FA811716R0014_______0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

J

2. AMENDMENT/MODIFICATION NO.

FA8117-16-R-0014-0001

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20301500452 01

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, AFSC PZABA

3001 STAFF DR STE 1AC4 97E

TINKER AFB OK 73145-3015

BUYER: Tammy Davis/AFSC/PZABA tammy.davis.7@us.af.mil Phone: (405) 739- 4476 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8117

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA811716R0014

9B. DATED (SEE ITEM 11)

16-FEB-2016

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods. ( a ) By completing Items 8 and 15, and returning copies of the amendment; ( b ) By acknowledging receipt of this amendment on each copy of the offer submitted; or ( c ) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified. 15-JUN-2016 3:00 PM

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

15A. NAME AND TITLE OF SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR

BY ________________________________________________________

(Signature of person authorized to sign)

15C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16B. UNITED STATES OF AMERICA

BY ____________________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

FACILITY CODE

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE

30-105 STANDARD FORM 30 (REV. 10-83)

PRESCRIBED BY GSA

FAR (48 CFR) 53.243

X

X X

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

Amendment/Modification FA8117-16-R-0014-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is as follows:

FIRST: Change the solicitation:

From a ZERO DOLLAR five year requirement contract( one year Basic and four (1) year options) TO: One time fixed-quantity repair contract for 11 each.

SECOND: To remove the following FAR and DFARS clauses from the solicitation:

52.216-19 Order Limitation 52.216-21 Requirements 52.217-3 Evaluation Exclusive of Options 52.217-9 Option to extend the Term of the Contract 252.216-7006 Ordering

THIRD: Include DFARS clause 252.211-7003 Item Unique Identification and Valuation( IUID) into the solicitation

Request for Proposal FA8117-16-R-0014-0001

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

REPAIR OF AMPLIFIER,ELECTRONIC

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

11 EA

CLIN ACRN ACRN Total

0001 AB

NSN: 5996-01-384-9562 FG

AMPLIFIER,ELECTRONI

Provides high power amplification for the ARC-210 SATCOM system.

Aluminum alloy chassis with misc. electronic components Manufacturer Part Number

0FST3 URA0240 L-400

24469 URA0240 L-400

Associated Document(s) Line Item(s)

FD20301500452 01 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $38,364.00

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Type / Ship To PACRN Mark For A SW3211 PAA Acct 09 Type / Ship To Quantity (U/I) 11 each 90 days ARO Req No / Pri

Required Delivery

A SW3211 11 EA 11 each 90 days ARO

Proposed Delivery

A SW3211 11 EA

OVER AND ABOVE

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 EA To be Negotiated To be Negotiated

CLIN ACRN ACRN Total

0002 AB

Over and Above

ESTIMATED OVER AND ABOVE: $23,663

Associated Document(s) Line Item(s)

FD20301500452 01 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Type / Ship To PACRN Mark For

A SW3211 PAA

Type / Ship To Quantity (U/I) To be determined Req No / Pri

Required Delivery

A SW3211 1 EA TBD

Proposed Delivery

A SW3211 1 EA

SHIP TO SW3211

ITEM UNIQUE IDENTIFICATION (IUID)

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount 1 ea

CLIN ACRN ACRN Total

0003 AB

NSN: 5996-RP-H15-0068 FG

Item Unique Identification (IUID) Item Unique Identification (IUID) Non-recurring expenseNon-recurring expense.

Associated Document(s) Line Item(s)

FD20301500452 01 0003

ITEM UNIQUE IDENTIFICATION (IUID)

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Type / Ship To PACRN Mark For

A SW3211 PAA

Type / Ship To Quantity (U/I) *ARO Unique

Identification (IUID) Non-recurring expense.

Req No / Pri

Required Delivery

A SW3211 1 ea *60 Calendar Days

Proposed Delivery

A SW3211 1 ea

Unique Identification (IUID) Non-recurring expense.

BEYOND ECONOMIC REPAIR (BER)

Firm Fixed Price Estimated Quantity

U/I Unit Price Amount

1 EA To be Determined To be Determined

CLIN ACRN ACRN Total

0004 AB

Other Services

BEYOND ECONOMIC REPAIR (BER)

Associated Document(s) Line Item(s)

FD20301500452 01 0004

Priority: R

Limitations of Liability: Other Than High Value Item

BEYOND ECONOMIC REPAIR (BER)

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) To be determined Req No / Pri

Required Delivery

A SW3211 1 EA TBD

Proposed Delivery

DATA AND REPORTS

Firm Fixed Price Quantity U/I Unit Price Amount 1 EA Not Separately Priced Not Separately Priced

CLIN ACRN ACRN Total

0005 AB

Data DATA(Not Separately Priced)

DATA AND REPORTS

Provide data reporting in accordance with DD Form 1423-1 [CDRLs, Contract Data Requirements List] and DD Form 1664 [DIDs, Data Item Descriptions] for ELIN reports 001 (Teardown Deficiency Report) and 004 (CAVAF) as detailed below:

CLIN 0005 - BASIC

DID ELIN TITLE OF DATA ITEM UNIT PRICING

PER REPORT

TOTAL PRICE

DI-MGMT-8163B A001 COMMERCIAL ASSET VISIBLITY Air Force

(CAV AF) END ITEM

NSP NSP

DI-ALSS-81534 A002 TEARDOWN DEFICIENCY REPORT NSP NSP

DI-MISC-81832 A003 COUNTERFEIT PREVENTION PLAN (CPP) NSP NSP

* The award of any or all reports shall be at the sole discretion of the Government. The number of reports anticipated may or may not be ordered by the ACO. The Government reserves the right to delete from the bid price each line item of data and/or reports that the Government does not desire prior to and after final award.

Associated Document(s) Line Item(s)

FD20301500452 01 0005

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Type / Ship To PACRN Mark For

A SW3211 PAA

Type / Ship To Quantity (U/I) To be determined Req No / Pri

Required Delivery

A SW3211 1 EA TBD

Proposed Delivery

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + CNOTE

MARK FOR: (See Individual Line Item) REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER:

TYPE/CODE: A SW3211

DLA DISTROBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC

BLDG 506 DR 22

TINKER AFB OK 73145-8000

MARK FOR: (See Individual Line Item) REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AB 97 X4930 FC04 64 6 47 GT 159999 01K010 00000 UJDBMU 503000 F03000 $0.00

PSR: K08458 FSR: 013340

ACRN TOTAL $ 0.00

PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages 1533243_CDRL1_REPORT.pdf Report

28APR2016

DID 81634B.pdf

DID CAV AF

28APR2016

DID 81534.pdf

DID TDR

28APR2016

DID 81832.pdf

DID CPP

28APR2016

1593597_PKGRQMT_REPORT.pdf Report

28APR2016

1593598_TRNSPDATA_REPORT.pdf Report

28APR2016

SOW_CAVAF_15-00452 013849562.docx

SOW_CAVAF_15-00452 013849562

28APR2016

SGFP 013849562-1.pdf

SGFP

28APR2016

AAWKSPEC.docx Appendix A, Work Specification

15DEC2014