FA812122Q0011_______0001.pdf

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

2. AMENDMENT/MODIFICATION NO.

FA8121-22-Q-0011-0001

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20302201087

5. PROJECT NO (If applicable)

FD20302201087

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, AFSC PZAAA

3001 STAFF DR STE 1AF1 98C

TINKER AFB OK 73145-3303

BUYER: Michaela Grandstaff/AFSC/PZAAA michaela.grandstaff@us.af.mil Phone: (231) 739- 4404

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.

FA812122Q0011

9B. DATED (SEE ITEM 11)

19-AUG-2022

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. 26-OCT-2022 5:00 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.)

FMS REQUIREMENT

FC: BILLY STILLEY//IM: AMBER PRYOR//421 SCMS/GUMAA//405-734-1533

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

Enhance Competition.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

8 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)

FD20302201087 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:PK-D-QAN 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.

* DPK002 ORIGIN

Type / Ship To PACRN Mark For

* DPK002 PAA DPKC00

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

Required Delivery

* DPK002 8 EA 23 JUL 2022 DPKC5420034968 / PRI: 5

Proposed Delivery

* DPK002 8 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.

TAC: DFMS

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 2840-01-504-2791 NZ

DUCT,TURBINE,AIRCRA

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

FD20302201087 0002

Priority: E Foreign Military Sales :FMS Case:PK-D-QAN 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 DPKC00

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

Required Delivery

* DPK002 2 EA 23 JUL 2022 DPKC5420034968 / PRI: 5

Proposed Delivery

* DPK002 2 EA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003 AA

NSN: 2840-01-504-2791 NZ

DUCT,TURBINE,AIRCRA

Manufacturer Part Number 52661 4086297 77445 4086297

Associated Document(s) Line Item(s)

FD20302201087 0003

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* TBDTBD ORIGIN

Type / Ship To PACRN Mark For

* TBDTBD PAA FA MONT

Type / Ship To Quantity (U/I) IAW 260 Req No / Pri

Required Delivery

* TBDTBD 1 EA IAW 260 DPKC5420034968 / PRI: 5

Proposed Delivery

* TBDTBD 1 EA

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0004 AA

Data

F/A CONTRACTOR TEST REPORT

Associated Document(s) Line Item(s)

FD20302201087 0004

Priority: E Foreign Military Sales :FMS Case:PK-D-TBD

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* TBDTBD ORIGIN

Type / Ship To PACRN Mark For

* TBDTBD FA MONT

Type / Ship To Quantity (U/I) IAW 260 Req No / Pri

Required Delivery

* TBDTBD 1 LO IAW 260

Proposed Delivery

* TBDTBD 1 LO

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0005 AA

Data

F/A CONTRACTOR TEST PLAN

Associated Document(s) Line Item(s)

FD20302201087 0005

Priority: E Foreign Military Sales :FMS Case:PK-D-TBD

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* TBDTBD ORIGIN

Type / Ship To PACRN Mark For

* TBDTBD FA MONT

Type / Ship To Quantity (U/I) IAW 260 Req No / Pri

Required Delivery

* TBDTBD 1 LO IAW 260

Proposed Delivery

* TBDTBD 1 LO

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DPK002

SUPPLEMENTAL ADDRESS CODE: DA2QAN

FMS CASE CODE/LOA: PK-D-QAN/001

MAPAC SHIP TO CODE: DPK002

MAPAC MARK FOR: DPKC00

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

AWARD NUMBER:

TYPE/CODE: * TBDTBD

SUPPLEMENTAL ADDRESS CODE: TBDTBD

FMS CASE CODE/LOA: PK-D-TBD/001

MAPAC SHIP TO CODE: TBDTBD

MAPAC MARK FOR: FA MONT

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 LC 5W CQANPK 000000 00000 001000 503000 F03000 $0.00

PSR: 947183 FSR: 097237 DSR: 364078 CIN: F3YTBK2189A0010000AA

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 3431592_PR_REPORT.pdf Report

15JUL2022

MQR-PSD-1_Revision1.pdf

MQR

15JUL2022

DRMS 2840-01-504-2791NZ.pdf

DRMS

15JUL2022

ILSmart - 2840-01-504-2791NZ.pdf

ILS

15JUL2022

3431689_CDRL1_REPORT.pdf Report

15JUL2022

DI-NDTI-81307A FA Qual Test Plan Procedures.pdf DID DI-NDTI-81307A FA Qual Test Plan Procedures

15JUL2022

DID DI-NDTI-80809B Test Inspection Report.pdf DID DI-NDTI-80809B Test Inspection Report

15JUL2022

965854_ITMDESC_REPORT.pdf Report

15JUL2022

1760981_UIIEC_REPORT.pdf Report

15JUL2022

2866812_FA_REPORT.pdf Report

15JUL2022

2969554_SAW_REPORT.pdf Report

15JUL2022

2970993_EDL_REPORT.pdf Report

15JUL2022

3431596_QAIRQMT_REPORT.pdf Report

15JUL2022

3431599_SMW_REPORT.pdf Report

15JUL2022

AAPS 2840-01-504-2791NZ.pdf Green Procurement Program / Agency Affirmative Procurement Program

15JUL2022

2840015042791NZ_QUALRQMT.pdf Qualification Requirements

10SEP2018