FA821115R30000001.pdf

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

JS

2. AMENDMENT/MODIFICATION NO.

FA8211-15-R-3000-0001

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

F2DCCP5133B001

5. PROJECT NO (If applicable)

T-38 Pacer Classic III

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFLCMC WLDKAA

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE UT 84056-5820

BUYER: Melissa Hayhurst/AFLCMC melissa.hayhurst@us.af.mil Phone: (801) 586- 4412 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8220

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA821115R3000

9B. DATED (SEE ITEM 11)

11-JUN-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.

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

Amended to include a Bill of Materials attachment

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 FA8211-15-R-3000-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to incorporate the Bill of Materials (BOM) as an attachment to the Request for Proposal.

Request for Proposal FA8211-15-R-3000-0001

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

PC III - FASTENER KIT "M"

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

98 KT

NSN: 1560-K0-106-112M XE

Fastener Kit The contractor shall provide Fastener Kit M, which is comprised of kits N, P, & Q, for the Pacer Classic III Modification.

The Bill of Materials (BOM) for Kits M, N, P & Q will be provided with the Technical Data Package IAW PWS Attachment

4. The specific BOM shall be attached to the Delivery Order.

The Bill of Materials for Fastener Kits M, N, P, & Q were developed at Government expense under contract FA8223-11-D-0001-0003, therefore the Government asserts unlimited rights to this Bill of Materials.

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required 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.)

Title Number Date Tailoring

AS9100 9100

Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) On or Before _ Req No / Pri

Required Delivery

98 KT 22 NOV 2021

Proposed Delivery

98 KT

It is proposed that the first delivery order will incorporate the following delivery schedule:

1 Kit 01 Jan 2017* 4 Kits 03 Mar 2017 4 Kits 01 Apr 2017 3 Kits 01 July 2017 2 Kits 01 Aug 2017

Subsequent orders are planned to have similar staggered quantities and deliveries.

*First article testing and shipment to and from First Article Lab are required before acceptance of first kit.

PC III - FASTENER KIT "N"

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

98 KT

NSN: 1560-K0-106-112N XE

PC III - Fastener Kit "N" The contractor shall provide the "N" Fastener Kit

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required 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.)

Title Number Date Tailoring

AS9100 9100

Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) On or Before _ Req No / Pri

Required Delivery

98 KT 22 NOV 2021 Non-MilStrip

Proposed Delivery

98 KT

It is proposed that the first delivery order will incorporate the following delivery schedule:

1 Kit 01 Jan 2017* 4 Kits 03 Mar 2017 4 Kits 01 Apr 2017 3 Kits 01 July 2017 2 Kits 01 Aug 2017

*First article testing and shipment to and from First Article Lab are required before acceptance of first kit.

PC III - FASTENER KIT "P"

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

98 KT

NSN: 1560-K0-106-112P XE

PC III - Fastener Kit "P" The contractor shall provide the "P" Fastener Kit

PC III - FASTENER KIT "P"

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required 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.)

Title Number Date Tailoring

AS9100 9100

Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) On or Before _ Req No / Pri

Required Delivery

98 KT 22 NOV 2021 Non-MilStrip

Proposed Delivery

98 KT

It is proposed that the first delivery order will incorporate the following delivery schedule:

1 Kit 01 Jan 2017* 4 Kits 03 Mar 2017 4 Kits 01 Apr 2017 3 Kits 01 July 2017 2 Kits 01 Aug 2017

*First article testing and shipment to and from First Article Lab are required before acceptance of first kit.

PC III - FASTENER KIT "Q"

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price

98 KT

NSN: 1560-K0-106-112Q XE

PC III - Fastener Kit "Q" The contractor shall provide the "Q" Fastener Kit

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required 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.)

Title Number Date Tailoring

AS9100 9100

Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) On or Before _ Req No / Pri

PC III - FASTENER KIT "Q"

Required Delivery

98 KT 22 NOV 2021 Non-MilStrip

Proposed Delivery

98 KT

It is proposed that the first delivery order will incorporate the following delivery schedule:

1 Kit 01 Jan 2017* 4 Kits 03 Mar 2017 4 Kits 01 Apr 2017 3 Kits 01 July 2017 2 Kits 01 Aug 2017

*First article testing and shipment to and from First Article Lab are required before acceptance of first kit.

FASTENER KIT "N"

Bid A - First Article Required Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 KT

NSN: 1560-K0-106-112N XE

FIRST ARTICLE

PC III - Fastener Kit "N" - First Article The contractor shall provide Fastener Kit "N" IAW the attached PWS and Bill of Materials (BOM). First Article Test is required IAW PWS 2.4.4 and BOM unless waived. First Article Forms are located in the Technical Data Package.

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required 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.)

Title Number Date Tailoring

AS9100 9100 IAW PWS 4.1.

Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) *ARO Each

Individual Order _ Req No / Pri

Required Delivery

A FB2029 1 KT *270 Calendar Days

Proposed Delivery

A FB2029 1 KT

FASTENER KIT "P"

Bid A - First Article Required Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 KT

NSN: 1560-K0-106-112P XE

PC III - Fastener Kit "P" - First Article The contractor shall provide Fastener Kit "P" IAW the attached PWS and Bill of Materials (BOM). First Article Test is required IAW PWS 2.4.4 and BOM unless waived. First Article Forms are located in the Technical Data Package.

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required 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.)

Title Number Date Tailoring

AS9100 9100 IAW PWS 4.1.

Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) *ARO Each

Individual Order _ Req No / Pri

Required Delivery

A FB2029 1 KT *270 Calendar Days

Proposed Delivery

A FB2029 1 KT

FASTENER KIT "Q"

Bid A - First Article Required Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 KT

NSN: 1560-K0-106-112Q XE

FIRST ARTICLE

PC III - Fastener Kit "Q" - First Article The contractor shall provide Fastener Kit "Q" IAW the attached PWS and Bill of Materials (BOM). First Article Test is required IAW PWS 2.4.4 and BOM unless waived. First Article Forms are located in the Technical Data Package.

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required 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.)

Title Number Date Tailoring

AS9100 9100 IAW PWS 4.1.

Buy American Act/Balance of Payments Program

FASTENER KIT "Q"

Bid A - First Article Required Type / Ship To Quantity (U/I) *ARO Each

Individual Order _ Req No / Pri

Required Delivery

1 KT *270 Calendar Days

Proposed Delivery

1 KT

PC III DATA

Item No.

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

PC III - DATA

The contractor shall provide data deliverables as specified in each Delivery Order and the Performance Work Statement.

The Contract Data List Requirements (CDRLs) A001 - A004 are included in Section J.

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

PC III CONTRACTOR TRAVEL

Item No.

Cost Reimbursement - No Fee Quantity U/I Est Unit Cost Total Estimated Cost 1 LO To be Determined To be Determined

PC III TRAVEL

Contractor required travel IAW the PWS titled PCIII_Fastener_PWS dated 21 May 2015. Travel shall be billed IAW FAR 31.205-46 Travel Costs and the Joint Federal Travel Regulations (JFTR). The price for lodging, meals, airfare, and rental car shall be determined by the GSA per diem schedule or as set by the contracting officer. Travel requests are subject to prior approval by the Contracting Officer and shall be submitted 7 days in advance of travel.

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

CONTRACTOR-ACQUIRED PROPERTY

Item No.

Cost Reimbursement - No Fee Quantity U/I Est Unit Cost Total Estimated Cost

1 LO

PC III CONTRACTOR-ACQUIRED PROPERTY

The contractor shall identify and deliver Contractor-Acquired Property (CAP) as specified in the attached PWS.

Government approval is required prior to the contractor proceeding with manufacturing or obtaining CAP.

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required 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.)

Title Number Date Tailoring

AS9100 9100 IAW PWS 4.1.

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A FB2029

809 MXSS/MXDEB, Bldg. 849 Non-Accountable Bay Trans. Office

FIRST ARTICLE, DO NOT POST

HILL AIR FORCE BASE UT 84056-5713

UNITED STATES

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

AWARD NUMBER:

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

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages Bill of Materials 15JUN2015 23