Proposal #
SPECIAL TOOLING, SPECIAL TEST EQUIPMENT QUESTIONNAIRE &
GOVERNMENT OWNED FACILITIES INFORMATION
(Must be filled out by all prospective suppliers)
Do you have an approved Government or Lockheed Martin Property System? Yes
No
(If yes, please provide a copy attached to this questionnaire)
A. SPECIAL TOOLING (ST) (Check appropriate spaces)
I.
Existing ST
Performance of the work under the proposed subcontract or purchase order a.
will not require the use of existing ST.
b.
will require the use of existing Government owned ST.
c.
will require the use of existing ST, acquired or manufactured for use in the performance of a
Government prime contract or subcontract which contains a ST Clause, title to which has not been
transferred to the Government.
If the use of existing ST is required, the Offeror shall indicate the contract(s) of accountability and individual contract
value of the ST.
Prime Contract Number (required)
II.
Purchase Order/Administrative Number (if known)
New, Additional, and/or Replacement ST
a.
Performance of the work under the proposed subcontract or purchase order will
additional, or replacement ST.
, will not
require new,
b.
If ST is required, the Offeror shall submit a preliminary list of such tooling (Form 3-80226) with their offer.
Justification supporting ST costs, is required as follows:
(1) A breakdown of costs associated therewith.
(2) General nomenclature and description indicating size and capacity.
(3) Special characteristics deemed pertinent to the classification of the item as "Special Tooling" within the
meaning of the "Special Tooling" clause.
c.
M-80227 (06/11)
A subsequent certified list of all special tooling (Form 3-80226) must be supplied under any resulting
subcontract or purchase order after agreement on price and approval of first parts therefrom.
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A blank copy of this form may not be the form currently in effect. The current version is always the version online.
B. SPECIAL TEST EQUIPMENT (STE) (Check Appropriate Spaces)
1.
Offeror does , does not
intend to acquire STE as defined in the STE clause of the RFQ/RFP for use in
performance of work under the proposed subcontract or purchase order.
2.
If Offeror does intend to acquire STE the notice shall include an estimated aggregate cost of all items and
components of the equipment the individual cost of which is less than $5000.
(1) If offeror does intend to acquire STE costing $5,000 or more, the Offeror shall submit a preliminary list of such
tooling (Form 3-80226) with their offer. The following information on each item or component of equipment must
be submitted with Offeror's proposal:
(a)
(b)
(c)
(d)
A list of alternate items that could be used, if any
General nomenclature and description of size and capacity
Manufacturer's names, code numbers, catalog numbers and selling price.
Estimated cost of any general purpose components costing $1,000 or more. Include Federal stock
Number or Defense Logistics Center Screening (DLCS) certifying that no Federal Stock Number exists.*
*NOTE: If this is not known, it may be omitted initially; however, the successful Offeror must comply prior to
receipt of a purchase order.
(2) A subsequent certified list of all special tooling (Form 3-80226) must be supplied under any resulting
subcontract or purchase order after agreement on price and approval of first parts therefrom.
(3) Special characteristics deemed pertinent to the classification of the item as "Special Test Equipment" within the
meaning of the "Special Test Equipment" clause of this RFQ/RFP.
3.
Offeror does , does not
intend to use existing STE. If yes, and such STE is accountable under other than a
Buyer contract, the accountable contract number and identification of the cognizant ACO must be provided so that
rent-free use can be requested.
Prime Contract Number (required)
Cognizant ACO
If the offeror intends to acquire any ST or STE, FAR 52.245-1 is hereby made a part of the conditions of Offeror's
proposal and will become a part of any resulting subcontract or purchase order.
M-80227 (06/11)
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A blank copy of this form may not be the form currently in effect. The current version is always the version online.
C. GOVERNMENT OWNED FACILITIES INFORMATION
1. Use of Government owned facilities
is contemplated
is not contemplated in the performance of any resultant
order. If use of such facilities is contemplated, A and B below must be completed:
A.
Applicable Facilities Contract Number(s):*
B.
Provide listing of Part numbers, quantity, rent free price and rent-inclusive price.
*NOTE: Any Special Tooling or Special Test Equipment to be used which is not accountable under the above facilities
contract(s) or Buyer prime contract(s) must be identified together with the accountable contract number(s) and
cognizant ACO so that rent-free use authorization can be obtained.
Prime Contract Number (required)
Cognizant ACO
Company Name
Signature
Date
Title
M-80227 (06/11)
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A blank copy of this form may not be the form currently in effect. The current version is always the version online.