FA8213-25-Q-3003 - 0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA821325Q30030001

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

FD20202450041

5. PROJECT NO (If applicable)

FA821325Q3003

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: Abbigail A Clawson/EBHKB abbigail.clawson@us.af.mil Phone: (801) 777 0280

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.

FA821325Q3003

9B. DATED (SEE ITEM 11)

23APR2025

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. 15AUG2025 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.)

ROUTINE.

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

Sources: Applied Energy Technology Corp; cage (57597). Walter Kidde Inc.; cage (61423)

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.

FA821325Q30030001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The Purpose of this Amendment is to extend the due date of proposal:

1. The vendor requested an extension of the solicitation:

FROM: Jul 30, 2025 at 5:00 PM

TO: Aug 15, 2025 at 5:00 PM

2. All other terms and conditions remain unchanged.

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.

FIRE EXTINGUSHER CART

USAF

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

108 EA

CLIN ACRN ACRN Total

0001 AA

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1377016471008 ES 21021901

NSN: 1377013524160 ES

FIRE EXTINGUISHER CART

CARTRIDGE, FIRE EXTINGUISHER. PACER SPECIAL. 1.0 DIAMETER, 2.070LENGTH, 0.1220 WEIGHT, 0.0012 STORAGE AND

TRANSPORTATION POUNDS.

DODIC: SR90

Manufacturer Part Number 54181 21021901 61423 446041 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 90012015 2008 9001:2015

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.

C FV2172 ORIGIN

Type / Ship To PACRN Mark For

FIRE EXTINGUSHER CART

USAF

C FV2172 09 ACCOUNT

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

Required Delivery

C FV2172 108 EA *12 Months

Proposed Delivery

C FV2172 108 EA

Physical Item Markings IAW CAD/PAD Item Marking Instructions version 1.6 dated 06 March 2023

SPI#: F010528207

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

A009 Diminishing Manufacturing Sources & Material Shortages (DMSMS) Health Assement Report

B001 Test Procedure

Ship in Place and Temporary Storage of FMS Munitions Items

SHIP IN PLACE (SIP) is authorized for FMS items ONLY, upon notification of successfully passed Lot Acceptance Testing.

Within 5 working days after SIP, the contractor is to request GBL and shipping instructions using SIRs, and the contractor is to email DCMA and Hill AFB PCO the following for each CLIN entered into SIRs:

Contract Number:

CLIN:

Date CLIN Entered into SIRs:

SIRs Number:

The contractor can submit the final invoice for the CLIN using WAWF Receiving Report once the CLIN has shipped in place. The requirement for "Evidence of Shipment" shall be postponed until after receipt of the clear text shipping instructions. The Contractor shall store and safeguard the units in bonded storage at no change in contract price while waiting for shipping instructions. After CLIN is shipped in place, the items shipped are Government Property. Proper care and handling of the Government Property include the shipment of items to country as directed by the Government.

Government Property: For FMS items that have shipped in place and still have not shipped to country after 30 days, the contractor shall provide DCMA and Hill AFB PCO a monthly report listing the contract number, CLIN, quantity, NSN, and REQN for the stored items.

When shipped in place CLIN ships from the contractor's facility to ultimate destination, the contractor is to provide the dd1149 document to Hill AFB PCO. The dd1149s shall be provided to the Contracting Officer within 10 days after shipment.

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:

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 43011 . H8 5 LC HN 355102 4E27A1 63681 78070F 503000 F03000 $0.00

PSR: C60228 FSR: 078439 CIN: CIN: F2DCDE3313A1010000AA

REFERENCE:

AA PR: FD20202450041 ALD: AA

ACRN TOTAL $ 0.00

PART II CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

52.225-1 BUY AMERICAN--SUPPLIES (NOV 2021)

(IAW FAR 25.1101(a)(1))

PART III LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages 1_Ammunition_Data_Card.pdf 01JAN2018 3

2_Airmunition_Specification.pdf UNDATED 9

3_CADPAD_Item_Marking.pdf 06MAR2023 10

4_CDRL.pdf UNDATED 10

5_Bid_Sets.pdf 24AUG2023 1

6_EDL_4160ES.pdf 19JUN2019 1

7_Item_description_4160ES.pdf 13JUN2023 1

158 8_AFMC_Form_158_Packaging_Requirements.pdf UNDATED 1

807 9_QALI_4160ES.pdf 13JUN2023 1

10_REPSHIP_of_HAZMAT.pdf UNDATED 1

11_SOW_for_Packaging_and_Preservation.pdf 01FEB2022 4

2169 12_Special_Packaging_Instructions.pdf UNDATED 5

14_Statement_of_Objectives.pdf UNDATED 2

13_B2_Fire_Carts_Solicitation_Evaluation_Criteria.

pdf

UNDATED 3

PART IV REPRESENTATIONS AND INSTRUCTIONS

SECTION K

REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS

OF OFFERORS OR RESPONDENTS

52.225-2 BUY AMERICAN CERTIFICATE (FEB 2021)

(IAW FAR 25.1101(a)(2))

(b) Foreign End Products:

Line Item No. Country of origin

[List as necessary]