6 ISSUE D BY CODE

GS-07F-0661W

1 CO N TRA CT/P U RCH O RD E R/ 

 A G REE ME NT N O

W912KZ

2 D ELIVERY O RDER/ CA LL NO

W912KZ-12-F-0016

P AGE 1 OF 9

5 P RIO RITY

CODE FA6161

8 DE L IVE RY FOB

DE ST INAT ION

OTHER

(See Sch edule if o t h er)

ORDER FOR SUPPLIES OR SERVICES

3 DA TE O F O RD ER/CA L L

2012 Apr 02

4 RE Q / P U RCH RE Q U EST N O

F7H 3LS1166A001

KY AN G BASE C ON TR AC TIN G OFFIC E

1101 GRADE LANE

LOUISVILLE KY 40213-2678

X

123 AW / C ON TR AC TIN G

1101 GRADE LANE

LOUISVILLE KY 40213-2678

7 ADM INIST E RED BY (if other than 6)

(YYYYMMMDD)

1 0 D E L IVE R TO FO B P O IN T BY (D ate)

(YYYYMMMDD) MTM BU SIN ESS SY STEMS

JEFF MOLL

1622 ED IN GER AVE STE F

TU STIN C A 92780-6520

9 CONT RACT OR CODE 0Y6X8 FACILIT Y 0Y 6X8

SEE SCHEDULE

1 2 D ISCO U N T TE RMS

N et 30 D ays

1 1 MA RK IF BU SIN ESS IS

SMALL

SMALL

D ISA D VA N TA G E D

W OMEN-OW NED

1 3 M AIL INVOICES T O T HE ADDRE SS IN BL OCK

WIDE A REA WORKFLOW

25 TOTAL $48,986.94

F7H 3LS - LOGISTIC S SQU AD R ON

1101 GRADE LANE

LOUISVILLE KY 40213

X

1 7 ACCOUNT ING AND AP P ROP RIAT ION DAT A/ L OCAL USE

CODE

18 IT EM NO 1 9 SCHE DULE OF SUP P L IE S/ SE RVICES

* If quantity accepted by the G overnm ent is sam e as

quantity accepted below quantity ordered and encircle.

16 DELIVERY/

1 4 SHIP T O

Se e Sche dule

F7H3LS F67100

MARK ALL

P AC KAG ES AND

P AP ERS W ITH

 IDENTIFIC ATIO N

NUMB ERS IN

BLO C KS 1 AND 2.

23 AMOUNT

15 PAYMENT W ILL BE MADE BY CODE

D F AS IT VEN D OR PAY - LIMESTON E

SU ITE 300, 27 AR KAN SAS R OAD

LIMESTON E ME 04751

Th is d eliv ery o rd er/call is issu ed o n an o th er G o v ern men t ag en cy o r in acco rd an ce w ith an d su b ject to terms an d co n d itio n s o f abo v e n u mb ered co n tract

T YPE CALL

OF P URCHASE

ORDER

SEE SCHEDULE 24. UNITED STATES OF AMERICA

TEL: 502-413-4030

EMAIL

CONTRACTING / ORDERING OFFICER

q u a n tity o rd er ed , in d ica te b y X . If d iffer en t, en ter a ctu a l

BY

X If t h is bo x is m ark ed, sup p lier m ust sign Accep t ance an d ret urn t h e fo llo wing n um ber of co pies: 1

NAME OF CONT RACT OR SIGNAT URE T YPED NAME AND T IT LE

(YYYYMMMDD)

DAT E SIGNED

ACCE P T ANCE T HE CONT RACT OR HE RE BY ACCE P T S T HE OFFE R RE P RE SE NT E D BY T HE NUM BE RE D P URCHASE 

ORDE R AS IT M AY P RE VIOUSL Y HAVE BE E N OR IS NOW M ODIFIE D, SUBJE CT T O ALL OF T HE T E RM S

AND CONDIT IONS SET FORT H, AND AGREE S T O P E RFORM T HE SAM E

Referen ce y o u r q u o te d ated

Fu rn ish th e fo llo w in g o n terms sp ecified h erein REF:

20 QUANT IT Y

ORDERED/

ACCEPT ED*

21 UNIT 22 UNIT PRICE

DIFFERENCES

26

INSP ECT E D RECEIVED ACCE P T E D, AND CONFORM S T O T HE

CONT RACT E XCE P T AS NOT E D

2 7 a QUANT IT Y IN COL UM N 2 0 HAS BEE N

(YYYYMMMDD)

c DAT E d PRINT ED NAME AND T IT LE OF AUT HORIZED

 GOVE RNM E NT RE P RE SE NT AT IVE

b SIGNAT URE OF AUT HORIZE D GOVE RNM E NT RE P RE SE NT AT IVE

e M AIL ING ADDRESS OF AUT HORIZ E D GOVERNM E NT RE P RE SE NT AT IVE

36. I ce rtify this account is corre ct and prope r for paym e nt.

f T ELEPHONE NUMBER g E -M AIL ADDRE SS

a DAT E

(YYYYMMMDD)

b SIGNAT URE AND T IT L E OF CE RT IFYING OFFICE R

2 8 SHIP NO 2 9 DO VOUCHE R NO 30

INIT IALS

32 P AID BY 33 AM OUNT VERIFIED

CORRECT FOR

35 BILL OF LADING NO

34 CHECK NUMBER

37 RECEIVED AT 38 RECEIVED BY 

(YYYYMMMDD)

31 PAYMENT

COMPLET E

PART IAL

FINAL

PART IAL

FINAL

DD Form 1155, DEC 2001 P RE VIOUS E DIT ION IS OBSOL E T E

39 DAT E RECEIVED 40 T OT AL

CONT AINERS

4 1 S/R ACCOUNT NO 4 2 S/R VOUCHE R NO

AD D R ESS

AN D

N AME

FOIA Requested Record #2012-03417-F 

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(b) (6) (b) (6) (b) (6)

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W912KZ-12-F-0016 

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Section B - Supplies or Services and Prices 

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 

0001 1 Each $42,786.94 $42,786.94 

MA/DF MECHANICAL ASSIST STORAGE SYSTEM 

FFP 

CARRIAGES,COMBAT WEAPONS STORAGE, MECHANICAL SAFETY 

SWEEP.COLOR: COMBAT LIGHT GREY, 5 YEAR MANUFACTURER 

WARRANTY. (SLIDES UP AND DOWN TO HOLD M4/M16/M9), PER 

STATEMENT OF WORK. GOV WILL PROVIDE TRASH REMOVAL OR 

DUMPSTER. MTM WILL TRAIN USRES ON THE SYSTEM. 

FOB: Origin 

PURCHASE REQUEST NUMBER: F7H3LS1166A001 

SIGNAL CODE: A 

 

 

 NET AMT $42,786.94 

 ACRN AA 

CIN: F7H3LS1166A0010001 

 $42,786.94 

 

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 

0002 1 Job $6,200.00 $6,200.00 

SHIPPING AND HANDLING 

FFP 

SHIPPING AND HANDLING TO KYANG TO INCLUDE PROFESSIONAL 

SERVICES, INSTALLATION AT KYANG, 1101 GRADE LANE LOUISVILLE 

KY, 40213. 

FOB: Origin 

PURCHASE REQUEST NUMBER: F7H3LS1166A001 

SIGNAL CODE: A 

 

 

 NET AMT $6,200.00 

 ACRN AA 

CIN: F7H3LS1166A0010003 

 $6,200.00 

 

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Section C - Descriptions and Specifications 

Q&A -SOLICITATION

Questions and Answers 

Weapons Storage Carriage System for 123 AW/LRS Base Supply 

Questions and Answers: 

1. Can we use a single 84” tall racks? 

A. Yes, 84” tall racks are fine 

2. Can the KYANG store equipment during the installation? 

A. Yes, as long as prior arrangements are made with the KYANG. 

3. Vertical Storage or horizontal? 

A. We want to maximize the storage capacity so we will accept a either or a combination of both in 

order to maximize the space and minimize the storage cabinets. 

4. Is floor covering for the wood decking required? Typical floor 

covering for these types of systems are VCT or rubber matting. Wood 

decking without covering is considered an unfinished floor. 3/4" plywood with no VCT or rubber flooring on 

the plywood? Just raw plywood? Do you want fire retardant plywood or non fire retardant? 

A. 3/4" raw plywood, non fire retardant 

5. Pistol peg strips or something compatible, would you consider a bin as an or equal item? 

a. No, Bins are not acceptable

STATEMENT OF WORK

STATEMENT OF WORK (SOW) 

 Weapons Storage Carriage System for 123 AW/LRS Base Supply 

Installation Conditions: The awarded vendor/contractor proposed pricing must include all 

materials, freight, design, planning, engineering, drawings, delivery charges, installation and the 

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W912KZ-12-F-0016 

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removal and disposal of rubbish from facility and premises and any other outside cost. A site 

survey is available by appointment at the 123d Airlift Wing KYANG, 1101 Grade Lane, 

Louisville KY, 40213. Installation must be in compliance with all applicable building codes 

including local fire codes. All work is to be done during regular business hours (0700-1700). 

Schedule: Vendor will provide an installation schedule showing the timeline for the completion 

of the project. 

**Storage for the equipment may be authorized at the KYANG with prior arrangements and 

delivery schedule. Vendor will load and unload the equipment; KYANG will provide the storage 

area during the installation process. 

System Description: The storage system is to include routed and concrete anchored structural 

steel rails, ramp, and floor to create a footprint free from tripping hazards. The laminate face 

panels must cover the full height and width of the carriage, weapons cabinets, and all carriages. 

The rail, floor, and ramp are to extend the full width of the system, with the stationary ranges of 

weapons racks mounted to platforms of movable carriages. The carriage system should have 

Universal Weapons Racks configurations for M16’s/ M4’s w/optics attached or (850 weapons) 

and M9’s w/ pistol peg strips or something compatible (no bins) (270 weapons). The rack system 

should have double tier retractable or reversible bi-fold doors with locking bar or some other 

prevision to attach DOD/ GSA approved padlock/locking device. The DOD directives states 

cabinets must be fully welded with heavy-gauge steel and walls must be a minimum of 18 gauge 

steel and tops and bottoms of a minimum 16 gauge steel. The exterior doors and side walls shall 

be perforated mesh to permit visible counts. The racks must be securely mounted to carriages and 

to each other, OR EQUAL equipment will be accepted. 

Warranty: The vendor/ contractor shall provide a one (1) year warranty for entire installation. 

The manufacturer’s warranty shall be lifetime, with exception of parts, which shall be warranted 

for five (5) years. 

VAULT DIMENSIONS

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Section E - Inspection and Acceptance 

INSPECTION AND ACCEPTANCE TERMS 

Supplies/services will be inspected/accepted at: 

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY 

0001 Destination Government Destination Government 

0002 Destination Government Destination Government 

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Section F - Deliveries or Performance 

DELIVERY INFORMATION 

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC 

 

0001 01-JUN-2012 1 F7H3LS - LOGISTICS SQUADRON 

DANIEL CONKLIN 

1101 GRADE LANE 

LOUISVILLE KY 40213 

502-413-4441 

FOB: Origin 

F7H3LS 

 

0002 01-JUN-2012 1 (SAME AS PREVIOUS LOCATION) 

FOB: Origin 

F7H3LS 

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Section G - Contract Administration Data 

ACCOUNTING AND APPROPRIATION DATA 

AA: 5713840 581 41D5 372410 010000 61990 54332F 667100 F67100 

AMOUNT: $48,986.94 

CIN F7H3LS1166A0010001: $42,786.94 

CIN F7H3LS1166A0010003: $6,200.00 

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Section H - Special Contract Requirements 

WIDE AREA WORKFLOW

INVOICE SUBMITTAL THROUGH WIDE AREA WORKFLOW (WAWF) 

Invoices for payment must be submitted through Wide Area Workflow (WAWF). If you are not 

registered, you must go to https://wawf.eb.mil to register. 

The following codes will be required to route your inventories and additional emails correctly 

through WAWF: 

 Contract Number (Block 1 of the DD Form 1155): 

 Delivery Order Number (If applicable, Block 2 of the DD Form 1155) 

 Cage Code (Five digit code of Block 9): 

 Pay DoDACC (Six digit code of Block 15): F67100 

Select document to create: INVOICE AND RECEIVING REPORT (COMBO) 

Inspection: DESTINATION 

Acceptance: DESTINATION 

Admin DoDACC: FA6161 

Ship to Code/Location Code: FA6161 

Send More Email Notifications: 

Failure to use WAWF for invoice submittal could delay payment. If you have any questions 

about WAWF, please call (502) 413-4030. 

(End of Addendum) 

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(b) (6)

Record Posted to NGB Reading Room 

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