FA8213-23-R-5008 0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA821323R50080001

3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO.

MULTIPLE

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 840565820

BUYER: Elizabeth Dykes/AFLCMC elizabeth.dykes@us.af.mil

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.

FA821323R5008

9B. DATED (SEE ITEM 11)

6MAR2023

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. 25APR2023 5:00 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: Chemring; cage (93455). Rockwell Collins; cage (13499)

Award will not be held up for a vendor to become qualified.

Clause 52.23218 “Subject to Availability of Funds” is applicable.

Saudi Arabia: SR, Israel: IS, Turkey: TK

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 7540011528070

PREVIOUS EDITION UNUSABLE

30105 STANDARD FORM 30 (REV. 1083)

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.

FA821323R50080001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this Amendment is to:

Extend the Closing date

From: 20 APRIL 2023

To: 25 APRIL 2023

PART I THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

DCMA and DFAS are required to withhold payment IAW DFAR 252.2277030 until CDRL A001, A005 & A006 have been delivered and/or approved by Hill AFB.

Initiator, GastoGas

Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377002380552 ES 21303001

NSN: 1377014250548 ES

INITIATOR, GAS TO GAS

ACFT EJECTION SYS (LIFE SUPPORT) BALLISTIC DEVICE. PREDOM MAT'L IS ALUMINUM WITH EXPLOSIVE CHARGE OF 0.0003 LBS, LENGTH 4.7 IN, DIAMETER 1.0 IN AND IS BALLISTIC INITIATED.

DODIC: M720

Manufacturer Part Number 17610 21303001 93455 6124100 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 90012008 2008

Applicability: None ;

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

IAW MILSTD130

Serial Number Required

Initiator, GastoGas

Saudi Arabia SRDCDA Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

80 EA

CLIN ACRN ACRN Total

0001AA AA

NSN: SAME

Same as basic item above

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 90012008 2008

Foreign Military Sales :FMS Case:SRDCDA IUID Required: Yes Physical Item Markings:

Serial Number 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) *ARO Contract _ Req No / Pri

Required Delivery

* DSR004 80 EA *18 Months DSRP8420825322

Proposed Delivery

* DSR004 80 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

SPI#: F011676621

TAC: DFMS

Initiator, GastoGas

Israel ISDCBO Item No.

0001AB

Firm Fixed Price

Initiator, GastoGas

Israel ISDCBO Quantity U/I Unit Price Amount

53 EA

Sub CLIN ACRN ACRN Total

000102 AB

SAME

Same as basic item above

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 90012008 2008

Foreign Military Sales :FMS Case:ISDCBO IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DIS002 ORIGIN

Type / Ship To PACRN Mark For

* DIS002 DISA00

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

* DIS002 53 EA *18 Months DISA8N20835330

Proposed Delivery

* DIS002 53 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

SPI#: F011676621

TAC: DFMS

Initiator, GastoGas

Turkey TKDCAX Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

Initiator, GastoGas

Turkey TKDCAX Sub CLIN ACRN ACRN Total

000102 AC

SAME

Same as basic item above

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 90012008 2008

Foreign Military Sales :FMS Case:TKDCAX IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTK002 ORIGIN

Type / Ship To PACRN Mark For

* DTK002 DTKC00

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

* DTK002 4 EA *18 Months DTKC8420885340

Proposed Delivery

* DTK002 4 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

SPI#: F011676621

TAC: DFMS

Initiator, GastoGas

USAF

Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

112 EA

CLIN ACRN ACRN Total

0001AD AD

SAME

Initiator, GastoGas

USAF

Same as basic item above

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 90012008 2008

Foreign Military Sales :FMS Case:

IUID Required: Yes Physical Item Markings:

Serial Number Required

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 Account Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

C FV2172 112 EA *18 Months

Proposed Delivery

C FV2172 112 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

SPI#: F011676621

TAC: FIRZ

Initiator

Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377016488442 ES 213019002

NSN: 1377014148933 ES

INITIATOR, GAS TO GAS

ACFT EJECTION SYS (LIFE SUPPORT) BALLISTIC DEVICE, PREDOM MAT'L ISALUMINUM WITH EXPLOSIVE CHARGE OF 0.0003 LBS, LENGTH 4.680 IN, DIAMETER 1.0 IN ANDBALLISTIC INITIATED.

Initiator

DODIC: MU78

Manufacturer Part Number 17610 213019002 93455 6121100 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 90012008 2008

Applicability: None ;

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

IAW MILSTD130

Serial Number Required

Initiator

Saudi Arabia SRDCDA Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

48 EA

CLIN ACRN ACRN Total

0002AA AA

SAME

Same as basic 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 90012008 2008

Foreign Military Sales :FMS Case:SRDCDA IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

Initiator

Saudi Arabia SRDCDA

* DSR004 ORIGIN

Type / Ship To PACRN Mark For

* DSR004 DSRP00

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

* DSR004 48 EA *18 Months DSRP8420825301

Proposed Delivery

* DSR004 48 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

SPI#: F012717161

TAC: DFMS

Initiator

Israel ISDCBO Item No.

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

39 EA

CLIN ACRN ACRN Total

0002AB AB

SAME

Same as basic 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 90012008 2008

Foreign Military Sales :FMS Case:ISDCBO IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DIS002 ORIGIN

Type / Ship To PACRN Mark For

Initiator

Israel ISDCBO

* DIS002 DISA00

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

* DIS002 39 EA *18 Months DISA8N20835318

Proposed Delivery

* DIS002 39 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

SPI#: F012717161

TAC: DFMS

Initiator

Turkey TKDCAX Item No.

0002AC

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0002AC AC

SAME

Same as basic 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 90012008 2008

Foreign Military Sales :FMS Case:TKDCAX IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTK002 ORIGIN

Type / Ship To PACRN Mark For

* DTK002 DTKC00

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Initiator

Turkey TKDCAX Required Delivery

* DTK002 2 EA *18 Months DTKC8420885339

Proposed Delivery

* DTK002 2 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

SPI#: F012717161

TAC: DFMS

Initiator Cartridge

Item No.

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377013187696 ES 31239006

NSN: 1377014148935 ES

INITIATOR CARTRIDGE

ACFT EJECTION SYS (LIFE SUPPORT) BALLISTIC DEVICE. PREDOMINANT MATERIAL IS ALUMINUM WITH EXPLOSIVE CHRGE OF

.0004 LENGTH 4.68 IN, DIAM 1.030 IN GAS INITIATED.

DODIC: MU84

Manufacturer Part Number 17610 31239006 93455 6123100 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 90012008 2008

Applicability: None ;

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

Initiator Cartridge

Saudi Arabia SRDCDA Item No.

0003AA

Firm Fixed Price Quantity U/I Unit Price Amount

30 EA

CLIN ACRN ACRN Total

0003AA AA

NSN: SAME

Same as basic item above

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 90012008 2008

Foreign Military Sales :FMS Case:SRDCDA IUID Required: Yes Physical Item Markings:

Serial Number 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) *ARO Contract _ Req No / Pri

Required Delivery

* DSR004 30 EA *18 Months DSRP8420825319

Proposed Delivery

* DSR004 30 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

SPI#: F011676621

TAC: DFMS

Initiator Cartridge

USAF

Item No.

0003AB

Firm Fixed Price

Initiator Cartridge

USAF

Quantity U/I Unit Price Amount

142 EA

CLIN ACRN ACRN Total

0003AB AD

SAME

Same as basic item above

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 90012008 2008

IUID Required: Yes Physical Item Markings:

Serial Number Required

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 Account Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

C FV2172 142 EA *18 Months

Proposed Delivery

C FV2172 142 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

SPI#: F011676621

TAC: FIRZ

Initiator Cartridge

Item No.

GROUP STOCK NO P/N CAGE

Initiator Cartridge

Group 001 Alternate 1377013187697 ES 31239005

NSN: 1377014148934 ES

INITIATOR CARTRIDGE

ACFT EJECTION SYS (LIFE SUPPORT) BALLISTIC DEVICE. PREDOM MATL ISALUMINUM WITH EXPLOSIVE CHARGE OF .0004, LENGTH 4.68 IN, DIAM 1.030 IN. GAS INITIATED.

DODIC: MU87

Manufacturer Part Number 17610 31239005 93455 6122100 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 90012008 2008

Applicability: None ;

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

IAW MILSTD130

Serial Number Required

Initiator Cartridge

Saudi Arabia SRDCDA Item No.

0004AA

Firm Fixed Price Quantity U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

0004AA AA

SAME

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 90012008 2008

Foreign Military Sales :FMS Case:SRDCDA IUID Required: Yes Physical Item Markings:

Initiator Cartridge

Saudi Arabia SRDCDA

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) *ARO Contract _ Req No / Pri

Required Delivery

* DSR004 10 EA *18 Months DSRP8420825318

Proposed Delivery

* DSR004 10 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

SPI#: F011676621

TAC: DFMS

Initiator Cartridge

USAF

Item No.

0004AB

Firm Fixed Price Quantity U/I Unit Price Amount

159 EA

CLIN ACRN ACRN Total

0004AB AD

SAME

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 90012008 2008

Foreign Military Sales :FMS Case:

IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

Initiator Cartridge

USAF

C FV2172 ORIGIN

Type / Ship To PACRN Mark For C FV2172 09 Account Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

C FV2172 159 EA *18 Months

Proposed Delivery

C FV2172 159 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

SPI#: F011676621

TAC: FIRZ

Initiator Cartridge

Saudi Arabia SRDCDA Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

18 EA

CLIN ACRN ACRN Total

0005 AA

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377002991512 ES

NSN: 1377011664265 ES

Initiator, Propellant Actuated ACFT EJECTION SYS (LIFE SUPPORT) BALLISTIC DEVICE. PREDOM MAT'L ISALUMINUM WITH EXPLOSIVE CHARGE OF 0.0007 LBS, LENGTH 4.70 IN, WIDTH 2.45IN AND ISMECHANICAL INITIATED.

DODIC: MH64

Manufacturer Part Number 17610 22715001 93455 6028200 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 90012008 2008

Applicability: None ;

Initiator Cartridge

Saudi Arabia SRDCDA Foreign Military Sales :FMS Case:SRDCDA Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

IAW MILSTD130

Serial Number 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) *ARO Contract _ Req No / Pri

Required Delivery

* DSR004 18 EA *18 Months DSRP8420825302

Proposed Delivery

* DSR004 18 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.5 dated 01 May 2019

SPI#: F001383770

TAC: DFMS

DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA IAW DD 14231 ATTACHED HERE TO EXHIBIT A

Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection

CDRLs included in this CLIN include the following:

A001Ammunition Data Card (ADC)

A002Engineering Change Proposal (ECP)

A003Notice of Revision (NOR)

A004Request for Variance (RFV)

A005 Acceptance Test Plan

A006Test/Inspection Report

A007Failure Summary and Analysis Report

A008Obsolescence Alert Notice

A009Report of Receipts, Inventory, Adjustments and Shipments of Government Property

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: C FV2172

649 MUNS MXW

6024 PINE LANE

BLDG 1377 BAY 2

HILL AIR FORCE BASE UT 840565707

UNITED STATES

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: * DIS002

SUPPLEMENTAL ADDRESS CODE: DZ2CBO

FMS CASE CODE/LOA: ISDCBO

MAPAC SHIP TO CODE: DIS002

MAPAC MARK FOR: DISA00

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

AWARD NUMBER:

