FA8119-16-R-0013-0001_FINAL.pdf

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

2. AMENDMENT/MODIFICATION NO.

FA8119-16-R-0013-0001

3. EFFECTIVE DATE

1 JUN 2016

4. REQUISITION/PURCHASE REQ. NO.

FD20301401685 02

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, AFSC PZABC

3001 STAFF DR STE 1AD2 99A

TINKER AFB OK 73145-3015

BUYER: Jeffrey A. Schmidt/AFSC/PZABC jeffrey.schmidt.19@us.af.mil Phone: (405) 739- 4206 Fax: (000 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8119

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA811916R0013

9B. DATED (SEE ITEM 11)

15-APR-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. 8-JUN-2016 4:00 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 Continuation of block 14 (page 2), DESCRIPTION OF AMENDMENT/MODIFICATION

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 FA8119-16-R-0013-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this modification is to amend the Best Estimated Quantity (BEQ) on various Contract Line Item Numbers (CLIN’s).

FIRST: With respect to the listed CLIN’s, the BEQ amounts are hereby changed;

FROM:

CLIN BEQ

0002 15 0003 15 1002 10 1003 10 2002 6 2003 6 3002 6 3003 6 4002 6 4003 6

TO:

CLIN BEQ

0002 7 0003 8 1002 5 1003 5 2002 3 2003 3 3002 3 3003 3 4002 3 4003 3

SECOND: All other terms of the solicitation remain unchanged.

Request for Proposal FA8119-16-R-0013-0001

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Repair Level I (Minor Repair)

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

7 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 5960-01-274-7627 IM

ELECTRON TUBE

Tunable frequency, integral magnet, air cooled, 1000Kw min power output, 2.7-2.9 GHz.

ENVELOPE MATERIAL: METAL

Manufacturer Part Number 24930 190999-1

5W432 PM110S

88236 VMS-1610

89146 PM110S

89146 VMS-1610

T6976 190999-1 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Invoicing, Receipt, Acceptance, and Property Transfer iRAPT 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 Title Number Date Tailoring

ISO 9001-2008 2008

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 ACCT 09

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3211 7 EA *120 Calendar Days Non-MilStrip

Proposed Delivery

A SW3211 7 EA

Repair Level II (Major Repair)

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

8 EA

CLIN ACRN ACRN Total

0003 AA

NSN: 5960-01-274-7627 IM

ELECTRON TUBE

Tunable frequency, integral magnet, air cooled, 1000Kw min power output, 2.7-2.9 GHz.

ENVELOPE MATERIAL: METAL

Manufacturer Part Number 24930 190999-1

5W432 PM110S

88236 VMS-1610

89146 PM110S

89146 VMS-1610

T6976 190999-1 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 Title Number Date Tailoring

ISO 9001-2008 2008

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 PAB ACCT 09

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3211 8 EA *120 Calendar Days

Proposed Delivery

A SW3211 8 EA

Repair Level I (Minor Repair) Option Year 1

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

Repair Level I (Minor Repair) Option Year 1

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year

1002 AA

NSN: 5960-01-274-7627 IM

ELECTRON TUBE

Tunable frequency, integral magnet, air cooled, 1000Kw min power output, 2.7-2.9 GHz.

ENVELOPE MATERIAL: METAL

Manufacturer Part Number 24930 190999-1

5W432 PM110S

88236 VMS-1610

89146 PM110S

89146 VMS-1610

T6976 190999-1 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Invoicing, Receipt, Acceptance, and Property Transfer iRAPT 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 Title Number Date Tailoring

ISO 9001-2008 2008

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 PAC ACCT 09

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3211 5 EA *120 Calendar Days Non-MilStrip

Proposed Delivery

A SW3211 5 EA

Repair Level II (Major Repair) Option Year 1

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

1003 AA

NSN: 5960-01-274-7627 IM

ELECTRON TUBE

Tunable frequency, integral magnet, air cooled, 1000Kw min power output, 2.7-2.9 GHz.

ENVELOPE MATERIAL: METAL

Manufacturer Part Number 24930 190999-1

Repair Level II (Major Repair) Option Year 1

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year

5W432 PM110S

88236 VMS-1610

89146 PM110S

89146 VMS-1610

T6976 190999-1 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Invoicing, Receipt, Acceptance, and Property Transfer iRAPT 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 Title Number Date Tailoring

ISO 9001-2008 2008

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 PAD ACCT 09

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3211 5 EA *120 Calendar Days Non-MilStrip

Proposed Delivery

A SW3211 5 EA

Repair Level I (Minor Repair) Option Year 2

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

2002 AA

NSN: 5960-01-274-7627 IM

ELECTRON TUBE

Tunable frequency, integral magnet, air cooled, 1000Kw min power output, 2.7-2.9 GHz.

ENVELOPE MATERIAL: METAL

Manufacturer Part Number 24930 190999-1

5W432 PM110S

88236 VMS-1610

89146 PM110S

89146 VMS-1610

T6976 190999-1 Priority: R

Repair Level I (Minor Repair) Option Year 2

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Invoicing, Receipt, Acceptance, and Property Transfer iRAPT 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 Title Number Date Tailoring

ISO 9001-2008 2008

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 PAE ACCT 09

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3211 3 EA *120 Calendar Days Non-MilStrip

Proposed Delivery

A SW3211 3 EA

Repair Level II (Major Repair) Option Year 2

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

2003 AA

NSN: 5960-01-274-7627 IM

ELECTRON TUBE

Tunable frequency, integral magnet, air cooled, 1000Kw min power output, 2.7-2.9 GHz.

ENVELOPE MATERIAL: METAL

Manufacturer Part Number 24930 190999-1

5W432 PM110S

88236 VMS-1610

89146 PM110S

89146 VMS-1610

T6976 190999-1 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Invoicing, Receipt, Acceptance, and Property Transfer iRAPT 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

Repair Level II (Major Repair) Option Year 2

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year Title Number Date Tailoring

ISO 9001-2008 2008

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 PAF ACCT 09

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3211 3 EA *120 Calendar Days Non-MilStrip

Proposed Delivery

A SW3211 3 EA

Repair Level I (Minor Repair) Option Year 3

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

3002 AA

NSN: 5960-01-274-7627 IM

ELECTRON TUBE

Tunable frequency, integral magnet, air cooled, 1000Kw min power output, 2.7-2.9 GHz.

ENVELOPE MATERIAL: METAL

Manufacturer Part Number 24930 190999-1

5W432 PM110S

88236 VMS-1610

89146 PM110S

89146 VMS-1610

T6976 190999-1 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Invoicing, Receipt, Acceptance, and Property Transfer iRAPT 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 Title Number Date Tailoring

ISO 9001-2008 2008

Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

Repair Level I (Minor Repair) Option Year 3

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year

A SW3211 ORIGIN

Type / Ship To PACRN Mark For

A SW3211 PAG ACCT 09

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3211 3 EA *120 Calendar Days Non-MilStrip

Proposed Delivery

A SW3211 3 EA

Repair Level II (Major Repair) Option Year 3

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

3003 AA

NSN: 5960-01-274-7627 IM

ELECTRON TUBE

Tunable frequency, integral magnet, air cooled, 1000Kw min power output, 2.7-2.9 GHz.

ENVELOPE MATERIAL: METAL

Manufacturer Part Number 24930 190999-1

5W432 PM110S

88236 VMS-1610

89146 PM110S

89146 VMS-1610

T6976 190999-1 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Invoicing, Receipt, Acceptance, and Property Transfer iRAPT 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 Title Number Date Tailoring

ISO 9001-2008 2008

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 PAH ACCT 09

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Repair Level II (Major Repair) Option Year 3

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year Required Delivery

A SW3211 3 EA *120 Calendar Days Non-MilStrip

Proposed Delivery

A SW3211 3 EA

Repair Level I (Minor Repair) Option Year 4

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

4002 AA

NSN: 5960-01-274-7627 IM

ELECTRON TUBE

Tunable frequency, integral magnet, air cooled, 1000Kw min power output, 2.7-2.9 GHz.

ENVELOPE MATERIAL: METAL

Manufacturer Part Number 24930 190999-1

5W432 PM110S

88236 VMS-1610

89146 PM110S

89146 VMS-1610

T6976 190999-1 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Invoicing, Receipt, Acceptance, and Property Transfer iRAPT 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 Title Number Date Tailoring

ISO 9001-2008 2008

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 PAI ACCT 09

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3211 3 EA *120 Calendar Days Non-MilStrip

Proposed

Repair Level I (Minor Repair) Option Year 4

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year

A SW3211 3 EA

Repair Level II (Major Repair) Option Year 4

P/N: 190999-1, VMS-1610, and PM110S Period of Performance: 1 Year Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

4003 AA

NSN: 5960-01-274-7627 IM

ELECTRON TUBE

Tunable frequency, integral magnet, air cooled, 1000Kw min power output, 2.7-2.9 GHz.

ENVELOPE MATERIAL: METAL

Manufacturer Part Number 24930 190999-1

5W432 PM110S

88236 VMS-1610

89146 PM110S

89146 VMS-1610

T6976 190999-1 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Invoicing, Receipt, Acceptance, and Property Transfer iRAPT 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 Title Number Date Tailoring

ISO 9001-2008 2008

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 PAJ ACCT 09

Type / Ship To Quantity (U/I) *ARO Funded Order or Reparable Assets, Whichever is Later

Req No / Pri

Required Delivery

A SW3211 3 EA *120 Calendar Days Non-MilStrip

Proposed

A SW3211 3 EA

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

NA

NA

USA

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

AWARD NUMBER: