FA825025Q0703 0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8250-25-Q-0703-0001

3. EFFECTIVE DATE

5 MAY 2025

4. REQUISITION/PURCHASE REQ. NO.

FD20202500703 01 & 0700 01

5. PROJECT NO (If applicable)

FA825025Q0703

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.

FA825025Q0703

9B. DATED (SEE ITEM 11)

21-APR-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. 16-MAY-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

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

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.

FA8250-25-Q-0703-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

This amendment is to do the following:

1. Add NSN 6105013150540 for a quantity of 3 as CLINs 0003 and 0004 (TT&E and Repair, respectively)

2. Change quantity of NSN 6105015038585 for CLINS 0001 and 0002 (TT&E and Repair, respectively)

FROM: 1

TO: 2

3. Extend the solicitation date

FROM: 5 MAY 2025

TO: 16 MAY 2025

4. Add documents associated with the new NSN

ALL OTHER TERMS AND CONDITIONS REMAIN THE SAME

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 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 6105015038585

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 6105-01-503-8585 FD

MOTOR,DIRECT CURREN

AZ DC Brush Type 3200 RPM Motor Various metals, plastic pieces/components Manufacturer Part Number 017M9 41491-1 11384 41491-1

11384 TT42356-3030-DA

416Y9 41491-1 82152 41491-1 Priority: R

Limitations of Liability: Other Than High Value Item

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

IUID Required: Yes Physical Item Markings:

Test, Teardown and Evaluation (TT&E)

NSN 6105015038585

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A FY2073

A PLANT DESTINATION

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

A PLANT PAA

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

Carcass Req No / Pri

Required Delivery

A PLANT 2 EA *30 Days

Proposed Delivery

A PLANT 2 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 6105015038585

Item No.

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

2 EA

CLIN ACRN ACRN Total

0002 AA

NSN: 6105-01-503-8585 FD

MOTOR,DIRECT CURREN

AZ DC Brush Type 3200 RPM Motor Various metals, plastic pieces/components Manufacturer Part Number 017M9 41491-1

11384 TT42356-3030-DA

416Y9 41491-1 82152 41491-1 Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Certificate of Conformance

Repair

NSN 6105015038585

Applicability: None ;

IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3114 DESTINATION

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

A SW3114 PAA ACCOUNT 09

Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3114 2 EA *120 Days

Proposed Delivery

A SW3114 2 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.

Teardown, Test and Evaluation (TT&E)

NSN 6105013150540

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0003 AA

NSN: 6105-01-315-0540 FD

MOTOR,DIRECT CURREN

Electrical DC brush type 4500 RPM motor used to move the elevation drive assembly various Metals and Pastic pieces Manufacturer Part Number 017M9 41479-1 32255 32255-41479-1-3061-

DA

416Y9 41479-1 5W607 41479-1 82152 32255-41479-1-3061-

DA

82152 41479-1 Associated Document(s) Line Item(s)

FD20202500700 0001

Priority: R

Teardown, Test and Evaluation (TT&E)

NSN 6105013150540

Inspection: Destination Acceptance: Destination 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 DESTINATION

Type / Ship To PACRN Mark For

A PLANT PAD

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

Carcass Req No / Pri

Required Delivery

A PLANT 3 EA *30 Days

Proposed Delivery

A PLANT 3 EA

At plant

Repair

NSN 6105013150540

Item No.

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

3 EA

CLIN ACRN ACRN Total

0004 AA

NSN: 6105-01-315-0540 FD

MOTOR,DIRECT CURREN

Electrical DC brush type 4500 RPM motor used to move the elevation drive assembly various Metals and Pastic pieces Manufacturer Part Number 017M9 41479-1 32255 32255-41479-1-3061-

DA

416Y9 41479-1 82152 32255-41479-1-3061-

DA

82152 41479-1 Associated Document(s) Line Item(s)

FD20202500700 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Repair

NSN 6105013150540

Inspection: Destination Acceptance: Destination 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 SW3114 DESTINATION

Type / Ship To PACRN Mark For

A SW3114 PAD ACCOUNT 09

Type / Ship To Quantity (U/I) *ARO After Completion of Study Req No / Pri

Required Delivery

A SW3114 3 EA *120 Days

Proposed Delivery

A SW3114 3 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 Data Item No. A001, A002, A003. CAVAF CDRLS 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 following a supply or maintenance transaction

Req No / Pri

Required Delivery

Commercial Asset Visibility Air Force (CAVAF)

Data Item No. A001, A002, A003 A FB2029 1 EA *24 Hours

Proposed Delivery

A FB2029 1 EA

IAW DD1423

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 Data Item No.B001 Repair Item 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 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

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 Data Item No.C001 Counterfeit Prevention Plan 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 contract award Req No / Pri

Required Delivery

A FY2073 2 EA *30 Calendar Days

Proposed Delivery

A FY2073 2 EA

IAW DD Form 1423

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.

Engineering Change Proposal (ECP)

Data Item No. D001 Not Separately Priced Quantity U/I Unit Price

3 EA NSP

Data IAW DD Form 1423 Data Item No. D001 Engineer Change Order 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, Teardown, 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

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

CP 385 519 8898

5851 F AVE BLDG 849W

HILL AFB UT 84056

HILL AFB UT 84056 49 84056-5713

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 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 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 SW3114

DLA DISTRIBUTION TOBYHANNA

GIBBS AND FIFTH STREETS

WAREHOUSE 6 BAY 4

TOBYHANNA PA 18466-5059

TOBYHANNA PA 18466-5059 42 18466-5059

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 8M816L 01K010 00000 UJENTD 503000 F03000 $0.00

PSR: K38193 FSR: 001884 DSR: 139946 CIN: F2DCCW5105A1050000AA & F2DCCW5118A1060000AA

REFERENCE:

AA PR FD20202500703 01 & FD20202500700 01

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_0540

ATTACHMENT 3 ITEM_DESCRIPTION_8585

ATTACHMENT 4 PACKAGING_REQUIREMENT_0540

ATTACHMENT 5 PACKAGING_REQUIREMENT_8585

ATTACHMENT 6 PACKAGING_STATEMENT_OF_WORK

ATTACHMENT 7 PERFORMANCE_WORK_STATEMENT

ATTACHMENT 8 REPAIR_DATA_LIST_0540

ATTACHMENT 9 REPAIR_DATA_LIST_8585

ATTACHMENT 10 ITEM_UNIQUE_ID_0540

ATTACHMENT 11 ITEM_UNIQUE_ID_8585

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_0540

ATTACHMENT 19 REPAIR_QUALIFICATION_REQUIREMENTS_8585

ATTACHMENT 20 CONTRACT_DATA_REQUIREMENTS_LIST