FA8522-16-R-0022-0002_Amendment_2016_12_13.pdf

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

2. AMENDMENT/MODIFICATION NO.

FA8522-16-R-0022-0002

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20601500009

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: Vernon S. Scarborough Vernon.Scarborough@us.af.mil Phone: (478) 926- 4841 Fax: (000) 000-0000 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.

FA852216R0022

9B. DATED (SEE ITEM 11)

27-APR-2016

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

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 FA8522-16-R-0022-0002

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

A. The purpose of this solicitation amendment is as follows:

1. Incorporate a revised Atch 11 - DD Form 1653 "Transportation Data", 2 Incorporate a revised Atch 12 - AFMC Form 158 "Packaging Requirements",

3. Incorporate Atch 16 - Quality Assurance Surveillance Plan (QASP),

4. Revise the PACRNs for CLINs X001, X002 and X003 as a result of the revised

Packaging Requirements form noted above,

5. Incorporate revised DFARS Clause 252.204-7012,

6. Incorporate revised DFARS Provision 252.204-7008, and

7. Incorporate four other miscellaneous clauses as noted below.

B. As noted above in A(1), A(2) and A(3); Part III - List of Documents, Exhibits, and Other Attachments, Section J, List of Attachments is hereby amended as follows and as attached hereto:

1. Incorporate a revised Atch 11 - DD Form 1653 "Transportation Data". This revised Atch 11 replaces the Atch 11 that was in soliciation amendment 0001.

2. Incorporate a revised Atch 12 - AFMC Form 158 "Packaging Requirements". This revised Atch 12 replaces the Atch 12 that was in solicitation amendment 0001.

3. Incorporate Atch 16 - Quality Assurance Surveillance Plan (QASP).

Note: The QASP is to be signed by the contractor and returned with the proposal.

C. As noted above in A(4) and as a result of the revised Atch 12 - AFMC Form 158 "Packaging Requirements, the PACRNs for CLINs X001, X002 and X003 are hereby changed as follows:

CLIN X001: Change from PACRN AAQ to PACRN AAE.

CLIN X002: Change from PACRN AAE to PACRN AAC.

CLIN X003: Change from PACRN AAD to PACRN AAF.

D. As noted above in A(5), DFARS Clause 252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT REPORTING dated Dec 2015 is hereby replaced with the current version of the clause dated Oct 2016.

E. As noted above in A(6), DFARS Provision 252.204-7008 COMPLIANCE WITH SAFEGUARDING COVERED DEFENSE INFORMATION CONTROLS dated Dec 2015 is hereby replaced with the current version of the provision dated Oct 2016.

F. As noted above in A(7), the following four clauses are hereby added to the solicitation:

1. FAR 52.247-30 F.O.B. ORIGIN, CONTRACTOR'S FACILITY (FEB 2006)

2. FAR 52.247-65 F.O.B. ORIGIN, PREPAID FREIGHT--SMALL PACKAGE

SHIPMENTS (JAN 1991)

3. FAR 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR

INFORMATION SYSTEMS (JUN 2016)

4. DFARS 252.246-7007 CONTRACTOR COUNTERFEIT ELECTRONIC PART

DETECTION AND AVOIDANCE SYSTEM (AUG 2016)

G. Except as noted above and below, there are no other changes to the original solicitation or the solicitation amendment 0001 and all other prior solicited terms, conditions, clauses and provisions remain the same and are in effect.

Request for Proposal FA8522-16-R-0022-0002

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

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages DD FORM 1653 Atch 11 Transportation Data 08DEC2016 13

AFMC FORM 158 Atch 12 Packaging Requirements 08DEC2016 4

QASP Atch 16 Quality Assurance Surveillance Plan (QASP) 02DEC2016 13