FA825020Q1013_______0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8250-20-Q-1013-0001

3. EFFECTIVE DATE

16 SEP 2020

4. REQUISITION/PURCHASE REQ. NO.

FD20202001013

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: Jennifer F. Williams/PZAAA jennifer.williams.55@us.af.mil Phone: (000) 000- 0000 Fax: (000) 000-0000 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.

FA825020Q1013

9B. DATED (SEE ITEM 11)

1-SEP-2020

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. 17-SEP-2020 9:00 AM

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.

FA8250-20-Q-1013-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to extend the solicitation closing date as follows:

FROM: 16 SEPTEMBER 2020 @ 1200 MST

TO: 17 SEPTEMBER 2020 @ 0900 MST

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Upon completion of CLIN 0001AA a detailed repair quote shall be forwarded to the DCMA ACO.

The ACO is authorized to negotiate and definitize CLIN 0001AB via modification. Work shall not begin under CLIN 0001AB until notice to proceed is provided from DCMA in the form of a definitization modification.

ACO AUTHORITY AND RESPONSIBLITIES:

1) All applicable contract admin functions as outlined in FAR 42.302(a) and DFARS

242.302(a)

2) Definitize order if it does not require supplemental funding.

3) Extend the delivery schedule as required and take consideration if deemed necessary.

4) Upon completion of review of cost information and negotiations, if required, the ACO shall issue definitization modification and approve all invoices for payment.

5) Deobligate excess funds after confirming all required assets have generated and contractor's final invoices are approved.

6) Initiate order close out when actions required in paragraph 4) are completed.

7) ACO is to verify Commercial Asset Visibility Air Force (CAVAF) inputs have been made before authorizing payment on the contract. Inputs can be verified by emailing 420 SCMS/GUNA 415SCMS.PMS.Contract@us.af.mil

8) ACO is authorized to take consideration from the contractor for failure to comply with CAVAF inputs.

NOTE: In the event funds on the order are insufficient based on the contractor's proposal and the judgment of the ACO, the ACO will document what is a fair and reasonable price, and provide the pricing documentation to the PCO for action. The PCO will then address funding and supplemental agreement when approved, and will direct the contractor for commencement of work.

In the case of a Beyond Economical Repair (BER) determination, DCMA QAR shall request disposition instructions and/or condemnation approvals from the cognizant USAF Program Manager or customer, and supply disposition/condemnation instructions to the contractor.

Information CLIN

5840015104156FD

Item No.

J058 Level 1 Repair

Information CLIN

5840015104156FD

The contractor shall repair units IAW PWS para 1.7.4. Units of Issue and Quantities purchased will be cited in theindividual order issued hereunder using the appropriate SubCLIN(s). Unit price will be IAW Attachment 9, R-List.

Level 1 Applicability: None ;

Test, Teardown and Evaluation

5840015104156FD

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AA AA

NSN: 5840-01-510-4156 FD

EXCITER,RADIO FREQU

Manufacturer Part Number

LNS-6.83-7.23-IK-T1-

91353

SC5999-0086-1

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Applicability: None ;

IUID Required: Yes Type / Ship To PACRN Mark For

+ TBD PAB

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

Carcass Req No / Pri

Required Delivery

+ TBD 1 EA *30 Days

Proposed Delivery

+ TBD 1 EA

AT PLANT

Repair

5840015104156FD

Item No.

0001AB

Not to Exceed

Repair

5840015104156FD

Quantity U/I Estimated Unit Price Not to Exceed Price

1 EA

CLIN ACRN ACRN Total

0001AB AA

NSN: 5840-01-510-4156 FD

EXCITER,RADIO FREQU

Radio Frequency Amplifier Unknown Manufacturer Part Number

LNS-6.83-7.23-IK-T1-

91353

SC5999-0086-1

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 SW3215 ORIGIN

Type / Ship To PACRN Mark For

A SW3215 PAB ACCOUNT A

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

Required Delivery

A SW3215 1 EA *120 Days

Proposed Delivery

A SW3215 1 EA

Data CLIN

Commercial Asset Visibility Air Force Item No.

Not Separately Priced Quantity U/I Unit Price

1 EA NSP

Data IAW DD Form 1423. Data Item No.A001, A002, A003 CAVAF CDRLs Priority: R

Data CLIN

Commercial Asset Visibility Air Force

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) *ARO carcass. Req No / Pri

Required Delivery

A FB2029 1 EA *24 Hours

Proposed Delivery

A FB2029 1 EA

DATA which is 'Not Separately Priced' (NSP). The price of NSP DATA are included in the price of the individual Repair CLIN 0001AA. Failure to comply with contract data requirements may result in the withholding of payment on the aforementioned CLINs. This allows the government to withhold payment on the repairs if the contractor does not deliver the required data. The data is also important, and it is a material requirement of the contract. The contract is not finished until the data is delivered.

Data CLIN

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.B001 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

Data CLIN

Repairable Item Inspection Report

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FY2073 DESTINATION

Type / Ship To Quantity (U/I) *ARO completion of repair.

Req No / Pri

Required Delivery

A FY2073 1 LO *7 Calendar Days

Proposed Delivery

A FY2073 1 LO

DATA which is 'Not Separately Priced' (NSP). The price of NSP DATA are included in the price of the individual Repair CLIN 0001AA. Failure to comply with contract data requirements may result in the withholding of payment on the aforementioned CLINs. This allows the government to withhold payment on the repairs if the contractor does not deliver the required data. The data is also important, and it is a material requirement of the contract. The contract is not finished until

Data CLIN

Counterfeit Prevention Plan Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

Data

CPP CDRL IAW FORM 1423 C001

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 FY2073 DESTINATION

Type / Ship To Quantity (U/I) *ARO contract award. Req No / Pri

Required Delivery

Data CLIN

Counterfeit Prevention Plan A FY2073 1 LO *30 Calendar Days

Proposed Delivery

A FY2073 1 LO

DATA which is 'Not Separately Priced' (NSP). The price of NSP DATA are included in the price of the individual Repair CLIN 0001AA. Failure to comply with contract data requirements may result in the withholding of payment on the aforementioned CLINs. This allows the government to withhold payment on the repairs if the contractor does not deliver the required data. The data is also important, and it is a material requirement of the contract. The contract is not finished until

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + TBD

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

AWARD NUMBER:

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 FY2073

FY2073 OO ALC 502 CBSS GBMAA

CP 801 586 1368

6012 FIR AVE BLDG 1239 RM 2

HILL AFB UT 84056 UT 84056-4056

USA

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

AWARD NUMBER:

TYPE/CODE: A SW3215

DLA DISTRIBUTION BARSTOW

CENTRAL RECEIVING WHSE 7

REC OFFICER 760 577 6442

BARSTOW CA 92311-5014 06 92311-5014

USA

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 0 47 GH 8M836L 01K010 00000 UJEZCN 503000 F03000 $0.00

PSR: K21940 FSR: 001884 DSR: 275459 CIN: F2DCCW0231B104, PR FD20202001013

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

1. FD20202001013_CAVAF.pdf 01FEB2018 7

2. FD20202001013_PKG.pdf 18AUG2020 2

3. FD20202001013_PKG_SOW.pdf 01JAN2019 2

4. FD20202001013_PWS.pdf 24JUN2020 11

5. FD20202001013_RDL.pdf 18AUG2020 1

6. FD20202001013_TRNS.pdf 12AUG2020 4

7. CDRL.pdf UNDATED 11

8. FD20202001013_RQR.pdf 27JAN2017 3

9. Evaluation_of_Offers_FD20202001013.pdf UNDATED 2

10. Instructions_to_Offerors_FD20202001013.pdf UNDATED 2

2011844_RDL_REPORT.pdf Report

18AUG2020

2011857_ITMDESC_REPORT.pdf Report

18AUG2020

2518864_CRSAW_REPORT.pdf Report

18AUG2020

GPP (4156).pdf Green Procurement Program / Agency Affirmative Procurement Program

18AUG2020

3056577_QAIRQMT_REPORT.pdf Report

18AUG2020

5840015104156FD_SQSR.pdf Source Qualification Statement Repair

01NOV2018

5840015104156FD_MR.docx Market Research

01NOV2018