FA852618Q00040001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8526-18-Q-0004-0001

3. EFFECTIVE DATE

27 NOV 2017

4. REQUISITION/PURCHASE REQ. NO.

FD20601733128

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

GLOBEMASTER (C-17), AFLCMC/WLMK

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 327 7137

ROBINS AFB GA 31098-1670

BUYER: Alexander H. Comportie alexander.comportie@us.af.mil Phone: (478) 222- 7415 Fax: (000) 000-0000 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8526

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA852618Q0004

9B. DATED (SEE ITEM 11)

21-NOV-2017

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.)

URGENT RESTRICTED UNDER THE PROVISIONS OF SECTION 8(a) OF THE SMALL BUSINESS ACT

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.

FA8526-18-Q-0004-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

1. The purpose of this amendment is to change the Priority in block 11, change the required delivery on SubCLINs 0001AA and 0002AB as denoted herein:

2. The Priority in block 11 is hereby changed:

FROM: Routine

TO: Urgent

3. The Required Delivery for SubCLIN 0001AA is hereby changed as follows:

FROM: *ARO Approval of FATR (On or Before) *166 Calendar Days

TO: *ARO Contract (On or Before) *166 Calendar Days

4. The Required Delivery for SubCLIN 0002AB is hereby changed as follows:

FROM: *ARO Approval of FATP (On or Before) *111 Calendar Days

TO: *ARO Contract (On or Before) *111 Calendar Days

5. As a result of paragraphs 3 and 4 above SuBCLINs 0001AA and 0002AB are hereby restated as follows:

FIRST ARTICLE

Bid A - First Article Required Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AA AA

FA

First Article

FIRST ARTICLE

IUID Required: Yes Physical Item Markings: Serial Number Required Associated Document(s) Line Item(s)

FD20601733128 0002

Limitations of Liability: Other Than High Value Item

FIRST ARTICLE

Bid A - First Article Required

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: ISO 9000, ISO 9001, ISO 9002, ISO 10012, ISO 10012-1, AS9100D, NATO AQAP-2070 and/orequivalent third party quality management standard certification is required.Contractor QA shall meet highest standardunder which they qualify.

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A EB2090 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE

None Type / Ship To PACRN Mark For A EB2090 R. Nation Type / Ship To Quantity (U/I) *ARO Contract (On or Before) _ Req No / Pri

Required Delivery

A EB2090 1 EA *166 Calendar Days

Proposed Delivery

A EB2090 1 EA

Accelerated delivery is acceptable.

DATA

Bid A - First Article Required Item No.

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

CLIN ACRN ACRN Total

0002AB AA

FATR

First Article Test Report

TEST REPORT IN ACCORDANCE WITH ATTACHED DD FORM 1423

A002 Associated Document(s) Line Item(s)

FD20601733128 0004

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Exhibit: A Quality Assurance: Standard Inspection Type / Ship To PACRN Mark For I FA8526 AFLCMC/WLE, C-17 PSE Engineering

DATA

Bid A - First Article Required Type / Ship To Quantity (U/I) *ARO Contract (On or

Before) _ Req No / Pri

Required Delivery

I FA8526 1 LO *111 Calendar Days

Proposed Delivery

I FA8526 1 LO

Accelerated delivery is acceptable.

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A EB2090

BOEING ICP C17 PRGM EB2090

BLDG DR 20 CP 404 363 0257

5690 SOUTHFIELD CT STE 200

FOREST PARK GA 30297-2524

USA

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

AWARD NUMBER:

TYPE/CODE: I FA8526

GLOBEMASTER (C-17)

AFLCMC/WLMK

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 327 7137

ROBINS AFB GA 31098-1670

UNITED STATES

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

AWARD NUMBER: