W58RGZ15R0274.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. Requisition Number Page Of

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

7. For Solicitation Information Call:

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

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

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

Hubzone Small Business EDWOSB

Service-Disabled Veteran-Owned Small Business NAICS:

Email: 8(A) Size Standard:

11. Delivery For FOB Destination Unless Block Is Marked

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

See Schedule 14. Method Of Solicitation RFQ IFB RFP

15. Deliver To Code 16. Administered By Code

Telephone No.

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

Telephone No.

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

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

19.

Item No.

20.

Schedule Of Supplies/Services

21.

Quantity

22.

Unit

23.

Unit Price

24.

Amount

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

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

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

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

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

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

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

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

Authorized For Local Reproduction Previous Edition Is Not Usable

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

W58RGZ-15-R-0274 2016JUN28

CAROLINE ETHRIDGE (256)955-9230

CAROLINE.E.ETHRIDGE.CIV@MAIL.MIL

2016JUL28 03:00pm

W58RGZ

ARMY CONTRACTING COMMAND-REDSTONE

REDSTONE ARSENAL AL 35898-5280

334419

X

X DOA1

X

SEE SCHEDULE

SEE SCHEDULE

X X

X 1

1 74

19.

Item No.

20.

Schedule Of Supplies/Services

21.

Quantity

22.

Unit

23.

Unit Price

24.

Amount

32a. Quantity In Column 21 Has Been

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

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

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

32g. E-Mail of Authorized Government Representative

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

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

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

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

Standard Form 1449 (Rev. 2/2012) Back

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: CAROLINE ETHRIDGE

Buyer Office Symbol/Telephone Number: CCAM-AL-M/(256)955-9230

Type of Contract 1: Firm Fixed Price

Kind of Contract: Maintenance Contracts

*** End of Narrative A0000 ***

THIS REQUIREMENT IS RESTRICTED TO:

ROCKWELL COLLINS(CAGE 13499)

THIS WILL BE A 5 YEAR FIRM-FIXED PRICE INDEFINITE DELIVERY INDEFINITE QUANTITY (IDIQ) CONTRACT PURSUANT TO FAR 52.216-22.

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 INSTRUCTIONS WILL BE PROVIDED IN EACH INDIVIDUAL DELIVERY ORDER.

THE YEARLY ESTIMATED QUANTITIES LISTED HEREIN DO NOT COMMIT THE GOVERNMENT TO ORDERING THAT OR ANY QUANTITY ABOVE THE MINIMUM QUANTITY.

SYSTEM: CH-47

NOUN:Multi-Function Display

INPUT NSN: 1260-01-544-9822

INPUT P/N: 822-1796-001

OUTPUT NSN: 1260-01-544-9822

OUTPUT PN P/N:822-1796-001

MINIMUM QUANTITY: 40

MAXIMUM QUANTITY: 960

THE MAXIMUM QUANTITY INCLUDES 160 EACH RESERVED FOR FOREIGN MILITARY SALES (FMS). HOWEVER, IF NO FMS CUSTOMERS REQUIRE THIS ITEM, THE

UNITED STATES ARMY REQUIRER MAY UTILIZE THE FMS QUANTITY.

US QUANTITIES (CLIN 0002)FOR FOR ORDERING PERIODS 1 THRU 5 ARE AS FOLLOWS:

1st _40_ MINIMUM ___

2nd _160_ ESTIMATED ___

3rd _200_ ESTIMATED ___

4th _200_ ESTIMATED ___

5th _200_ ESTIMATED ___

FMS QUANTITIES (CLIN 0005) ORDERING PERIODS 1 THRU 5 ARE AS FOLLOWS:

1st 0_ ESTIMATED _

2nd _40_ ESTIMATED __

3rd _40_ ESTIMATED __

4th _40_ ESTIMATED __

5th _40_ ESTIMATED __

SYSTEM: CH-47

NOUN: CONTROL DISPLAY UNIT

INPUT NSN: 6610-01-544-9828

INPUT P/N: 822-1729-003

OUTPUT NSN: 6610-01-544-9828

OUTPUT PN P/N:822-1729-003

MINIMUM QUANTITY: 50

MAXIMUM QUANTITY: 800

THE MAXIMUM QUANTITY INCLUDES 115 EACH RESERVED FOR FOREIGN MILITARY SALES (FMS). HOWEVER, IF NO FMS CUSTOMERS REQUIRE THIS ITEM, THE

UNITED STATES ARMY REQUIRER MAY UTILIZE THE FMS QUANTITY.

2 74

W58RGZ-15-R-0274

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

US QUANTITIES (CLIN 0006)FOR FOR ORDERING PERIODS 1 THRU 5 ARE AS FOLLOWS:

1st _50_ MINIMUM ___

2nd _150_ ESTIMATED ___

3rd _150_ ESTIMATED ___

4th _200_ ESTIMATED ___

5th _135_ ESTIMATED ___

FMS QUANTITIES (CLIN 0009) ORDERING PERIODS 1 THRU 5 ARE AS FOLLOWS:

1st 0_ ESTIMATED _

2nd _25_ ESTIMATED __

3rd _25_ ESTIMATED __

4th _30_ ESTIMATED __

5th _35_ ESTIMATED __

SYSTEM: CH-47

NOUN:POWER SUPPLY MODULE

INPUT NSN: 6130-01-545-0375

INPUT P/N:822-1850-001

OUTPUT NSN: 6130-01-545-0375

OUTPUT PN P/N:822-1850-001

MINIMUM QUANTITY: 10

MAXIMUM QUANTITY: 120

THE MAXIMUM QUANTITY INCLUDES 20 EACH RESERVED FOR FOREIGN MILITARY SALES (FMS). HOWEVER, IF NO FMS CUSTOMERS REQUIRE THIS ITEM, THE

UNITED STATES ARMY REQUIRER MAY UTILIZE THE FMS QUANTITY.

