FA821325Q3000_______0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8213-25-Q-3000-0001

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20202550054

5. PROJECT NO (If applicable)

FA821325Q3000

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: Stephanie Martin/EBHK stephanie.martin.24@us.af.mil Phone: (801) 777- 2949

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.

FA821325Q3000

9B. DATED (SEE ITEM 11)

14-AUG-2025

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.)

FMS REQUIREMENT

ROUTINE.

EXPEDITED DELIVERY AND PARTIAL DELIVERIES AT NO ADDITIONAL COST TO THE GOVERNMENT ARE AUTHORIZED.

Sources: Applied Energy Technology Corp; cage (57597).

Sources: Pacific Scientific Energetic Materials Company; cage (54181).

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.

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to:

Change the cage code on page 1

From: 06331

To: 54181

All other terms, conditions and clauses remain unchanged.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Fire Extinguisher Cartridge

Item No.

NSN: 1377-00-280-0272 ES

CARTRIDGE,AIRCRAFT

ACFT EJCT SYS(LIFE SUPPORT) BALLISTIC DEV. PRED MAT'L IS STEEL WITH AN EXPLOSIVE CHARGE OF 0.0008 LB, LEN GTH 1.53, DIA 0.40 AND IS ELECTRICALLY INITIATED

RY49

Manufacturer Part Number 54181 30903802-1 57597 201250 Applicability: None ;

Foreign Military Sales :FMS Case:

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

Serial Number Required

FIRE EXTINGUISHER CARTRIDGE

KOREA KS-D-CAL

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

110 EA

CLIN ACRN ACRN Total

0001AA AA

NSN: 1377-00-280-0272 ES

CARTRIDGE,AIRCRAFT

ACFT EJCT SYS(LIFE SUPPORT) BALLISTIC DEV. PRED MAT'L IS STEEL WITH AN EXPLOSIVE CHARGE OF 0.0008 LB, LEN GTH 1.53, DIA 0.40 AND IS ELECTRICALLY INITIATED

RY49

Manufacturer Part Number 54181 30903802-1 57597 201250

Limitations of Liability: Other Than High Value Item

FIRE EXTINGUISHER CARTRIDGE

KOREA KS-D-CAL

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 2008

Applicability: None ;

Foreign Military Sales :FMS Case:KS-D-CAL Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DKSH00 ORIGIN

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

Required Delivery

* DKSH00 110 EA DKSHO441025300

Proposed Delivery

* DKSH00 110 EA

TAC: DFMS

FIRE EXTINGUISHER CARTRIDGE

QATAR QA-D-CAA

Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

72 EA

CLIN ACRN ACRN Total

0001AB AB

NSN: 1377-00-280-0272 ES

CARTRIDGE,AIRCRAFT

ACFT EJCT SYS(LIFE SUPPORT) BALLISTIC DEV. PRED MAT'L IS STEEL WITH AN EXPLOSIVE CHARGE OF 0.0008 LB, LEN GTH 1.53, DIA 0.40 AND IS ELECTRICALLY INITIATED

RY49

Manufacturer Part Number 54181 30903802-1 57597 201250

Limitations of Liability: Other Than High Value Item

FIRE EXTINGUISHER CARTRIDGE

QATAR QA-D-CAA

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 2008

Applicability: None ;

Foreign Military Sales :FMS Case:QA-D-CAA Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DQAT00 ORIGIN

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

Required Delivery

* DQAT00 72 EA DQAT7441165303

Proposed Delivery

* DQAT00 72 EA

SAUDI ARABIA SR-D-CAI

Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

8 EA

CLIN ACRN ACRN Total

0001AC AC

NSN: 1377-00-280-0272 ES

CARTRIDGE,AIRCRAFT

ACFT EJCT SYS(LIFE SUPPORT) BALLISTIC DEV. PRED MAT'L IS STEEL WITH AN EXPLOSIVE CHARGE OF 0.0008 LB, LEN GTH 1.53, DIA 0.40 AND IS ELECTRICALLY INITIATED

RY49

Manufacturer Part Number 54181 30903802-1 57597 201250

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.)

FIRE EXTINGUISHER CARTRIDGE

SAUDI ARABIA SR-D-CAI

Title Number Date Tailoring

ISO 9001-2015 2008

Applicability: None ;

Foreign Military Sales :FMS Case:SR-D-CAI Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSR004 ORIGIN

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

Required Delivery

* DSR004 8 EA DSRP8441165322

Proposed Delivery

* DSR004 8 EA

SINGAPORE SN-D-CAI

Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

44 EA

CLIN ACRN ACRN Total

0001AD AD

NSN: 1377-00-280-0272 ES

CARTRIDGE,AIRCRAFT

ACFT EJCT SYS(LIFE SUPPORT) BALLISTIC DEV. PRED MAT'L IS STEEL WITH AN EXPLOSIVE CHARGE OF 0.0008 LB, LEN GTH 1.53, DIA 0.40 AND IS ELECTRICALLY INITIATED

RY49

Manufacturer Part Number 54181 30903802-1 57597 201250

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 2008

Applicability: None ;

Foreign Military Sales :FMS Case:SN-D-CAI Buy American Act/Balance of Payments Program

FIRE EXTINGUISHER CARTRIDGE

SINGAPORE SN-D-CAI

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSNP00 ORIGIN

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

Required Delivery

* DSNP00 44 EA DSNP2441285302

Proposed Delivery

* DSNP00 44 EA

Item No.

0001AE

Firm Fixed Price Quantity U/I Unit Price Amount

44 EA

CLIN ACRN ACRN Total

0001AE AD

NSN: 1377-00-280-0272 ES

CARTRIDGE,AIRCRAFT

ACFT EJCT SYS(LIFE SUPPORT) BALLISTIC DEV. PRED MAT'L IS STEEL WITH AN EXPLOSIVE CHARGE OF 0.0008 LB, LEN GTH 1.53, DIA 0.40 AND IS ELECTRICALLY INITIATED

RY49

Manufacturer Part Number 54181 30903802-1 57597 201250

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 2008

Applicability: None ;

Foreign Military Sales :FMS Case:SN-D-CAI Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSNP00 ORIGIN

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

FIRE EXTINGUISHER CARTRIDGE

SINGAPORE SN-D-CAI

Required Delivery

* DSNP00 44 EA DSNP2441285314

Proposed Delivery

* DSNP00 44 EA

Item No.

0001AF

Firm Fixed Price Quantity U/I Unit Price Amount

31 EA

CLIN ACRN ACRN Total

0001AF AD

NSN: 1377-00-280-0272 ES

CARTRIDGE,AIRCRAFT

ACFT EJCT SYS(LIFE SUPPORT) BALLISTIC DEV. PRED MAT'L IS STEEL WITH AN EXPLOSIVE CHARGE OF 0.0008 LB, LEN GTH 1.53, DIA 0.40 AND IS ELECTRICALLY INITIATED

RY49

Manufacturer Part Number 54181 30903802-1 57597 201250

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 2008

Applicability: None ;

Foreign Military Sales :FMS Case:SN-D-CAI Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSNH00 ORIGIN

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

Required Delivery

* DSNH00 31 EA DSNH9441285373

Proposed Delivery

FIRE EXTINGUISHER CARTRIDGE

SINGAPORE SN-D-CAI

* DSNH00 31 EA

CDRLS

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA IAW DD 1423-1 ATTACHED HERE TO

A001 - A009 Priority: R ROUTINE.

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ IAW 1423-1 DESTINATION

Type / Ship To Quantity (U/I) *ARO IAW 1423 _ Req No / Pri

Required Delivery

+ IAW 1423-1 1 LO *1 Calendar Days

Proposed Delivery

+ IAW 1423-1 1 LO

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + IAW 1423-1

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: * DKSH00

SUPPLEMENTAL ADDRESS CODE: DXXCAL

FMS CASE CODE/LOA: KS-D-CAL/001

MAPAC SHIP TO CODE: DKSHOO

MAPAC MARK FOR: DKSHOO

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

AWARD NUMBER:

TYPE/CODE: * DQAT00

SUPPLEMENTAL ADDRESS CODE: DXXCAA

FMS CASE CODE/LOA: QA-D-CAA/001

MAPAC SHIP TO CODE: DQAT00

MAPAC MARK FOR: DQAT00

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

AWARD NUMBER:

TYPE/CODE: * DSNH00

SUPPLEMENTAL ADDRESS CODE: DXXCAI

FMS CASE CODE/LOA: SN-D-CAI/001

MAPAC SHIP TO CODE: DSNH00

MAPAC MARK FOR: DSNH00

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

AWARD NUMBER:

TYPE/CODE: * DSNP00

SUPPLEMENTAL ADDRESS CODE: DXXCAI

FMS CASE CODE/LOA: SN-D-CAI/001

MAPAC SHIP TO CODE: DSNP00

MAPAC MARK FOR: DSNP00

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

AWARD NUMBER:

TYPE/CODE: * DSR004

SUPPLEMENTAL ADDRESS CODE: DZ4CAI

FMS CASE CODE/LOA: SR-D-CAI/001

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 F

DELIVERIES OR PERFORMANCE

52.211-9 DESIRED AND REQUIRED TIME OF DELIVERY (JUN 1997)

(IAW FAR 11.404(a)(3)) DELIVERY FOR EACH ITEM IS ANNOTATED IN THE SCHEDULE (PART I SECTION B) UNDER EACH LINE ITEM.

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 9711X8242 . 4F X 47 HN CALKS 20M4R1 63681 001 503000 F03000 $0.00

PSR: 565576 FSR: 064255 DSR: 116909 CIN: F2DCDE5161A1010000AA

AB 9711X8242 .0002 4F X LC HN CCAAQA 20M4R1 63681 001 503000 F03000 $0.00

PSR: A57138 FSR: 108258 DSR: 116956 CIN: F2DCDE5161A1010000AB

AC 9711X8242 .0002 4F X LC HN CCAISR 20M4R1 63681 001 503000 F03000 $0.00

PSR: 289931 FSR: 037919 DSR: 116964 CIN: F2DCDE6161A1010000AC

AD 9711X8242 .0002 4F X LC HN CCAISN 20M4R1 63681 001 503000 F03000 $0.00

PSR: 363705 FSR: 059181 DSR: 116998 CIN: F2DCDE5161A1010000AD

REFERENCE:

AA F2DCDE5161A101 Basic

FD2020-25-50054

AB F2DCDE5161A101 Basic

FD2020-25-50054

AC F2DCDE5161A101 Basic

FD2020-25-50054

AD F2DCDE5161A101 Basic

FD2020-25-50054

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 Spec UNDATED 4

REPSHIP UNDATED 1

DD 1423-1 CDRLs A001 - Ammunition Data Card (ADC)A002 - Engineering Change Proposal (ECP)A003 - Notice of Revision (NOR)A004 - Request for Variance (RFV)A005 - Lot Acceptance Test PlanA006 - Test/Inspection ReportA007 - Failure Summary & Analysis ReportA008 - Obsolescence Alert NoticeA009 - Diminishing Manufacturing Sources and Material Shortages (DMSMS) Health Assessment Report

12DEC2024 9

JFQR UNDATED 4

SOW Packaging Statement of Work

01SEP2023 4

Statement of Objectives UNDATED 2

Under SAT Evaluation Criteria UNDATED 3

CADPAD Item Marking Instruction Ver 1.6 06MAR2023 10

ES7034 01JAN2012 1

ADC SOW Jan 2018 01JAN2018 3

EDL 1 01JUN2021 1

EDL 2 01JUN2021 1