W56HZV20R0006.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)

W56HZV-20-R-0006

X

2021JAN12

2021FEB2605:00pm

DOA4

2021JAN12 SEE SCHEDULE

W56HZV

ACC-DTA

6501 E. 11 MILE RD.

DETROIT ARSENAL, MI 48397-5000

DANIEL POEHLING

(586)282-7516

CCTA-APS-A

DANIEL.C.POEHLING.CIV@MAIL.MIL

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X 1

X 5 X 105

X 108 X 109 X 116

X 122

X 124

X 128

X 149

X 150

X 163

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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: DANIEL POEHLING

Buyer Office Symbol/Telephone Number: CCTA-APS-A/(586)282-7516

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

1. This Request for Proposal (RFP) will result in the award of up to Two, Five-Year, Firm-Fixed-Price (FFP), Indefinite Delivery-

Indefinite Quantity (IDIQ) contracts for the procurement of the following Chemical, Biological, Radiological, or Nuclear (CBRN) Filters and Filter Assembly Components:

Item # NSN Nomenclature/Description______ ___ ________________________

1 4240-00-368-6291 M13 Particulate Filter

2 4240-00-866-1825 M19 Particulate Filter

3 4240-01-365-0982 M18A1 Gas Filter

4 4240-00-010-5267 M14 Gas Particulate Filter Unit (GPFU)

5 4240-00-964-9061 M13A1 GPFU

6 4240-01-365-0981 M12A2 Gas Filter

7 4240-01-615-1867 M93 Tan w/o Filter

8 4240-00-868-7906 M2A2 Air Purifier

9 4240-01-026-3112 M1A1-19 Pre-cleaner

10 4240-01-366-6243 Hermetically Sealed Filter Canister (HSFC) Filter

11 4240-01-550-5226 M98 Gas filter

12 4240-01-550-7826 ICBM Particulate Filter (HEPA)

13 4240-01-550-8758 ICBM Filter Set

14 4240-01-621-5115 M48A1 Gas Particulate Filter (Tan)

15 4240-01-363-1311 M48A1 Gas Particulate Filter (Green)

16 4240-00-802-5169 M24 Particulate Filter

17 4240-01-369-6533 M98 Gas Particulate Filter Set

18 4240-01-066-3266 M98 Particulate Filter (HEPA)

19 4240-01-312-9146 M49 Gas Filter Trays

20 4240-01-363-1310 M23A1 Gas Filter

21 4240-00-237-0223 M59 GPFU

2. This RFP is full and open competition.

3. Up to two awards may result from this solicitation. See Section M for evaluation factors for award.

4. If only one offer is received, the Government will require the offeror to submit Certified Cost or Pricing Data prior to award.

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

5. On Attachment 0001 (Pricing Workbook), for each item, the offeror shall insert a price for each part of the First Article Test, and insert the production ceiling price per ordering year and quantity range. Prices shall not be entered in Section B of the RFP.

6. The maximum contract value over a five year period is $298,809,296 across all contracts awarded from this RFP.

7. The minimum guaranteed contract dollar value is $2,983,278 and will be equally divided among no more than two awardees. In the event only one awardable proposal is received, then one award for the total minimum guaranteed contract dollar value of $2,983,278 will be made.

8. First Article Tests (FAT) and Production Lot Tests (PLT) are required for each item in accordance with the item's specified Technical

Data Package List (TDPL) on Attachment 0002 (Specifications & TDPL's). Requests for FAT to be waived will not be considered prior to award of any resulting contract. The Government may consider FAT (full or partial) waivers post-award, and in the evaluation of future delivery orders under this contract.

9. The contractor is authorized to ship early with no quantity restrictions and at no additional cost to the Government.

10. The Surveillance Criticality Designator (SCD) is "B".

11. All shipments shall be FOB Destination to the following Ship To address:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND, KY 40475-5070

*** END OF NARRATIVE A0001 ***

A.1. Electronic Contracting

(a) All Army Contracting Command Warren solicitations will be publicized on the System for Award Management website

(https://www.beta.sam.gov ). Any additional attachments, including Technical Data Packages (TDPs) when available electronically, will be separate attachments or links embedded in the solicitation. Access to TDP information for this RFP is located below in A.4.

DISTRIBUTION AND DESTRUCTION OF EXPORT CONTROL TECHNICAL DATA PACKAGE.

(b) 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 the Governments 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 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 an Offeror objects to such release in the base contract or contract modifications, the

Offeror must notify the contracting officer in writing prior to the closing date identified in this solicitation and include the rationale for the objection consistent with the provisions of FOIA. A release determination will be made based on rationale given.

(c) Questions pertaining to this solicitation should be directed to the Contract Specialist identified 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.

A.2. ACKNOWLEDGEMENT OF AMENDMENTS

Acknowledge all the amendments received from the Government by identifying the amendment number and its issue date below:

Amendment Number: Date: __________________ _____

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

A.3. ALL OR NONE

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

(1) UP TO TWO AWARDS MAY RESULT FROM THIS SOLICITATION.

(2) OFFERS SUBMITTED FOR LESS THAN THE TOTAL QUANTITIES OF ALL THE ITEMS IN THIS SOLICITATION WILL BE DEEMED NONRESPONSIVE.

(3) EACH DELIVERY ORDER WILL BE SOLICITED ON AN ALL OR NONE BASIS.

A.4. DISTRIBUTION AND DESTRUCTION OF EXPORT CONTROL TECHNICAL DATA PACKAGE

(a) This solicitation and resulting contract 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.

This also applies to distribution of the TDP to all SUBCONTRACTORS at every level.

(b) To be eligible to gain access to this export controlled TDP (via beta.SAM.gov) an offeror must have a current DD 2345, Militarily

Critical Technical Data Agreement certification on file with the Defense Logistics Information Service (DLIS). To obtain certification, contractors must submit a DD Form 2345 to the United States (U.S.)/Canada Joint Certification Office (JCO), along with a copy of supporting documentation. DD Form 2345 and instructions can be found on the Joint Certification Program website at:

http://www.dla.mil/HQ/InformationOperations/Offers/Products/LogisticsApplications/JCP.aspx Processing time is estimated at six

(6) to ten (10) weeks after receipt. Upon receipt of certification, an offeror may request the TDP in accordance with the solicitation's Section C Technical Data Package instructions.

(c) Upon completion of the purposes for which Government Technical Data has been provided, the offeror, and all subcontractors, vendors, and sub-vendors of the offeror, are required to destroy all documents, including all reproductions, duplications, or copies thereof as may have been further distributed.

(d) Destruction of this technical data shall be accomplished by: shredding, pulping, burning, or melting any 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.

A.5. ARMY CONTRACTING COMMAND DETROIT ARSENAL (DTA) OMBUDSPERSON

Information regarding the Ombudsperson for this contract is located at the following website:

"http://acc.army.mil/contractingcenters/acc-wrn/CompMgmtOffice.html "___________________________________________________________________________

*** END OF NARRATIVE A0002 ***

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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

The numbering system for the four digit item numbers

(CLINs) is as follows:

For the Production CLIN's, the first three digits signify the item and fourth digit signifies the applicable ordering year, i.e., CLIN 0011 is for the first item and first ordering year, CLIN 0012 is for the first item and second ordering year, CLIN 0021 is for the second item and the first ordering year, CLIN

0022 is for the second item and second ordering year, etc.

For the First Article Test (FAT)/First Article Test

Report (FATR) CLIN's, the first three digits will signify the item and the fourth digit will always be a six, i.e., CLIN 0016 is the FAT/FATR for the first item, CLIN 0026 is the FAT/FATR for the second item, CLIN 0036 is FAT/FATR for the third item, etc.

The following definitions apply to the entire solicitation and resulting contract:

FIRST ORDERING YEAR of the contract is the date of award plus 364 days.

SECOND ORDERING YEAR of the contract is 365 days through 729 days after contract award.

THIRD ORDERING YEAR of the contract is 730 days through 1,094 days after contract award.

FOURTH ORDERING YEAR of the contract is 1,095 days through 1,459 days after contract award.

FIFTH ORDERING YEAR of the contract is 1,460 days through 1,824 days after contract award.

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 the ordering year.

MAXIMUM CONTRACT VALUE: The maximum contract value over a five year period is $298,809,296 across all contracts awarded from this RFP.

MINIMUM GUARANTEED CONTRACT DOLLAR VALUE: Only the minimum guaranteed contract dollar value is guaranteed to be ordered over the five year contract period.

If one award is made, the minimum guaranteed contract value for the contrat will be $2,983,278.

If two awards are made, the minimum guaranteed contract value for each contract will be $1,491,639.

