CHS-5 Solicitation W15P7T-17-R-0008.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

Offeror To Complete Block 12, 17, 23, 24, & 30

1. Requisition Number Page Of

2. Contract No. 3. Award/Effective Date 4. Order Number 5. Solicitation Number 6. Solicitation Issue Date

7. For Solicitation Information Call:

A. Name B. Telephone Number (No Collect Calls) 8. Offer Due Date/Local Time

9. Issued By Code 10. This Acquisition is Unrestricted OR Set Aside: % For:

Small Business Women-Owned Small Business (WOSB) Eligible Under the Women-Owned Small Business Program

Hubzone Small Business EDWOSB

Service-Disabled Veteran-Owned Small Business NAICS:

Email: 8(A) Size Standard:

11. Delivery For FOB Destination Unless Block Is Marked

12. Discount Terms 13a. This Contract Is A Rated Order Under DPAS (15 CFR 700) 13b. Rating

See Schedule 14. Method Of Solicitation RFQ IFB RFP

15. Deliver To Code 16. Administered By Code

Telephone No.

17a. Contractor/Offeror Code Facility 18a. Payment Will Be Made By Code

Telephone No.

17b. Check If Remittance Is Different And Put Such Address In Offer

18b. Submit Invoices To Address Shown In Block 18a Unless Block Below Is Checked See Addendum

19.

Item No.

20.

Schedule Of Supplies/Services

21.

Quantity

22.

Unit

23.

Unit Price

24.

Amount

(Use Reverse and/or Attach Additional Sheets As Necessary)

25. Accounting And Appropriation Data 26. Total Award Amount (For Govt. Use Only)

27a.Solicitation Incorporates By Reference FAR 52.212-1, 52.212-4. FAR 52.212-3 And 52.212-5 Are Attached. Addenda Are Are Not Attached.

27b.Contract/Purchase Order Incorporates By Reference FAR 52.212-4. FAR 52.212-5 Is Attached. Addenda Are Are Not Attached.

28. Contractor Is Required To Sign This Document And Return _________ 29. Award Of Contract: Ref. Offer Copies to Issuing Office. Contractor Agrees To Furnish And Deliver All Items Set Forth Or Otherwise Identified Above And On Any Additional Sheets Subject To The Terms And Conditions Specified.

Dated . Your Offer On Solicitation (Block 5), Including Any Additions Or Changes Which Are Set Forth Herein, Is Accepted As To Items:

30a. Signature Of Offeror/Contractor 31a. United States Of America (Signature Of Contracting Officer)

30b. Name And Title Of Signer (Type Or Print) 30c. Date Signed 31b. Name Of Contracting Officer (Type Or Print) 31c. Date Signed

Authorized For Local Reproduction Previous Edition Is Not Usable

Standard Form 1449 (Rev. 2/2012) Prescribed By GSA-FAR (48 CFR) 53.212

W15P7T-17-R-0008 2017AUG24

SHANITA KAREN SIMMONS (443)861-4955

SHANITA.K.SIMMONS.CIV@MAIL.MIL

2017OCT10 02:00pm

W15P7T

ARMY CONTRACTING CMD-APG

6001 COMBAT DR, APG, MD 21005-1846

X

334111

X DOA7

X

SEE SCHEDULE

SEE SCHEDULE

X X

X 1

1 151

19.

Item No.

20.

Schedule Of Supplies/Services

21.

Quantity

22.

Unit

23.

Unit Price

24.

Amount

32a. Quantity In Column 21 Has Been

Received Inspected Accepted, And Conforms To The Contract, Except As Noted: _________________________________________________

32b. Signature Of Authorized Government Representative 32c. Date 32d. Printed Name and Title of Authorized Government Representative

32e. Mailing Address of Authorized Government Representative 32f. Telephone Number of Authorized Government Representative

32g. E-Mail of Authorized Government Representative

33. Ship Number 34. Voucher Number 35. Amount Verified 36. Payment 37. Check Number Correct For Partial Final Complete Partial Final

38. S/R Account No. 39. S/R Voucher Number 40. Paid By

41a. I Certify This Account Is Correct And Proper For Payment 42a. Received By (Print) 41b. Signature And Title Of Certifying Officer 41c. Date 42b. Received At (Location)

42c. Date Rec’d (YY/MM/DD) 42d. Total Containers

Standard Form 1449 (Rev. 2/2012) Back

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: SHANITA KAREN SIMMONS

Buyer Office Symbol/Telephone Number: CCAP CCB/(443)861-4955

Type of Contract 1: Firm Fixed Price

Type of Contract 2: Cost Plus Fixed Fee

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

Additional Supplemental Information:

Type of Contract 3: Fixed Price Incentive (FPI)

*** END OF NARRATIVE A0001 ***

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W15P7T-17-R-0008

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLIES OR SERVICES AND PRICES/COSTS

B. Type of Contract

B-1 This is an Indefinite Delivery/Indefinite Quantity (IDIQ) contract in accordance with FAR 16.504.

B-2 This solicitation is for a Single Award, Indefinite Delivery Indefinite Quantity (IDIQ) contract with a five (5) year Period of

Performance (PoP) (three (3) year base period with two (2), one (1) year option periods) with a delivery period of up to 36 months following the ordering period for the rapid procurement of total life cycle system management solutions in support of tactical programs.

Delivery Orders (DO) for hardware will be issued as Firm Fixed Price (FFP) or Fixed Price Incentive (FPI) requirements. Task Orders

(TO) for services will be either FFP, and/or Cost Plus Fixed Fee (CPFF) (Completion and Term), and/or Cost. The total estimated value of this acquisition is $3.9B.

B-3 The Government is obligated to place with the contractor a total amount of $3,500.00 in supplies and/or services under this contract over the contract ordering period. This is the minimum guarantee for the contract. The Government reserves the right to award only the minimum guarantee to the contractor. Please note this minimum guarantee applies to the contract, refer to clause 52.216-19 for the minimum amount associated with an order.

B-4 The total maximum ceiling amount of this contract is $3,900,000,000.00, which represents the maximum limitation value of all orders placed under this contract. Please note this maximum ceiling value applies to the contract, refer to clause 52.216-19 for the maximum amount associated with an order.

B-5 The North American Industry Classification System (NAICS) codes used to classify business establishments providing services on the

CHS-5 contract shall include; 541330 Engineering Services, 541511 Custom Computer Programming Services, 541512 Computer Systems Design

Services, and 811213 Communication Equipment Repair and Maintenance.

B-6 CLIN Structure__________________

The CLIN structure of this contract is as follows:

Base Period

Equipment and services procured under terms of this contract will be added sequentially beginning with CLIN 0001

Option Period

CLIN 9998 - Option Year 1

CLIN 9999 - Option Year 2

CDRLs

CLIN 9990 - CDRLs A001 to A006, B001 to B007 and C001 to C006

*** END OF NARRATIVE B0001 ***

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PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0001 TL3300 LEMO 14-PIN CABLE - PRC-117F WITH REMOTE $ $ _______________________________________________ ______________ __________________

COMMODITY NAME: V1 CABLE

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for TL3300 Lemo 14-pin Cable, PRC-117F w/ Remote shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions attached in Section J, Attachment 0006.

Item Description:

72" adapter cable with a push/pull LEMO connector on one end and a MC2127 mating connector on the other end.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0002 MANPACK RADIO 30MHZ-88MHZ ANTENNA $ $ _________________________________ ______________ __________________

COMMODITY NAME: COMMUNICATION EQUIPMENT

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for Manpack Radio 30MHz-88MHz Antenna shall be provided in accordance with (IAW) the CHS-5

Pricing spreadsheet/ instructions attached in Section

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

J, Attachment 0006.

Item Description:

Manpack Radio 30MHz-88MHz Antenna.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0003 DELL ULTRASHARP U2413 24" WIDESCREEN FLAT PANEL $ $ _______________________________________________ ______________ __________________

COMMODITY NAME: DISPLAYS

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for Dell UltraSharp U2413 24"

Widescreen Flat Panel Display shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions attached in Section J, Attachment 0006.

Item Description:

Dell UltraSharp U2413 24" Widescreen Flat Panel

Display.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0004 RUGGED TACTICAL HANDHELD DEVICE, 2.0, BASE UNIT $ $ _______________________________________________ ______________ __________________

COMMODITY NAME: HANDHELD

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for Rugged Tactical Handheld Device

2.0, Base Unit shall be provided in accordance with

(IAW) the CHS-5 Pricing spreadsheet/ instructions attached in Section J, Attachment 0006.

Item Description:

Rugged Tactical Handheld Device 2.0, Base Unit.

Embedded ARM Cortex A8 3730 (1GHz) Application

Processor w/DSP, Embedded Hardware Graphics

Accelerator which supports Open GLES Standard, Sunlight readable 5 Diagonal WVGA Display with Low

Activation Force Resistive Touchscreen, Embedded Low

Powered DDR [LPDDR] (256 MB, 266MHz, 32 bit Bus).

Embedded Non-Volatile System / Recovery Memory (128

MB, 16 bit Bus), NOR, Embedded Non-Volatile

Application Memory (512 MB, 16 bit Bus) NAND, Micro

SD Card Slot, Embedded Audio Codec, Advanced Power

Management Sub-Systems, Internal Speaker, Embedded 3-axis Accelerometer, Embedded Digital Compass, Windows

Mobile 6.5.1 Operating System, One Removable Li-Ion

Battery pack. Base Unit Interfaces One high speed

USB 2.0 host data link. One serial UART data link RS

232. One Audio Line Input Stereo Audio Output. One

Video Output DVI. User input /programmable buttons.

System Status indicators.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

6 151

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Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0005 512GB SOLID SATE HARD DRIVE FOR LATITUDE 14 RGGD $ $ ________________________________________________ ______________ __________________

COMMODITY NAME: HARD DRIVES

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for the 512GB Solid Sate Hard Drive for

Latitude 14 Rugged Extreme Laptop shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions attached in Section J, Attachment 0006.

Item Description:

512GB Solid State Hard Drive for Latitude 14 Rugged

Extreme Laptop.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

7 151

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0006 MOBILE USER OBJECTIVE SYSTEM (MUOS) "A" KIT $ $ ___________________________________________ ______________ __________________

COMMODITY NAME: INSTALLATION KITS

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for MUOS "A" Kit shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions Attached in Section J, Attachment 0006.

Item Description:

Mobile User Objective System (MUOS) "A" Kit (Dismount

Kit) Soldier on the Move. Includes MUOS 300-380 MHz

Antenna and Portable UHF SatCOM Antenna System.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0007 2-BUTTON USB 2.0 OPTICAL BASIC MOUSE $ $ ____________________________________ ______________ __________________

COMMODITY NAME: KEYBOARD / MICE

CLIN CONTRACT TYPE:

Firm Fixed Price

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

CHS-5 pricing for 2-Button USB 2.0 Optical Basic

Mouse shall be provided in accordance with (IAW) the

CHS-5 Pricing spreadsheet/ instructions attached in

Section J, Attachment 0006.

Item Description:

2-Button USB 2.0 Optical Basic Mouse.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0008 DELL PRECISION 7710 $ $ ___________________ ______________ __________________

COMMODITY NAME: WORKSTATIONS

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for Dell Precision 7710 shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions attached in section J, Attachment 0006.

Item Description:

Dell Precision 7710.

The specifications/ components for this item are attached in section J, attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0009 CISCO ASA 5500 SECURITY CONTEXT LICENSE $ $ _______________________________________ ______________ __________________

COMMODITY NAME: LICENSES

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for Cisco ASA 5500 Security Context

License shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions attached in Section J, Attachment 0006.

Item Description:

ASA 5500 5 to 10 Security Context License Upgrade.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

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Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0010 V1+ CISCO CATALYST 3850 48 PORT DATA IP BASE $ $ ____________________________________________ ______________ __________________

COMMODITY NAME: V1+ SWITCH

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for V1+ Cisco Catalyst 3850 48 Port

Data IP Base shall be provided in accordance with

(IAW) the CHS-5 Pricing spreadsheet/ instructions attached in section J, Attachment 0006.

Item Description:

V1+ Cisco Catalyst 3850 48 Port Data IP Base.

The specifications for this item are attached in section J, attachment 0009. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0011 CISCO U P PHONE 8941 $ $ ____________________ ______________ __________________

COMMODITY NAME: PHONES

CLIN CONTRACT TYPE:

Firm Fixed Price

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Reference No. of Document Being Continued

MOD/AMD

CHS-5 pricing for Cisco Unified Phone 8941 Phantom

Grey Standard Handset shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions attached in Section J, Attachment 0006.

Item Description:

Cisco Unified Phone 8941 Phantom Grey Standard

Handset.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0012 DELL RUGGED EXTREME14 E5 90W AC ADAPTER $ $ _______________________________________ ______________ __________________

COMMODITY NAME: POWER SUPPLIES

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for Dell Rugged Extreme14 E5 90W AC

Adapter shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions attached in Section J, Attachment 0006.

Item Description:

Dell Rugged Extreme14 E5 90W AC Adapter.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0013 HP T1530 PLOTTER WITH TRANSIT CASE AND ACCESSORIES $ $ __________________________________________________ ______________ __________________

COMMODITY NAME: PRINTERS

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for HP T1530 Plotter with Transit Case and Accessories shall be provided in accordance with

(IAW) the CHS-5 Pricing spreadsheet/ instructions attached in Section J, Attachment 0006.

Item Description:

Transit case with foam inserts, 36 inch

Plotter/Printer/removable Hard Drive/ includes ink cartridges, paper and bundled accessories.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

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Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0014 V1 DELL POWEREDGE R420XR $ $ ________________________ ______________ __________________

COMMODITY NAME: SERVER

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for V1 Dell PowerEdge R420xr shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions attached in Section J, Attachment 0006.

Item Description:

V1 Dell PowerEdge R420xr.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0015 CISCO 1000BASE-LX/LH SFP TRANSCEIVER MODULE $ $ ___________________________________________ ______________ __________________

COMMODITY NAME: ROUT/SWITCH/FIRE/MEDIA CONV.

CLIN CONTRACT TYPE:

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MOD/AMD

Firm Fixed Price

CHS-5 pricing for Cisco 1000BASE-LX/LH SFP Rugged shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions attached in Section J, Attachment 0006.

Item Description:

Cisco 1000BASE-LX/LH SFP transceiver module for MMF and SMF, 1300-nm wavelength, industrial Ethernet, dual LC/PC connector.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0016 NETAPP STORAGE APPLIANCE $ $ ________________________ ______________ __________________

COMMODITY NAME: APPLIANCES

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for NetApp Storage Appliance shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions attached in Section J, Attachment 0006.

Item Description:

FAS2552,HA,24x900GB,10G,CTL, Message: PTO Bundles include two 10Gb SFP (X6589-R6) within the first CNA port pair per controller.

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0017 WORKSTATION TRANSIT CASE (POPULATED) $ $ ____________________________________ ______________ __________________

COMMODITY NAME: TRANSIT/ STORAGE CASE (POP)

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for Workstation Transit Case

(Populated)shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions attached in Section J, Attachment 0006.

Item Description:

Client Laptop and Storage and Transit Case with space for one Dell Extreme 14 rugged laptop.

The specifications for this item are attached in section J, attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

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Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0018 WORKSTATION TRANSIT CASE (UNPOPULATED) $ $ ______________________________________ ______________ __________________

COMMODITY NAME: TRANS/STOR CASE UNPOP

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for Transit/Storage Cases(UnPopulated) shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions attached in section J, Attachment 0006.

Item Description:

Client Laptop and Storage and Transit Case with space for one Dell Extreme 14 rugged laptop.

The specifications for this item are attached in section J, attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

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MOD/AMD

0019 INTELLIPOWER UPS (UNINTERRUPTIBLE POWER SUPPLY) $ $ _______________________________________________ ______________ __________________

COMMODITY NAME: UPS/PCC

CLIN CONTRACT TYPE:

Firm Fixed Price

CHS-5 pricing for Intellipower UPS(Uninterruptible

Power Supply) with SNMP v3 shall be provided in accordance with (IAW) the CHS-5 Pricing spreadsheet/ instructions attached in Section J, Attachment 0006.

Item Description:

Intellipower UPS (Uninterruptible Power Supply) with

SNMP v3.

The specifications for this item are attached in

Section J, Attachment 0008. Brand Name or equal items are acceptable in accordance with PWS paragraph

3.4.2.7.1.

This CLIN and its associated SLINs are for shipping anywhere CONUS, specific shipping instructions will be provided at the order level.

(End of narrative B001)

Packaging and Marking _____________________

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

9990 BASIC CLIN FOR ELIN ___________________

The below ELINs are associated with the Data Item

Numbers on the Contract Data Requirements List (CDRL)

(DD Form 1423), in Section J.

(End of narrative A001)

A001 PROGRAM PROTECTION IMPLEMENTATION PLAN (PPIP) 1 LO $ ** NSP ** _____________________________________________ __________________

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MOD/AMD

SERVICE REQUESTED: PPIP

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the Program Protection

Implementation Plan (PPIP) in accordance with (IAW)

Performance Work Statement Paragraph 1.8.6 as set forth as CDRL A001 in Section J, exhibit A.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A002 CONTR COUNTERFEIT PART DETECTION SYSTEM 1 LO $ ** NSP ** _______________________________________ __________________

SERVICE REQUESTED: COUNTERFEIT PREVENTION PLAN

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the Contractor Counterfeit

Electronic Part Detection and Avoidance System Report in accordance with (IAW) Performance Work Statement

Paragraph 3.4.7.1.1 as set forth as CDRL A002 in

Section J, exhibit A.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A003 FAT PLAN AND PROCEDURES 1 LO $ ** NSP ** _______________________ __________________

SERVICE REQUESTED: FAT PLAN AND PROCEDURES

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the First Article Qualification Test

Plan and Procedures in accordance with (IAW)

Performance Work Statement Paragraph 3.4.7.2.6.1 as set forth as CDRL A003 in Section J, exhibit A.

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MOD/AMD

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A004 SUPPLIER'S CONFIGURATION MANAGEMENT PLAN 1 LO $ ** NSP ** ________________________________________ __________________

SERVICE REQUESTED: SUPPLIER'S CONFIG MGT PLAN

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the Supplier's Configuration

Management Plan (CMP) in accordance with (IAW)

Performance Work Statement Paragraph 3.5.4 as set forth as CDRL A004 in Section J, exhibit A.

(End of narrative B002)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A005 PHASE-IN TRANSITION PLAN 1 LO $ ** NSP ** ________________________ __________________

SERVICE REQUESTED: PHASE-OUT TRANSITION PLAN

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the Phase-In Transition Plan Report in accordance with (IAW) Performance Work Statement

Paragraph 3.8.3.0.4, as set forth as CDRL A005 in

Section J, exhibit A.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

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MOD/AMD

A006 QUALITY ASSURANCE PROGRAM PLAN 1 LO $ ** NSP ** ______________________________ __________________

SERVICE REQUESTED: QUALITY ASSURANCE PLAN

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the Quality Assurance Program Plan

Report in accordance with (IAW) Performance Work

Statement Paragraph 3.11.3.0 as set forth as CDRL

A005 in Section J, exhibit A.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

B001 FIRST ARTICLE TEST (FAT) REPORT 1 LO $ ** NSP ** _______________________________ __________________

SERVICE REQUESTED: TEST/INSPECTION REPORT

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the First Article Test (FAT) Report

Report in accordance with (IAW) Performance Work

Statement Paragraph 3.4.7.2.8.1 as set forth as CDRL

B001 in Section J, exhibit B.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

B002 END OF LIFE/ COMPONENT OBSOLESCENCE/ END OF SALE 1 LO $ ** NSP ** ________________________________________________ __________________

SERVICE REQUESTED: SCIENTIFIC AND TECH REPORTS

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the EOL (End-of-Life), Component

21 151

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Reference No. of Document Being Continued

MOD/AMD

Obsolescence, EOS (End-of-Sale) Report in accordance with (IAW) Performance Work Statement Paragraph

3.5.10.2 as set forth as CDRL B002 in Section J, exhibit B.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

B003 FAILURE ANALYSIS AND TREND REPORTING 1 LO $ ** NSP ** ____________________________________ __________________

SERVICE REQUESTED: FAILURE ANALYSIS REPORT

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the Failure Analysis and Trend

Reporting Report in accordance with (IAW) Performance

Work Statement Paragraph 3.6.6.0 as set forth as CDRL

B003 in Section J, exhibit B.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

B004 TASS COST REPORT 1 LO $ ** NSP ** ________________ __________________

SERVICE REQUESTED: PERFORMANCE AND COST REPORT

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the TASS Cost Report in accordance with (IAW) Performance Work Statement Paragraph

3.7.5.0 as set forth as CDRL B004 in Section J, exhibit B.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

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Reference No. of Document Being Continued

MOD/AMD

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

B005 CHS-5 INTEGRATED DATA ENVIRONMENT (IDE) 1 LO $ ** NSP ** _______________________________________ __________________

SERVICE REQUESTED: IDE

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the CHS-5 Integrated Data

Environment (IDE)Report in accordance with (IAW)

Performance Work Statement Paragraph 3.6.2.8, 3.6.3.0, 3.9.1.0 & 3.9.3.2 as set forth as CDRL B005 in Section J, exhibit B.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

B006 SAFETY ASSESSMENT REPORT (SAR) 1 LO $ ** NSP ** ______________________________ __________________

SERVICE REQUESTED: SAR

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the Safety Assessment Report (SAR) in accordance with (IAW) Performance Work Statement

Paragraph 3.10.3.0 as set forth as CDRL B006 in

Section J, exhibit B..

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

B007 WARRANTY INPUT SHEET 1 LO $ ** NSP ** ____________________ __________________

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Reference No. of Document Being Continued

MOD/AMD

SERVICE REQUESTED: SCIENTIFIC/ TECHNICAL REPORTS

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the Warranty Input Sheet in accordance with (IAW) Performance Work Statement

Paragraph 3.1.1, 3.2.1.1 and 3.3.1.2 as set forth as

CDRL B007 in Section J, exhibit B.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

B008 SMALL BUSINESS UTILIZATION REPORT 1 LO $ ** NSP ** _________________________________ __________________

SERVICE REQUESTED: SB UTILIZATION REPORT

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the Small Business Utilization

Report in accordance with (IAW) Performance Work

Statement Paragraph 3.12.1 as set forth as CDRL

B008 in Section J, exhibit B.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

C001 V1 AND STORAGE CASE PRODUCT SPECIFICATIONS 1 LO $ ** NSP ** __________________________________________ __________________

SERVICE REQUESTED: SCIENTIFIC/ TECHNICAL REPORTS

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the V1 and Storage Case Product

Specifications Report in accordance with (IAW)

Performance Work Statement Paragraph 3.4.4.0.1 as set forth as CDRL C001 in Section J, exhibit C.

(End of narrative B001)

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Reference No. of Document Being Continued

MOD/AMD

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

C002 V1+/V2/V3/IK/OTC PRODUCT SPECIFICATIONS 1 LO $ ** NSP ** _______________________________________ __________________

SERVICE REQUESTED: SCIENTIFIC/ TECHNICAL REPORTS

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the V1+/V2/V3/IK/OTC Product

Specifications Report in accordance with (IAW)

Performance Work Statement Paragraph 3.4.7.3.1 as set forth as CDRL C002 in Section J, exhibit C.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

C003 USER GUIDES FOR CHS ITEMS 1 LO $ ** NSP ** _________________________ __________________

SERVICE REQUESTED: COTS MANUALS/SUPP DATA

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the Commercial Off-the-Shelf Manuals and Associated Supplemental Data Report in accordance with (IAW) Performance Work Statement Paragraph

3.4.4.0.4 as set forth as CDRL C003 in Section J, exhibit C.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

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Reference No. of Document Being Continued

MOD/AMD

C004 PRELIMINARY DESIGN REVIEW & CRITICAL DESIGN 1 LO $ ** NSP ** ___________________________________________ __________________

SERVICE REQUESTED: SCIENTIFIC/ TECHNICAL REPORTS

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the Preliminary Design Review (PDR) and Critical Design Review (CDR) Packages Report in accordance with (IAW) Performance Work Statement

Paragraph 3.1.1, 3.3.1.2 and 3.4.6.0.4 as set forth as CDRL C004 in Section J, exhibit C.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

C005 DEVELOPMENTAL LEVEL TDP FOR CHS HARDWARE 1 LO $ ** NSP ** ________________________________________ __________________

SERVICE REQUESTED: DEV'T DESIGN DRAWINGS/MODELS

CLIN CONTRACT TYPE:

Firm Fixed Price

This ELIN is for the Developmental Level TDP for CHS

Hardware in accordance with (IAW) Performance Work

Statement Paragraph 3.4.6.0.7.1 as set forth as CDRL

C005 in Section J, exhibit C.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

C006 PRODUCTION LEVEL TDP FOR CHS HARDWARE 1 LO $ ** NSP ** _____________________________________ __________________

SERVICE REQUESTED: PRODUCT DRAWINGS / MODELS

CLIN CONTRACT TYPE:

Firm Fixed Price

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MOD/AMD

This ELIN is for the Production Level TDP for CHS

Hardware in accordance with (IAW)Performance Work

Statement Paragraph PWS 3.4.6.0.7.2 as set forth as

CDRL C006 in Section J, exhibit C.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

9997 CONTRACTOR MANPOWER REPORTING 1 LO $ ** NSP ** _____________________________ __________________

SERVICE REQUESTED: CONTRACTOR MANPOWER REPORTING

CLIN CONTRACT TYPE:

Firm Fixed Price

\*Riched20 10.0.14393

H-1 ACCOUNTING FOR CONTRACT SERVICES REQUIREMENT -

ENTERPRISE-WIDE CONTRACTOR MANPOWER REPORTING

APPLICATION

The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract, Common Hardware Systems 5th Generation

(CHS-5), via a secure data collection site. The contractor is required to completely fill in all required data fields using the following webaddress:https://armycmra.dmdc.osd.mil/Login.aspx and then click on Department of the Army CMRA or the icon of the DoD organization that is receiving or benefitting from the contracted services.

Reporting inputs will be for the labor executed during the period of performance during each

Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year.

Contractors may direct questions to the help desk by clicking on Send an email which is located under the

Help Resources ribbon on the right side of the login page of the applicable Service/Components Contractor

Manpower Reporting website.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

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Reference No. of Document Being Continued

MOD/AMD

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 31-OCT-2018

9998 OPTION YEAR 1 - 12 MONTH POP $ $ ____________________________ ______________ __________________

COMMODITY NAME: OPTION YEAR

The Contractor will complete the work specified in the PWS.

The Contracting Officer may exercise the option by written notice to the contractor within 30 days prior to contract expiration.

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

FOB POINT: Destination

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

9999 OPTION YEAR 2 - 12 MONTH POP 1 EA $ ** NSP ** $ ** NSP ** ____________________________ ______________ __________________

COMMODITY NAME: OPTION YEAR

The Contractor will complete the work specified in the PWS.

The Contracting Officer may exercise the option by written notice to the contractor within 30 days prior to contract expiration.

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MOD/AMD

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

001 3

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 1 SEE DD FORM 1423

FOB POINT: Destination

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

29 151

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PIIN/SIIN MOD/AMD

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

Regulatory Cite Title Date Regulatory Cite Title Date _______________ ______________________________________________________________________ ____________ _______________ ______________________________________________________________________ ____________

1 5152.225-5902 FITNESS FOR DUTY AND MEDICAL/DENTAL CARE LIMITATIONS JUN/2015

(ECC-A)

(a) The contractor shall ensure the individuals they deploy are in compliance with the current USCENTCOM Individual Protection and

Individual/Unit Deployment Policy, including TAB A, Amplification of the Minimal Standards of Fitness for Deployment to the CENTCOM AOR, unless a waiver is obtained in accordance with TAB C, CENTCOM Waiver Request. The current guidance is located at http://www2.centcom.mil/sites/contracts/Pages/GCP.aspx.

(b) The contractor shall perform the requirements of this contract notwithstanding the fitness for duty of deployed employees, the provisions for care offered under this section, and redeployment of individuals determined to be unfit.

(c) Contractor personnel who deploy for multiple tours, which exceed 12 months in total, must be re-evaluated for fitness to deploy every 12 months IAW the current USCENTCOM Individual Protection and Individual/Unit Deployment Policy standards. An examination will remain valid for 15 months from the date of the physical. This allows an examination to be valid up to 90 days prior to deployment.

Once a deployment begins, the examination will only be good for a maximum of 12 months. Any medical waivers received will be valid for a maximum of 12 months. Failure to obtain an updated medical waiver before the expiration of the current waiver renders the employee unfit and subject to redeployment.

(d) The contractor bears the responsibility for ensuring all employees are aware of the conditions and medical treatment available at the performance location. The contractor shall include this information in all subcontracts with performance in the theater of operations.

(e) In accordance with military directives (DoDI 3020.41, DoDI 6000.11, CFC FRAGO 09-1038, DoD Federal Acquisition Regulation Supplement

(DFARS) PGI 225.74), resuscitative care, stabilization, hospitalization at a Role 3 military treatment facility (MTF) for emergency life-limb-eyesight care will be provided along with assistance for urgent patient movement. Subject to availability, an MTF may provide reimbursable treatment for emergency medical or dental services (e.g., broken bones, lacerations, broken teeth or lost fillings).

(f) Routine and primary medical care are not authorized. Pharmaceutical services are not authorized for known or routine prescription drug needs of the individual. Routine dental care, examinations and cleanings are not authorized

(g) Notwithstanding any other provision of the contract, the contractor shall be liable for any and all medically-related services or patient movement rendered. To view reimbursement rates that will be charged for services at all DoD deployed medical facilities please go to the following website: http://comptroller.defense.gov/FinancialManagement/Reports/rates2014.aspx.

(End of Clause)

2 5152.225-5904 MONTHLY CONTRACTOR CENSUS REPORTING AUG/2014

(ECC-A)

Contractor shall provide monthly employee census information to the Contracting Officer, by province, for this contract. Information shall be submitted either electronically or by hard-copy. Information shall be current as of the 25th day of each month and received by the Contracting Officer no later than the first day of the following month. The following information shall be provided for each province in which work was performed:

The total number (prime and subcontractors at all tiers) employees.

The total number (prime and subcontractors at all tiers) of U.S. citizens.

The total number (prime and subcontractors at all tiers) of local nationals (LN).

The total number (prime and subcontractors at all tiers) of third-country…