FA855317R0019___0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

FA8553-17-R-0019-0001

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

FD2060-16-93702

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

FMS TACTICAL AIRLIFT (C-130), AFLCMC/WLKCB

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 926 7204

ROBINS AFB GA 31098-1670

BUYER: Candace L. Gibson/WLNKB Candace.Gibson@robins.af.mil Phone: (478) 926- 1384 Fax: (000 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8553

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA855317R0019

9B. DATED (SEE ITEM 11)

21-APR-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.

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

S RFP P i i "I t ti T Off " d "E l ti B i F A d" f i f ti l ti t l15A. 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.

19 May 2017

FA8553-17-R-0019-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this solicitation amendment is to make the following administrative changes:

1. Update Section L & M to the correct solicitation response date:

FROM: 5 Jun 2017

TO: 30 Jun 2017

2. Remove the Statement of Work reference date in Section L & M.

3. Correct the quantity issued for CLINs 0002AA 0002AC as shown in Section B to reflect the quantity provided in the Statement of Work released on 15 May 2017.

4. Incorporate a revised Statement of Work to match the Part Numbers and CAGE codes for the support equipment (CLINs 0002AA0002AC) as provided in the solicitation released on 15 May 2017.

5. Incorporate a revised Attachment 3 C130 RWR Upgrade Pricing Matrix to match the quantities identified in the Statement of Work released on 15 May 2017.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

SUPPORT EQUIPMENT

Item No.

Firm Fixed Price

Support Equipment IAW SOW paragraph 3.2.1 IUID Required: Yes

SUPPORT EQUIPMENT-AN/PLM-4 THREAT SIMULATOR

Item No.

0002AA

Firm Fixed Price Quantity U/I Unit Price Amount

36 EA

NSN: 6625-01-516-8238

Support Equipment-AN/PLM-4 Threat Simulator IAW SOW paragraph 3.2.1 & Appendix C Manufacturer Part Number

FT0100-5

Limitations of Liability: High Value Item

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality requirements of AS 9100.

IUID Required: Yes Type / Ship To PACRN Mark For

PAA

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

36 EA *18 Months

Proposed Delivery

36 EA

Ship to Note: Shipping instructions provided after contract award.

SUPPORT EQUIPMENT-FIBER OPTIC MAINTENANCE KIT

Item No.

0002AB

Firm Fixed Price Quantity U/I Unit Price Amount

36 EA

NSN: 6080-01-614-6571 EW

Support Equipment-Fiber Optic Maintenance Kit IAW SOW paragraph 3.2.1 & Appendix C Manufacturer Part Number

5009381001-001

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality requirements of AS 9100.

Buy American Act/Balance of Payments Program IUID Required: Yes Type / Ship To PACRN Mark For

PAA

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

36 EA *18 Months

Proposed Delivery

36 EA

Ship to Note: Shipping instructions provided after contract award.

SUPPORT EQUIPMENT-AIRCRAFT ADAPTER GROUP

Item No.

0002AC

Firm Fixed Price Quantity U/I Unit Price Amount

36 EA

NSN: 7025-01-615-6926 EW

Support Equipment-Aircraft Adapter Group IAW SOW paragraph 3.2.1 & Appendix C Manufacturer Part Number

201126346-10

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality requirements of AS 9100.

IUID Required: Yes Type / Ship To PACRN Mark For

PAA

Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

SUPPORT EQUIPMENT-AIRCRAFT ADAPTER GROUP

Required Delivery

36 EA *18 Months

Proposed Delivery

36 EA

Ship to Note: Shipping instructions provided after contract award.

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

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages Statement of Work SOW and attachments

17MAY2017 312

C-130 RWR Upgrage Price Matrix Attachment Price Matrix

UNDATED 1