FA820411Q50288______0002.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8204-11-Q-50288-0002

3. EFFECTIVE DATE

9 DEC 2011

4. REQUISITION/PURCHASE REQ. NO.

F2D0BD1158B001

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFNWC PKMA

6014 DOGWOOD AVENUE BLDG 1258

HILL AIR FORCE BASE UT 84056-5816

BUYER: Bruce Richeson bruce.richeson@hill.af.mil Phone: (801) 777- 5535 Fax: (801) 775-2116 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8204

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA820411Q50288

9B. DATED (SEE ITEM 11)

22-NOV-2011

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. 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.)

ROUTINE

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 FA8204-11-Q-50288-0002

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to announce a second Site Visit to Little Mountain on Monday December 19, 2011 starting at 10:00am.

Request for Quotation FA8204-11-Q-50288-0002

SUPPLIES OR SERVICES AND PRICES/COSTS

12 Strand single mode fiber #DISSTRFIBERPVC or Equivalent Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3,000 EA

CLIN ACRN Increase/Decrease ACRN Total

0001 AA

NSN: 1420-00-000-0000 AH

12 Strand single mode fiber # DIS12STRFIBERPVC or equivalent Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Applicability: Propulsion Replacement Program ; MINUTEMAN III ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program Physical Item Markings:

Special Marking Instructions Below

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A F2D0BD DESTINATION

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A F2D0BD PAA V Campbell Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

A F2D0BD 3,000 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A F2D0BD 3,000 EA

Special Item Marking Instructions: If unit price is over $5,000.00, UID shall be IAW MIL-STD-130N, construct #2.

Magnetic Contact for Doors Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

8 EA

Magnetic Contact for Doors CLIN ACRN Increase/Decrease ACRN Total

0002 AA

NSN: 1420-00-000-0000 AH

Magnetic Contact for Doors P/N SR-2507AH or Equivalent Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Applicability: Propulsion Replacement Program ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program Physical Item Markings:

Special Marking Instructions Below

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A F2D0BD DESTINATION

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A F2D0BD PAB V Campbell Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

A F2D0BD 8 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A F2D0BD 8 EA

Special Item Marking Instructions: If unit price is over $5,000.00, UID shall be IAW MIL-STD-130N, construct #2.

Fiber Optics Patch Panel, Wall Mount and lockable.

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

CLIN ACRN Increase/Decrease ACRN Total

0003 AA

NSN: 1420-00-000-0000 AH

Fiber Optics Patch Panel, Wall Mount, Lockable to protect Fiber Optics P/N WAC-2X or Equivalent.

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Fiber Optics Patch Panel, Wall Mount and lockable.

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Applicability: Propulsion Replacement Program ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program Physical Item Markings:

Special Marking Instructions Below

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A F2D0BD DESTINATION

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A F2D0BD PAC V. Campbell Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

A F2D0BD 4 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A F2D0BD 4 EA

Special Item Marking Instructions: If unit price is over $5,000.00, UID shall be IAW MIL-STD-130N, construct #2.

6-Fiber, ST, Zirconia insert, Multi/Single mode used in fiber enclosure.

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

8 EA

CLIN ACRN Increase/Decrease ACRN Total

0004 AA

NSN: 1420-00-000-0000 AH

6 Fiber, ST, Zirconia insert, Multi/Single mode used in fiber enclosure to link fiber optics.

P/N AP-VAAWC6 or Equivalent.

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Applicability: Propulsion Replacement Program ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program

6-Fiber, ST, Zirconia insert, Multi/Single mode used in fiber enclosure.

Physical Item Markings:

Special Marking Instructions Below

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A F2D0BD DESTINATION

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A F2D0BD PAD V. Campbell Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

A F2D0BD 8 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A F2D0BD 8 EA

Special Item Marking Instructions: If unit price is over $5,000.00, UID shall be IAW MIL-STD-130N, construct #2.

18 Gauge/6 Strand wire for keypads Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN Increase/Decrease ACRN Total

0005 AA

NSN: 1420-00-000-0000 AH

18 Gauge/6 Strand wire for keypads.

P/N 22161009 or Equivalent.

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Applicability: Propulsion Replacement Program ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program Physical Item Markings:

Special Marking Instructions Below

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A F2D0BD DESTINATION

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

18 Gauge/6 Strand wire for keypads Type / Ship To PACRN Mark For A F2D0BD PAE V. Campbell Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

A F2D0BD 1 EA *45 Calendar Days Non-MilStrip

Proposed Delivery

A F2D0BD 1 EA

Special Item Marking Instructions: If unit price is over $5,000.00, UID shall be IAW MIL-STD-130N, construct #2.

Installation and Testing of IDS.

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN Increase/Decrease ACRN Total

0006 AA

NSN: 1420-00-000-0000 AH

Installation and Testing of IDS, to include consumable tools and parts.

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Commercial Item Inspection Applicability: Propulsion Replacement Program ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program Physical Item Markings:

Special Marking Instructions Below

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A F2D0BD DESTINATION

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For A F2D0BD PAF V. Campbell Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

A F2D0BD 1 LO *45 Calendar Days Non-MilStrip

Proposed Delivery

Installation and Testing of IDS.

A F2D0BD 1 LO

Special Item Marking Instructions: If unit price is over $5,000.00, UID shall be IAW MIL-STD-130N, construct #2.

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A F2D0BD

526 ICBMSW

12000 W 12 ST LITTLE MTN

LITTLE MOUNTAIN UT 84404-9010

UNITED STATES

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

AWARD NUMBER:

ADDENDUM TO CLAUSE 52.212-4

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 57 13400 . 15 1 47 NT 25133G 3G6B25 81103 11213F 503000 F03000 $0.00

PSR: 723306 FSR: 034724

ACRN TOTAL $ 0.00

ADDENDUM TO PROVISION 52.212-1

5352.215-9001 NOTICE OF PRE-BID/PRE-PROPOSAL CONFERENCE (MAY 1996)

(IAW AFFARS 5315.209(S-91))

(a) A pre-bid/pre-proposal conference will be conducted at

12000 West 12th Street, Little Mountain Little Mountain, Utah 84404-9010 on 19 December 2011 at 10:00 A.M.

for the purpose of answering questions regarding this solicitation.

(b) Submit the names of all attendees (not to exceed three attendees per company to Vanessa Campbell

Telephone: (801) 777-8287 E-Mail: Vanessa .Campbell @Hill.af.mil prior to 16 December 2011 COB

This information must be provided in advance in order to ensure access to the military base/conference site and adequate seating for the conference attendees.

(c) Bidders/Offerors are requested to submit questions to the point of contact noted above not later than 4:00 pm on 16 December 2011. Information provided at this conference shall not qualify the terms and conditions of the solicitation and specifications. Terms of the solicitation and specifications remain unchanged unless the solicitation is amended in writing. If an amendment is issued, normal procedures relating to the acknowledgment and receipt of solicitation amendments shall apply.

(d) A record of the conference shall be made and furnished to all prospective bidders/offerors. The record should include minutes of the meeting, including questions (on a non-attribution basis) and answers.

(The above Clause/Provision has been modified.)