W15QKN-20-R-0072.pdf

SOLICITATION, OFFER AND AWARD 1. This Contract Is A Rated Order Under

DPAS (15 CFR 700)

Rating Page of Pages

2. Contract Number 3. Solicitation Number 4. Type of Solicitation 5. Date Issued 6. Requisition/Purchase Number Sealed Bid (IFB)

Negotiated (RFP)

7. Issued By Code 8. Address Offer To (If Other Than Item 7)

NOTE: In sealed bid solicitations ‘offer’ and ‘offeror’ mean ‘bid’ and ‘bidder’.

SOLICITATION

9. Sealed offers in original and copies for furnishing the supplies or services in the Schedule will be received at the place specified in item 8, or if handcarried, in the depository located in until (hour) local time (Date).

Caution - Late Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

10. For Information A. Name B. Telephone (No Collect Calls) C. E-mail Address

Call: Area Code Number Ext.

11. Table Of Contents

(X) Sec. Description Page(s) (X) Sec. Description Page(s)

Part I - The Schedule Part II - Contract Clauses A Solicitation/Contract Form I Contract Clauses

B Supplies or Services and Prices/Costs Part III - List Of Documents, Exhibits, And Other Attach.

C Description/Specs./Work Statement J List of Attachments D Packaging and Marking Part IV - Representations And Instructions E Inspection and Acceptance K Representations, Certifications, and F Deliveries or Performance Other Statements of Offerors G Contract Administration Data L Instrs., Conds., and Notices to Offerors H Special Contract Requirements M Evaluation Factors for Award

OFFER (Must be fully completed by offeror) NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within _____ calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. Discount For Prompt Payment 10 Calendar Days (%) 20 Calendar Days (%) 30 Calendar Days (%) Calendar Days (%) (See Section I, Clause No. 52.232-8)

14. Acknowledgment of Amendments (The offeror acknowledges Amendment No. Date Amendment No. Date receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated):

15A. Name and Code Facility 16. Name and Title of Person Authorized to Sign Offer Address of (Type or Print) Offeror

15B. Telephone Number 15C. Check if Remittance Address is 17. Signature 18. Offer Date Area Code Number Ext. Different From Above – Enter such

Address In Schedule

AWARD (To be completed by Government)

19. Accepted As To Items Numbered 20. Amount 21. Accounting And Appropriation

22. Authority For Using Other Than Full And Open Competition: 23. Submit Invoices To Address Shown In Item

10 U.S.C. 2304(c)( ) 41 U.S.C. 253(c)( ) (4 copies unless otherwise specified)

24. Administered By (If other than Item 7) Code 25. Payment Will Be Made By Code

26. Name of Contracting Officer (Type or Print) 27. United States Of America 28. Award Date

(Signature of Contracting Officer)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

AUTHORIZED FOR LOCAL REPRODUCTION Standard Form 33 (Rev. 9-97) Previous edition is unusable Prescribed By GSA-FAR (48 CFR) 53.214(c)

W15QKN-20-R-0072

X

2020APR16

2020MAY1803:00pm

DOA6

2020APR16 SEE SCHEDULE

W15QKN

ARMY CONTRACTING COMMAND - NJ

PICATINNY ARSENAL, NJ 07806-5000

PATRICIA A. KLEIMAN

(973)724-9591

CCNJ-ET

PATRICIA.A.KLEIMAN.CIV@MAIL.MIL

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X 1

X 6 X 35

X 41 X 43 X 44

X 49

X 52

X 53

X 76

X 77

X 97

X 108

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION A - SUPPLEMENTAL INFORMATION

Buyer Name: PATRICIA A. KLEIMAN

Buyer Office Symbol/Telephone Number: CCNJ-ET/(973)724-9591

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

The United States Army on behalf of the Project Manager Close Combat Systems has a requirement for the production, testing, packaging and delivery of CAP, BLASTING: non-electric, 200 ft. minitube, dual in-line initiator, M19 (M19 Dual Blasting Cap Assembly or M19); CAP, BLASTING: non-electric, 500 ft minitube, in-line initiator, M21 (M21 Blasting Cap Assembly or M21); and CAP, BLASTING: non-electric, 1000 ft minitube, in-line initiator, M23 (M23 Blasting Cap Assembly or M23).

CONTRACT MINIMUM AND MAXIMUMS_____________________________

This is an Indefinite Delivery, Indefinite Quantity type contract with Firm Fixed Price Delivery Orders. The Government's minimum ordering obligation will be satisfied after issuance of Delivery Order One. The following guarantee and maximum obligation amounts are for the items being procured under this contract, which has a period of performance of five years.

Minimum Guarantee: $2,000,000.00

Maximum Contract Value: $47,621,123.74

CONTRACT YEARS______________

This is a five (5) year Indefinite Delivery, Indefinite Quantity (ID/IQ) contract with Firm Fixed Price (FFP) Delivery Orders. Ordering periods are as follows:

Ordering Period 1: Date of Contract Award to 12 months after Contract Award

Ordering Period 2: 13 to 24 months after Contract Award

Ordering Period 3: 25 to 36 months after Contract Award

Ordering Period 4: 37 to 48 months after Contract Award

Ordering Period 5: 49 to 60 months after Contract Award

Delivery Schedule and Delivery location will be determind with each delivery order. However, the Government anticipates deliveries under the first Delivery Order to be as follows:

FAT Delivery - 360 days after contract award

Delivery of initial production lot - 450 days after contract award, Subsequent lots - monthly

Larger monthly delivery quantities and accelerated deliveries are acceptable at no additional cost to the Government (if applicable).

DELIVERY SCHEDULE PROCEDURES____________________________

The Contracting Officer on prescribed Government forms will issue delivery orders ad will indicate:

a. Date of Order

b. Contract Number and Order Number

c. Contract Line Item Number, Description, Quantity and Unit Price

d. Delivery Schedule

e. Ship to Address

f. Accounting and Appropriation Data

g. Payments Office

The Contracting Officer from Army Contracting Command - New Jersey is the only Government representative with the authority to issue delivery orders against the contract resulting from this solicitation. Delivery Orders will be transmitted an received via emal.

Also see contract clauses listed below, located in full text in Section I:

252.216-7006- Ordering (MAY 2011)

52.216-19 Ordering Limitations (OCT 1995)

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

52.216-22- Indefinite Quantity (OCT 1995)

LIMITED DISTRIBUTION DATA INFORMATION INSTRUCTIONS__________________________________________________

DISTRIBUTION D: Distributions Authorize to the Department of Defense and U.S. DoD Contractors only. Other requests shall be referred to the Project Manager for Close Combat Systems, ATTN: SFAE-AMO-CCS, Picatinny NJ 07806-5000.

DISTRIBUTION C: Distributions Authorize to the U.S Government Agencies and their contractors. Other requests shall be referred to the

Munitions Safety and Harzard Classification Branch, Picatinny NJ 07806-5000.

Note: The highest distribution level for the UNCLASSIFIED portion of this procurement is Distribution D.

HANDLING/DESTROYING LIMITED DISTRIBUTION TECHNICAL DATA: Unclassified/Limited Distribution documents shall be handled using the same standard as "For Official Use Only (FOUO)" material, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document. For unclassified, limited documents, destroy by any method tht will prevent disclosure of contents or reconstruction of the document in accordance with DoD 5200.01 Volume 4.

INTERNATIONAL TRAFFIC IN ARMS REGULATION (ITAR)_______________________________________________

In accordance with Part 122.1(a) of the ITAR, any person who engages in the United States in the business of either manufacturing or exporting defense articles or furnishing defense services is required to register with the U.S. Department of State, Directorate of

Defense Trade Controls unless an exemption to the registration requirement under th ITAR applies. Registration is primarily a means to provide the U.S. Government with necessary information on who is involved in certain manufacturing and exporting activities and does not confer any export rights or priviledges. Registration is a precondition to the issuance of an export license or other approval under the ITAR. Exemptions to the requirement for registration can be found in Part 122.1(b) of the ITAR. The Department of State publishes guidance regarding ITAR compliance at: //www.pmddtc.state.gov/compliance/index.html. When applicable, under the Arms Export Control Act and the International Traffic in Arms Regulations (ITAR), an export license must be obtained from the Department of State, Directorate of Defense Trade Controls, before any data, or any portion therof, or any items made in accordance with this contract, are exported, unless an exemption under the ITAR applies.

REQUESTING THE TECHNIAL DATA PACKAGE (TDP) and HCSDS____________________________________________________

To obtain a copy of the 13084144 Technical Data Package List (TDPL) for:

CAP, BLASTING: non-electic, 200 ft minitube, daul in-line initiator- M19- Distritution D (Attachment 0001); 13023565 Technical Data

Package List (TDPL) for: CAP, BLASTING: non-electric, 500 ft minitube, in-line initiator- M21- Distribution D (Attachment 0002); and

13023566 Technical Data Package List (TDPL) for: CAP, BLASTING: non-electric, 100 ft minitube, in-line initiator- M23- Distribution D

(Attachment 0003) and Hazardous Component Safety Data Statements (HCSDS) Distribution C (Attachment 0004, Attachment 0005 and

Attachment 0006) interested parties must submit the following by mail/email:

1. A signed and approved DD Form 2345 Militarily Critical Technical Data Agreement.

2. A copy of the Offeror's application license issued by the Department of State if the offeror is a non-U.S. company.

3. A completed AMSTA-AR Form 1350 Technical Data Questionnaire. (Attachment 0008)

4. A completed and signed Non-Disclosure / Non-Use Agreement.

All completed forms and requests shall be submitted to:

U.S. Army Contracting Command- New Jersey

CCNJ-ET

ATTN: Patricia A. Kleiman

Bldg 9 Phipps Rd.

Picatinny Arsenal, NJ 07806

Patricia.a.kleiman.civ@mail.mil

Attachments 0001, 0002 and 0003 identified under list of attachments reflect the appropriate markings (Distributions D), which limits dissemination only as directed by the Project Manager for Close Combat Systems, ATTN; SFAE-AMO-CCS Picatinny, NJ 07806-5000.

Attachment 0004, 0005 and 0006 identified under list of attachments reflect the appropriate markings (Distributions C), which limits dissemination only as directed by the Munitions Safety and Harzard Classification Branch, Picatinny NJ 07806-5000.

Please see the list of attachments for copies of the DD Form 2345 Militarily Critical Technical Data Agreement (Attachment 0007), AMSTA

AR Form 1350 Technical Data Questionnaire (Attachment 0008), and Non-Disclosure and Non-Use Agreement Attachment (Attachment 0009).

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

AVAILABILITY OF FUNDS_____________________

In accordance with AFARS 5101.602-2, offerors are hereby notified that, funds are not presently available for this acquisition. NO contract award will be made until appropriated funds are made available.

*** END OF NARRATIVE A0001 ***

SECTION 806 DETERMINATION

In accordance with Section 806, Procurement of Conventional Ammunition, of the Strom Thurmond National Defense Authorization Act for

Fiscal Year 1999, this conventional ammunition procurement action has been analyzed by the Single Manager for Conventional Ammunition.

The planned procurement of the Blasting Caps is consistent with retaining the National Technology and Industrial Base (NTIB) in accordance with Section 806, Public Law 105-261. The procurement approach is Full and Open Competition.

*** END OF NARRATIVE A0002 ***

GENERAL INFORMATION TO OFFERORS OR QUOTERS

1. Responses must set forth full, accurate and complete information as required by this solicitation (including attachments). Fill-ins are provided on Standard Form (insert form numbers), and other solicitation documents. Examine the entire solicitation carefully. The penalty for making false statements is prescribed in 18 U.S.C. 1001.

2. Responses must be plainly marked with the Solicitation Number and the date and local time set forth for bid opening or receipt of proposals in the solicitation document.

3. Information regarding the timeliness of response is addressed in the provision of the solicitation entitled either Late

Submission, Modification and Withdrawal of Bid or Instructions to Offerors Competitive Acquisitions.

4. Procurement Information (use one of the below in your solicitation)

X This Procurement is unrestricted

SIC/NAICS codes are 325920

5. Issuing Office

U.S. Army Contracting Command - New Jersey

ATTN: Patricia A. Kleiman

Office Symbol: CCNJ-ET

Picatinny Arsenal, NJ 07806-5000 email: patricia.a.kleiman.civ@mail.mil

6. Point of Contact for Information:

Name: Patricia A. Kleiman

Title: Contract Specialist

Email: patricia.a.kleiman.civ@mail.mil

*** END OF NARRATIVE A0004 ***

DISCLOSURE OF UNIT PRICE INFORMATION

This constitutes notification pursuant to Executive Order 12600, Pre-Disclosure Notification Procedures for Confidential Commercial

Information (June 23, 1987), of our intention to release unit prices in response to any request under the Freedom of Information Act, 5 USC 552. Unit price is defined as the contract price per unit or item purchased. We consider any objection to be waived unless the contracting officer is notified of your objection to such posting prior to submission of initial proposals.

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

*** END OF NARRATIVE A0005 ***

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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

SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS

0001 DESIGN VERIFICATION TEST M19 YEAR 1 $ $ ___________________________________ ______________ __________________

COMMODITY NAME: DVT M19 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

Design Verification Test Units of the M19 shall be in accordance with the Statement of Work and the requirements contained throughout this document.

Approval of the Design Verification Test (DVT) related invoice will not be granted until the DVT report is approved. The invoice shall not be placed until the DVT Report is approved by the Procuring

Contracting Officer (PCO).

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

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.

0002 FINAL HAZARD CLASSIFICATION M19 YEAR 1 $ $ ______________________________________ ______________ __________________

COMMODITY NAME: FHC M19 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

Final Hazard Classification of the M19 shall be in accordance with the Statement of Work and the requirements contained throughout this document.

Approval of the Final Hazard Classification (FHC) related invoice will not be granted until the FHC report is approved. The invoice shall not be placed

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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

until the FHC Report is approved by the Procuring

Contracting Officer (PCO).

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

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.

0003 PHYSICAL CONFIGURATION AUDIT M19 YEAR 1 $ $ _______________________________________ ______________ __________________

COMMODITY NAME: PCA M19 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

Physical Configuration Audit of M19 and Physical

Configuration Audit Report shall be in accordance with the Statement of Work and the requirements contained throughout this document.

Approval of the Physical Configuration Audit (PCA) related invoice will not be granted until the PCA report is approved. The invoice shall not be placed until the PCA Report is approved by the Procuring

Contracting Officer (PCO).

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

7 114

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

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.

0004 FRIST ARTICLE TEST M19 YEAR 1 $ _____________________________ __________________

SERVICE REQUESTED: FAT M19 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Testing (FAT) and First Article Test

Report of M19 shall be in accordance with the

Statement of Work and the requirements contained throughout this document. Approval of the FAT related invoice will not be granted until the FAT report is approved. The invoice shall not be placed until the FAT Report is approved by the Procuring

Contracting Officer (PCO).

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0005 PRODUCTION M19 YEAR 1 $ _____________________ __________________

See Range Pricing

NSN: 1375-01-681-5484

COMMODITY NAME: M19 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

500 2000 $

2001 8000 $

8001 16000 $

Production of the M19 shall be in accordance with the

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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

Statement of Work and the requirements contained throughout this document.

(End of narrative B001)

Packaging and Marking _____________________

See Section D: Packaging and Marking.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0006 DESIGN VERIFICATION TEST M21 YEAR 1 $ $ ___________________________________ ______________ __________________

COMMODITY NAME: DVT M21 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

Design Verification Test of the M21 shall be in accordance with the Statement of Work and the requirements contained throughout this document.

Approval of the Design Verification Test (DVT) related invoice will not be granted until the DVT report is approved. The invoice shall not be placed until the DVT Report is approved by the Procuring

Contracting Officer (PCO).

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

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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

Deliveries or Performance _________________________

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.

0007 FINAL HAZARD CLASSIFICATION M21 YEAR 1 $ $ ______________________________________ ______________ __________________

COMMODITY NAME: FHC M21 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

Final Hazard Classification of the M21 shall be in accordance with the Statement of Work and the requirements contained throughout this document.

Approval of the Final Hazard Classification (FHC) related invoice will not be granted until the FHC report is approved. The invoice shall not be placed until the FHC Report is approved by the Procuring

Contracting Officer (PCO).

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

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.

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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

0008 PHYSICAL CONFIGURATION AUDIT M21 YEAR 1 $ $ _______________________________________ ______________ __________________

COMMODITY NAME: PCA M21 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

Physical Configuration Audit of the M21 shall be in accordance of the Statement of Work and the requirements within this document.

Approval of the Physical Configuration Audit (PCA) related invoice will not be granted until the PCA report is approved. The invoice shall not be placed until the PCA Report is approved by the Procuring

Contracting Officer (PCO).

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

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.

0009 FIRST ARTICAL TEST M21 YEAR 1 $ _____________________________ __________________

SERVICE REQUESTED: FAT M21 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Testing (FAT)and First Article Test

Report of the M21 shall be in accordance of the

Statement of Work and the requirements within this document.

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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

Approval of the FAT related invoice will not be granted until the FAT report is approved. The invoice shall not be placed until the FAT Report is approved by the

Procuring Contracting Officer (PCO).

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0010 PRODUCTION M21 YEAR 1 $ _____________________ __________________

See Range Pricing

NSN: 1375-01-567-3615

COMMODITY NAME: M21 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

2000 5000 $

5001 15000 $

15001 30000 $

30001 45000 $

45001 75000 $

Production of the of the M21 shall be in accordance of the Statement of Work and the requirements within this document.

(End of narrative B001)

Packaging and Marking _____________________

See Section D: Packaging and Marking.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

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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

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0011 DESIGN VERIFICATION TEST M23 YEAR 1 $ $ ___________________________________ ______________ __________________

COMMODITY NAME: DVT M23 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

Design Verification Test of the M23 shall be in accordance of the Statement of Work and the requirements within this document.

Approval of the Design Verification Test (DVT) related invoice will not be granted until the DVT report is approved. The invoice shall not be placed until the DVT Report is approved by the Procuring

Contracting Officer (PCO).

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

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.

0012 FINAL HAZARD CLASSIFICATION M23 YEAR 1 $ $ ______________________________________ ______________ __________________

COMMODITY NAME: FHC M23 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

Final Hazard Classification of the M23 shall be in accordance of the Statement of Work and the

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

requirements within this document.

Approval of the Final Hazard Classification (FHC) related invoice will not be granted until the FHC report is approved. The invoice shall not be placed until the FHC Report is approved by the Procuring

Contracting Officer (PCO).

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

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.

0013 PHYSICAL CONFIGURATION AUDIT M23 YEAR 1 $ $ _______________________________________ ______________ __________________

COMMODITY NAME: PCA M23 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

Physical Configuration Audit of the M23 shall be in accordance of the Statement of Work and the requirements within this document.

Approval of the Physical Configuration Audit (PCA) related invoice will not be granted until the PCA report is approved. The invoice shall not be placed until the PCA Report is approved by the Procuring

Contracting Officer (PCO).

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

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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

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.

0014 FIRST ARTICLE TEST M23 YEAR 1 $ _____________________________ __________________

SERVICE REQUESTED: FAT M23 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Test (FAT) and First Article Test

Report of the M23 shall be in accordance of the

Statement of Work and the requirements within this document. Approval of the FAT related invoice will not be granted until the FAT report is approved. The invoice shall not be placed until the FAT Report is approved by the Procuring Contracting Officer (PCO).

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0015 PRODUCTION M23 YEAR 1 $ _____________________ __________________

See Range Pricing

NSN: 1375-01-567-3620

COMMODITY NAME: M23 YEAR 1

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

2000 5000 $

5001 15000 $

15001 30000 $

30001 45000 $

45001 75000 $

Production of the M23 shall be in accordance of the

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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

Statement of Work and the requirements within this document.

(End of narrative B001)

Packaging and Marking _____________________

See Section D: Packaging and Marking.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

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 FINAL HAZARD CLASSIFICATION M19 YEAR 2 $ $ ______________________________________ ______________ __________________

COMMODITY NAME: FHC M19 YEAR 2

CLIN CONTRACT TYPE:

Firm Fixed Price

Final Hazard Classification of the M19 shall be in accordance of the Statement of Work and the requirements within this document.

Approval of the Final Hazard Classification (FHC) related invoice will not be granted until the FHC report is approved. The invoice shall not be placed until the FHC Report is approved by the Procuring

Contracting Officer (PCO).

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

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.

0017 FIRST ARTICLE TEST M19 YEAR 2 $ _____________________________ __________________

SERVICE REQUESTED: FAT M19 YEAR 2

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Test (FAT) and First Article Test

Report of the M19 shall be in accordance of the

Statement of Work and the requirements within this document. Approval of the FAT related invoice will not be granted until the FAT report is approved. The invoice shall not be placed until the FAT Report is approved by the Procuring Contracting Officer (PCO).

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0018 PRODUCTION M19 YEAR 2 $ _____________________ __________________

See Range Pricing

NSN: 1375-01-681-5484

COMMODITY NAME: M19 YEAR 2

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

500 2000 $

2001 8000 $

8001 16000 $

Production of the M19 shall be in accordance of the

Statement of Work and the requirements within this document.

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Reference No. of Document Being Continued

MOD/AMD

(End of narrative B001)

Packaging and Marking _____________________

See Section D: Packaging and Marking.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0019 FINAL HAZARD CLASSIFICATION M21 YEAR 2 $ $ ______________________________________ ______________ __________________

COMMODITY NAME: FHC M21 YEAR 2

CLIN CONTRACT TYPE:

Firm Fixed Price

Final Hazard Classification of the M21 shall be in accordance of the Statement of Work and the requirements within this document.

Approval of the Final Hazard Classification (FHC) related invoice will not be granted until the FHC report is approved. The invoice shall not be placed until the FHC Report is approved by the Procuring

Contracting Officer (PCO).

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

18 114

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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.

0020 FIRST ARTICLE TEST M21 YEAR 2 $ _____________________________ __________________

SERVICE REQUESTED: FAT M21 YEAR 2

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Test (FAT) First Article Test Report of the M21 shall be in accordance of the Statement of Work and the requirements within this document.

Approval of the FAT related invoice will not be granted until the FAT report is approved. The invoice shall not be placed until the FAT Report is approved by the

Procuring Contracting Officer (PCO).

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0021 PRODUCTION M21 YEAR 2 $ _____________________ __________________

See Range Pricing

NSN: 1375-01-494-6945

COMMODITY NAME: M21 YEAR 2

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

2000 5000 $

5001 15000 $

15001 30000 $

30001 45000 $

45001 75000 $

Production of the M21 shall be in accordance of the

Statement of Work and the requirements within this document.

19 114

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(End of narrative B001)

Packaging and Marking _____________________

See Section D: Packaging and Marking.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0022 FINAL HAZARD CLASSIFICATION M23 YEAR 2 $ $ ______________________________________ ______________ __________________

COMMODITY NAME: FHC M23 YEAR 2

CLIN CONTRACT TYPE:

Firm Fixed Price

Final Hazard Classification of the M23 shall be in accordance of the Statement of Work and the requirements within this document.

Approval of the Final Hazard Classification (FHC) related invoice will not be granted until the FHC report is approved. The invoice shall not be placed until the FHC Report is approved by the Procuring

Contracting Officer (PCO).

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

20 114

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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.

0023 FIRST ARTICLE TEST M23 YEAR 2 $ _____________________________ __________________

SERVICE REQUESTED: FAT M23 YEAR 2

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Test (FAT) and First Article Test

Report of the M23 shall be in accordance of the

Statement of Work and the requirements within this document. Approval of the FAT related invoice will not be granted until the FAT report is approved. The invoice shall not be placed until the FAT Report is approved by the Procuring Contracting Officer (PCO).

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0024 PRODUCTION M23 YEAR 2 $ _____________________ __________________

See Range Pricing

NSN: 1375-01-494-6941

COMMODITY NAME: M23 YEAR 2

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

2000 5000 $

5001 15000 $

15001 30000 $

30001 45000 $

45001 75000 $

Production of the M23 shall be in accordance of the

Statement of Work and the requirements within this document.

21 114

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(End of narrative B001)

Packaging and Marking _____________________

See Section D: Packaging and Marking.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0025 FIRST ARTICLE TEST M19 YEAR 3 $ _____________________________ __________________

SERVICE REQUESTED: FAT M19 YEAR 3

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Test (FAT) and First Article Test

Report of the M19 shall be in accordance of the

Statement of Work and the requirements within this document. Approval of the FAT related invoice will not be granted until the FAT report is approved. The invoice shall not be placed until the FAT Report is approved by the Procuring Contracting Officer (PCO).

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0026 PRODUCTION M19 YEAR 3 $ _____________________ __________________

22 114

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

See Range Pricing

NSN: 1375-01-681-5484

COMMODITY NAME: M19 YEAR 3

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

500 2000 $

2001 8000 $

8001 16000 $

Production of the M19 shall be in accordance of the

Statement of Work and the requirements within this document.

(End of narrative B001)

Packaging and Marking _____________________

See Section D: Packaging and Marking.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0027 FIRST ARTICLE TEST M21 YEAR 3 $ _____________________________ __________________

SERVICE REQUESTED: FAT M21 YEAR 3

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Test (FAT) and First Article Test

Report of the M21 shall be in accordance of the

Statement of Work and the requirements within this document. Approval of the FAT related invoice will not be granted until the FAT report is approved. The

23 114

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MOD/AMD

invoice shall not be placed until the FAT Report is approved by the Procuring Contracting Officer (PCO).

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0028 PRODUCTION M21 YEAR 3 $ _____________________ __________________

See Range Pricing

NSN: 1375-01-494-6945

COMMODITY NAME: M21 YEAR 3

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

2000 5000 $

5001 15000 $

15001 30000 $

30001 45000 $

45001 75000 $

Production of the M21 shall be in accordance of the

Statement of Work and the requirements within this document.

(End of narrative B001)

Packaging and Marking _____________________

See Section D: Packaging and Marking.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

24 114

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Reference No. of Document Being Continued

MOD/AMD

ITEMS REQUIRED UNDER THIS

REQUISITION.

0029 FRIST ARTICLE TEST M23 YEAR 3 $ _____________________________ __________________

SERVICE REQUESTED: FAT M23 YEAR 3

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Test (FAT) and First Article Test

Report of the M23 shall be in accordance of the

Statement of Work and the requirements within this document. Approval of the FAT related invoice will not be granted until the FAT report is approved. The invoice shall not be placed until the FAT Report is approved by the Procuring Contracting Officer (PCO).

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0030 PRODUCTION M23 YEAR 3 $ _____________________ __________________

See Range Pricing

NSN: 1375-01-494-6941

COMMODITY NAME: M23 YEAR 3

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

2000 5000 $

5001 15000 $

15001 30000 $

30001 45000 $

45001 75000 $

Production of the M23 shall be in accordance of the

Statement of Work and the requirements within this document.

(End of narrative B001)

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Packaging and Marking _____________________

See Section D: Packaging and Marking.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0031 FRIST ARTICLE TEST M19 YEAR 4 $ _____________________________ __________________

SERVICE REQUESTED: FAT M19 YEAR 4

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Test and First Article Test Report of the M21 shall be in accordance of the Statement of

Work and the requirements within this document.

Approval of the FAT related invoice will not be granted until the FAT report is approved. The invoice shall not be placed until the FAT Report is approved by the Procuring Contracting Officer (PCO).

