FA821322Q3001_0001.pdf

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

JS

2. AMENDMENT/MODIFICATION NO.

FA8213-22-Q-3001-0001

3. EFFECTIVE DATE

17 NOV 2021

4. REQUISITION/PURCHASE REQ. NO.

FD20202151278

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: Tad C Lloyd/AFLCMC tad.lloyd@us.af.mil Phone: (801) 777- 4163

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.

FA821322Q3001

9B. DATED (SEE ITEM 11)

5-NOV-2021

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.

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.

FA8213-22-Q-3001-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to add the following questions along with their answers

Question 1: Are their additional safety requirements for the UGV, such as remote destruct system?

Answer 1: No we don’t need a remote destruct.

Question 2: Does the UGV have any size, reflectivity requirements?

Answer 2: No, there are no reflectivity requirements for the UGVs. We are not going to be aiming at the UGV.

Question 3: Does the UGV need to perform the 60mph in 600ft off road (gravel, desert) or on road (pavement)?

Answer 3: The 60MPH in 600ft is on a smooth unimproved surface (Unpaved dirt runway).

Question 4: What has the USG paid for UGV in the past?

Answer 4: This information is propriety and cannot be provided.

Question 5: Will there be a tower available to mount the Remote-Control antenna?

Answer 5: CONTRACTOR will set-up a UGV control station and establish a link with the UGV and communications with the AATC control van. The location of this UGV control station could require the UGV link range be up to 10 miles. If CONTRACTOR chooses to utilize a ground control van, they will provide a tower to ensure line-of-sight to the UGV (Per PWS Paragraph 2.6 Flight Testing)

All other terms and conditions have remain the same

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

As of 4 January 2022 contractor personnel and official visitors must attest to being fully vaccinated, and if not fully vaccinated, present the results of a recent (within the previous 72 hours) negative COVID-19 test as a condition of physical access to DoD buildings and DoD-leased or controlled spaces in non-DoD buildings in which official DoD business takes place. The most current guidance for COVID-19 will be stated on the contract at time of award.

DCMA and DFAS are required to withhold payment IAW DFAR 252.227-7030 until CDRLs have been delivered and/or approved by Hill AFB.

At time of award of award a Transportation Account Code (TAC) shall be provided for shipping cost of the UGV and Trailers.

Travel and Testing dates will be notified to the contractor no later than 30 days prior to testing occurs.

As of now the testing is schedule after June 1, 2022.

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

NSN: 2330

UGV & Trailers CONTRACTOR is responsible for build and transport of 4 x Unmanned Ground Vehicles (UGV), 4 x 5’Wx5H’x12’L Trailers, enough painted plywood pieces to completely repair two trailers, and all associated support equipment to operate these vehicles and trailers that the GOVERNMENT will secure ownership of should the vehicle become “totaled” during testing. In the event the UGV remains in workable condition, the CONTRACTOR will retain ownership of the vehicle. CONTRACTOR will ensure all vehicles and trailers are built laser safe (windows/mirrors removed). IAW PWS for Target Supply and Services for WGU-59A/B Regression Testing Dated 17 August 2021 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 Applicability: None ;

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

Required Delivery

A TBC 4 EA 16 MAY 2022

Proposed Delivery

A TBC 4 EA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

H210 Equip & Mats Testing/Weapons Fight Testing and Target Support IAW PWS for Target Supply and Services for WGU-59A/B Regression Testing Dated 17 August 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 Applicability: None ;

Place of Perf Quantity (U/I) To be determined _ Req No / Pri Required Period of Performance

1 LO TBD

Proposed Period of Performance

1 LO

Item No.

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

1 LO

V999

TRANSPORTATION/TRAVEL/RELOCATION- OTHER: OTHER

Travel IAW 3.0 in PWS for Target Supply and Services for WGU-59A/B Regression Testing Dated 17 August 2021 Priority: R ROUTINE.

Applicability: None ;

Place of Perf Quantity (U/I) To be determined _ Req No / Pri Required Period of Performance

1 LO TBD

Proposed Period of Performance

1 LO

Item No.

Not Separately Priced Quantity U/I Unit Price

LO NSP

DATA

IAW DD Form 1423-1 Exhibit: A

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A TBC

TO BE CITED IN ORDER

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 57 03011 . H8 0 LC HN 351010 4E27A1 63681 28030F 503000 F03000 $0.00

PSR: B78333 FSR: 082172 DSR: 257027 CIN: F2DCDF1230A1010000AA

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

REFERENCE:

AA CSN:00HB24

ACRN TOTAL $ 0.00

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

252.223-7399 Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors (Deviation 2021-O0009) As prescribed in Class Deviation 2021-O0009, Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors, use the following clause:

ENSURING ADEQUATE COVID-19 SAFETY PROTOCOLS FOR FEDERAL

CONTRACTORS (DEVIATION 2021-O0009) (OCT 2021)

(a) Definition. As used in this clause – United States or its outlying areas means—

(1) The fifty States;

(2) The District of Columbia;

(3) The commonwealths of Puerto Rico and the Northern Mariana Islands;

(4) The territories of American Samoa, Guam, and the United States Virgin Islands; and

(5) The minor outlying islands of Baker Island, Howland Island, Jarvis Island, Johnston Atoll, Kingman Reef, Midway Islands, Navassa Island, Palmyra Atoll, and Wake Atoll.

(b) Authority. This clause implements Executive Order 14042, Ensuring Adequate COVID Safety Protocols for Federal Contractors, dated September 9, 2021 (published in the Federal Register on September 14, 2021, 86 FR 50985).

(c) Compliance. The Contractor shall comply with all guidance, including guidance conveyed through Frequently Asked Questions, as amended during the performance of this contract, for contractor or subcontractor workplace locations published by the Safer Federal Workforce Task Force (Task Force Guidance) at https:/www.saferfederalworkforce.gov/contractors/.

(d) Subcontracts. The Contractor shall include the substance of this clause, including this paragraph (d), in subcontracts at any tier that exceed the simplified acquisition threshold, as defined in Federal Acquisition Regulation 2.101 on the date of subcontract award, and are for services, including construction, performed in whole or in part within the United States or its outlying areas.

(End of clause)

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

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages FD2020-21-51278_CDRLFINAL.pdf CDRL Final LIst

23FEB2021 5

Section_L_TargetRev02.pdf 04NOV2021 4

Section_M_TargetRev01.pdf 04NOV2021 3

TARGETSUPPLIER_PWS_FINAL.pdf 17AUG2021 4

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION L

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS OR RESPONDENTS

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION M

EVALUATION FACTORS FOR AWARD