W15QKN20B0001.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-B-0001 X 2019NOV05

1 signed

/SIGNED/

2019DEC0612:00pm

DOA6

2019NOV05 SEE SCHEDULE

W15QKN

ARMY CONTRACTING COMMAND - NJ

PICATINNY ARSENAL, NJ 07806-5000

SEAN DOYLE

(973)724-9913

CCNJ-CA

SEAN.A.DOYLE4.CIV@MAIL.MIL

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X 6 X 16

X 21 X 24 X 25

X 30

X 32

X 41

X 42

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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: SEAN DOYLE

Buyer Office Symbol/Telephone Number: CCNJ-CA/(973)724-9913

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

1. The Army Contracting Command - Picatinny Arsenal (ACC-NJ) is soliciting bids to procure the Gas Adsorbent Module (GAM) for the 81mm, M819, Smoke, Mortar Cartridge. The item information is as follows in the chart below:

Nomenclature Drawing Number____________ ______________

Assembly, GAM 13006547

Sub-Assembly, GAM 13006548

Housing, GAM, Upper & Lower 13006549

Packet, GAM 13006550

Insert, Packet Retainer 13006551

Packet, GAM, Assembly 13006552

Tape, Identification 13006553

2. This Invitation for Bid (IFB) is a total small business set-aside for small business concerns in accordance with FAR 19.502-2. NAICS code 326199 All Other Plastics Product Manufacturing; size standard of 750 employees.

3. ACC-NJ plans to issue a single award Firm Fixed Price (FFP) contract base with four (4) priced Option Periods. The Option Periods for the 81mm Gas Adsorbent Modules are as follows:

Base Award prices shall be valid at the time of contract award.

Option Period 1 prices shall be valid from date of contract award through 18 months after contract award.

Option Period 2 prices shall be valid from 14 months after contract award through 32 months after contract award.

Option Period 3 prices shall be valid from 28 months after contract award through 46 months after contract award.

Option Period 4 prices shall be valid from 42 months after contract award through 60 months after contract award.

4. The U. S. Government (USG) intends to issue the Base Year Quantity of 29,150 including the initial First Article Test (FAT). The contract maximum is 400,000.00 units. All proposed prices shall be entered in Section B of this Invitation for Bid (IFB). Prices entered anywhere other than the Price Evaluation Sheet will not be considered. Please refer to Section L for instructions and Section M for an explanation of how the United States Government (USG) will evaluate the price factor for this IFB.

5. FAT: The Initial FAT is the very first FAT awarded on the contract. Additional FAT (AFAT) is FAT(s) under each Option period. This

Initial FAT is in accordance with the complete FAT requirements in the IFB. The USG plans to award an Initial FAT no more than once per item.

Additional First Article Test (AFAT): An additional First Article is a FAT ordered in accordance with FAR 52.209-3. Because this is an additional FAT, existing processes and existing equipment are expected to be utilized to the maximum extent possible. Existing approved CDRL submissions from the Initial FAT may be utilized provided they are unaffected by any changes.

FAT shall be performed, as described in Section E and I Clauses. FAT price is required to be proposed for the Base and each Option

Period. FAT will be a separately priced CLIN in the contract award. Bidders must not assume FAT will be waived and, to be considered for award, must provide a FAT price for the base year and each option period. However, the USG reserves the right to require or waive FAT throughout the life of the contract. FAT is due no more than 60 days after contract award. Production deliveries shall begin 30 days after FAT approval. If FAT is waived, production quantities shall begin no more than 60 days after the exercised option award date.

6. The Technical Data Package (TDP) for the 81mm Gas Adsorbent Modules are determined to be Distribution Statement D - which states distribution is limited to DoD and U.S DoD Contractors only. Requests for Distribution Level D TDPs shall be accompanied by a fully executed DD Form 2345 - Military Critical Technical Data Agreement, a signed Non-Disclosure Agreement, and an AMSTA-AR 1350 Technical

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W15QKN-20-B-0001

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

Data Request Questionnaire found in Section J.

*Note on TDP Access* Once all forms in the above paragraph are provided for access to the TDP, all bidders must request access to the

TDP through Federal Business Opportunities: www.fbo.gov by each offeror. Once that request is approved, access to the TDP will be granted.

Some technical documents contain export-control technical data and are subject to the following warning:

EXPORT-CONTROL WARNING - All technical documents that are determined to contain export-controlled technical data shall be marked WARNING

- This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et. seq.)

or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et.seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25. When it is technically infeasible to use the entire statement, an abbreviated marking may be used, and a copy of the full statement added to the Notice To Accompany Release of

Export-Controlled Data required by DoD Directive 5230.25.

All entities shall comply with applicable U.S. export control laws.

The offeror shall not reproduce, duplicate or copy the TDP, or any portion thereof, except to the extent necessary for, and then only in connection with the preparation and/or submission of proposals related to this procurement being affected by the United States

Government. This also applies to distribution of the TDP to all SUBCONTRACTORS at every level. To be eligible to gain access to export controlled TDP, you must have a current DD 2345 Militarily Critical Technical Data Agreement, an NDA, and the AMSTA-AR Form 1350

Technical Data Questionnaire. To obtain DD 2345 certification, go to http://www.dlis.dla.mil/jcp/ , click on documents, and follow instructions provided. Processing time is estimated at three days after receipt.

Once the above mentioned forms are completed and verified, the Offeror shall e-mail the below point of contact in order to obtain access to the TDP's.

Army Contracting Command - New Jersey (ACC-NJ)

ACC-NJ-CA

Contract Specialist: Sean Doyle

E-Mail: sean.a.doyle4.civ@mail.mil

THE CERTIFICATE OF DESTRUCTION (ATTACHMENT 0004 SECTION J) MUST BE SENT TO THE POINT OF CONTACT FOR THIS SOLICITATION NO LATER THAN 10

DAYS AFTER RECEIPT OF AN UNSUCCESSFUL OFFEROR LETTER OR NO LATER THAN 10 DAYS AFTER THE SOLICITATION CLOSES AND THE VENDOR DECIDES NOT

TO SUBMIT A PROPOSAL.

Upon completion of the purposes for which Government Technical Data has been provided, the Contractor is required to destroy all documents, including all reproductions, duplications, or copies thereof as may have been further distributed by the Contractor.

Destruction of this Technical Data shall be accomplished by: shredding, pulping, burning, or melting and physical copies of the TDP and/or deletion or removal of downloaded TDP files from computer drives and electronic devices, and any copies of those files.

INSTRUCTION FOR COMPLETING DD FORM 2345

Instructions for completing the DD Form 2345 can be found at https://public.logisticsinformationservice.dla.mil/PublicHome//jcp/default.aspx under Documents.

Please follow the directions in the link provided on how to download the DD Form 2345 and mail it to the appropriate address listed on the website.

If a valid and certified DD Form 2345 already exists, please Email to:

Sean Doyle

ACC-NJ-CA

Email: sean.a.doyle4.civ@mail.mil

7. Inspection/Acceptance/FOB Point for production shall be Origin/Origin/Destination. See Section F, "Deliveries or Performance".

8. Early deliveries may be authorized, at no additional cost to the US Government, subject to Procuring Contracting Officer (PCO) approval.

9. Bidders are advised to carefully read this entire solicitation, including Section L and Section M before submitting their bids for evaluation. The basis for submission has been clearly identified in the Section L and Section M narrative. Bidders are responsible for understanding all requirements of the IFB and should carefully read FAR 52.214-5 Submission of Bids, 52.214-7 Late Submissions, modifications and withdrawals of bids, 52.214-10 Contract Award - Sealed Bid, and 52.214-12 Preparation of Bids. All bidders are responsible for ensuring that their bids contain all the information to be included per this IFB. The USG will award a contract resulting from this solicitation without discussions.

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

10. All contractors who provide goods/services to the Department of Defense (DoD) must be registered in the System for Award Management

(SAM). The Internet site for registering in SAM is http://www.sam.gov . Failure to register in SAM will preclude a bidder from receiving a contract award resulting from this IFB.

11. All contractors must have current, accurate, and complete Representations and Certifications at SAM prior to bid opening. Please refer to http://www.sam.gov .

12. Contractors must utilize the Wide Area Work Flow - Receipt and Acceptance system. This is the Government's electronic process for receipt and acceptance documents as well as contractor payment.

13. Certified Cost and Pricing Data is not required to be submitted with a bidder's bid. However, if a bidder's proposed price cannot be determined fair and reasonable, the USG reserves the right to request Certified Cost and Pricing Data in accordance with FAR 15.403-

4.

14. A Pre-Award survey may be required. The Pre-Award survey will be conducted by Defense Contract Management Agency (DCMA) as prescribed in DFARS 209.106, Pre-Award Surveys.

