FA812114R0025_______0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8121-14-R-0025-0001

3. EFFECTIVE DATE

27 MAY 2015

4. REQUISITION/PURCHASE REQ. NO.

FD20301400205

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, AFSC PZAAA

3001 STAFF DR STE 1AF1 98C

TINKER AFB OK 73145-3303

BUYER: Drew English/AFSC/PZAAA ellery.english@us.af.mil Phone: (405) 739- 4208 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8121

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA812114R0025

9B. DATED (SEE ITEM 11)

21-NOV-2014

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. 12-JUN-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.)

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 FA8121-14-R-0025-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

FIRST: The purpose of this amendment is to change the Best Estimated Quantity(BEQ) for contract line item number 0001 to 427.

SECOND: To add contract line item number 0002 with a BEQ of 797.

THIRD: To add contract line item number 0003 with a BEQ of 777.

FOURTH: The minimum quantity has changed to 427.

FIFTH: Total contract maximum quantity has changed to 3,002.

SIXTH: The following clauses are incorporated into the solicitation:

52.203-13, Contractor Code of Business Ethics and Conduct, 252.203-7003, Agency Office of the Inspector General, 252.203-7004, Display of Hotline Posters, 52.210-1, Market Research, 252.203-7999, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements, 52.204-19, Incorporation by Reference of Representations and Certifications, 252.203-7998, Prohibition on Contracing with Entities that Require Certain Internal Confidentiality Agreements--Representation(Deviation 2015-O0010) and 252.209-7992, Representation By Corporations Regarding an Unpaid Delinquent Tax Liability of a Felony Conviction Under Federal Law--Fiscal Year 2015 Appropriations(Deviation 2015-O0005).

There is a fill-in, see clause.

SEVENTH: Clause 52.216-19, Order of Limitations is changed to the following: (a) quantity of 167, (b)(1) quantity of 1001 and (b)(2) quantity of 1001.

EIGHTH: All other terms and conditions remain unchanged and in full force and effect.

Request for Proposal FA8121-14-R-0025-0001

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

THIS WILL BE A THREE YEAR BASIC INDEFINITE DELIVERY QUANTITY (IDIQ) TYPE CONTRACT.

ONLY provide a unit price for the BEQ listed for each line item.

Minimum Quantity is 427 each and the total contract maximum quantity is 3,002 each.

NOTE: The Government is only obligated to buy at least the minimum quantity of 427 each on the first order IAW FAR 52.216-22(b). The first order will be issued at the same time as the basic contract.

NEW MANUFACTURE NOZZLE, FUEL INJECTI (CRITICAL SAFETY ITEM)

BASIC YEAR - YEAR 1

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

427 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 2915-01-468-6707 NZ

NOZZLE,FUEL INJECTI

FUNCTION - RECEIVES FUEL THROUGH THE INLET AND RELEASES IT THROUGH A CARTRIDGE VALVE INTO THE COMBUSTION CHAMBER FOR IGNITION. DIMENSIONS: 6 INCHES X 1 INCH X 1 INCH. MATERIAL:

AMS5646 STAINLESS STEEL.

Manufacturer Part Number

1QTD9 6870012E7

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF 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.)

Title Number Date Tailoring

ISO 9001-2008 2008

Trade Agreement Act Class I ODS Substance Application/Use Quantity

NONE

Type / Ship To PACRN Mark For

B SW3211 ACCT 09

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

Individual Order _ Req No / Pri

Required Delivery

B SW3211 60 EA *210 Calendar Days

Proposed Delivery

B SW3211 60 EA

DELIVERY IS 60 EACH PER MONTH STARTING 210 DAYS AFTER RECEIPT OF ORDER AND WILL

CONTINUE AT A RATE OF 60 PER MONTH UNTIL COMPLETE.

EARLY DELIVERY IS ACCEPTABLE.

NEW MANUFACTURE NOZZLE, FUEL INJECTI (CRITICAL SAFETY ITEM)

BASIC YEAR - YEAR 2

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

797 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 2915-01-468-6707 NZ

NOZZLE,FUEL INJECTI

FUNCTION - RECEIVES FUEL THROUGH THE INLET AND RELEASES IT THROUGH A CARTRIDGE VALVE INTO THE COMBUSTION CHAMBER FOR IGNITION. DIMENSIONS: 6 INCHES X 1 INCH X 1 INCH. MATERIAL:

AMS5646 STAINLESS STEEL.

Manufacturer Part Number

1QTD9 6870012E7

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF 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.)

Title Number Date Tailoring

ISO 9001-2008 2008

Trade Agreement Act Class I ODS Substance Application/Use Quantity

NONE

Type / Ship To PACRN Mark For

B SW3211 ACCT 09

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

Individual Order _ Req No / Pri

Required Delivery

B SW3211 60 EA *210 Calendar Days

Proposed Delivery

B SW3211 60 EA

DELIVERY IS 60 EACH PER MONTH STARTING 210 DAYS AFTER RECEIPT OF ORDER AND WILL

NEW MANUFACTURE NOZZLE, FUEL INJECTI (CRITICAL SAFETY ITEM)

BASIC YEAR - YEAR 3

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Estimated Total Price

777 EA

CLIN ACRN ACRN Total

0003 AA

NSN: 2915-01-468-6707 NZ

NOZZLE,FUEL INJECTI

FUNCTION - RECEIVES FUEL THROUGH THE INLET AND RELEASES IT THROUGH A CARTRIDGE VALVE INTO THE COMBUSTION CHAMBER FOR IGNITION. DIMENSIONS: 6 INCHES X 1 INCH X 1 INCH. MATERIAL:

AMS5646 STAINLESS STEEL.

Manufacturer Part Number

1QTD9 6870012E7

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: WAWF 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.)

Title Number Date Tailoring

ISO 9001-2008 2008

Trade Agreement Act Class I ODS Substance Application/Use Quantity

NONE

Type / Ship To PACRN Mark For

B SW3211 ACCT 09

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

Individual Order _ Req No / Pri

Required Delivery

B SW3211 60 EA *210 Calendar Days

Proposed Delivery

B SW3211 60 EA

DELIVERY IS 60 EACH PER MONTH STARTING 210 DAYS AFTER RECEIPT OF ORDER AND WILL

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: B SW3211

DLA DISTRIBUTION 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

AA TO BE CITED ON EACH INDIVIDUAL ORDER $0.00

ACRN TOTAL $ 0.00

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION K

REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS

OF OFFERORS OR RESPONDENTS

252.209-7992 REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID DELINQUENT

TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW--FISCAL

YEAR 2015 APPROPRIATIONS (DEVIATION 2015-O0005) (DEC 2014)

(IAW DARS Tracking # 2015-O0005)

(a) In Accordance with sections 744 and 745 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub L. 113-235), none of the funds made available by this or any other Act may be used to enter into a contract with any corporation that-

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless the agency has considered suspension or debarment of the corporation and made a determination that this further action is not necessary to protect the interest of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless the agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interest of the Government.

(b) The Offeror represents that-

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability,

(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.