FA825022Q0011_______0002.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8250-22-Q-0011-0002

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

FD20202200845

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: John K Prather Jr/AFSC john.prather.3@us.af.mil Phone: (801) 586- 3463

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.

FA825022Q0011

9B. DATED (SEE ITEM 11)

30-JUN-2022

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. 1-SEP-2022 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

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.

FA8250-22-Q-0011-0002

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to extend it until September 1, 2022, 4p. Mountain time.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

INFORMATIONAL CLIN

NSN: 5840012257279ZR

Item No.

NSN: J058

Spare First Article will serve as the production unit Spare Priority: R Applicability: None ;

FIRST ARTICLE/SPARE

NSN: 5840012257279ZR

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AA AC

NSN: 5840-01-225-7279 ZR

RADAR SET SUBASSEMB

Unknown Unknown Manufacturer Part Number

0JB79 1D22498G14

52GG4 1D22498G14

Priority: R

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

Buy American Act/Balance of Payments Program 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

FIRST ARTICLE/SPARE

NSN: 5840012257279ZR

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3215 1 EA 30 SEP 2022

Proposed Delivery

A SW3215 1 EA

THE APPROVED FIRST ARTICLE WILL SERVE AS THE SPARE.

The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must accompany each First Article which is offered."

TEST INSPECTION REQUIREMENTS: CONTRACTOR TESTING

The contractor is responsible for bench testing at their own facility. In addition, the contractor is responsible for in‐system testing with a TPS‐75 or equivalent. This may be accomplished at the contractor's facility or another facility with access to a TPS‐75 or equivalent.

Note: Electronic copies of the Test Plan and Test Report are acceptable and preferred. Send electronic copies to 415 SCMS/GUEA Engineer ‐ William Powell <william.powell.38@us.af.mil>.

APPROVED FIRST ARTICLE WILL BE FORWARDED TO GOVERNMENT SUPPLY

INFORMATIONAL CLIN

NSN: 5840012288028ZR

Item No.

NSN: J058

First Article/Production Spare First Article will serve as the production unit Spare Priority: R Applicability: None ;

FIRST ARTICLE/SPARE

Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0002AA AC

NSN: 5840‐01‐228‐8028 ZR

RADAR SET SUBASSEMB

unknown unknown Manufacturer Part Number

FIRST ARTICLE/SPARE

0JB79 1D22498G09

52GG4 1D22498G09

Priority: R

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

Buy American Act/Balance of Payments Program 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 PAC Account A Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3215 1 EA 30 SEP 2022

Proposed Delivery

A SW3215 1 EA

THE APPROVED FIRST ARTICLE WILL SERVE AS THE SPARE.

The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must accompany each First Article which is offered."

TEST INSPECTION REQUIREMENTS: CONTRACTOR TESTING

The contractor is responsible for bench testing at their own facility. In addition, the contractor is responsible for in‐system testing with a TPS‐75 or equivalent. This may be accomplished at the contractor's facility or another facility with access to a TPS‐75 or equivalent.

Note: Electronic copies of the Test Plan and Test Report are acceptable and preferred. Send electronic copies to 415 SCMS/GUEA Engineer ‐ William Powell <william.powell.38@us.af.mil>.

APPROVED FIRST ARTICLE WILL BE FORWARDED TO GOVERNMENT SUPPLY

INFORMATIONAL CLIN

NSN: 5840012257282ZR

Item No.

NSN: J058

First Article/ Poduction Spare First Article and Production Spare Spare

INFORMATIONAL CLIN

NSN: 5840012257282ZR

Priority: R Applicability: None ;

FIRST ARTICLE

NSN: 5840012257282ZR

Item No.

0003AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AA AC

NSN: 5840‐01‐225‐7282 ZR

RADAR SET SUBASSEMB

Unknown Unknown Manufacturer Part Number

0JB79 1D22498G02

52GG4 1D22498G02

Priority: R

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

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAE

Type / Ship To Quantity (U/I) IAW FA Activity Form

Req No / Pri

Required Delivery

+ CNOTE 1 EA IAW FA Activity Form

Proposed Delivery

+ CNOTE 1 EA

The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must accompany each First Article which is offered."

TEST INSPECTION REQUIREMENTS: CONTRACTOR TESTING

The contractor is responsible for bench testing at their own facility. In addition, the contractor is responsible for in‐system testing with a TPS‐75 or equivalent. This may be accomplished at the contractor's facility or another facility with access to a TPS‐75 or equivalent.

Note: Electronic copies of the Test Plan and Test Report are acceptable and preferred. Send electronic copies to 415 SCMS/GUEA Engineer ‐ William Powell <william.powell.38@us.af.mil>.

APPROVED FIRST ARTICLE WILL BE FORWARDED TO GOVERNMENT SUPPLY

IAW FA Activity Form 260

PRODUCTION SPARE

NSN: 1D22498G02

Item No.

0003AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003AB AC

NSN: 5840‐01‐225‐7282 ZR

RADAR SET SUBASSEMB

Unknown Unknown Manufacturer Part Number

0JB79 1D22498G02

52GG4 1D22498G02

Priority: R

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

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

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 PAE Account A Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3215 1 EA 30 SEP 2022

Proposed Delivery

A SW3215 1 EA

FA TEST PLAN/TEST AND INSPECTION A001 AND A002

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

Data First Article 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.

+ CNOTE DESTINATION

Type / Ship To Quantity (U/I) IAW DD1423‐1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD1423‐1

Proposed Delivery

+ CNOTE 1 LO

The prices of not‐separately‐priced DATA are included in the price of the individual Repair CLINS. Failure to comply with contract data requirements may result in the withholding of payment on the DATA CLINs. This allows the government to withhold payment on the repairs if the contractor does not deliver the required data. The data is a material requirement of the contract.

IAW DD1423‐1

Counterfeit Prevention Plan A005

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

Data Counterfeit Prevention Plan Priority: R

Limitations of Liability: Other Than High Value Item

Counterfeit Prevention Plan A005

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.

+ CNOTE DESTINATION

Type / Ship To Quantity (U/I) IAW DD1423‐1 Req No / Pri

Required Delivery

+ CNOTE 1 LO IAW DD1423‐1

Proposed Delivery

+ CNOTE 1 LO

The prices of not‐separately‐priced DATA are included in the price of the individual Repair CLINS. Failure to comply with contract data requirements may result in the withholding of payment on the DATA CLINs. This allows the government to withhold payment on the repairs if the contractor does not deliver the required data. The data is a material requirement of the contract.

IAW DD1423‐1

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + CNOTE

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

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:

IAW DD1423‐1

PART I ‐ THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AC 97 X4930 FC04 64 2 47 GH 8M407L 01N000 00000 ERRCNP 503000 F03000 $0.00

PSR: K27974 FSR: 001679 DSR: 229017 CIN: F2DCCW2166A1040000AC

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 1423, FA AFMC 260 CDRL 00845.pdf

Contract Data Requirements List ‐ Text Activity

DD FORM 1653 TRNSPDATA_REPORT.pdf Report

13JUN2022 3

AFMC 158 PKGRQMT_REPORT.pdf Report

13JUN2022 3

SOW SOW.pdf

PACKAGING SOW

807 7279_QAIRQMT_REPORT.pdf Report

04MAY2022 1

EDL 7279 EDL_REPORT.pdf Report

02MAY2022 2

7279 ITEM DESCRIPTIO 7279_ITMDESC_REPORT.pdf Report

807 QAIRQMT_REPORT_7282.pdf

QA

06MAY2022 1

807 QAIRQMT_REPORT_8028.pdf

QA

06MAY2022 1

EDL 7282 EDL_REPORT_7282.pdf

EDL

09MAY2022 2

EDL 8028 8028_EDL_REPORT.pdf

EDL

09MAY2022 2

ATTACHMENT A 7282_EI.pdf

ATTACHMENT A

04MAY2022 1

ITEM DESCRIPTION 7282_ITMDESC_REPORT.pdf

ITEM DESCRIPTION

ITEM DESCRIPTION ITMDESC_REPORT_8028.pdf

ITEM DESCRIPTION

3477475_SAW_REPORT.pdf Report

16JUN2022

3477486_QAIRQMT_REPORT.pdf Report

16JUN2022

3477487_ITMDESC_REPORT.pdf Report

16JUN2022

AAPS GPP (01‐228‐8028).pdf Green Procurement Program / Agency Affirmative Procurement Program

16JUN2022

3479873_EDL_REPORT.pdf Report

16JUN2022

3482468_FA_REPORT.pdf Report

16JUN2022

5840012288028ZR_MR.pdf Market Research

02JUN2022

3476716_UIIEC_REPORT.pdf Report

16JUN2022

3476719_QAIRQMT_REPORT.pdf Report

16JUN2022

3476724_SAW_REPORT.pdf Report

16JUN2022

3479784_EDL_REPORT.pdf Report

16JUN2022

3482467_FA_REPORT.pdf Report

16JUN2022

3488300_ITMDESC_REPORT.pdf Report

16JUN2022

AAPS GPP (01‐225‐7282).pdf Green Procurement Program / Agency Affirmative Procurement Program

16JUN2022

5840012257282ZR_MR.pdf Market Research

02JUN2022

5840012257282ZR_EI.pdf Engineering Instructions

02JUN2022