W58RGZ21B0002.pdf

SOLICITATION, OFFER AND AWARD 1. This Contract Is A Rated Order Under

DPAS (15 CFR 700)

Rating Page of Pages

2. Contract Number 3. Solicitation Number 4. Type of Solicitation 5. Date Issued 6. Requisition/Purchase Number Sealed Bid (IFB)

Negotiated (RFP)

7. Issued By Code 8. Address Offer To (If Other Than Item 7)

NOTE: In sealed bid solicitations ‘offer’ and ‘offeror’ mean ‘bid’ and ‘bidder’.

SOLICITATION

9. Sealed offers in original and copies for furnishing the supplies or services in the Schedule will be received at the place specified in item 8, or if handcarried, in the depository located in until (hour) local time (Date).

Caution - Late Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

10. For Information A. Name B. Telephone (No Collect Calls) C. E-mail Address

Call: Area Code Number Ext.

11. Table Of Contents

(X) Sec. Description Page(s) (X) Sec. Description Page(s)

Part I - The Schedule Part II - Contract Clauses A Solicitation/Contract Form I Contract Clauses

B Supplies or Services and Prices/Costs Part III - List Of Documents, Exhibits, And Other Attach.

C Description/Specs./Work Statement J List of Attachments D Packaging and Marking Part IV - Representations And Instructions E Inspection and Acceptance K Representations, Certifications, and F Deliveries or Performance Other Statements of Offerors G Contract Administration Data L Instrs., Conds., and Notices to Offerors H Special Contract Requirements M Evaluation Factors for Award

OFFER (Must be fully completed by offeror) NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within _____ calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. Discount For Prompt Payment 10 Calendar Days (%) 20 Calendar Days (%) 30 Calendar Days (%) Calendar Days (%) (See Section I, Clause No. 52.232-8)

14. Acknowledgment of Amendments (The offeror acknowledges Amendment No. Date Amendment No. Date receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated):

15A. Name and Code Facility 16. Name and Title of Person Authorized to Sign Offer Address of (Type or Print) Offeror

15B. Telephone Number 15C. Check if Remittance Address is 17. Signature 18. Offer Date Area Code Number Ext. Different From Above – Enter such

Address In Schedule

AWARD (To be completed by Government)

19. Accepted As To Items Numbered 20. Amount 21. Accounting And Appropriation

22. Authority For Using Other Than Full And Open Competition: 23. Submit Invoices To Address Shown In Item

10 U.S.C. 2304(c)( ) 41 U.S.C. 253(c)( ) (4 copies unless otherwise specified)

24. Administered By (If other than Item 7) Code 25. Payment Will Be Made By Code

26. Name of Contracting Officer (Type or Print) 27. United States Of America 28. Award Date

(Signature of Contracting Officer)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

AUTHORIZED FOR LOCAL REPRODUCTION Standard Form 33 (Rev. 9-97) Previous edition is unusable Prescribed By GSA-FAR (48 CFR) 53.214(c)

W58RGZ-21-B-0002 X 2021JUN24

1 signed

/SIGNED/

2021JUL2304:00pm

DOA1

2021JUN24 SEE SCHEDULE

W58RGZ

ARMY CONTRACTING COMMAND-REDSTONE

REDSTONE ARSENAL AL 35898-5280

MEAGAN MELTON

(256)842-7406

CCAM-ALA

MEAGAN.M.MELTON.CIV@MAIL.MIL

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X 5 X 14

X 17 X 21

X 28

X 30

X 33

X 46

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CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION A - SUPPLEMENTAL INFORMATION

Buyer Name: MEAGAN MELTON

Buyer Office Symbol/Telephone Number: CCAM-ALA/(256)842-7406

Type of Contract 1: Firm Fixed Price

Kind of Contract: Maintenance Contracts

*** End of Narrative A0000 ***

W58RGZ-21-B-0002________________

A-1. This is a Small Business Set-Aside (SBSA). The applicable North American Industry Classification Systems (NAICS) code is 336412 and the size standard is 1,500 employees. Only bidders with NAICS code 336412 registered in Sam.gov are eligible to submit a bid.

A-2. This will be a 5 year Firm-Fixed Price (FFP) Maintenance and Overhaul (M&O) Indefinite Delivery Indefinite Quantity (IDIQ)

Contract pursuant to Federal Acquisition Regulation (FAR) 52.216-22.

A-3. The COOLER, LUBRICATING is not a Critical Safety Item (CSI). There is an adequate Depot Maintenance Work Requirement (DMWR): DMWR-

55-1615-318, Revision Date: 04/15/2016, No Change #.

A-4. No Government Furnished Material (GFM) other than the reparables will be provided.

A-5. Access to FedMall is not authorized.

A-6. 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.

A-7. Shipping requirements will be provided in each individual Delivery Order.

