FA825021Q0247_0002.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8250‐21‐Q‐0247‐0002

3. EFFECTIVE DATE

12 JAN 2021

4. REQUISITION/PURCHASE REQ. NO.

FD20202100247

5. PROJECT NO (If applicable)

FA825021Q0247

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: Nataly Pringle/AFSC nataly.pringle.1@us.af.mil Phone: (801) 777‐ 6466

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.

FA825021Q0247

9B. DATED (SEE ITEM 11)

12‐JAN‐2021

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‐JAN‐2021 3:30 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 will 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.

FA8250‐21‐Q‐0247‐0002

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to extend the closing date.

From: 15 January 2021 To: 29 January 2021

Amendment 0001 is still incorporated.

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.

PART I ‐ THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

ACO Authority and Responsibilities:

1. All applicable contract admin functions as outlined in FAR 42.302(a) and DFARS 242.302(a)

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

3. The ACO or the ACO's delegated authority shall indicate inspection and acceptance in Wide Area Work Flow (WAWF) for CLIN 0001AA.

4. Deobligate excess funds if asset is determined to be Beyond Economic Repair (BER).

5. The government is authorized to withhold a portion of the total contract price pursuant to clause ‘Technical Data –Withholding of Payment (MAR 2000)’ DFARS 252.2277030 should the contractor fail to deliver data as required by the CDRL of this requirement.

NOTE:

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 shall supply disposition/condemnation instructions to the contractor. The contractor shall provide technical data on BER assets, including pictures of the repairable asset.

INFORMATIONAL CLIN

NSN ‐ 3010013155148FD

Item No.

J030 Maint & Repair of Eq/Mech Power Trans Equipment Associated Document(s) Line Item(s)

FD20202100247 0001

Applicability: None ;

REPAIR

NSN ‐ 3010013155148FD

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

REPAIR

NSN ‐ 3010013155148FD

0001AA AA

NSN: 3010‐01‐315‐5148 FD

GEAR ASSEMBLY,SPEED

Gear Speed Assembly Gear Speed Assembly Manufacturer Part Number

120614‐84 137474 13774‐101 200927771 4159‐1

Associated Document(s) Line Item(s)

FD20202100247 0001

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

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

Completion of Study Req No / Pri

Required Delivery

A SW3215 4 EA *120 Calendar Days

Proposed Delivery

A SW3215 4 EA

Data CLIN

CAVAF

Item No.

Not Separately Priced Quantity U/I Unit Price

1 EA NSP

Data IAW DD Form 1423. Data Item Exhibit No.A001 A002 and A003 CAVAF CDRL Associated Document(s) Line Item(s)

FD20202100247 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Data CLIN

CAVAF

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Letter of Transmittal 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 Deliver 1 unit(s)

1 Day after receipt of carcass.

Req No / Pri

Required Delivery

A FB2029 1 EA *1 Calendar Days

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 0001. Failure to comply with contract data requirements may result in the withholding of payment on the aforementioned CLIN.” 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

RIIR

Item No.

Not Separately Priced Quantity U/I Unit Price

3 EA NSP

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

Associated Document(s) Line Item(s)

FD20202100247 0001

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

RIIR

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 Delivery 1 unit(s) 7 days after completion of study.

Req No / Pri

Required Delivery

A FY2073 3 EA *7 Calendar Days

Proposed Delivery

A FY2073 3 EA

“DATA which is ‘Not Separately Priced’ (NSP). The price of NSP DATA are included in the price of the individual Repair CLIN 0001. Failure to comply with contract data requirements may result in the withholding of payment on the aforementioned CLIN.” 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

CPP

Item No.

Not Separately Priced Quantity U/I Unit Price

3 EA NSP

Data CPP CDRL IAW FORM 1423 Exhibit C0001 Associated Document(s) Line Item(s)

FD20202100247 0001

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

Data CLIN

CPP

Type / Ship To Quantity (U/I) *ARO CONTRACTOR

SHALL DELIVER THE

COUNTERFIET

PREVENTION PLAN

WITHIN 30 DAYS OF

CONTRACT AWARD

Req No / Pri

Required Delivery

A FY2073 3 EA *30 Calendar Days

Proposed Delivery

A FY2073 3 EA

“DATA which is ‘Not Separately Priced’ (NSP). The price of NSP DATA are included in the price of the individual Repair CLIN 0001. Failure to comply with contract data requirements may result in the withholding of payment on the aforementioned CLIN.” 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.

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A FB2029

FB2029 OO ALC DDHU CNTRL RCV

CENTRAL RECEIVING BLDG 849W

CP 385 519 8898

5851 F AVE BLDG 849W

HILL AFB UT 84056 49 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 FY2073

FY2073 OO ALC 502 CBSS GBMAA

CP 801 586 1368

6012 FIR AVE BLDG 1239 RM 2

HILL AFB UT 84056

HILL AFB UT 84056 49 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 CA 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

AA 97 X4930 .FC04 64 1 47 GH 8M816L 01K010 00000 UJENTD 503000 F03000 $0.00

PSR: K24920 FSR: 001884 DSR: 301691 CIN: F2DCCW0345A1040000AA

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

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 Attachment 1 PWS 03DEC2020 11

Attachment 2 Item_Description 11DEC2020 1

Attachment 3 PKG 11DEC2020 2

Attachment 4 PKG_SOW 01JAN2019 2

Attachment 5 RDL 01DEC2020 1

Attachment 6 CDRLs 01FEB2001 11

Attachment 7 Transportation 08DEC2020 3

Attachment 8 CAVAF Report 01FEB2018 7

Attachment 9 RQR 02DEC2020 3

Attachment 10 Section_L 29DEC2020 2

Attachment 11 Section_M 29DEC2020 2