SPRHA123R0686_0001 CUI SSI.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

SPRHA1-23-R-0686-0001

3. EFFECTIVE DATE

13 MAY 2024

4. REQUISITION/PURCHASE REQ. NO.

FD20202300686-01

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DLA AVIATION - OGDEN, DLR PROCUREMENT OPS/AUB

6051 GUM LANE BLDG 1225

HILL AIR FORCE BASE UT 84056-5820

BUYER: Scottina Malia/DLA-OO/AUB Scottina.malia@us.af.mil Phone: (385) 519- 8407

7. ADMINISTERED BY (If other than item 6) CODESPRHA1

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

SPRHA123R0686

9B. DATED (SEE ITEM 11)

14-SEP-2023

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-JUN-2024 11:59 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

ROUTINE

See page 2 for the purpose of this amendment.

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.

CUI

Source Selection Information - See Far 2.101 and 3.104

Source Selection Information - See Far 2.101 and 3.104

CUI

Controlled by: DLA Aviation Ogden Controlled By: AUBA

CUI Category: Contract Use Distribution/ Dissemination Control: FED CON

POC: scottina.malia@us.af.mil

SPRHA1-23-R-0686-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to:

1) Add line item 0003 and 0004,

2) Update the Packaging Statement of Work, and

3) Extend the closing date to 6/12/2024.

All other terms and conditions remain unchanged.

CUI

Source Selection Information - See Far 2.101 and 3.104

Source Selection Information - See Far 2.101 and 3.104

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PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

An Individual Sub-Contracting Plan is required if Awardee is NOT a Small Business.

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

30 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 2835-01-263-9440 RP

POWER UNIT,GAS TURB

Manufacturer Part Number 70210 581750-11-1 Associated Document(s) Line Item(s)

FD20202300686 01 0001

Priority: R

Limitations of Liability: High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales :FMS Case:

Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

IAW MIL-STD-130

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTW004 ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For

* DTW004 PAA DTWH00

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

* DTW004 30 EA 3 APR 2025 DTWH5V31221539 / PRI: 2

Proposed Delivery

CUI

Source Selection Information - See Far 2.101 and 3.104

* DTW004 30 EA

SUPPLEMENTAL ADDRESS CODE: DA4KDV

FMS CASE CODE/LOA: TW-D-KDV/001

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0002 AB

NSN: 2835-01-263-9440 RP

POWER UNIT,GAS TURB

Manufacturer Part Number 70210 581750-11-1 Associated Document(s) Line Item(s)

FD20202300686 01 0002

Priority: R

Limitations of Liability: High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales :FMS Case:RO-D-QAL Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

IAW MIL-STD-130

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DRODXX ORIGIN

Class I ODS Substance Application/Use Quantity none none none Type / Ship To PACRN Mark For

* DRODXX PAA DROE00

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

* DRODXX 2 EA 3 APR 2025 DROE7430605500 / PRI: 2

Proposed Delivery

* DRODXX 2 EA

CUI

Source Selection Information - See Far 2.101 and 3.104

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003 AC

NSN: 2835-01-263-9440 RP

POWER UNIT,GAS TURB

Manufacturer Part Number 70210 581750-11-1 Associated Document(s) Line Item(s)

FD20202400019 0001

Priority: R

Limitations of Liability: High Value Item

Inspection: Origin Acceptance: Origin Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales :FMS Case:BU-D-SAB Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

IAW MIL-STD-130

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DBU002 ORIGIN

Type / Ship To PACRN Mark For

* DBU002 PAB DBUE00

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

* DBU002 1 EA 1 SEP 2025 DBUE5432630103 / PRI: 8

Proposed Delivery

* DBU002 1 EA

Firm Fixed Price

CUI

Source Selection Information - See Far 2.101 and 3.104

Quantity U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

0004 AD

NSN: 2835-01-263-9440 RP

POWER UNIT,GAS TURB

Manufacturer Part Number 70210 581750-11-1 Associated Document(s) Line Item(s)

FD20202300686 01 0001AA

Priority: R

Limitations of Liability: High Value Item

Inspection: Origin Acceptance: Origin Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales :FMS Case:

Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

IAW MIL-STD-130

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTW004 ORIGIN

Type / Ship To PACRN Mark For

* DTW004 PAC DTWH00

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

* DTW004 4 EA 3 APR 2025 DTW45440385197 / PRI: 2

Proposed Delivery

* DTW004 4 EA

SUPPLEMENTAL ADDRESS CODE: DA4SAD

FMS CASE CODE/LOA: TW-D-SAD/045

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DBU002

SUPPLEMENTAL ADDRESS CODE: DA2SAB

FMS CASE CODE/LOA: BU-D-SAB/056

MAPAC SHIP TO CODE: DBU002

MAPAC MARK FOR: DBUE00

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

CUI

Source Selection Information - See Far 2.101 and 3.104

AWARD NUMBER:

TYPE/CODE: * DRODXX

SUPPLEMENTAL ADDRESS CODE: DXXQAL

FMS CASE CODE/LOA: RO-D-QAL/002

MAPAC SHIP TO CODE: DRODXX

MAPAC MARK FOR: DROE00

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

AWARD NUMBER:

TYPE/CODE: * DTW004

SUPPLEMENTAL ADDRESS CODE:

FMS CASE CODE/LOA:

MAPAC SHIP TO CODE: DTW004

MAPAC MARK FOR: DTWH00

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

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 9711X8242 .0002 4F X LC SH CKDVTW 000000 00000 001000 503000 F03000 $0.00

PSR: 315282 FSR: 039337 DSR: 176189 CIN: F2DCCW3216A1010000AA

AB 9711X8242 .0002 4F X LC SH CQALRO 000000 00000 002000 503000 F03000 $0.00

PSR: 242790 FSR: 098324 DSR: 175704 CIN: F2DCCW3216A1010000AB

AC 9711X8242 .0002 4F X LC SH CSABBU 000000 00000 056000 503000 F03000 $0.00

PSR: 813036 FSR: 083782 DSR: 082598 CIN: F2DCCW3335A1010000AA

AD 9711X8242 .0002 4F X LC SH CSADTW 000000 00000 045000 503000 F03000 $0.00

PSR: F20355 FSR: 030855 DSR: 049349 CIN: F2DCCW3216A1010000AC

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 Updated Packaging Statement of Work.pdf Sept 2023 4

CUI

Source Selection Information - See Far 2.101 and 3.104

Source Selection Information - See Far 2.101 and 3.104

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See individual lines above See individual lines above