FA825023Q0438_______0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8250-23-Q-0438-0001

3. EFFECTIVE DATE

11 APR 2023

4. REQUISITION/PURCHASE REQ. NO.

FD20202300438

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: Logan Kashanipour/AFSC logan.kashanipour@us.af.mil Phone: (801) 777- 8693 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.

FA825023Q0438

9B. DATED (SEE ITEM 11)

15-MAR-2023

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.

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

Please see page two for the purpose of this amendment.

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.

FA8250-23-Q-0438-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this solicitation amendment is to make the following changes:

Line Item 0003

From: Not To Exceed To: Firm Fixed Price

This amendment also provided the following updated attachments:

-Performance Work Statement -Repair Data List

All other terms and conditions remain unchanged.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

In accordance with the attached CAV AF Reporting Requirements (see the document listed in Section J), the Contractor shall include a DD1348-1 when assets are shipped. DCMA Quality Assurance Representatives (QARs) will not approve or sign the DD1348-1, but will ensure a DD1348-1 is included with each returned asset. If a DD1348-1 is not included with each returned asset, DCMA will not sign the receiving report (DD250).

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.

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.

Teardown, Test & Evaluations for NSN 5998012627151

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 5998-01-262-7151 ZR

CIRCUIT CARD ASSEMB

Teardown, Test & Evaluations for NSN 5998012627151

CHANNEL BALANCE BOARD

UNKNOWN

Manufacturer Part Number

0JB79 1D24351G01

0SKB3 1D24351G01

48306 1D24351G01

52GG4 1D24351G01

803N1 1D24351G01 97942 1D24351G01 Priority: R

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

IUID Required: Yes Latest Cost Amount: $2,225.00

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ APLANT ORIGIN

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

+ APLANT PAB

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

Carcass Req No / Pri

Required Delivery

+ APLANT 6 EA *30 Days

Proposed Delivery

+ APLANT 6 EA

At Plant

Minor Repair for NSN 5998012627151

Item No.

Firm Fixed Price Estimated Quantity

U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 5998-01-262-7151 ZR

CIRCUIT CARD ASSEMB

CHANNEL BALANCE BOARD

Minor Repair for NSN 5998012627151

Manufacturer Part Number 48306 1D24351G01 97942 1D24351G01 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

Class I ODS Substance Application/Use Quantity none none none 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 6 EA *90 Days

Proposed Delivery

A SW3215 6 EA

Major Repair for NSN 5998012627151

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

6 EA

CLIN ACRN ACRN Total

0003 AA

NSN: 5998-01-262-7151 ZR

CIRCUIT CARD ASSEMB

CHANNEL BALANCE BOARD

Manufacturer Part Number 48306 1D24351G01 97942 1D24351G01 Priority: R

Limitations of Liability: Other Than High Value Item

Major Repair for NSN 5998012627151

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

Class I ODS Substance Application/Use Quantity none none none 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 6 EA *120 Days

Proposed Delivery

A SW3215 6 EA

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + APLANT

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 3 47 GH 8M407L 01K010 00000 UJEPAQ 503000 F03000 $0.00

PSR: K31271 FSR: 001884 DSR: 041568 CIN: F2DCCW3059A1020000AA

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 Repair Data List 05APR2023 1

Performance Work Statement (PWS) 16FEB2023 10