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AWARD/CONTRACT 1. THIS CONTRACT IS A RATED ORDER RATING PAGE 1 OF 21
UNDER DPAS (15 CFR 700) DOA7
2. CONTRACT (PROC. INST. IDENT) NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUEST/PROJECT NO.
DAAB07-03-C-P002 SEE SCHEDULE
5. ISSUED BY CODE W15P7T 6. ADMINISTERED BY (IF OTHER THAN ITEM 5) CODE 50323A
S0513A
Commander US Army CECOM, ACQ CENTER DCMC SANTA ANA
Anita Fischer (732) 427-1343
AMSEL-ACC-RT-E 34 CIVIC CENTER PLAZA
FORT MONMOUTH, NY 07703-5008 P O BOX C-12700
SANTA ANA, CA 92712-2700
SCD C PAS NONE ADP PT SC1002
Email address: ANITA.FISCHER@MAIL1.MONMOUTH.ARMY.MIL
7. NAME AND ADDRESS OF CONTRACTOR (NO. STREET, CITY, COUNTY, STATE, AND ZIP CODE) [ ] 8. DELIVERY [ ] OTHER (SEE BELOW)
HI ENERGY TECHNOLOGIES, INC. FOB ORIGIN
1601 ALTON PARKWAY, UNIT B
IRVINE, CA 92606-4801 9. DISCOUNT FOR PROMPT PAYMENT
TYPE BUSINESS: Other Small Business Performing in U.S. 10. SUBMIT INVOICES ITEM
12
(4 COPIES UNLESS OTHERWISE SPECIFIED)
CODE 1QP18 FACILITY CODE TO THE ADDRESS SHOWN IN:
11. SHIP TO/MARK FOR CODE 12. PAYMENT WILL BE MADE BY CODE MQ0330
SEE SCHEDULE DFAS-COLUMBUS CENTER
WEST ENTITLEMENT OPERATIONS
P.O. BOX 182381
COLUMBUS, OH 43218-2381
13. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION: 14. ACCOUNTING AND APPROPRIATION DATA
[ ] 10 U.S.C. 2304(C) ( ) 41 U.S.C. 253(C)( ) ACRN: AA 21 2204000002627525P665502255Y S28043 W15GK8
15A. ITEM NO. 15B. SCHEDULE OF SUPPLIES/SERVICES 15C. QUANTITY 15D. UNIT 15E. UNIT PRICE 15F. AMOUNT
SEE SCHEDULE CONTRACT TYPE: KIND OF CONTRACT
Firm-Fixed Price Research and Development Contracts
Contract Expiration Date: 2004JAN31 15G. TOTAL AMOUNT OF CONTRACT $415,000.00
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16. TABLE OF CONTENTS
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(X) SECTION DESCRIPTION PAGE(S) (X) SECTION DESCRIPTION PAGE(S)
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PART I- THE SCHEDULE PART II CONTRACT CLAUSES
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X A SOLICITATION/CONTRACT FORM 1 X 1 CONTRACT CLAUSES 19
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X B SUPPLIES OR SERVICES AND 3 PART III-LIST OF DOCUMENT,
PRICES/COSTS EXHIBITS AND OTHER
ATTACHMENTS
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X C DESCRIPTION/SPECS./WORK STATEMENT 10 X J LIST OF ATTACHMENT 21
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X D PACKAGING AND MARKING 12 PART IV-REPRESENTATIONS AND
INSTRUCTIONS
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X E INSPECTION AND ACCEPTANCE 13 K REPRESENTATIONS,
CERTIFICATIONS, AND OTHER
STATEMENTS OF OFFERORS
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X F DELIVERIES OR PERFORMANCE 14
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X G CONTRACT ADMINISTRATION DATA 15 L INSTRS., CONDS., AND
NOTICES TO OFFERORS
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H SPECIAL CONTRACT REQUIREMENTS M EVALUATION FACTORS FOR AWARD
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CONTRACTING OFFICER WILL COMPLETE ITEM 17 OR 18 AS APPLICABLE
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17. CONTRACTOR'S NEGOTIATED AGREEMENT (CONTRACTOR IS 18. AWARD (CONTRACTOR IS NOT REQUIRED TO SIGN THIS DOCUMENT.)
REQUIRED TO SIGN THIS DOCUMENT AND RETURN COPIES TO YOUR OFFER ON
ISSUING OFFICE.) CONTRACTOR AGREES TO FURNISH AND DELIVER SOLICITATION NUMBER INCLUDING THE ADDITIONS OR
ALL ITEMS CHANGES MADE BY YOU WHICH ADDITIONS OR CHANGES ARE SET FORTH IN
OR PERFORM ALL THE SERVICES SET FORTH OR OTHERWISE FULL ABOVE, IS
IDENTIFIED ABOVE HEREBY ACCEPTED AS TO THE ITEMS LISTED ABOVE AND ON ANY
AND ON ANY CONTINUATION SHEETS FOR THE CONSIDERATION STATED CONTINUATION SHEETS. THIS AWARD CONSUMMATES THE CONTRACT
HEREIN. WHICH CONSISTS OF THE FOLLOWING DOCUMENTS: (A)
THE RIGHTS AND OBLIGATIONS OF THE PARTIES TO THIS CONTRACT THE GOVERNMENT'S SOLICITATION AND YOUR OFFER, AND (B) THIS
SHALL BE AWARD/CONTRACT. NO
SUBJECT TO AND GOVERNED BY THE FOLLOWING DOCUMENTS: (A) THIS FURTHER CONTRACTUAL DOCUMENT IS NECESSARY.
AWARD/CONTRACT, (B) THE SOLICITATION, IF ANY, AND (C) SUCH
PROVISIONS,
REPRESENTATIONS, CERTIFICATIONS, AND SPECIFICATIONS, AS ARE
ATTACHED
OR INCORPORATED BY REFERENCE HEREIN. (ATTACHMENTS ARE LISTED
HEREIN.)
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19A. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 20A. NAME OF 20 A. NAME OF CONTRACTING OFFICER
CONTRACTING OFFICER VIRGINIA KNIGHT
VIRGINIA.KNIGHT@MAIL1.MONMOUTH.ARMY.MIL (732) 532-4348
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19B. NAME OF CONTRACTOR 19C. DATE SIGNED 20B. UNITED STATES OF AMERICA 20C. DATE SIGNED
01/15/03
BY /S/ Tom Pascoe BY /S/ Virginia Knight 01/15/03
(SIGNATURE OF PERSON (SIGNATURE OF PERSON
AUTHORIZED TO SIGN) AUTHORIZED TO SIGN)
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CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE 2 OF 21
PIIN/SIIN DAAB07-03-C-P002 MOD/AMD
NAME OF OFFEROR OR CONTRACTOR: HI ENERGY TECHNOLOGIES, INC.
SECTION A - SUPPLEMENTAL INFORMATION
This contract is a SBIR Phase II for the Research and Development of a Super
Sensor to be developed by HiEnergy Technologies, Inc.
1. The performance of this contract is a Firm Fixed Price effort for
$415,000.00.
2. Payments are based on performance and are outlined in Section B.
3. DD 250 Forms will function as the invoices to be submitted for payment. The
specific instructions for processing the DD 250 are stated in Section H-3 in the
clause 52.6115, Material Inspection and Receiving Reports (DD Form 250).
*** END OF NARRATIVE A 001 ***
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CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE 3 OF 21
PIIN/SIIN DAAB07-03-C-P002 MOD/AMD
NAME OF OFFEROR OR CONTRACTOR: HI ENERGY TECHNOLOGIES, INC.
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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNT PRICE AMOUNT
SECTION B - SUPPLIES OR SERVICES
AND PRICES/COSTS
0001 Supplies or Services and Prices/Costs
SECURITY CLASS: Unclassified
0001AA HI ENERGY TECHNOLOGIES SUPERSENSOR 1 EA $34,587.00
NOUN: PROGRAM STATUS REPORT
PRON: 1G27092ACJ PRON AMD: 01 ACRN: AA
AMS CD: 665502M4055 This is a SBIR Phase II Research and
Development effort that follows on from the Phase I SBIR to
continue development of a Supersensor in accordance with
HiEnergy Technologies proposal incorporated by reference at
Section B, Attachment 001. This is a Firm Fixed Price effort
for $415,000.00 with a period of performance of 12 months. The
funding will be performance based as payable monthly reports
and is provided starting at this SLIN 0001AA through 0001AL.
The final payment is provided at SLIN 0002AA.
(End of narrative B001)
Inspection and Acceptance
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance
DLVR SCH PERF COMPL
REL CD QUANTITY DATE
------ --------- ----
001 1 14-FEB-2003
$34,587.00
0001AB PROGRESS, STATUS AND MANAGEMENT REPORT 1 EA $34,583.00
NOUN: DATA ITEM
PRON: 1G27092ACJ PRON AMD: 01 ACRN: AA
AMS CD: 665502M4055
Progress, Status Management Report, Contract
Data Requirements List, DD Form 1423, DI-MGMT-
80227. See Section J, Exhibit A.
(End of narrative B001)
Inspection and Acceptance
INSPECTION: Destination ACCEPTANCE: Destination
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CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE 4 OF 21
PIIN/SIIN DAAB07-03-C-P002 MOD/AMD
NAME OF OFFEROR OR CONTRACTOR: HI ENERGY TECHNOLOGIES, INC.
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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNT PRICE AMOUNT
Deliveries or Performance
DLVR SCH
REL CD QUANTITY DATE
------ --------- ----
001 1 14-MAR-2003
$34,583.00
0001AC PROGRESS, STATUS AND MANAGEMENT REPORT 1 EA $34,583.00
NOUN: PROGRESS STATUS REPORT
PRON: 1G27092ACJ PRON AMD: 01 ACRN: AA
AMS CD: 665502M4055
Progress, Status Management Report, Contract
Data Requirements List, DD Form 1423, DI-MGMT-
80227. See Section J, Exhibit A.
(End of narrative B001)
Inspection and Acceptance
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance
DLVR SCH P ERF COMPL
REL CD QUANTITY DATE
------ --------- ----
001 1 15-APR-2003
$34,583.00
0001AD PROGRESS, STATUS AND MANAGEMENT REPORT 1 EA $34,583.00
NOUN: DATA ITEM
PRON: 1G27092ACJ PRON AMD: 01 ACRN: AA
AMS CD: 665502M4055
Progress, Status Management Report, Contract
Data Requirements List, DD Form 1423, DI-MGMT-
80227. See Section J, Exhibit A.
(End of narrative B001)
Inspection and Acceptance
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance
DLVR SCH PERF COMPL
REL CD QUANTITY DATE
------ --------- ----
001 1 15-MAY-2003
$34,583.00
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CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE 5 OF 21
PIIN/SIIN MOD/AMD
NAME OF OFFEROR OR CONTRACTOR: HI ENERGY TECHNOLOGIES, INC.
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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNT PRICE AMOUNT
0001AE PROGRESS, STATUS, AND MANAGEMENT REPORT 1 EA $34,583.00
NOUN: DATA ITEM
PRON: 1G27092ACJ PRON AMD: 01 ACRN: AA
AMS CD: 665502M4055
Progress, Status Management Report, Contract
Data Requirements List, DD Form 1423, DI-MGMT-
80227. See Section J, Exhibit A.
(End of narrative B001)
Inspection and Acceptance
-------------------------
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance
-------------------------
DLVR SCH PERF COMPL
REL CD QUANTITY DATE
------ --------- ----
001 1 15-JUN-2003
$34,583.00
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0001AF PROGRESS, STATUS AND MANAGEMENT REPORT 1 EA $34,583.00
NOUN: DATA ITEM
PRON: 1G27092ACJ PRON AMD: 01 ACRN: AA
AMS CD: 665502M4055
Progress, Status Management Report, Contract
Data Requirements List, DD Form 1423, DI-MGMT-
80227. See Section J, Exhibit A.
(End of narrative B001)
Inspection and Acceptance
-------------------------
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance
-------------------------
DLVR SCH PERF COMPL
REL CD QUANTITY DATE
------ --------- ----
001 1 15-JUL-2003
$34,583.00
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0001AG PROGRESS, STATUS AND MANAGEMENT REPORT 1 EA $34,583.00
NOUN: DATA ITEM
PRON: 1G27092ACJ PRON AMD: 01 ACRN: AA
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CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE 6 OF 21
PIIN/SIIN DAAB07-03-C-P002 MOD/AMD
NAME OF OFFEROR OR CONTRACTOR: HI ENERGY TECHNOLOGIES, INC.
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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNT PRICE AMOUNT
AMS CD: 665502M4055
Inspection and Acceptance
-------------------------
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance
-------------------------
DLVR SCH PERF COMPL
REL CD QUANTITY DATE
------ --------- ----
001 1 15-AUG-2003
$34,583.00
0001AH PROGRESS, STATUS AND MANAGEMENT REPORT 1 EA $34,583.00
NOUN: DATA ITEM
PRON: 1G27092ACJ PRON AMD: 01 ACRN: AA
AMS CD: 665502M4055
Progress, Status Management Report, Contract
Data Requirements List, DD Form 1423, DI-MGMT-
80227. See Section J, Exhibit A.
(End of narrative B001)
Inspection and Acceptance
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance
-------------------------
DLVR SCH PERF COMPL
REL CD QUANTITY DATE
------ --------- ----
001 1 15-SEP-2003
$34,583.00
0001AJ PROGRESS, STATUS AND MANAGEMENT REPORT 1 EA $34,583.00
NOUN: DATA ITEM
PRON: 1G27092ACJ PRON AMD: 01 ACRN: AA
AMS CD: 665502M4055
Progress, Status Management Report, Contract
Data Requirements List, DD Form 1423, DI-MGMT-
80227. See Section J, Exhibit A.
(End of narrative B001)
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CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE 7 OF 21
PIIN/SIIN DAAB07-03-C-P002 MOD/AMD
NAME OF OFFEROR OR CONTRACTOR: HI ENERGY TECHNOLOGIES, INC.