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(End of narrative A001)

0011 ORDERING YEAR ONE - M13 PARTICULATE FILTER EST 100 EA $ $ __________________________________________ ______________ __________________

NSN: 4240-00-368-6291

COMMODITY NAME: M13 PARTICULATE FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-853

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20190856

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0012 ORDERING YEAR TWO - M13 PARTICULATE FILTER EST 100 EA $ $ __________________________________________ ______________ __________________

NSN: 4240-00-368-6291

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

COMMODITY NAME: M13 PARTICULATE FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-853

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20190856

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0013 ORDERING YEAR THREE - M13 PARTICULATE FILTER EST 100 EA $ $ ____________________________________________ ______________ __________________

NSN: 4240-00-368-6291

COMMODITY NAME: M13 PARTICULATE FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-853

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20190856

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0014 ORDERING YEAR FOUR - M13 PARTICULATE FILTER EST 100 EA $ $ ___________________________________________ ______________ __________________

NSN: 4240-00-368-6291

COMMODITY NAME: M13 PARTICULATE FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-853

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20190856

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

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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: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0015 ORDERING YEAR FIVE - M13 PARTICULATE FILTER EST 100 EA $ $ ___________________________________________ ______________ __________________

NSN: 4240-00-368-6291

COMMODITY NAME: M13 PARTICULATE FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-853

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20190856

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

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MOD/AMD

0016 FIRST ARTICLE TEST & REPORT - M13 PARTICULATE _____________________________________________

FILTER $ ______ __________________

SERVICE REQUESTED: FATR - M13 PARTICULATE FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

FIRST ARTICLE TEST REPORT, PURSUANT TO THE

REQUIREMENTS OF FAR CLAUSE 52.209-3, FIRST ARTICLE

APPROVAL - CONTRACTOR TESTING(SEE SECTION I).

The First Article Test Report (FATR) is due 270 days after award.

FATR approval/disapproval will be determined by the

Contracting Officer, who will be identified at time of award.

First Article testing is broken into four separate parts as identified on Attachment 0001, Pricing

Workbook, CLINs 0016AA-0016AE. The offeror shall provide a price for each part of the testing per ordering year on Attachment 0001. The sum of the parts shall equal the total FAT price of the item for that particular ordering year.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0021 ORDERING YEAR ONE - M19 PARTICULATE FILTER EST 100 EA $ $ __________________________________________ ______________ __________________

NSN: 4240-00-866-1825

COMMODITY NAME: M19 PARTICULATE FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-1175

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191010

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0022 ORDERING YEAR TWO - M19 PARTICULATE FILTER EST 100 EA $ $ __________________________________________ ______________ __________________

NSN: 4240-00-866-1825

COMMODITY NAME: M19 PARTICULATE FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-1175

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191010

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

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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 _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0023 ORDERING YEAR THREE - M19 PARTICULATE FILTER EST 100 EA $ $ ____________________________________________ ______________ __________________

NSN: 4240-00-866-1825

COMMODITY NAME: M19 PARTICULATE FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-1175

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191010

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

RICHMOND,KY,40475-5070

0024 ORDERING YEAR FOUR - M19 PARTICULATE FILTER EST 100 EA $ $ ___________________________________________ ______________ __________________

NSN: 4240-00-866-1825

COMMODITY NAME: M19 PARTICULATE FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-1175

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191010

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0025 ORDERING YEAR FIVE - M19 PARTICULATE FILTER EST 100 EA $ $ ___________________________________________ ______________ __________________

NSN: 4240-00-866-1825

COMMODITY NAME: M19 PARTICULATE FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-1175

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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

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191010

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0026 FIRST ARTICLE TEST & REPORT - M19 PARTICULATE _____________________________________________

FILTER $ ______ __________________

SERVICE REQUESTED: FATR - M19 PARTICULATE FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

FIRST ARTICLE TEST REPORT, PURSUANT TO THE

REQUIREMENTS OF FAR CLAUSE 52.209-3, FIRST ARTICLE

APPROVAL - CONTRACTOR TESTING(SEE SECTION I).

The First Article Test Report (FATR) is due 180 days after award.

FATR approval/disapproval will be determined by the

Contracting Officer, who will be identified at time of award.

First Article testing is broken into four separate parts as identified on Attachment 0001, Pricing

14 173

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Workbook, CLINs 0026AA-0026AE. The offeror shall provide a price for each part of the testing per ordering year on Attachment 0001. The sum of the parts shall equal the total FAT price of the item for that particular ordering year.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0031 ORDERING YEAR ONE - M18A1 GAS FILTER EST 350 BX $ $ ____________________________________ ______________ __________________

NSN: 4240-01-365-0982

COMMODITY NAME: M18A1 GAS FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-2300

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

EACH BOX CONTAINS TWO FILTERS.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20180230

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 002

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

15 173

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:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0032 ORDERING YEAR TWO - M18A1 GAS FILTER EST 350 BX $ $ ____________________________________ ______________ __________________

NSN: 4240-01-365-0982

COMMODITY NAME: M18A1 GAS FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-2300

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

EACH BOX CONTAINS TWO FILTERS.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20180230

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 002

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0033 ORDERING YEAR THREE - M18A1 GAS FILTER EST 350 BX $ $ ______________________________________ ______________ __________________

16 173

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

NSN: 4240-01-365-0982

COMMODITY NAME: M18A1 GAS FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-2300

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

EACH BOX CONTAINS TWO FILTERS.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20180230

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 002

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0034 ORDERING YEAR FOUR - M18A1 GAS FILTER EST 350 BX $ $ _____________________________________ ______________ __________________

NSN: 4240-01-365-0982

COMMODITY NAME: M18A1 GAS FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-2300

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

17 173

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

EACH BOX CONTAINS TWO FILTERS.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20180230

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 002

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0035 ORDERING YEAR FIVE - M18A1 GAS FILTER EST 350 BX $ $ _____________________________________ ______________ __________________

NSN: 4240-01-365-0982

COMMODITY NAME: M18A1 GAS FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-2300

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

EACH BOX CONTAINS TWO FILTERS.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20180230

18 173

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 002

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0036 FIRST ARTICLE TEST & REPORT - M18A1 GAS FILTER $ ______________________________________________ __________________

SERVICE REQUESTED: FATR - M18A1 GAS FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

FIRST ARTICLE TEST REPORT, PURSUANT TO THE

REQUIREMENTS OF FAR CLAUSE 52.209-3, FIRST ARTICLE

APPROVAL - CONTRACTOR TESTING(SEE SECTION I).

The First Article Test Report (FATR) is due 270 days after award.

FATR approval/disapproval will be determined by the

Contracting Officer, who will be identified at time of award.

First Article testing is broken into three separate parts as identified on Attachment 0001, Pricing

Workbook, CLINs 0036AA-0036AE. The offeror shall provide a price for each part of the testing per ordering year on Attachment 0001. The sum of the parts shall equal the total FAT price of the item for that particular ordering year.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

19 173

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Deliveries or Performance _________________________

0041 ORDERING YEAR ONE - M14 GAS PARTICULATE FILTER ______________________________________________

UNIT (GPFU) EST 125 EA $ $ ___________ ______________ __________________

NSN: 4240-00-010-5267

COMMODITY NAME: M14 GPFU

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-1828

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20200144

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0042 ORDERING YEAR TWO - M14 GAS PARTICULATE FILTER ______________________________________________

UNIT (GPFU) EST 125 EA $ $ ___________ ______________ __________________

NSN: 4240-00-010-5267

COMMODITY NAME: M14 GPFU

CLIN CONTRACT TYPE:

20 173

Page of

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

Mfr CAGE: 81361

Mfr Part Number: 5-19-1828

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20200144

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0043 ORDERING YEAR THREE - M14 GAS PARTICULATE FILTER ________________________________________________

UNIT (GPFU) EST 125 EA $ $ ___________ ______________ __________________

NSN: 4240-00-010-5267

COMMODITY NAME: M14 GPFU

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-1828

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

21 173

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20200144

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0044 ORDERING YEAR FOUR - M14 GAS PARTICULATE FILTER _______________________________________________

UNIT (GPFU) EST 125 EA $ $ ___________ ______________ __________________

NSN: 4240-00-010-5267

COMMODITY NAME: M14 GPFU

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-1828

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20200144

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

22 173

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: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0045 ORDERING YEAR FIVE - M14 GAS PARTICULATE FILTER _______________________________________________

UNIT (GPFU) EST 125 EA $ $ ___________ ______________ __________________

NSN: 4240-00-010-5267

COMMODITY NAME: M14 GPFU

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-1828

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20200144

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

23 173

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0046 FIRST ARTICLE TEST & REPORT - M14 GPFU $ ______________________________________ __________________

SERVICE REQUESTED: FATR - M14 GPFU

CLIN CONTRACT TYPE:

Firm Fixed Price

FIRST ARTICLE TEST REPORT, PURSUANT TO THE

REQUIREMENTS OF FAR CLAUSE 52.209-3, FIRST ARTICLE

APPROVAL - CONTRACTOR TESTING(SEE SECTION I).

The First Article Test Report (FATR) is due 510 days after award.

FATR approval/disapproval will be determined by the

Contracting Officer, who will be identified at time of award.

First Article testing is broken into five separate parts as identified on Attachment 0001, Pricing

Workbook, CLINs 0046AA-0046AE. The offeror shall provide a price for each part of the testing per ordering year on Attachment 0001. The sum of the parts shall equal the total FAT price of the item for that particular ordering year.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0051 ORDERING YEAR ONE - M13A1 GAS PARTICULATE FILTER ________________________________________________

UNIT (GPFU) EST 1654 EA $ $ ___________ ______________ __________________

NSN: 4240-00-964-9061

COMMODITY NAME: M13A1 GPFU

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-3051

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

24 173

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 B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191359

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0052 ORDERING YEAR TWO - M13A1 GAS PARTICULATE FILTER ________________________________________________

UNIT (GPFU) EST 37 EA $ $ ___________ ______________ __________________

NSN: 4240-00-964-9061

COMMODITY NAME: M13A1 GPFU

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-3051

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191359

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

25 173

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 PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0053 ORDERING YEAR THREE - M13A1 GPFU EST 37 EA $ $ ________________________________ ______________ __________________

NSN: 4240-00-964-9061

COMMODITY NAME: M13A1 GPFU

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-3051

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191359

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

26 173

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0054 ORDERING YEAR FOUR - M13A1 GPFU EST 37 EA $ $ _______________________________ ______________ __________________

NSN: 4240-00-964-9061

COMMODITY NAME: M13A1 GPFU

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-3051

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191359

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0055 ORDERING YEAR FIVE - M13A1 GPFU EST 37 EA $ $ _______________________________ ______________ __________________

NSN: 4240-00-964-9061

COMMODITY NAME: M13A1 GPFU

CLIN CONTRACT TYPE:

Firm Fixed Price

27 173

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Mfr CAGE: 81361

Mfr Part Number: 5-19-3051

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191359

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0056 FIRST ARTICLE TEST & REPORT - M13A1 GPFU $ ________________________________________ __________________

SERVICE REQUESTED: FATR - M13A1 GPFU

CLIN CONTRACT TYPE:

Firm Fixed Price

FIRST ARTICLE TEST REPORT, PURSUANT TO THE

REQUIREMENTS OF FAR CLAUSE 52.209-3, FIRST ARTICLE

APPROVAL - CONTRACTOR TESTING(SEE SECTION I).

The First Article Test Report (FATR) is due 450 days after award.

FATR approval/disapproval will be determined by the

Contracting Officer, who will be identified at time of award.

First Article testing is broken into seven separate

28 173

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

parts as identified on Attachment 0001, Pricing

Workbook, CLINs 0056AA-0056AE. The offeror shall provide a price for each part of the testing per ordering year on Attachment 0001. The sum of the parts shall equal the total FAT price of the item for that particular ordering year.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0061 ORDERING YEAR ONE - M12A2 GAS FILTER EST 50 EA $ $ ____________________________________ ______________ __________________

NSN: 4240-01-365-0981

COMMODITY NAME: M12A2 GAS FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-2295

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191365

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

29 173

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0062 ORDERING YEAR TWO - M12A2 GAS FILTER EST 50 EA $ $ ____________________________________ ______________ __________________

NSN: 4240-01-365-0981

COMMODITY NAME: M12A2 GAS FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-2295

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191365

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0063 ORDERING YEAR THREE - M12A2 GAS FILTER EST 50 EA $ $ ______________________________________ ______________ __________________

NSN: 4240-01-365-0981

COMMODITY NAME: M12A2 GAS FILTER

CLIN CONTRACT TYPE:

30 173

Page of

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

Mfr CAGE: 81361

Mfr Part Number: 5-19-2295

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191365

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

0064 ORDERING YEAR FOUR - M12A2 GAS FILTER EST 50 EA $ $ _____________________________________ ______________ __________________

NSN: 4240-01-365-0981

COMMODITY NAME: M12A2 GAS FILTER

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 81361

Mfr Part Number: 5-19-2295

Refer to Attachment 0001 (Pricing Workbook) for pricing years 1 - 5.

(End of narrative B001)

31 173

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDPL 20191365

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0003 - PACKAGING REQUIREMENTS

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin