FA825025Q0513 0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8250-25-Q-0513-0001

3. EFFECTIVE DATE

12 MAR 2025

4. REQUISITION/PURCHASE REQ. NO.

FD20202500513 & 2500555

5. PROJECT NO (If applicable)

FA825025Q0513

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.

FA825025Q0513

9B. DATED (SEE ITEM 11)

6-MAR-2025

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. 3-APR-2025 5:00 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.

The requirement is no an inherently government function. Repair effort is deemed performance based. Critical Safety item does not apply to this PI.

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.

FA8250-25-Q-0513-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is as follows:

1. Added NSN 5985015990123 to the solicitation under CLIN 0003 TT&E and 0004 Repair

2. Attachments have been updated to include documentation for the added NSN

3. Solicitation is extended to 3 APR 2025

4. Added clarifying language in the delivery notes on CLIN 0001 and 0003 (TT&E CLIN's) in regards to the submission of repair quote upon finishing the TT&E

NOTE: NO CLAUSES/PROVISIONS ARE BEING CHANGED FROM THE ORIGINAL SOLICITATION

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) Initiate order close out when actions required in paragraph 4) are completed.

4) 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

5) 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 PCO, the PCO will document what is a fair and reasonable price. 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.

Test, Teardown and Evaluation (TT&E)

NSN 5985015985631

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 5985-01-598-5631 FD

MAST

Expansion and Retraction Metal Cylinder Manufacturer Part Number 022Q2 200425515 022Q2 913410 1L4J7 200425515 1L4J7 913410 97246 913410 98747 200425515 98747 200425515-1 Priority: R

Limitations of Liability: Other Than High Value Item

Test, Teardown and Evaluation (TT&E)

NSN 5985015985631

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Certificate of Conformance Applicability: None ;

IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A PLANT ORIGIN

Type / Ship To PACRN Mark For

A PLANT PAE

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

Carcass Req No / Pri

Required Delivery

A PLANT 1 EA *30 Days

Proposed Delivery

A PLANT 1 EA

AT PLANT

Upon completion of CLIN 0001 a detailed repair quote (simple cost breakdown) SHALL be forwarded to the PCO. The PCO will negotiate and definitize CLIN 0002 via modification. Work shall not begin under CLIN 0002 until notice to proceed is provided from the PCO in the form of a definitization modification.

Repair

NSN 5985015985631

Item No.

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

1 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 5985-01-598-5631 FD

MAST

Expansion and Retraction Metal Cylinder Manufacturer Part Number 022Q2 200425515 022Q2 913410 1L4J7 200425515 1L4J7 913410 97246 913410 98747 200425515

Repair

NSN 5985015985631

98747 200425515-1 Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Certificate of Conformance 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 PAE Account A Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3215 1 EA *60 Days

Proposed Delivery

A SW3215 1 EA

The not-to-exceed price quoted on CLIN 0002 represents the maximum extent of work needed to restore the item to serviceable, like-new condition (worst-case-scenario/total rebuild/total overhaul).

All other repair scenarios requiring less resources than the max-extent will definitize lower than the NTE price.

Test, Teardown and Evaluation (TT&E)

NSN 5985015990123

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

0003 AA

NSN: 5985-01-599-0123 FD

MAST

Antenna Mast Metal Tubing Manufacturer Part Number 022Q2 200425802-1 022Q2 913194 1L4J7 200425802-1 1L4J7 913194 97246 913194

Test, Teardown and Evaluation (TT&E)

NSN 5985015990123

98747 200425802-1 98747 913194 Associated Document(s) Line Item(s)

FD20202500555 0001

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 PLANT ORIGIN

Type / Ship To PACRN Mark For

A PLANT PAB

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

Carcass Req No / Pri

Required Delivery

A PLANT 4 EA *30 Days

Proposed Delivery

A PLANT 4 EA

AT PLANT

Upon completion of CLIN 0003 a detailed repair quote (simple cost breakdown) SHALL be forwarded to the PCO. The PCO will negotiate and definitize CLIN 0004 via modification. Work shall not begin under CLIN 0004 until notice to proceed is provided from the PCO in the form of a definitization modification.

Repair

NSN 5985015990123

Item No.

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

4 EA

CLIN ACRN ACRN Total

0004 AA

NSN: 5985-01-599-0123 FD

MAST

Antenna Mast Metal Tubing Manufacturer Part Number

Repair

NSN 5985015990123

022Q2 200425802-1 022Q2 913194 1L4J7 200425802-1 1L4J7 913194 97246 913194 98747 200425802-1 98747 913194 Associated Document(s) Line Item(s)

FD20202500555 0002

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 4 EA *60 Days

Proposed Delivery

A SW3215 4 EA

The not-to-exceed price quoted on CLIN 0004 represents the maximum extent of work needed to restore the item to serviceable, like-new condition (worst-case-scenario/total rebuild/total overhaul).

All other repair scenarios requiring less resources than the max-extent will definitize lower than the NTE price.

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 Commercial Asset Visibility Reporting.

Commercial Asset Visibility Air Force (CAVAF)

Data Item No. A001, A002, A003

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 following a supply or maintenance transaction, after contract award date

Req No / Pri

Required Delivery

A FB2029 1 EA *24 Hours

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 0002.

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

2 EA NSP

Data IAW DD Form 1423-1 Data Item No. B001 Repair Item Inspection Report.

Limitations of Liability: Other Than High Value Item

Repairable Item Inspection Report (RIIR)

Data Item No. B001

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 after the completion of the contract

Req No / Pri

Required Delivery

A FY2073 2 EA *7 Calendar Days

Proposed Delivery

A FY2073 2 EA

IAW DD Form 1423-1

The prices of not-separately-priced DATA are included in the price of the individual Repair CLIN 0002.

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

2 EA NSP

Data IAW DD Form 1423-1 Data Item No. C001 Counterfeit Protection Program 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

Counterfeit Prevention Plan (CPP)

Data Item No. C001 Type / Ship To Quantity (U/I) *ARO after contract award Req No / Pri

Required Delivery

A FY2073 2 EA *30 Calendar Days

Proposed Delivery

A FY2073 2 EA

IAW DD Form 1423-1

The prices of not-separately-priced DATA are included in the price of the individual Repair CLIN 0002.

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

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 after the completion of Test, Tear-down, and Evaluation. AS NEEDED.

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 0002.

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 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 GLSC 415 SCMS

CP 801 586 1368

6041 GUM LANE BLDG 1226

HILL AFB UT 84056-5820 49 84056-5820

USA

MARK FOR: (See Individual Line Item) REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER:

TYPE/CODE: A PLANT

SHIP IN PLACE 00000-0000

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

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 5 47 GH 8M826L 01K010 00000 UJEZDV 503000 F03000 $0.00

PSR: K38188 FSR: 001884 DSR: 285770 CIN: F2DCCW5059A1030000AA

REFERENCE:

AA PR: FD20202500555

PR: FD20202500513

ACRN TOTAL $ 0.00

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

Form Number Description/File Name Date Number of Pages

ATTACHMENT 1 CAVAF_REPORTING_REQUIREMENTS

ATTACHMENT 2 ITEM_DESCRIPTION_0123

ATTACHMENT 3 ITEM_DESCRIPTION_5631

ATTACHMENT 4 PACKAGING_REQUIREMENT_0123

ATTACHMENT 5 PACKAGING_REQUIREMENT_5631

ATTACHMENT 6 PACKAGING_STATEMENT_OF_WORK

ATTACHMENT 7 PERFORMANCE_WORK_STATEMENT

ATTACHMENT 8 REPAIR_DATA_LIST_0123

ATTACHMENT 9 REPAIR_DATA_LIST_5631

ATTACHMENT 10 ITEM_UNIQUE_ID_0123

ATTACHMENT 11 ITEM_UNIQUE_ID_5631

ATTACHMENT 12 DI-MGMT-81838_A001

ATTACHMENT 13 DI-PSSS-81995_A002_CDM_Production_Report

ATTACHMENT 14 DI-MGMT-80441_A003_Government_Property_In ventory_Report

ATTACHMENT 15 DI-PSSS-80386A_RIIR

ATTACHMENT 16 DI-MISC-81832_CPP

ATTACHMENT 17 DI-SESS-80639E_ECO

ATTACHMENT 18 REPAIR_QUALIFICATION_REQUIREMENTS_0123

ATTACHMENT 19 REPAIR_QUALIFICATION_REQUIREMENTS_5631

ATTACHMENT 20 CONTRACT_DATA_REQUIREMENTS_LIST