FA852214R00031______0002.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8522-14-R-00031-0002

3. EFFECTIVE DATE

23 SEP 2014

4. REQUISITION/PURCHASE REQ. NO.

FD20601400031 01

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

TARGETING & ELECTRONIC WARFARE, AFSC/PZABB

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 7405

ROBINS AFB GA 31098-1670

BUYER: Krystle V. Sanders/PZABB Krystle.Sanders@us.af.mil Phone: (478) 926- 9161 Fax: (478) 926-7545 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8522

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA852214R00031

9B. DATED (SEE ITEM 11)

29-MAY-2014

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 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

ROUTINE

SEE ATTACHED PAGES

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.

Amendment/Modification FA8522-14-R-00031-0002

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

A. The purpose of this amendment is to add Counterfeit Prevention Plan (CPP) data CLINs to Schedule B, incorporate DFARS Clause 252.246-7007 into Section I, incorporate a revised performance-based work statement (PWS) into Section J, and add contract data requirements list (CDRL) Data Item No. A012 into Section J.

B. CLINs 0004AM, 1004AM, 2004AM, 3004AM, & 4004AM, for DATA ELIN A012 CPP, are hereby added to Schedule B of this solicitation. The Section G, Accounting and Appropriation Data, is restated due to the addition of the aforementioned CLINs.

C. DFARS Clause 252.246-7007, Contractor Counterfeit Electronic Part Detection and Avoidance System, is hereby incorporated into Section I of the solicitation.

D. PWS Revision 1, dated 12 September 2014, supersedes the original PWS, dated 4 November 2013, in its entirety and is hereby incorporated into Section J of this solicitation. Revision 1 adds Section 4.4 CPP into its content and updates Appendix A as a result of this requirement.

E. CDRL Data Item No. A012 for the CPP is hereby incorporated into Section J.

F. All other terms and conditions remain the same.

Request for Proposal FA8522-14-R-00031-0002

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

DATA ELIN A012

COUNTERFEIT PREVENTION PLAN

Item No.

0004AM

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0004AM TB

DATA ELIN A012

DI-MISC-81832

Associated Document(s) Line Item(s)

FD20601400031 01 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: IAW DD FORM 1423-1

** DELIVERY WILL BE IAW DD FORM 1423-1

DATA ELIN A012

COUNTERFEIT PREVENTION PLAN

Item No.

1004AM

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

1004AM TB

DATA ELIN A012

DI-MISC-81832

Associated Document(s) Line Item(s)

FD20601400031 01 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A

Item No.

2004AM

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

2004AM TB

DATA ELIN A012

DI-MISC-81832

Associated Document(s) Line Item(s)

FD20601400031 01 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A

Item No.

3004AM

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

3004AM TB

DATA ELIN A012

DI-MISC-81832

Associated Document(s) Line Item(s)

FD20601400031 01 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A

DATA ELIN A012

COUNTERFEIT PREVENTION PLAN

Item No.

4004AM

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

4004AM TB

DATA ELIN A012

DI-MISC-81832

Associated Document(s) Line Item(s)

FD20601400031 01 0004

Priority: R ROUTINE

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

TB TO BE CITED ON EACH INDIVIDUAL ORDER $0.00

ACRN TOTAL $ 0.00

PART II - CONTRACT CLAUSES

SECTION I

CONTRACT CLAUSES

252.246-7007 CONTRACTOR COUNTERFEIT ELECTRONIC PART DETECTION AND AVOIDANCE

SYSTEM (MAY 2014)

(IAW DFARS 246.870-3)

PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages

N/A PERFORMANCE-BASED WORK

STATEMENT (PWS)

Revision 1

12SEP2014 19

DD FORM 1423-1 CONTRACT DATA REQUIREMENTS LIST

Data Item No. A012

12SEP2014 1