FA821218R0007_______0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8212-18-R-0007-0001

3. EFFECTIVE DATE

19 JAN 2018

4. REQUISITION/PURCHASE REQ. NO.

FD2020180022602

5. PROJECT NO (If applicable)

FA821218R0007

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFSC PZABA

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE UT 84056-5825

BUYER: Stacey L. Schultz/AFSC stacey.schultz@us.af.mil Phone: (801) 777- 3753 Fax: (801) 777-0389 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8212

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA821218R0007

9B. DATED (SEE ITEM 11)

19-JAN-2018

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

See following page(s) for the purpose of this amendment.

Proposal due date is 20 Feb 2018.

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.

FA8212-18-R-0007-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to:

1. Correct Block 6 on front page of the solicitation for the Solicitation Issue Date to:

19 Jan 2018

2. Identify in Block 9 that Offers will be received at the Issuing office until 4:00pm on 20 Feb 2018.

PLEASE NOTE: EXPORT CONTROLLED

RESTRICTED TO QUALIIFED SOURCE(S): Indesign LLS (1UQ09) and BAE Systems (94117) are the only known qualified sources. A Source Approval Request is required from all other interested contractors. See Clause 52.209-1 in the solicitation and the Qualification Requirements package attached for qualification information. The Government reserves the right not to delay contract award in accordance with FAR 9.202(e). Award will only be made to an approved qualified source. See attached Section L Instructions, Conditions, and Notices of Offerors and Section M Evaluation Factors for Award.

GOVERNMENTS REQUIRED DELIVERY (see individual line items of this solicitation). If a contractor takes exception to the Government’s required delivery schedule immediately contact the Government Representative identified above in the Issued By Block prior to the solicitation closing date.

NO SURPLUS ALLOWED FOR THIS REQUIREMENT

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

F16 Electronic Load Cable Assembly

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

12 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 6150-01-627-5971 WF

LOAD BANK,ELECTRICA

Electronic Load Assembly Fiberglass, Plastic, Copper Manufacturer Part Number 94117 8463591 94117 8463591-1 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report required through WAWF Quality Assurance: Standard Inspection Applicability: None ;

Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Special Marking Instructions Below

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 PAA 09 Account Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3210 12 EA 30 SEP 2018

Proposed Delivery

A SW3210 12 EA

Early delivery is acceptable at no additional cost to the Government.

Counterfeit Prevention Plan (CPP)

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

CLIN ACRN ACRN Total

0002 AA

Price to be included in the priced line item above.

Data Counterfeit Prevention Plan CPP Required in accordance with attached DD Form 1423-1 CDRL.

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report required through WAWF Exhibit: A Quality Assurance: Standard Inspection Type / Ship To Quantity (U/I) IAW DD1423-1 Req No / Pri

Required Delivery

B 1423 1 LO IAW DD1423-1

Proposed Delivery

B 1423 1 LO

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3210

DLA DISTRIBUTION DEPOT HILL

7537 WARDLEIGH RD BLDG 849W

CML 385 519 8898

HILL AFB UT 84056-5734 49 84056-5734

USA

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

AWARD NUMBER:

TYPE/CODE: B 1423

IAW DD FORM 1423

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 8 47 GH 15F16Z 01N000 00000 ERRCNP 503000 F03000 $0.00

PSR: K14582 FSR: 001679 DSR: 205730 CIN: F2DCCW7334B008

ACRN TOTAL $ 0.00

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

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages N/A Section_L_Price_Only_QR.pdf

Instructions, Conditions, and Notices to Offerors

UNDATED 2

N/A Section_M_Price_Only_QR.pdf Evaluation Factors for Award

UNDATED 2

N/A Qualification_Requirements.pdf Manufacturing Qualification Requirements

01MAR2016 3

EDL EDL_.pdf Engineering Data List

25JAN2016 1

HILL AFB FORM 462 EDR_.pdf 01MAR2016 2

Engineering Data Requirements Attachment A AFMC 158 PKGRQMT_.pdf

Packaging Requirements

01DEC2017 2

N/A Pkg_SOW.pdf Statement of Work for Packaging & Preservation

09NOV2015 4

DD FORM 1423-1 CDRL_00226.pdf Contract Data Requirements List - Counterfeit Prevention Plan

20NOV2017 2