Disposition:

11. CONDITION(S) FOR WAIVER OF FIRST ARTICLE APPROVAL

a. X Offerors who have previously furnished production quantities of the same or similar article to the prime contractor for delivery to the Government, DoD, X Air Force.

b. X Offerors currently in production of the same or similar article for a Government, DoD, X Air Force contract and who have received First Article approval under the existing contract.

c. X Offerors who have previously furnished production quantities of the same or similar articles to the Government, DoD, X Air Force, provided articles thus furnished, have exhibited satisfactory performance in service in the opinion of the Air Force.

d. X Provided not more than 60 months have elapsed since completion of the contract.

e. First Article testing will not be waived.

f. See Remarks in block 12 below.

NOTE TO BUYER: UNDER CONDITIONS A AND C ABOVE, THE COGNIZANT ENGINEERING ACTIVITY WILL DECIDE WHETHER OR NOT THE ITEM HAS EXHIBITED SATISFACTORY PERFORMANCE IN SERVICE AND PREPARE AND RETAIN SUPPORTING DOCUMENTATION TO FULLY JUSTIFY THIS DECISION. THE BUYER MUST SOLICIT DUAL PRICES (That is, both with and without requirement for first article approval) AND MUST FURNISH THE COGNIZANT ENGINEERING ACTIVITY WITH THE FOLLOWING INFORMATION ON THE PREVIOUSLY SUPPLIED ARTICLE:

A. PROCURING OFFICE B. CONTRACT NUMBER C. DATE OF CONTRACT D. SPECIFICATION NUMBER AND REVISION

12. REMARKS

Patel, Dillan KNAME: 19 MAY 2023DATE:

Vendor to provide contract copy and the Vendor Cert package to email 409scms.c5fat@us.af.mil workflow email in reduced sized PDF Form

13. COGNIZANT ENG ORGANIZATION RESPONSIBLE FOR APPROVING TEST

(Name, Organization, Phone)

Patel, Dillan K

AFLCMC / WL S E A B

740-513-1179

497-1179

14. COGNIZANT ENG ORGANIZATION RESPONSIBLE FOR CONDUCTING

TEST (Name, Organization, Phone)

Robins AFV First Article Test Lab

802 MXSS/MXDTA

468-9835

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PACKAGING REQUIREMENTS

PURCHASE INSTRUMENT NUMBER: FD20602300046-00 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 MIL Long Line Packaging MIL B

ITEM(S):

CODED DATA:

QUP ICQ

PRES

METH CD

MTL

WRAP

CUSH

DUNN CT

UNIT

CONT

INT

CONT UCL

SPEC

MKG

UNIT PACK

WEIGHT

LENGTH

WIDTH

DEPTH

CUBE OPI

1 000 33 1 00 EA NA A NV 00 B 17 52.00 25.0 19.0 16.5 4.535 M

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

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

Shipping Container Marking Shipping containers shall be marked meeting the following criteria: (a) MIL-STD-129, Standard Practice for Military Marking. (b) 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.

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PACKAGING REQUIREMENTS

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

AAB No Packaging Data Required

ITEM(S):

1650DTL230371UC

CODED DATA:

QUP ICQ

METH CD

WRAP

CUSH

DUNN CT

UNIT

CONT

INT

CONT UCL

SPEC

MKG

WEIGHT

LENGTH

WIDTH

DEPTH

CUBE OPI

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

ORGANIZATION / OFFICE SYMBOL:

406 SCMS / GULAA

PACKAGING SPECIALIST:

Corbin, Cedric M

PHONE NUMBER:

478-327-6323 / 497-6323

SIGNATURE:

//SIGNED//Corbin, Cedric M

DATE:

23171 - 20 JUN 2023

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TRANSPORTATION DATA FOR SOLICITATIONS

COMMODITY: See Continuation

PURCHASE INSTRUMENT NUMBER:

FD20602300046-00

DATE INITIATED:

20 JUN 2023

STOCK NUMBER: See Continuation

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

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

TRANSPORTATION PROVISIONS / CLAUSES FAR CITATION

F.O.B. Origin 52.247-29 Freight Classification Description 52.247-53 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 FD20602300046-00

TACRN:

AAA

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 643 47GR 15410M 000000 00000 000000 503000 F03000 FSR: 013408 PSR: K31982

First Destination Transportation Account Code: FRS6

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 1650013271355UC

Purchase Instrument Line Item Number: 0001

Ship to (DoDAAC / MAPAC): SW3119

Mark For: RIC FLZ D4S

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):

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Purchase Instrument Line Item Number: 0002

Purchase Instrument Line Item Number: 0003

NSN / Pseudo NSN: 1650DTL230371UC

Purchase Instrument Line Item Number: 0004

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

OTHER TRANSPORTATION DATA:

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NAME

Respert, Woodnell M

ORGANIZATION / OFFICE

SYMBOL

406 SCMS / GULAA

COMMERCIAL / DSN

PHONE

478-327-3412 / 497-3412

SIGNATURE

//SIGNED//Respert, Woodnell M

DATE

20 JUN 2023

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ENGINEERING DATA LIST

27 JUN 2022

REVISION: 2 *HISTORY*

CAGE:

98752

PAGE:

NSN:

DATA TECH:

Bryant, Gregory P

END ITEM:

C-5 AIRCRAFT

ORGANIZATION/OFFICE SYMBOL:

429 SCMS GUMACB/

MANUFACTURER NAME:

WARNER ROBINS AIR LOGISTICS CENTER

REFERENCE NUMBER:

NOUN:

MANIFOLD ASSEMBLY,H

LINE/

SUB CAGE

ENG DRAWING NUM/ ACCOMP

DOC NUM REV

NR

SHEETS

FURN

CODE

DIST

CODE NOUN REMARKS

L 98752 200913882 S D CONTROL ASSEMBLY,

HYDRAULIC

Bryant, Gregory P 27 JUN 2022

-10 CONFIGURATION.

NAME: DATE:

L 98752 200913883 S D CAP Bryant, Gregory P 27 JUN 2022

C/O DWG 200913882.

L 98752 200913884 S D FILTER Bryant, Gregory P 27 JUN 2022

L 98752 200913885 S D SEQUENCE-FLOW CONTROL

VALVE

L 98752 200913886 S D PRESSURE DIVIDER Bryant, Gregory P 27 JUN 2022

L 98752 200913887 S D SELECTABLE ORIFICE VALVE Bryant, Gregory P 27 JUN 2022

L 98752 200913888 S D BLOCKER VALVE Bryant, Gregory P 27 JUN 2022

L 98752 200913889 S D ELECTRIC TRIM VALVE Bryant, Gregory P 27 JUN 2022

L 98752 200913890 S D COVER Bryant, Gregory P 27 JUN 2022

L 98752 200913891 S D PIN, GROOVED, HEADLESS Bryant, Gregory P 27 JUN 2022

L 98752 200913892 S D MANUAL TRIM VALVE

ASSEMBLY

L 98752 200913893 S D LEVER, REMOTE CONTROL Bryant, Gregory P 27 JUN 2022

L 98752 200913894 S D SCREW, SHOULDER Bryant, Gregory P 27 JUN 2022

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:

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L 98752 200913895 S D LEVER, REMOTE CONTROL Bryant, Gregory P 27 JUN 2022

L 98752 200913896 S D BEARING, ROLLER, NEEDLE Bryant, Gregory P 27 JUN 2022

L 98752 200913897 S D SPACER, RING Bryant, Gregory P 27 JUN 2022

L 98752 200913898 S D PLUS SEAL II Bryant, Gregory P 27 JUN 2022

L 98752 200913899 C S D BRANCH WIRING HARNESS Bryant, Gregory P 27 JUN 2022

L 98752 200913900 S D BRACKET, ANGLE Bryant, Gregory P 27 JUN 2022

L 98752 200913901 S D PLATE, INDENTIFICATION Bryant, Gregory P 27 JUN 2022

L 98752 200913902 S D VALVE BODY SUBASSEMBLY Bryant, Gregory P 27 JUN 2022

L 98752 200913916 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

C/O DWG 200913885.

L 98752 200913917 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

L 98752 200913918 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

L 98752 200913919 S D CAP, HOUSING Bryant, Gregory P 27 JUN 2022

L 98752 200913920 S D ORIFICE Bryant, Gregory P 27 JUN 2022

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L 98752 200913921 S D FILTER ASSEMBLY, SCREEN Bryant, Gregory P 27 JUN 2022

L 98752 200913922 S D SLEEVE AND SLIDE

L 98752 200913925 S D SPRING, HELICAL COMP Bryant, Gregory P 27 JUN 2022

L 98752 200913926 S D GUIDE Bryant, Gregory P 27 JUN 2022

L 98752 200913927 S D SPRING, HELICAL COMP Bryant, Gregory P 27 JUN 2022

L 98752 200913928 S D SCREW, ADJUSTING Bryant, Gregory P 27 JUN 2022

L 98752 200913929 S D HOUSING Bryant, Gregory P 27 JUN 2022

L 98752 200913931 S D RING,GLYD Bryant, Gregory P 27 JUN 2022

C/O DWG 200913886.