US QUANTITIES (CLIN 0010)FOR FOR ORDERING PERIODS 1 THRU 5 ARE AS FOLLOWS:

1st _10_ MINIMUM ___

2nd _15_ ESTIMATED __

3rd _25_ ESTIMATED __

4th _25_ ESTIMATED __

5th _25_ ESTIMATED __

FMS QUANTITIES (CLIN 0013) ORDERING PERIODS 1 THRU 5 ARE AS FOLLOWS:

1st 0_ ESTIMATED _

2nd _5_ ESTIMATED _

3rd _5_ ESTIMATED _

4th _5_ ESTIMATED _

5th _5_ ESTIMATED _

SYSTEM: CH-47

NOUN: VIDEO INTERFACE GROUP

INPUT NSN: 5836-01-591-1755

INPUT P/N: 822-2017-002

OUTPUT NSN: 5836-01-591-1755

OUTPUT PN P/N:822-2017-002

MINIMUM QUANTITY: 5

MAXIMUM QUANTITY: 30

THE MAXIMUM QUANTITY INCLUDES 5 EACH RESERVED FOR FOREIGN MILITARY SALES (FMS). HOWEVER, IF NO FMS CUSTOMERS REQUIRE THIS ITEM, THE

UNITED STATES ARMY REQUIRER MAY UTILIZE THE FMS QUANTITY.

US QUANTITIES (CLIN 0014)FOR FOR ORDERING PERIODS 1 THRU 5 ARE AS FOLLOWS:

1st _5_ MINIMUM __

2nd _5_ ESTIMATED _

3rd _5_ ESTIMATED _

4th _5_ ESTIMATED _

5th _5_ ESTIMATED _

FMS QUANTITIES (CLIN 0017) ORDERING PERIODS 1 THRU 5 ARE AS FOLLOWS:

3 74

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

1st 0_ ESTIMATED __

2nd _1_ ESTIMATED _

3rd _1_ ESTIMATED _

4th _1_ ESTIMATED _

5th _2_ ESTIMATED _

THE MINIMUM QUANTITY SET FOR 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 UNIT PRICE IN EFFECT DURING THE ORDERING PERIOD IN WHICH

THEY ARE ORDERED.

ALL ORDER 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.

PLEASE INSERT YOUR FIRM FIXED UNIT PRICE FOR THE 1st, 2nd, 3rd, 4th, and 5th YEAR IN THE SPACES PROVIDED UNDER EACH CLIN/SUBCLIN.

Based on audit readiness initiatives mandated by the Department of Army, the following corrections are required to ensure existance and completeness, thereby, improving and sustaining inventory accountability and audit compliance:

1. Maintain any receipt documentation received from the depots.

2. Upon receipt of material, fill in Block 10 to indicate the quantity received and provide a signature and date on the DD Form 1348-1A.

Printed names, name/date stamps, and initials are not acceptable.

3. If a DD Form 1348-1A is not received, a 1348-1A must be created with the corresponding receipt information to contain the following:

a. Unit of Issue and Quantity- (Positions 23-29)

b. Document Number- (Positions 30-43)

c. National Stock Number (NSN)- (Positions 8-22)

d. Condition Code- (Position 71)

e. Unit Price- (Position 74-80)

f. Total Price- (Block 1)

g. Actual Quantity Received- (Block 10)

h. Nomenclature- (Block 17)

i. Signature and Date- (Blocks 22 and 23)

4. Completed 1348s should be sent to the following mailbox upon receipt of material. usarmy.redstone.usamc.mbx.immc-smb-ammo@mail.mil

An example of a 1348-1A filled out correctly is attached (Attachment 0005).

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 CONTRACTS AWARDED ON OR AFTER 01 JUNE 1993, UNLESS APPROPRIATE AUTHORITY IS GRANTED.

THE FOLLOWING WEBSITES ARE PROVIDED FOR THE PURPOSE OF OBTAINING/REVIEWING VARIOUS DA PAMPHLETS AND ARMY REGULATIONS AND TECHNICAL

MANUALS/BULLETINS:

4 74

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

- 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. ___

*** END OF NARRATIVE A0001 ***

5 74

PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SUPPLIES OR SERVICES AND PRICES/COSTS

0001 PVA

M&O PLAN MUST BE SUBMITTED AND APPROVED PER CDRL A002

BEFORE OVERHAUL MAY BEGIN. THE M&O PLAN SHALL BE

SUBMITTED TO THIS OFFICE WITHIN 30 DAYS AFTER

CONTRACT AWARD DATE. (see CDRL A002, Attachment

Exhibit A) NOTE: A COPY OF THE PLAN SHALL BE

FORWARDED TO THE CONTRACT SPECIALIST AT: U.S. ARMY

AVIATION AND MISSILE COMMAND ATTN: (CAROLINE

ETHRIDGE) CCAM-ALM BLDG 5303, 2ND FLOOR REDSTONE

ARSENAL, AL 35898-5000. 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 ; and select "AMCOM Maintenance and

Overhaul(M&O) SAR" then "Example M&O Plan" and/or "QE-

STD-2" in the table of contents.

SYSTEM: CH-47

NOUN: Multi-Function Display

INPUT NSN: 1260-01-544-9822

INPUT P/N: 822-1796-001

OUTPUT NSN: 1260-01-544-9822

OUTPUT PN P/N:822-1796-001

SYSTEM: CH-47

NOUN: CONTROL DISPLAY UNIT

INPUT NSN: 6610-01-544-9828

INPUT P/N: 822-1729-003

OUTPUT NSN: 6610-01-544-9828

OUTPUT PN P/N:822-1729-003

SYSTEM: CH-47

NOUN:POWER SUPPLY MODULE

INPUT NSN: 6130-01-545-0375

INPUT P/N:822-1850-001

OUTPUT NSN: 6130-01-545-0375

OUTPUT PN P/N:822-1850-001

SYSTEM: CH-47

NOUN: VIDEO INTERFACE GROUP

INPUT NSN: 5836-01-591-1755

INPUT P/N: 822-2017-002

OUTPUT NSN: 5836-01-591-1755

OUTPUT PN P/N:822-2017-002

M&O plan must be approved prior to scheduling of the

PVA.

(End of narrative A001)

6 74

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0001AA PRODUCT VERIFICATION AUDIT (PVA) $ ________________________________ __________________

SERVICE REQUESTED: PVA

CLIN CONTRACT TYPE:

Firm Fixed Price

THIS IS A FIRM FIXED PRICE CLIN_______________________________

THIS EFFORT IS FOR THE PERFORMANCE OF THE PRODUCT

VERIFICATION AUDIT (PVA) FOR THE Multi-Function

Display,CONTROL DISPLAY UNIT, POWER SUPPLY MODULE and VIDEO INTERFACE GROUP AS WELL AS THE

SUBMISSION OF THE M&O PLAN.

THE PVA SHALL BE IN ACCORDANCE WITH AMCOM

REGULATION 52.209-4723, PRODUCT VERIFICATION AUDIT

STATEMENT OF WORK CLAUSE OF THE SOLICITATION.

PVA SHALL BE CONDUCTED APPROXIMATELY 90 DAYS AFTER

RECEIPT OF ASSETS. THE CONTRACTOR SHALL PREPARE 3

UNITS FOR EACH NSN FOR PVA. CONTRACTOR IS

REQUIRED TO NOTIFY THE CONTRACT SPECIALIST FOR

SCHEDULING OF THE PVA. POC IS: CAROLINE ETHRIDGE,

caroline.e.ethridge.civ@mail.mil, 256-955-9230.

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:

mailto: caroline.e.ethridge.civ@mail.mil

PAYMENT INSTRUCTIONS:

THE CONTRACTOR WILL BE PAID FOR THE PVA BY

UTILIZING THE WIDE AREA WORK FLOW (WAWF) SITE. THE

CONTRACTOR MUST ENTER CODE W58H0Z AND MAKE IT TO

THE ATTENTION OF JEANIE CLARK.

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0002 MULTI-FUNCTION DISPLAY

Mfr CAGE: 13499

Mfr Part Number: 822-1796-001

SYSTEM: CH-47

NOUN: MULTI-FUNCTION DISPLAY

7 74

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

INPUT NSN: 1260-01-544-9822

INPUT P/N: 822-1796-001

OUTPUT NSN: 1260-01-544-9822,

OUTPUT P/N: 822-1796-001

MINIMUM QUANTITY: 40

MAXIMUM QUANTITY: 960

US QUANTITIES FOR ORDERING PERIODS 1 THRU 5 ARE AS

FOLLOWS:

1st 40 MINIMUM

2nd 160 ESTIMATED

3rd 200 ESTIMATED

4th 200 ESTIMATED

5th 200 ESTIMATED

FMS QUANTITIES FOR ORDERING PERIODS 1 THRU 5 ARE

AS FOLLOWS:

1st 0 ESTIMATED

2nd 40 ESTIMATED

3rd 40 ESTIMATED

4th 40 ESTIMATED

5th 40 ESTIMATED

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.

THE MAXIMUM QUANTITY INCLUDES 160 EACH RESERVED

FOR FMS. HOWEVER, IF NO FMS CUSTOMERS REQUIRE THIS

ITEM, THE UNITED STATES ARMY REQUIRER MAY UTILIZE

THE FMS QUANTITY.

(End of narrative A001)

0002AA US OVERHAUL CH-47 MULTI-FUNCTION DISPLAY $ $ ________________________________________ ______________ __________________

COMMODITY NAME: MULTI-FUNCTION DISPLAY

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

NOUN: MULTI-FUNCTION DISPLAY

INPUT NSN: 1260-01-544-9822

INPUT P/N: 822-1796-001

OUTPUT NSN: 1260-01-544-9822,

OUTPUT PN P/N: 822-1796-001

OVERHAUL SHALL BE IN ACCORDANCE WITH CLAUSE

52.211-4003 IN SECTION C ENTITLED 'STATEMENT OF

WORK/SPECIFICATIONS-CONTRACTOR

SPECIFICATIONS'.

THIS FIRM FIXED PRICE (FFP) CLIN INCLUDES ALL

MANDATORY AND NON-MANDATORY PARTS, LABOR CHARGES,

PRESERVATION, PACKAGING, PACKING, MARKING, AND DATA

8 74

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

ITEMS 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:

ORDERING PERIOD 1 - U/P $_________ (FFP) MIN QTY 40

EA.

ORDERING PERIOD 2 - U/P $_________ (FFP) EST QTY

160 EA.

ORDERING PERIOD 3 - U/P $_________ (FFP) EST QTY

200 EA.

ORDERING PERIOD 4 - U/P $_________ (FFP) EST QTY

200 EA.

ORDERING PERIOD 5 - U/P $_________ (FFP) EST QTY

200 EA.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENT, SECTION J ATTCH 0001

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

0003 SCRAP

0003AA SCRAP $ ______ __________________

SERVICE REQUESTED: SCRAP

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

NOUN: MULTI-FUNCTION DISPLAY

INPUT NSN: 1260-01-544-9822

INPUT P/N: 822-1796-001

OUTPUT NSN: 1260-01-544-9822,

OUTPUT PN P/N: 822-1796-001

THIS CLIN APPLIES TO U.S. AND FMS ASSETS

SECTION C - Description/Specifications/Work

Statement

Units from CLIN 0002AA and 0005AA shall be scrapped or returned in accordance with Section C, Statement

9 74

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

of Work/Specifications - Contractor Specifications.

Units determined to be scrap IAW Section C shall be reflected as an increase to CLIN 0003AA with a corresponding decrease in quantity and funds to

CLIN 0002AA and 0005AA as appropriate. In the event the PCO determines that certain items are scrap the

Contractor shall make disposition IAW the contractors approved Government property procedures. Scrapped items shall count toward the minimum quantities ordered hereunder. The

Government may, at its own discretion, reduce any items determined scrap by input of additional assets and said scrap quantities will not count as part of the total maximum quantity. Scrap requires authorization by the Contracting Officer 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:

Ordering Period 1 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 2 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 3 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 4 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 5 - $ ____________ (FFP) Est Qty 1 ea.

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

0004 CONTAINERS

0004AA CONTRACTOR FURNISHED CONTAINERS $ _______________________________ __________________

SERVICE REQUESTED: CONTAINERS

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

NOUN: MULTI-FUNCTION DISPLAY

INPUT NSN: 1260-01-544-9822

INPUT P/N: 822-1796-001

OUTPUT NSN: 1260-01-544-9822,

OUTPUT PN P/N: 822-1796-001

10 74

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SERVICE REQUESTED: CONTAINERS

SHIPPING CONTAINERS THE PROPOSED PRICES APPLY TO

REUSABLE CONTAINERS.

OFFEROR IS REQUIRED TO FILL IN PROPOSED FIRM FIXED

UNIT PRICE FOR ALL 5 YEARS:

ORDERING PERIOD 1 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 2 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 3 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 4 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 5 - U/P $__________ (FFP) 1 EA, EST

QTY

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'.

SUPPLEMENTAL INFORMATION:

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

UNSERVICEABLE CONTAINERS OR RECEIVED WITHOUT

CONTAINERS. THE CONTRACTOR, IAW SECTION C,

'STATEMENT OF WORK', 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 A006. ASSETS

RECEIVED IN UNSERVICEABLE CONTAINERS OR WITHOUT A

CONTAINER, REQUIRE THE PRIOR APPROVAL OF THE PCO

BEFORE CONTAINERS CAN BE PURCHASED.

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

0005 MULTI-FUNCTION DISPLAY FMS

Mfr CAGE: 13499

Mfr Part Number: 822-1796-001

0005AA OVERHAUL CH-47 MULTI-FUNCTION DISPLAY (FMS QTY) $ $ _______________________________________________ ______________ __________________

COMMODITY NAME: MULTI-FUNCTION DISPLAY FMS

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

11 74

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

NOUN: MULTI-FUNCTION DISPLAY

INPUT NSN: 1260-01-544-9822

INPUT P/N: 822-1796-001

OUTPUT NSN: 1260-01-544-9822,

OUTPUT PN P/N: 822-1796-001

This CLIN is for the Overhaul of Multi-Function

Display

Overhaul shall be in accordance with clause 52.211-

4003 in Section C entitled 'Statement of

Work/Specifications-Contractor Specifications'.

This Firm Fixed Price (FFP) CLIN includes all mandatory and non-mandatory parts, labor charges, preservation, packaging, packing, marking, and data items necessary to return the unit, to a serviceable condition, as stated in section C, Statement of Work.

This CLIN will be used if an FMS customer requires this item. If no FMS customers are identified, the

United States Army require 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 cannot exceed 160 each.

OFFEROR IS REQUIRED TO FILL IN PROPOSED FIRM

FIXED UNIT PRICE:

ORDERING PERIOD 1 - U/P $_________ (FFP) EST Qty 0 ea.

ORDERING PERIOD 2 - U/P $_________ (FFP) EST Qty 40 ea.

ORDERING PERIOD 3 - U/P $_________ (FFP) EST Qty 40 ea.

ORDERING PERIOD 4 - U/P $_________ (FFP) Est Qty 40 ea.

ORDERING PERIOD 5 - U/P $_________ (FFP) EST Qty 40 ea.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENT, SECTION J ATTCH 0001

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

0006 CONTROL DISPLAY UNIT

12 74

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: 6610-01-544-9828

Mfr CAGE: 13499

Mfr Part Number: 822-1729-003

SYSTEM: CH-47

NOUN: CONTROL DISPLAY UNIT

INPUT NSN: 6610-01-544-9828

INPUT P/N: 822-1729-003

OUTPUT NSN: 6610-01-544-9828, OUTPUT

P/N:822-1729-003

MINIMUM QUANTITY: 50

MAXIMUM QUANTITY: 800

US QUANTITIES FOR ORDERING PERIODS 1 THRU 5 ARE AS

FOLLOWS:

1st 50 MINIMUM

2nd 150 ESTIMATED

3rd 150 ESTIMATED

4th 200 ESTIMATED

5th 135 ESTIMATED

FMS QUANTITIES FOR ORDERING PERIODS 1 THRU 5 ARE AS

FOLLOWS:

1st 0 ESTIMATED

2nd 25 ESTIMATED

3rd 25 ESTIMATED

4th 30 ESTIMATED

5th 35 ESTIMATED

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.

THE MAXIMUM QUANTITY INCLUDES 115 EACH RESERVED

FOR FMS. HOWEVER, IF NO FMS CUSTOMERS REQUIRE THIS

ITEM, THE UNITED STATES ARMY REQUIRER MAY UTILIZE

THE FMS QUANTITY.

(End of narrative A001)

0006AA OVERHAUL CH-47CONTROL DISPLAY UNIT (US) $ $ _______________________________________ ______________ __________________

COMMODITY NAME: CONTROL DISPLAY UNIT

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

NOUN: CONTROL DISPLAY UNIT

INPUT NSN: 6610-01-544-9828

INPUT P/N: 822-1729-003

OUTPUT NSN: 6610-01-544-9828, OUTPUT

13 74

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

P/N:822-1729-003

OVERHAUL SHALL BE IN ACCORDANCE WITH CLAUSE

52.211-4003 IN SECTION C ENTITLED 'STATEMENT OF

WORK/SPECIFICATIONS-CONTRACTOR

SPECIFICATIONS'.

THIS FIRM FIXED PRICE (FFP) CLIN INCLUDES ALL

MANDATORY AND NON-MANDATORY PARTS, LABOR CHARGES,

PRESERVATION, PACKAGING, PACKING, MARKING, AND 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:

ORDERING PERIOD 1 - U/P $_________ (FFP) MIN QTY 50

EA.

ORDERING PERIOD 2 - U/P $_________ (FFP) EST QTY

150 EA.

ORDERING PERIOD 3 - U/P $_________ (FFP) EST QTY

150 EA.

ORDERING PERIOD 4 - U/P $_________ (FFP) EST QTY

200 EA.

ORDERING PERIOD 5 - U/P $_________ (FFP) EST QTY

135 EA.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENT, SECTION J ATTCH 0001

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

0007 SCRAP

0007AA SCRAP $ ______ __________________

SERVICE REQUESTED: SCRAP

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

NOUN: CONTROL DISPLAY UNIT

14 74

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

INPUT NSN: 6610-01-544-9828

INPUT P/N: 822-1729-003

OUTPUT NSN: 6610-01-544-9828,

OUTPUT P/N: 822-1729-003

THIS CLIN APPLIES TO U.S. AND FMS ASSETS

SECTION C - Description/Specifications/Work

Statement

Units from CLIN 0006AA and 0009AA shall be scrapped or returned in accordance with Section C, Statement of Work/Specifications - Contractor

Specifications.

Units determined to be scrap IAW Section C shall be reflected as an increase to CLIN 0007AA with a corresponding decrease in quantity and funds to

CLIN 0006AA and 0009AA as appropriate. In the event the PCO determines that certain items are scrap the Contractor shall make disposition IAW the contractors approved Government property procedures. Scrapped items shall count toward the minimum quantities ordered hereunder. The

Government may, at its own discretion, reduce any items determined scrap by input of additional assets and said scrap quantities will not count as part of the total maximum quantity. Scrap requires authorization by the Contracting Officer 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:

Ordering Period 1 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 2 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 3 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 4 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 5 - $ ____________ (FFP) Est Qty 1 ea.

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

0008 CONTAINERS

0008AA CONTRACTOR FURNISHED CONTAINERS $ _______________________________ __________________

15 74

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Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SERVICE REQUESTED: CONTAINERS

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

NOUN: CONTROL DISPLAY UNIT

INPUT NSN: 6610-01-544-9828

INPUT P/N: 822-1729-003

OUTPUT NSN: 6610-01-544-9828,

OUTPUT P/N: 822-1729-003

SERVICE REQUESTED: CONTAINERS

SHIPPING CONTAINERS THE PROPOSED PRICES APPLY TO

REUSABLE CONTAINERS.

OFFEROR IS REQUIRED TO FILL IN PROPOSED FIRM FIXED

UNIT PRICE FOR ALL 5 YEARS:

ORDERING PERIOD 1 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 2 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 3 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 4 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 5 - U/P $__________ (FFP) 1 EA, EST

QTY

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'.

SUPPLEMENTAL INFORMATION:

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

UNSERVICEABLE CONTAINERS OR RECEIVED WITHOUT

CONTAINERS. THE CONTRACTOR, IAW SECTION C,

'STATEMENT OF WORK', 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 A006. ASSETS

RECEIVED IN UNSERVICEABLE CONTAINERS OR WITHOUT A

CONTAINER, REQUIRE THE PRIOR APPROVAL OF THE PCO

BEFORE CONTAINERS CAN BE PURCHASED.

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

0009 CONTROL DISPLAY UNIT

16 74

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: 6610-01-544-9828

Mfr CAGE: 13499

Mfr Part Number: 822-1729-003

0009AA OVERHAUL CH-47CONTROL DISPLAY UNIT (FMS) $ $ ________________________________________ ______________ __________________

COMMODITY NAME: CONTROL DISPLAY UNIT

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

NOUN: CONTROL DISPLAY UNIT

INPUT NSN: 6610-01-544-9828

INPUT P/N: 822-1729-003

OUTPUT NSN: 6610-01-544-9828

OUTPUT

P/N:822-1729-003

This CLIN is for the Overhaul of CONTROL DISPLAY

UNIT

Overhaul shall be in accordance with clause 52.211-

4003 in Section C entitled 'Statement of

Work/Specifications-Contractor Specifications'.

This Firm Fixed Price (FFP) CLIN includes all mandatory and non-mandatory parts, labor charges, preservation, packaging, packing, marking, and data items necessary to return the unit, to a serviceable condition, as stated in section C, Statement of Work.

This CLIN will be used if an FMS customer requires this item. If no FMS customers are identified, the

United States Army require 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 cannot exceed 115 each.

OFFEROR IS REQUIRED TO FILL IN PROPOSED FIRM

FIXED UNIT PRICE:

ORDERING PERIOD 1 - U/P $_________ (FFP) EST Qty 0 ea.

ORDERING PERIOD 2 - U/P $_________ (FFP) EST Qty 25 ea.

ORDERING PERIOD 3 - U/P $_________ (FFP) EST Qty 25 ea.

ORDERING PERIOD 4 - U/P $_________ (FFP) Est Qty 30 ea.

ORDERING PERIOD 5 - U/P $_________ (FFP) EST Qty 35 ea.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

17 74

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SEE PACKAGING REQUIREMENT, SECTION J ATTCH 0001

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

0010 POWER SUPPLY MODULE

NSN: 6130-01-545-0375

Mfr CAGE: 13499

Mfr Part Number: 822-1850-001

SYSTEM: CH-47

NOUN: POWER SUPPLY MODULE

INPUT NSN: 6130-01-545-0375

INPUT P/N: 822-1850-001

OUTPUT NSN: 6130-01-545-0375

OUTPUT P/N:822-1850-001

MINIMUM QUANTITY: 10

MAXIMUM QUANTITY: 120

US QUANTITIES FOR ORDERING PERIODS 1 THRU 5 ARE AS

FOLLOWS:

1st 10 MINIMUM

2nd 15 ESTIMATED

3rd 25 ESTIMATED

4th 25 ESTIMATED

5th 25 ESTIMATED

FMS QUANTITIES FOR ORDERING PERIODS 1 THRU 5 ARE AS

FOLLOWS:

1st 0 ESTIMATED

2nd 5 ESTIMATED

3rd 5 ESTIMATED

4th 5 ESTIMATED

5th 5 ESTIMATED

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.

THE MAXIMUM QUANTITY INCLUDES 20 EACH RESERVED FOR

FMS. HOWEVER, IF NO FMS CUSTOMERS REQUIRE THIS

ITEM, THE UNITED STATES ARMY REQUIRER MAY UTILIZE

THE FMS QUANTITY.

18 74

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 A001)

0010AA OVERHAUL POWER SUPPLY MODULE (US) $ $ _________________________________ ______________ __________________

COMMODITY NAME: POWER SUPPLY MODULE

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

NOUN: POWER SUPPLY MODULE

INPUT NSN: 6130-01-545-0375

INPUT P/N: 822-1850-001

OUTPUT NSN: 6130-01-545-0375

OUTPUT P/N: 822-1850-001

OVERHAUL SHALL BE IN ACCORDANCE WITH CLAUSE

52.211-4003 IN SECTION C ENTITLED 'STATEMENT OF

WORK/SPECIFICATIONS-CONTRACTOR

SPECIFICATIONS'.

THIS FIRM FIXED PRICE (FFP) CLIN INCLUDES ALL

MANDATORY AND NON-MANDATORY PARTS, LABOR CHARGES,

PRESERVATION, PACKAGING, PACKING, MARKING, AND 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:

ORDERING PERIOD 1 - U/P $_________ (FFP) MIN QTY 10

EA.

ORDERING PERIOD 2 - U/P $_________ (FFP) EST QTY 15

EA.

ORDERING PERIOD 3 - U/P $_________ (FFP) EST QTY 25

EA.

ORDERING PERIOD 4 - U/P $_________ (FFP) EST QTY 25

EA.

ORDERING PERIOD 5 - U/P $_________ (FFP) EST QTY 25

EA.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENT, SECTION J ATTCH 0001

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

19 74

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

0011 SCRAP

0011AA SCRAP $ ______ __________________

SERVICE REQUESTED: SCRAP

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

NOUN: POWER SUPPLY MODULE

INPUT NSN: 6130-01-545-0375

INPUT P/N: 822-1850-001

OUTPUT NSN: 6130-01-545-0375

OUTPUT PN P/N: 822-1850-001

THIS CLIN APPLIES TO U.S. AND FMS ASSETS

SECTION C - Description/Specifications/Work

Statement

Units from CLIN 0010AA and 0013AA shall be scrapped or returned in accordance with Section C, Statement of Work/Specifications - Contractor Specifications.

Units determined to be scrap IAW Section C shall be reflected as an increase to CLIN 0011AA with a corresponding decrease in quantity and funds to

CLIN 0010AA and 0013AA as appropriate. In the event the PCO determines that certain items are scrap the

Contractor shall make disposition IAW the contractors approved Government property procedures. Scrapped items shall count toward the minimum quantities ordered hereunder. The

Government may, at its own discretion, reduce any items determined scrap by input of additional assets and said scrap quantities will not count as part of the total maximum quantity. Scrap requires authorization by the Contracting Officer 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:

Ordering Period 1 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 2 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 3 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 4 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 5 - $ ____________ (FFP) Est Qty 1 ea.

(End of narrative C001)

20 74

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 _________________________

0012 CONTAINERS

0012AA CONTRACTOR FURNISHED CONTAINERS $ _______________________________ __________________

SERVICE REQUESTED: CONTAINERS

SYSTEM: CH-47

NOUN: POWER SUPPLY MODULE

INPUT NSN: 6130-01-545-0375

INPUT P/N: 822-1850-001

OUTPUT NSN: 6130-01-545-0375

OUTPUT PN P/N: 822-1850-001

SERVICE REQUESTED: CONTAINERS

SHIPPING CONTAINERS THE PROPOSED PRICES APPLY TO

REUSABLE CONTAINERS.

OFFEROR IS REQUIRED TO FILL IN PROPOSED FIRM FIXED

UNIT PRICE FOR ALL 5 YEARS:

ORDERING PERIOD 1 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 2 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 3 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 4 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 5 - U/P $__________ (FFP) 1 EA, EST

QTY

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'.

SUPPLEMENTAL INFORMATION:

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

UNSERVICEABLE CONTAINERS OR RECEIVED WITHOUT

CONTAINERS. THE CONTRACTOR, IAW SECTION C,

'STATEMENT OF WORK', 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 A006. ASSETS

RECEIVED IN UNSERVICEABLE CONTAINERS OR WITHOUT A

CONTAINER, REQUIRE THE PRIOR APPROVAL OF THE PCO

BEFORE CONTAINERS CAN BE PURCHASED.

(End of narrative C001)

21 74

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 _________________________

0013 POWER SUPPLY MODULE

NSN: 6130-01-545-0375

Mfr CAGE: 13499

Mfr Part Number: 822-1850-001

0013AA OVERHAUL POWER SUPPLY MODULE (FMS) $ $ __________________________________ ______________ __________________

COMMODITY NAME: POWER SUPPLY MODULE

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

NOUN: POWER SUPPLY MODULE

INPUT NSN: 6130-01-545-0375

INPUT P/N: 822-1850-001

OUTPUT NSN: 6130-01-545-0375

OUTPUT PN P/N: 822-1850-001

This CLIN is for the Overhaul of POWER SUPPLY

MODULE

Overhaul shall be in accordance with clause 52.211-

4003 in Section C entitled 'Statement of

Work/Specifications-Contractor Specifications'.

This Firm Fixed Price (FFP) CLIN includes all mandatory and non-mandatory parts, labor charges, preservation, packaging, packing, marking, and data items necessary to return the unit, to a serviceable condition, as stated in section C, Statement of Work.

This CLIN will be used if an FMS customer requires this item. If no FMS customers are identified, the

United States Army require 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 cannot exceed 20 each.

OFFEROR IS REQUIRED TO FILL IN PROPOSED FIRM

FIXED UNIT PRICE:

ORDERING PERIOD 1 - U/P $_________ (FFP) EST Qty 0 ea.

ORDERING PERIOD 2 - U/P $_________ (FFP) EST Qty 5 ea.

ORDERING PERIOD 3 - U/P $_________ (FFP) EST Qty 5 ea.

ORDERING PERIOD 4 - U/P $_________ (FFP) Est Qty 5 ea.

22 74

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

ORDERING PERIOD 5 - U/P $_________ (FFP) EST Qty 5 ea.

(End of narrative C001)

Packaging and Marking _____________________

UNIT PACK: 001 INTERMEDIATE PACK: 000

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

0014 VIDEO INTERFACE GROUP

NSN: 5836-01-591-1755

Mfr CAGE: 13499

Mfr Part Number: 822-2017-002

SYSTEM: CH-47

NOUN: VIDEO INTERFACE GROUP

INPUT NSN: 5836-01-591-1755

INPUT P/N: 822-2017-002

OUTPUT NSN: 5836-01-591-1755

OUTPUT P/N: 822-2017-002

MINIMUM QUANTITY: 5

MAXIMUM QUANTITY: 30

US QUANTITIES FOR ORDERING PERIODS 1 THRU 5 ARE AS

FOLLOWS:

1st 5 MINIMUM

2nd 5 ESTIMATED

3rd 5 ESTIMATED

4th 5 ESTIMATED

5th 5 ESTIMATED

FMS QUANTITIES FOR ORDERING PERIODS 1 THRU 5 ARE

AS FOLLOWS:

1st 0 ESTIMATED

2nd 1 ESTIMATED

3rd 1 ESTIMATED

4th 1 ESTIMATED

5th 2 ESTIMATED

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.

THE MAXIMUM QUANTITY INCLUDES 5 EACH RESERVED FOR

FMS. HOWEVER, IF NO FMS CUSTOMERS REQUIRE THIS

ITEM, THE UNITED STATES ARMY REQUIRER MAY UTILIZE

23 74

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 FMS QUANTITY.

(End of narrative A001)

0014AA OVERHAUL VIDEO INTERFACE GROUP (US) $ $ ___________________________________ ______________ __________________

COMMODITY NAME: VIDEO INTERFACE GROUP

SYSTEM: CH-47

NOUN: VIDEO INTERFACE GROUP

INPUT NSN: 5836-01-591-1755

INPUT P/N: 822-2017-002

OUTPUT NSN: 5836-01-591-1755

OUTPUT PN P/N: 822-2017-002

OVERHAUL SHALL BE IN ACCORDANCE WITH CLAUSE

52.211-4003 IN SECTION C ENTITLED 'STATEMENT OF

WORK/SPECIFICATIONS-CONTRACTOR

SPECIFICATIONS'.

THIS FIRM FIXED PRICE (FFP) CLIN INCLUDES ALL

MANDATORY AND NON-MANDATORY PARTS, LABOR CHARGES,

PRESERVATION, PACKAGING, PACKING, MARKING, AND 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:

ORDERING PERIOD 1 - U/P $_________ (FFP) MIN QTY 5

EA.

ORDERING PERIOD 2 - U/P $_________ (FFP) EST QTY 5

EA.

ORDERING PERIOD 3 - U/P $_________ (FFP) EST QTY 5

EA.

ORDERING PERIOD 4 - U/P $_________ (FFP) EST QTY 5

EA.

ORDERING PERIOD 5 - U/P $_________ (FFP) EST QTY 5

EA.

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENT, SECTION J ATTCH 0001

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Deliveries or Performance _________________________

FOB POINT:

24 74

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0015 SCRAP

0015AA SCRAP $ ______ __________________

SERVICE REQUESTED: SCRAP

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

NOUN: VIDEO INTERFACE GROUP

INPUT NSN: 5836-01-591-1755

INPUT P/N: 822-2017-002

OUTPUT NSN: 5836-01-591-1755

OUTPUT PN P/N: 822-2017-002

THIS CLIN APPLIES TO U.S. AND FMS ASSETS

SECTION C - Description/Specifications/Work

Statement

Units from CLIN 0014AA and 0017AA shall be scrapped or returned in accordance with Section C, Statement of Work/Specifications - Contractor Specifications.

Units determined to be scrap IAW Section C shall be reflected as an increase to CLIN 0015AA with a corresponding decrease in quantity and funds to

CLIN 0014AA and 0017AA as appropriate. In the event the PCO determines that certain items are scrap the

Contractor shall make disposition IAW the contractors approved Government property procedures. Scrapped items shall count toward the minimum quantities ordered hereunder. The

Government may, at its own discretion, reduce any items determined scrap by input of additional assets and said scrap quantities will not count as part of the total maximum quantity. Scrap requires authorization by the Contracting Officer 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:

Ordering Period 1 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 2 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 3 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 4 - $ ____________ (FFP) Est Qty 1 ea.

Ordering Period 5 - $ ____________ (FFP) Est Qty 1 ea.

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

25 74

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 _________________________

0016 CONTAINERS

0016AA CONTRACTOR FURNISHED CONTAINERS $ _______________________________ __________________

SERVICE REQUESTED: CONTAINERS

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

NOUN: VIDEO INTERFACE GROUP

INPUT NSN: 5836-01-591-1755

INPUT P/N: 822-2017-002

OUTPUT NSN: 5836-01-591-1755

OUTPUT PN P/N: 822-2017-002

SERVICE REQUESTED: CONTAINERS

SHIPPING CONTAINERS THE PROPOSED PRICES APPLY TO

REUSABLE CONTAINERS.

OFFEROR IS REQUIRED TO FILL IN PROPOSED FIRM FIXED

UNIT PRICE FOR ALL 5 YEARS:

ORDERING PERIOD 1 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 2 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 3 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 4 - U/P $__________ (FFP) 1 EA, EST

QTY

ORDERING PERIOD 5 - U/P $__________ (FFP) 1 EA, EST

QTY

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'.

SUPPLEMENTAL INFORMATION:

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

UNSERVICEABLE CONTAINERS OR RECEIVED WITHOUT

CONTAINERS. THE CONTRACTOR, IAW SECTION C,

'STATEMENT OF WORK', 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 A006. ASSETS

RECEIVED IN UNSERVICEABLE CONTAINERS OR WITHOUT A

CONTAINER, REQUIRE THE PRIOR APPROVAL OF THE PCO

BEFORE CONTAINERS CAN BE PURCHASED.

(End of narrative C001)

26 74

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Deliveries or Performance _________________________

0017 VIDEO INTERFACE GROUP

NSN: 5836-01-591-1755

Mfr CAGE: 13499

Mfr Part Number: 822-2017-002

0017AA OVERHAUL VIDEO INTERFACE GROUP (FMS) $ $ ____________________________________ ______________ __________________

COMMODITY NAME: VIDEO INTERFACE GROUP

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

NOUN: VIDEO INTERFACE GROUP

INPUT NSN: 5836-01-591-1755

INPUT P/N: 822-2017-002

OUTPUT NSN: 5836-01-591-1755

OUTPUT PN P/N: 822-2017-002

This CLIN is for the Overhaul of VIDEO INTERFACE

GROUP

Overhaul shall be in accordance with clause 52.211-

4003 in Section C entitled 'Statement of

Work/Specifications-Contractor Specifications'.

This Firm Fixed Price (FFP) CLIN includes all mandatory and non-mandatory parts, labor charges, preservation, packaging, packing, marking, and data items necessary to return the unit, to a serviceable condition, as stated in section C, Statement of Work.

This CLIN will be used if an FMS customer requires this item. If no FMS customers are identified, the

United States Army require 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 cannot exceed 5 each.

OFFEROR IS REQUIRED TO FILL IN PROPOSED FIRM

FIXED UNIT PRICE:

ORDERING PERIOD 1 - U/P $_________ (FFP) EST Qty 0 ea.

ORDERING PERIOD 2 - U/P $_________ (FFP) EST Qty 1 ea.

ORDERING PERIOD 3 - U/P $_________ (FFP) EST Qty 1 ea.

ORDERING PERIOD 4 - U/P $_________ (FFP) Est Qty 1 ea.

ORDERING PERIOD 5 - U/P $_________ (FFP) EST Qty 2 ea.

(End of narrative C001)

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Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENT, SECTION J ATTCH 0001

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Origin

0018 CONTRACT DATA REQUIREMENTS LIST _______________________________

THIS CLIN IS "NOT SEPARATELY PRICED" (NSP)

PRICING FOR DATA SHALL BE INCLUDED IN THE UNIT

PRICE OF CLINS 0002, 0005,0006,0009, 0010,0013,0014

and 0017.

THE CONTRACTOR SHALL PROVIDE DATA ITEMS A001 - A006

IN ACCORDANCE WITH CONTRACT DATA REQUIREMENTS LIST

(CDRL) - SEE Exhibit A.

(End of narrative A001)

A001 LOGISTICS PRODUCT DATA - TAMMS-A $ ** NSP ** ________________________________ __________________

SERVICE REQUESTED: TAMMS-A

DATA ITEM A001 - DI-ALSS-81529 - THE ARMY

MAINTENANCE

MANAGEMENT SYSTEM-AVIATION (TAMMS-A) (AS REQUIRED)

(End of narrative C001)

Deliveries or Performance _________________________

A002 TECHNICAL REPORT - STUDY/SERVICES $ ** NSP ** _________________________________ __________________

SERVICE REQUESTED: M&O PLAN

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Reference No. of Document Being Continued

MOD/AMD

DATA ACQUISITION DOCUMENT NUMBER : DI-MISC-80508B

Data Item A002 refers to the M&O Plan as outlined in 52.211-4003 Statement of Work - Contractor

Specifications, paragraph v. The M&O Plan shall be submitted to this office within 30 days after contract award date. PVA cannot occur until the

M&O Plan is submitted and approved.

For a sample of a M&O Plan, please visit the following link:

http://amcomdmz.redstone.army.mil/casl_cmo/casldba.

cas l_cmo_samsar; and select "AMCOM Maintenance and

Overhaul (M&O) SAR" then "Example M&O Plan".

Note: A copy of the plan shall be forwarded to the contract specialist at:

U.S. ARMY Contracting Command - Redstone

ATTN: Caroline Ethridge, CCAM-ALM

5300 Martin Road

Bldg 5303, 2nd Floor

Redstone Arsenal, AL 35898-5000

(End of narrative C001)

Deliveries or Performance…