FA8118-18-R-0015___0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8118-18-R-0015-0001

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20301500473 06

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, AFSC PZABB

3001 STAFF DR STE 1AC4 99A

TINKER AFB OK 73145-3303

BUYER: Michael Moucka/AFSC/PZABB michael.moucka@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.

FA811818R0015

9B. DATED (SEE ITEM 11)

17-APR-2018

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. 5-JUL-2018 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.)

TAC: F2RS BASIC: (July 2018 – July 2019) $

DODAAC:

TBD OPTION I: (July 2019 – July 2020) $

RIC: TBD OPTION II: (July 2020 – July 2021) $

OPTION III: (July 2021 – July 2022) $

OPTION IV: (July 2022 – July 2023) $ 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.

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

THE PURPOSE OF THIS AMENDMENT IS TO EXTEND THE PROPOSAL DUE DATE AND REVISE CLIN

0003, 1003, 2003, 3003, AND 4003 VERBIAGE TO REFLECT A TBN PRICING BASED ON FINDINGS

OF TT&E LINE ITEM.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

BASIC YEAR

REPAIR OF VALVE ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

5 EA To be Negotiated

NSN: 4810-01-380-9046 FW

VENT CONTROL VALVE

Device functions as a pressure controler to limt both positive & negitive pressure differentials encountered during ascent / descent by a closed Vent Fuel system of an air vehicle.

Cast Metal Manufacturer Part Number

0XWR4 2880001-105

59211 2880001-105

59211 DAA3272P021-105

Priority: R

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

Type / Ship To PACRN Mark For

A TBD PAA

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBD 2 EA *30 Calendar Days

Proposed Delivery

A TBD 2 EA

After the asset has gone through the teardown, test and evaluation process, the Contractor shall submit a proposal for the repair to the Contracting Officer within 30 days . This proposal will then be evaluated by the government and a firm fixed price will be negotiated and established for CLIN 0001 on the order. Early delivery is acceptable.

OPTION I

REPAIR OF VALVE ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

4 EA To be Negotiated

NSN: 4810-01-380-9046 FW

VENT CONTROL VALVE

Device functions as a pressure controler to limt both positive & negitive pressure differentials encountered during ascent / descent by a closed Vent Fuel system of an air vehicle.

Cast Metal Manufacturer Part Number

0XWR4 2880001-105

59211 2880001-105

59211 DAA3272P021-105

Priority: R

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

Type / Ship To PACRN Mark For

A TBD PAA

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBD 2 EA *30 Calendar Days

Proposed Delivery

A TBD 2 EA

After the asset has gone through the teardown, test and evaluation process, the Contractor shall submit a proposal for the repair to the Contracting Officer within 30 days . This proposal will then be

OPTION II

REPAIR OF VALVE ASSEMBLY

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

4 EA To be Negotiated

NSN: 4810-01-380-9046 FW

VENT CONTROL VALVE

Device functions as a pressure controler to limt both positive & negitive pressure differentials encountered during ascent / descent by a closed Vent Fuel system of an air vehicle.

Cast Metal Manufacturer Part Number

0XWR4 2880001-105

59211 2880001-105

59211 DAA3272P021-105

Priority: R

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

Type / Ship To PACRN Mark For

A TBD PAA

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBD 2 EA *30 Calendar Days

Proposed Delivery

A TBD 2 EA

After the asset has gone through the teardown, test and evaluation process, the Contractor shall submit a proposal for the repair to the Contracting Officer within 30 days . This proposal will then be

OPTION III

Item No.

Firm Fixed Price

OPTION III

REPAIR OF VALVE ASSEMBLY

Best Estimated Qty

U/I Unit Price Estimated Total Price

4 EA To be Negotiated

NSN: 4810-01-380-9046 FW

VENT CONTROL VALVE

Device functions as a pressure controler to limt both positive & negitive pressure differentials encountered during ascent / descent by a closed Vent Fuel system of an air vehicle.

Cast Metal Manufacturer Part Number

0XWR4 2880001-105

59211 2880001-105

59211 DAA3272P021-105

Priority: R

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

Type / Ship To PACRN Mark For

A TBD PAA

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBD 2 EA *30 Calendar Days

Proposed Delivery

A TBD 2 EA

After the asset has gone through the teardown, test and evaluation process, the Contractor shall submit a proposal for the repair to the Contracting Officer within 30 days . This proposal will then be

OPTION IV

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

OPTION IV

REPAIR OF VALVE ASSEMBLY

3 EA To be Negotiated

NSN: 4810-01-380-9046 FW

VENT CONTROL VALVE

Device functions as a pressure controler to limt both positive & negitive pressure differentials encountered during ascent / descent by a closed Vent Fuel system of an air vehicle.

Cast Metal Manufacturer Part Number

0XWR4 2880001-105

59211 2880001-105

59211 DAA3272P021-105

Priority: R

Limitations of Liability: Other Than High Value Item

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

IAW MIL-STD-130

Type / Ship To PACRN Mark For

A TBD PAA

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

Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A TBD 2 EA *30 Calendar Days

Proposed Delivery

A TBD 2 EA

After the asset has gone through the teardown, test and evaluation process, the Contractor shall submit a proposal for the repair to the Contracting Officer within 30 days . This proposal will then be

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A TBD

TO BE DETERMINED 00000-0000

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

AWARD NUMBER: