RFP0231.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

SCD PAS ADP PT

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)

W58RGZ-12-R-0231

X

2012NOV06

2012DEC2804:30pm

DOA1

2012NOV06 SEE SCHEDULE

W58RGZ

ARMY CONTRACTING COMMAND-REDSTONE

REDSTONE ARSENAL AL 35898-5280

GEORGE OBIYOR

(256)955-9282

CCAM-AL-M

GEORGE.OBIYOR@US.ARMY.MIL

X 1 25

NONE

1 67

X 1

X 4 X 30

X 32 X 36

X 45

X 47

X 48

X 59

X 60

X 62

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION A - SUPPLEMENTAL INFORMATION

This requirement is restricted to:__________________________________

ENVIRO SYSTEMS, INC CAGE CODE: OB9E8._____________________________________

THE PURPOSE OF THIS ACQUISITION IS TO AWARD A FIRM FIXED PRICE FIVE YEAR INDEFINITE DELIVERY INDEFINITE QUANTITY (IDIQ) CONTRACT FOR THE

OVERHAUL OF THE FOLLOWING ITEMS:

NOUN: AIR COOLER UNIT- QUANTITY MINIMUM 5 EACH,MAXIMUM 120 EACH (INCLUDES 20 EACH FMS QUANTITY)

NOUN: REFRIGERANT HEAT INTERCHANGER - QUANTITY MINIMUM 5 EACH, MAXIMUM 120 EACH (INCLUDES 20 EACH FMS)

NOUN: ELECTRICAL PALLET ASSEMBLY- QUANTITY MINIMUM 5 EACH, MAXIMUM 120 EACH(INCLUDES 20 EACH FMS)

SYSTEM: UH-60

Subject to the availability of funds, any quantities ordered will be priced at the unit price established for the ordering period in which they are ordered. Funds shall be obligated by issuance of Delivery Orders and not by the contract itself.

Shipping instruction will be provided in each individual Delivery Order.

The yearly estimated quantities listed herin do NOT commit the Government to ordering that or any quantity above the minimum quantity. ___

The minimum quantity set forth herein shall be obligated on Delivery Order 0001, to be issued simultaneously with the award of the contract. Any additional quantities ordered will be priced at the firm fixed price in effect during the ordering period in which they are ordered.

All ordering periods are in increments of 12 months from the date of award.

ORDERING PERIODS:_________________

The first ordering period is from date of contract award through 365 days after contract award.

The second ordering period is from 366 days after contract award through 730 days after contract award.

The third ordering period is from 731 days after contract award through 1095 days after contract award.

The fourth ordering period is from 1096 days after contract award through 1460 days after contract award.

The fifth ordering period is from 1461 days after contract award through 1825 days after contract award.

Estimated ordering period/yearly quantities:

Please insert your firm fixed unit price for the 1st, 2nd, 3rd, 4th, and 5th year in the spaces provided under each CLIN/SUBCLIN.

Two (2) receipted copies of DD Form 1348-1A of all shipments of reparable items received shall be mailed directly to: COMMANDER, US ARMY

AVIATION AND MISSILE COMMAND, REDSTONE ARSENAL, AL 35898-5000, one (1) copy sent ATTN: AMSAM-AC-LS and one (1) copy sent ATTN: AMSAM-

MMCLS-MDC, within ten (10) working days after receipt. The DD Form 1348-1A will be stamped diagonally across the center REPARABLE in bold letters, verifying data therein and annotating to which contract / delivery order assets will be applied.

When applicable, the contractor is reminded to complete the Foreign Military Sales (FMS) customer DA Form 2410 (Component Removal and

Repair Overhaul Record), submitted with the item for repair, in accordance with DA Pamphlet 738-751 and TB-1500-341-01. Upon completion of repair, if authorized, the contractor is reminded to fill out DA Form 2410 and return it to the FMS customer with the repaired asset(s), along with the FMS customer version of the DA Form 2410.

The National Defense Authorization Act for fiscal year 1993, Public Law 102-484, Section 326, prohibits use of ODC in department of

Defense contract awarded on or after 01 June 1993, unless appropriate authority is granted.

2 67

REPRINT

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

The following websites are provided for the purpose of obtaining/reviewing various DA pamphlets and Army regulations and technical manuals/bulletins:

- https://www.logsa.army.mil/etms/online.htm __________________________________________

- http://www.usapa.army.mil/ __________________________

No Government Furnished Materials (GFM), other than the reparable asset and reusable containers, will be provided.

Electronic submission of proposals is NOT authorized. ___

Please see Attachment 0004 - Criteria for Adequate Contract Pricing Proposals.

*** END OF NARRATIVE A0001 ***

3 67

PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS

0001 M&O PLAN

0001AA M&O PLAN $ _________ __________________

THIS CLIN REPRESENTS THE EFFORT FOR THE M&O PLAN FOR

THE AIR COOLER UNIT (4130-01-597-1317) IAW PARA P OF

CLAUSE 52.211-4003 STATEMENT OF WORK.

THE M&O PLAN SHALL BE SUBMITTED TO THIS OFFICE WITHIN

30 DAYS AFTER CONTRACT AWARD.

FOR ADDITIONAL INFORMATION AND A SAMPLE M&O PLAN,

PLEASE VISIT THE FOLLOWING LINK:

HTTP://AMCOMDMZ.REDSTONE.ARMY.MIL/CASL_CMO/CASLDBA.CAS______________________________________________________

L_CMO_SAMSAR; SELECT AMCOM MAINTENANCE AND OVERHAUL____________

(M&O) SAR THEN EXAMPLE M&O PLAN IN THE TABLE OF

CONTENTS.

M&O PLAN THE PLAN SHALL BE SUBMITTED TO THE ADDRESS

BELOW:

**NOTE** A COPY OF THE PLAN SHALL BE FORWARDED TO THE

CONTRACTING SPECIALIST AT THE ADDRESS BELOW.

ARMY CONTRACTING COMMAND - REDSTONE

CCAM-ALM, BLDG 5303,2ND FLOOR

ATT: GEORGE OBIYOR

REDSTONE ARSENAL, AL 35898-5000

PAYMENT INSTRUCTIONS: CONTRACTOR SHALL SUBMIT A____________________

PAYMENT REQUEST TO JEANIE CLARK, CONTRACTING OFFICER,

FOR THE M&O PLAN UNDER DODAAC W58H0Z. ALL OTHER

PAYMENT REQUESTS WILL BE APPROVED BY THE QAR.

THIS CLIN IS FIRM FIXED-PRICE

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

0001AB PRODUCT VERIFICATION AUDIT (PVA) $ ________________________________ __________________

4 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

CLIN 0001AB IS THE PRODUCT VERIFICATION AUDIT (PVA)

FOR CLINs 0001AC, 0001AD, 0001AE, 0001AF,0003AB, 0003AC,0003AD,0003AE, 0005AB,0005AC,0005AD AND

0005AE.

PVA SHALL BE IN ACCORDANCE WITH 52.209-4723 AND

SECTION E, PRODUCT VERIFICATION AUDIT (PVA) STATEMENT

OF WORK.

THIS CLIN IS FOR THE EFFORT REQUIRED FOR PERFORMANCE

OF THE PRODUCT VERIFICATION AUDIT (PVA).

PVA SHALL BE CONDUCTED WITHIN 90 DAYS AFTER RECEIPT

OF ASSETS. THE CONTRACTOR SHALL PREPARE THREE (3)

UNITS FROM EACH NOUN (AIR COOLER UNIT, REFRIGERANT

HEAT INTERCHANGER, ELECTRICAL PALLET ASSEMBLY)FOR

PVA. CONTRACTOR IS REQUIRED TO NOTIFY THE CONTRACT

SPECIALIST FOR SCHEDULING OF THE PVA. POC IS George

Obiyor,george.obiyor@us.army.mil. 256-955-9282.

PVA REPORT THE REPORT SHALL BE SUBMITTED TO THE

EMAIL ADDRESS BELOW:

QS-Contracts@amrdec.army.mil

**NOTE** A COPY OF THE COVER LETTER FOR THE REPORT

SHALL BE FORWARDED TO THE CONTRACT SPECIALIST AT THE

EMAIL ADDRESS BELOW:

george.obiyor@us.army.mil

THE IS A FIRM FIXED PRICE CLIN.

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

0001AC OVERHAUL - AIR COOLER UNIT (US) $ $ _______________________________ ______________ __________________

GENERIC NAME DESCRIPTION: AIR COOLER UNIT

SYSTEM: UH-60

Quantity: Min 5 each, Max 120 each(Includes

20 each FMS. Total quantity will be ulitilized in CLINs

0001AC,0001AD,0001AE,0001AF.

INPUT NSN: 4130-01-597-1317

INPUT P/N: 70A143-2

OUTPUT NSN: 4130-01-597-1317

OUTPUT P/N: 70A143-2

5 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

FUNDS FOR THE FIRST YEAR QUANTITY SET FORTH

HEREIN SHALL BE OBLIGATED ON DELIVERY ORDER

0001, TO BE ISSUED SIMULTANEOUSLY WITH THE

AWARD OF THE FIRM-FIXED PRICED CONTRACT.

Overhaul is to be performed in accordance with the clause in Section C entitled

Statement of Work/Contractor's

Specifications.

This firm fixed price CLIN includes all parts,labor charges, preservation, packaging, marking, packing materials, packing, data items, necessary to return the unit to a serviceable condition as stated in Section C, Statement of Work.

OFFEROR IS REQUIRED TO FILL IN PROPOSED FIRM

FIXED UNIT PRICE:

YEAR 1 U/P $___________ (FFP) Min Qty 3 ea

YEAR 2 U/P $_____________ (FFP) Est Qty 12 ea

YEAR 3 U/P $______________ (FFP)Est Qty 12 ea

YEAR 4 U/P $_____________ (FFP)Est Qty 15 ea

YEAR 5 U/P $______________ (FFP)Est Qty 20 ea

The minimum quantity listed on each input

CLIN is estimated. The minimum quantity could come from either input NSN, depending on assets available and shipped at time of contract award.

INDIVIDUAL DELIVERY ORDERS WILL BE ISSUED FOR

THIS CLIN.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL STD 2073

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: A

See Attachment 0001 for Packaging Requirements

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

6 67

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

0001AD OVERHAUL/UPGRADE - AIR COOLER UNIT (US) $ $ _______________________________________ ______________ __________________

GENERIC NAME DESCRIPTION: AIR COOLER UNIT

SYSTEM: UH-60

INPUT NSN: 4130-01-595-4678

INPUT P/N: 70A143-1

OUTPUT NSN: 4130-01-597-1317

OUTPUT P/N: 70A143-2

Overhaul/Upgrade is to be performed in accordance with the clause in Section C entitled Statement of Work/Contractor's

Specifications.

This firm fixed price CLIN includes all parts,labor charges, preservation, packaging, marking, packing materials, packing, data items, necessary to return the unit to a serviceable condition as stated in Section C, Statement of Work.

