FA852419R0016_______0001.pdf

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

2. AMENDMENT/MODIFICATION NO.

FA8524-19-R-0016-0001

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20601900137

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

C-5/SOF-RW, AFSC/PZAAA

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 0174

ROBINS AFB GA 31098-1670

BUYER: Clyde J. Kincaid, III/PZAAA clyde.kincaide@us.af.mil Phone: (478) 926- 2408 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8524

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA852419R0016

9B. DATED (SEE ITEM 11)

18-JAN-2019

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. 18-MAR-2019 4:00 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.)

URGENT

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.

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The Purpose of this modification is to:

A. Change The CLIN structure of the solicitation to a test teardown & evluation (TT&E).

B. Establish TT&E CLIN 0001AA.

C. Establish Repair CLIN 00001AB.

D.The response deadline date is 18 March 2019.

C. All other terms and conditions of the orginial solicitation reamin the same unless otherwise changed through modification.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Multi-Mode Radar Ku-Band Antenna Assembly

BASIC PERIOD

Item No.

Firm Fixed Price

NSN: 5985-01-451-0376 SO

ANTENNA

Used for Precision Ground Map and Weather Detection. AN/APQ-170 Radar Aluminum, Steel, Electronic Components and Wiring,Motors,Fiberglass and Composite Materials Manufacturer Part Number 20418 881500-425 Priority: C IUID Required: Yes Physical Item Markings:

Multi-Mode Radar Ku-Band Antenna Assembly

TT&E

Item No.

0001AA

Firm Fixed Price Quantity U/I

9 EA

NSN: 5985-01-451-0376 SO

ANTENNA

Used for Precision Ground Map and Weather Detection. AN/APQ-170 Radar Aluminum, Steel, Electronic Components and Wiring,Motors,Fiberglass and Composite Materials Manufacturer Part Number 20418 881500-425 Priority: C

Inspection: Origin Acceptance: Origin Quality Assurance: PRO881004ATP Rev P or later as tailored by 881059 Rev F or later IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAA

Type / Ship To Quantity (U/I) "IAW BASIC

CONTRACT" to "60

DAYS ARO"

Req No / Pri

Multi-Mode Radar Ku-Band Antenna Assembly

TT&E

Required Delivery

+ CNOTE 9 EA "IAW BASIC

CONTRACT" to "

Proposed Delivery

+ CNOTE 9 EA

Contact PMS for shipping instructions at least three (3) days prior to completion of repair IAW PWS.

Multi-Mode Radar Ku-Band Antenna Assembly

REPAIR

Item No.

0001AB

Firm Fixed Price Quantity U/I

9 EA

NSN: 5985-01-451-0376 SO

ANTENNA

Used for Precision Ground Map and Weather Detection. AN/APQ-170 Radar Aluminum, Steel, Electronic Components and Wiring,Motors,Fiberglass and Composite Materials Manufacturer Part Number 20418 881500-425 Priority: C

Inspection: Origin Acceptance: Origin Quality Assurance: PRO881004ATP Rev P or later as tailored by 881059 Rev F or later IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

+ CNOTE ORIGIN

Type / Ship To PACRN Mark For

+ CNOTE PAB

Type / Ship To Quantity (U/I) "IAW BASIC

CONTRACT" to "60

DAYS ARO"

Req No / Pri

Required Delivery

+ CNOTE 9 EA "IAW BASIC

CONTRACT" to "

Proposed Delivery

+ CNOTE 9 EA

Contact PMS for shipping instructions at least three (3) days prior to completion of repair IAW PWS.

DATA

Item No.

NSN: 5985-DT-L19-01CE SO

A001-A005 Data Manufacturer Part Number 20418 881500-425 Priority: C

Inspection: Origin Acceptance: Origin Quality Assurance: PRO881004ATP Rev P or later as tailored by 881059 Rev F or later Buy American Act/Balance of Payments Program

ELIN A001 DD FORM 1423

Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced

Data Commercial Asset Visibility Air Force End Item Reporting

DI-MGMT-81634C

Priority: C

Inspection: Origin Acceptance: Origin Quality Assurance: PRO881004ATP Rev P or later as tailored by 881059 Rev F or later Buy American Act/Balance of Payments Program

ELIN A002 DD FORM 1423

Item No.

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced

Data Counterfeit Prevention Plan

DI-MISC-81832

Priority: C

Inspection: Origin Acceptance: Origin Quality Assurance: PRO881004ATP Rev P or later as tailored by 881059 Rev F or later Buy American Act/Balance of Payments Program

ELIN A003 DD FORM 1423

Item No.

0002AC

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced

Data Item Unique Identification

DI-MGMT-81803

Priority: C

Inspection: Origin Acceptance: Origin Quality Assurance: PRO881004ATP Rev P or later as tailored by 881059 Rev F or later Buy American Act/Balance of Payments Program

ELIN A004 DD FORM 1423

Item No.

0002AD

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced

Data Item Unique Identification

DI-MGMT-81804

Priority: C

Inspection: Origin Acceptance: Origin Quality Assurance: PRO881004ATP Rev P or later as tailored by 881059 Rev F or later Buy American Act/Balance of Payments Program

ELIN A005 DD FORM 1423

Item No.

0002AE

Firm Fixed Price Quantity U/I Unit Price Amount 1 LO Not Separately Priced

Data Quality Program Plan (QPP)

DI-QCIC-81722

Priority: C

Inspection: Origin Acceptance: Origin Quality Assurance: PRO881004ATP Rev P or later as tailored by 881059 Rev F or later Buy American Act/Balance of Payments Program

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + CNOTE

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

AWARD NUMBER:

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

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages 1891877_UIIEC_REPORT.pdf Report

27DEC2018

2531101_CRSAW_REPORT.pdf Report

27DEC2018

2592183_ITMDESC_REPORT.pdf Report

27DEC2018

2592185_QAIRQMT_REPORT.pdf Report

27DEC2018

2592475_RDL_REPORT.pdf Report

27DEC2018

5985014510376SO_WAGEDET.docx Wage Determination Document

22AUG2018