W56HZV15D00160002.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. Requisition Number Page Of

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

7. For Solicitation Information Call:

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

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

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

Hubzone Small Business EDWOSB

Service-Disabled Veteran-Owned Small Business NAICS:

Email: 8(A) Size Standard:

11. Delivery For FOB Destination Unless Block Is Marked

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

See Schedule 14. Method Of Solicitation RFQ IFB RFP

15. Deliver To Code 16. Administered By Code

Telephone No.

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

Telephone No.

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

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

19.

Item No.

20.

Schedule Of Supplies/Services

21.

Quantity

22.

Unit

23.

Unit Price

24.

Amount

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

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

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

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

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

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

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

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

Authorized For Local Reproduction Previous Edition Is Not Usable

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

SEE SCHEDULE

W56HZV-15-D-0016 2018JUN05 0002

PAUL D. HEWITT (586)282-7678

PAUL.D.HEWITT.CIV@MAIL.MIL

W56HZV

U.S. ARMY CONTRACTING COMMAND

WARREN, MICHIGAN 48397-5000

331315

X

X DOA4

SEE SCHEDULE

SGR18A

DCMA EUROPE

CMR 410, BOX 761

APO, AE 09046

K0824

PEARSON ENGINEERING, LTD

SCOTSWOODROAD

NEWCASTLE UPON TYNE, GB

UNITED KINGDOM NE15 6UX

HQ0339

DFAS - COLUMBUS CENTER

WEST ENTITLEMENT OPERATIONS

P O BOX 182317

COLUMBUS OH 43218-2317

SEE SCHEDULE

SEE CONTRACT ADMINISTRATION DATA $44,930.00

X X

/SIGNED/

JENNIFER SCHNEIDER

JENNIFER.A.SCHNEIDER17.CIV@MAIL.MIL (586)282-7678 2018JUN05

1 16

19.

Item No.

20.

Schedule Of Supplies/Services

21.

Quantity

22.

Unit

23.

Unit Price

24.

Amount

32a. Quantity In Column 21 Has Been

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

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

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

32g. E-Mail of Authorized Government Representative

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

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

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

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

Standard Form 1449 (Rev. 2/2012) Back

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: PAUL D. HEWITT

Buyer Office Symbol/Telephone Number: CCTA-HDT-B/(586)282-7678

Type of Contract 1: Firm Fixed Price

Kind of Contract: Service Contracts

Type of Business: Foreign Concern/Entity

Surveillance Criticality Designator: B

Weapon System: Breacher (Grizzly)

*** End of Narrative A0000 ***

Contract: W56HZV-15-D-0016

Task Order: 0002

Value of This Action: $44,930.00

Total Task Order Value: $44,930.00

1. This action is issued bilaterally as Task Order 0002 under Contract W56HZV-15-D-0016.

2. In accordance with DFARS Clause 252.216-7006 Ordering, the purpose of Task Order 0002 is to fund the following Inspection SubCLINS:

a. 3101AA (3) Base Manifold (Hull) - Year 3; Inspection Report

b. 3102AA Function Block, Type I- Year 3; Inspection Report

c. 3103AA (3) Base Manifold (Turret) - Year 3; Inspection Report

d. 3104AA Function Block, Type III- Year 3; Inspection Report

e. 3105AA Pressure Intensifier - Year 3; Inspection Report

f. 3106AA HMC - Year 3; Inspection Report

g. 3108AA CCU - Year 3; Inspection Report

h. 3109AA MCU - Year 3; Inspection Report

i. 3110AA RMCU - Year 3; Inspection Report

j. 3111AA High Lift Adapter Assembly- Year 3; Inspection Report

k. 3112AA LMS Deployment Frame, LH- Year 3; Inspection Report

l. 3113AA LMS Deployment Frame, RH- Year 3; Inspection Report

m. 3114AA LMSCU - ICD- Year 3; Inspection Report

3. As a result of the above action SECTION B is reflected as follows:

a. PRON EH8S0360EH funds the inpection of one LOT of EIGHT (08) 3 Base Manifold(Hull)units under SubCLIN 3101AA at a price of

$371 per unit totaling $2,968.00.

b. PRON EH8S0361EH funds the inpection of one LOT of EIGHT (08) Function Block Type I units under SubCLIN 3102AA at a price of $371 per unit totaling $2,968.00.

c. PRON EH8S0362EH funds the inpection of one LOT of EIGHT (08) 3 Base Manifold(Turret)units under SubCLIN 3103AA at a price of

2 16

W56HZV-15-D-0016/0002

PEARSON ENGINEERING, LTD

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

$371 per unit totaling $2,968.00.

d. PRON EH8S0363EH funds the inpection of one LOT of EIGHT (08) Function Block Type III units under SubCLIN 3104AA at a price of

$371 per unit totaling $2,968.00.

e. PRON EH8S0364EH funds the inpection of one LOT of THIRTY-TWO (32)Pressure Intensifier units under SubCLIN 3105AA at a price of

$557 per unit totaling $17,824.00.

f. PRON EH8S0365EH funds the inpection of one LOT of SIXTEEN (16) HMC units under SubCLIN 3106AA at a price of $186 per unit totaling $2,976.00.

g. PRON EH8S0366EH funds the inpection of one LOT of SIXTEEN (16) CCI units under SubCLIN 3108AA at a price of $186 per unit totaling $1,860.00.

h. PRON EH8S0367EH funds the inpection of one LOT of TWELVE (12) MCU units under SubCLIN 3109AA at a price of $186 per unit totaling $2,232.00.

i. PRON EH8S0368EH funds the inpection of one LOT of THREE (03) RMCU units under SubCLIN 3110AA at a price of $186 per unit totaling $558.00.

j. PRON EH8S0369EH funds the inpection of one LOT of THREE (03) High Lift Adapter Assembly units under SubCLIN 3111AA at a price of $928 per unit totaling $2,784.00

k. PRON EH8S0370EH funds the inpection of one LOT of ONE (01) LMS Deployment Frame, LH units under SubCLIN 3112AA at a price of

$742 per unit totaling $742.00.

l. PRON EH8S0371EH funds the inpection of one LOT of THREE (03) LMS Deployment Frame, RH units under SubCLIN 3113AA at a price of $742 per unit totaling $2,226.00.

m. PRON EH8S0372EH funds the inpection of one LOT of TWO (02) LMSCU - ICD- units under SubCLIN 3114AA at a price of $186 per unit totaling $372.00.

4. Resulting from this action the total value of Task Order 0002 is established at $44,930.00

5. All other terms and conditions of Contract W56HZV-15-D-0016, except those addressed by this task order remain unchanged and in full force and effect.

*** END OF NARRATIVE A0001 ***

3 16

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

SUPPLIES OR SERVICES AND PRICES/COSTS

3101 3 BASE MANIFOLD, HULL

3101AA 3 BASE MANIFOLD (HULL) - YEAR 3; INSPECTION REPORT 1 LO $ 2,968.00 __________________________________________________ __________________

SERVICE REQUESTED: 3 BASE MANIFOLD, HULL

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8S0360EH PRON AMD: 02 ACRN: AA

AMS CD: SM2B1400000

Task Order 0002 under Contract W56HZV-15-D-0016 funds the inspection of one LOT of EIGHT(08)3 Base

Manifold (Hull) units at a price of $371.00 per unit.

This funds CLIN 3101AA in the amount of $2,968.00

(End of narrative B001)

Inspection: IAW SOW Sections C.1.0 through C.1.8 and

CDRL A001; Repairable Item Inspection Report.

Inspection Time: The Contractor shall inspect and submit an Inspection Report (CDRL A001) for each component within 10 business days of receipt of the component.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 05-JUN-2018

End Date: 20-JUN-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 20-JUN-2018

$ 2,968.00

3102 Function Block,Type

3102AA FUNCTION BLOCK, TYPE I - YEAR 3; INSPECTION REPORT 1 LO $ 2,968.00 __________________________________________________ __________________

4 16

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SERVICE REQUESTED: Function Block,Type

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8S0361EH PRON AMD: 02 ACRN: AA

AMS CD: SM2B1400000

Task Order 0002 under Contract W56HZV-15-D-0016 funds the inspection of one LOT of EIGHT(08)Function Block

Type I units at a price of $371.00 per unit. This funds CLIN 3102AA in the amount of $2,968.00

(End of narrative B001)

Inspection: IAW SOW Sections C.1.0 through C.1.8 and

CDRL A001; Repairable Item Inspection Report.

Inspection Time: The Contractor shall inspect and submit an Inspection Report (CDRL A001) for each component within 10 business days of receipt of the component.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 05-JUN-2018

End Date: 20-JUN-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 20-JUN-2018

$ 2,968.00

3103 3 Base Manifold (Tur

3103AA 3 BASE MANIFOLD (TURRET) - YEAR 3; INSPECTION RPT 1 LO $ 2,968.00 _________________________________________________ __________________

SERVICE REQUESTED: 3 Base Manifold (Tur

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8S0362EH PRON AMD: 02 ACRN: AA

AMS CD: SM2B1400000

Task Order 0002 under Contract W56HZV-15-D-0016 funds the inspection of one LOT of EIGHT(08)3 Base

5 16

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Manifold (Turret) units at a price of $371.00 per unit. This funds CLIN 3103AA in the amount of

$2,968.00.

(End of narrative B001)

Inspection: IAW SOW Sections C.1.0 through C.1.8 and

CDRL A001; Repairable Item Inspection Report.

Inspection Time: The Contractor shall inspect and submit an Inspection Report (CDRL A001) for each component within 10 business days of receipt of the component.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 05-JUN-2018

End Date: 20-JUN-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 20-JUN-2018

$ 2,968.00

3104 Function Block, Type

3104AA FUNCTION BLOCK, TYPE III - YEAR 3; INSPECTION RPT 1 LO $ 4,452.00 _________________________________________________ __________________

SERVICE REQUESTED: Function Block, Type

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8S0363EH PRON AMD: 02 ACRN: AA

AMS CD: SM2B1400000

Task Order 0002 under Contract W56HZV-15-D-0016 funds the inspection of one LOT of TWELVE(12)Fuction Block

Type III units at a price of $371.00 per unit. This funds CLIN 3104AA in the amount of $4,452.00.

(End of narrative B001)

Inspection: IAW SOW Sections C.1.0 through C.1.8 and

CDRL A001; Repairable Item Inspection Report.

6 16

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Inspection Time: The Contractor shall inspect and submit an Inspection Report (CDRL A001) for each component within 10 business days of receipt of the component.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 05-JUN-2018

End Date: 20-JUN-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 20-JUN-2018

$ 4,452.00

3105 Pressure Intensifier

3105AA PRESSURE INTENSIFIER - YEAR 3; INSPECTION RPT 1 LO $ 17,824.00 _____________________________________________ __________________

SERVICE REQUESTED: Pressure Intensifier

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8S0364EH PRON AMD: 02 ACRN: AA

AMS CD: SM2B1400000

Task Order 0002 under Contract W56HZV-15-D-0016 funds the inspection of one LOT of THIRTY-TWO(32)Pressure

Intensifier units at a price of $557.00 per unit.

This funds CLIN 3105AA in the amount of $17,824.00.

(End of narrative B001)

Inspection: IAW SOW Sections C.1.0 through C.1.8 and

CDRL A001; Repairable Item Inspection Report.

Inspection Time: The Contractor shall inspect and submit an Inspection Report (CDRL A001) for each component within 10 business days of receipt of the component.

