SPRHA421Q1338_______0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

SPRHA4-21-Q-1338-0001

3. EFFECTIVE DATE

10 MAY 2021

4. REQUISITION/PURCHASE REQ. NO.

FD20202001338 01

5. PROJECT NO (If applicable)

6680-01-039-7817

6. ISSUED BY CODE

DLA AVIATION - OGDEN, DLR PROCUREMENT OPS/AUB

6051 GUM LANE BLDG 1225

HILL AIR FORCE BASE UT 84056-5820

BUYER: Michelle Mihu/DLA michelle.mihu@us.af.mil Phone: (385) 519- 8013

7. ADMINISTERED BY (If other than item 6) CODESPRHA4

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

SPRHA421Q1338

9B. DATED (SEE ITEM 11)

4-DEC-2020

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. 24-MAY-2021 :00

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

PURPOSE OF AMENDMENT 0001:

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.

SPRHA4-21-Q-1338-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

1. Increase total order quantity from 2 each to 5 each.

2. Extend closing date to 5/24/21.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Item No.

NSN: 6680-01-039-7817 WF

ACCELEROMETER ASSEMBLY

Provides quadruple-redundant sensing of the F16 acceleration forces along the lateral and normal axis.

Composed of a cast aluminum chassis, cover, 8 identical linear force-ballanced accelerometers, 4 external electrical connectors and 4 harnesses.

Manufacturer Part Number 55097 16C0715-3 81755 16C0715-3 Priority: R Applicability: None ;

Foreign Military Sales :FMS Case:

IUID Required: Yes Physical Item Markings:

IAW MIL-STD-130

Bid A - First Article Required Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AA AA

First Article

FIRST ARTICLE

Associated Document(s) Line Item(s)

FD20202001338 01 0001

Limitations of Liability: Other Than High Value Item

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection

Bid A - First Article Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

B FB2029 DESTINATION

Type / Ship To PACRN Mark For

B FB2029 PAA FIRST ARTICLE - DO NOT POST IN AF SUPPLY

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

Required Delivery

B FB2029 1 EA *270 Calendar Days

Proposed Delivery

B FB2029 1 EA

First Article (0001AA) will first be shipped to BFB2029 for Government First Article Testing.

Upon approval, First Article (0001AA) will be returned to contractor, at contractor's expense, for concurrent shipment with production article (0001AC) to DBA003.

Bid A - First Article Required Item No.

0001AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

First Article Test Report

FIRST ARTICLE TEST REPORT

TEST REPORT IAW DD 1423-1 ATTACHED HERETO

Associated Document(s) Line Item(s)

FD20202001338 01 0002

Inspection: Destination Acceptance: Destination Exhibit: AA Quality Assurance: IAW DD1423-1 Type / Ship To Quantity (U/I) *ARO Contract _ Req No / Pri

Required Delivery

+ IAW1423 1 LO *270 Calendar Days

Proposed Delivery

+ IAW1423 1 LO

First Article Test Report shall be emailed to eric.simpkinson.1@us.af.mil, IAW DD 1423-1

Bid A - First Article Required Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AC AA

Production Article

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Associated Document(s) Line Item(s)

FD20202001338 01 0001

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:BA-D-SAB

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DBA003 ORIGIN

Type / Ship To PACRN Mark For

* DBA003 PAA DBAA00

Type / Ship To Quantity (U/I) *ARO Approval of

First Article _ Req No / Pri

Required Delivery

* DBA003 1 EA *135 Calendar Days DBAA5402595219 / PRI: 5

Proposed Delivery

* DBA003 1 EA

Upon approval, First Article (0001AA) will be returned to contractor, at contractor's expense, for concurrent shipment with production article (0001AC) to DBA003.

Bid A - First Article Required Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0001AD AB

Production Article

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Associated Document(s) Line Item(s)

FD20202001338 01 0001AA

Bid A - First Article Required 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:TW-D-KDT

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTW004 ORIGIN

Type / Ship To PACRN Mark For

* DTW004 PAA DTW400

Type / Ship To Quantity (U/I) *ARO Approval of

First Article Req No / Pri

Required Delivery

* DTW004 3 EA *135 Calendar Days DTW45V10113091 / PRI: 5

Proposed Delivery

* DTW004 3 EA

Bid B - First Article NOT Required Item No.

0001AE

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0001AE AA

Production Article

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Associated Document(s) Line Item(s)

FD20202001338 01 0001

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:BA-D-SAB

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DBA003 ORIGIN

Bid B - First Article NOT Required Type / Ship To PACRN Mark For

* DBA003 PAA DBAA00

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

Required Delivery

* DBA003 2 EA 26 DEC 2022 DBAA5402595219 / PRI: 5

Proposed Delivery

* DBA003 2 EA

Bid B - First Article NOT Required Item No.

0001AF

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0001AF AB

Production Article

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Associated Document(s) Line Item(s)

FD20202001338 01 0001AA

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:TW-D-KDT

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTW004 ORIGIN

Type / Ship To PACRN Mark For

* DTW004 PAA DTW400

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

Required Delivery

* DTW004 3 EA 26 MAY 2023 DTW45V10113091 / PRI: 5

Proposed Delivery

* DTW004 3 EA

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + IAW1423

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

AWARD NUMBER:

TYPE/CODE: B FB2029

809 MXSS/MXDEB

BLDG 849 ATTN: NON-ACCOUNTABLE BAY

(DEAR JOHN BAY)

TRANSPORTATION OFFICE

HILL AIR FORCE BASE UT 84056-5713

UNITED STATES

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

AWARD NUMBER:

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DBA003

SUPPLEMENTAL ADDRESS CODE: DA3SAB

FMS CASE CODE/LOA: BA-D-SAB/028

MAPAC SHIP TO CODE: DBA003

MAPAC MARK FOR: DBAA00

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

AWARD NUMBER:

TYPE/CODE: * DTW004

SUPPLEMENTAL ADDRESS CODE: DA4KDT

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

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

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 9711X8242 .0002 4F X LC SH CSABBA 000000 00000 028000 503000 F03000 $0.00

PSR: H02880 FSR: 085516 DSR: 263189 CIN: F2DCCW0293A1010000AA

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

PSR: 341128 FSR: 059798 DSR: 306759 CIN: F2DCCW0293A1010000AB

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 Engineering Data List

Rev 16

01MAR2018 3

N/A Engineering Data Requirements 28JUN2018 1

N/A Statement of Work 01JUN2020 4

DD 1423-1 CDRL First Article Test Report 01OCT2020 3

N/A Manufacturer's Qualification Requirements 01OCT2020 3