FA853419R0001_______0002.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8534-19-R-0001-0002

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20601833298

5. PROJECT NO (If applicable)

NA

6. ISSUED BY CODE

MOBILITY, AFLCMC/WNKAC

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 222 1904

ROBINS AFB GA 31098-1670

BUYER: Melissa L. Broaddus/WNKAC melissa.broaddus@us.af.mil Phone: (478) 222- 1892

7. ADMINISTERED BY (If other than item 6) CODEFA8534

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA853419R0001

9B. DATED (SEE ITEM 11)

19-AUG-2019

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. 7-NOV-2019 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.)

FMS REQUIREMENT

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.

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment 02 is to:

A. Add an inspection CLIN to Option Years 2 through 9 for inspection and handling of Exchange Material in accordance with amended CDRL A006. CLIN will be numbered as follows: 2005, 3005, 4005, 5005, 6005, 7005, 8005 and 9005. See schedule below.

B. Extend the Proposal due date

FROM: 11 Oct 19 by 3:30pm

TO: 07 Nov 19 by 3:30pm

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

CLIN 2005 applies to Option Year 2

Inspection

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1,000 EA To be Negotiated

CLIN ACRN ACRN Total

2005 AA

NSN: INSP

INSPECTION & DISPOSAL

Inspection and disposal of unrepairable pallets shall be completed in accordance with SOW paragraph 3.4.1.1 and

CDRL A006, DI-MGMT-80441

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Title Number Date Tailoring

ISO 9001-2008 2008

CLIN 3005 applies to Option Year 3

Inspection

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1,000 EA To be Negotiated

Inspection

CLIN ACRN ACRN Total

3005 AA

NSN: INSP

INSPECTION & DISPOSAL

Inspection and disposal of unrepairable pallets shall be completed in accordance with SOW paragraph 3.4.1.1 and

CDRL A006, DI-MGMT-80441

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

CLIN 4005 applies to Option Year 4

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1,000 EA To be Negotiated

CLIN ACRN ACRN Total

4005 AA

NSN: INSP

INSPECTION & DISPOSAL

Inspection and disposal of unrepairable pallets shall be completed in accordance with SOW paragraph 3.4.1.1 and

CDRL A006, DI-MGMT-80441

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

CLIN 5005 applies to Option Year 5

Inspection

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1,000 EA To be Negotiated

CLIN ACRN ACRN Total

5005 AA

NSN: INSP

INSPECTION & DISPOSAL

Inspection and disposal of unrepairable pallets shall be completed in accordance with SOW paragraph 3.4.1.1 and

CDRL A006, DI-MGMT-80441

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

CLIN 6005 applies to Option Year 6

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1,000 EA To be Negotiated

CLIN ACRN ACRN Total

6005 AA

NSN: INSP

INSPECTION & DISPOSAL

Inspection and disposal of unrepairable pallets shall be completed in accordance with SOW paragraph 3.4.1.1 and

CDRL A006, DI-MGMT-80441

Inspection

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

CLIN 7005 applies to Option Year 7

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1,000 EA To be Negotiated

CLIN ACRN ACRN Total

7005 AA

NSN: INSP

INSPECTION & DISPOSAL

Inspection and disposal of unrepairable pallets shall be completed in accordance with SOW paragraph 3.4.1.1 and

CDRL A006, DI-MGMT-80441

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

CLIN 8005 applies to Option Year 8

Inspection

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

1,000 EA To be Negotiated

CLIN ACRN ACRN Total

8005 AA

NSN: INSP

INSPECTION & DISPOSAL

Inspection and disposal of unrepairable pallets shall be completed in accordance with SOW paragraph 3.4.1.1 and

CDRL A006, DI-MGMT-80441

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

CLIN 9005 applies to Option Year 9

Item No.

Firm Fixed Price Best Estimated Qty

U/I Unit Price Amount

500 EA To be Negotiated

CLIN ACRN ACRN Total

9005 AA

NSN: INSP

INSPECTION & DISPOSAL

Inspection and disposal of unrepairable pallets shall be completed in accordance with SOW paragraph 3.4.1.1 and

CDRL A006, DI-MGMT-80441

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required

Inspection

Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + IAWBASIC

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

AWARD NUMBER:

TYPE/CODE: + TBD

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

PAYMENT INSTRUCTIONS:

In accordance with DFARS PGI 204.7108 Payment Instructions and OUSD(AT&L)/DPAP Memo dated 08 Mar 18 the following link shall be inserted when payment instructions are required.

https://www.acq.osd.mil/dpap/dars/pgi/pgi_htm/PGI204_71.htm#payment_instructions

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 3080 . 17 9 TO BE CITED ON EACH ORDER $0.00

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 N/A Drawing - Amended 10JUN2019 9

N/A MIL-DTL 27443G 20SEP2019 25

N/A Price Model, Revised 23SEP2019 3