FA825017Q1338_______0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8250-17-Q-1338-0001

3. EFFECTIVE DATE

26 JUN 2017

4. REQUISITION/PURCHASE REQ. NO.

FD20201701338

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DEPARTMENT OF THE AIR FORCE, DIRECTORATE OF CONTRACTING

AFSC PZAAA1

6050 GUM LANE BLDG 1215

HILL AIR FORCE BASE UT 84056-5825

BUYER: Bruce Christensen/AFSC bruce.christensen.3@us.af.mil Phone: (801) 777- 6660 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8250

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA825017Q1338

9B. DATED (SEE ITEM 11)

5-JUN-2017

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. 14-JUL-2017 4:00 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

Requirement restricted to qualified source(s). All non-qualified vendors that submit a proposal in support of this requirement must comply with qualification requirements found in clause 52.209-1, and the source qualification statement attached hereto, in order to be considered for award. Award shall not be delayed to qualify new sources.

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.

FA8250-17-Q-1338-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to extend the RFQ due date from 26 Jun 2017 to 14 Jul 2017.

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.

FOR SOLICITATION CLAUSES AND ATTACHMENTS, REFER TO SOLICITATION

FA8250-17-Q-1338.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

After evaluation of the repairable items, the contractor shall submit to the DCMA ACO the actual level (Minor, Major, Total Rebuild) of the repair effort in accordance with the PWS.

In no event shall work commence prior to written authorization to proceed is received for the DCMA ACO.

The firm fixed amount is an administrative amount for each level of repair, based on acquisition cost, therefore DCMA will not need to negotiate the price of each level of repair. The total rebuild amount will be used for the purpose of funding this effort.

The contract will be modified by the DCMA ACO to determine the level of repair, finalize delivery schedule, and de-obligate any excess funds.

4-Step Repair of 5998015405204FD

Item No.

J099 Maint & Repair of Eq/Miscellaneous Equipment

TT&E of MCP Processor CCA

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AA AA

NSN: 5998-01-540-5204 FD

CIRCUIT CARD ASSEMB

ground radar steel, circuits Manufacturer Part Number 26401 3050917-102 66948 3050917-102 91417 3050917-102 Priority: R

TT&E of MCP Processor CCA

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

K TR CAGE CODE ORIGIN

Class I ODS Substance Application/Use Quantity None None None Type / Ship To PACRN Mark For

K TR CAGE CODE PAD

Type / Ship To Quantity (U/I) *ARO After Receipt of

Carcass Req No / Pri

Required Delivery

K TR CAGE CODE 1 EA *60 Days

Proposed Delivery

K TR CAGE CODE 1 EA

AT PLANT

Minor Repair of MCP Processor CCA

Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AB AA

NSN: 5998-01-540-5204 FD

CIRCUIT CARD ASSEMB

ground radar steel, circuits Manufacturer Part Number 26401 3050917-102 66948 3050917-102 91417 3050917-102 Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

Minor Repair of MCP Processor CCA

IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Class I ODS Substance Application/Use Quantity None None None Type / Ship To PACRN Mark For

A SW3210 PAD ACCOUNT A

Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3210 1 EA *120 Days

Proposed Delivery

A SW3210 1 EA

THIS IS A DESTINATION/DESTINATION CONTRACT WITH THE ACCEPTANCE AND

DELIVERY AT FB2029

Major Repair of MCP Processor CCA

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AC AA

NSN: 5998-01-540-5204 FD

CIRCUIT CARD ASSEMB

ground radar steel, circuits Manufacturer Part Number 26401 3050917-102 66948 3050917-102 91417 3050917-102 Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

Major Repair of MCP Processor CCA

A SW3210 ORIGIN

Class I ODS Substance Application/Use Quantity None None None Type / Ship To PACRN Mark For

A SW3210 PAD ACCOUNT A

Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3210 1 EA *120 Days

Proposed Delivery

A SW3210 1 EA

Total Rebuild of MCP Processor CCA

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AD AA

NSN: 5998-01-540-5204 FD

CIRCUIT CARD ASSEMB

ground radar steel, circuits Manufacturer Part Number 26401 3050917-102 66948 3050917-102 91417 3050917-102 Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Class I ODS Substance Application/Use Quantity None None None Type / Ship To PACRN Mark For

A SW3210 PAD ACCOUNT A

Total Rebuild of MCP Processor CCA

Type / Ship To Quantity (U/I) *ARO After Completion of Study

Req No / Pri

Required Delivery

A SW3210 1 EA *120 Days

Proposed Delivery

A SW3210 1 EA

A001 Commercial Asset Visibility AF

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

Data IAW DD Form 1423. Data Item No.A001 CAVAF CDRL Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FB2029 DESTINATION

Type / Ship To Quantity (U/I) Deliver 1 unit(s) 1 Day after receipt of carcass.

Req No / Pri

Required Delivery

A FB2029 1 LO Deliver 1 unit(s) 1 Day a

Proposed Delivery

A FB2029 1 LO

Contractor shall input to the CAV AF system within 24 hours after receipt of carcass. See DD Form 1423 CAV AF.

B001 Repairable Item Inspection Report

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

Data IAW DD Form 1423 Data Item No.B0001 Repair Item Inspection Report.

Priority: R

Limitations of Liability: Other Than High Value Item

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

C FY2073 DESTINATION

Type / Ship To Quantity (U/I) Delivery 1 unit(s) 7 days after completion of study.

Req No / Pri

Required Delivery

C FY2073 1 LO Delivery 1 unit(s) 7 days

Proposed Delivery

C FY2073 1 LO

IAW attached DD Form 1423

C001 Counterfeit Prevention Plan

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

Data

CPP CDRL IAW FORM 1423 C0001

Priority: R

Limitations of Liability: Other Than High Value Item

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

C001 Counterfeit Prevention Plan

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

C FY2073 DESTINATION

Type / Ship To Quantity (U/I) CONTRACTOR SHALL

DELIVER THE

COUNTERFIET

PREVENTION PLAN

WITHIN 30 DAYS OF

CONTRACT AWARD

Req No / Pri

Required Delivery

C FY2073 1 LO CONTRACTOR SHALL

DELIVER

Proposed Delivery

C FY2073 1 LO

IAW FORM 1423-1

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A FB2029

DDHU HILL FACILITY

CENTRAL RECEIVING BLDG 849W

5851 F AVE

HILL AIR FORCE BASE UT 84056-5713

UNITED STATES

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

AWARD NUMBER:

TYPE/CODE: A SW3210

DLA DISTRIBUTION DEPOT HILL

7537 WARDLEIGH RD BLDG 849W

CML 385 519 8898

HILL AFB UT 84056-5734 49 84056-5734

USA

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

AWARD NUMBER:

TYPE/CODE: C FY2073

415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE UT 84056-5820

UNITED STATES

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

AWARD NUMBER:

TYPE/CODE: K TR CAGE CODE

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

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 97 X4930 .FC04 64 7 47 GH 8M816L 01K010 00000 UJENHN 503000 F03000 $0.00

PSR: K10838 FSR: 001884 DSR: 281612 CIN: F2DCCW7144B005 PR: FD20201701338

ACRN TOTAL $ 0.00