TYPE/CODE: * DSR004

SUPPLEMENTAL ADDRESS CODE: DZ4CDA

FMS CASE CODE/LOA: SRDCDA

MAPAC SHIP TO CODE: DSR004

MAPAC MARK FOR: DSRP00

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

AWARD NUMBER:

TYPE/CODE: * DTK002

SUPPLEMENTAL ADDRESS CODE: DZ2CAX

FMS CASE CODE/LOA: TKDCAX

MAPAC SHIP TO CODE: DTK002

MAPAC MARK FOR: DTKC00

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

AWARD NUMBER:

PART I THE SCHEDULE

SECTION C

DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

SPECIFICATIONS, STANDARDS AND DRAWINGS (MAY 1993)

(IAW FAR 11.201)

Specifications, standards or drawings (as applicable) are furnished/listed below or are listed in Section J herein. The contractor shall perform in accordance with those specifications and/or the attachments listed in Section J:

ITEM NR SPECIFICATIONS, STANDARDS AND/OR ATTACHMENTS

PART I THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

52.247-29 F.O.B. ORIGIN (FEB 2006)

(IAW FAR 47.303-1(c))

52.247-30 F.O.B. ORIGIN, CONTRACTOR'S FACILITY (FEB 2006)

(IAW FAR 47.303-2(c))

52.247-33 F.O.B. ORIGIN, WITH DIFFERENTIALS (FEB 2006)

(IAW FAR 47.303-5(c))

(c) (4) Offeror's differentials in cents for each 100 pounds for optional mode of transportation, types of vehicle, transportation within a mode, or place of delivery, specified by the Government at the time of shipment and not included in the f.o.b. origin price indicated in the Schedule by the offeror, are as follows:

_____________________(carload, truckload, lessload, _____________________wharf, flatcar, driveaway, etc.)

52.247-34 F.O.B. DESTINATION (NOV 1991)

(IAW FAR 47.303-6(c))

52.247-61 F.O.B. ORIGIN-MINIMUM SIZE OF SHIPMENTS (APR 1984)

(IAW FAR 47.305-16(c))

PART I THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(IAW DFARS 232.7004(b), PGI 232.7004(b)(1), DFARS 212.301(f)(liii))

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

(Contracting Officer: Insert applicable document type(s).

Note: If a “Combo” document type is identified but not supportable by the Contractor’s business systems, an “Invoice” (standalone) and “Receiving Report” (standalone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

(Contracting Officer: Insert inspection and acceptance locations or “Not applicable.”)

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table* Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC Issue By DoDAAC Admin DoDAAC Inspect By DoDAAC Ship To Code Ship From Code Mark For Code Service Approver (DoDAAC) Service Acceptor (DoDAAC) Accept at Other DoDAAC LPO DoDAAC DCAA Auditor DoDAAC Other DoDAAC(s) (*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant backup documentation, as defined in DFARS Appendix F, (e.g.

timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

(Contracting Officer: Insert applicable email addresses or “Not applicable.”)

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

(Contracting Officer: Insert applicable information or “Not applicable.”)

(2) For technical WAWF help, contact the WAWF helpdesk at 8666185988.

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 9711X8242 .0002 4F X LC HN CCDASR 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 358905 FSR: 059176 DSR: 229757

AB 9711X8242 .0002 4F X LC HN CCBOIS 20M4R1 63681 001000 503000 F03000 $0.00

PSR: 107479 FSR: 014436 DSR: 229962

AC 9711X8242 .0002 4F X LC HN CCAXTK 20M4R1 63681 001000 503000 F03000 $0.00

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

PSR: 426778 FSR: 054301 DSR: 230081

AD 57 S3011 . H8 3 LC HN 355101 4E27A1 63681 78070F 503000 F03000 $0.00

PSR: C28125 FSR: 090838

REFERENCE:

AA PR: FD20202350080

CIN: F2DCDE3011A1010000AA

AB PR: FD20202350080

CIN: F2DCDE3011A1010000AB

AC PR: FD20202350080

CIN: F2DCDE3011A1010000AC

AD PR# FD20202350079

CIN: F2DCDE3005A1010000AA

ACRN TOTAL $ 0.00

ACTIVITY ADDRESS CODE/ROUTING IDENTIFIER CODE (RIC) (MAR 2010)

(IAW AFI 24-230, DoD 4000.25-6M)

The Contractor shall use Activity Address Code (EZ/EY/EJ/ED/EB/EP) ____*__________, when receiving, taking custody, issuing, or shipping DoD assets. Contractor will use Routing Identifier Code (RIC) __**__ for accessing Government Data Systems.

*Activity Address Code **RIC City State

PART II CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

252.204-7002 PAYMENT FOR SUBLINE ITEMS NOT SEPARATELY PRICED (APR 2020)

(IAW DFARS 204.7109(a))

252.209-7009 ORGANIZATIONAL CONFLICT OF INTEREST--MAJOR DEFENSE ACQUISITION

PROGRAM (MAY 2019)

(IAW DFARS 209.571-8(b))

252.211-7007 REPORTING OF GOVERNMENT-FURNISHED PROPERTY (MAR 2022)

(IAW DFARS 211.274-6(b), DFARS 212.301(f)(iv))

52.215-14 INTEGRITY OF UNIT PRICES (NOV 2021)

(IAW FAR 15.408(f)(1))

52.225-8 DUTY-FREE ENTRY (OCT 2010)

(IAW FAR 25.1101(e))

252.227-7030 TECHNICAL DATA--WITHHOLDING OF PAYMENT (MAR 2000)

(IAW DFARS 227.7103-6(e)(2), DFARS 227.7104(e)(4))

(a) the Contracting Officer may until such data is accepted by the Government, withhold payment to the Contractor of ten percent (10%) of the total contract price or amount

52.232-18 AVAILABILITY OF FUNDS (APR 1984)

(IAW FAR 32.706-1(a))

52.232-25 PROMPT PAYMENT (JAN 2017)

(IAW FAR 32.908(c))

(a) Invoice payments—

(5) Computing penalty amount. The Government will compute the interest penalty in accordance with the Office of Management and Budget prompt payment regulations at 5 CFR part 1315.

(i) For the sole purpose of computing an interest penalty that might be due the Contractor, Government acceptance is deemed to occur constructively on the 7th day (unless otherwise specified in this contract) after the Contractor delivers the supplies or performs the services in accordance with the terms and conditions of the contract, unless there is a disagreement over quantity, quality, or Contractor compliance with a contract provision. If actual acceptance occurs within the constructive acceptance period, the Government will base the determination of an interest penalty on the actual date of acceptance. The constructive acceptance requirement does not, however, compel Government officials to accept supplies or services, perform contract administration functions, or make payment prior to fulfilling their responsibilities.

52.245-1 GOVERNMENT PROPERTY (SEP 2021)

(IAW FAR 45.107(a), DFARS 237.7003(c), DFARS 245.107)

52.245-9 USE AND CHARGES (APR 2012)

(IAW FAR 45.107(c))

252.245-7001 TAGGING, LABELING, AND MARKING OF GOVERNMENT-FURNISHED PROPERTY

(APR 2012)

(IAW DFARS 245.107(3))

252.245-7002 REPORTING LOSS OF GOVERNMENT PROPERTY (JAN 2021)

(IAW DFARS 245.107(4))

252.245-7003 CONTRACTOR PROPERTY MANAGEMENT SYSTEM ADMINISTRATION (APR 2012)

(IAW DFARS 245.107(5))

252.245-7004 REPORTING, REUTILIZATION, AND DISPOSAL (DEC 2017)

(IAW DFARS 245.107(5))

52.247-1 COMMERCIAL BILL OF LADING NOTATIONS (FEB 2006)

(IAW FAR 47.104-4(a), FAR 47.104-4(b))

PART IV REPRESENTATIONS AND INSTRUCTIONS

SECTION K

REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS

OF OFFERORS OR RESPONDENTS

52.225-20 PROHIBITION ON CONDUCTING RESTRICTED BUSINESS OPERATIONS IN

SUDAN--CERTIFICATION (AUG 2009)

(IAW FAR 25.1103(d))

PART IV REPRESENTATIONS AND INSTRUCTIONS

SECTION L

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS OR RESPONDENTS

SECTION L

Instructions, Conditions, and Notices to respondents FOR PROPOSAL PREPARATION USING LOWEST PRICE

BETWEEN APPROVED SOURCES PROCEDURES

1.0. General Instructions

1.1. This acquisition is restricted to qualified sources: a qualification package is required for new sources. See FAR Clause 52.209-1 for qualification requirements. PROPOSALS FROM NON-QUALIFIED SOURSES WILL NOT BE CONSIDERED IF A QUALIFICATION PACKAGE IS NOT SUBMITTED AND ACCEPTED BY THE AIR FORCE

ENGINEER PRIOR TO AWARD.

1.2. The Contracting Officer (“CO”) has determined there is a probability of adequate price competition in this acquisition. Upon examination of the initial offers, the CO will review this determination and if, in the CO’s opinion, adequate price competition exists, no additional cost and pricing data be requested and certification under FAR 15.406-2 will not be required. However, if at any time during this competition, the CO determines that adequate price competition no longer exists; offerors may be required to submit information to the extent necessary for the CO to determine the reasonableness and affordability of the price IAW DFARS 252.215-7008.

2.0 SPECIFIC INSTRUCTIONS

2.1. Instructions to the Offerors (ITO):

This section of the ITO provides general guidance for preparing proposals as well as specific instructions on the format and content of the proposal. The offeror’s proposal must include all data and information requested by the ITO and must be submitted in accordance with these instructions. The offeror shall be compliant with the requirements as stated in this solicitation.

2.2. Include Sufficient Detail:

The proposal shall be clear, concise, and shall include sufficient detail for effective evaluation and for substantiating the validity of stated claims.

2.3. Proposal Acceptance and Validity Dates:

The proposal acceptance period is specified in Section A of the model contract/solicitation. The offer shall make a clear statement in Section A of the proposal documentation that the proposal is valid until this date.

3.0 GENERAL INFORMATION

3.1. Point of Contact:

The buyer is the sole point of contact for this acquisition. If needed, written requests for clarification may be sent to the buyer at the address located in Section A of the model contract/solicitation.

3.2. Discrepancies:

If an offeror believes that the requirements in these instructions contain an error, omission, or are otherwise unsound, the offeror shall immediately notify the buyer in writing with supporting rationale. The offeror is reminded that the Government reserves the right to award this effort based on the initial proposal, as received, without discussions.

3.3. Debriefings:

The CO will promptly notify offerors of any decision to exclude them from the competition IAW FAR 15.503, whereupon they may request and receive a debriefing. Offerors desiring debriefing must make their request IAW the requirements of FAR 15.505 or 15.506, as applicable.

4.0 EVALUTION CRITERIA

4.1. Qualified Source Proposal:

The contractor must be a qualified source prior to contract award in order to be considered.

4.2. Price Proposal

Completion of the RFP, Section B Schedule will represent the price proposal.

5.0 CONTRACT DOCUMENTATION

5.1 Solicitation/Representation and Certifications:

The purpose of this section is to provide information to the Government for preparing the contract document and supporting file. The offeror’s proposal shall include a signed copy of the solicitation, and Sections A through K. This includes:

Section A – Solicitation/Contract Form: Completion of blocks 13 and 27 of the SF1447. Signature by the offeror on the SF 1447 constitutes an offer, which the Government may accept.

Section B – Supplies or Services and Costs/Prices: All pricing information shall be addressed in Section B – The Schedule of the RFP. Information shall be limited to Contract Line Item Number (CLIN), Sub-CLIN, including unit and extended pricing as specified in Section B.

Section F – Deliveries or Performance: Completion of Section B delivery requirements by providing an accurate, realistic delivery date for each CLIN/Sub-CLIN as required by Clause 52.211-8.

Section I – Contract Clauses: Complete Clause all clauses requiring contractor fill-in.

5.2 Exceptions to Terms and Conditions:

Offerors are required to meet all solicitation requirements, including terms and conditions, and representations and certifications. Failure to meet a requirement MAY result in an offeror being ineligible for award. Offerors must clearly identify any exception to the solicitation terms and conditions and provide complete accompanying rationale. Each exception shall be specifically related to each paragraph and/or specific part of the solicitation to which the exception is taken. Provide rationale in support of the exception and fully explain its impact, if any, on the performance, schedule, cost and specific requirements of the solicitation.

PART IV REPRESENTATIONS AND INSTRUCTIONS

SECTION M

EVALUATION FACTORS FOR AWARD

SECTION M

Evaluation Factors for Award

1.0 GENERAL INFORMATION

1.1 Basis for Contract Award:

This acquisition will utilize Lowest Price between approved sources. Technical tradeoffs will not be made and no additional credit will be given for exceeding acceptability. Award will be made to the qualified offeror with the lowest evaluated price, which is deemed responsible in accordance with the Federal Acquisition Regulation and whose proposal conforms to the solicitation requirements. The solicitation requirements include all stated terms, conditions, representations, certifications, and all other information required by Section L of this solicitation. The Government reserves the right to award without discussions; therefore, each initial offer should contain the offeror’s best price. The government does; however, reserve the right to conduct discussions if determined necessary by the Contracting Officer.

1.2 Number of Contracts Awarded:

The Government intends to select one contractor for award, however; the Government reserves the right to award no contract at all, depending on the quality of the proposals, prices submitted and the availability of funds.

1.3 Correction Potential of Proposals:

The Government will consider, throughout the evaluation, the “correction potential” of any proposal uncertainty. The judgment of such “correction potential” is within the sole discretion of the Government. If an aspect of an offeror’s proposal not meeting the Government’s requirements is not considered correctable, the offeror may be eliminated from the competitive range.

2.0 EVALUATION FACTORS AND METHODOLOGY

2.1. Evaluation Factors:

The Government will evaluate for acceptability the factors described below:

Factor 1—The contractor must be a qualified source prior to contract award in accordance with the source qualification requirements referenced in Section J of the solicitation.

Factor 2—Cost/Price: Completion of the RFP, Section B Schedule will represent the price proposal.

2.2. Evaluation Methodology:

Only qualified offerors will be considered for award. Then, price will be evaluated and the proposals will be listed from lowest to highest price based on the total evaluated price.

Award will be made to the lowest evaluated priced proposal.

2.3 Total Evaluated Price (TEP)

The Government will develop the TEP. It will be calculated as the sum of the price CLIN’s as identified in Part 1 – The Schedule, Section B, Supplies or Services.

3.0 PRE-AWARD SURVEY

The Government may conduct a pre-award survey (PAS) prior to contract award. Results of the PAS (if conducted) will be evaluated to determine each offerors capability to meet the requirements of the solicitation.

4.0 SOLICITATION REQUIREMENTS, TERMS AND CONDITIONS

Offerors are required to meet all solicitation requirements, such as terms and conditions, and representations and certifications, in addition to those identified as evaluation factors. Failure to meet a requirement may result in an offer being ineligible for award. Offerors must clearly identify any exception to the solicitation terms and conditions and provide complete accompanying rationale.