SPRTA1-23-Q-0185-0001.pdf

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

J

2. AMENDMENT/MODIFICATION NO.

SPRTA1-23-Q-0185-0001

3. EFFECTIVE DATE

21 APR 2023

4. REQUISITION/PURCHASE REQ. NO.

FD20302300253 02

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: Deborah K. Teubert/DLA-AOBA deborah.teubert@us.af.mil Phone: (405) 855- 3546 Fax: (405) 734-8129 No Collect Calls

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.

SPRTA123Q0185

9B. DATED (SEE ITEM 11)

7-MAR-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. 31-MAY-2023 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

SEE CONTINUATINO PAGE FOR AMENDMENT DETAILS

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.

SPRTA1-23-Q-0185-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to;

FIRST: Add additional line items for a quantity increase

SECOND: Update NSN and PN IAW Qualified Products List.

THIRD: All other terms and conditions remain in full force and 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

1 EA

CLIN ACRN ACRN Total

0001 AE

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1660-00-122-8101 BO 10C-0001-26 19062

NSN: 1660-00-810-6854 BO

CONVERTER,LIQUID OX

CONVERTS LIQUID OXYGEN TO BREATHING OXYGEN

Manufacturer Part Number 19062 10C-0001-26 Associated Document(s) Line Item(s)

FD20302300253 02 0001

Priority: E

Limitations of Liability: Other Than High Value Item

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 9001-2008 2008

Applicability: None ;

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DGR002 ORIGIN

Type / Ship To PACRN Mark For

* DGR002 PAA DGRQ00

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

Required Delivery

* DGR002 1 EA 1 JUL 2024 DGRQ5V22360047 / PRI:

Proposed Delivery

* DGR002 1 EA

TAC:D283

NEW MANUFACTURED MATERIAL

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0002 AF

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1660-00-122-8101 BO 10C-0001-26 19062

NSN: 1660-00-810-6854 BO

CONVERTER,LIQUID OX

CONVERTS LIQUID OXYGEN TO BREATHING OXYGEN

Manufacturer Part Number 19062 10C-0001-26 Associated Document(s) Line Item(s)

FD20302300253 02 0002

Priority: E

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 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:TK-D-RBA Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* TTK002 ORIGIN

Type / Ship To PACRN Mark For

* TTK002 PAA TTKK00

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

Required Delivery

* TTK002 1 EA 1 JUL 2024 DTKK5422200118 / PRI:

Proposed Delivery

* TTK002 1 EA

TAC: DFMS

NEW MANUFACTURED MATERIAL

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0003 AC

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1660-00-122-8101 BO 10C-0001-26 19062

NSN: 1660-00-810-6854 BO

CONVERTER,LIQUID OX

CONVERTS LIQUID OXYGEN TO BREATHING OXYGEN

Manufacturer Part Number 19062 10C-0001-26 Associated Document(s) Line Item(s)

FD20302300253 02 0003

Priority: E

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 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:SR-D-KDF Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSR004 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

* DSR004 PAA DSRF00

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

Required Delivery

* DSR004 1 EA 1 JUL 2024 DSRF5V22594005 / PRI: 2

Proposed Delivery

* DSR004 1 EA

TAC:DFMS

NEW MANUFACTURED MATERIAL

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

3 EA

CLIN ACRN ACRN Total

0004 AG

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1660-00-122-8101 BO 10C-0001-26 19062

NSN: 1660-00-810-6854 BO

CONVERTER,LIQUID OX

CONVERTS LIQUID OXYGEN TO BREATHING OXYGEN

Manufacturer Part Number 19062 10C-0001-26 Associated Document(s) Line Item(s)

FD20302300253 02 0001

Priority: E

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 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:EG-D-KEO Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DEG005 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

* DEG005 PAA DEGA00

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

Required Delivery

* DEG005 3 EA 1 JUL 2024 DEGA5V23600304 / PRI: 6

Proposed Delivery

* DEG005 3 EA

TAC:DFMS

NEW MANUFACTURED MATERIAL

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

4 EA

CLIN ACRN ACRN Total

0005 AH

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1660-00-122-8101 BO 10C-0001-26 19062

NSN: 1660-00-810-6854 BO

CONVERTER,LIQUID OX

CONVERTS LIQUID OXYGEN TO BREATHING OXYGEN

Manufacturer Part Number 19062 10C-0001-26 Associated Document(s) Line Item(s)

FD20302300253 02 0001

Priority: E

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 9001-2008 2008

Applicability: None ;

Foreign Military Sales :FMS Case:TK-D-RBA Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* TTK002 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

* TTK002 PAA TTKK00

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

Required Delivery

* TTK002 4 EA 1 JUL 2024 DTKK5430600069 / PRI: 3

Proposed Delivery

* TTK002 4 EA

TAC: DFMS

NEW MANUFACTURED MATERIAL

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0006 AE

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1660-00-122-8101 B0 10C-0001-26 19062

NSN: 1660-00-810-6854 BO

CONVERTER,LIQUID OX

CONVERTS LIQUID OXYGEN TO BREATHING OXYGEN

Manufacturer Part Number 19062 10C-0001-26 Associated Document(s) Line Item(s)

FD20302300253 02 0001

Priority: E

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 9001-2008 2008

Applicability: None ;

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DGR002 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

* DGR002 PAA DGRQ00

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

Required Delivery

* DGR002 1 EA 1 JUL 2024 DGRQ5V30524532 / PRI:

Proposed Delivery

* DGR002 1 EA

TAC:D283

NEW MANUFACTURED MATERIAL

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0007 AE

GROUP STOCK NO P/N CAGE

Group 001 Alternate 1660-00-122-8101 B0 10C-0001-26 19062

NSN: 1660-00-810-6854 BO

CONVERTER,LIQUID OX

CONVERTS LIQUID OXYGEN TO BREATHING OXYGEN

Manufacturer Part Number 19062 10C-0001-26 Associated Document(s) Line Item(s)

FD20302300253 02 0001

Priority: E

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 9001-2008 2008

Applicability: None ;

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

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DGR002 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

* DGR002 PAA DGRQ00

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

Required Delivery

* DGR002 2 EA 1 JUL 2024 DGRQ5V30534508 / PRI:

Proposed Delivery

* DGR002 2 EA

TAC:D283

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DEG005

SUPPLEMENTAL ADDRESS CODE: DA5KEO

FMS CASE CODE/LOA: EG-D-KEO/001

MAPAC SHIP TO CODE: DEG005

MAPAC MARK FOR: DEGA00

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

AWARD NUMBER:

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: * DSR004

SUPPLEMENTAL ADDRESS CODE: DA4KDF

FMS CASE CODE/LOA: SR-D-KDF/001

MAPAC SHIP TO CODE: DSR004

MAPAC MARK FOR: DSRF00

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

AWARD NUMBER:

TYPE/CODE: * TTK002

SUPPLEMENTAL ADDRESS CODE: TA2RBA

FMS CASE CODE/LOA: TK-D-RBA/001

MAPAC SHIP TO CODE: TTK002

MAPAC MARK FOR: TTKK00

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

AWARD NUMBER:

PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages 3676881_PKGRQMT_REPORT.pdf Report

07APR2023

3676883_TRNSPDATA_REPORT.pdf Report

07APR2023

007382439.pdf

AAA. NSN 1660-00-810-6854BO. SPI

ATTACHED.

07APR2023

2668255_UIIEC_REPORT.pdf Report

07APR2023