(End of narrative D001)

7 16

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 05-JUN-2018

End Date: 20-JUN-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 20-JUN-2018

$ 17,824.00

3106 hmc

3106AA HMC - YEAR 3; INSPECTION REPORT 1 LO $ 2,976.00 _______________________________ __________________

SERVICE REQUESTED: hmc

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8S0365EH PRON AMD: 02 ACRN: AA

AMS CD: SM2B1400000

Task Order 0002 under Contract W56HZV-15-D-0016 funds the inspection of one LOT of SIXTEEN(16)HMC units at a price of $186.00 per unit. This funds CLIN 3106AA in the amount of $2,976.00.

(End of narrative B001)

Inspection: IAW SOW Sections C.1.0 through C.1.8 and

CDRL A001; Repairable Item Inspection Report.

Inspection Time: The Contractor shall inspect and submit an Inspection Report (CDRL A001) for each component within 10 business days of receipt of the component.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 05-JUN-2018

End Date: 20-JUN-2018

DLVR SCH PERF COMPL

8 16

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

REL CD QUANTITY DATE ________ ______________ __________

001 1 20-JUN-2018

$ 2,976.00

3108 ccu

3108AA CCU - YEAR 3; INSPECTION REPORT 1 LO $ 1,860.00 _______________________________ __________________

SERVICE REQUESTED: ccu

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8S0366EH PRON AMD: 02 ACRN: AA

AMS CD: SM2B1400000

Task Order 0002 under Contract W56HZV-15-D-0016 funds the inspection of one LOT of TEN(10)CCU units at a price of $186.00 per unit. This funds CLIN 3108AA in the amount of $1,860.00.

(End of narrative B001)

Inspection: IAW SOW Sections C.1.0 through C.1.8 and

CDRL A001; Repairable Item Inspection Report.

Inspection Time: The Contractor shall inspect and submit an Inspection Report (CDRL A001) for each component within 10 business days of receipt of the component.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 05-JUN-2018

End Date: 20-JUN-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 20-JUN-2018

$ 1,860.00

3109 mcu

9 16

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

3109AA MCU - YEAR 3; INSPECTION REPORT 1 LO $ 2,232.00 _______________________________ __________________

SERVICE REQUESTED: mcu

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8S0367EH PRON AMD: 02 ACRN: AA

AMS CD: SM2B1400000

Task Order 0002 under Contract W56HZV-15-D-0016 funds the inspection of one LOT of TWELVE(12)MCU units at a price of $186.00 per unit. This funds CLIN 3109AA in the amount of $2,232.00.

(End of narrative B001)

Inspection: IAW SOW Sections C.1.0 through C.1.8 and

CDRL A001; Repairable Item Inspection Report.

Inspection Time: The Contractor shall inspect and submit an Inspection Report (CDRL A001) for each component within 10 business days of receipt of the component.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 05-JUN-2018

End Date: 20-JUN-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 20-JUN-2018

$ 2,232.00

3110 rmcu

3110AA RMCU INSPECTION REPORT 1 LO $ 558.00 ______________________ __________________

SERVICE REQUESTED: rmcu

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8S0368EH PRON AMD: 02 ACRN: AA

10 16

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

AMS CD: SM2B1400000

Task Order 0002 under Contract W56HZV-15-D-0016 funds the inspection of one LOT of THREE(03)RMCU units at a price of $186.00 per unit. This funds CLIN 3110AA in the amount of $558.00.

(End of narrative B001)

Inspection: IAW SOW Sections C.1.0 through C.1.8 and

CDRL A001; Repairable Item Inspection Report.

Inspection Time: The Contractor shall inspect and submit an Inspection Report (CDRL A001) for each component within 10 business days of receipt of the component.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 05-JUN-2018

End Date: 20-JUN-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 20-JUN-2018

$ 558.00

3111 High Lift Adaptor As

3111AA HIGH LIFT ADAPTER ASSEMBLY - YEAR 3; INSPECTION _______________________________________________

RPT 1 LO $ 2,784.00 ___ __________________

SERVICE REQUESTED: High Lift Adaptor As

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8S0369EH PRON AMD: 02 ACRN: AA

AMS CD: SM2B1400000

Task Order 0002 under Contract W56HZV-15-D-0016 funds the inspection of one LOT of THREE(03)High Lift

Adapter Assembly units at a price of $928.00 per unit. This funds CLIN 3111AA in the amount of

$2,784.00.

(End of narrative B001)

11 16

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Inspection: IAW SOW Sections C.1.0 through C.1.8 and

CDRL A001; Repairable Item Inspection Report.

Inspection Time: The Contractor shall inspect and submit an Inspection Report (CDRL A001) for each component within 10 business days of receipt of the component.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 05-JUN-2018

End Date: 20-JUN-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 20-JUN-2018

$ 2,784.00

3112 LMS Deployment Frame

3112AA LMS DEPLOYMENT FRAME LH - YEAR 3; INSPECTION RPT 1 LO $ 742.00 ________________________________________________ __________________

SERVICE REQUESTED: LMS Deployment Frame

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8S0370EH PRON AMD: 02 ACRN: AA

AMS CD: SM2B1400000

Task Order 0002 under Contract W56HZV-15-D-0016 funds the inspection of one LOT of ONE(01)3 LMS Deployment

Frame LH units at a price of $742.00 per unit. This funds CLIN 3112AA in the amount of $742.00.

(End of narrative B001)

Inspection: IAW SOW Sections C.1.0 through C.1.8 and

CDRL A001; Repairable Item Inspection Report.

Inspection Time: The Contractor shall inspect and submit an Inspection Report (CDRL A001) for each component within 10 business days of receipt of the component.

12 16

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 05-JUN-2018

End Date: 20-JUN-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 20-JUN-2018

$ 742.00

3113 LMS Deployment Frame

3113AA LMS DEPLOYMENT FRAME, - YEAR 3; INSPECTION RPT 1 LO $ 2,226.00 ______________________________________________ __________________

SERVICE REQUESTED: LMS Deployment Frame

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8S0371EH PRON AMD: 02 ACRN: AA

AMS CD: SM2B1400000

Task Order 0002 under Contract W56HZV-15-D-0016 funds the inspection of one LOT of THREE(03)LMS Deployment

Frame RH units at a price of $742.00 per unit. This funds CLIN 3113AA in the amount of $2,226.00.

(End of narrative B001)

Inspection: IAW SOW Sections C.1.0 through C.1.8 and

CDRL A001; Repairable Item Inspection Report.

Inspection Time: The Contractor shall inspect and submit an Inspection Report (CDRL A001) for each component within 10 business days of receipt of the component.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

13 16

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Period of Performance

Start Date: 05-JUN-2018

End Date: 20-JUN-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 20-JUN-2018

$ 2,226.00

3114 LMSCU ICD

3114AA LMSCU - ICD- YEAR 3; INSPECTION RPT 1 LO $ 372.00 ___________________________________ __________________

SERVICE REQUESTED: LMSCU ICD

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8S0372EH PRON AMD: 04 ACRN: AA

AMS CD: SM2B1400000

Task Order 0002 under Contract W56HZV-15-D-0016 funds the inspection of one LOT of TWO(02)LMSCU - ICD units at a price of $186.00 per unit. This funds

CLIN 3114AA in the amount of $372.00.

(End of narrative B001)

Inspection: IAW SOW Sections C.1.0 through C.1.8 and

CDRL A001; Repairable Item Inspection Report.

