FA811815R0045_______0001.pdf

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

2. AMENDMENT/MODIFICATION NO.

FA8118-15-R-0045-0001

3. EFFECTIVE DATE

28 OCT 2015

4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO (If applicable)

N//A

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, AFSC PZABB

3001 STAFF DR STE 1AC4 99A

TINKER AFB OK 73145-3303

BUYER: Susan Thomas/AFSC/PZABB susan.thomas.9@us.af.mil Phone: (405) 739- 5457 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8118

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA811815R0045

9B. DATED (SEE ITEM 11)

30-SEP-2015

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. 4-NOV-2015 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.)

See Page 2.

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 FA8118-15-R-0045-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to correct the Quality Assurance Requirements for the Data line items (X002) and to incorporate/delete clauses from the Request for Proposal (RFP).

FIRST: The Quality Assurance Requirements for the Data line items (X002) are hereby corrected as follows:

From: Standard Inspection

To: IAW DD FORM 1423-1 (CDRL)

SECOND:

a. The following clauses are hereby incorporated into the RFP:

*52.203-11 CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE

CERTAIN FEDERAL TRANSACTIONS (SEP 2007)

*52.222-21 PROHIBITION OF SEGRAGATED FACILITIES (APR 2015)

*52.222-22 PREVIOUS CONTRACTS AND COMPLIANCE REPORTS (FEB 1999)

*52.222-38 COMPLIANCE WITH VETERANS’ EMPLOYMENT REPORTING REQUIREMENTS

(SEP 2010)

*52.222-54 EMPLOYMENT ELIGIBILITY VERIFICATION (OCT 2014)

*252.204-7008 COMPLIANCE WITH SAFEGUARDING COVERED DEFENSE INFORMATION

CONTROLS (DEVIATION 2016-O0001) (AUG 2015)

b. The following clause is hereby deleted in its entirety from the RFP:

*52.216-21 REQUIREMENTS – ALTERNATE I (APR 1984)

THIRD: Except as provided herein, all terms and conditions of the RFP remain unchanged and in full force and effect.

Request for Proposal FA8118-15-R-0045-0001

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

DATA AND REPORTS

Item No.

DATA NOT SEPARATELY PRICED

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423-1, ATTACHED AND MADE A PART HEREOF.

EXHIBIT A

RELATED LINE ITEM 0001

ITEM NO. ITEM DESCRIPTION Best Estimated QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

A001 Depot Maintenance Production Report TBD LO NSP NSP

A002 CAV AF End Item Reporting TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. The Government reserves the right to delete from the proposal price each line item of data and/or reports that the Government does not desire prior to and after final award.

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WAWF Exhibit: A Quality Assurance: IAW DD FORM 1423-1 (CDRL)

DELIVERY IS IN ACCORDANCE WITH DD FORM 1423-1 (CDRL)

DATA AND REPORTS

Item No.

DATA AND REPORTS

DATA NOT SEPARATELY PRICED

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423-1, ATTACHED AND MADE A PART HEREOF.

EXHIBIT B

RELATED LINE ITEM 0001

ITEM NO. ITEM DESCRIPTION Best Estimated QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

B001 Depot Maintenance Production Report TBD LO NSP NSP

B002 CAV AF End Item Reporting TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. The Government reserves the right to delete from the proposal price each line item of data and/or reports that the Government does not desire prior to and after final award.

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WAWF Exhibit: B

DATA NOT SEPARATELY PRICED

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423-1, ATTACHED AND MADE A PART HEREOF.

EXHIBIT C

RELATED LINE ITEM 0001

ITEM NO. ITEM DESCRIPTION Best Estimated QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

C001 Depot Maintenance Production Report TBD LO NSP NSP

C002 CAV AF End Item Reporting TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. The Government reserves the right to delete from the proposal price each line item of data and/or reports that the Government does not desire prior to and after final award.

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WAWF Exhibit: C

DATA NOT SEPARATELY PRICED

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423-1, ATTACHED AND MADE A PART HEREOF.

EXHIBIT D

RELATED LINE ITEM 0001

ITEM NO. ITEM DESCRIPTION Best Estimated QTY

UNIT

UNIT

PRICE

TOTAL

PRICE

D001 Depot Maintenance Production Report TBD LO NSP NSP

D002 CAV AF End Item Reporting TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. The Government reserves the right to delete from the proposal price each line item of data and/or reports that the Government does not desire prior to and after final award.

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WAWF

Exhibit: D

DATA NOT SEPARATELY PRICED

IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH ON THE DD FORM 1423-1, ATTACHED AND MADE A PART HEREOF.

EXHIBIT E

RELATED LINE ITEM 0001

ITEM NO. ITEM DESCRIPTION Best Estimated QTY

UNIT UNIT

PRICE

TOTAL

PRICE

E001 Depot Maintenance Production Report TBD LO NSP NSP

E002 CAV AF End Item Reporting TBD LO NSP NSP

NSP = NOT SEPARATELY PRICED

The award of any or all reports shall be at the sole discretion of the Government. The Government reserves the right to delete from the proposal price each line item of data and/or reports that the Government does not desire prior to and after final award.

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: WAWF Exhibit: E

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

52.222-21 PROHIBITION OF SEGREGATED FACILITIES (APR 2015)

(IAW FAR 22.810(a)(1))

52.222-54 EMPLOYMENT ELIGIBILITY VERIFICATION (OCT 2015)

(IAW FAR 22.1803)

(c) Web site. Information on registration for and use of the E-Verify program can be obtained via the Internet at the Department of Homeland Security Web site: http://www.dhs.gov/E-Verify .

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION K

REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS

OF OFFERORS OR RESPONDENTS

52.203-11 CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE

CERTAIN FEDERAL TRANSACTIONS (SEP 2007)

(IAW FAR 3.808(a))

52.222-22 PREVIOUS CONTRACTS AND COMPLIANCE REPORTS (FEB 1999)

(IAW FAR 22.810(a)(2)) The offeror represents that--

(a) [ ] has, [ ] has not participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation;

(b) [ ] has, [ ] has not filed all required compliance reports;

52.222-38 COMPLIANCE WITH VETERANS' EMPLOYMENT REPORTING REQUIREMENTS

(SEP 2010)

(IAW FAR 22.1310(c))

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION L

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS OR RESPONDENTS

252.204-7008 COMPLIANCE WITH SAFEGUARDING COVERED DEFENSE INFORMATION

CONTROLS (DEVIATION 2016-O0001) (OCT 2015)

(IAW DARS Tracking # 2016-O0001)