FA853318R0496_______0002.pdf

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

2. AMENDMENT/MODIFICATION NO.

FA8533-18-R-0496-0002

3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO.

FD2060-18-70496

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

BASE & A/C SUPPORT/ATS/HUMAN SYSTEM, AFLCMC/WNKAB

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 222 1902

ROBINS AFB GA 31098-1670

BUYER: Victoria K. McDaris/WNKAB victoria.mcdaris@us.af.mil Phone: (478) 222- 1861 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.

FA853318R0496

9B. DATED (SEE ITEM 11)

5-APR-2018

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. 4-JUN-2018 4:30 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.)

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.

30 May 2018

FA8533-18-R-0496-0002

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to change the NSN on CLINS X001 and X004, incorporate clause 52.247-53 Freight Classification Description in Contract Clauses, delete GFP attachment dated 15 Feb 18, incorporate GFP attachment dated 21 May 18, incorporate attachment AFMC FORM 158 dated 9 May 18, and incorporate DD FORM 1653 dated 9 May 18 into Section J List of Attachments.

a. NSN on CLINs X001 are hereby changed as follows:

From: 6625-01-497-7780 EW

To: 6625-01-497-7780 KV

b. NSN on CLINs X004 are hereby changed as follows:

From: 6625-01-497-7780 EW

To: 6625-01-497-7780 KV

c. Clause 52.247-53 Freight Classification Description is hereby incorporated in Contract Clauses as follows:

52.247-53 Freight Classification Description (Apr 1984)

d. GFP attachment dated 15 Feb 18 is hereby deleted in its entirety from Section J, List of Attachments.

e. GFP attachment dated 21 May 18 is hereby incorporated in its entirety in Section J, List of Attachments.

f. AFMC Form 158 dated 9 May 18 is hereby incorporated in its entirety in Section J, List of Attachments.

g. DD Form 1653 dated 9 May is hereby incorporated in its entirety in Section J, List of Attachments.

h. Section J, List of Attachments is hereby restated in its entirety for clarification.

Form Number Description/File Name Performance Based Work Statement

Date

28MAR2018

Number of Pages

DD1423-1 Contract Data Requirements List (CDRL) A001 thru A010, A012, A014, and A016

14Feb2018 26

DD1423-1 Contract Data Requirements List (CDRL) A011

21FEB2018 2

Amendment/Modification FA8533-18-R-0496-0002

DD1423-1 Contract Data Requirements List (CDRL) A013 and A015

9MAY2018 4

Quality Assurance Surveillance Plan

(QASP)

08FEB2018 12

Government Furnished Property 21MAY2018 4

DD1653 Transportation 09MAY2018 3

AFMC FORM 158 Packaging Requirements 09MAY2018 2

End of Amendment