SPRHA424R0967_______0001 CUI.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

SPRHA4-24-R-0967-0001

3. EFFECTIVE DATE

21 MAR 2024

4. REQUISITION/PURCHASE REQ. NO.

FD20202300967

5. PROJECT NO (If applicable)

1270-01-514-2683

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 L 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.

SPRHA424R0967

9B. DATED (SEE ITEM 11)

4-DEC-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. 28-MAR-2024 :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 AMD 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.

Controlled by: DLA Aviation Ogden Controlled By: AUB

CUI Category: Controlled Tech Info Distribution/ Dissemination Control: FED ONLY

POC: michelle.mihu@us.af.mil

CUI

SPRHA4-24-R-0967-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

1. Increase total purchase quantity from 23 each to 36 each.

2. Extend closing date to 3/28/24.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Item No.

NSN: 1270-01-514-2683 WF

MONITOR,HEAD-UP DISPLAY

pilot aft seat heads up display aluminum case Manufacturer Part Number 05464 46431110-30 50218 46431110-30 79986 46431110-30 99789 46431110-30 Associated Document(s) Line Item(s)

FD20202300967 01 0001

FD20202400279 02 0001

FD20202400346 0001

Priority: R Applicability: None ;

Foreign Military Sales :FMS Case:

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

IAW MIL-STD-130

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Bid A - First Article Required Item No.

0001AA

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)

FD20202300967 01 0002

Inspection: Destination Acceptance: Destination Exhibit: AA

Bid A - First Article Required Quality Assurance: IAW DD FORM 1423-1 Foreign Military Sales :FMS Case:

Type / Ship To Quantity (U/I) *ARO Contractor

FAT

_ Req No / Pri

Required Delivery

+ IAW1423 1 LO *30 Calendar Days

Proposed Delivery

+ IAW1423 1 LO

Contractor will submit First Article Test Report (CLIN 0001AA) within 30 days of completing Contractor First Article Testing.

Bid A - First Article Required Item No.

0001AB

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AB AA

FA

First Article

FIRST ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Associated Document(s) Line Item(s)

FD20202300967 01 0001

Limitations of Liability: Other Than High Value Item

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 9001-2015 2008

Foreign Military Sales :FMS Case:SN-D-QAW Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSN009 ORIGIN

Type / Ship To PACRN Mark For

* DSN009 PAB DSNA00

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

Required Delivery

* DSN009 1 EA *120 Calendar Days DSNA543165108 / PRI: 3

Proposed Delivery

* DSN009 1 EA

Contractor will build First Article (CLIN 0001AB) and test it within 120 days ARO contract.

Contractor will submit the First Article Test Report (CLIN 0001AA) within 30 days of completing Contractor First Article Testing.

The Government will have 30 days to approve the First Article Test Report (CLIN 0001AA).

Approval of the First Article Test Report (CLIN 0001AA) will constitute approval of the First Article (CLIN 0001AB).

Upon approval, the contractor will ship the First Article (CLIN 0001AB) concurrently with production articles (CLIN 0001AC) to DSN009.

Bid A - First Article Required Item No.

0001AC

Firm Fixed Price Quantity U/I Unit Price Amount

22 EA

CLIN ACRN ACRN Total

0001AC AA

Production Articles

PRODUCTION ARTICLES - SAME AS BASIC LINE ITEM ABOVE

Associated Document(s) Line Item(s)

FD20202300967 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 9001-2015 2008

Foreign Military Sales :FMS Case:SN-D-QAW Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSN009 ORIGIN

Type / Ship To PACRN Mark For

* DSN009 PAB DSNA00

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

First Article Req No / Pri

Required Delivery

* DSN009 22 EA *90 Calendar Days DSNA5431615108 / PRI: 3

Proposed Delivery

* DSN009 22 EA

Bid A - First Article Required Item No.

0001AD

Bid A - First Article Required Firm Fixed Price Quantity U/I Unit Price Amount

6 EA

Sub CLIN ACRN ACRN Total

000101 AB

Production Articles

PRODUCTION ARTICLES - SAME AS BASIC LINE ITEM ABOVE

Associated Document(s) Line Item(s)

FD20202300967 01 0003

Priority: R

Limitations of Liability: Other Than High Value Item

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 9001-2015 2008

Foreign Military Sales :FMS Case:GR-D-KIX Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DGR002 ORIGIN

Type / Ship To PACRN Mark For

* DGR002 PAB DGRQ00

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

First Article Req No / Pri

Required Delivery

* DGR002 6 EA *90 Calendar Days DGRQ5V31874550 / PRI:

Proposed Delivery

* DGR002 6 EA

Bid A - First Article Required Item No.

0001AE

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

0001AE AC

Production Article

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Associated Document(s) Line Item(s)

FD20202400279 02 0001

Limitations of Liability: Other Than High Value Item

Bid A - First Article Required

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 9001-2015 2008

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DJO00W ORIGIN

Type / Ship To PACRN Mark For

* DJO00W PAB DJO000

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

First Article _ Req No / Pri

Required Delivery

* DJO00W 4 EA *90 Calendar Days DJO02N32897613 / PRI: 3

Proposed Delivery

* DJO00W 4 EA

Bid A - First Article Required Item No.

0001AF

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0001AF AD

Production Article

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Associated Document(s) Line Item(s)

FD20202400346 0001

Limitations of Liability: Other Than High Value Item

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 9001-2015 2015

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 PAB Account 09

Bid A - First Article Required Type / Ship To Quantity (U/I) *ARO Approval of

First Article _ Req No / Pri

Required Delivery

A SW3210 3 EA *90 Calendar Days

Proposed Delivery

A SW3210 3 EA

Bid B - First Article NOT Required Item No.

0001AG

Firm Fixed Price Quantity U/I Unit Price Amount

23 EA

CLIN ACRN ACRN Total

0001AG AA

Production Articles

PRODUCTION ARTICLES - SAME AS BASIC LINE ITEM ABOVE

Associated Document(s) Line Item(s)

FD20202300967 01 0001

Priority: R

Limitations of Liability: Other Than High Value Item

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 9001-2015 2008

Foreign Military Sales :FMS Case:SN-D-QAW Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSN009 ORIGIN

Type / Ship To PACRN Mark For

* DSN009 PAB DSNA00

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

Required Delivery

* DSN009 23 EA 30 SEP 2024 DSNA5431615108 / PRI: 3

Proposed Delivery

* DSN009 23 EA

Bid B - First Article NOT Required Item No.

0001AH

Firm Fixed Price Quantity U/I Unit Price Amount

6 EA

Sub CLIN ACRN ACRN Total

000101 AB

Production Articles

PRODUCTION ARTICLES - SAME AS BASIC LINE ITEM ABOVE

Associated Document(s) Line Item(s)

FD20202300967 01 0003

Priority: R

Limitations of Liability: Other Than High Value Item

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 9001-2015 2008

Foreign Military Sales :FMS Case:GR-D-KIX Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DGR002 ORIGIN

Type / Ship To PACRN Mark For

* DGR002 PAB DGRQ00

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

Required Delivery

* DGR002 6 EA 30 SEP 2024 DGRQ5V31874550 / PRI:

Proposed Delivery

* DGR002 6 EA

Bid B - First Article NOT Required Item No.

0001AJ

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

0001AJ AC

Production Article

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Associated Document(s) Line Item(s)

FD20202400279 02 0001

Limitations of Liability: Other Than High Value Item

Bid B - First Article NOT Required

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 9001-2015 2008

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DJO00W ORIGIN

Type / Ship To PACRN Mark For

* DJO00W PAB DJO000

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

Required Delivery

* DJO00W 4 EA 30 MAY 2025 DJO02N32897613 / PRI: 3

Proposed Delivery

* DJO00W 4 EA

Bid B - First Article NOT Required Item No.

0001AK

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0001AK AD

Production Article

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM ABOVE

Associated Document(s) Line Item(s)

FD20202400346 0001

Limitations of Liability: Other Than High Value Item

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 9001-2015 2015

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3210 ORIGIN

Type / Ship To PACRN Mark For A SW3210 PAB Account 09 Type / Ship To Quantity (U/I) On or Before Req No / Pri

Bid B - First Article NOT Required Required Delivery

A SW3210 3 EA 31 JAN 2025

Proposed Delivery

A SW3210 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: A SW3210

DLA DISTRIBUTION DEPOT HILL

7537 WARDLEIGH RD BLDG 849W

CML 385 519 8898

HILL AFB UT 84056-5734

HILL AFB UT 84056-5734 49 84056-5734

USA

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: * DGR002

SUPPLEMENTAL ADDRESS CODE: DA2KIX

FMS CASE CODE/LOA: GR-D-KIX/001

MAPAC SHIP TO CODE: DGR002

MAPAC MARK FOR: DGRQ00

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

AWARD NUMBER:

TYPE/CODE: * DJO00W

SUPPLEMENTAL ADDRESS CODE: DAWSAC

FMS CASE CODE/LOA: JO-D-SAC/055

MAPAC SHIP TO CODE: DJO00W

MAPAC MARK FOR: DJO000

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

AWARD NUMBER:

TYPE/CODE: * DSN009

SUPPLEMENTAL ADDRESS CODE: DA9QAW

FMS CASE CODE/LOA: SN-D-QAW/058

MAPAC SHIP TO CODE: DSN009

MAPAC MARK FOR: DSNA00

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 CQAWSN 000000 00000 058000 503000 F03000 $0.00

PSR: 364242 FSR: 044311 DSR: 080482 CIN: F2DCCW3289A1020000AA

AB 9711X8242 .0002 4F X LC SH 0KIXGR 000000 00000 001000 503000 F03000 $0.00

PSR: 041199 FSR: 038303 DSR: 080817 CIN: F2DCCW3289A1020000AB

AC 9711X8242 .0002 4F X LC SH CSACJO 000000 00000 055000 503000 F03000 $0.00

PSR: C94601 FSR: 104314 DSR: 093387 CIN: F2DCCW4008A1010000AA

AD 97 X4930 .FC04 64 4 47 GH 15F16Z 01N000 00000 EERRCT 503000 F03000 $0.00

PSR: K34453 FSR: 001679 DSR: 050326 CIN: F2DCCW4003A1030000AA

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

TAI ATAC FMS ALLOTMENT

TAA DFMS 9711X8242.0002 4FX LCSH CQAWSN 000000 00000

TAB DFMS 9711X8242.0002 4FX LCSH 0KIXGR 000000 00000

TAC DFMS 9711X8242.0002 4FX LCSH CSACJO 000000 00000

TAD FRS3