W56HZV15R0159.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

W56HZV-15-R-0159 2016FEB04

JAMIE M. WASZAK (586)282-4010

JAMIE.M.WASZAK.CIV@MAIL.MIL

2016MAR07 12:00pm

W56HZV

U.S. ARMY CONTRACTING COMMAND

WARREN, MICHIGAN 48397-5000

X

333120

X

X DOA4

X

SEE SCHEDULE

SEE SCHEDULE

X X

X 1

1 209

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: JAMIE M. WASZAK

Buyer Office Symbol/Telephone Number: CCTA-HCP-D/(586)282-4010

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

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

1 52.204-4016 WARREN ELECTRONIC CONTRACTING AUG/2015

(a) All Army Contracting Command Warren (DTA) solicitations will be publicized on the Federal Business Opportunities website

(https://www.fbo.gov). Any additional attachments, including Technical Data Packages (TDPs) when available electronically, will be separate attachments or links embedded in the solicitation.

(b) As of 10 August 2015, unless directed to do otherwise in Section L of this solicitation, vendors are required to submit a quote or proposal via the Federal Business Opportunities (FBO) system. Proposals or quotes submitted after this date using any other mechanism, including the Army Single Face to Industry Bid Response System (ASFI BRS) may be deemed non-responsive.

(c) Requirements for the online FBO bid submission:

1. Vendors must log into the FBO System to be able to submit electronic responses for opportunities.

2. Vendors must be registered in the System for Award Management (SAM) at ../../../../Documents/SharePoint

Drafts/www.sam.gov (a Federal Government owned and operated free web site) and have a CAGE Code and CCR Marketing Partner

Identification Number (MPIN).

3. Once logged into the FBO System, vendors will be asked to enter basic information and directed to upload one or more files containing the proposal/quote and any additional information as outlined in the solicitation.

4. FBO will send an email to vendors registered email address confirming the electronic submission.

5. For additional information on submitting electronic bid responses via the FBO system see the FBO Vendor Guide

Section 4.3.1 Submitting an Electronic Response (https://www.fbo.gov/downloads/FBO_Vendor_Guide.pdf).

(d) Note to offerors:

Please pay close attention to the solicitation closing date and time as stated on the cover page of this solicitation, local time for the Army contracting Command - Warren, (DTA), Michigan. In accordance with FAR 15.208(a), offerors are responsible for submitting proposals, and any revisions, and modifications, so as to be received by the Government office designated in the solicitation by the time specified.

It is the responsibility of the Offeror to ensure the proposal/quote is received by the date and time specified on the cover page of this solicitation. In accordance with FAR 15.208, if the proposal/quote was not received at the initial point of entry to the

Government infrastructure (in this case, received through FBO) by the exact date and time specified on the cover page of this solicitation, it will be determined late. Proposal/quote is defined to mean ALL volumes or parts required in the solicitation are included in the electronic submission.

Note: There is no "expected" or "target" length of time for proposal submission; size and content may be factors, therefore offerors are strongly cautioned when submitting proposals to allow adequate time for submission.

Solicitations may remain posted on the FBO after the solicitation closing date. If the response deadline has passed for the solicitation, vendors will no longer be able to submit electronic responses.

(e) Any award issued as a result of this solicitation will be distributed electronically. In the event of a FOIA request for a copy of any award issued as a result of this solicitation, or any subsequent modifications to the contract, the contract and modifications will be released, including the awarded unit price. This is the notice required by Executive Order 12600 (June 23, 1987) of our intention to release unit prices in response to any request under the Freedom of Information Act (FOIA), 5 USC 552. Unit price is defined as the

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W56HZV-15-R-0159

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

contract price per unit or item purchased as it appears in Section B of the contract and is NOT referring to nor does it include Cost or

Pricing data/information. If you object to such release in the base contract or contract modifications, and you intend to submit an offer, notify the contracting officer in writing prior to the closing date identified in this solicitation and include the rationale for your objection consistent with the provisions of FOIA. A release determination will be made based on rationale given.

(f) Questions pertaining to this solicitation should be directed to the Contract Specialist identified in Block 10 on the cover page of this solicitation. For technical assistance in doing business with the Government, and doing business electronically, please visit the

Procurement Technical Assistance Center (PTAC) website at http://www.aptac-us.org/ to locate a regional center.

[End of Notice]

2 52.201-4000 ARMY CONTRACTING COMMAND-WARREN (DTA) OMBUDSPERSON APR/2011

Data not printed.

3 52.212-4003 ALL OR NONE--COMMERCIAL ITEM ACQUISITION SEP/1996

(TACOM)

This provision serves as an addendum that modifies paragraph (h) of FAR 52.212-1, entitled INSTRUCTIONS TO OFFERORS--COMMERCIAL ITEMS.

Paragraph (h) is modified to say that you must offer to provide the total quantity of the items in this solicitation. ONLY ONE AWARD

WILL BE MADE AS A RESULT OF THIS SOLICITATION. OFFERS SUBMITTED FOR LESS THAN THE TOTAL QUANTITIES OF ALL THE ITEMS IN THIS

SOLICITATION WILL NOT BE CONSIDERED FOR AWARD.

[End of Clause]

4 52.214-4000 ACKNOWLEDGMENT OF AMENDMENTS OCT/1993

Acknowledge all the amendments you've received from us by identifying the amendment number and its issue date in the box below:

: Amendment Number : Date : ________________________________________________

[End of Provision]

5 52.214-4003 ALL OR NONE MAR/1998

(TACOM)

Offers in response to this solicitation must be submitted for the total quantity of the items identified in the solicitation.

(1) ONLY ONE AWARD WILL BE MADE AS A RESULT OF THIS SOLICITATION.

(2) OFFERS SUBMITTED FOR LESS THAN THE TOTAL QUANTITIES OF ALL THE ITEMS IN THIS SOLICITATION ARE INELIGIBLE FOR AWARD.

[End of Provision]

6 52.232-4087 PAYMENT UNDER WIDE AREA WORKFLOW (ACC WARREN) JAN/2012

3 209

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

TACOM-Warren uses Wide Area Workflow, Receipt and Acceptance (WAWF-RA) to electronically process vendor requests for payment. (See

DFARS clause 252.232-7003, entitled Electronic Submission of Payment Requests and Receiving Reports). Under WAWF-RA, vendors electronically submit (and track) invoices, and receipt/acceptance documents/reports. Submission of hard copy DD250/invoices is no longer acceptable for payment purposes.

The contractor shall register to use WAWF-RA at https://wawf.eb.mil There is no charge to use WAWF. Direct any questions relating to system setup and vendor training to the Help Desk at Ogden, UT at 1-866-618-5988. Web-based training for WAWF is also available at https://wawftraining.eb.mil

To obtain payment, WAWF requires the contractor to input/indicate the various DoDAAC (Department of Defense Activity Address Code) codes that apply to the acquisition. These codes can be found on the cover page of contracts/orders as described below.

USE THE FOLLOWING CODES TO ROUTE YOUR INVOICES THROUGH WAWF:

- Your firms CAGE code (found in Block 15A of SF 33; Block 17a of SF 1449; Block 14 of SF 1442; Block 7 of SF 26)

- Issue and Admin DoDAAC Code (found in Block 7 of SF 33; Block 9 of SF 1449; Block 7 of SF 1442; Block 5 of SF 26)

- Ship-To DoDAAC Code (if deliverables are involved) (found in Section B of the contract where SF 33, SF 1442, or SF 26 is the cover page; Block 15 of SF 1449)

- Accept-By DoDAAC Code: If Inspection/Acceptance is Origin, use the Admin (DCMA)DoDAAC or the DoDAAC of the inspection/acceptance office if different than the Admin DoDAAC; if Destination, use the Ship-To DODAAC Code. If Accepted-By Other: enter the DoDAAC of the activity designated to perform acceptance.

- Payment DoDAAC Code. (found in Block 25 of SF 33; Block 18a of SF 1449; Block 27 of SF 1442; Block 12 of SF 26)

The paying office DoDAAC and mailing address is located on the first page of the award. To track the status of your invoice, click on the link, Pay status (myInvoice-External link) at the bottom of the left-hand menu.

If your paying office is Columbus, direct any payment-related questions to the Defense Finance Accounting Services (DFAS) Columbus at 1-

888-756-4571. Please have your order number and invoice ready when calling about payment status. If your paying office is other than

Columbus, contact your contract administrator for the customer service phone/fax numbers.

[End of Clause]

7 52.242-4021 NOTICE REGARDING PLACEMENT OF DELIVERY ORDERS NOV/2009

(TACOM)

Agencies other than TACOM, such as Defense Logistics Agency (DLA), may also place delivery orders under this contract (or, as applicable, the contract that results from this solicitation). In that event, such agencies will administer those orders.

(END OF CLAUSE)

SUPPLIES OR SERVICES AND PRICES/COSTS

THE RESULTANT CONTRACT WILL BE A FIVE (5) YEAR FIRM FIXED PRICED REQUIREMENTS TYPE WITH FIVE (5) ONE (1) YEAR OPTIONS, FOR THE

PROCUREMENT OF LIGHT CAPABILITY ROUGH TERRAIN FORKLIFTS AND ANCILLARY HARDWARE AND SERVICES.

ORDERING YEAR 1 (OY1): DATE OF CONTRACT AWARD THROUGH 365

ORDERING YEAR 2 (OY2): DAY 366 THROUGH DAY 730

ORDERING YEAR 3 (OY3): DAY 731 THROUGH DAY 1,096

ORDERING YEAR 4 (OY4): DAY 1,097 THROUGH DAY 1,461

ORDERING YEAR 5 (OY5): DAY 1,462 THROUGH DAY 1,826

OPTIONAL OREDERING YEARS

OPTION YEAR 6 (OY6): DAY 1,827 THROUGH DAY 2,191

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

OPTION YEAR 7 (OY6): DAY 2,192 THROUGH DAY 2,556

OPTION YEAR 8 (OY6): DAY 2,557 THROUGH DAY 2,921

OPTION YEAR 9 (OY6): DAY 2,922 THROUGH DAY 3,286

OPTION YEAR 10 (OY6): DAY 3,287 THROUGH DAY 3,651

THE FOLLOWING NUMBERING SYSTEM WILL BE USED WITH RESPECT TO THE ORDERING YEARS.

EXCEPT FOR CLINs 0011, 0021, 0041, 0051, and the CDRL CLINs WHICH BEGIN WITH THE LETTER A, THE THIRD AND FOURTH (LAST) DIGIT SIGNIFIES

THE ORDERING YEAR, (01 = YEAR ONE, 10 = OPTION YEAR TEN)

NOTE: THE PRICE APPLICABLE TO AN INDIVIDUAL ORDER IS THE PRICE FOR THE ORDERING YEAR IN WHICH THE ORDER IS ISSUED. THE DELIVERY DATE_____

DOES NOT DETERMINE ORDERING YEAR.

NOTE: EACH ORDERING YEAR ESTIMATE, IF APPLICABLE, IS BASED ON A 12 MONTH DEMAND ESTIMATE. ALL QUANTITIES LISTED IN THIS SOLICITATION_____

ARE ONLY ESTIMATES. THESE ESTIMATES ARE NOT A REPRESENTATION TO AN OFFEROR OR CONTRACTOR THAT THE ESTIMATED QUANTITY WILL BE ORDERED, OR THAT CONDITIONS AFFECTING REQUIREMENTS WILL BE STABLE OR NORMAL.

NOTE: FAR 52.216-3, Economic Price Adjustment SemistandardM apply to the option CLINs 0206, 0207, 0208, 0209 and 0210_____

NOTE: FAR 52.247-51 applies to the LCRTF and FAR 52.247-51 (ALT I & ALT II) applies to any ancillary hardware._____

*** END OF NARRATIVE A0001 ***

5 209

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

0011 SEE SECTION C.4.4, C.4.5

0011AA LCRTF FAT 2 EA $ $ _________________________ ______________ __________________

COMMODITY NAME: SEE SECTION C.4.4, C.4.5

CLIN CONTRACT TYPE:

Firm Fixed Price

In accordancewith (IAW) paragraph C.4.4 and C.4.5 the contractor shall deliver (2) First Article Production

Test LCRTAFs which meet ATPD-2392G, Identified in

Section J of this Solicitatin, Attachment 0001.

Delivery Date of FAT: Within 180 days from date of contract award, see Clause 52.209-4 of this

Solicitation.

FAT price to include all requirements found within

C.4.4.1, C.4.4.2, C.4.5.1, C.4.5.2, C.4.5.3., and FAT

Clause 52.209-3 and 52.209-4

In the event a waiver is granted, the price of CLIN

0011AA will be reflected as such at time of contract award.

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: ACCEPTANCE: Origin

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.

0011AB LCRTF FAT-C $ $ ___________ ______________ __________________

COMMODITY NAME: SEE SECTION C.4.4

CLIN CONTRACT TYPE:

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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

Firm Fixed Price

LCRTF FAT-C 0011AB: IAW Clauses 52.209-3, paragraph

C.4.4 the contractor shall itemize the cost of FAT-C.

The cost associated with this CLIN is for information purposes and shall be included in the

CLIN 0011AA entitled LCRTF FAT.

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: ACCEPTANCE: Origin

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.

0011AC FAT GOVERNMENT CONDUCTED (FAT-G) $ $ ________________________________ ______________ __________________

COMMODITY NAME: SEE SECTION C.4.5

CLIN CONTRACT TYPE:

Firm Fixed Price

FAT Government Conducted (FAT-G) 0011AC: IAW Clauses

52.209-4 , and paragraph C.4.5 the contractor shall itemize the cost of FAT-G. The cost associated with this CLIN is for informational purposes and shall be included in the CLIN 0011AA entitled LCRTF FAT.

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

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.

0021 LOGISTICS LCRTF 2 EA $ $ _______________ ______________ __________________

COMMODITY NAME: LOGISTICS LCRTF

In accordancewith (IAW) paragraph C.5 the contractor shall deliver (2) Logistics LCRTFs which meet ATPD-

2392G, Identified in Section J of this Solicitation, Attachment 0001.

Delivery Date of FAT: Within 180 days from date of contract award, see Clause 52.209-4 of this solicitation.

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: ACCEPTANCE: Origin

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.

0041 LOGISTICS DEMONSTRATION SUPPORT 1 LO $ _______________________________ __________________

SERVICE REQUESTED: SEE SOW C.5.5.5.2

One Lot consists of the items required to satisfy the

Logistics Demonstration (LD) Support found in

C.5.5.5.2

The contractor shall continue this support until 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

Logistics LCRTF is approved by the PCO.

(End of narrative B001)

Deliveries or Performance _________________________

0051 GOVERNMENT VERIFICATION 1 LO $ _______________________ __________________

SERVICE REQUESTED: SEE SOW C.5.5.6

One lot consists of the following requirements for the Government Verification: C.5.5.6.1 Contractor

Facilities Support, C.5.5.6.2 Contractor Personnel

Support, C.5.5.6.3 Correction of Errors in Data

The contractor shall continue this support until

Government Verification approval is received by the

PCO.

(End of narrative B001)

Deliveries or Performance _________________________

0071 DATA ITEMS __________

A001 LOGISTICS PRODUCT DATA - BASIC ISSUE ITEMS (BII) 1 LO $ ________________________________________________ __________________

SERVICE REQUESTED: SEE SOW C.1.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A002 CONFERENCE AGENDA 1 LO $ ** NSP ** _________________ __________________

SERVICE REQUESTED: SEE SOW C.3.1

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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

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

A003 CONFERENCE MINUTES 1 LO $ ** NSP ** __________________ __________________

SERVICE REQUESTED: SEE SOW C.3.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A004 LOGISTICS PRODUCT DATA - PROVISIONING PARTS LIST ________________________________________________

(PPL) 1 LO $ _____ __________________

SERVICE REQUESTED: SEE SOW C.3.2.2

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A005 ENGINEERING DATA FOR PROVISIONING (EDFP) 1 LO $ ________________________________________ __________________

SERVICE REQUESTED: SEE SOW C.3.2.2 & C.5.4.1.3

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A006 SYSTEM SAFETY PROGRAM PLAN (SSPP) 1 LO $ _________________________________ __________________

SERVICE REQUESTED: SEE SOW C.4.2.2

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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 _________________________

A007 SAFETY ASSESSMENT REPORT (SAR) 1 LO $ ______________________________ __________________

SERVICE REQUESTED: SEE SOW C.4.2.3 & C.4.2.4

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A008 HAZARDOUS MATERIALS MANAGEMENT PROGRAM (HMMP) _____________________________________________

REPORT 1 LO $ ______ __________________

SERVICE REQUESTED: SEE SOW C.4.3.3

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A009 ACCEPTANCE TEST PLAN - FAT-C 1 LO $ ____________________________ __________________

SERVICE REQUESTED: SEE SOW C.4.4.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A010 FAILURE ANALYSIS AND CORRECTIVE ACTION REPORT _____________________________________________

(FACAR) 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: SEE SOW C.4.4.2

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A011 BASELINE DESCRIPTION DOCUMENT - IDENTURED BILL OF _________________________________________________

MATERIAL 1 LO $ ________ __________________

SERVICE REQUESTED: SEE SOW C.4.6.1.1 & C.5.2.5

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A012 ENGINEERING CHANGE PROPOSAL (ECP) 1 LO $ ** NSP ** _________________________________ __________________

SERVICE REQUESTED: SEE SOW C.4.6.2

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A013 CONFIGURATION STATUS ACCOUNTING (CSA) INFORMATION 1 LO $ ** NSP ** _________________________________________________ __________________

SERVICE REQUESTED: SEE SOW C.4.6.2.3 & C.4.6.3

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

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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

A014 REQUEST FOR VARIANCE (RFV) - VARIENCE 1 LO $ ** NSP ** _____________________________________ __________________

SERVICE REQUESTED: SEE SOW C.4.7

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A015 TRANSPORTABILITY REPORT 1 LO $ _______________________ __________________

SERVICE REQUESTED: SEE SOW C.4.8

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A016 QUALITY ASSURANCE PROGRAM PLAN - QUALITY CONTROL ________________________________________________

PLAN (QCP) 1 LO $ __________ __________________

SERVICE REQUESTED: SEE SOW C.4.8.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A017 MANUFACTURING PLAN 1 LO $ __________________ __________________

SERVICE REQUESTED: SEE SOW C.4.8.3

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

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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

A018 SCIENTIFIC AND TECHNICAL REPORTS - QUALITY RECORDS 1 LO $ __________________________________________________ __________________

SERVICE REQUESTED: SEE SOW C.4.8.4

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A019 SCIENTIFIC AND TECHNICAL REPORTS - FINAL ________________________________________

INSPECTION RECORD 1 LO $ _________________ __________________

SERVICE REQUESTED: SEE SOW C.4.8.6

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A020 SCIENTIFIC & TECH REPORTS- PRE-PRODUCT PAINT SYS ________________________________________________

TEST REPORT 1 LO $ ___________ __________________

SERVICE REQUESTED: SEE SOW C.4.8.7

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A021 CORROSION PREVENTION AND CONTROL PLAN (CPCP) 1 LO $ ____________________________________________ __________________

SERVICE REQUESTED: SEE SOW C.4.8.8

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

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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 _________________________

A022 LOGISTICS PRODUCT DATA - MAINTENANCE ANALYSIS 1 LO $ _____________________________________________ __________________

SERVICE REQUESTED: SEE SOW C.5.2.1, C.5.2.1.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A023 LEVEL OF REPAIR ANALYSIS (LORA) 1 LO $ _______________________________ __________________

SERVICE REQUESTED: SEE SOW C.5.2.2

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A024 SPECIAL EQUIPMENT, TOOLS AND TEST EQUIPMENT LIST ________________________________________________

- STTE LIST 1 LO $ ___________ __________________

SERVICE REQUESTED: SEE SOW C.5.2.4

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A025 CALIBRATION AND MEASUREMENT REQUIREMENTS SUMMARY ________________________________________________

(CMRS) 1 LO $ ______ __________________

SERVICE REQUESTED: SEE SOW C.5.2.4.2

15 209

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 _________________________

A026 LOGISTICS PRODUCT DATA - CRITICAL STOCKAGE LIST _______________________________________________

(CSL) 1 LO $ _____ __________________

SERVICE REQUESTED: SEE SOW C.5.2.5

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A027 LOGISTICS PRODUCT DATA - LEVEL OF REPAIR ANALYSIS _________________________________________________

(LORA) 1 LO $ ______ __________________

SERVICE REQUESTED: SEE SOW C.5.2.7

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A028 DIAGNOSTIC TESTABILITY ANALYSIS REPORT ______________________________________

(ELECTRONIC) 1 LO $ ____________ __________________

SERVICE REQUESTED: SEE SOW C.5.3.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A029 PAGE-BASED TECHNICAL MANUALS - OPERATORS MANUAL 1 LO $ _______________________________________________ __________________

16 209

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: SEE SOW C.5.5.1 & C.5.5.1.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A030 INTERACTIVE ELECTRONIC TECHNICAL MANUALS (IETMS) ________________________________________________

W/RPSTL 1 LO $ _______ __________________

SERVICE REQUESTED: SEE SOW C.5.5.1 & C.5.5.1.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A031 LUBRICATION ORDER 1 LO $ _________________ __________________

SERVICE REQUESTED: SEE SOW C.5.5.1.1, C.5.5.1.2

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A032 VALIDATION PLAN 1 LO $ _______________ __________________

SERVICE REQUESTED: SEE SOW C.5.5.1, C.5.5.4.2

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A033 LOGISTICS DEMONSTRATION PLANNING 1 LO $ ________________________________ __________________

17 209

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: SEE SOW C.5.5.5.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A034 PACKAGING DATA PRODUCTS 1 LO $ _______________________ __________________

SERVICE REQUESTED: SEE SOW C.5.6.1 & C.5.6.3

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A035 SPECIAL PACKAGING INSTRUCTIONS (SPI) 1 LO $ ____________________________________ __________________

SERVICE REQUESTED: SEE SOW C.5.6.4

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A036 PACKAGING TEST REPORT - SPI TEST REPORT 1 LO $ _______________________________________ __________________

SERVICE REQUESTED: SEE SOW C.5.6.4.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

18 209

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

A037 TRAINING COURSE CONTROL DOCUMENT/COURSE OUTLINE 1 LO $ _______________________________________________ __________________

SERVICE REQUESTED: SEE SOW C.6.1.2.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A038 TRAINING MATERIALS 1 LO $ __________________ __________________

SERVICE REQUESTED: SEE SOW C.6.1.2.2 & C.6.3

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A039 TRAINING COURSE COMPLETION REPORT/STUDENT TRAINING 1 LO $ ** NSP ** __________________________________________________ __________________

SERVICE REQUESTED: SEE SOW C.6.4

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A040 ITEM UNIQUE IDENTIFIER (IUID) IMPLEMENTATION 1 LO $ ____________________________________________ __________________

SERVICE REQUESTED: SEE SOW C.7.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

19 209

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

A041 UNIQUE IDENTIFICATION (IUID) MARKING AND ________________________________________

VERIFICATION REPORT 1 LO $ ** NSP ** ___________________ __________________

SERVICE REQUESTED: SEE SOW C.7.5

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A042 IUID VALIDATION AND VERIFICATION PLAN AND REPORT 1 LO $ ________________________________________________ __________________

SERVICE REQUESTED: SEE SOW C.7.8

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A043 INVENTORY LIST & DA FORM 3161 1 LO $ ** NSP ** _____________________________ __________________

SERVICE REQUESTED: SEE SOW C.8.2 & C.8.2.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A044 ACCOUNTABILITY REPORT 1 LO $ ** NSP ** _____________________ __________________

SERVICE REQUESTED: SEE SOW C.8.2.1

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

20 209

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

A045 WARRANTY PERFORMANCE REPORT 1 LO $ ** NSP ** ___________________________ __________________

SERVICE REQUESTED: SEE SOW C.9.2

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A046 STORAGE, EXERCISE, CARE AND MAINTENANCE PLAN 1 LO $ ____________________________________________ __________________

SERVICE REQUESTED: SEE SOW C.10.2

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A047 CONTRACT FIELD SERVICE REPORT - FSR REPORT 1 LO $ ** NSP ** __________________________________________ __________________

SERVICE REQUESTED: SEE SOW C.11.2

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0201 PRODUCTION VEHICLE - ORDERING YEAR ONE 1 EST EA $ $ ______________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Ordering Year 1

21 209

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Reference Section C.1.1

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

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.

0202 PRODUCTION VEHICLE - ORDERING YEAR TWO 178 EST EA $ $ ______________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Ordering Year 2

Reference Section C.1.1

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

22 209

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: 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.

0203 PRODUCTION VEHICLE - ORDERING YEAR THREE 179 EST EA $ $ ________________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Ordering Year 3

Reference Section C.1.1

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

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.

0204 PRODUCTION VEHICLE - ORDERING YEAR FOUR 179 EST EA $ $ _______________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1

23 209

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Ordering Year 4

Reference Section C.1.1

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

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.

0205 PRODUCTION VEHICLE - ORDERING YEAR FIVE 178 EST EA $ $ _______________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Ordering Year 5

Reference Section C.1.1

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

24 209

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: 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.

0206 PRODUCTION VEHICLE - OPTION ORDERING YEAR SIX 178 EST EA $ $ _____________________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Option Ordering Year 6

Reference Section C.1.1

Reference Option Clauses: 52.217-9, 52.216-3, and

52.217-4001

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

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.

25 209

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0207 PRODUCTION VEHICLE - OPTION ORDERING YEAR SEVEN 178 EST EA $ $ _______________________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Option Ordering Year 7

Reference Section C.1.1

Reference Option Clauses: 52.217-9, 52.216-3, and

52.217-4001

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

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.

0208 PRODUCTION VEHICLE - OPTION ORDERING YEAR EIGHT 178 EST EA $ $ _______________________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Option Ordering Year 8

26 209

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Reference Section C.1.1

Reference Option Clauses: 52.217-9, 52.216-3, and

52.217-4001

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

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.

0209 PRODUCTION VEHICLE - OPTION ORDERING YEAR NINE 178 EST EA $ $ ______________________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Option Ordering Year 9

Reference Section C.1.1

Reference Option Clauses: 52.217-9, 52.216-3, and

52.217-4001

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

27 209

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

LEVEL PACKING: Commercial

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.

0210 PRODUCTION VEHICLE - OPTION ORDERING YEAR TEN 178 EST EA $ $ _____________________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Option Ordering Year 10

Reference Section C.1.1

Reference Option Clauses: 52.217-9, 52.216-3, and

52.217-4001

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

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

28 209

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

ITEMS REQUIRED UNDER THIS

REQUISITION.

0301 BASIC ISSUE ITEM (BII) - ORDERING YEAR ONE 5 EST EA $ $ __________________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1.1

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Ordering Year 1

Reference Section C.1.1.1

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

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.

0302 BASIC ISSUE ITEM (BII) - ORDERING YEAR TWO 178 EST EA $ $ __________________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1.1

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Ordering Year 2

29 209

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Reference Section C.1.1.1

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

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.

0303 BASIC ISSUE ITEM (BII) - ORDERING YEAR THREE 179 EST EA $ $ ____________________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1.1

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Ordering Year 3

Reference Section C.1.1.1

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

30 209

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: 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.

0304 BASIC ISSUE ITEM (BII) - ORDERING YEAR FOUR 179 EST EA $ $ ___________________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1.1

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Ordering Year 4

Reference Section C.1.1.1

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

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.

0305 BASIC ISSUE ITEM (BII) - ORDERING YEAR FIVE 178 EST EA $ $ ___________________________________________ ______________ __________________

COMMODITY NAME: SEE SOW C.1.1.1

31 209

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

IAW ATPD-2392G, Light Capability Rough Terrain

Forklift (LCRTF), identified in Section J of this

Solicitation, Attachment 0001.

Program Year: Ordering Year 5

Reference Section C.1.1.1

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D

LEVEL PRESERVATION: Commercial

LEVEL PACKING: Commercial

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…