L 98752 200913932 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

L 98752 200913933 S D SLEEVE AND SLIDE

L 98752 200913937 S D CAP Bryant, Gregory P 27 JUN 2022

L 98752 200913939 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

C/O DWG 200913887.

L 98752 200913940 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

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L 98752 200913941 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

L 98752 200913942 S D SLEEVE Bryant, Gregory P 27 JUN 2022

L 98752 200913943 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

L 98752 200913944 S D SLIDE Bryant, Gregory P 27 JUN 2022

L 98752 200913945 S D STOP Bryant, Gregory P 27 JUN 2022

L 98752 200913946 S D SPRING, HELICAL COMP Bryant, Gregory P 27 JUN 2022

L 98752 200913947 S D CAP Bryant, Gregory P 27 JUN 2022

L 98752 200913949 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

C/O DWG 200913888.

L 98752 200913950 S D CAP Bryant, Gregory P 27 JUN 2022

L 98752 200913951 S D SPRING, HELICAL COMP Bryant, Gregory P 27 JUN 2022

L 98752 200913952 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

L 98752 200913953 S D PISTON, VALVE Bryant, Gregory P 27 JUN 2022

L 98752 200913954 S D PIN, RETAINING Bryant, Gregory P 27 JUN 2022

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L 98752 200913956 S D SPRING, WAVE Bryant, Gregory P 27 JUN 2022

L 98752 200913957 S D FILTER, SCREEN Bryant, Gregory P 27 JUN 2022

L 98752 200913958 S D FILTER, SCREEN Bryant, Gregory P 27 JUN 2022

L 98752 200913959 S D RIVET Bryant, Gregory P 27 JUN 2022

L 98752 200913960 S D SLEEVE AND SLIDE

L 98752 200913964 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

C/O DWG 200913889.

L 98752 200913965 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

L 98752 200913966 S D CAP Bryant, Gregory P 27 JUN 2022

L 98752 200913967 S D RETAINER, SPRING Bryant, Gregory P 27 JUN 2022

L 98752 200913968 SPRING, HELICAL COMP Bryant, Gregory P 27 JUN 2022

L 98752 200913969 S D PISTON, VALVE Bryant, Gregory P 27 JUN 2022

L 98752 200913971 S D PISTON, VALVE Bryant, Gregory P 27 JUN 2022

L 98752 200913972 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

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L 98752 200913973 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

L 98752 200913975 S D SLEEVE AND SLIDE

L 98752 200913980 S D CAP Bryant, Gregory P 27 JUN 2022

C/O DWG 200913892.

L 98752 200913981 S D RING, GLYD Bryant, Gregory P 27 JUN 2022

L 98752 200913982 S D RETAINER, SPRING Bryant, Gregory P 27 JUN 2022

L 98752 200913983 S D SPRING, HELICAL

COMPRESSION

L 98752 200913984 S D VALVE ASSEMBLY Bryant, Gregory P 27 JUN 2022

L 98752 200913991 S D BEARING, SPHERICAL Bryant, Gregory P 27 JUN 2022

L 98752 200913903 S D PLUG, SEALING Bryant, Gregory P 27 JUN 2022

C/O DWG 200913902.

L 98752 200913904 S D PLUG, SEALING Bryant, Gregory P 27 JUN 2022

L 98752 200913905 S D RETAINING RING Bryant, Gregory P 27 JUN 2022

L 98752 200913906 S D PLUG, SEALING Bryant, Gregory P 27 JUN 2022

L 98752 200913907 S D VALVE, CHECK Bryant, Gregory P 27 JUN 2022

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L 98752 200913908 S D VALVE, CHECK Bryant, Gregory P 27 JUN 2022

L 98752 200913909 S D RESTRICTOR, FLUID Bryant, Gregory P 27 JUN 2022

C/O DWG 200912902.

L 98752 200913910 S D PLUG, SEALING Bryant, Gregory P 27 JUN 2022

L 98752 200913912 S D FILTER ASSEMBLY, SCREEN Bryant, Gregory P 27 JUN 2022

L 98752 200914002 S D BODY, VALVE Bryant, Gregory P 27 JUN 2022

L 98752 200913996 S D MESH Bryant, Gregory P 27 JUN 2022

C/O DWG 200913921.

L 98752 200913997 S D HOUSING Bryant, Gregory P 27 JUN 2022

L 98752 200913998 S D RETAINING RING Bryant, Gregory P 27 JUN 2022

L 98752 200913923 S D SLEEVE Bryant, Gregory P 27 JUN 2022

C/O DWG 200913922.

L 98752 200913924 S D SPOOL Bryant, Gregory P 27 JUN 2022

C/O DWG 200913922.

L 98752 200913934 S D SLEEVE Bryant, Gregory P 27 JUN 2022

C/O DWG 200913933.

L 98752 200913935 S D SPOOL Bryant, Gregory P 27 JUN 2022

L 98752 200913936 S D SLEEVE Bryant, Gregory P 27 JUN 2022

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L 98752 200913961 S D SPOOL Bryant, Gregory P 27 JUN 2022

C/O DWG 200913960.

L 98752 200913962 S D SLEEVE Bryant, Gregory P 27 JUN 2022

C/O DWG 200913960.

L 98752 200913976 S D SLEEVE Bryant, Gregory P 27 JUN 2022

C/O DWG 200913975.

L 98752 200913977 S D SLEEVE Bryant, Gregory P 27 JUN 2022

L 98752 200913978 S D SLIDE ASSEMBLY Bryant, Gregory P 27 JUN 2022

L 98752 200913985 S D SLEEVE Bryant, Gregory P 27 JUN 2022

C/O DWG 200913984.

L 98752 200913986 S D SLIDE ASSEMBLY Bryant, Gregory P 27 JUN 2022

C/O DWG 200913984.

L 98752 200913993 S D SPOOL Bryant, Gregory P 27 JUN 2022

C/O DWG 200913978.

L 98752 200913994 SHAFT Bryant, Gregory P 27 JUN 2022

L 98752 200913995 S D PLUG Bryant, Gregory P 27 JUN 2022

L 98752 200913987 S D SPOOL Bryant, Gregory P 27 JUN 2022

C/O DWG 200913986.

L 98752 200913988 S D SHAFT Bryant, Gregory P 27 JUN 2022

L 98752 200913989 S D ROD END Bryant, Gregory P 27 JUN 2022

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L 98752 200913990 S D PIN Bryant, Gregory P 27 JUN 2022

L 98752 200415485 E S A GENERAL ENGINEERING

NOTES, ENGINEERING DATA

LIST

NOTES 1, 3, 4, AND 12 APPLY.

STANDARD ENGINEERING TEXT

FOR GENERAL ENGINEERING NOTES SEE DOCUMENT 200415485.SPARES CONFIGURATION: PER B/P.

Page 9 of 9EDL Version 2Generated by PRPS using Jasper Reports on 21 Jun 2023

SOURCE QUALIFICATION STATEMENT

AMSC C: These parts require engineering source approval by the control activity to assure the integrity of the part. An alternative source must qualify according to the design control activity’s procedures as approved by the applicable government engineering activity, AFLCMC/WLSEAB (C-5 Galaxy Division)

SECTION A: ITEM IDENTIFICATION

Stock Number (NSN) Part Number Nomenclature

1650-01-327-1355 200913882-10 Nut Drive Manifold

SECTION B: JUSTIFICATION FOR ESTABLISHING A QUALIFICATION

REQUIREMENT

The “Nut Drive Manifold” (NDM) is the hydraulic manifold assembly that controls the C-5 Pitch Trim Actuator’s Nut Drive Motor. Primary pilot control of the Pitch Trim Actuator (PTA) is through the NDM. The PTA positions the entire horizontal stabilizer assembly for pitch trim of the C-5 aircraft and is a Critical Safety Item. The NDM provides the only manual override for control of the PTA in the event of a PTA control malfunction.

Manufacture of parts for C-5 NDM requires strict control of processes to ensure adherence to extremely close tolerances during machining of specified material. Special machining equipment is required to produce the precisely manufactured part surfaces.

Consistent manufacturing processes are necessary to ensure that the manifold components are manufactured such that the Pitch Trim Actuator assembly provides precise control of the horizontal stabilizer pitch during flight.

Failure of the Nut Drive Manifold to position the horizontal stabilizer could place the aircraft and crew in an extremely hazardous situation due to the pilots being unable to properly trim the aircraft for its flight condition and requiring use of backup controls.

Although there is a screw drive manifold that can also run the PTA, flight safety histories indicate that aircrew task saturation as a result of component failures dramatically increases the risk of an aircraft mishap if they occur in critical phases of flight. If the failure occurs under these conditions there is a risk of loss of life and/or aircraft.

SECTION C: QUALIFICATION REQUIREMENTS

Source approval information: Listed below are the minimum requirements necessary to become a qualified bidder on the item in Section A.

a. Potential bidder shall provide a summary of the company’s capabilities, including a detailed factory layout, a list of the machinery, fixtures, tooling and test and inspection equipment.

b. Potential bidder shall demonstrate the ability and have experience in manufacturing similar critical aircraft parts, which are currently in use on a heavy cargo transport aircraft and shall provide the following:

1. Contract Number

2. Procuring Agency

3. Contract Value

4. Number of assets shipped

5. Summary explanation of why part is similar to include drawings and pictures from various angles

c. Potential bidder shall provide a detailed quality plan implementing ISO 9001 (or equivalent). Evidence of independent, 3rd party certification that the quality program satisfies ISO 9001 requirements may be submitted in lieu of the actual quality plan.

d. Potential bidder shall provide a detailed manufacturing plan describing manufacturing and inspection and shall provide for:

1. Traceability of batch/lot for material, heat treatment and all test/inspections.

2. Identification of material sources. Sources for raw materials must be documented for each type of material called for in the assembly.

3. Identification of sources for outsourced processes shall be documented.

4. The detailed plan or process for how, where, and what resources will be utilized to ensure all dimensions and tolerances will be properly accomplished. This shall include, but not be limited to, the manual trim valve part number 200913892-10 CAGE 98752 and its dimensions controlled to the ±0.001 inches, machining component diametric clearances of 0.00020±0.00005 inches, cylindricity controlled to ±0.00005 inches, surface roughness of up to 4 RMS, and brazing integrity inspections.

5. The detailed plan or process for how, where, and what resources will be utilized to perform the individual valve level testing and complete assembly testing as prescribed in the drawings.

e. A sub-vendor qualification and quality assurance process to ensure conformance to specifications on work performed by subcontractors.

f. Once qualified, bidders shall be subject to first article testing if they have not previously manufactured this item within the last five years.

g. This qualification process shall be waived for the companies listed below who are already qualified:

Thomas Instruments (CAGE 5H860)

h. The Air Force may not qualify potential bidders who have had quality problems when delivering similar or identical items to the government. Potential bidders who have produced similar items for the commercial market shall also be considered for qualification and shall provide commercial brochures in addition to the preceding information requested.

SECTION D: ESTIMATE OF THE TEST AND EVALUATION COSTS

No testing will be required for qualification. Development of a Source Approval package estimated cost is $0.

SECTION E: GOVERNMENT CONTRACT

The Government Point of Contact for the technical requirements specified for qualification is AFLCMC/WLSEAB, 235 Byron Street Suite 19A, Robins AFB, GA 31098.

SECTION F: SIGNATURE BLOCK

AFLCMC/WLSEAB C-5 Systems Engineer ______________________

AFLCMC/WLSE Chief Engineer or Delegate ______________________

409 SCMS/GUMA Chief of C-5 ______________________

DLA/AWB Contracting Officer ______________________

DLA/AW Competition Advocate ______________________

Chief, Contracting Office DLA Aviation ______________________

SECTION A: ITEM IDENTIFICATION

Nomenclature

Part Number

SECTION C: QUALIFICATION REQUIREMENTS

SECTION D: ESTIMATE OF THE TEST AND EVALUATION COSTS

SECTION E: GOVERNMENT CONTRACT

SECTION F: SIGNATURE BLOCK

2022-09-12T16:44:02-0400

HYATT.ANDREW.B.1056349444

2022-09-13T08:20:11-0400

BERMUDEZ.ANTONIO.M.1017645087

2022-09-13T08:36:40-0400

FLOYD.EMILY.N.1364985289

2022-09-13T09:26:46-0400

MCGAHA.RUSSELL.C.1387944334

2022-09-16T08:32:33-0400

HOLLAND.FRANKLIN.N.1229984353

2022-09-16T08:11:46-0500

CULP.SHARITA.J.1289108145

Pricing Matrix (FA Required)

ATTACHMENT 1 - PRICING MATRIX - FIRST ARTICLE (FA) REQUIRED

RFP Number: SPRWA1-23-R-0032-0002 Ordering Periods1

CLIN NSN Estimated Total Contract QTY/ Min-Max Priced Quantity Range3 UNIT PRICE UNIT PRICE UNIT PRICE UNIT PRICE UNIT PRICE

From To

0001 (First Article ) 2 1650-01-327-1355 2 N/A N/A $ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

1001-4001 (Production) 1650-01-327-1355

Ordering Period 1 (CLIN 1001) 33 $ - 0

$ - 0

$ - 0

$ - 0 $ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

First Article Subtotal $ - 0 N/A N/A N/A N/A

Production Subtotal $ - 0 $ - 0 $ - 0 $ - 0 $ - 0

Weighted Subtotal $ - 0 $ - 0 $ - 0 $ - 0 $ - 0

Total Evaluated Price $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 TOTAL EVALUATED PRICE4 $0.00

Instructions: Offeror inputs should be included in yellow highlighted cells, only.

NOTES:

1 Failure to provide pricing for 24 consecutive months may result in offer being determined ineligible for award. Offerors not subject to First Article requirements are not required to propose unit prices for CLIN 0001. IF OFFEROR IS UNSURE OF FIRST ARTICLE WAIVER ELIGIBILITY, IT IS RECOMMENDED THAT OFFEROR COMPLETE BOTH TABS OF THE PRICING MATRIX. OFFEROR EVALUATION FOR AWARD WILL BE BASED ON THE MOST FAVORABLE TEP.

2 For First Articles, the Unit Price will be multiplied by 2 (Column C times Column F) to calculate the extended price. This sum will be added to the First Article Govt Test Costs shown in cell F8 (Do not alter this cell) to calculate a First Article Sub-Total.

3 Production Quantity Ranges within each Ordering Period are to be established by the offeror, but pricing must be provided for every unit from 1 EA to the Estimated Total Production Quantity for each ordering period . Offerors may add rows as necessary to accommodate proposed quantity ranges. If additional rows are needed, please contact PCO prior to the solicitation closing date for additional rows to be added to pricing matrix. However, no other format changes are permitted. Failure to submit a proposal in the format of this sheet may result in offer being determined ineligible for award.

4 TEP will be determined by extending the unit price by the estimated total contract quantity for each ordering period.

Pricing Matrix (FA Waived)

ATTACHMENT 1 - PRICING MATRIX - FIRST ARTICLE (FA) REQUIRED

RFP Number: SPRWA1-23-R-0032-0002 Ordering Periods1

CLIN NSN Estimated Total Contract QTY/ Min-Max Priced Quantity Range3 UNIT PRICE UNIT PRICE UNIT PRICE UNIT PRICE UNIT PRICE

From To

0001 (First Article ) 2 1650-01-327-1355 0 N/A N/A $ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

1001-4001 (Production) 1650-01-327-1355

Ordering Period 1 (CLIN 1001) 33 $ - 0

$ - 0

$ - 0

$ - 0 $ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

First Article Subtotal $ - 0 N/A N/A N/A N/A

Production Subtotal $ - 0 $ - 0 $ - 0 $ - 0 $ - 0

Weighted Subtotal $ - 0 $ - 0 $ - 0 $ - 0 $ - 0

Total Evaluated Price $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 TOTAL EVALUATED PRICE4 $0.00

Instructions: Offeror inputs should be included in yellow highlighted cells, only.

NOTES:

1 Failure to provide pricing for 24 consecutive months may result in offer being determined ineligible for award. Offerors not subject to First Article requirements are not required to propose unit prices for CLIN 0001. IF OFFEROR IS UNSURE OF FIRST ARTICLE WAIVER ELIGIBILITY, IT IS RECOMMENDED THAT OFFEROR COMPLETE BOTH TABS OF THE PRICING MATRIX. OFFEROR EVALUATION FOR AWARD WILL BE BASED ON THE MOST FAVORABLE TEP.

2 For First Articles, the Unit Price will be multiplied by 2 (Column C times Column F) to calculate the extended price. This sum will be added to the First Article Govt Test Costs shown in cell F8 (Do not alter this cell) to calculate a First Article Sub-Total.

3 Production Quantity Ranges within each Ordering Period are to be established by the offeror, but pricing must be provided for every unit from 1 EA to the Estimated Total Production Quantity for each ordering period . Offerors may add rows as necessary to accommodate proposed quantity ranges. If additional rows are needed, please contact PCO prior to the solicitation closing date for additional rows to be added to pricing matrix. However, no other format changes are permitted. Failure to submit a proposal in the format of this sheet may result in offer being determined ineligible for award.

4 TEP will be determined by extending the unit price by the estimated total contract quantity for each ordering period.