FA825024Q0619 0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8250-24-Q-0619-0001

3. EFFECTIVE DATE

29 APR 2024

4. REQUISITION/PURCHASE REQ. NO.

FD20202400619

5. PROJECT NO (If applicable)

FA825024Q0619

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: Nicholas Standiford/AFSC nicholas.standiford@us.af.mil Phone: (000

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.

FA825024Q0619

9B. DATED (SEE ITEM 11)

16-APR-2024

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

The requirement is not an inherently government function. Repair effort is deemed performance based. Critical Safety Item (CSI) does not apply to this

PI.

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.

FA8250-24-Q-0619-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

Purpose of this amendment is to increase CLIN 0001 from QTY 3 to QTY 8.

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 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 0001.

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.

Repair

NSN 6130010347237

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

8 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 6130-01-034-7237 BM

POWER SUPPLY

Provides 28 volt DC power for the Radio Interference Measuring Set (RIMS) Internal electronic components with metal case Manufacturer Part Number

1PAV4 PTM28-1-4

32324 PTM28-1-4

3B150 PTM28-1-4

3CNN1 PTM28-1-4

49956 PTM28-1-4

Priority: R

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

Repair

NSN 6130010347237

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

Carcass Req No / Pri

Required Delivery

A SW3215 8 EA *120 Days

Proposed Delivery

A SW3215 8 EA

Commercial Asset Visibility Air Force (CAVAF)

Data Item No. A001, A002, A003 Item No.

Not Separately Priced Quantity U/I Unit Price

1 EA NSP

Data IAW DD Form 1423-1. Data Item No. A001, A002, A003 CAVAF CDRL 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 DD Form

1423-1 Req No / Pri

Required Delivery

A FB2029 1 EA *1 Calendar Days

Proposed Delivery

A FB2029 1 EA

IAW DD Form 1423-1

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 0001.

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.

Repairable Item Inspection Report (RIIR)

Data Item No. B001 Item No.

Not Separately Priced Quantity U/I Unit Price

3 EA NSP

Data IAW DD Form 1423-1 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 DD Form

1423-1 Req No / Pri

Required Delivery

A FY2073 3 EA *7 Calendar Days

Proposed Delivery

A FY2073 3 EA

IAW DD Form 1423-1

The prices of not-separately-priced 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 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.

Counterfeit Prevention Plan (CPP)

Data Item No. C001 Item No.

Not Separately Priced Quantity U/I Unit Price

3 EA NSP

Data IAW DD FORM 1423-1 Data Item No. C001 CPP CDRL.

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

1423-1 Req No / Pri

Required Delivery

A FY2073 3 EA *30 Calendar Days

Proposed Delivery

A FY2073 3 EA

IAW DD Form 1423-1

The prices of not-separately-priced 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 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.

Engineering Change Proposal (ECP)

Data Item No. D001 Item No.

Not Separately Priced Quantity U/I Unit Price

3 EA NSP

Data IAW DD Form 1423-1 Data Item No. D001 ENGINEERING CHANGE PROPOSAL Priority: R

Limitations of Liability: Other Than High Value Item

Engineering Change Proposal (ECP)

Data Item No. D001

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

1423-1 Req No / Pri

Required Delivery

A FY2073 3 EA *14 Calendar Days

Proposed Delivery

A FY2073 3 EA

IAW DD Form 1423-1

The prices of not-separately-priced 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 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.

Test/Inspection Report

Data Item No. E001 Item No.

Not Separately Priced Quantity U/I Unit Price

3 EA NSP

Data IAW DD FORM 1423-1 DATA ITEM NO. E001 Test/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

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

1423-1 Req No / Pri

Test/Inspection Report

Data Item No. E001 Required Delivery

A FY2073 3 EA *15 Calendar Days

Proposed Delivery

A FY2073 3 EA

IAW DD Form 1423-1

The prices of not-separately-priced 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 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: 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 GLSC 415 SCMS

CP 801 586 1368

6041 GUM LANE BLDG 1226

HILL AFB UT 84056-5820

HILL AFB UT 84056-5820 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 442-295-4148

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:

CONTRACT CLAUSES

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 97 X4930 .FC04 64 4 47 GH 8M832L 01K010 00000 UJEPBC 503000 F03000 $0.00

PSR: K34612 FSR: 001884 DSR: 190109 CIN: F2DCCW4092A1030000AA

ACRN TOTAL $ 0.00