Inspection Time: The Contractor shall inspect and submit an Inspection Report (CDRL A001) for each component within 10 business days of receipt of the component.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 05-JUN-2018

End Date: 20-JUN-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 20-JUN-2018

$ 372.00

14 16

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

CONTRACT ADMINISTRATION DATA

PRON/ PRON/

AMS CD/ AMS CD/

LINE MIPR/ OBLG JO NO/ OBLIGATEDLINE MIPR/ OBLG JO NO/ OBLIGATED

ITEM GFEBS ATA STAT ACCT ASSIGN ACRN AMOUNTITEM GFEBS ATA STAT ACCT ASSIGN ACRN AMOUNT_____ _________ _____ ___________ ____ _______________ _________ _____ ___________ ____ __________

3101AA EH8S0360EH 2 AA $ 2,968.00

SM2B1400000

3102AA EH8S0361EH 2 AA $ 2,968.00

SM2B1400000

3103AA EH8S0362EH 2 AA $ 2,968.00

SM2B1400000

3104AA EH8S0363EH 2 AA $ 4,452.00

SM2B1400000

3105AA EH8S0364EH 2 AA $ 17,824.00

SM2B1400000

3106AA EH8S0365EH 2 AA $ 2,976.00

SM2B1400000

3108AA EH8S0366EH 2 AA $ 1,860.00

SM2B1400000

3109AA EH8S0367EH 2 AA $ 2,232.00

SM2B1400000

3110AA EH8S0368EH 2 AA $ 558.00

SM2B1400000

3111AA EH8S0369EH 2 AA $ 2,784.00

SM2B1400000

3112AA EH8S0370EH 2 AA $ 742.00

SM2B1400000

3113AA EH8S0371EH 2 AA $ 2,226.00

SM2B1400000

3114AA EH8S0372EH 2 AA $ 372.00

SM2B1400000

TOTAL $ 44,930.00

OBLIGATED OBLIGATED

ACRN ACCOUNTING CLASSIFICATION AMOUNTACRN ACCOUNTING CLASSIFICATION AMOUNT____ _________________________ ______________ _________________________ __________

AA 97 X4930AC9D 6D 26KB S20113 W56HZV $ 44,930.00 __________________

15 16

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

OBLIGATED OBLIGATED

ACRN ACCOUNTING CLASSIFICATION AMOUNTACRN ACCOUNTING CLASSIFICATION AMOUNT____ _________________________ ______________ _________________________ __________

TOTAL $ 44,930.00

LINELINE

ITEM ACRN EDI/SFIS ACCOUNTING CLASSIFICATIONITEM ACRN EDI/SFIS ACCOUNTING CLASSIFICATION_____ ____ _______________________________________ ____ __________________________________

3101AA AA 97 0X0X4930AC9D S20113 6D0000SM2B140000026KB S20113 W56HZVT2HDW

3102AA AA 97 0X0X4930AC9D S20113 6D0000SM2B140000026KB S20113 W56HZVT2HDW

3103AA AA 97 0X0X4930AC9D S20113 6D0000SM2B140000026KB S20113 W56HZVT2HDW

3104AA AA 97 0X0X4930AC9D S20113 6D0000SM2B140000026KB S20113 W56HZVT2HDW

3105AA AA 97 0X0X4930AC9D S20113 6D0000SM2B140000026KB S20113 W56HZVT2HDW

3106AA AA 97 0X0X4930AC9D S20113 6D0000SM2B140000026KB S20113 W56HZVT2HDW

3108AA AA 97 0X0X4930AC9D S20113 6D0000SM2B140000026KB S20113 W56HZVT2HDW

3109AA AA 97 0X0X4930AC9D S20113 6D0000SM2B140000026KB S20113 W56HZVT2HDW

3110AA AA 97 0X0X4930AC9D S20113 6D0000SM2B140000026KB S20113 W56HZVT2HDW

3111AA AA 97 0X0X4930AC9D S20113 6D0000SM2B140000026KB S20113 W56HZVT2HDW

3112AA AA 97 0X0X4930AC9D S20113 6D0000SM2B140000026KB S20113 W56HZVT2HDW

3113AA AA 97 0X0X4930AC9D S20113 6D0000SM2B140000026KB S20113 W56HZVT2HDW

3114AA AA 97 0X0X4930AC9D S20113 6D0000SM2B140000026KB S20113 W56HZVT2HDW

16 16