FA8117-23-R-0001 _0003.pdf

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

2. AMENDMENT/MODIFICATION NO.

FA8117-23-R-0001-0003

3. EFFECTIVE DATE

24 FEB 2023

4. REQUISITION/PURCHASE REQ. NO.

FD20302202103

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: Sasha Lewis/AFSC/PZABA sasha.lewis.1@us.af.mil Phone: (405) 739- 2318

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.

FA811723R0001

9B. DATED (SEE ITEM 11)

15-DEC-2022

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. 13-MAR-2023 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 copies to the issuing office.

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

The purpose of this amendment is to extend the Soliciation close date, see page 2 for details.

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.

FA8117-23-R-0001-0003

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to extend solicitation close date and to update the effective date as outlined below.

FIRST: Solicitation close date has changed FROM: 23 February 2023 TO: 13 March 2023

SECOND: All other terms and conditions of solicitation FA811723R0001 remain

UNCHANGED.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 6130-01-239-0390 HY

POWER SUPPLY

Transforms a 3-phase, 400hz, 115/200 VAC input to an unregulated 28 VDC output Metal alloys and electrical components Manufacturer Part Number 08748 4-465-01 76301 68-790092-101 Associated Document(s) Line Item(s)

FD20302202103 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

IUID Required: Yes Physical Item Markings:

Latest Cost Amount: $14,042.00

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 PAD Account 09 Type / Ship To Quantity (U/I) Deliver 1 each every

30 days.

Req No / Pri

Required Delivery

A SW3211 1 EA Deliver 1 each every 30 d

Proposed Delivery

A SW3211 1 EA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 6130-01-239-0390 HY

POWER SUPPLY

Manufacturer Part Number 08748 4-465-01 76301 68-790092-101 Associated Document(s) Line Item(s)

FD20302202103 0002

Priority: R Latest Cost Amount: $14,042.00

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 PAD Account 09 Type / Ship To Quantity (U/I) Deliver 1 each every

30 days.

Req No / Pri

Required Delivery

A SW3211 1 EA Deliver 1 each every 30 d

Proposed Delivery

A SW3211 1 EA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003 AA

NSN: 6130-01-239-0390 HY

POWER SUPPLY

Manufacturer Part Number 08748 4-465-01 76301 68-790092-101 Associated Document(s) Line Item(s)

FD20302202103 0003

Priority: R Latest Cost Amount: $14,042.00

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBDTBD ORIGIN

Type / Ship To PACRN Mark For

A TBDTBD PAD

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

Required Delivery

A TBDTBD 1 EA TBD

Proposed Delivery

A TBDTBD 1 EA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0004 AA

Over and Above PR Line Item 0004: Over & AboveIs negotiated on an as needed basis. Over and above is estimated at 10% of total estimated repair dollars based on historical requirement.Total Estimated Dollars for PR Line Item 0004: $19,513.00 Associated Document(s) Line Item(s)

FD20302202103 0004

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBNTBN ORIGIN

Type / Ship To PACRN Mark For A TBNTBN Account 09 Type / Ship To Quantity (U/I) TBN Req No / Pri

Required Delivery

A TBNTBN 1 LO TBN

Proposed Delivery

A TBNTBN 1 LO

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0005 AA

Over and Above

PR Line Item 0005: O&A (SURGE Expedite Fee)Is negotiated on an as needed basis for SURGE. The O & A Expedite Fee is estimated at 10% of total estimated repair dollars.Total Estimated Dollars for PR Line Item 0005: $19,513.00 Associated Document(s) Line Item(s)

FD20302202103 0005

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBNTBN ORIGIN

Type / Ship To PACRN Mark For A TBNTBN Account 09 Type / Ship To Quantity (U/I) TBN Req No / Pri

Required Delivery

A TBNTBN 1 LO TBN

Proposed Delivery

A TBNTBN 1 LO

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0006 AA

Data PR Line Item 0006: DATANot Separately Priced Associated Document(s) Line Item(s)

FD20302202103 0006

Priority: R

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A TBDTBD ORIGIN

Type / Ship To Quantity (U/I) IAW CDRLS Req No / Pri

Required Delivery

A TBDTBD 1 LO IAW CDRLS

Proposed Delivery

A TBDTBD 1 LO

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3211

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

TINKER AFB OK 73145-8000

TINKER AFB OK 73145-8000

USA

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

AWARD NUMBER:

TYPE/CODE: A TBDTBD 00000-0000

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

AWARD NUMBER:

TYPE/CODE: A TBNTBN

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

AA 97 X4930 FC04 64 2 47 GT 15328E 01K010 00000 503000 F03000 $0.00

PSR: K28408 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 2763017_QAIRQMT_REPORT.pdf Report

03OCT2022

2766797_UIIEC_REPORT.pdf Report

03OCT2022

2871613_CRSAW_REPORT.pdf Report

03OCT2022

3506634_ITMDESC_REPORT.pdf Report

03OCT2022

6130012390390HY_QUALRQMT.pdf Qualification Requirements

20SEP2022