FA821323Q5006_______0004 Amendment 4.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8213-23-Q-5006-0004

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD2020-23-50006

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: Deric J Deede/EBHKB deric.deede@us.af.mil Phone: (208) 881- 8595 Fax: (000) 000-0000 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.

FA821323Q5006

9B. DATED (SEE ITEM 11)

5-JAN-2023

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. 15-MAR-2023 4:30 PM

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.)

FMS REQUIREMENT

ROUTINE.

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

Sources: Pacific Scientific Energetic Materials Company; Cage (06331). Chemring Energetic Devices, Inc; Cage (93455)

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 the amendment is to extend the soliciation due date to 15 Mar 2023.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

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

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

ONE-WAY TRANSFER

Bid A - First Article Required Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-167-6621 ES

NSN: 1377-01-220-3746 ES

1 WAY TRANSFER

ONE WAY TRANSFERS FOR F-15 FMS AIRCRAFT

DODIC: MH61

Manufacturer Part Number 06331 816890-1 93455 6036200-01 Priority: R ROUTINE.

Applicability: None ;

Foreign Military Sales :FMS Case:

Buy American Act/Balance of Payments Program

BID A - FIRST ARTICLE UNITS

Bid A - First Article Required Item No.

0001AA

Not Separately Priced Quantity U/I Unit Price

3 EA NSP

SAME

BID A - FIRST ARTICLE UNITS

FIRST ARTICLE

Priority: R ROUTINE.

Foreign Military Sales :FMS Case:

BID A - FIRST ARTICLE TEST/INSPECTION REPORT

Bid A - First Article Required Item No.

0001AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

SAME

BID A - FIRST ARTICLE TEST REPORT

TEST REPORT IAW DD 1423

EXHIBIT B ATTACHED (B001)

Priority: R ROUTINE.

Foreign Military Sales :FMS Case:

BID A- PRODUCTION UNIT

Bid A - First Article Required Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

50 EA

CLIN ACRN ACRN Total

0001AC AA

SAME

BID A - FIRST ARTICLE UNITS

FIRST ARTICLE

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 9001:2015 09APR2014

Foreign Military Sales :FMS Case:SR-D-CDA

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSR004 ORIGIN

Type / Ship To PACRN Mark For

* DSR004 DSRP00

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

Required Delivery

* DSR004 50 EA 29 MAR 2024 DSRP8420825328

Proposed Delivery

* DSR004 50 EA

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

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

ONE-WAY TRANSFER

Bid B - First Article NOT Required Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377-01-167-6621 ES

NSN: 1377-01-220-3746 ES

1 WAY TRANSFER

ONE WAY TRANSFERS FOR F-15 FMS AIRCRAFT

DODIC: MH61

Manufacturer Part Number 06331 816890-1 93455 6036200-01 Priority: R ROUTINE.

Applicability: None ;

Foreign Military Sales :FMS Case:

Buy American Act/Balance of Payments Program

BID B- PRODUCTION UNITS

Bid B - First Article NOT Required Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

50 EA

CLIN ACRN ACRN Total

0002AA AA

SAME

BID B - PRODUCTION UNITS

PRODUCTION 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 9001:2015 09APR2014

Foreign Military Sales :FMS Case:SR-D-CDA

BID B- PRODUCTION UNITS

Bid B - First Article NOT Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSR004 ORIGIN

Type / Ship To PACRN Mark For

* DSR004 DSRP00

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

Required Delivery

* DSR004 50 EA 29 MAR 2024 DSRP8420825328

Proposed Delivery

* DSR004 50 EA

DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA

DATA IAW DD 1423-1 ATTACHED TO BASIC

ITEM TITLE

A001 Ammunition Data Card (ADC) A002 Engineering Change Proposal (ECP) A003 Notice of Revision (NOR) A004 Request for Variance (RFV) A005 Lot Acceptance Test Plan A006 Test/Inspection Report A007 Failure Summary & Analysis Report A008 Obsolescence Alert Notice

Priority: R ROUTINE.

Foreign Military Sales :FMS Case:

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: B IAW1423

IAW DD1423

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

AWARD NUMBER:

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DSR004

SUPPLEMENTAL ADDRESS CODE: DZ4CDA

FMS CASE CODE/LOA: SR-D-CDA

MAPAC SHIP TO CODE: DSR004

MAPAC MARK FOR: DSRP00

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 9711 8242 .0002 4F X LC HN CCDASR 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 358905 FSR: 059176 DSR: 398126

REFERENCE:

AA PR: FD2020-23-50006

CIN: F2DCDE2279A1010000AA

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 AIR Munitions Specifications 09SEP2022 5

REPSHIP 11MAR2014 1

ADC SOW JAN 2018 3

CADPAD Item Marking Instructions 01MAY2019 10

SOW Packaging FEB 2022 4

DD2169 SPI F011676621 28APR2022 5

DD2169 SPI F012418149 24JUL2020 5

ES7034 Rework Repair Clause JAN 2012 1

JQRS One Way Transfer 10JUN2019 4

Item Description 1377012203746ES UNDATED 1

Item Description 1377011676621ES UNDATED 1

EDL 1377011676621ES 19JAN2021 1

EDL 1377012203746ES 19JAN2021 1

1423-1 CDRLS 01SEP2022 9