OFFEROR IS REQUIRED TO FILL IN PROPOSED UNIT

PRICE:

YEAR 1 U/P $___________ (FFP) Min Qty 2 ea

YEAR 2 U/P $_____________ (FFP) Est Qty 8 ea

YEAR 3 U/P $______________ (FFP)Est Qty 8 ea

YEAR 4 U/P $_____________ (FFP)Est Qty 10 ea

YEAR 5 U/P $______________ (FFP)Est Qty 10 ea

INDIVIDUAL DELIVERY ORDERS WILL BE ISSUED FOR

THIS CLIN.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

IAW MIL STD 2073

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: A

See Attachment 0001 for Packaging Requirements

7 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

FOB POINT: Origin

0001AE OVERHAUL/ -AIR COOLER UNIT (FMS) $ $ ________________________________ ______________ __________________

GENERIC NAME DESCRIPTION: AIR COOLER UNIT

SYSTEM: UH-60

INPUT NSN: 4130-01-597-1317

INPUT P/N: 70A143-2

OUTPUT NSN: 4130-01-597-1317

OUTPUT P/N: 70A143-2

OFFEROR IS REQUIRED TO FILL IN FIRM-FIXED

PROPOSED UNIT PRICE FOR ALL YEARS:

YEAR 1 U/P $__________ (FFP) Est Qty 1 EA

YEAR 2 U/P $__________ (FFP) Est Qty 2 EA

YEAR 3 U/P $_________ (FFP) Est Qty 2 EA __

YEAR 4 U/P $__________ (FFP) Est Qty 3 EA

YEAR 5 U/P $__________ (FFP) Est Qty 3 EA

This firm fixed price CLIN will be used only if an FMS customer requires this item. If no

FMS customers are identified, the units the

United States requirer may utilize the FMS quantities. The FMS customer and geographical locations for deliveries, inspection and acceptance points are unknown at this time.

Total FMS quantities (CLINs 0001AE and

0001AF)cannot exceed 20 each.

Overhaul is to be performed in accordance with the clause in Section C entitled

Statement of Work/Contractor's

Specifications.

This firm fixed price CLIN includes all parts,labor charges, preservation, packaging, marking, packing materials, packing, data items, necessary to return the unit to a serviceable condition as stated in Section C, Statement of Work.

8 67

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 C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL STD 2073

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

FOB POINT: Origin

0001AF OVERHAUL/UPGRADE - AIR COOLER UNIT (FMS) $ $ ________________________________________ ______________ __________________

GENERIC NAME DESCRIPTION: AIR COOLER UNIT

SYSTEM: UH-60

INPUT NSN: 4130-01-595-4678

INPUT P/N: 70A143-1

OUTPUT NSN: 4130-01-597-1317

OUTPUT P/N: 70A143-2

OFFEROR IS REQUIRED TO FILL IN FIRM-FIXED

PROPOSED UNIT PRICE FOR ALL YEARS:

YEAR 1 U/P $__________ (FFP) Est Qty 1 EA

YEAR 2 U/P $__________ (FFP) Est Qty 2 EA

YEAR 3 U/P $_________ (FFP) Est Qty 2 EA __

YEAR 4 U/P $__________ (FFP) Est Qty 2 EA

YEAR 5 U/P $__________ (FFP) Est Qty 2 EA

This firm fixed price CLIN will be used only if an FMS customer requires this item. If no

FMS customers are identified, the units the

United States requirer may utilize the FMS quantities. The FMS customer and geographical locations for deliveries, inspection and acceptance points are unknown at this time.

Overhaul/Upgrade is to be performed in accordance with the clause in Section C entitled Statement of Work/Contractor's

Specifications.

This firm fixed price CLIN includes all parts,labor charges, preservation, packaging, 9 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

marking, packing materials, packing, data items, necessary to return the unit to a serviceable condition as stated in Section C, Statement of Work.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

IAW MIL STD 2073

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

FOB POINT: Origin

0002 AIR COOLER UNIT

0002AA SCRAP $ ________________ __________________

GENERIC NAME DESCRIPTION: AIR COOLER UNIT

THIS CLIN APPLIES TO U.S. AND FMS ASSETS________________________________________

SECTION C - Description/Specifications/Work Statement_________

Scrap assets from CLIN 0001AC 0001AD, 0001AE and

0001AF shall be in accordance with Section C, Statement of Work/Specifications - Contractor's

Specifications.

Units determined to be scrap IAW Section C shall be reflected as an increase to CLIN 0002AA with a corresponding decrease in quantity and funds to CLIN

0001AC,0001AD, 0001AE and 0001AF as appropriate. In the event that the PCO determines that certain items are scrap, the contractor shall make disposition IAW the contractor's approved government property procedures. The government may at its own discretion reduce any item determined to be scrap by input of additional assets and said scarp quantities will not count as part of the total maximum quantity. Scrap requires authorization by the PCO via formal modification. In no event shall the contractor scarp an item prior to receiving a contractual modification for a unit.

10 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

OFFEROR IS REQUIRED TO FILL IN PROPOSED UNIT

PRICE:

Year 1 - $ ______________(FFP) Est Qty 1 ea

Year 2 - $ ______________(FFP) Est Qty 1 ea

Year 3 - $ ______________(FFP) Est Qty 1 ea

Year 4 - $ ______________(FFP) Est Qty 1 ea

Year 5 - $ ______________(FFP) Est Qty 1 ea

Estimated quantities are for evaluation purposes only.

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0002AB CONTRACTOR FURNISHED CONTAINERS $ _______________________________ __________________

GENERIC NAME DESCRIPTION: AIR COOLER UNIT

THIS IS A FIRM FIXED PRICE CLIN_______________________________

The proposed prices apply to U.S. and FMS Reusable

Containers.

OFFEROR IS REQUIRED TO FILL IN PROPOSED UNIT

PRICE:

Year 1 - $ ______________(FFP) Est Qty 1 ea

Year 2 - $ ______________(FFP) Est Qty 1 ea

Year 3 - $ ______________(FFP) Est Qty 1 ea

Year 4 - $ ______________(FFP) Est Qty 1 ea

Year 5 - $ ______________(FFP) Est Qty 1 ea

Estimated quantities are for evaluation purposes only.

The Contractor shall provide Containers, in accordance with Attachment 0001, Packaging

Requirement Instructions and Section C entitled, "Statement of Work/Specifications - Contractor

Specifications," and "Reusable Containers."

11 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

The Government cannot determine, at the time of contract award, how many of the assets to be repaired will be received by the Contractor in unservicable containers or received without containers. The

Contractor, IAW Section C, "Statement of

Work/Specifications - Contractor Specifications," shall submit a Report of Discrepancy (ROD), SF FORM

364, through their Government QAR for verification, within 7 working days to the address shown on Data

Item A001. Assets received in unserviceable containers or without a container, require the prior approval of the PCO to be purchased.

(End of narrative C001)

0002AC CONTRACT DATA REQUIREMENT LIST (CDRL) $ ** NSP ** $ ** NSP ** _____________________________________ ______________ __________________

THIS CLIN IS "NOT SEPARATELY PRICED" (NSP)__________________________________________

Pricing for Data shall be included in the unit price of CLINs 0001AC,0001AD, and 0001AE,0001AF.

The Contractor shall provide Data Items A001, A002, A003, A004 in accordance with Contract Data

Requirements List (CDRL) - See Attachment 0002.

FOB Point: Destination (applicable to Data Only)

The following Data Items are applicable to CLIN

0001AC,0001AD,0001AE.0001AF:

A001 - DI-MGMT-80503 Report of Shipping (Item) and

Packaging Discrepancy (AS REQUIRED)

A002 - DI-ALSS-80728A Depot Maintenance Production

Report (The first report is due 3 days after receipt of repairable irems.)

A003 - DI-QCIC-80736 -Quality Deficiency Report

(AS REQUIRED)

A004 - DI-MISC-80508B Technical Report-

Study/Services for SOW (ONE/R)

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

12 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0003 M&O PLAN

0003AA M&O PLAN $ _________ __________________

THIS CLIN REPRESENTS THE EFFORT FOR THE M&O PLAN FOR

THE REFRIGERANT HEAT INTERCHANGER (4130-01-597-1300)

IAW PARA P OF CLAUSE 52.211-4003 STATEMENT OF WORK.

THE M&O PLAN SHALL BE SUBMITTED TO THIS OFFICE WITHIN

30 DAYS AFTER CONTRACT AWARD.

FOR ADDITIONAL INFORMATION AND A SAMPLE M&O PLAN,

PLEASE VISIT THE FOLLOWING LINK:

HTTP://AMCOMDMZ.REDSTONE.ARMY.MIL/CASL_CMO/CASLDBA.CAS______________________________________________________

L_CMO_SAMSAR; SELECT AMCOM MAINTENANCE AND OVERHAUL____________

(M&O) SAR THEN EXAMPLE M&O PLAN IN THE TABLE OF

CONTENTS.

M&O PLAN THE PLAN SHALL BE SUBMITTED TO THE ADDRESS

BELOW:

**NOTE** A COPY OF THE PLAN SHALL BE FORWARDED TO THE

CONTRACTING SPECIALIST AT THE ADDRESS BELOW.

ARMY CONTRACTING COMMAND - REDSTONE

CCAM-ALM, BLDG 5303,2ND FLOOR

ATT: GEORGE OBIYOR

REDSTONE ARSENAL, AL 35898-5000

PAYMENT INSTRUCTIONS: CONTRACTOR SHALL SUBMIT A____________________

PAYMENT REQUEST TO JEANIE CLARK, CONTRACTING OFFICER,

FOR THE M&O PLAN UNDER DODAAC W58H0Z. ALL OTHER

PAYMENT REQUESTS WILL BE APPROVED BY THE QAR.

THIS CLIN IS FIRM FIXED-PRICE

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

0003AB OVERHAUL -REFRIGERANT HEAT INTERCHANGER (US) $ $ ____________________________________________ ______________ __________________

GENERIC NAME DESCRIPTION: REFRIGERANT HEAT INTERCHANGER

SYSTEM: UH-60

13 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Quantity: Min 5, Max 120 (includes 20 each

FMS)

Total Maximum applies to CLINs

0003AB,0003AC,0003AD,0003AE.

INPUT NSN: 4130-01-595-1300

INPUT P/N: 70A145-3

OUTPUT NSN: 4130-01-597-1300

OUTPUT P/N: 70A145-3

FUNDS FOR THE FIRST YEAR QUANTITY SET FORTH

HEREIN SHALL BE OBLIGATED ON DELIVERY ORDER

0001, TO BE ISSUED SIMULTANEOUSLY WITH THE

AWARD OF THE FIRM-FIXED PRICED CONTRACT.

Overhaul is to be performed in accordance with the clause in Section C entitled

Statement of Work/Contractor's

Specifications.

This firm fixed price CLIN includes all parts,labor charges, preservation, packaging, marking, packing materials, packing, data items, necessary to return the unit to a serviceable condition as stated in Section C, Statement of Work.

OFFEROR IS REQUIRED TO FILL IN PROPOSED UNIT

PRICE:

YEAR 1 U/P $___________ (FFP) Min Qty 3 ea

YEAR 2 U/P $_____________ (FFP) Est Qty 12 ea

YEAR 3 U/P $______________ (FFP)Est Qty 12 ea

YEAR 4 U/P $_____________ (FFP)Est Qty 15 ea

YEAR 5 U/P $______________ (FFP)Est Qty 20 ea

The minimum quantity listed on each input

CLIN is estimated. The minimum quantity could come from either input NSN, depending on assets available and shipped at time of contract award.

INDIVIDUAL DELIVERY ORDERS WILL BE ISSUED FOR

THIS CLIN.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

IAW MIL STD 2073

UNIT PACK: 001 INTERMEDIATE PACK: 000

14 67

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: A

See Attachment 0001 for Packaging Requirements

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

FOB POINT: Origin

0003AC OVERHAUL/UPGRADE - REFRIG. HEAT INTERCH.(US) $ $ ____________________________________________ ______________ __________________

GENERIC NAME DESCRIPTION: REFRIGERANT HEAT INTERCHANGER

SYSTEM: UH-60

INPUT NSN: 4130-01-595-4362

INPUT P/N: 70A145-2

OUTPUT NSN: 4130-01-597-1300

OUTPUT P/N: 70A145-3

Overhaul/Upgrade is to be performed in accordance with the clause in Section C entitled Statement of Work/Contractor's

Specifications.

This firm fixed price CLIN includes all parts,labor charges, preservation, packaging, marking, packing materials, packing, data items, necessary to return the unit to a serviceable condition as stated in Section C, Statement of Work.

OFFEROR IS REQUIRED TO FILL IN PROPOSED UNIT

PRICE:

YEAR 1 U/P $___________ (FFP) Min Qty 2 ea

YEAR 2 U/P $_____________ (FFP) Est Qty 8 ea

YEAR 3 U/P $______________ (FFP)Est Qty 8 ea

YEAR 4 U/P $_____________ (FFP)Est Qty 10 ea

YEAR 5 U/P $______________ (FFP)Est Qty 10 ea

INDIVIDUAL DELIVERY ORDERS WILL BE ISSUED FOR

THIS CLIN.

(End of narrative C001)

15 67

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:

IAW MIL STD 2073

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: A

See Attachment 0001 for Packaging Requirements

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

FOB POINT: Origin

0003AD OVERHAUL-REFRIG. HEAT INTERCHANG (FMS) $ $ ______________________________________ ______________ __________________

GENERIC NAME DESCRIPTION: REFRIGERANT HEAT INTERCHANGER

System: UH-60

INPUT NSN: 4130-01-597-1300

INPUT P/N: 70A145-3

OUTPUT NSN: 4130-01-597-1300

OUTPUT P/N: 70A145-3

The Overhaul shall be in accordance with the clause 52.211-4002, entitled "Statement of Work/Specifications - Contractor's

Specifications".

This FIRM FIXED PRICE (FFP) CLIN includes all ______________________ parts, labor charges, preservation, packaging, packing, marking, and data items necessary to return the unit to a servicable condition as stated in Section C, Statement of Work.

This CLIN will be used only if an FMS customer requires this item. If no FMS customers are identified, the United States Army requirer may utilize the FMS quantity. The estimated quantities are listed below. The FMS customer and geographical locations for deliveries, inspection and acceptance points are unknown at this time.

Total FMS quantities CLINs 0003AD,0003AE cannot exceed 20 each.

OFFEROR IS REQUIRED TO FILL IN PROPOSED UNIT

PRICE:

16 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Year 1 - $ ______________(FFP) Est Qty 2 ea

Year 2 - $ ______________(FFP) Est Qty 2 ea

Year 3 - $ ______________(FFP) Est Qty 2 ea

Year 4 - $ ______________(FFP) Est Qty 3 ea

Year 5 - $ ______________(FFP) Est Qty 3 ea

Individual delivery orders will be issued for this

CLIN.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL STD 2073-1

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

FOB POINT:

0003AE OVERHAUL/UPGRADE - REFRIG HEAT INTER (FMS) $ $ __________________________________________ ______________ __________________

GENERIC NAME DESCRIPTION: REFRIGERANT HEAT INTERCHANGE

SYSTEM: UH-60

INPUT NSN: 4130-01-595-4362

INPUT P/N: 70A145-2

OUTPUT NSN: 4130-01-597-1300

OUTPUT P/N: 70A145-3

OFFEROR IS REQUIRED TO FILL IN FIRM-FIXED

PROPOSED UNIT PRICE FOR ALL YEARS:

YEAR 1 U/P $__________ (FFP) Est Qty 1 EA

YEAR 2 U/P $__________ (FFP) Est Qty 1 EA

YEAR 3 U/P $_________ (FFP) Est Qty 2 EA __

YEAR 4 U/P $__________ (FFP) Est Qty 2 EA

YEAR 5 U/P $__________ (FFP) Est Qty 2 EA

This firm fixed price CLIN will be used only if an FMS customer requires this item. If no

17 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

FMS customers are identified, the units the

United States requirer may utilize the FMS quantities. The FMS customer and geographical locations for deliveries, inspection and acceptance points are unknown at this time.

Overhaul is to be performed in accordance with the clause in Section C entitled

Statement of Work/Contractor's

Specifications.

This firm fixed price CLIN includes all parts,labor charges, preservation, packaging, marking, packing materials, packing, data items, necessary to return the unit to a serviceable condition as stated in Section C, Statement of Work.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

70A145-3

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

FOB POINT: Origin

0004 SCRAP

0004AA SCRAP $ ______ __________________

THIS CLIN APPLIES TO U.S. AND FMS ASSETS________________________________________

SECTION C - Description/Specifications/Work Statement_________

Scrap assets from CLIN 0003AB 0003AC, 0003AD and

0003AE shall be in accordance with Section C, Statement of Work/Specifications - Contractor's

Specifications.

Units determined to be scrap IAW Section C shall be reflected as an increase to CLIN 0004AA with a corresponding decrease in quantity and funds to CLIN

0003AB,0003AC, 0003AD and 0003AE as appropriate. In

18 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

the event that the PCO determines that certain items are scrap, the contractor shall make disposition IAW the contractor's approved government property procedures. The government may at its own discretion reduce any item determined to be scrap by input of additional assets and said scarp quantities will not count as part of the total maximum quantity. Scrap requires authorization by the PCO via formal modification. In no event shall the contractor scarp an item prior to receiving a contractual modification for a unit.

OFFEROR IS REQUIRED TO FILL IN PROPOSED FIRM FIXED

UNIT PRICE:

Year 1 - $ ______________(FFP) Est Qty 1 ea

Year 2 - $ ______________(FFP) Est Qty 1 ea

Year 3 - $ ______________(FFP) Est Qty 1 ea

Year 4 - $ ______________(FFP) Est Qty 1 ea

Year 5 - $ ______________(FFP) Est Qty 1 ea

Estimated quantities are for evaluation purposes only.

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0004AB CONTRACTOR FURNISHED CONTAINERS $ _______________________________ __________________

THIS IS A FIRM FIXED PRICE CLIN_______________________________

The proposed prices apply to U.S. and FMS Reusable

Containers.

OFFEROR IS REQUIRED TO FILL IN PROPOSED UNIT

PRICE:

Year 1 - $ ______________(FFP) Est Qty 1 ea

Year 2 - $ ______________(FFP) Est Qty 1 ea

Year 3 - $ ______________(FFP) Est Qty 1 ea

Year 4 - $ ______________(FFP) Est Qty 1 ea

19 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Year 5 - $ ______________(FFP) Est Qty 1 ea

Estimated quantities are for evaluation purposes only.

The Contractor shall provide Containers, in accordance with Attachment 0001, Packaging

Requirement Instructions and Section C entitled, "Statement of Work/Specifications - Contractor

Specifications," and "Reusable Containers."

The Government cannot determine, at the time of contract award, how many of the assets to be repaired will be received by the Contractor in unservicable containers or received without containers. The

Contractor, IAW Section C, "Statement of

Work/Specifications - Contractor Specifications," shall submit a Report of Discrepancy (ROD), SF FORM

364, through their Government QAR for verification, within 7 working days to the address shown on Data

Item A001. Assets received in unserviceable containers or without a container, require the prior approval of the PCO to be purchased.

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0004AC CONTRACT DATA REQUIREMENT LIST (CDRL) $ ** NSP ** $ ** NSP ** _____________________________________ ______________ __________________

THIS CLIN IS "NOT SEPARATELY PRICED" (NSP)__________________________________________

Pricing for Data shall be included in the unit price of CLINs 0003AB,0003AC, and 0003AD,0003AE.

The Contractor shall provide Data Items A001, A002, A003, A004 in accordance with Contract Data

Requirements List (CDRL) - See Attachment 0002.

FOB Point: Destination (applicable to Data Only)

The following Data Items are applicable to CLINs

0003AB,0003AC,0003AD,0003AE:

A001 - DI-MGMT-80503 Report of Shipping (Item) and

Packaging Discrepancy (AS REQUIRED)

A002 - DI-ALSS-80728A Depot Maintenance Production

Report (The first report is due 30 days after receipt of repairable irems.)

A003 - DI-QCIC-80736 -Quality Deficiency Report

(AS REQUIRED)

20 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

A004 - DI-MISC-80508B Technical Report-

Study/Services for SOW (ONE/R)

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

0005 M&O PLAN

0005AA M&O PLAN $ _________ __________________

THIS CLIN REPRESENTS THE EFFORT FOR THE M&O PLAN FOR

THE ELECTRICAL PALLET ASSEMBLY (611-01-597-1482) IAW

PARA P OF CLAUSE 52.211-4003 STATEMENT OF WORK.

THE M&O PLAN SHALL BE SUBMITTED TO THIS OFFICE WITHIN

30 DAYS AFTER CONTRACT AWARD.

FOR ADDITIONAL INFORMATION AND A SAMPLE M&O PLAN,

PLEASE VISIT THE FOLLOWING LINK:

HTTP://AMCOMDMZ.REDSTONE.ARMY.MIL/CASL_CMO/CASLDBA.CAS______________________________________________________

L_CMO_SAMSAR; SELECT AMCOM MAINTENANCE AND OVERHAUL____________

(M&O) SAR THEN EXAMPLE M&O PLAN IN THE TABLE OF

CONTENTS.

M&O PLAN THE PLAN SHALL BE SUBMITTED TO THE ADDRESS

BELOW:

**NOTE** A COPY OF THE PLAN SHALL BE FORWARDED TO THE

CONTRACTING SPECIALIST AT THE ADDRESS BELOW.

ARMY CONTRACTING COMMAND - REDSTONE

CCAM-ALM, BLDG 5303,2ND FLOOR

ATT: GEORGE OBIYOR

REDSTONE ARSENAL, AL 35898-5000

PAYMENT INSTRUCTIONS: CONTRACTOR SHALL SUBMIT A____________________

PAYMENT REQUEST TO JEANIE CLARK, CONTRACTING OFFICER,

FOR THE M&O PLAN UNDER DODAAC W58H0Z. ALL OTHER

PAYMENT REQUESTS WILL BE APPROVED BY THE QAR.

THIS CLIN IS FIRM FIXED-PRICE

(End of narrative C001)

21 67

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

0005AB OVERHAUL - ELECT. PALLET ASSEMBLY (US) $ $ ______________________________________ ______________ __________________

GENERIC NAME DESCRIPTION: ELECTRICAL PALLET ASSEMBLY

SYSTEM: UH-60

Quantity: Min 5 each, Max 120 each (Includes

20 each FMS)

Total Quantity applies to CLINs

0005AB,0005AC,0005AD,0005AF

INPUT NSN: 6110-01-597-1482

INPUT P/N: 70A144-2

OUTPUT NSN: 6110-01-597-1482

OUTPUT P/N: 70A144-2

FUNDS FOR THE FIRST YEAR QUANTITY SET FORTH

HEREIN SHALL BE OBLIGATED ON DELIVERY ORDER

0001, TO BE ISSUED SIMULTANEOUSLY WITH THE

AWARD OF THE FIRM-FIXED PRICED CONTRACT.

OFFEROR IS REQUIRED TO FILL IN FIRM-FIXED

PROPOSED UNIT PRICE FOR ALL YEARS:

YEAR 1 $_______________ 3 EA Min.

YEAR 2 $_ _____ 12 EA Est. ______________

YEAR 3 $ _____ 12 EA Est. _____________

YEAR 4 $_________________ 15 EA Est.

YEAR 5 $______________ 20 EA Est.

The minimum quantity listed on each input

CLIN is estimated. The minimum quantity could come from either input NSN, depending on assets available and shipped at the time of contract award.

Overhaul is to be performed in accordance with the clause in Section C entitled

Statement of Work/Contractor's

Specifications.

This firm fixed price CLIN includes all parts,labor charges, preservation, packaging, marking, packing materials, packing, data items, necessary to return the unit to a serviceable condition as stated in Section C, Statement of Work.

22 67

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 C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

IAW MIL STD 2073

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: A

See Attachment 0001 for Packaging Requirements

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

FOB POINT: Origin

0005AC OVERHAUL/UPGRADE-ELECT PALLET ASSM. (US) $ $ ________________________________________ ______________ __________________

GENERIC NAME DESCRIPTION: ELECTRICAL PALLET ASSEMBLY

SYSTEM: UH-60

INPUT NSN: 6110-01-595-4242

INPUT P/N: 70A144-1

OUTPUT NSN: 6110-01-597-1482

OUTPUT P/N: 70A144-2

FUNDS FOR THE FIRST YEAR QUANTITY SET FORTH

HEREIN SHALL BE OBLIGATED ON DELIVERY ORDER

0001, TO BE ISSUED SIMULTANEOUSLY WITH THE

AWARD OF THE FIRM-FIXED PRICED CONTRACT.

OFFEROR IS REQUIRED TO FILL IN FIRM-FIXED

PROPOSED UNIT PRICE FOR ALL YEARS:

YEAR 1 $_______________ 2 EA Min

YEAR 2 $_ _____ 8 EA Est. ______________

YEAR 3 $ _____ 8 EA Est. ______________

YEAR 4 $_________________ 10 EA Est.

YEAR 5 $______________ 10 EA Est.

Overhaul is to be performed in accordance with the clause in Section C entitled

Statement of Work/Contractor's

23 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Specifications.

This firm fixed price CLIN includes all parts,labor charges, preservation, packaging, marking, packing materials, packing, data items, necessary to return the unit to a serviceable condition as stated in Section C, Statement of Work.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

IAW MIL STD 2073

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

FOB POINT: Origin

0005AD OVERHAUL- ELECTRICAL PALLET ASSEMBLY (FMS) $ $ __________________________________________ ______________ __________________

GENERIC NAME DESCRIPTION: ELECTRICAL PALLET ASSEMBLY

System: UH-60

INPUT NSN: 6110-01-597-1482

INPUT P/N: 70A144-2

OUTPUT NSN: 6110-01-597-1482

OUTPUT P/N: 70A144-2

The Overhaul shall be in accordance with the clause 52.211-4002, entitled "Statement of Work/Specifications - Contractor's

Specifications".

This FIRM FIXED PRICE (FFP) CLIN includes all ______________________ parts, labor charges, preservation, packaging, packing, marking, and data items necessary to return the unit to a servicable condition as stated in Section C, Statement of Work.

This CLIN will be used only if an FMS customer requires this item. If no FMS customers are identified, the United States Army requirer may utilize the FMS quantity. The estimated quantities are listed below. The FMS customer and geographical locations for deliveries, inspection and acceptance points are unknown at this time.

24 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Total FMS quantities cannot exceed 20 each.

OFFEROR IS REQUIRED TO FILL IN PROPOSED UNIT

PRICE:

Year 1 - $ ______________(FFP) Est Qty 2 ea

Year 2 - $ ______________(FFP) Est Qty 2 ea

Year 3 - $ ______________(FFP) Est Qty 2 ea

Year 4 - $ ______________(FFP) Est Qty 3 ea

Year 5 - $ ______________(FFP) Est Qty 3 ea

Individual delivery orders will be issued for this

CLIN.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

IAW MIL STD 2073

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

FOB POINT: Origin

0005AE OVERHAUL/UPGRADE -ELECT PALLET ASSM (FMS) $ $ _________________________________________ ______________ __________________

GENERIC NAME DESCRIPTION: ELECTRICAL PALLET ASSEMBLY

SYSTEM: UH-60

INPUT NSN: 6110-01-595-4242

INPUT P/N: 70A144-1

OUTPUT NSN: 6110-01-597-1482

OUTPUT P/N: 70A144-2

OFFEROR IS REQUIRED TO FILL IN FIRM-FIXED

PROPOSED UNIT PRICE FOR ALL YEARS:

YEAR 1 U/P $__________ (FFP) Est Qty 1 EA

YEAR 2 U/P $__________ (FFP) Est Qty 1 EA

YEAR 3 U/P $_________ (FFP) Est Qty 2 EA __

25 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

YEAR 4 U/P $__________ (FFP) Est Qty 2 EA

YEAR 5 U/P $__________ (FFP) Est Qty 2 EA

This firm fixed price CLIN will be used only if an FMS customer requires this item. If no

FMS customers are identified, the units the

United States requirer may utilize the FMS quantities. The FMS customer and geographical locations for deliveries, inspection and acceptance points are unknown at this time.

Overhaul/Upgrade is to be performed in accordance with the clause in Section C entitled Statement of Work/Contractor's

Specifications.

This firm fixed price CLIN includes all parts,labor charges, preservation, packaging, marking, packing materials, packing, data items, necessary to return the unit to a serviceable condition as stated in Section C, Statement of Work.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

IAW MIL STD 2073

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

FOB POINT: Origin

0006 ELECTRICAL PALLET ASSEMBLY

0006AA SCRAP $ ___________________________ __________________

GENERIC NAME DESCRIPTION: ELECTRICAL PALLET ASSEMBLY

THIS CLIN APPLIES TO U.S. AND FMS ASSETS________________________________________

SECTION C - Description/Specifications/Work Statement_________

Scrap assets from CLINs 0005AB,0005AC,0005AD and

0005AE shall be in accordance with Section C, 26 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Statement of Work/Specifications - Contractor's

Specifications.

Units deemed to be scrap IAW Section C shall be reflected as an increase to CLIN 0006AA with a corresponding decrease in quantity and funds to CLIN

0005AB,0005AB, 0005AD and 0005AE as appropriate.

Units deemed to be scrap requires authorization by the PCO via formal modification. In no event shall the contractor scrap an item prior to receiving a contractual modification for a unit.

OFFEROR IS REQUIRED TO FILL IN PROPOSED FIRM FIXED

UNIT PRICE:

Year 1 - $ ______________(FFP) Est Qty 1 ea

Year 2 - $ ______________(FFP) Est Qty 1 ea

Year 3 - $ ______________(FFP) Est Qty 1 ea

Year 4 - $ ______________(FFP) Est Qty 1 ea

Year 5 - $ ______________(FFP) Est Qty 1 ea

Estimated quantities are for evaluation purposes only.

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0006AB CONTRACTOR FURNISHED CONTAINER $ ______________________________ __________________

GENERIC NAME DESCRIPTION: ELECTRICAL PALLET ASSEMBLY

THIS IS A FIRM FIXED PRICE CLIN_______________________________

The proposed prices apply to U.S. and FMS Reusable

Containers.

OFFEROR IS REQUIRED TO FILL IN PROPOSED FIRM FIXED

UNIT PRICE:

Year 1 - $ ______________(FFP) Est Qty 1 ea

Year 2 - $ ______________(FFP) Est Qty 1 ea

Year 3 - $ ______________(FFP) Est Qty 1 ea

27 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Year 4 - $ ______________(FFP) Est Qty 1 ea

Year 5 - $ ______________(FFP) Est Qty 1 ea

Estimated quantities are for evaluation purposes only.

The Contractor shall provide Containers, in accordance with Attachment 0001, Packaging

Requirement Instructions and Section C entitled, "Statement of Work/Specifications - Contractor

Specifications," and "Reusable Containers."

The Government cannot determine, at the time of contract award, how many of the assets to be repaired will be received by the Contractor in unservicable containers or received without containers. The

Contractor, IAW Section C, "Statement of

Work/Specifications - Contractor Specifications," shall submit a Report of Discrepancy (ROD), SF FORM

364, through their Government QAR for verification, within 7 working days to the address shown on Data

Item A001. Assets received in unserviceable containers or without a container, require the prior approval of the PCO to be purchased.

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0006AC CONTRACT DATA REQUIREMENT LIST (CDRL) $ ** NSP ** $ ** NSP ** _____________________________________ ______________ __________________

THIS CLIN IS "NOT SEPARATELY PRICED" (NSP)__________________________________________

Pricing for Data shall be included in the unit price of CLINs 0005AB, 0005AC, 0005AD and 0005AE.

The Contractor shall provide Data Items A001, A002, A003, A004 in accordance with Contract Data

Requirements List (CDRL) - See Attachment 0002.

FOB Point: Destination (applicable to Data Only)

The following Data Items are applicable to CLIN

0005AB,0005AC,0005AD and 0005AE:

A001 - DI-MGMT-80503 Report of Shipping (Item) and

Packaging Discrepancy (AS REQUIRED)

A002 - DI-ALSS-80728A Depot Maintenance Production

Report (The first report is due 3 days after receipt of repairable irems.)

28 67

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

A003 - DI-QCIC-80736 -Quality Deficiency Report

(AS REQUIRED)

A004 - DI-MISC-80508B Technical Report-

Study/Services for SOW (ONE/R)

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

29 67

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION C - DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

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

C-1 52.211-4003 STATEMENT OF WORK/SPECIFICATIONS - CONTRACTOR SPECIFICATIONS JUL/2001

(USAAMCOM)

a. The Contractor, as an independent Contractor, and not as an agent or employee of the Government, shall furnish all services, facilities, labor, parts, materials, equipment, tools and data, necessary to accomplish the inspection and overhaul required to return the items as specified in Section B, to condition code A as defined by Army Regulation 725-50. The input/output configuration shall be as defined in Section B herein. Upon completion of the overhaul, as applicable, the items shall be packaged as defined in Section D of this contract and shipped to the destination(s) specified in Section F of each order.

b. Prior to commencement of overhaul/Upgrade, the Contractor shall disassemble and inspect the item to the extent necessary to determine the complete cost to overhaul. The contractor shall continue the overhaul process on all end items when the total cost to overhaul does not exceed $53,955.20 for the Air Cooler Unit, $29,157.60 for the Refrigerant Heat Interchange and $27,808.16 for the

Electrical Pallet Assembly. The overhaul shown in the overhaul and overhaul/upgrade (US and FMS)CLINs are firm fixed prices The contractor will be required to complete the overhaul on all end items regardless of the damage as long as the the total contractor cost to overhaul does not exceed the sum of $53,955.20 for the Air Cooler Unit, $29,157.60 for the Refrigerant Heat Interchange and

$27,808.16 for the Electrical Pallet Assembly. The contractor will be required to provide data other than certified cost or pricing data and a report of discrepancy signed by the QAR to the Procuring Contracting Officer (PCO) to confirm that the total cost to overhaul will excedd $52,955.20 for the Air Cooler Unit, $29,157.60 for the Refrigerant Heat Interchange and $27,808.16 for the Electrical Pallet

Assembly. The data will include at minimum material cost (80% of material cost will be supported by current vendor quotes) labor hours, labor rates, overhead, G&A, and profit rate. More information to support the contractor's price may be required by the Government. In no event will any asset be scrapped,prior to an approved modification by the Contracting Officer.