SPRHA519Q0424_______0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

SPRHA5-19-Q-0424-0001

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD20201900424 01

5. PROJECT NO (If applicable)

6020015736544

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 Goff/DLA michelle.goff.1@us.af.mil Phone: (385) 519- 8013 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODESPRHA5

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

SPRHA519Q0424

9B. DATED (SEE ITEM 11)

15-JAN-2019

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

THE PURPOSE OF THIS AMENDMENT IS TO ADD QTY 2 TO SHIP TO DIS002. CLOSING DATE REMAINS 5 MAR 2019.

COUNTERFEIT PREVENTION DOES APPLY.

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.

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

THE PURPOSE OF THIS AMENDMENT IS TO ADD QTY 2 TO SHIP TO DIS002.

CLOSING DATE REMAINS 5 MAR 2019.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Item No.

NSN: 5998-01-176-5358 QX

ELECTRONIC COMPONENT

Manufacturer Part Number 1D8S5 7344944G1 26269 7344944G1 Priority: R Foreign Military Sales Buy American Act/Balance of Payments Program

First Article Test Plan

Bid A - First Article Required Item No.

0001AA

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

FATP

FIRST ARTICLE TEST PLAN

Priority: R

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

C FY2073 IAW DD 1423 (A001)

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

Required Delivery

C FY2073 1 LO *60 Calendar Days

Proposed Delivery

C FY2073 1 LO

Contractor will coordinate submission with contract administrator.

First Article Test Report

Bid A - First Article Required Item No.

0001AB

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

FATR

FIRST ARTICLE TEST REPORT

Priority: R

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

C FY2073 IAW AFMC IMT 260

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

Required Delivery

C FY2073 1 LO *180 Calendar Days

Proposed Delivery

C FY2073 1 LO

First Article

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

NSN: 5998-01-176-5358 QX

FIRST ARTICLE - SAME AS BASIC LINE ITEM

Manufacturer Part Number 1D8S5 7344944G1 26269 7344944G1 Priority: R

Inspection: Origin Acceptance: Destination Quality Assurance: Standard Inspection Foreign Military Sales 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.

+ FY2021 ORIGIN

Type / Ship To PACRN Mark For

+ FY2021 PAA FIRST ARTCILE TEST - DO NOT POST

First Article

Bid A - First Article Required Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

+ FY2021 1 EA 21 JUN 2019 DBRH5482750002 / PRI:

Proposed Delivery

+ FY2021 1 EA

Delivery is 180 days after award or 30 days after the approval of Test Plan (0001AA), whichever is later.

First Article testing is not permitted until the First Article Test Plan (0001AA) has been approved.

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

Upon approval of 0001AB, the First Article will be shipped to FY2021 by the contractor.

Although the Ship To for this line item is FY2021, for WAWF purposes only, the contractor will use Ship To BFB2029 when completing the receiving report.

Container and shipping vouchers shall be conspicuously marked as follows, with large red lettering:

FIRST ARTICLE, DO NOT PLACE IN AIR FORCE SUPPLY.

Approved First Article will be returned to the contractor (at contractor's expense) for shipment to

DBRH00.

Production Article

Bid A - First Article Required Item No.

0001AD

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0001AD AA

NSN: 5998-01-176-5358 QX

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM

Manufacturer Part Number 1D8S5 7344944G1 26269 7344944G1 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Production Article

Bid A - First Article Required

IAW MIL-STD-130

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DBR005 ORIGIN

Type / Ship To PACRN Mark For

* DBR005 PAB DBRH00

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

Required Delivery

* DBR005 1 EA 21 FEB 2021 DBRH5482750002 / PRI: 14

Proposed Delivery

* DBR005 1 EA

Production Article

Bid A - First Article Required Item No.

0001AE

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

Sub CLIN ACRN ACRN Total

000102 AB

NSN: 5998-01-176-5358 QX

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM

Manufacturer Part Number 1D8S5 7344944G1 26269 7344944G1 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales 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.

* DIS002 ORIGIN

Type / Ship To PACRN Mark For

* DIS002 PAC DBRH00

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

Required Delivery

Production Article

Bid A - First Article Required

* DIS002 2 EA 21 FEB 2021 DBRH5482750002 / PRI: 14

Proposed Delivery

* DIS002 2 EA

Production Article

Bid B - First Article NOT Required Item No.

0001AF

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0001AF AA

NSN: 5998-01-176-5358 QX

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM

Manufacturer Part Number 1D8S5 7344944G1 26269 7344944G1 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales 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.

* DBR005 ORIGIN

Type / Ship To PACRN Mark For

* DBR005 PAB DBRH00

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

Required Delivery

* DBR005 2 EA 21 FEB 2021 DBRH5482750002 / PRI: 14

Proposed

* DBR005 2 EA

Production Article

Bid B - First Article NOT Required Item No.

0001AG

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0001AG AB

NSN: 5998-01-176-5358 QX

PRODUCTION ARTICLE - SAME AS BASIC LINE ITEM

Manufacturer Part Number 1D8S5 7344944G1 26269 7344944G1 Priority: R

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales 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.

* DIS002 ORIGIN

Type / Ship To PACRN Mark For

* DIS002 PAC DBRH00

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

Required Delivery

* DIS002 2 EA 21 FEB 2021 DBRH5482750002 / PRI: 14

Proposed Delivery

* DIS002 2 EA

Counterfeit Prevention Plan

Item No.

Not Separately Priced Quantity U/I Unit Price

1 LO NSP

CLIN ACRN ACRN Total

0002 AA

Counterfeit Prevention Plan

FMS COUNTRY COUNTERFEIT PREVENTION APPLIES IAW DD FORM 1423-1

Priority: R

Counterfeit Prevention Plan

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

C FY2073 IAW DD 1423-1 (A003)

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

COUNTERFEIT

PREVENTION PLAN NLT

30 DAYS FROM

CONTRACT AWARD.

Req No / Pri

Required Delivery

C FY2073 1 LO *30 Calendar Days

Proposed

C FY2073 1 LO

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: + CNOTE

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

AWARD NUMBER:

TYPE/CODE: + FY2021

AN/FPS-117 EFAC

6115 E Perimeter Rd Bldg 10758 Hill AFB UT 84056-5125

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

AWARD NUMBER:

TYPE/CODE: A FB2029

OO ALC DDHU CNTRL RCV

CP 385 519 8898

5851 F AVE BLDG 849W

HILL AFB UT 84056-5713

HILL AFB UT 84056-5713 49 84056-5713

USA

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

AWARD NUMBER:

TYPE/CODE: C FY2073

415 SCMS GUMA

6012 FIR AVE BLDG 1239 ROOM2

HILL AIR FORCE BASE UT 84056-5820

UNITED STATES

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

AWARD NUMBER:

IAW AFMC FORM 260

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DBR005

SUPPLEMENTAL ADDRESS CODE: DA5QNC

FMS CASE CODE/LOA: BR-D-QNC/007

MAPAC SHIP TO CODE: DBR005

MAPAC MARK FOR: DBRH00

REQUISITION NUMBER: (See Individual Line Item)

REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER:

TYPE/CODE: * DIS002

SUPPLEMENTAL ADDRESS CODE: DA2RBP

FMS CASE CODE/LOA: IS-D-RBP/001

MAPAC SHIP TO CODE: DIS002

MAPAC MARK FOR: DISA00

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 CQNCBR 000000 00000 007000 503000 F03000 $0.00

PSR: H80101 FSR: 080843 DSR: 007852

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

PSR: 050288 FSR: 011714 DSR: 214341 CIN: F2DCCW8330B102

ACRN TOTAL $ 0.00