FA820615R010150001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8206-15-R-01015-0001

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20201600013

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFSC PZAAA2

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE UT 84056-5825

BUYER: Francene Bielik/AFSC francene.bielik@us.af.mil Phone: (801) 777- 9301 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8206

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA820615R01015

9B. DATED (SEE ITEM 11)

10-NOV-2015

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. 10-FEB-2016 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 1 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 FA8206-15-R-01015-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this Amendment is to:

1. Delete Section M, Evaluations Factors for Award from this solicitation in its entirety.

2. Extend the Delivery Date for CLIN 0001AB, First Article

From: 120 Calendar Days

To: 150 Calendar Days.

3. Extend the Delivery Date for CLIN 0001AC, Production Articles

From: 90 Calendar Days

To: 240 Calendar Days.

4. Change CLIN 0001AB First Article Testing

From:

Inspection: Destination Acceptance: Destination

TO:

Inspection: Origin (First Article Testing performed at CRL with DCMA oversight) The First Article with the test report will be sent to Hill Air Force Base once the testing and fit check have been completed.

Acceptance: Origin (First Article Testing performed at CRL with DCMA oversight) The First Article with the test report will be sent to Hill Air Force Base once the testing and fit check have been completed.

5. Delete DD FORM 1423-1 CDRL Dated 24 Jun 2015 and to incorporate Revised DD FORM 1423-1 CDRL Dated 6 Jan 2016

6. Delete AFMC IMT 260 First Article Requirements Dated 15 Apr 2015 and to incorporate Revised AFMC IMT 260 First Article Requirements Dated 13 Jan 2016.

7. Extend the Closing Date and Time of this Solicitation:

From: January 11, 2016 2:00 PM MST

Amendment/Modification FA8206-15-R-01015-0001

To: February 10, 2016 2:00 PM MST

8. Delete Clause 52.209-4 First Article Approval Government Testing Alternate II and add Clause 52.209-3 First Article Approval Contractor Testing Alternate I.

9. Delete Clause 52.209-4 First Article Approval Government Testing and add Clause 52.209-3 First Article Approval Contractor Testing.

All other terms and conditions remain unchanged by this Amendment.

Request for Proposal FA8206-15-R-01015-0001

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Item No.

CLIN ACRN ACRN Total

0001 AA

NSN: 1135-01-251-9017 NP

HIGH IMPACT TRANSDUCER

High Impulse Transducer cable senses vehicle impact and generates a trigger signal for contact fuzing in the RV configuration.

Item consists of twisted-pair shielded and coiled cabling with two connectors which are soldered and/or encapsulated.

Manufacturer Part Number

07571 SD351P5

79272 47A528109P5 Priority: R IUID Required: Yes Buy American Act/Balance of Payments Program Physical Item Markings:

Bid A - First Article Required Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced Not Separately Priced

CLIN ACRN ACRN Total

0001AA AA

DATA IAW DD 1423-1

Exhibit A Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW 1423-1 IUID Required: No Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) *ARO ARO IAW DD

1423-1 _ Req No / Pri

Required Delivery

Bid A - First Article Required + CNOTE 1 LO *120 Calendar Days

Proposed Delivery

+ CNOTE 1 LO

FIRST ARTICLE

Bid A - First Article Required Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AB AA

NSN: 1135-01-251-9017 NP

FIRST ARTICLE

FIRST ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD 1423-1 IUID Required: No Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 DESTINATION

Type / Ship To PACRN Mark For A SW3210 First article submitted for inspection and testing. DO NOT POST Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

A SW3210 1 EA *150 Calendar Days

Proposed Delivery

A SW3210 1 EA

Container and shipping vouchers shall be conspicuously marked with large red lettering as follows: FIRST

ARTICLE, DO NOT PLACE IN AIR FORCE SUPPLY.

FIRST ARTICLE

Bid A - First Article Required Item No.

0001AC

FIRST ARTICLE

Bid A - First Article Required Firm Fixed Price Quantity U/I Unit Price Amount

149 EA

CLIN ACRN ACRN Total

0001AC AA

NSN: 1135-01-251-9017 NP

PRODUCTION ARTICLE

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: No Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 Acct 09 Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

A SW3210 149 EA *240 Calendar Days

Proposed

A SW3210 149 EA

FIRST ARTICLE

Bid B - First Article NOT Required Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

150 EA

CLIN ACRN ACRN Total

0001AD AA

NSN: 1135-01-251-9017 NP

PRODUCTION ARTICLE

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

FIRST ARTICLE

Bid B - First Article NOT Required

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection IUID Required: No Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 Acct 09 Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

A SW3210 150 EA *120 Calendar Days

Proposed

A SW3210 150 EA

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + CNOTE

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

AWARD NUMBER:

TYPE/CODE: A SW3210

DLA DISTRIBUTION DEPOT HILL

7537 WARDLEIGH RD BLDG 849W

HILL AFB UT 84056-5734

HILL AFB UT 84056-5734

HILL AFB UT 84056-5734

USA

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

AWARD NUMBER:

IAW DD Form 1423-1

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 57 43020 . 15 5 47 NK 25133G 3G6BFX 63685 11213F 503000 F03000 $0.00

PSR: 682426 FSR: 030260

ACRN TOTAL $ 0.00

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

52.209-3 FIRST ARTICLE APPROVAL--CONTRACTOR TESTING (SEP 1989)

(IAW FAR 9.308-1(a)(1), FAR 9.308-1(b)(1))

(a) The Contractor shall test ** unit(s) of Lot/Item * as specified in this contract. At least *** calendar days before the beginning of first article tests, the Contractor shall notify the Contracting Officer, in writing, of the time and location of the testing so that the Government may witness the tests.

*Lot/Item ***Calendar Days Before Test **Quantity 30 1

(b) The Contractor shall submit the first article test report within ___**___ calendar days from the date of this contract to ___***___ marked "FIRST ARTICLE TEST REPORT: Contract No. Lot/Item No. ___*___” Within ___****___ calendar days after the Government receives the test report, the Contracting Officer shall notify the Contractor, in writing, of the conditional approval, approval, or disapproval of the first article. The notice of conditional approval or approval shall not relieve the Contractor from complying with all requirements of the specifications and all other terms and conditions of this contract. A notice of conditional approval shall state any further action required of the Contractor. A notice of disapproval shall cite reasons for the disapproval.

*Lot/Item ****Approval Days ELIN No.

FA Test Report Item ***Type/Location **Calendar Days

FB2029

(c) If the first article is disapproved, the Contractor, upon Government request, shall repeat any or all first article tests. After each request for additional tests, the Contractor shall make any necessary changes, modifications, or repairs to the first article or select another first article for testing. All costs related to these tests are to be borne by the Contractor, including any and all costs for additional tests following a disapproval. The Contractor shall then conduct the tests and deliver another report to the Government under the terms and conditions and within the time specified by the Government. The Government shall take action on this report within the time specified in paragraph (b) above. The Government reserves the right to require an equitable adjustment of the contract price for any extension of the delivery schedule, or for any additional costs to the Government related to these tests.

(d) If the Contractor fails to deliver any first article report on time, or the Contracting Officer disapproves any first article, the Contractor shall be deemed to have failed to make delivery within the meaning of the Default clause of this contract.

(e) Unless otherwise provided in the contract, and if the approved first article is not consumed or destroyed in testing, the Contractor may deliver the approved first article as part of the contract quantity if it meets all contract requirements for acceptance.

(f) If the Government does not act within the time specified in paragraph (b) or (c) above, the Contracting Officer shall, upon timely written request from the Contractor, equitably adjust under the changes clause of this contract the delivery or performance dates and/or the contract price, and any other contractual term affected by the delay.

(g) Before first article approval, the acquisition of materials or components for, or the commencement of production of, the balance of the contract quantity is at the sole risk of the Contractor. Before first article approval, the costs thereof shall not be allocable to this contract for

(1) progress payments, or

(2) termination settlements if the contract is terminated for the convenience of the Government.

(h) The Government may waive the requirement for first article approval test where supplies identical or similar to those called for in the schedule have been previously furnished by the offeror/contractor and have been accepted by the Government. The offeror/contractor may request a waiver.

(The above Clause/Provision has been modified.)

52.209-3 FIRST ARTICLE APPROVAL--CONTRACTOR TESTING -- ALTERNATE I (JAN 1997)

(IAW FAR 9.308-1(a)(2), FAR 9.308-1(b)(2))

PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages

ITEM DESCRIPTION 1

ENGINEERING DATA LIST ATTACH A 06JUN2014 1

TRANSPORTATION DATA 09SEP2015 2

STATEMENT OF WORK 04APR2014 4

PACKAGING REQUIREMENTS 2

ENGINEERING DATA LIST REV 10 17JUN2014 1

MANFUCATURING SOURCE QUALIFICATION

STATEMENT

SPECIAL PACKAGING INSTRUCTIONS 4

Form 260 Jan 13 2016.pdf First Article Requirements

13JAN2016

CDRL 1423.pdf 06JAN2016