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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNT PRICE AMOUNT
Inspection and Acceptance
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance
-------------------------
DLVR SCH PERF COMPL
REL CD QUANTITY DATE
------ --------- ----
001 1 15-OCT-2003
$34,583.00
0001AK PROGRESS, STATUS AND MANAGEMENT REPORT 1 EA $34,583.00
--------------------------------------
NOUN: DATA ITEM
PRON: 1G27092ACJ PRON AMD: 01 ACRN: AA
AMS CD: 665502M4055
Progress, Status Management Report, Contract
Data Requirements List, DD Form 1423, DI-MGMT-
80227. See Section J, Exhibit A.
(End of narrative B001)
Inspection and Acceptance
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance
-------------------------
DLVR SCH PERF COMPL
REL CD QUANTITY DATE
------ --------- ----
001 1 15-NOV-2003
$34,583.00
0001AL PROGRESS, STATUS AND MANAGEMENT REPORT 1 EA $34,583.00
NOUN: DATA ITEM
PRON: 1G27092ACJ PRON AMD: 01 ACRN: AA
AMS CD: 665502M4055
Progress, Status Management Report, Contract
Data Requirements List, DD Form 1423, DI-MGMT-
80227. See Section J, Exhibit A.
(End of narrative B001)
Inspection and Acceptance
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance
-------------------------
DLVR SCH PERF COMPL
REL CD QUANTITY DATE
------ --------- ----
001 1 15-DEC-2003
$34,583.00
02 Supplies or Services and Prices/Costs
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CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE 8 OF 21
PIIN/SIIN DAAB07-03-C-P002 MOD/AMD
NAME OF OFFEROR OR CONTRACTOR: HI ENERGY TECHNOLOGIES, INC.
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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNT PRICE AMOUNT
SECURITY CLASS: Unclassified
0002AA SCIENTIFIC AND TECHNICAL REPORT 1 EA $34,583.00
NOUN: FINAL REPORT
PRON: 1G27092ACJ PRON AMD: 01 ACRN: AA
AMS CD: 665502M4055
Scientific and Technical Report, Final
Report, Contract Data Requirements List, DD
Form 1423, DI-MISC-80711A. See Section J,
Exhibit B.
(End of narrative B001)
Inspection and Acceptance
-------------------------
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance
-------------------------
DLVR SCH PERF COMPL
REL CD QUANTITY DATE
------ --------- ----
001 1 31-JAN-2004
$34,583.00
0003 Supplies or Services and Prices/Costs
SECURITY CLASS: Unclassified
SCIENTIFIC AND TECHNICAL REPORT 1 LO $** NSP ** $** NSP
**
NOUN: SCIENTIFIC DATA
Scientific and Technical Report, Scientific
Data, Contract Data Requirements List, DD
Form 1423, DI-MGMT-80711A. See Section J,
Exhibit B.
(End of narrative B001)
Inspection and Acceptance
INSPECTION: Destination ACCEPTANCE: Destination
0004 Supplies or Services and Prices/Costs
SECURITY CLASS: Unclassified
HI ENERGY TECHNOLOGIES, INC SUPERSENSOR 12 EA $364,955.00
NOUN: OPTION
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CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE 9 OF 21
PIIN/SIIN DAAB07-03-C-P002 MOD/AMD
NAME OF OFFEROR OR CONTRACTOR: HI ENERGY TECHNOLOGIES, INC.
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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNT PRICE AMOUNT
This CLIN provides for a priced option that if exercised will
be funded for $364,955.00. Payment will be made based on
performance. At the time this option is exercised payments
will be broken out as 0005AA through 0005AL.
(End of narrative B001)
Inspection and Acceptance
INSPECTION: Destination ACCEPTANCE: Destination
Deliveries or Performance
-------------------------
DLVR SCH PERF COMPL
REL CD QUANTITY DATE
------ --------- ----
001 12 UNDEFINITIZED
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CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE 10 OF 21
PIIN/SIIN DAAB07-03-C-P002 MOD/AMD
NAME OF OFFEROR OR CONTRACTOR: HI ENERGY TECHNOLOGIES, INC.
SECTION C - DESCRIPTION/SPECIFICATIONS/WORK STATEMENT
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Regulatory Cite Title Date
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C-1 52.6900 ORDER OF PRECEDENCE, ISSUE OF SPECIFICATIONS (STATEMENT OF WORK) JUL/1999
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1. The documents listed at Attachment 003 are directly cited within this
solicitation/contract and are furnished at Section J. The equipment on contract
will be produced in accordance with these documents.
2. The issue(s) (i.e., number, revision, title and issuance date) of the
documents cited at Attachment 002 govern over any other issue of the same
document(s) cited
