FA820626R0022_0002.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8206-26-R-0022-0001

3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO.

FD20202600022

5. PROJECT NO (If applicable)

FA820626R0022

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFSC OL H PZACA

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE UT 84056-5825

BUYER: Justin M Raleigh/PZACA justin.raleigh.1@us.af.mil Phone: (801) 777- 3753

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.

FA820626R0022

9B. DATED (SEE ITEM 11)

2-FEB-2026

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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 The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers X 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. 31-MAR-2026 5:00 PM

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.

FA8206-26-R-0022-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/

MODIFICATION

The purpose of this 02 amendment is to extend solicitation due date as follows:

From: TO:

16 March 2026 31 March 2026

FA820626R00220001

PART I THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

First Article NSN: 6150004062757AH

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 6150004062757 AH

First Article CABLE ASSEMBLY,SPEC SPB Connect ECSG P1001 to W4A P2552 (A) Standard cable, rubber cable covering Manufacturer Part Number 07868 69C49443G1 Associated Document(s) Line Item(s)

FD20202600022 01 0001

Priority: R

Inspection: Origin Acceptance: Destination Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Class I ODS Substance Application/Use Quantity None None None Type / Ship To PACRN Mark For

A FB2029 PAB

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

Required Delivery

A FB2029 1 EA 31 JUL 2026

Proposed Delivery

A FB2029 1 EA

TAC: FRS3

Production Articles NSN: 6150004062757AH

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

49 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 6150004062757 AH

CABLE ASSEMBLY,SPEC

SPB Connect ECSG P1001 to W4A P2552 (A) Standard cable, rubber cable covering Manufacturer Part Number 07868 69C49443G1 Associated Document(s) Line Item(s)

FD20202600022 01 0002

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FB2029 ORIGIN

Class I ODS Substance Application/Use Quantity None None None Type / Ship To PACRN Mark For A FB2029 PAB Account 9 Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A FB2029 49 EA 28 APR 2027

Proposed Delivery

A FB2029 49 EA

TAC: FRS3

First Article NSN: 6150004508175AH

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

First Article NSN: 6150004508175AH

0003 AA

NSN: 6150004508175 AH

First Article CABLE ASSEMBLY,SPEC SPB Connect Programmer P5014 to W4A P2550 (B) Standard cable, rubber cable covering Manufacturer Part Number 07868 69D49201G1 Associated Document(s) Line Item(s)

FD20202600022 01 0003

Priority: R

Inspection: Origin Acceptance: Destination Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Class I ODS Substance Application/Use Quantity None None None Type / Ship To PACRN Mark For

A FB2029 PAA

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

Required Delivery

A FB2029 1 EA 31 JUL 2026

Proposed Delivery

A FB2029 1 EA

TAC: FRS3

Production Articles NSN: 6150004508175AH

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

49 EA

CLIN ACRN ACRN Total

0004 AA

NSN: 6150004508175 AH

CABLE ASSEMBLY,SPEC

SPB Connect Programmer P5014 to W4A P2550 (B) Standard cable, rubber cable covering Manufacturer Part Number 07868 69D49201G1 Associated Document(s) Line Item(s)

FD20202600022 01 0004

Priority: R

Production Articles NSN: 6150004508175AH

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FB2029 ORIGIN

Class I ODS Substance Application/Use Quantity None None None Type / Ship To PACRN Mark For A FB2029 PAA Account 9 Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A FB2029 49 EA 28 APR 2027

Proposed Delivery

A FB2029 49 EA

TAC: FRS3

CDRLS A001A002

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

Data First Article Data Test CDRLS A001A002 Associated Document(s) Line Item(s)

FD20202600022 01 0005

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) IAW 14231 Req No / Pri

Required Delivery

A FB2029 1 LO IAW 14231

CDRLS A001A002

Proposed Delivery

A FB2029 1 LO

Counterfiet Protection Plan CDRL A003

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

Data

CPP

Associated Document(s) Line Item(s)

FD20202600022 01 0006

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) IAW 14231 Req No / Pri

Required Delivery

A FB2029 1 LO IAW 14231

Proposed Delivery

A FB2029 1 LO

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 FB2029

FB2029 OO ALC DDHU CNTRL RCV

CP 385 519 8898

5851 F AVE BLDG 849W

HILL AFB UT 84056

HILL AIR FORCE BASE 49 840565713

USA

MARK FOR: (See Individual Line Item) 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 97 X4930 .FC04 64 6 47 GH AM133G 01N000 00000 ERRCNP 503000 F03000 $0.00

PSR: K42203 FSR: 001679 DSR: 083201 CIN: F2DCCW5356A1030000AA

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 1 unit(s) of Lot/Item 0001/0003 as specified in this contract. At least 30 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.

(b) The Contractor shall submit the first article test report within ___120___ calendar days from the date of this contract to __David Cheney__ marked "FIRST ARTICLE TEST REPORT: Contract No. FA820625P0022 Lot/Item No. ___0001/0003___”

Within ___120___ 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.

(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.)

52.209-4 FIRST ARTICLE APPROVAL--GOVERNMENT TESTING (SEP 1989)

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

(a) The Contractor shall deliver 1 units(s) of Lot/Item 0001/0003 within 120 calendar days from the date of this contract to the Government at See Line Items for first article tests. The shipping documentation shall contain this contract number and the Lot/Item identification. The characteristics that the first article must meet and the testing requirements are specified elsewhere in this contract.

(b) Within 120 calendar days after the Government receives the first article, 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.

(c) If the first article is disapproved, the Contractor, upon Government request, shall submit an additional first article for testing. After each request, 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 furnish any additional first article to the Government under the terms and conditions and within the time specified by the Government. The Government shall act on this first article within the time limit 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 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, the Contractor—

(1) May deliver the approved first article as a part of the contract quantity, provided it meets all contract requirements for acceptance and was not consumed or destroyed in testing; and

(2) Shall remove and dispose of any first article from the Government test facility at the Contractor's expense.

(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) The Contractor is responsible for providing operating and maintenance instructions, spare parts support, and repair of the first article during any first article test.

(h) 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.

(i) 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.)

52.222-54 EMPLOYMENT ELIGIBILITY VERIFICATION (JAN 2025)

(IAW FAR 22.1803)

(c) Web site. Information on registration for and use of the EVerify program can be obtained via the Internet at the Department of Homeland Security Web site: https://www.eVerify.gov .

PART III LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages Data_Requirments_6150004062757AH.pdf

Data_Requirments_6150004508175AH.pdf

EDL_6150004062757AH.pdf

EDL_6150004508175AH.pdf

Packaging.pdf

SOW.pdf

Transportaion.pdf

CDRL_FA_CPP_A001_A002_A003.pdf