CABLE ASSEMBLY, SPECIAL PURPOSE, ELECTRICAL-W64

SIMPLIFIED SOLICITATION FORM THIS SECTION OF THE FORM IS TO BE COMPLETED BY THE GOVERNMENT DATE: RFQ #: PRON #: Contract Specialist: Phone Number: Email Address: Contracting Officer: Phone Number: Email Address: THIS RFQ IS: Unrestricted Restricted Competition (FAR Part 6) Sole Source (FAR Part 6) Mandatory Source (FAR Part 8) EDWOSB WOSB TOTAL SBSA DESCRIPTION Noun: NSN: Part Number: FAT Qty: Production Qty: SERIALIZATION REQUIRED Yes [ ] No [ ] IUID REQUIRED Yes [ ] No [ ] DPAS Rating DO [ ] DX [ ] PACKAGING AND MARKING PACKAGING/PACKING/SPECIFICATIONS: MIL-STD-2073-1 & MIL-STD-129 MARKINGS SHALL APPLY UNIT PACK: ____ INTERMEDIATE PACK: ____ LEVEL PRESERVATION: ________ LEVEL PACKING: _____ ESTIMATED MAXIMUM UNIT PACKAGE WEIGHT (POUNDS) AND SIZE (INCHES) Weight (WT) ______ Length (LN) ______ Width (WD) ______ Depth (DP) ______ ALL WOOD PACKAGING MATERIAL (WPM) MUST BE ISPM-15 COMPLIANT MIL-STD-2073-1 CODES, APPENDIX J JI/A/MP [ ] JII/CD [ ] JIII/PM [ ] JIV/WM [ ] JV/CD [ ] JVI/CT [ ] JVII/UC [ ] JVII/IC [ ] JIX/A/PK [ ] JX/SM [ ] JVIIIA/OPI [ ] Supplemental Packaging Instructions:BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB TESTING REQUIREMENT Contractor First Article Test Government First Article Test Government Production Lot Test No Test Required SHIP TO: (W31P0W) PR W0H9 US ARMY AVN & MISSILES CMDREDSTONE TECHNICAL TEST CENTERCOTTONWOOD RD BLDG 8022 MF 4500REDSTONE ARSENAL, AL 35898-8052 ** CFAT Report to be delivered to: FIRST ARTICLE TEST REPORT WILL BE SENT ELECTRONICALLY TO: DLAHSVPOSTAWARDTEAM@DLA.MIL IF THE FILE IS TOO LARGE OR ENCRYPTION IS NEEDED, A DOD SAFE LINK WILL BE SENT TO YOU FOR UPLOAD USING HTTPS://SAFE.APPS.MIL/ PLEASE USE THE DLAHSVPOSTAWARDTEAM@DLA.MIL EMAIL ADDRESS TO REQUEST THE LINK INSPECTION: ACCEPTANCE: FOB POINT: (;3257 &21752//(' Yes [ ] No [ ] SPRRA2-Q-0054 D16H0984D1 Harrison Mayfield 256-303-0364 harrison.mayfield@dla.mil Thomas Gunter 256-562-9803 thomas.gunter@dla.mil 1 Military B 3 16 16 12 ORIGIN DESTINATION DESTINATION ✔ ✔ ✔ ✔ ✔ 000 41 1 00 ED 00 F 00 00 NA M A ✔ NO -- 1 of 2 -- SIMPLIFIED SOLICITATION FORM CONTINUED THIS SECTION OF THE FORM IS TO BE COMPLETED BY THE OFFEROR DATE: QUOTE #: QUOTE VALID FOR: Company Name: Cage Code/Facility Code: Address: Point of Contact: Phone Number: Email Address: QUOTE First Article Unit(s) (Contractor and Government) Quantity: Price: Production Lot Units Quantity: Price: Delivery Days (if applicable): FAT Unit: Production Unit: Test Report: ADDITIONAL NOTES -- 2 of 2 --