FA852618Q0022_______0002.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8526-18-Q-0022-0002

3. EFFECTIVE DATE

13 AUG 2018

4. REQUISITION/PURCHASE REQ. NO.

FD20601733130

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: Jane E. Schoch/WLMK jane.schoch@us.af.mil Phone: (478) 222- 8595 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.

FA852618Q0022

9B. DATED (SEE ITEM 11)

14-DEC-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. 20-AUG-2018 3:30 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.

FA8526-18-Q-0022-0002

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to correct the required quantity of 1 to 2 for CLIN 0001AB, the quantity of 1 to 3 for CLIN 003, and to extend the receipt of offers as stated in block 11, page 1.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

PRODUCTION

Bid A - First Article Required Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0001AB AA

NSN: 6635-01-498-2046 BA

Production Article

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: The highest revision of ISO 9001, AS9100, NATO AQAP 2070 and/or equivalent third party quality management standard certification is preferred. Contractor QA shall meethighest standard under which they qualify.

Applicability: None ;

Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A EB2090 ORIGIN

Type / Ship To PACRN Mark For A EB2090 R. Nation Type / Ship To Quantity (U/I) *ARO Approval of

First Article (On or Before)

_ Req No / Pri

Required Delivery

A EB2090 2 EA *90 Calendar Days

Proposed Delivery

PRODUCTION

Bid A - First Article Required

A EB2090 2 EA

Accelerated delivery acceptable

PRODUCTION

Bid B - First Article NOT Required Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

NSN: 6635-01-498-2046 BA

Probe Set, Eddy Curr Manufacturer Part Number 88277 17G130476-1

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: The highest revision of ISO 9001, AS9100, NATO AQAP 2070 and/or equivalent third party quality management standard certification is preferred. Contractor QA shall meethighest standard under which they qualify.

Applicability: None ;

Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Serial Number Required

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

Type / Ship To PACRN Mark For A EB2090 R. Nation Type / Ship To Quantity (U/I) *ARO (On or Before) _ Req No / Pri

Required Delivery

A EB2090 3 EA *90 Calendar Days

Proposed Delivery

A EB2090 3 EA

Accelerated delivery acceptable

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + TBD

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

AWARD NUMBER:

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/WLE

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:

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

BILLING INSTRUCTIONS:

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 57 73010 . 11 7 LC WT 13C017 4G944B 80401 41130F 503000 F03000 $0.00

ESP: AQ PSR: 088422 FSR: 039498 DSR: 023778

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

ACRN TOTAL $ 0.00

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

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages EDL.pdf 05SEP2017 3

CDRL_PR_17_33130.pdf 05SEP2017 4

FORM_158.pdf 01AUG2017 2

DD1653.pdf 19SEP2017 3