SPRHA1-24-Q-0043 0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

SPRHA124Q00430001

3. EFFECTIVE DATE

3 APR 2024

4. REQUISITION/PURCHASE REQ. NO.

FD20202400043

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 840565820

BUYER: Joseph Hatler/DLA joseph.hatler@us.af.mil Phone: (000

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.

SPRHA124Q0043

9B. DATED (SEE ITEM 11)

8FEB2024

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 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

CUI

Controlled by: DLA Aviation Ogden Controlled By: AU CUI Category: Procurement & Acq.

Di ib i / Di i i C l FED CON15A. 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 7540011528070

PREVIOUS EDITION UNUSABLE

30105 STANDARD FORM 30 (REV. 1083)

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.

SPRHA124Q00430001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

PART I THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 1620010492910 LE

POTENTIOMETER,INPUT

Manufacturer Part Number 81755 16L0701 Associated Document(s) Line Item(s)

FD20202400043 0001

Priority: R

Inspection: Origin Acceptance: Origin 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.)

Foreign Military Sales :FMS Case:BUDSAB Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DBU002 ORIGIN

Type / Ship To PACRN Mark For

* DBU002 PAA DBUE00

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

Required Delivery

* DBU002 1 EA 11 MAY 2025 DBUE5432640026 / PRI: 8

Proposed Delivery

* DBU002 1 EA

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

0002 AB

NSN: 1620010492910 LE

POTENTIOMETER,INPUT

Manufacturer Part Number 81755 16L0701 Associated Document(s) Line Item(s)

FD20202400043 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales :FMS Case:TKDRBB Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTK002 ORIGIN

Type / Ship To PACRN Mark For

* DTK002 PAA DTKE00

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

Required Delivery

* DTK002 5 EA 11 MAY 2025 DTKE5432710090 / PRI: 6

Proposed Delivery

* DTK002 5 EA

TAC: DFMS

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0003 AC

NSN: 1620010492910 LE

POTENTIOMETER,INPUT

Manufacturer Part Number 81755 16L0701 Associated Document(s) Line Item(s)

FD20202400499 0001

Priority: R

Inspection: Origin Acceptance: Origin 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.)

Foreign Military Sales :FMS Case:TWDSAD Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTW004 ORIGIN

Type / Ship To PACRN Mark For

* DTW004 PAB DTW400

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

Required Delivery

* DTW004 2 EA 22 SEP 2026 DTW45440385174 / PRI: 2

Proposed Delivery

* DTW004 2 EA

TAC: DFMS

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DBU002

SUPPLEMENTAL ADDRESS CODE: DA2SAB

FMS CASE CODE/LOA: BUDSAB/056

MAPAC SHIP TO CODE: DBU002

MAPAC MARK FOR: DBUE00

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

AWARD NUMBER:

TYPE/CODE: * DTK002

SUPPLEMENTAL ADDRESS CODE: TA2RBB

FMS CASE CODE/LOA: TKDRBB/001

MAPAC SHIP TO CODE: DTK002

MAPAC MARK FOR: DTKE00

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

AWARD NUMBER:

TYPE/CODE: * DTW004

SUPPLEMENTAL ADDRESS CODE: DA4SAD

FMS CASE CODE/LOA: TWDSAD/045

MAPAC SHIP TO CODE: DTW004

MAPAC MARK FOR: DTW400

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 CSABBU 000000 00000 056000 503000 F03000 $0.00

PSR: A80888 FSR: 083782 DSR: 119426 CIN: F2DCCW3338A1030000AA

AB 9711X8242 0002 4F X LC SH CRBBTK 000000 00000 001000 503000 F03000 $0.00

PSR: F77124 FSR: 101763 DSR: 119448 CIN: F2DCCW3338A1030000AB

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

PSR: I25317 FSR: 030855 DSR: 160411 CIN: F2DCCW4080A1020000AA

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

EDL 04FEB2022

SOW 00SEP2023