FA821317R0099_______0002.pdf

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

JU

2. AMENDMENT/MODIFICATION NO.

FA8213-17-R-0099-0002

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20201750099

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFLCMC EBHK

6072 FIR AVENUE BLDG 1233

HILL AIR FORCE BASE UT 84056-5820

BUYER: Darin Rector/AFLCMC darin.rector@us.af.mil Phone: (801) 586- 2756 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8213

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA821317R0099

9B. DATED (SEE ITEM 11)

2-NOV-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 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

ROUTINE.

Sole source to: Chemring Energetic Devices (CED); Cage Code: 93455 Restricted to qualified sources. In order to be considered for award, the contractor shall be an approved source by the time of award. A qualification package is required for new sources. See clause 52.209-1 and the attached source qualification statement for qualification requirements.

EXPEDITED DELIVERY AT NO ADDITIONAL COST TO THE GOVERNMENT IS AUTHORIZED.

Please provide a REALISTIC DELIVERY DATE with your proposal/quote.

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

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.

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to remove first article requirements for CLIN 0002. CLIN(s) 0001AA (PETN STUDY), 00001AB (Design Verification Study), 0001AC (FIRST ARTICLE QUALIFICATION TEST PLAN AND PROCEDURES) and 0001AD (First Article Test Units) will fulfill requirements for CLIN 0002.

CLIN(s) 0002AA, 0002AB, 0002AC, 0002AD, 0002AE are removed in this amendment.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

DCMA and DFAS are required to withhold payment IAW DFAR 252.227-7030 until CDRL A001, A005, A006, B001 & B002 have been delivered and/or approved by Hill AFB.

The information requested under CLIN(s) 0001AA (PETN STUDY), 00001AB (Design Verification Study), 0001AC (FIRST ARTICLE QUALIFICATION TEST PLAN AND PROCEDURES), 0001AD (First Article Test Units), 0001AE (First Article Test Report) will fulfill requirements for CLIN 0002.

INFORMATIONAL CLIN

Item No.

NSN: 1377-01-165-5942 ES

SMDC/GAS INITIATOR

DODIC:KY95

Manufacturer Part Number 93455 9391465-2 Priority: R ROUTINE.

Applicability: None ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program IUID Required: No Physical Item Markings:

Special Marking Instructions Below Serial Number Required

NSN: 1377-01-165-5942ES Applicable SPI: F00-236-4782

MORD: 5773011 H87 LCHN 355100 4E27A1 462FD 78070F 503000 F03000 FSR: 033314 PSR:

686076 Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.3 dated 19 Apr 2016

PETN STUDY

Item No.

0001AA

PETN STUDY

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

DATA

PETN STUDY

Reference SOW dated 28 June 2018 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD FORM 1423-1 Applicability: None ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) *ARO Contract Award _ Req No / Pri

Required Delivery

+ IAW1423 1 LO *30 Calendar Days

Proposed Delivery

+ IAW1423 1 LO

Design Verification Testing

Item No.

0001AB

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

DATA

Design Verification Study Reference SOW dated 28 June 2018 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD FORM 1423-1 Applicability: None ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) *ARO Contract Award _ Req No / Pri

Design Verification Testing

Required Delivery

+ IAW1423 1 LO *30 Calendar Days

Proposed Delivery

+ IAW1423 1 LO

FIRST ARTICLE QUALIFICATION TEST PLAN AND PROCEDURES

Item No.

0001AC

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

DATA

TEST PLAN IAW DD 1423-1 ATTACHED HERE TO

FIRST ARTICLE TEST (FAT) PLAN AND PROCEDURES attached hereto. **NOTE** Approved FAT CDRL(s) will be attached electronically in WAWF when invoicing for this CLIN. Failure to attach the FAT CDRL in WAWF <https://wawf.eb.mil/> will result in delay of government acceptance and/or rejection of invoicing.

Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD FORM 1423-1 Applicability: None ;

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program Type / Ship To Quantity (U/I) *ARO Contract Award _ Req No / Pri

Required Delivery

+ IAW1423 1 LO *30 Calendar Days

Proposed Delivery

+ IAW1423 1 LO

First Article Test Units

First Article Required Item No.

0001AD

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

22 EA

First Article

First Article Test Units

First Article Required

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: 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

ISO 9001-2008 2008

Type / Ship To Quantity (U/I) *ARO from Contract Award

_ Req No / Pri

Required Delivery

+ IAW1423 22 EA *120 Calendar Days

Proposed Delivery

+ IAW1423 22 EA

FIRST ARTICLE TEST/INSPECTION REPORT

First Article Required Item No.

0001AE

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

FATR

First Article Test Report

TEST REPORT IAW DD 1423-1 ATTACHED HERETO

FIRST ARTICLE TEST (FAT) REPORT attached hereto. **NOTE** Approved FAT CDRL(s) will be attached electronically in WAWF when invoicing for this CLIN. Failure to attach the FAT CDRL in WAWF <https://wawf.eb.mil/> will result in delay of government acceptance and/or rejection of invoicing.

Item Title DID B001 Test/Inspection Report DI-NDTI-80809B

Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD FORM 1423-1 Type / Ship To Quantity (U/I) *ARO Contract

Award _ Req No / Pri

Required Delivery

+ IAW1423 1 LO *150 Calendar Days

Proposed Delivery

+ IAW1423 1 LO

Production

0001AF

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

20 EA

Production Article

SAME AS BASIC LINE ITEM ABOVE

To be manufactured in conjunction with First Article Units.

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

ISO 9001-2008 2008

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

C FV2172 ORIGIN

Type / Ship To PACRN Mark For

C FV2172 09 ACCT

Type / Ship To Quantity (U/I) *ARO Approval of

First Article _ Req No / Pri

Required Delivery

C FV2172 20 EA *12 Months Non-MilStrip

Proposed Delivery

C FV2172 20 EA

Production

Item No.

0001AG

Firm Fixed Price Quantity U/I Unit Price Amount

65 EA

Production Article

SAME AS BASIC LINE ITEM ABOVE

Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Production

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.)

C FV2172 ORIGIN

Type / Ship To PACRN Mark For

C FV2172 09 ACCT

Type / Ship To Quantity (U/I) *ARO Approval of

First Article _ Req No / Pri

Required Delivery

C FV2172 65 EA *12 Months Non-MilStrip

Proposed Delivery

C FV2172 65 EA

DCMA and DFAS are required to withhold payment IAW DFAR 252.227-7030 until CDRL A001, A005, A006, B001 & B002 have been delivered and/or approved by Hill AFB.

The information requested under CLIN(s) 0001AA (PETN STUDY), 00001AB (Design Verification Study), 0001AC (FIRST ARTICLE QUALIFICATION TEST PLAN AND PROCEDURES), 0001AD (First Article Test Units), 0001AE (First Article Test Report) will fulfill the same requirements for CLIN 0002.

INFORMATIONAL CLIN

Item No.

NSN: 1377-01-502-9776 ES

INITIATOR,PROPELLAN

DODIC: JL45

Manufacturer Part Number 93455 9391465-1 Priority: R ROUTINE.

New Material, Surplus Not Acceptable Buy American Act/Balance of Payments Program IUID Required: Yes

INFORMATIONAL CLIN

Physical Item Markings:

Serial Number Required

NSN: 1377-01-502-9776ES Applicable SPI: F00-236-4782 MORD: 5773011 H87 LCHN 355100 4E27A1 462FD 78070F 503000 F03000 FSR: 033314 PSR: 686076 Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.3 dated 19 Apr 2016

The PETN study, design verification testing, and all first article requirements completed for CLIN 0001 will satisfy the same requirements for CLIN 0002.

Production

0002AA

Cost Plus Fixed Fee Quantity U/I Estimated Cost Fixed Fee Est Total Cost

20 EA

Production Article

SAME AS BASIC LINE ITEM ABOVE

To be manufactured in conjunction with First Article Units.

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.)

C FV2172 ORIGIN

Type / Ship To PACRN Mark For

C FV2172 09 ACCT

Type / Ship To Quantity (U/I) *ARO Approval of

First Article _ Req No / Pri

Required Delivery

C FV2172 20 EA *12 Months Non-MilStrip

Proposed Delivery

Production

C FV2172 20 EA

Production

Item No.

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

60 EA

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: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

C FV2172 ORIGIN

Type / Ship To PACRN Mark For

C FV2172 09 ACCT

Type / Ship To Quantity (U/I) *ARO Approval of

First Article _ Req No / Pri

Required Delivery

C FV2172 60 EA *12 Months Non-MilStrip

Proposed Delivery

C FV2172 60 EA

DATA

Item No.

NOT SEPARATELY PRICED

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

DATA

DATA IAW DD 1423-1 ATTACHED HERE TO EXHIBIT A

DATA

NOTE: Approved Ammunition Data Cards (A001), with respective CDRL, shall be attached electronically in WAWF <https://wawf.eb.mil/> using DODAAC FA8213 when invoicing for this CLIN. Failure to do so will result in delay of Government acceptance and/or rejection of invoicing.

Exhibit: A Foreign Military Sales

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + IAW1423

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

AWARD NUMBER:

TYPE/CODE: C FV2172

649 MUNS MXW

6024 PINE LANE

BLDG 1377 BAY 2

HILL AIR FORCE BASE UT 84056-5707

UNITED STATES

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

AWARD NUMBER: