FA812120Q0006_______0002.pdf

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

2. AMENDMENT/MODIFICATION NO.

FA8121-20-Q-0006-0002

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20301902937 04

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: Stephanie Harris/AFSC/PZAAA stephanie.harris.12@us.af.mil Phone: (405) 739- 2126

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.

FA812120Q0006

9B. DATED (SEE ITEM 11)

2-JUN-2020

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-APR-2021 2:00 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.)

FMS REQUIREMENT

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 the modification is to: Make the following administrative changes as denoted below; The purpose of this modification is to remove the First Article and all corresponding documentation as follows:

FIRST: Remove the First Article from contractual documentation.

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

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 2840-01-504-2791 NZ

DUCT,TURBINE,AIRCRA

Holds outer airseal in place.

nickel alloy Manufacturer Part Number 52661 4086297 77445 4086297 Associated Document(s) Line Item(s)

FD20301902937 04 0001

Priority: E

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.)

Foreign Military Sales :FMS Case:NE-D-QAQ Government or Commercial Surplus Acceptable Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DNE003 ORIGIN

Type / Ship To PACRN Mark For

* DNE003 PAA DNEM00

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

* DNE003 5 EA 28 JAN 2021 DNEM549178C100 / PRI: 3

Proposed Delivery

* DNE003 5 EA

Surplus Offerors shall complete and return the "Required Information for Surplus Material Evaluation" form, attached, in accordance with FAR 11.302(b). The Contracting Officer shall obtain approval/ disapproval from the Cognizant Engineer based on the completed form returned by the surplus offeror prior to accepting or rejecting the surplus offer.

Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

8 EA

CLIN ACRN ACRN Total

0001AB AC

NSN: 2840-01-504-2791 NZ

DUCT,TURBINE,AIRCRA

Manufacturer Part Number 52661 4086297 77445 4086297 Associated Document(s) Line Item(s)

FD20301902937 04 0001AB

Priority: E Foreign Military Sales :FMS Case:PK-D-SAF Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DPK002 ORIGIN

Type / Ship To PACRN Mark For

* DPK002 PAA DPKA00

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

* DPK002 8 EA 28 JAN 2020 DPKA5482605102 / PRI: 2

Proposed Delivery

* DPK002 8 EA

Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

0001AC AC

NSN: 2840-01-504-2791 NZ

DUCT,TURBINE,AIRCRA

Manufacturer Part Number

52661 4086297 77445 4086297 Associated Document(s) Line Item(s)

FD20301902937 04 0001AC

Priority: E Foreign Military Sales :FMS Case:PK-D-SAF Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DPK002 ORIGIN

Type / Ship To PACRN Mark For

* DPK002 PAA DPKA00

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

* DPK002 5 EA 28 JAN 2021 DPKA5400215102 / PRI: 2

Proposed Delivery

* DPK002 5 EA

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DNE003

SUPPLEMENTAL ADDRESS CODE: DA3QAQ

FMS CASE CODE/LOA: NE-D-QAQ/003

MAPAC SHIP TO CODE: DNE003

MAPAC MARK FOR: DNEM00

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

AWARD NUMBER:

TYPE/CODE: * DPK002

SUPPLEMENTAL ADDRESS CODE: DA2SAF

FMS CASE CODE/LOA: PK-D-SAF/SEN

MAPAC SHIP TO CODE: DPK002

MAPAC MARK FOR: DPKA00

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 9711X8242 0002 4F X 47 5W CQAQNE 000000 00000 003000 503000 F03000 $0.00

PSR: 138691 FSR: 008185 DSR: 176372 CIN: F3YTBK9254B0030000AA

AC 9711X8242 0002 4F X LC 5W CSAFPK 000000 00000 503000 F03000 $0.00

PSR: 408657 FSR: 047017 DSR: 299240 CIN: F3YTBK9254B0030000AC

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 965854_ITMDESC_REPORT.pdf Report

24FEB2021

Surplus Material Form.pdf Required Information for Surplus Material Evaluation in accordance with FAR 11.302(b)

24FEB2021

1760981_UIIEC_REPORT.pdf Report

24FEB2021

1786990_EDL_REPORT.pdf Report

24FEB2021

2866807_QAIRQMT_REPORT.pdf Report

24FEB2021

2866809_SMW_REPORT.pdf Report

24FEB2021

2866812_FA_REPORT.pdf Report

24FEB2021

421st GPP 01-504-2791.pdf Green Procurement Program / Agency Affirmative Procurement Program

24FEB2021

2969554_SAW_REPORT.pdf Report

24FEB2021

2840015042791NZ_EI.pdf Engineering Instructions

03NOV2014

2840015042791NZ_QUALRQMT.pdf Qualification Requirements

03NOV2014