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0032 PRODUCTION M19 YEAR 4 $ _____________________ __________________

See Range Pricing

NSN: 1375-01-681-5484

COMMODITY NAME: M19 YEAR 4

26 114

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Reference No. of Document Being Continued

MOD/AMD

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

500 2000 $

2001 8000 $

8001 16000 $

Production of the M19 shall be in accordance of the

Statement of Work and the requirements within this document.

(End of narrative B001)

Packaging and Marking _____________________

See Section D: Packaging and Marking.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0033 FIRST ARTICLE TEST M21 YEAR 4 $ _____________________________ __________________

SERVICE REQUESTED: FAT M21 YEAR 4

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Testing (FAT) and First Article

Testing Report of the M21 shall be in accordance with the Statement of Work and the requirements throughout this document. Approval of the FAT related invoice will not be granted until the FAT report is approved. The invoice shall not be placed until the FAT Report is approved by the Procuring

Contracting Officer (PCO).

27 114

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Reference No. of Document Being Continued

MOD/AMD

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0034 PRODUCTION M21 YEAR 4 $ _____________________ __________________

See Range Pricing

NSN: 1375-01-494-6945

COMMODITY NAME: M21 YEAR 4

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

2000 5000 $

5001 15000 $

15001 30000 $

30001 45000 $

45001 75000 $

Production of the M21 shall be in accordance of the

Statement of Work and the requirements within this document.

(End of narrative B001)

Packaging and Marking _____________________

See Section D: Packaging and Marking.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

28 114

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Reference No. of Document Being Continued

MOD/AMD

0035 FIRST ARTICLE TEST M23 YEAR 4 $ _____________________________ __________________

SERVICE REQUESTED: FAT M23 YEAR 4

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Test (FAT) and First Article Test

Report of the M23 shall be in accordance of the

Statement of Work and the requirements within this document. Approval of the FAT related invoice will not be granted until the FAT report is approved. The invoice shall not be placed until the FAT Report is approved by the Procuring Contracting Officer (PCO).

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0036 PRODUCTION M23 YEAR 4 $ _____________________ __________________

See Range Pricing

NSN: 1375-01-494-6941

COMMODITY NAME: M23 YEAR 4

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

2000 5000 $

5001 15000 $

15001 30000 $

30001 45000 $

45001 75000 $

Production of the M23 shall be in accordance of the

Statement of Work and the requirements within this document.

(End of narrative B001)

Packaging and Marking _____________________

See Section D: Packaging and Marking.

29 114

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0037 FIRST ARTICLE TEST M19 YEAR 5 $ _____________________________ __________________

SERVICE REQUESTED: FAT M19 YEAR 5

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Test (FAT) and First Article Test

Report of the M19 shall be in accordance of the

Statement of Work and the requirements within this document. Approval of the FAT related invoice will not be granted until the FAT report is approved. The invoice shall not be placed until the FAT Report is approved by the Procuring Contracting Officer (PCO).

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0038 PRODUCTION M19 YEAR 5 $ _____________________ __________________

See Range Pricing

NSN: 1375-01-681-5484

COMMODITY NAME: M19 YEAR 5

CLIN CONTRACT TYPE:

Firm Fixed Price

30 114

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Reference No. of Document Being Continued

MOD/AMD

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

500 2000 $

2001 8000 $

8001 16000 $

Production of the M19 shall be in accordance of the

Statement of Work and the requirements within this document.

(End of narrative B001)

Packaging and Marking _____________________

See Section D: Packaging and Marking.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0039 FIRST ARTICLE TEST M21 YEAR 5 $ _____________________________ __________________

SERVICE REQUESTED: FAT M21 YEAR 5

CLIN CONTRACT TYPE:

Firm Fixed Price

First Article Test (FAT)and First Article Test

Report of the M21 shall be in accordance of the

Statement of Work and the requirements within this document.Approval of the FAT related invoice will not be granted until the FAT report is approved. The invoice shall not be placed until the FAT Report is approved by the Procuring Contracting Officer (PCO).

(End of narrative B001)

Inspection and Acceptance _________________________

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0040 PRODUCTION M21 YEAR 5 $…