FA825022Q0246_0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8250-22-Q-0246-0001

3. EFFECTIVE DATE

7 FEB 2022

4. REQUISITION/PURCHASE REQ. NO.

FD20202200246

5. PROJECT NO (If applicable)

FD20202200246

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- 6355

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.

FA825022Q0246

9B. DATED (SEE ITEM 11)

7-JAN-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. 14-FEB-2022 6:00 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.

FA8250-22-Q-0246-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

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

From: 7 February 2022 To: 14 February 2022

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

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 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.

INFORMATIONAL CLIN

NSN: 5985016002565FD

Item No.

J059 Antenna Informational line item for TT&E and Repair.

Applicability: None ;

Test, Teardown, and Evaluation (TT&E)

NSN: 5985016002565FD

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AA AA

NSN: 5985-01-600-2565 FD

ANTENNA

Antenna Fiberglass with metal subframe Manufacturer Part Number

0240-800 200532039-1

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.

+ TBD ORIGIN

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

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.

REPAIR

NSN: 5985016002565FD

Item No.

0001AB

REPAIR

NSN: 5985016002565FD

Not to Exceed Price Quantity U/I Unit Price Not to Exceed Price

1 EA

CLIN ACRN ACRN Total

0001AB AA

NSN: 5985-01-600-2565 FD

ANTENNA

Manufacturer Part Number

0240-800 200532039-1

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

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

The NTE price on CLIN 0001AB is used for purposes of funding the purchase order. The NTE price does not obligate the contractor to make repairs at the NTE price, if the contractors quoted repair price to the ACO is higher. The NTE price is established so that any repair price submitted to the ACO, that is over the NTE, will require action by the PCO prior to commencement of repair effort under CLIN 0001AB.

The not to exceed price quoted on CLIN 0001AB represents the maximum extent of work needed to restore the item to serviceable, like new condition (worst-case scenario). All other repair scenarios requiring fewer resources than the max extent will definitize lower than the NTE price.

INFORMATIONAL CLIN

NSN: 5985016004393

INFORMATIONAL CLIN

NSN: 5985016004393

J059 Antenna Informational line item for TT&E and Repair.

Test, Teardown, and Evaluation (TT&E)

NSN: 5985016004393

Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0002AA AA

NSN: 5985-01-600-4393 FD

ANTENNA

Frquency transmittter Aluminum Manufacturer Part Number

0239-800 200532038 200532038-1

98747 200532038-1 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.

+ TBD ORIGIN

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

Upon completion of CLIN 0002AA a detailed repair quote shall be forwarded to the DCMA ACO.

The ACO is authorized to negotiate and definitize CLIN 0002AB via modification. Work shall not begin under CLIN 0002AB until notice to proceed is provided from DCMA in the form of a definitization modification.

REPAIR

NSN: 5985016004393

Item No.

0002AB

Not to Exceed Price Quantity U/I Unit Price Not to Exceed Price

1 EA

CLIN ACRN ACRN Total

0002AB AA

NSN: 5985-01-600-4393 FD

ANTENNA

Manufacturer Part Number

0239-800 200532038 200532038-1

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

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 *90 Days

Proposed Delivery

A SW3215 1 EA

The NTE price on CLIN 0002AB is used for purposes of funding the purchase order. The NTE price does not obligate the contractor to make repairs at the NTE price, if the contractors quoted repair price to the ACO is higher. The NTE price is established so that any repair price submitted to the ACO, that is over the NTE, will require action by the PCO prior to commencement of repair effort under CLIN 0002AB.

The not to exceed price quoted on CLIN 0002AB represents the maximum extent of work needed to restore the item to serviceable, like new condition (worst-case scenario). All other repair scenarios requiring fewer resources than the max extent will definitize lower than the NTE price.

DATA CLIN

CAVAF

Item No.

Not Separately Priced Quantity U/I Unit Price

1 EA NSP

Data

IAW 1423-1 CAV AF CDRL'S A001,A002,A003

Priority: R

Limitations of Liability: Other Than High Value Item

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 IAW 1423-1 Req No / Pri

Required Delivery

A FB2029 1 EA *1 Calendar Days

Proposed Delivery

A FB2029 1 EA

IAW attached DD Form 1423

DCMA shall coordinate with CAVAF monitor to ensure requirements are met prior to Repair Invoice Acceptance. If CAVAF requirements are not met in accordance with the CDRL then payment may be withheld until CAVAF requirements are met. DCMA shall not provide acceptance until receipt of concurrence from CAVAF monitor.

The prices of not-separately-priced DATA are included in the price of the individual Repair CLIN 0001AB.

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 a material requirement of the contract.

DATA CLIN

Repairable Item Inspection Report (RIIR)

DATA CLIN

Repairable Item Inspection Report (RIIR) Not Separately Priced Quantity U/I Unit Price

2 EA NSP

Data IAW DD Form 1423 Data Item No. B001 RIIR 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 IAW 1423-1 Req No / Pri

Required Delivery

A FY2073 2 EA *7 Calendar Days

Proposed Delivery

A FY2073 2 EA

IAW attached DD Form 1423

The prices of not-separately-priced DATA are included in the price of the individual Repair CLIN 0001AB.

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 a material requirement of the contract.

DATA CLIN

Counterfeit Prevention Plan (CPP) Item No.

Not Separately Priced Quantity U/I Unit Price

2 EA NSP

Data IAW DD Form 1423 Data Item No. C001 Contractor's Counterfeit Prevention Plan Priority: R

Limitations of Liability: Other Than High Value Item

DATA CLIN

Counterfeit Prevention Plan (CPP)

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 IAW 1423-1 Req No / Pri

Required Delivery

A FY2073 2 EA *30 Calendar Days

Proposed Delivery

A FY2073 2 EA

IAW attached DD Form 1423

The prices of not-separately-priced DATA are included in the price of the individual Repair CLIN 0001AB.

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 a material requirement of the contract.

DATA CLIN

Engineerinig Change Proposal (ECP) Item No.

Not Separately Priced Quantity U/I Unit Price

3 EA NSP

Data IAW DD Form 1423-1 Data Item No. D001 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 IAW DD Form

Req No / Pri

DATA CLIN

Engineerinig Change Proposal (ECP) Required Delivery

A FY2073 3 EA *14 Calendar Days

Proposed Delivery

A FY2073 3 EA

IAW attached DD Form 1423

The prices of not-separately-priced DATA are included in the price of the individual Repair CLIN 0001AB.

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 a material requirement of the contract.

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

FB2029 OO ALC DDHU CNTRL RCV

CENTRAL RECEIVING BLDG 849W

CP 385 519 8898

5851 F AVE BLDG 849W

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 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

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 2 47 GH 8M826L 01K010 00000 UJEZDV 503000 F03000 $0.00

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

PSR: K28025 FSR: 001884 DSR: 113992 CIN: F2DCCW2003A1020000AA

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 18NOV2021 9

Attachment 2 Item_Description_2565 04JAN2022 1

Attachment 3 Item_Description_4393 04JAN2022 1

Attachment 4 PKG 04JAN2022 3

Attachment 5 PKG_SOW 01MAR2021 4

Attachment 6 RDL_2565. 18AUG2020 1

Attachment 7 RDL_4393 30JUN2021 1

Attachment 8 Transportation 28DEC2021 5

Attachment 9 CAVAF 01JUN2021 7

Attachment 10 CDRLs 23NOV2021 14

Attachment 11 RQR_2565 18NOV2021 3

Attachment 12 RQR_4393 22FEB2019 3

Attachment 13 Instructions 06JAN2022 2

Attachment 14 Evaluation 06JAN2022 2