FA853312R35653_0003.pdf

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

2. AMENDMENT/MODIFICATION NO.

FA8533-12-R-35653-0003

3. EFFECTIVE DATE

8 MAY 2013

4. REQUISITION/PURCHASE REQ. NO.

FD2060-11-35653

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

SUPPORT EQPT - MAJOR PROGRAMS, AFLCMC/WNKBBB

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 222 1902

ROBINS AFB GA 31098-1670

BUYER: Amber C. McCulloch Amber.McCulloch@robins.af.mil Phone: (478) 222- 1895 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8533

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA853312R35653

9B. DATED (SEE ITEM 11)

3-APR-2013

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. 24-MAY-2013 12:00 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 FA8533-12-R-35653-0003

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

A. The purpose of this amendment is to incorporate Performance Specification Change Page 2, dated 08 May 2013, add note for CLIN 0001, clarify CLINS 0011 and 0012, extend the due date for proposals and change the time the proposals are to be submitted.

B. Performance Specification Change Page 2, dated 08 May 2013 is herby incorporated as shown in Section "J" on the following pages.

C. The following note is hereby added for CLIN 0001, First Production unit:

"The First Production Unit to be tested shall include the following optional accessories; additional moisture removing device (CLIN 0006), CT hose (CLIN0007), Overwing hose assembly (CLIN 0009), and the Hydrant Service Module (CLIN 0011). The HSM shall be tested with the EI 1584 coupler only. The cost for each individual optional accessory shall be included under its respective CLIN: 0006, 0007, 0009, and 0011. All cost for the First Production unit testing, inclusive of all optional accessories, shall be included under CLIN 0001."

D. CLINS 0011 and 0012 are clarified as follows:

CLIN 0011: FROM: Hydrant Service Module

TO: Hydrant Service Module with EI 1584

CLIN 0012 FROM: 351GF-14S Coupling

TO: Hydrant Service Module with 351GF-14S Coupling

E. The proposal due date is hereby extended as folllows:

From: 17 May 2013

To: 24 May 2013

F. The time the proposals are due on 24 May 2013, is 12:00 P.M. EST.

G. All othere terms and conditions remain unchanged.

Request for Proposal FA8533-12-R-35653-0003

Request for Proposal FA8533-12-R-35653-0003

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

Form Number Description/File Name Date Number of Pages R-11_Change Page Two (2) Performance Specification Change Page 2

08MAY2013 1