SPRHA124R0472_______0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

SPRHA1-24-R-0472-0001

3. EFFECTIVE DATE

20 JUN 2024

4. REQUISITION/PURCHASE REQ. NO.

FD20202400820

5. PROJECT NO (If applicable)

2910-01-135-5681 RP

6. ISSUED BY CODE

DLA AVIATION - OGDEN, DLR PROCUREMENT OPS/AUB

6051 GUM LANE BLDG 1225

HILL AIR FORCE BASE UT 84056-5820

BUYER: Kitty Lam/DLA kitty.lam@us.af.mil Phone: (385) 519- 8181 Fax: (000) 000-0000 No Collect Calls

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.

SPRHA124R0472

9B. DATED (SEE ITEM 11)

30-MAY-2024

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. 10-JUL-2024 2:00 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 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.

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.

SPRHA1-24-R-0472-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of the amendment is to:

1. Add CLIN 0002 and CLIN 0003

2. Correct the NAICS Code from 336413 to 336310.

SUPPLIES OR SERVICES AND PRICES/COSTS

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

5 EA

CLIN ACRN ACRN Total

0002 AB

NSN: 2910-01-135-5681 RP

FUEL CONTROL,STARTI

Furnish metered fuel to the JFS on the F-16 aircraft.

Steel, aluminium, rubber, phenalic,plastic, paper, etc Manufacturer Part Number 55820 160034-400 99167 5901030C Associated Document(s) Line Item(s)

FD20202400820 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Applicability: None ;

Foreign Military Sales :FMS Case:PK-D-QCX Trade Agreement Act IUID Required: Yes Physical Item Markings:

IAW MIL-STD-130

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DPK002 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

* DPK002 PAA DPKG00

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

Required Delivery

* DPK002 5 EA 26 APR 2026 DPKG5441485253 / PRI: 2

Proposed Delivery

* DPK002 5 EA

TAC DFMS.

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003 AB

NSN: 2910-01-135-5681 RP

FUEL CONTROL,STARTI

Furnish metered fuel to the JFS on the F-16 aircraft.

Steel, aluminium, rubber, phenalic,plastic, paper, etc Manufacturer Part Number 55820 160034-400 99167 5901030C Associated Document(s) Line Item(s)

FD20202400820 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 Applicability: None ;

Foreign Military Sales :FMS Case:PK-D-QCX Trade Agreement Act IUID Required: Yes Physical Item Markings:

IAW MIL-STD-130

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DPK002 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

* DPK002 PAA DPKG00

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

Required Delivery

* DPK002 1 EA 26 APR 2026 DPKA5441575169 / PRI: 2

Proposed Delivery

* DPK002 1 EA

TAC DFMS.

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DPK002

SUPPLEMENTAL ADDRESS CODE: DA2QCX

FMS CASE CODE/LOA: PK-D-QCX/016

MAPAC SHIP TO CODE: DPK002

MAPAC MARK FOR: DPKG00

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

AWARD NUMBER:

ADDENDUM TO CLAUSE 52.212-4

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AB 9711X8242 .0002 4F X LC SH CQCXPK 000000 00000 016000 503000 F03000 $0.00

PSR: 140326 FSR: 026306 DSR: 019720 CIN: F2DCCW4169A1020000AB

ACRN TOTAL $ 0.00

TRANSPORTATION APPROPRIATION CHARGEABLE

The Transportation Allotment Identification (TAI) relates directly to the above ACRN(s). For example the TAI "TAA" is for the same line item(s) as ACRN "AA".

FMS TRANSPORTATION ALLOTMENT SHALL BE USED ONLY WHEN SHIPMENT ON GOVERNMENT

BILL OF LADING IS AUTHORIZED

Insert 3 if movement via surface mode or 2 if movement via airlift in place of any "#" shown.

Insert last digit of current fiscal year in place of any asterisk "*" shown when material is shipped.

TAI ATAC FMS ALLOTMENT / NOTE

TAB DFMS 97-11X8242.L009 8401 PKDQCX S843000