FA852615R92139-0001.pdf

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

2. AMENDMENT/MODIFICATION NO.

FA8526-15-R-92139-0001

3. EFFECTIVE DATE

21 AUG 2015

4. REQUISITION/PURCHASE REQ. NO.

FD20601592139

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

SOF/PR - ROTARY WING & AVIONICS, AFLCMC/WIUKB

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 7227

ROBINS AFB GA 31098-1670

BUYER: Marcus R. Green/WIUK marcus.green.7@us.af.mil Phone: (478) 926- 7272 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8552

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA852615R92139

9B. DATED (SEE ITEM 11)

16-JUL-2015

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. 25-AUG-2015 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.)

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 FA8526-15-R-92139-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to change the required delivery schedule for the CLIN X002.

A. The required delivery schedule on CLIN 0002 is hereby changed as follows:

FROM: 120 calendar days TO: 182 calendar days

B. The required delivery schedule on CLIN 1002 is hereby changed as follows:

FROM: 120 calendar days TO: 182 calendar days

C. The required delivery schedule on CLIN 2002 is hereby changed as follows:

FROM: 120 calendar days TO: 182 calendar days

D. The required delivery schedule on CLIN 3002 is hereby changed as follows:

FROM: 120 calendar days TO: 182 calendar days

E. All other terms and conditions shall remain the same.

Request for Proposal FA8526-15-R-92139-0001

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

PRODUCTION QUANTITY

Bid B - First Article NOT Required Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

NSN: 4920-01-433-5025 BA

Leak Test Cart - Fel Tank Manufacturer Part Number 88277 17G460208-1

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: DD250 Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

AS9100 9100

NATO AQAP AQAP 2070

Physical Item Markings:

IAW MIL-STD-130

Type / Ship To PACRN Mark For

A FE4804 PAA C-17 AMC

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

A FE4804 2 EA *182 Calendar Days

Proposed Delivery

A FE4804 2 EA

Option I Option I may be exercised at any time within 365 days after effective date of the contract. Option I may be used to order supplies for 365 days after the effective date of the exercising modification. An option is determined to have been exercised when transmitted electronically by fax or email.

OPTION I

Leak Test Cart - Fuel Tank Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

OPTION I

Leak Test Cart - Fuel Tank

2 EA

NSN: 4920-01-433-5025 BA

Leak Test Cart - Fuel Tank Manufacturer Part Number 88277 17G460208-1

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: DD250 Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

AS9100 9100

NATO AQAP AQAP 2070

Physical Item Markings:

IAW MIL-STD-130

Type / Ship To PACRN Mark For

A FE4804 PAB C-17 AMC

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

Option _ Req No / Pri

Required Delivery

A FE4804 2 EA *182 Calendar Days

Proposed Delivery

A FE4804 2 EA

Option II Option II may be exercised at any time within 730 days after effective date of the contract. Option I may be used to order supplies for 365 days after the effective date of the exercising modification. An option is determined to have been exercised when transmitted electronically by fax or email.

OPTION II

Leak Test Cart - Fuel Tank Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

NSN: 4920-01-433-5025 BA

Leak Test Cart - Fuel Tank Manufacturer Part Number 88277 17G460208-1

Limitations of Liability: Other Than High Value Item

OPTION II

Leak Test Cart - Fuel Tank

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: DD250 Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

AS9100 9100

NATO AQAP AQAP 2070

Physical Item Markings:

IAW MIL-STD-130

Type / Ship To PACRN Mark For

A FE4804 PAC C-17 AMC

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

Option _ Req No / Pri

Required Delivery

A FE4804 2 EA *182 Calendar Days

Proposed Delivery

A FE4804 2 EA

Option III Option III may be exercised at any time within 1095 days after effective date of the contract. Option I may be used to order supplies for 365 days after the effective date of the exercising modification. An option is determined to have been exercised when transmitted electronically by fax or email.

OPTION III

Leak Test Cart - Fuel Tank Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

NSN: 4920-01-433-5025 BA

Leak Test Cart - Fuel Tank Manufacturer Part Number 88277 17G460208-1

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: DD250 Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

AS9100 9100

NATO AQAP AQAP 2070

Physical Item Markings:

IAW MIL-STD-130

Type / Ship To PACRN Mark For

OPTION III

Leak Test Cart - Fuel Tank

A FE4804 PAD C-17 AMC

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

Option _ Req No / Pri

Required Delivery

A FE4804 2 EA *182 Calendar Days

Proposed Delivery

A FE4804 2 EA

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A FE4804

FE4804 ACC COS DEPLOYED

OPERATION ENDURING FREEDOM

APO AE 09309

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

AWARD NUMBER: