SPRHA424Q0842_______0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

SPRHA4-24-Q-0842-0001

3. EFFECTIVE DATE

23 JUL 2024

4. REQUISITION/PURCHASE REQ. NO.

FD20202400842 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: Travis R Bodily/AUBA travis.bodily@us.af.mil Phone: (385) 519- 8100 Fax: (000) 000-0000 No Collect Calls

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.

SPRHA424Q0842

9B. DATED (SEE ITEM 11)

25-JUN-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. 21-AUG-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 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.

SPRHA4-24-Q-0842-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to add CLIN 0001AA for additional quantity of 2 EA for a PR total quantity of 3 EA, as well as extend the solicitation close date from 25 July 2024 to 21 August 2024.

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: 5998-01-326-8758 WF

CIRCUIT CARD ASSEMBLY

Manufacturer Part Number

0WEC9 16E10154-803

Associated Document(s) Line Item(s)

FD20202400842 01 0001

Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required 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.)

Title Number Date Tailoring

ISO 9001:2000

Applicability: None ;

Foreign Military Sales :FMS Case:MU-D-QAO Buy American Act/Balance of Payments Program 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.

* DMU002 ORIGIN

Type / Ship To PACRN Mark For

* DMU002 PAB DMUD00

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

Required Delivery

* DMU002 1 EA 31 JUL 2026 DMUD5441500002 / PRI: 3

Proposed Delivery

* DMU002 1 EA

TAC DFMS

Item No.

0001AA

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0001AA AB

NSN: 5998-01-326-8758 WF

CIRCUIT CARD ASSEMB

Manufacturer Part Number

0WEC9 16E10154-803

Associated Document(s) Line Item(s)

FD20202400842 01 0001AA

Priority: R

Inspection: Origin Acceptance: Origin Receiving Report Required 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.)

Title Number Date Tailoring

ISO 9001:2000

Foreign Military Sales :FMS Case:RO-D-QAT 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.

* DRO00X ORIGIN

Type / Ship To PACRN Mark For

* DRO00X PAB DROE00

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

Required Delivery

* DRO00X 2 EA 31 JUL 2026 DROP7441775591 / PRI: 3

Proposed Delivery

* DRO00X 2 EA

TAC DFMS

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

Counterfeit Prevention Plan Associated Document(s) Line Item(s)

FD20202400842 01 0002

Priority: R

Inspection: Destination Acceptance: Destination Inspection/Acceptance Report: Receiving Report Required Quality Assurance: IAW 1423 (A001) Type / Ship To PACRN Mark For

B 1423 IAW 1423

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

Required Delivery

B 1423 1 LO *30 Calendar Days

Proposed Delivery

B 1423 1 LO

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: B 1423

IAW DD FORM 1423

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: * DMU002

SUPPLEMENTAL ADDRESS CODE: DA2QAO

FMS CASE CODE/LOA: MU-D-QAO/010

MAPAC SHIP TO CODE: DMU002

MAPAC MARK FOR: DMUD00

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

AWARD NUMBER:

TYPE/CODE: * DRO00X

SUPPLEMENTAL ADDRESS CODE: DXXQAT

FMS CASE CODE/LOA: RO-D-QAT/001

MAPAC SHIP TO CODE: DRO00X

MAPAC MARK FOR:

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 CQAOMU 000000 00000 010000 503000 F03000 $0.00

PSR: 105731 FSR: 039306 DSR: 074225 CIN: F2DCCW4170A1010000AA

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

PSR: 223988 FSR: 031618 DSR: 079481 CIN: F2DCCW4170A1010000AB

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 1423 Counterfeit Prevention Plan

CDRL A001

17JUN2024 3

Engineering Data List 17AUG2023 3

Engineering Data Requirements 21AUG2023 3

Statement of Work SEPT 2023 4