FA821325R3008_______0002.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8213-25-R-3008-0002

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD2020-25-50052

5. PROJECT NO (If applicable)

FA821325R3008

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.

FA821325R3008

9B. DATED (SEE ITEM 11)

27-JUN-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. 29-OCT-2025 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 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.

Sole source to: NAMMO Defense System; Cage: 12116

KS: KOREA, SR: SAUDI ARABIA, SN: SINGAPORE, QA: QATAR

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 this amendment is to:

1. Answer questions from one of the sources per the QandA document included in section J.

2. Update the Air Spec document included in section J.

All other terms, conditions and clauses remain unchanged.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

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

INITIATOR, PROPELLANT ACTUATED

INITIATOR, PROPELLANT ACTUATED

Item No.

NSN: 1377-00-261-5371 ES

AERIAL REFUELING RECEPTACLE CTG

ACFT EJECT SYS (LIFE SUPPORT) BALLISTICDEV. PREDOMINANT MATL IS STEEL WITH EXPLOSIVE CHARGE OF0.0013LB, LENGTH

2.51, DIA 0.68 AND IS ELECTRICALLY INITIATED.

DODIC: M948

Manufacturer Part Number 12116 21084-7 Priority: R ROUTINE.

Applicability: None ;

Foreign Military Sales :FMS Case:

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

Serial Number Required

INITIATOR, PROPELLANT ACTUATED

KOREA KS-D-CAL

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

19 EA

CLIN ACRN ACRN Total

0001AA AA

NSN: 1377-00-261-5371 ES

AERIAL REFUELING RECEPTACLE CTG

ACFT EJECT SYS (LIFE SUPPORT) BALLISTICDEV. PREDOMINANT MATL IS STEEL WITH EXPLOSIVE CHARGE OF0.0013LB, LENGTH

2.51, DIA 0.68 AND IS ELECTRICALLY INITIATED.

DODIC: M948

Manufacturer Part Number 12116 21084-7 Priority: R ROUTINE.

INITIATOR, PROPELLANT ACTUATED

KOREA KS-D-CAL

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 9001:2015

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 PACRN Mark For

* DKSH00 DKSH00

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

Required Delivery

* DKSH00 19 EA *18 Months DKSH9441025333

Proposed Delivery

* DKSH00 19 EA

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

SPI#: F00-138-3770

TAC: DFMS

Supp. Add: DXXCAL

INITIATOR, PROPELLANT ACTUATED

SAUDI ARABIA SR-D-CAI

Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

17 EA

CLIN ACRN ACRN Total

0001AB AB

INITIATOR, PROPELLANT ACTUATED

SAUDI ARABIA SR-D-CAI

NSN: 1377-00-261-5371 ES

AERIAL REFUELING RECEPTACLE CTG

ACFT EJECT SYS (LIFE SUPPORT) BALLISTICDEV. PREDOMINANT MATL IS STEEL WITH EXPLOSIVE CHARGE OF0.0013LB, LENGTH

2.51, DIA 0.68 AND IS ELECTRICALLY INITIATED.

DODIC: M948

Manufacturer Part Number 12116 21084-7 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 2008 9001:2015

Applicability: None ;

Foreign Military Sales :FMS Case:SR-D-CAI 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.

* DSR004 ORIGIN

Type / Ship To PACRN Mark For

* DSR004 DSRP00

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

Required Delivery

* DSR004 17 EA *18 Months DSRP8441165321

Proposed Delivery

* DSR004 17 EA

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

SPI#: F00-138-3770

Supp. Add: DZ4CAI

INITIATOR, PROPELLANT ACTUATED

SINGAPORE SN-D-CAI

Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

10 EA

CLIN ACRN ACRN Total

0001AC AC

NSN: 1377-00-261-5371 ES

AERIAL REFUELING RECEPTACLE CTG

ACFT EJECT SYS (LIFE SUPPORT) BALLISTICDEV. PREDOMINANT MATL IS STEEL WITH EXPLOSIVE CHARGE OF0.0013LB, LENGTH

2.51, DIA 0.68 AND IS ELECTRICALLY INITIATED.

DODIC: M948

Manufacturer Part Number 12116 21084-7 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 2008 9001:2015

Applicability: None ;

Foreign Military Sales :FMS Case:SN-D-CAI 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.

* DSNP00 ORIGIN

Type / Ship To PACRN Mark For

* DSNP00 DSNP00

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

Required Delivery

* DSNP00 10 EA *18 Months DSNP2441285303

Proposed Delivery

* DSNP00 10 EA

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

SPI#: F00-138-3770

Supp. Add: DXXCAI

SINGAPORE SN-D-CAI

Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

11 EA

CLIN ACRN ACRN Total

0001AD AC

NSN: 1377-00-261-5371 ES

AERIAL REFUELING RECEPTACLE CTG

ACFT EJECT SYS (LIFE SUPPORT) BALLISTICDEV. PREDOMINANT MATL IS STEEL WITH EXPLOSIVE CHARGE OF0.0013LB, LENGTH

2.51, DIA 0.68 AND IS ELECTRICALLY INITIATED.

DODIC: M948

Manufacturer Part Number 12116 21084-7 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 2008 9001:2015

Applicability: None ;

Foreign Military Sales :FMS Case:SN-D-CAI 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.

* DSN009 ORIGIN

Type / Ship To PACRN Mark For

* DSN009 DSNH00

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

Required Delivery

* DSN009 11 EA *18 Months DSNH9441285374

Proposed Delivery

* DSN009 11 EA

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

SPI#: F00-138-3770

Supp. Add: DXXCAI

QATAR QA-D-CAA

Item No.

0001AE

Firm Fixed Price Quantity U/I Unit Price Amount

24 EA

CLIN ACRN ACRN Total

0001AE AD

NSN: 1377-00-261-5371 ES

AERIAL REFUELING RECEPTACLE CTG

ACFT EJECT SYS (LIFE SUPPORT) BALLISTICDEV. PREDOMINANT MATL IS STEEL WITH EXPLOSIVE CHARGE OF0.0013LB, LENGTH

2.51, DIA 0.68 AND IS ELECTRICALLY INITIATED.

DODIC: M948

Manufacturer Part Number 12116 21084-7 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 2008 9001:2015

Applicability: None ;

Foreign Military Sales :FMS Case:QA-D-CAA 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.

* DQAT00 ORIGIN

Type / Ship To PACRN Mark For

* DQAT00 DQAT00

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

Required Delivery

* DQAT00 24 EA *18 Months DQAT7441165304

Proposed Delivery

* DQAT00 24 EA

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

SPI#: F00-138-3770

Supp. Add: DXXCAA

DATA

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

DATA

DATA IAW DD 1423-1 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:

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 and Analysis Report

A008-Obsolescence Alert Notice

A009- Diminishing Manufacturing Sources and Material Shortages (DMSMS) Health Assessment Report

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 (FOREIGN MILITARY SALES)

TYPE/CODE: * DKSH00

SUPPLEMENTAL ADDRESS CODE: DXXCAL

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

MAPAC SHIP TO CODE: DKSH00

MAPAC MARK FOR: DKSH00

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: * DSN009

SUPPLEMENTAL ADDRESS CODE: DXXCAI

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

MAPAC SHIP TO CODE: DSN009

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 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))

52.247-32 F.O.B. ORIGIN, FREIGHT PREPAID (FEB 2006)

(IAW FAR 47.303-4(c))

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

(IAW FAR 47.303-6(c))

52.247-52 CLEARANCE AND DOCUMENTATION REQUIREMENTS--SHIPMENTS TO DOD AIR

OR WATER TERMINAL TRANSSHIPMENT POINTS (FEB 2006)

(IAW FAR 47.305-6(f)(2))

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

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 97X8242 4FX 47HN CALKS 20M4R1 63681 001 503000 F03000 $0.00

PSR: 565576 FSR: 064255

AB 9711X8242.0002 4FX LCHN CCAISR 20M4R1 63681 001 503000 F03000 $0.00

PSR: 289931 FSR: 037919

AC 9711X8242.0002 4FX LCHN CCAISN 20M4R1 63681 001 503000 F03000 $0.00

PSR: 289931 FSR: 037919

AD 9711X8242.0002 4FX LCHN CCAAQA 20M4R1 63681 001 503000 F03000 $0.00

PSR: A57138 FSR: 108258

REFERENCE:

AD CIN: TEMP-47270470000AD

PR:FD2020-25-50052 ALD:AD

ACRN TOTAL $ 0.00

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

252.204-7009 LIMITATIONS ON THE USE OR DISCLOSURE OF THIRD-PARTY CONTRACTOR

REPORTED CYBER INCIDENT INFORMATION (JAN 2023)

(IAW DFARS 204.7304(b))

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

PROGRAM (MAY 2019)

(IAW DFARS 209.571-8(b))

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

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

SECTION J

LIST OF ATTACHMENTS

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

3_REPSHIP.pdf UNDATED 1

4_SOW_Packaging.pdf 01SEP2023 4

5_CADPAD_Item_Marking_Instruction.pdf 06MAR2023 10

2169 6_SPI.pdf UNDATED 6

9_Item_Description.pdf 21JAN2025 1

10_Engineerig_Data_List.pdf 06JAN2022 1

1423 11__CDRLs.pdf 01FEB2001 9

13_Bidsets.pdf 24MAR2025 1

14_JFQR.pdf Justifcation for Qualification Requirements

UNDATED 4

15_ES7034.pdf Rework and Repair of Nonconforming Material

UNDATED 1

2_Air_Spec_final.pdf UNDATED 4

QandA.pdf UNDATED 1

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))

52.247-53 FREIGHT CLASSIFICATION DESCRIPTION (APR 1984)

(IAW FAR 47.305-9(b)(1))

FOR FREIGHT CLASSIFICATION PURPOSES, OFFEROR DESCRIBES THIS COMMODITY AS