FA8125-16-Q-0041-0002.pdf

F3YCHE6096A001

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this amendment is to revise the Statement of Work (SOW), update and add apendices, update the attachment list, and provide questions and answ ers resulting from the site visit.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 01-Jun-2016

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X FA8125-16-Q-0041

X 9B. DATED (SEE ITEM 11)

27-Apr-2016

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer 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. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM 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 THE 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.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

01-Jun-2016

CODE

AFSC/PZIMA

SHELLY D LOOKE/405-736-4107

3001 STAFF DRIVE, POST 2S76

TINKER AFB OK 73145

FA8125 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA8125-16-Q-0041

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

PURPOSE OF AMENDMENT

FIRST: Multiple areas of the SOW are updated in the attached Statement of Work Rev 1. Changes are highlighted in yellow.

SECOND: The following Appendices have been updated or added:

Appendix H – Drawings is updated to Rev D.

Appendix L - Sample Operations and Maintenance Instructions-Format is added.

Appendix M - Sample IPB T.O. 33D4-6-665-4 is added.

Appendix N - 3C3972G05 Supplemental Drawings-Reference Only is added.

THIRD: Questions and Answers are posted in the attached document - Q&A MEC Test Stand.

FOURTH: The solicitation list of attachments is updated as follows:

Form Number Description Date Number of

Pages

Attachment 1 Statement of Work – Rev 1 25 May

Attachment 2 Appendix B - Scheduled Government Furnished

Property

N/A 1

Excel Copy Attch

Appendix B - Scheduled Government Furnished

Property

N/A 1

SOW Appendix

A

Design Guideline 450 29 Jun 2002 29

SOW Appendix

C

Safety Specifications Sep 2015 4

SOW Appendix

D

Glossary & Definitions N/A 3

SOW Appendix E Environmental N/A 4

SOW Appendix F Correlation Test Plan 19 Aug

SOW Appendix

G

Test Results Required Minimum N/A 4

SOW Appendix

H

Drawings - Rev D N/A 1

SOW Appendix I UUT and Sub-Component Test Specs N/A 1

SOW Appendix J Calibratable Items N/A 1

SOW Appendix

K

Reliability Centered Maintenance (RCM) N/A 10

SOW Appendix L Sample Operations and Maintenance Instructions-

Format

N/A 1

FA8125-16-Q-0041

SOW Appendix

M

Sample IPB T.O. 33D4-6-665-4 N/A 1

SOW Appendix

N

3C3972G05 Supplemental Drawings-Reference Only N/A 1

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

(End of Summary of Changes)