A-8. The yearly estimated quantities listed herein do not commit the Government to ordering that or any quantity above the minimum quantity for the following:

Ch-47 Chinook

Noun: COOLER, LUBRICATING

Input NSN & Part Numbers (P/N)______________________________

NSN: 2935-01-112-2979

P/N: 145DS517-4

NSN: 2935-01-112-2979

P/N: UA537603-2

Output NSN & Part Number (P/N)______________________________

NSN: 2935-01-112-2979

P/N: UA537603-2

Minimum quantity: 10

Maximum quantity: 219

The maximum quantity includes 37 reserved for Foreign Military Sales (FMS).

A-9. The minimum quantity set forth herein shall be obligated on the first delivery order, 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.

A-10. 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 366 days after contract award (DACA).

The second ordering period is from 367 DACA through 731 DACA.

The third ordering period is from 732 DACA through 1,096 DACA.

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W58RGZ-21-B-0002

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

The fourth ordering period is from 1,097 DACA through 1,461 DACA.

The fifth ordering period is from 1,462 DACA through 1,826 DACA.

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

Note: the Offeror's attention is called to the requirements for receipt of reparables, which follows:

A-11. An electronic copy of DD Form 1348-1A for all shipments of reparables shall be forwarded to 1) the email address in block 10 on page 1 of the basic contract/delivery order/modification and 2) Usarmy.redstone.usamc.mbx.immc-smb-ammo@mail.mil. The DD Form 1348-1A shall annotate to which contract/delivery order the assets will be applied as reparables.

The DD Form 1348-1A guidance as follows:

A. Maintain any receipt documentation received from the depots

B. 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.

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

I. Unit of issue and quantity - (Positions 23-29)

Ii. Document number (Positions 30-43)

Iii. National stock number (NSN) Positions 8-22)

Iv. Condition code (Position 71)

V. Unit price (Positions 74-80)

Vi. Total price (Block 1)

Vii. Actual quantity received (Block 10)

Viii. Nomenclature (Block 17)

Ix. Signature and date (Blocks 22 and 23)

D. Completed 1348-1A 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 (see Attachment 0001).

A-12. When applicable, the contractor is reminded to complete the FMS customer DA Form 2410 (component removal and repair overhaul record), submitted with the item for repair, in accordance with DA Pamphlet 738-751 (2014) and TB 1-1500-341-01. 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.

A-13. The National Defense Authorization Act for Fiscal Year 1993, Public Law 102-484, Section 326, prohibits use of ozone depleting chemicals 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:

- "Https://liw.logsa.army.mil/etmapp/#/etm/home

- "https://armypubs.army.mil/ProductMaps/PubForm/AR.aspx

A-14. The Government intends to award only one contract as a result of this solicitation.

A-15. Complete the following contractor point of contact information:

Name: _________________________________________________________

Telephone number: _____________________________________________

Fax number: ____________________________________________________

E-mail address: _________________________________________________

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

A-16. Technical Data can only be distributed to contractors who have a current DD 2345, Militarily Critical Technical Data Agreement on file with Defense Logistics Information Service (DLIS). Technical Data that are export-controlled must be marked with an export control warning notice. This statement identifies technical data which the DOD will withhold from public release using authority in 10 U.S.C.

130. The Governments right to use, modify, reproduce, release, perform, display, or disclose such technical data are restricted for the contractor/their subsidiaries/or sub-contractors at every level. Any reproduction of technical data or portions thereof marked with these legends must also reproduce these legends on such technical data. Contractors wanting to obtain access to the unclassified technical data drawings must have Joint Certification Program (JCP) certification. Instructions for obtaining JCP certification can be found at:

https://public.logisticsinformationservice.dla.mil/publichome/jcp/default.aspx

DMWR and associated Maintenance and Engineering Orders (MEO) can be obtained by contacting the AMCOM publications office via email

Edward McConnell at edward.n.mcconnell1.civ@mail.mil. Please notify the Contract Specialist, Meagan Melton, at meagan.m.melton.civ@mail.mil when this request is made.

Solicitation period will not be extended as a result of late requests for technical data.

A-17. Offerors shall complete Attachment 0009, CH-47 Chinook Cooler Lubricating Pricing Template, and submit electronically to the DoD

SAFE Site or to the email of meagan.m.melton.civ@mail.mil. Failure to complete Attachment 0009 entirely will be cause for disqualification.

A-18. The contractor shall comply with the Total Asset Visibility - contractor (TAV-C) reporting instructions IAW Attachment 0003 -

Contractor Repair TAV-C Requirements.

*** END OF NARRATIVE A0001 ***

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PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS

0001 PVA

0001AA PRODUCT VERIFICATION AUDIT (PVA) $ ________________________________ __________________

SERVICE REQUESTED: PVA

CLIN CONTRACT TYPE:

Firm Fixed Price

This CLIN represents the Product Verification Audit

(PVA) for the COOLER, LUBRICATING, Output NSN: 2935-

01-112-2979 shown in CLINs 0002AA and 0003AA.

This is a Firm Fixed Price CLIN.

Offeror is required to fill in a proposed firm fixed unit price for the PVA:

PVA shall be in accordance with The "Product

Verification Audit (PVA) Statement of Work".

PVA shall be conducted within 90 days after receipt of reparables. The Contractor shall prepare 3 assets _________ for PVA. The Contractor is required to notify the

Government Quality Office for scheduling of the PVA by email to the following address:

usarmy.redstone.ccdc-avmc.mbx.qs-contracts@mail.mil

With copy emailed to the Contract Specialist at:

meagan.m.melton.civ@mail.mil

The Contractor will prepare and forward, through the cognizant Government Quality Element, finalized audit reports within 10 working days after completion of the PVA to the email address above.

NOTE: A copy of the cover letter for the report shall be forwarded to the Contract Specialist at:

U.S. Army Contracting Command - Redstone

Bldg 5303, 2nd Floor

ATTN: CCAM-AL-A, Meagan Melton, Redstone Arsenal, Alabama 35898-5000 or emailed to:

meagan.m.melton.civ@mail.mil

PVA requires approval prior to Government acceptance of contract deliverable assets.

Payment Instructions: The Contractor will go into_____________________

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Wide Area Work Flow (WAWF) to receive payment for the

PVA. The Contractor shall use DODAAC W58RGZ when submitting the PVA invoice in WAWF, making it to the attention of Charles R. Miller. The Contracting

Officer will approve the PVA invoice.

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Destination

Deliveries or Performance _________________________

0002 COOLER, LUBRICATING

NSN: 2935-01-112-2979

0002AA OVERHAUL/REPAIR (US QTY) $ $ ________________________ ______________ __________________

COMMODITY NAME: COOLER, LUBRICATING

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

INPUT NSN: 2935-01-112-2979

INPUT PART NUMBER: 145DS517-4

INPUT NSN: 2935-01-112-2979

INPUT PART NUMBER: UA537603-2

OUTPUT NSN: 2935-01-112-2979

OUTPUT PART NUMBER: UA537603-2

Overhaul shall be in accordance with Section C entitled 'Statement of Work/Specifications-Contractor

Specifications'.

This Firm Fixed Price (FFP) CLIN includes all mandatory and nonmandatory 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

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

UNIT PRICE: US QTY 182 __________

ORDERING PERIOD 1- $_________ EST Qty 10 ea

ORDERING PERIOD 2- $_________ EST Qty 36 ea

ORDERING PERIOD 3- $_________ EST Qty 36 ea

ORDERING PERIOD 4- $_________ EST Qty 50 ea

ORDERING PERIOD 5- $_________ EST Qty 50 ea

THESE ARE ONLY ESTIMATED QUANTITIES. THE TOTAL

MINIMUM QUANTITY FOR THIS REQUIREMENT IS 10 EACH AND _______

THE MAXIMUM QUANTITY FOR THIS REQUIREMENT IS 219 EACH _________

(182 US/37 FMS).______________

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0008 - PACKAGING REQUIREMENTS

LEVEL PRESERVATION: Military

LEVEL PACKING: A

All Wood Packaging Material (WPM) must be ISPM-15 compliant.

Preservation requirement and packaging requirement contained in Packaging Requirements (Attachment

0008).

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0003 COOLER, LUBRICATING

NSN: 2935-01-112-2979

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Reference No. of Document Being Continued

MOD/AMD

0003AA OVERHAUL/REPAIR (FMS QTY) $ $ _________________________ ______________ __________________

COMMODITY NAME: COOLER, LUBRICATING

CLIN CONTRACT TYPE:

Firm Fixed Price

SYSTEM: CH-47

INPUT NSN: 2935-01-112-2979

INPUT PART NUMBER: 145DS517-4

INPUT NSN: 2935-01-112-2979

INPUT PART NUMBER: UA537603-2

OUTPUT NSN: 2935-01-112-2979

OUTPUT PART NUMBER: UA537603-2

Overhaul shall be in accordance with Section C entitled 'Statement of Work/Specifications-Contractor

Specifications'.

This Firm Fixed Price (FFP) CLIN includes all mandatory and nonmandatory 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: FMS QTY 37 __________

ORDERING PERIOD 1- $_________ EST Qty 0 ea

ORDERING PERIOD 2- $_________ EST Qty 9 ea

ORDERING PERIOD 3- $_________ EST Qty 9 ea

ORDERING PERIOD 4- $_________ EST Qty 9 ea

ORDERING PERIOD 5- $_________ EST Qty 10 ea

THESE ARE ONLY ESTIMATED QUANTITIES. THE TOTAL

MINIMUM QUANTITY FOR THIS REQUIREMENT IS 10 EACH AND _______

THE MAXIMUM QUANTITY FOR THIS REQUIREMENT IS 219 EACH _________

(182 US/37 FMS).______________

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE ATTACHMENT 0008 - PACKAGING REQUIREMENTS

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Reference No. of Document Being Continued

MOD/AMD

LEVEL PRESERVATION: Military

LEVEL PACKING: A

All Wood Packaging Material (WPM) Must be ISPM-15 compliant.

Preservation requirement and packaging requirement contained in Packaging Requirements (Attachment

0008).

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT:

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0004 SCRAP

0004AA SCRAP $ ______ __________________

SERVICE REQUESTED: SCRAP

CLIN CONTRACT TYPE:

Firm Fixed Price

THIS CLIN APPLIES TO US AND FMS QUANTITY.________________________________________

SECTION C - Description/Specifications/Work Statement_________

Units from CLIN 0002AA,0003AA,shall be scrapped or returned in accordance with (IAW) Section C, Statement of Work/Specifications - Contractor

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

0002AA and 0003AA as appropriate. In the event the

PCO determines that certain items are scrap, the

Contractor shall make disposition IAW Government property procedures. Scrapped items shall count

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Reference No. of Document Being Continued

MOD/AMD

toward the minimum quantities ordered hereunder. The

Government may, at its own discretion, reduce any items determined to be 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- $ _______ Qty 1 ea __

ORDERING PERIOD 2- $__________ Qty 1 ea

ORDERING PERIOD 3- $__________ Qty 1 ea

ORDERING PERIOD 4- $__________ Qty 1 ea

ORDERING PERIOD 5- $__________ Qty 1 ea

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0005 CONTAINERS

0005AA CONTRACTOR FURNISHED CONTAIENRS $ _______________________________ __________________

SERVICE REQUESTED: CONTAINERS

CLIN CONTRACT TYPE:

Firm Fixed Price

THIS IS A FIRM-FIXED- PRICE CLIN________________________________

THESE PRICES APPLY TO U.S. AND FMS REUSABLE

CONTAINERS.

FIRM-FIXED- UNIT PRICES:

ORDERING PERIOD 1- $ ______ Qty 1 ea __________

ORDERING PERIOD 2- $ ______ Qty 1 ea __________

ORDERING PERIOD 3- $ ______ Qty 1 ea __________

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Reference No. of Document Being Continued

MOD/AMD

ORDERING PERIOD 4- $ ______ Qty 1 ea __________

ORDERING PERIOD 5- $ ______ Qty 1 ea __________

The Contractor shall provide Containers, in accordance with Attachment 0008, M&O

Packaging Requirement Instructions and the

Statement of Work.

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 the Statement of Work, shall submit a Report Of Discrepancy (ROD) SF

FORM 364, through their Government QAR for verification, within seven working days to the address shown on EXHIBIT C - CDRL A003.

Assets received in unservicable containers or without a container, require approval by the

PCO prior to the purchase of a servicable container.

CONTRACTOR WILL FURNISH CONTAINERS: NSN: 8145-00-485-

8250, P/N: 13414-077

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

0006 CONTRACT DATA REQUIREMENTS LIST _______________________________

A001 TECHNICAL REPORT - STUDY/SERVICES - DD FORM ___________________________________________

1348-1A 1 LO $ ** NSP ** _______ __________________

SERVICE REQUESTED: EXHIBIT A

TECHNICAL REPORT - STUDY/SERVICES / DD FORM 1348-1A /

DI-MISC-80508B

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

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Reference No. of Document Being Continued

MOD/AMD

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 AS REQUIRED

A002 CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT 1 LO $ ** NSP ** __________________________________________________ __________________

SERVICE REQUESTED: EXHIBIT B

CDM PRODUCTION REPORT / DI-PSSS-81995

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 AS REQUIRED

A003 QUALITY DEFICIENCY REPORT 1 LO $ ** NSP ** _________________________ __________________

SERVICE REQUESTED: EXHIBIT C

QDR / DI-QCIC-80736

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 AS REQUIRED

A004 REPORT OF SHIPPING AND PACKAGING DISCREPANCY (ROD) 1 LO $ ** NSP ** __________________________________________________ __________________

SERVICE REQUESTED: EXHIBIT D

ROD / DI-MGMT-80503

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

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Reference No. of Document Being Continued

MOD/AMD

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 AS REQUIRED

A005 GOVERNMENT PROPERTY INVENTORY REPORT 1 LO $ ** NSP ** ____________________________________ __________________

SERVICE REQUESTED: EXHIBIT E

GOVERNMENT PROPERTY INVENTORY REPORT / PHYSICAL

INVENTORY INSTRUCTIONS / DI-MGMT-80441C

(End of narrative C001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 AS REQUIRED

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION C - DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

Statement of Work for

NSN: 2935-01-112-2979

PRID: M032

P/N: UA537603-2

STATUS: R

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 (other than Government Furnished Property), necessary to accomplish the inspection and overhaul for COOLER,LUBRICATING that is 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 each individual delivery order of the contract and shipped to the destination(s) specified in each individual delivery order.

b. Prior to commencement of overhaul, the Contractor shall disassemble and inspect the item to the extent necessary to determine if the item is physically unrepairable or has suffered abnormal or catastrophic damage. If the latter condition exists, the Contractor shall notify the Procuring Contracting Officer (PCO) through the cognizant Administrative Contracting Officer (ACO) and shall stop work on the item(s) until given further instructions or disposition of the item(s) by the PCO.

c. In the event the PCO determines that certain items should be scrapped, the contractor shall scrap such items at the fixed unit price in Section B hereof and make disposition in accordance with (IAW) Government property procedures. Such scrapped items shall count toward the quantities ordered hereunder.

d. Overhaul shall be accomplished IAW Depot Maintenance Work Requirement (DMWR):

DMWR-55-1615-318

REV-04/15/2016

Distibution Level: C

COOLER, TRANSMISSION OIL, P/N: UA537601-1 (145DS517-1), NSN: 1615-01-112-2978; P/N: UA537602-2 (145DS517-5), NSN: 1615-01-112-2980; and

P/N: UA537603-2(145DS517-4), NSN: 1615-01-112-2979

e. Critical Safety Item: N/A

f. Upon receipt of the reparables, containers shall be reviewed for serviceability. Containers shall be considered serviceable unless one or more of the following conditions exist: (1) containers are structurally damaged to include functional damage to the suspension system, cracks or holes to the container hull, hull deformity to the extent the container cannot be closed (or sealed where required), or dents that will interfere with the item envelope; (2) corrosion has progressed to the point where fit, function or the life of the container is affected. Items received without containers or containers determined to be unserviceable shall be processed IAW the

Contractor's locally approved Government Property procedures. Components received improperly packaged, damaged with corrosion/deterioration or those with shipping discrepancies shall be reported IAW DI-MGMT-80503.

g. Any Contractor paint facility which is used in the performance of this contract shall comply with the Environmental Protection Agency and Occupational Safety and Health Administration standards for painting as implemented by TM 1-1500-345-23, CH1, Painting and Marking of Army Aircraft.

h. Data and reports shall be submitted IAW the Contract Data Requirements List, DD Form 1423, Exhibit A through E. Data shall be packaged, packed and marked as necessary to assure safe delivery to the addresses indicated on the DD Forms(s) 1423.

i. Product Verification Audit (PVA): The Contractor shall conduct the PVA as specified in Section E, PVA Statement of Work, of the solicitation/contract.

j. The Army Maintenance Management System - Aviation (TAMMS-A): N/A

k. Serial Number Report Requirement (SNRR): N/A

l. The items the Contractor shall overhaul are identified below:

Input NSN: 2935-01-112-2979

Input P/N: UA537603-2

Input NSN: 2935-01-112-2979

Input P/N: 145DS517-4

Output NSN: 2935-01-112-2979

Output P/N: UA537603-2

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m. The overhaul planned quantity for 5 years is minimum 10, maximum 219. Input will be 30 days after receipt of order (ARO). Output shall be as specified in the solicitation/contract schedule.

Estimated Quantities:

1st Year 10

2nd Year 45

3rd Year 45

4th Year 59

5th Year 60

n. Inventory Transactions - The contractor shall prepare the following reports:

1. The contractor shall prepare a Contract Depot Maintenance Production Report IAW DI-PSSS-81995, CDRL A002.

2. The contractor shall complete and maintain the DD Form 1348-1A receipt for repairables on all shipments IAW DI-MISC-80508 and DD Form

1348-1A, CDRL A001. The contractor shall complete the DD Form 1348-1A, Block 10 (indicates the quantity received), along with Block 22

(signature), and Block 23 (date). Printed names, name/date stamps, and initials shall not be acceptable. If a DD Form 1348-1A is not delivered with the shipment, a DD Form 1348-1A is located at: http://www.dtic.mil/whs/directives/forms/eforms/dd13481a.pdf

The contractor shall prepare this form to include the following corresponding receipt information:

A. Document Number - (Positions 30-44)

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

C. Condition Code - (Position 71)

D. Unit Price - (Positions 74-80)

E. Total Price - (Block 1)

F. Actual Quantity Received - (Block 10)

G. Nomenclature - (Block 17)

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

If there are any questions with the above information please contact: usarmy.redstone.usamc.mbx.immc-smb-ammo@mail.mil

3. The contractor shall perform a 100% physical inventory of general supplies on an annual basis per AR 740-26, Physical Inventory

Control. The contractor shall perform special inventory requests the same day as a government request is received from the responsible inventory manager.

The contractor shall prepare a physical inventory report IAW DI-MGMT-80441. Along with this report, an inventory memorandum to include count type, date performed, total count of lines, and signature shall be provided. The contractor shall ensure that the total lines inventoried correlates with lines present on count sheets.

If the physical inventory shows less than 97% of general supplies, the accountable Property Officer, Item Manager, or Contracting

Officer is authorized to schedule a 100% physical inventory by a government official.

4. The contractor shall comply with the Total Asset Visibility - Contractor (TAV-C) reporting instructions IAW Attachment 0003

"Contractor Repair TAV-C Requirements".

o. Foreign Military Sales (FMS): These total requirements meet or exceed the requirements for the Security Assistance Management

Directorate (SAMD) per the ACC-RSA IAW SAMD and AMCOM Logistics Center (ALC) Memorandum of Understanding (MOU) document dated 4 December

2004. The ALC is responsible for conducting Weapons System Team (WST) reviews of SAMD's FMS Aviation hardware, allowing 20% over the

Army's maximum quantity during the life of the contract specifically for FMS requirements. SAMD and ALC will negotiate provisions for

FMS critical items that exceed the standard 20% on case-by-case basis.

p. The replacement cost is $17,060.00 for the subject item. When price of overhaul exceeds $11,089.00, a review of disposition will be made by ALC.

q. The Government reserves the right to replace any items scrapped.

r. Overhaul Repair Report: N/A

s. Quality Deficiency Report: The Contractor shall prepare the Quality Deficiency Report IAW DI-QCIC-80736, CDRL A003.

t. Supplier Interface and Oversight: N/A

u. Shipping Containers NSN: 8145-00-485-8250, P/N: 13414-077 shall be utilized. If containers are not reparable or if assets are not

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delivered in the approved containers, the containers shall be Contractor Furnished Material. Shipment: The method of shipment must use a procedure so that the package can be tracked in case the shipment is not received by AMCOM.

Remarks: CONTRACTOR SHALL FURNISH ALL CONTAINERS AS NEEDED.

*** END OF NARRATIVE C0001 ***

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SECTION E - INSPECTION AND ACCEPTANCE

This document incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at these addresses:

For FAR clauses: https://www.acquisition.gov/

For DFARS clauses: https://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html

If the clause requires additional or unique information, then that information is provided immediately after the clause title.

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

E-1 52.246-2 INSPECTION OF SUPPLIES--FIXED-PRICE AUG/1996

E-2 52.246-4 INSPECTION OF SERVICES--FIXED-PRICE AUG/1996

E-3 52.246-16 RESPONSIBILITY FOR SUPPLIES APR/1984

PRODUCT VERIFICATION AUDIT (PVA) STATEMENT OF WORK__________________________________________________

Purpose: The purpose of this PVA SOW is to provide guidance to the contractor in the preparation for and execution of the PVA. The primary concept of the PVA is to validate that the contractor's overhaul processes and procedures comply with contract technical requirements. The PVA candidate(s) are used to evaluate that the contractor processes and procedures are adequate to ensure component integrity.

(a) The Contractor shall perform overhaul and present for acceptance THREE units of Lot/Item 0001AA as specified in this contract. This clause does not supersede instructions contained in depot overhaul work requirements, commercial overhaul manuals, or other applicable documents. It does not relieve the contractor from maintaining a quality system that will assure overhauled items conform to contractual requirements. Contractors may request to delay scheduled PVAs in frequency or waive PVA requirements of selected items in cases where accumulated objective evidence indicates that a consistent quality item is being delivered. The Command's actions will be based on the overall performance history, failure impact, supply impact, length of program, and nonscheduled PVAs accomplished by the U.S. Army

Combat Capabilities Development Command (DEVCOM) Aviation and Missile Center (AvMC) Systems Readiness Directorate (SRD). Like or similar items may be grouped for these purposes provided concurrence is obtained from DEVCOM AvMC. The contractor may be directed by the

Contracting Officer (CO) to increase or decrease the scope of a PVA pursuant to the "Changes" clause of the contract.

(b) The Contractor shall:

(1) With the concurrence of the cognizant government quality element and AMCOM, schedule and perform PVA as required by the terms of the contract or as otherwise required.

(2) Notify AMCOM through the cognizant government quality assurance element, with information copy to the DEVCOM AvMC SRD, ATTN: usarmy.redstone.ccdc-avmc.mbx.qs-contracts@mail.mil, of the date the PVA candidates will be available. Notification shall be provided at least 20 working days prior to the selected date if facilities are within the Continental United States. If facilities are outside the Continental United States, notification shall be provided at least 95 working days prior to the selected date to allow sufficient time for travelers to gain theater clearance.

(3) Provide technical personnel, tooling, measuring and test equipment, work area, forms, and clerical assistance, as required, to perform the PVA. If test cell or other specialized equipment is required; notification of readiness for PVA shall include the availability of these.

(c) The initial PVA will be performed on one of the first three (3) items overhauled. The PVA candidate will be selected by the DEVCOM

AvMC PVA Team Chairman at random from the three (3) tendered for acceptance to the Government. For reoccurring audits, if any, the audit candidate will be selected by the PVA Team Chairman from all completed items currently available.

(d) The item selected for PVA will be inspected for adherence to preservation, packaging, packing, and marking requirements prior to removal from the shipping container. A visual inspection and functional test will be performed prior to disassembly.

(e) The PVA Team will review the shop travelers, production processes, procedures, tooling, and equipment used to overhaul the item being audited for adequacy and conformance to the contractual requirements. The PVA will include verification through objective evidence that all of the inspection, testing, measuring and diagnostic equipment used in the inspection/test of the PVA candidate are maintained in accordance with applicable calibration standards.

(f) Disassembly will be performed in an area accessible only to audit personnel. Normally, audit participation will be limited to specified production and quality assurance personnel of the contractor activity, the cognizant government Quality Assurance

Representative (QAR), and the DEVCOM AvMC PVA Team Chairman and team personnel.

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(g) Visual inspection, dimensional checks (such as backlash, end clearance, running clearance, etc.) and nondestructive testing are accomplished during and after disassembly IAW applicable technical directives. Findings are recorded for comparison with historical data and conformance evaluation. A 100% inspection (or as set forth in relevant specifications) of all physical characteristics, to include but not limited to, any dimensions, certifications for materials, processes and/or procedures, as well as any other requirements which may be set forth by other applicable specifications, or in any procurement packages, technical drawings. Depot Maintenance Work

Requirements (DMWRs), Maintenance Engineering Orders (MEOs), and/or any other special/functional testing as set forth in this contract.

(h) Applicable accessories and components will be functionally tested and inspected to contractual/work specifications. The PVA team will review subcontractor certifications for testing and inspections. At the request of the PVA Team Chairman, processes (such as shot peening, heat treating, etc.) performed by subcontractors will also be audited. Contractor shall be able to demonstrate that all testing, inspection procedures, and acceptance methods are documented in the appropriate area of the overhaul documents, and are approved and controlled by management.

(i) The PVA item shall be reassembled and functionally tested IAW applicable specifications and made ready for Government acceptance including preservation, packing, packaging, marking, and update of historical records and all applicable documentation.

(j) Conduct of the PVA will be planned in a manner that adequately allows examination/audit of all procedures involved. Each step in the process shall be analyzed to determine compliance to specifications. It may not be logical or possible, due to time constraints, to track the same item throughout the PVA; therefore, at the DEVCOM AvMC PVA Team Chairman's discretion, examination of representative assemblies may be used as evidence of compliance to specification requirements. The DEVCOM AvMC PVA Team Chairman will determine the scope and detail of the PVA process. The DEVCOM AvMC PVA Team Chairman may delegate follow-up actions to the government QAR, when it is determined to be prudent to the PVA.

(k) During the course of the PVA, the PVA Team Chairman may request progress meetings to provide status to the contractor. After the PVA is completed, the DEVCOM AvMC PVA Team Chairman will conduct an exit critique attended by all concerned contractor personnel and the cognizant government QAR. The context of the audit findings and corrective actions will be discussed and any disputes will be resolved.

Findings, classifications, and corrective actions will be discussed and determinations made as to cause of defect established (i.e., workmanship, tooling, technical requirements, etc.). The contractor's management personnel shall take immediate action to correct and preclude recurrence of all defects attributable to failure to comply with requirements.

(l) All defects will be recorded on the DEVCOM AvMC PVA Audit Finding Record by the PVA Team. The PVA Team Chairman will provide copies of each finding to the contractor quality assurance element and the cognizant government QAR. This will allow immediate actions to begin in the resolution of the defect. Corrective actions as well as actions taken to prevent recurrence shall also be documented on this form by the contractor. The form shall be signed, as a minimum, by the contractor's quality manager or designated representative and the

DEVCOM AvMC PVA Team Chairman. Further actions outlined below pertain to specific actions required by the contractor depending on the classification of the defects.

1. Observation: In the event an observation finding is discovered, the contractor is not required to provide a written response, but it is encouraged to do so.

2. Minor: In the event a minor defect is discovered, the following actions shall be taken:

a. The contractor shall isolate the cause of the defect and initiate corrective actions.

b. All minor defects shall require a written response addressing corrective actions taken and actions taken to prevent recurrence.

c. In the event a minor defect is a recurring deficiency, regardless of weapon system or date when original discrepancy was noted, it will be written into the report as a minor defect, but the corrective actions required below for a major defect will apply.

3. Major: In the event a major defect is discovered, the following actions shall be taken:

a. The contractor shall halt any work in progress at the responsible station until corrective action is acceptable to the PVA Chairman.

b. The contractor shall provide the QAR information reflecting the total quantity shipped, if any, and to what destination pertaining to any item that could contain the identified defect.

c. The contractor shall determine impact of the defect on products previously delivered under this contract, if any, and initiate corrective action to address those units at no additional cost to AMCOM.

d. The contractor shall isolate the cause of the defect and initiate corrective actions. All findings shall require an in-depth written response outlining corrective actions to prevent recurrence.

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e. The contractor shall review/revise work documents for the specified operation responsible for the defect to ascertain that they are complete, adequate, and sufficiently defined to assure that, if followed and completed by both production, maintenance and inspection personnel, they will provide objective evidence of a quality operation.

f. The contractor shall assure the cognizant QAR and the DEVCOM AvMC PVA Team Chairman that positive, effective, corrective action has been initiated that will prevent recurrence of the cited defect. This assurance can be verbal at first, however, a written report from the contractor quality element containing all corrective actions completed and actions taken to prevent recurrence shall be provided to the QAR and the DEVCOM AvMC PVA Team Chairman within 24 hours after the verbal response.

4. Critical: In the event a critical defect is discovered, the following actions shall be taken:

a. All actions outlined in paragraph 3 above shall be completed.

b. Upon request, the contractor shall provide the DEVCOM AvMC SRD technical information necessary for the issuance of a Safety of Flight Message or Aviation Safety Action Message to the field (if necessary).

c. Government acceptance/release of product will cease immediately until corrective actions are acceptable to the contracting officer.

NOTE: Systemic quality and overhaul process discrepancies that affect the outcome of product(s) outside the scope of the PVA will require the cognizant QAR to issue a Corrective Action Request.

(m). Upon completion of the disassembly and testing portion of the selected PVA candidate, without finding any critical or major defects, the other two completed candidates will be released as PVA candidates. In the event that a critical or major defect is found in the audit candidate, the contractor shall satisfy the PVA Team Chairman that such a defect does not exist in the other 2 PVA candidates prior to acceptance, and effective corrective action has been initiated to preclude reoccurrence of the defect.

(n). The contractor shall prepare and forward, through DCMA, finalized audit reports within ten (10) working days after completion of the PVA to Commander, DEVCOM AvMC, ATTN: usarmy.redstone.ccdc-avmc.mbx.qs-contracts@mail.mil , Redstone Arsenal, AL 35898-5000 and the

ACC-RSA address as shown on Order 0001. (In the event reorganization changes this address, the contractor will be notified of the new, correct address by the CO). The report shall include:

1. Name and location of contractor

2. Contract number or equivalent

3. Descriptive noun, national stock number, part number, and serial number of the item audited

4. Complete description of each audit finding, with corrective action taken, and action taken to prevent recurrence.

5. The audit report shall be signed, as a minimum, by the contractor's quality manager or his designated representative.

Objections, accompanied with explanations, on any audit finding(s) shall be specifically annotated and forwarded to AMCOM for resolution. Objection by the contractor as to the existence of a defect or as to its classification will be resolved by the PVA

Chairman. Further non-concurrence will be referred to the PCO for final resolution IAW the clause FAR 52.233-1, entitled "Disputes", which will be included in the contract.

(o) The DEVCOM AvMC PVA Chairman will acknowledge receipt of the Final Audit Report and complete the following within 10 working days of receipt:

1. Review the Final PVA Report for compliance and completeness

2. Review the report for acceptance/rejection of corrective action and actions taken to prevent recurrence.

3. Forward a written reply to the ACC-RSA CO and/or cognizant government quality element, recommending acceptance or rejection of the Final Audit Report.

4. If the Final Audit Report is disapproved, the Contractor shall repeat any or all PVA tests, per Government request. If deemed in the best interests of the government, contract termination may be initiated. Upon request for additional tests, the Contractor shall make any necessary changes, modifications, or repairs to the PVA item. All costs related to these tests are to be borne by the

Contractor, including any and all costs for additional tests following disapproval. The Contractor shall then conduct the tests and deliver a revised report to the Government under the terms and conditions and within the time specified by the Government. These actions must be coordinated with the cognizant Government QAR. The Government shall take action on this report within 10 working days. The

Government reserves the right to require an equitable adjustment of the contract price for any extension of the delivery schedule, or for any additional costs to the Government related to these tests.

(p) The PVA unit is to be representative of the deliverable quantity. The Contractor shall overhaul both the PVA item and the contractual quantity at the same facility. In the event that there is a change to the process planning (i.e. changes in process sources, parts sources, or location where work is to be performed) after approval of the Final Audit Report, the contractor is required to provide notification of such changes to the CO, so that a determination can be made whether a new PVA is warranted. Notification is required 10 business days prior to shipment of the next delivery.

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(q) The PVA candidates shall be shipped IAW contract delivery schedules or released to supply activity upon acceptance of the Final

Audit Report. The Contractor SHALL NOT retain the PVA item approved under this contract to serve as the manufacturing standard of acceptance.

(r) If the Contractor fails to deliver any PVA on time, or the Contracting Officer disapproves any PVA, the Contractor shall be deemed to have failed to make delivery within the meaning of the Default clause of this contract.

(s) Before PVA approval, the acquisition of materials or components for, or the commencement of overhaul of, the balance of the contract quantity is at the sole risk of the Contractor. Before PVA approval, the costs thereof shall not be allocable to this contract for (1)

Progress payments, or (2) termination settlements if the contract is terminated for the convenience of the Government.

(t) In cases where this PVA is a part of the Source Approval Request (SAR) process, the process planning will be considered approved upon receipt of an approval memorandum from DEVCOM AvMC SRD. PVA approval is contingent on contractor submission and SRD approval of changes to manufacturing planning, to correct defects identified during PVA.

(u) Unless otherwise specified in this contract, any end item destroyed or exceeds reparable limits during the PVA process is not to be considered as part of the contract quantity. The full quantity of acceptable and serviceable items must be delivered.

*** END OF NARRATIVE E0001 ***

CALIBRATION

The calibration of Test, Measurement and Diagnostic Equipment shall be in accordance with American National Standards Institute/National

Conference of Standards Laboratories (ANSI/NCSL) Z540-3-2006 (General Requirements for Calibration Laboratories and Measuring and Test

Equipment) or ISO 10012:1992 (Quality Assurance Requirements for Measuring Equipment). Terminology shall be as defined by International

Organization for Standardization (ISO) 8402, Quality Management and Quality Assurance - Vocabulary.

*** END OF NARRATIVE E0002 ***

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SECTION F - DELIVERIES OR…