SPRTA121Q0489_0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

SPRTA1-21-Q-0489-0001

3. EFFECTIVE DATE

30 NOV 2021

4. REQUISITION/PURCHASE REQ. NO.

FD20302100947 01

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DLA AVIATION AT OKLAHOMA CITY, OK

DLR PROCUREMENT OPERATIONS (AO)

3001 STAFF DRIVE

TINKER AFB OK 73145-3070

BUYER: Jacqueline Henn/DLA-AOAB jacqueline.henn@us.af.mil Phone: (405) 855- 7132

7. ADMINISTERED BY (If other than item 6) CODESPRTA1

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

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

SPRTA121Q0489

9B. DATED (SEE ITEM 11)

7-SEP-2021

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. 14-DEC-2021 3:00 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 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

FMS REQUIREMENT

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.

SPRTA1-21-Q-0489-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to incorporate additional quantity required for this effort.

FIRST: The quantity required for this effort has increased by 1 each and will be incorporated into this solicitation as follows:

FROM: 0001 25 ea 0002 2 ea

TO: 0001 25 ea 0002 2 ea 0003 1 ea

SECOND: The proposal due date will be extended to allow ample time for proposal development with the addition of this quantity. Proposal due date will change as follows:

FROM: 7 Oct 2021 3:00PM CST TO: 14 December 2021 3:00PM CST

THIRD: Clauses and all terms and conditions remain unchanged.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

New Manufactured Material

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

25 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 3110-01-253-3236 OK

BEARING,ROLLER,CYLI

Reduce Friction Steele Composite

Inspection and Acceptance Reports will be processed through Wide Area Work Flow (WAWF) Manufacturer Part Number 38443 R1916E112 Priority: E

Inspection: Origin Acceptance: Origin 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 9001-2008 2008

Foreign Military Sales :FMS Case:SP-D-KEP 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.

* DSP002 ORIGIN

Class I ODS Substance Application/Use Quantity None None None Type / Ship To PACRN Mark For

* DSP002 PAB DSP200

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

Required Delivery

* DSP002 25 EA 13 MAR 2022 DSP25V02680008 / PRI:

Proposed Delivery

* DSP002 25 EA

TAC: DFMS

New Manufactured Material

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0002 AC

NSN: 3110-01-253-3236 OK

BEARING,ROLLER,CYLI

Inspection and Acceptance Reports will be processed through Wide Area Work Flow (WAWF) Manufacturer Part Number 38443 R1916E112 Priority: E

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:ES-D-QBF Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DESC00 ORIGIN

Type / Ship To PACRN Mark For

* DESC00 PAB DESC00

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

Required Delivery

* DESC00 2 EA 13 MAR 2022 DESC9N11790009 / PRI: 6

Proposed Delivery

* DESC00 2 EA

TAC: DFMS

New Manufactured Material

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003 AD

NSN: 3110-01-253-3236 OK

BEARING,ROLLER,CYLI

Inspection and Acceptance Reports will be processed through Wide Area Work Flow (WAWF) Manufacturer Part Number

38443 R1916E112 Associated Document(s) Line Item(s)

FD20302100947 01 0002AA

Priority: E

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:BA-D-QBD Buy American Act/Balance of Payments Program

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) On or Before Req No / Pri

Required Delivery

* DBA003 1 EA 13 MAR 2022 DBAA5412702003 / PRI: 6

Proposed Delivery

* DBA003 1 EA

TAC: DFMS

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DBA003

SUPPLEMENTAL ADDRESS CODE: DA3QBD

FMS CASE CODE/LOA: BA-D-QBD/024

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: * DESC00

SUPPLEMENTAL ADDRESS CODE: DXXQBF

FMS CASE CODE/LOA: ES-D-QBF/007

MAPAC SHIP TO CODE: DESC00

MAPAC MARK FOR:

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

AWARD NUMBER:

TYPE/CODE: * DSP002

SUPPLEMENTAL ADDRESS CODE: DA2KEP

FMS CASE CODE/LOA: SP-D-KEP/001

MAPAC SHIP TO CODE: DSP002

MAPAC MARK FOR: DSP200

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 5W CKEPSP 000000 00000 001000 503000 F03000 $0.00

PSR: 476314 FSR: 067374 DSR: 354977 CIN: F3YTBK1237A0030000AA

AC 9711X8242 0002 4F X LC 5W CQBFES 000000 00000 007000 503000 F03000 $0.00

PSR: 472948 FSR: 065414 DSR: 354980 CIN: F3YTBK1237A0030000AC

AD 9711X8242 0002 4F X LC 5W CQBDBA 000000 00000 024000 503000 F03000 $0.00

PSR: 882139 FSR: 080808 DSR: 218062 CIN: F3YTBK1237A0030000AD

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 AFMC 158 Packaging Requirements

Report

23NOV2021 1

DD FORM 1653 Transportation Data Report

23NOV2021 3