15. Bidders must ensure that their bids are fully complete, including all fill-ins and blanks within the IFB. Failure to provide any information in accordance with this IFB may result in the bidder's bid being considered nonresponsive. If a bidder submits any additional pricing terms outside of what is required within Section B of this Invitation for Bid, the bid will be considered unacceptable and the Government will reject the bid.

16. Bidders shall complete number 12 through number 18 on page one (1) of Standard Form 33. Bidders shall complete required information under FAR Clause 52.219-28 titled, "Post-Award Small Business Program Representation", FAR Clause 52.219-2 titled, "Equal Low Bids", and FAR Clause 52.225-18 titled, "Place of Manufacture." Failure to provide required information on page one (1) or these FAR clauses shall render bid being considered nonresponsive.

17. The date/time for receipt of bids is established as 12:00 p.m. EDT on 06 December 2019. Bids shall be submitted by electronic mail

(emailed) to Mr. Sean Doyle at sean.a.doyle4.civ@mail.mil. Any other type of submission will not be accepted. Any bid received after 12 p.m. EDT shall not be accepted.

18. Bid Opening shall commence at 1:30 p.m. EDT on 09 December 2019. Due to security protocol at Picatinny Arsenal, the USG shall provide teleconference number and passcode prior to bid opening. Teleconference bid opening attendance is not required. Bidders planning on dialing into the bid opening must contact Contract Specialist, Mr. Sean Doyle 24 hours prior to bid opening to receive teleconference number. The USG requests that bidders provide attendee list 24 hours prior to bid opening.

19. Bidder's bids shall remain valid for 120 days from the closing date of the IFB.

20. Potential bidder comments and/or questions should be directed in writing by email to Mr. Sean Doyle at sean.a.doyle4.civ@mail.mil and Mr. Wilson Au at wilson.w.au.civ@mail.mil. This IFB shall not be discussed with any USG employee except for the Contracting Officer

Wilson Au or his Contract Specialist Sean Doyle. Please indicate the IFB number, W15QKN-20-B-0001, in the subject line of all email correspondence pertaining to this IFB. It is requested that all comments/questions regarding this solicitation be submitted no later than 20 November 2019. The USG intends to respond to all potential bidder comments and questions in writing via solicitation amendment.

Failure to adhere to this restriction may be grounds to declare your firm ineligible for consideration of any award resulting from this

IFB.

21. General Information to Offerors or Quoters:

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.

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.

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.

This Procurement is 100% set-aside for Small Business. The applicable SIC/NAICS codes are: 326199 All Other Plastics Product

Manufacturing.

22. Issuing Office

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

U.S. Army Contracting Command New Jersey

ATTN: Sean Doyle

Office Symbol: ACC-NJ-CA

Picatinny Arsenal, NJ 07806

Email: sean.a.doyle4.civ@mail.mil

23. 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.

*** END OF NARRATIVE A0001 ***

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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 81MM GAMS - BASE FAT 1 EA $ $ ____________________ ______________ __________________

COMMODITY NAME: 81MM GAMS BASE FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 19200

Mfr Part Number: 13006547

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Government Approval/Disapproval Days: 60

Deliveries or Performance _________________________

DOC SUPPL

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

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 1 0060

FOB POINT: Destination

SHIP TO:

(W15BW9) XR USA CCDC ARMAMENTS CENTER

BLDG 91 4TH AVE

PICATINNY ARSENAL,NJ,07806-5000

0002 81MM GAMS PRODUCTION - BASE QUANTITY 29150 EA $ $ ____________________________________ ______________ __________________

COMMODITY NAME: 81MM GAMS BASE

CLIN CONTRACT TYPE:

Firm Fixed Price

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 ______ ________ ______ ______ ________ _____

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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

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 29,150 0180

FOB POINT: Destination

SHIP TO:

(W41G26) SR W0K4 USA OSC PINE BLUFF ARS

504TH ST BLDG 53 990

CENTRAL RECEIVING POINT

PINE BLUFF,AR,71602-9500

0003 81MM GAMS PRODUCTION - OPTION 1 FAT 1 EA $ $ ___________________________________ ______________ __________________

COMMODITY NAME: 81MM GAMS OPTION 1 FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 19200

Mfr Part Number: 13006547

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Government Approval/Disapproval Days: 60

Deliveries or Performance _________________________

DOC SUPPL

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

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 1 0060

FOB POINT: Destination

SHIP TO:

(W15BW9) XR USA CCDC ARMAMENTS CENTER

BLDG 91 4TH AVE

PICATINNY ARSENAL,NJ,07806-5000

0004 81MM GAMS PRODUCTION - OPTION 1 $ _______________________________ __________________

See Range Pricing

COMMODITY NAME: 81MM GAMS OPTION 1

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

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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

FROM TO UNIT PRICE ____ __ __________

10000 20000 $

20001 40000 $

40001 80000 $

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:

(W41G26) SR W0K4 USA OSC PINE BLUFF ARS

504TH ST BLDG 53 990

CENTRAL RECEIVING POINT

PINE BLUFF,AR,71602-9500

0005 81MM GAMS PRODUCTION - OPTION 2 FAT 1 EA $ $ ___________________________________ ______________ __________________

COMMODITY NAME: 81MM GAMS OPTION 2 FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 19200

Mfr Part Number: 13006547

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Government Approval/Disapproval Days: 60

Deliveries or Performance _________________________

DOC SUPPL

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

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 1 0060

FOB POINT: Destination

SHIP TO:

(W15BW9) XR USA CCDC ARMAMENTS CENTER

BLDG 91 4TH AVE

PICATINNY ARSENAL,NJ,07806-5000

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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

0006 81MM GAMS PRODUCTION - OPTION 2 $ _______________________________ __________________

See Range Pricing

COMMODITY NAME: 81MM GAMS OPTION 2

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

10000 20000 $

20001 40000 $

40001 80000 $

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:

(W41G26) SR W0K4 USA OSC PINE BLUFF ARS

504TH ST BLDG 53 990

CENTRAL RECEIVING POINT

PINE BLUFF,AR,71602-9500

0007 81MM GAMS PRODUCTION - OPTION 3 FAT 1 EA $ $ ___________________________________ ______________ __________________

COMMODITY NAME: 81MM GAMS OPTION 3 FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 19200

Mfr Part Number: 13006547

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Government Approval/Disapproval Days: 60

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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 _________________________

DOC SUPPL

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

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 1 0060

FOB POINT: Destination

SHIP TO:

(W15BW9) XR USA CCDC ARMAMENTS CENTER

BLDG 91 4TH AVE

PICATINNY ARSENAL,NJ,07806-5000

0008 81MM GAMS PRODUCTION - OPTION 3 $ _______________________________ __________________

See Range Pricing

COMMODITY NAME: 81MM GAMS OPTION 3

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

10000 20000 $

20001 40000 $

40001 80000 $

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:

(W41G26) SR W0K4 USA OSC PINE BLUFF ARS

504TH ST BLDG 53 990

CENTRAL RECEIVING POINT

PINE BLUFF,AR,71602-9500

0009 81MM GAMS PRODUCTION - OPTION 4 FAT 1 EA $ $ ___________________________________ ______________ __________________

COMMODITY NAME: 81MM GAMS OPTION 4 FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

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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

Mfr CAGE: 19200

Mfr Part Number: 13006547

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Government Approval/Disapproval Days: 60

Deliveries or Performance _________________________

DOC SUPPL

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

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 1 0060

FOB POINT: Destination

SHIP TO:

(W15BW9) XR USA CCDC ARMAMENTS CENTER

BLDG 91 4TH AVE

PICATINNY ARSENAL,NJ,07806-5000

0010 81MM GAMS PRODUCTION - OPTION 4 $ _______________________________ __________________

See Range Pricing

COMMODITY NAME: 81MM GAMS OPTION 4

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

10000 20000 $

20001 40000 $

40001 80000 $

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:

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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

(W41G26) SR W0K4 USA OSC PINE BLUFF ARS

504TH ST BLDG 53 990

CENTRAL RECEIVING POINT

PINE BLUFF,AR,71602-9500

0011 1423 CDRLS __________

A001 A001 - ENGINEERING CHANGE PROPOSAL 1 LO $ ** NSP ** ___________________________________ __________________

SERVICE REQUESTED: 1423 CDRL A001

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A002 A002 - REQUEST FOR VARIANCE (RFV) 1 LO $ ** NSP ** _________________________________ __________________

SERVICE REQUESTED: CDRL 1423 A002

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A003 A003 - TEST / INSPECTION REPORT 1 LO $ ** NSP ** _______________________________ __________________

SERVICE REQUESTED: CDRL 1423 A003

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A004 A004 - CERTIFICATION / DATA REPORT 1 LO $ ** NSP ** __________________________________ __________________

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SERVICE REQUESTED: CDRL 1423 A004

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A005 A005 - MEASUREMENT SYSTEM EVALUATION (MSE) 1 LO $ ** NSP ** __________________________________________ __________________

SERVICE REQUESTED: CDRL 1423 A005

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A006 A006 - CONFIGURATION AUDIT PLAN 1 LO $ ** NSP ** _______________________________ __________________

SERVICE REQUESTED: CDRL 1423 A006

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A007 A007 - QUALITY MANAGEMENT SYSTEM (QMS) AUDITS 1 LO $ ** NSP ** _____________________________________________ __________________

SERVICE REQUESTED: CDRL 1423 A007

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A008 A008 - STATISTICAL PROCESS CONTROL (SPC) PLAN 1 LO $ ** NSP ** _____________________________________________ __________________

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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

SERVICE REQUESTED: CDRL 1423 A008

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A009 A009 - AMMUNITION DATA CARD (ADC) 1 LO $ ** NSP ** _________________________________ __________________

SERVICE REQUESTED: CDRL 1423 A009

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A010 A010 - PRODUCTION STATUS REPORT 1 LO $ ** NSP ** _______________________________ __________________

SERVICE REQUESTED: CDRL 1423 A010

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A011 A011 - ACCIDENT / INCIDENT REPORT 1 LO $ ** NSP ** _________________________________ __________________

SERVICE REQUESTED: CDRL 1423 A011

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

A012 A012 - CONTRACT SUMMARY REPORT 1 LO $ ** NSP ** ______________________________ __________________

SERVICE REQUESTED: CDRL 1423 A012

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A013 A013 - INTEGRATED MASTER SCHEDULE (IMS) 1 LO $ ** NSP ** _______________________________________ __________________

SERVICE REQUESTED: CDRL 1423 A013

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A014 A014 - REPORT, RECORD OF MEETING / MINUTES 1 LO $ ** NSP ** __________________________________________ __________________

SERVICE REQUESTED: CDRL 1423 A014

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

A015 A015 - HAZARDOUS WASTE (HW) REPORT 1 LO $ ** NSP ** __________________________________ __________________

SERVICE REQUESTED: CDRL 1423 A015

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 SEE DD FORM 1423

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PIIN/SIIN MOD/AMD

SECTION C - DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

Statement of Work

Gas Adsorbent Module (GAM) for the 81mm, M819, Smoke, Mortar Cartridge

C.1.0 Scope: This statement of work (SOW) defines the work to manufacture, assemble, test, inspect, package and deliver the Gas ______

Adsorbent Module (GAM) for the 81mm M819 Red Phosphorus (RP) Mortar Cartridge. This SOW addresses hardware and data deliverable requirements for the contractor.

C.2.0 Applicable Documents: The contractor shall use the following documents as appropriate to manufacture, assemble, inspect, package _____________________ and deliver the GAMs:

C.2.1 Mandatory Documents: The following documents are mandatory for use in producing and delivering the Gas Adsorbent Module (GAM) for ____________________ the 81mm M819 Red Phosphorus (RP) Mortar Cartridge.

| Number | Title | Date |

| 13006547 | Technical Data Package List for 81mm GAM (for M819 Mortar Cartridges) PRON ID: P19C16 | 01 April 2013 |

| MIL-STD-1168B | Ammunition Lot Numbering & Ammunition Data Card | 10 June 1998 |

| MIL-STD-1916 | DOD Preferred Methods For Acceptance of Product | 05 May 2014 |

| QAP 13006547 | Quality Assurance Provision for Gas Adsorbent Module (GAM) | 02 July 2012 |

| ANSI/NCSL Z540.3-2006 | General Requirements for Calibration Laboratories and Measuring and Test Equipment | August 2016 |

C.2.2 Reference Documents: The following documents are provided / listed for reference. ____________________

| Number | Title | Date |

| DODD 4160.21-M-1 CE-01 | RPT Defense Demilitarization Manual | 21 October 1991 |

| MIL-STD-973 | Configuration Management | 5 October 2005 |

| MIL-HDBK-683 | Statistical Process Control (SPC) Implementation and Evaluation Aid | 13 April 2004 |

| ANSI Z39.18 | Scientific and Technical Reports Preparation, Presentation, and Preservation | 13 May 2010 |

C.3.0 Requirements ____________

C.3.1 Production: The contractor shall fabricate, test, inspect, package and deliver the Assembly, GAM for the 81mm, M819, Red ___________

Phosphorous (RP), Mortar Cartridge in accordance with all applicable specifications and drawings specified in paragraph C.2.1 of this

Statement of Work.

C.3.1.1 Lot Sizing: The contractor shall maintain a production plan and schedule. The production plan and schedule shall demonstrate ___________ that production lot size is optimal and is stabilized. Lotting shall be in accordance with MIL-STD-1168B.

C.3.2 Configuration Management: As applicable, the contractor may submit Engineering Change Proposals (ECPs) to the baseline ________________________ configuration (DI-SESS-80639D) to the Government for review and approval. The contractor may also submit Request for Variations (RFV)

(DI-SESS-80640D) to utilize or incorporate items for manufacture that knowingly depart from requirements. The RFV does not constitute a change to the to the baseline configuration. Any ECP or RFV submitted shall contain supporting documentation and data.

C.3.3 Quality Assurance: __________________

C.3.3.1 Quality Management System: The contractor shall implement and maintain a Quality Management System that is certified to or __________________________ compliant with Industry Standards such as ISO 9001 or equivalent system acceptable to the Government. Changes to the Quality Management

System shall not be implemented without the permission of the Contracting Officer.

C.3.3.2 First Article Test / Lot Acceptance Testing (FAT / LAT) _______________________________________________________

C.3.3.2.1 First Article Test (FAT): The First Article Test (FAT) shall consist of items and quantities cited in QAP 13006547, Quality ________________________

Assurance Provision for Gas Absorption Module. The FAT samples shall be examined and tested in accordance with contract requirements, Quality Assurance Provisions (QAPS) and all drawings listed in the Technical Data Package. The contractor shall be responsible for providing first article samples, test equipment, and conducting destructive First Article Test. The Government shall conduct/witness the

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Final inspection of the First Article Test samples at the manufacturing site. The contractor is responsible for conducting their subcontractor provided subcomponents FAT/LAT. The Government shall be invited to witness production of First Article Test samples. The

Contractor shall provide to the Contracting Officer at least 15 calendar days advance notice of the scheduled date for FAT for the prime contractor and subcontractor. Prior to scheduling the FAT date with the Contracting Officer, the contractor shall conduct, with the assigned Defense Contract Management Agency (DCMA) representative, a preliminary inspection of all the components and assemblies for all contract requirements. The contractor shall submit the FAT data one week prior to the scheduled date for the FAT to the Government (DI-

NDTI-80809B Tailored).

C.3.3.2.2 Lot Acceptance Test (LAT): The components shall be subjected to the Lot Acceptance Test in accordance with the applicable QAP _________________________

13006547, specifications and contract requirements. The contractor shall be responsible for conducting all Lot Acceptance Testing at the inspection levels indicated in the applicable QAP 13006547, specifications and contract requirements. The inspection levels shall be in accordance with MIL-STD-1916. The contractor shall be responsible for providing Lot Acceptance Test samples, test equipment, and assisting in performing destructive Lot Acceptance Tests. The Government shall be invited to witness Lot Acceptance Testing and review data. The contractor shall submit the Lot Acceptance Test Report data to the Government (DI-NDTI-80809B Tailored).

C.3.3.3 Material Certification: The contractor shall certify that the contractor provided materials and subcomponents comply with the ______________________ specifications and applicable drawings listed in Paragraph C.2.1 (DI-MISC-80678A Tailored). Certificates of conformance shall not be considered as adequate evidence of material certification (test data is required and all inspection records).

C.3.3.4 Measurement System Evaluation (MSE): The contractor shall submit designs for Government approval of all inspection and test ___________________________________ equipment used to perform examinations and test required by the specifications (DI-QCIC-81960A). The contractor shall establish and maintain a documented system for identification and approval of the MSE. The contractor shall not use any MSE that is not approved by the Government. The Government reserves the right to disapprove, at any time during the performance of this contract, the use of any MSE not meeting the requirements of the approved documentation. Inspection equipment used for acceptance of product shall be capable of repeatable measurements by various experienced inspection/ test personnel. All MSE shall be approved before First Article Test submission. All MSE shall be available for use at the First Article Test.

C.3.3.5 Calibration System: The Contractor shall implement and maintain a system for the calibration and control of all measuring and __________________ testing equipment used for the performance of this contract. The calibration system shall, as a minimum, comply with the requirements of

ANSI/NCSL Z540.3-2006 or an industry equivalent system acceptable to the Government.

C.3.3.6 Inspection Systems: The Contractor shall provide and maintain an inspection system acceptable to the Government covering __________________ supplies under this contract. The Contractor shall tender to the Government for acceptance, only supplies that have been inspected in accordance with the inspection system and have been found by the Contractor to be in conformance with contract requirements. As part of the system, the Contractor shall prepare records evidencing all inspections made under the system and the outcome.

C.3.3.7 Government Source Inspection (GSI): DCMA shall conduct GSI and in-plant contract/quality assurance actions as directed by the __________________________________

Contracting Officer. The Contractor shall provide DCMA with advanced notification and schedule of all activities requiring GSI and product acceptance.

C.3.3.8 Audits: ______

C.3.3.8.1 Configuration Audit: At the option of the Government, the Integrated Product Team (IPT) may conduct a Physical Configuration ___________________

Audit (PCA) assessing the conformance of the built hardware to the Technical Data Packages. Appendix H of MIL-STD-973 may be used as a reference on the conduct of the audit. The Contractor shall be responsible for the performance of inspections and tests determined necessary by the IPT to demonstrate conformance with the Technical Data Packages. The Contractor shall submit the data for the PCA built hardware (DI-SESS-81646B). The audit shall consider materials, components, subassemblies and complete assemblies. The audit is conducted to establish that the samples accurately, adequately and completely expresses the design and manufacturing details of the

Technical Data Package to the lowest level, to permit complete traceability and to ensure that the total system has been reviewed.

C.3.3.8.2 Annual Quality Management System (QMS) Audits: ______________________________________________

C.3.3.8.2.1 The contractor shall develop and maintain in their QMS a plan for quality system audits (including vendor/suppliers) to verify compliance to contract requirements. The plan shall include a schedule for the conduct of these audits and provisions for the

Government to participate as part of the audit team; audit schedules and audit reports shall be provided to the Government (DI-MGMT-

82185 Tailored). The contractor shall notify the Government 30 days prior to any subcontractor/vendor audit so that the Government may participate at their discretion.

C.3.3.8.2.2 At any time during this contract effort, the Government reserves the right to independently audit or examine the contractors and any subcontractors QMS and records for compliance to all contractual quality requirements. The contractor shall ensure the necessary provisions are placed in all sub-contractor/vendor purchase orders/contracts to grant the Government access to perform these audits. The contractor shall provide personnel and facilities to support the above audits.

C.3.3.9 Statistical Process Control (SPC) Requirements: _______________________________________________

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C.3.3.9.1 After contract award, in addition to the quality requirements of the technical data package, the Contractor shall implement

Statistical Process Control (SPC) in accordance with a Government accepted SPC Program Plan. The SPC Program Plan developed by the contractor shall consist of a general plan and a detailed plan. The general and the detailed plans shall be submitted to the

Government for review and approval (DI-MGMT-81987).

C.3.3.9.2 Statistical evidence in the form of control charts shall be prepared and maintained for each process or operation parameter identified in C.3.3.9.3. The control charts and calculated process performance index (Cpk) shall be submitted to the Government for upon request. All variable data collected as a part of the SPC requirements shall be submitted to the Government upon request and shall be submitted to the Government as a part of the Lot Acceptance Test Report (LATR).

C.3.3.9.3 At a minimum the following characteristics shall be subjected to the application of SPC techniques as identified:

Packet, GAM, Drawing 13006550

Characteristics for SPC Control Charting QAP13006547

| QAP13006547 Paragraph / Characteristic | Examination or Test | Type of Charting |

| b./Major 102 | Width | X Bar R |

| b./Major 106 | Height | X Bar R |

Insert Packet Retainer, Drawing 13006551

Characteristics for SPC Control Charting QAP13006547

| QAP13006547 Paragraph / Characteristic | Examination or Test | Type of Charting |

| b./Major 101 | Length | X Bar R |

| b./Major 104 | Inside Diameter | X Bar R |

Housing, GAM, Upper and Lower, Drawing 13006549

Characteristics for SPC Control Charting QAP13006547

| QAP13006547 Paragraph / Characteristic | Examination or Test | Type of Charting |

| b./Major 101 | Outside Housing Diameter | X Bar R |

| b./Major 104 | Section Inside Diameter | X Bar R |

Tape, Identification, Drawing 13006549

Characteristics for SPC Control Charting QAP13006547

| QAP13006547 Paragraph / Characteristic | Examination or Test | Type of Charting |

| b./Major 101 | Length | X Bar R |

| b./Major 102 | Width | X Bar R |

C.3.3.9.4 Clarification of Process Control / Statistical Process (SPC) Requirements: _________________________________________________________________________

C.3.3.9.4.1 The following clarification is provided regarding requirements for process control/ SPC. The process control/SPC requirements apply whether the product is produced at the prime contractor facility or subcontractor/vendor facility. The default process control method is monitoring using X Bar and R charts. Other means of process control/SPC may be acceptable to the Government;

however, the Government makes no commitment to accept any methods of process controls/SPC other than X Bar or R charts.

C.3.3.9.4.2 The contractor is encouraged to perform process control/SPC on additional characteristics based on that contractors manufacturing/production/assembly processes. MIL-HDBK-683(1) can be used as a reference when evaluating and selecting characteristics for process controls/SPC.

C.4 Ammunition Serialization, Bar-Coding, and Unitization Inspection ________________________________________________________________

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C.4.1 Ammunition Data Cards and Lot Numbering: The contractor shall provide Ammunition Lot Numbers and Ammunition Data Card (ADC) (DI- _______________________________________

MISC-80043B) Information for the Assembly, GAM, P/N 13006547. Ammunition Lot Numbers shall be prepared in accordance with MIL-STD-1168B.

The ADC shall be formatted as required by the worldwide web application identified as WARP or Worldwide Ammunition Data Repository

Program at https://mhpwarp.redstone.army.mil/ . All Ammunition Data Cards must be submitted to the WARP system (DI-MISC-80043B).

C.5 Reporting: _________

C.5.1 Contract Data Requirements: The contractor shall provide all reporting requirements in accordance with the Contract Data __________________________

Requirement List, DD Form 1423, Exhibit A.

C.5.1.1 Government approval of Acceptance Inspection Equipment (AIE) shall be required prior to FAT. Government approval of SPC General

Plan shall be required prior to acceptance of First Article Test (FAT). Sample Ammunition Data Cards (ADCs) shall be submitted into WARP system prior to acceptance of FAT. Government approval of SPC Detailed Plan shall be required prior to commencing production. Prior approval of CDRLs, i.e. AIE, SPC, CCCP, ADCs, on other USG contracts shall NOT guarantee roll-over approval of any CDRL, DD Form 1423, Exhibit A.

C.5.2 Delayed Delivery Status Report: The contractor shall prepare a status report (DI-MGMT-81255) in case of delays in production ______________________________ deliveries.

C.5.3 Accident/Incident Reporting: The contractor shall report to the Procuring Contracting Officer (PCO) immediately any major ___________________________ accident/incident (including fire) resulting in any one or more of the following: causing one or more fatalities, or one or more disabling injuries; damage of Government property exceeding $10,000; affecting program planning or production schedules; degrading the safety of equipment under contract, such that personal injury or property damage may be involved; identifying a potential hazard requiring corrective action. The contractor shall prepare a report for each incident (DI-SAFT-81563).

C.5.4 End of Contract Report: The Contractor shall submit an End of Contract Report (DI-ADMN-80447A). This report shall detail the ______________________ manufacturing experience, the operations utilized, the difficulties encountered during the operations, the financial performance summary and any suggestions for future container fabrication operations. This report shall be written using ANSI Z39.18 as a reference.

C.6 Program Management: __________________

C.6.1 Schedule and Plan: The contractor shall develop, maintain and update the Integrated Master Schedule (IMS) that is accepted by the _________________

Government at the time of contract award (DI-MGMT-81650 Tailored).

C.6.2 Integrated Product Team (IPTs): The contractor shall use and participate in IPTs in the management, test, and production ______________________________ processes.

C.7 Meetings: ________

C.7.1 Post Award Meeting: The contractor shall host a post award meeting at the contractors facility to include contracts, management, __________________ and technical personnel no later than (NTL) 30 days after contract award. In contractor format, contractor shall provide the Government with minutes of the post award meeting (DI-ADMN-81505) NTL 15 days after post award meeting.

C.7.2 Production Line Startup Readiness Review: The contractor shall host a Production Line Startup Readiness Review with the Government ________________________________________ prior to production of the first article hardware. The contractor shall notify the Government at least 15 days prior to the date the meeting being held.

C.7.3 Program Management Review (PMR): During production, the contractor shall host quarterly PMRs. The Contractor shall make his _______________________________ facility and appropriate personnel available for one day each quarter to host a meeting with Government. This meeting shall include a discussion of the Integrated Master Schedule (IMS), quality control and production issues. The contractor and the Government shall mutually derive review agenda provided by the contractor no later than 5 working days prior to each review. The contractor is responsible for providing PMR meeting minutes (DI-ADMN-81505) within 15 days after each PMR.

C.7.4 Integrated Product Team (IPT) Meeting: During production, the contractor and Government shall conduct bi-weekly meetings to _____________________________________ discuss programmatic, quality, and manufacturing topics/issues, as needed.