FA8533-20-R-0020-0004.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8533-20-R-0020-0004

3. EFFECTIVE DATE

25 AUG 2020

4. REQUISITION/PURCHASE REQ. NO.

FD20602032345

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: Jeanette C. Jordan/WNKAB jeanette.jordan.2@us.af.mil Phone: (478) 222- 1155

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.

FA853320R0020

9B. DATED (SEE ITEM 11)

10-JUL-2020

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.)

FMS REQUIREMENT

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.

FA8533-20-R-0020-0004

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendent is to:

1. Add the following subCLINs:

a. SubCLIN 0002AR for ELIN A015, Engineering Data for Provisioning (EDFP)

b. SubCLIN 0002AS for ELIN A016, Logistics Product Data

c. SubCLIN 0002AT for Technical Manual Contract Requirements (TMCR)

2. Attach CDRL - Technical Manual Contract Requirements (TMCR) with revised Block 1 to include Data Item No. A017.

3. All other terms and conditions remain unchanged.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Data

Item No.

0002AR

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

ELIN A015, Engineering Data for Provisioning (EDFP) In accordance with DD Form 1423, SOW para 3.5.2

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD 1423

Delivery is IAW DD 1423.

Data

Item No.

0002AS

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO

DATA

ELIN A016, Logistics Product Data In accordance with DD Form 1423, SOW para 3.5.2

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD 1423

Delivery is IAW DD 1423.

Data

Item No.

0002AT

Firm Fixed Price

Data

Quantity U/I Unit Price Amount

1 LO

DATA

ELIN A017, Technical Manual Contract Requirements (TMCR) In accordance with DD Form 1423, SOW para 3.5.1

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW DD 1423

Delivery is IAW DD 1423.

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

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 DD 1423 A017-Technical_Manual_Contract_Requireme nts.pdf

20AUG2020 3