W56HZV20R0053-0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. Contract ID Code Page Of

2. Amendment/Modification No.

3. Effective Date

4. Requisition/Purchase Req No.

5. Project No. (If applicable)

6. Issued By Code 7. Administered By (If other than Item 6) Code

8. Name And Address Of Contractor (No., Street, City, County, State and Zip Code)

9A. Amendment Of Solicitation No.

9B. Dated (See Item 11)

10A. Modification Of Contract/Order No.

10B. Dated (See Item 13) Code Facility Code

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 amendments: (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 ITEM ONLY APPLIES TO MODIFICATIONS OF CONTRACTS/ORDERS

It Modifies The Contract/Order No. As Described In Item 14.

A. This Change Order is Issued Pursuant To: 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 data, etc.) Set

Forth In Item 14, Pursuant To The 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.)

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.

15A. Name And Title Of Signer (Type or print)

16A. Name And Title Of Contracting Officer (Type or print)

15B. Contractor/Offeror 15C. Date Signed 16B. United States Of America 16C. Date Signed

By (Signature of person authorized to sign) (Signature of Contracting Officer)

NSN 7540-01-152-8070

PREVIOUS EDITIONS UNUSABLE

30-105-02 STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

SEE SCHEDULE

X

Firm Fixed Price

0001 2020JAN21

W56HZV

ACC-DTA

6501 E. 11 MILE RD.

DETROIT ARSENAL, MI 48397-5000

THOMAS JOHNSON

EMAIL: THOMAS.J.JOHNSON443.CIV@MAIL.MIL

W56HZV-20-R-0053

2020JAN17

X

X

/SIGNED/

2 signed

SEE SECOND PAGE FOR DESCRIPTION

1 7

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION A - SUPPLEMENTAL INFORMATION

Buyer Name: THOMAS JOHNSON

Buyer Office Symbol/Telephone Number: CCTA-APS-B/(586)282-4457

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

Weapon System: Carrier, Personnel Full Tracked

*** End of Narrative A0000 ***

AMENDMENT 0001

The purpose of Amendment 0001 on Solicitation W56HZV-20-R-0053 is to:

(i) Include narratives regarding the First Article Test Report and Phospate Coating requirement in CLIN 0001AB.

(ii) Add the following CLIN and ELINs:

A001

A002

A003

A004

A005

(iii) Attach the Contract Data Requirement List (CDRL) to Exhibit A.

(iv) Attach a First Article Test Waiver Request Form.

All other terms and conditions remain unchanged and in full force and effect.

*** END OF NARRATIVE A0003 ***

2 7

W56HZV-20-R-0053

PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS

0001AB FIRST ARTICLE TEST REPORT 1 EA $ ** NSP ** $ ** NSP ** _________________________ ______________ __________________

COMMODITY NAME: FIRST ARTICLE TEST REPORT

CLIN CONTRACT TYPE:

Firm Fixed Price

FIRST ARTICLE TEST AND REPORT PURSUANT TO THE

REQUIREMENTS OF THE CLAUSE ENTITLED "FIRST

ARTICLE APPROVAL - CONTRACTOR TESTING."

NOTE: PLEASE SEE PROVISIONS CONCERNING

POSSIBLE WAIVER OF FIRST ARTICLE

APPROVAL AND RELATED EVALUATION FACTORS

CONTAINED WITHIN THIS SOLICITATION.

THE PRICE FOR THE FIRST ARTICLE TESTING IN THE

TOTAL AMOUNT OF $_______ IS INCLUDED IN THE

TOTAL AMOUNT FOR CLIN 0001AA.

(End of narrative B001)

Phosphate Coating Test Procedure is required for this procurement.

Please refer to item C.6 in Narrative C0001 (Notice of Light Phosphate Coating Requirement) and Exhibit

A004 (Test Procedure - Phosphate Coating) in Section

J for additional information.

(End of narrative C001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Government Approval/Disapproval Days: 30

0003 CONTRACT REQUIREMENT DATA LIST (CDRL) _____________________________________

THE CONTRACTOR SHALL PREPARE AND DELIVER THE DATA IN

ACCORDANCE WITH THE REQUIREMENTS, QUANTITIES, AND

SCHEDULES SET FORTH IN THE CONTRACT DATA REQUIREMENTS

LIST (DD FORM 1423), SECTION J, EXHIBITS, AS

REQUIRED.

(End of narrative A001)

3 7

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

A001 ENGINEERING CHANGE PROPOSAL 1 EA $ ** NSP ** $ ** NSP ** ___________________________ ______________ __________________

COMMODITY NAME: ENGINEERING CHANGE PROPOSAL

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Destination

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

001 3

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 1 SEE DD FORM 1423

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

A002 REQUEST FOR VARIANCE 1 EA $ ** NSP ** $ ** NSP ** ____________________ ______________ __________________

COMMODITY NAME: REQUEST FOR VARIANCE

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Destination

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

001 3

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 1 SEE DD FORM 1423

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

A003 NOTICE OF REVISION 1 EA $ ** NSP ** $ ** NSP ** __________________ ______________ __________________

4 7

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

COMMODITY NAME: NOTICE OF REVISION

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Destination

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

001 3

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 1 SEE DD FORM 1423

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

A004 TEST PROCEDURE-PHOSPHATE COATING 1 EA $ ** NSP ** $ ** NSP ** ________________________________ ______________ __________________

COMMODITY NAME: PRE-PRODUCTION PROCEDURE

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Destination

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

001 3

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 1 0060

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

A005 FIRST ARTICLE TEST REPORT (FATR) CONTRACTOR ___________________________________________

FACILITY 1 EA $ ** NSP ** $ ** NSP ** ________ ______________ __________________

COMMODITY NAME: TEST/INSPECTION REPORT

5 7

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Destination

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

001 3

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 1 SEE DD FORM 1423

FOB POINT: Destination

SHIP TO:

(Y00003) SEE NARRATIVE ON DD 1423

6 7

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION J - LIST OF ATTACHMENTS

List of Number List of Number

Addenda Title Date of Pages Transmitted By Addenda Title Date of Pages Transmitted By________________ ____________________________________________________________ _______________ ____________ _______________________________ ____________________________________________________________ _______________ ____________ _______________

Exhibit A CONTRACT DATA REQUIREMENTS LIST (CDRL) 06-JUN-2019 003 DATA

Attachment 0001 FIRST ARTICLE TEST WAIVER REQUEST FORM EMAIL

7 7

MOD/AMD

ATT/EXH ID

PAGE

Exhibit A

CONTRACT DATA REQUIREMENTS LIST

DD FORM 1423 (MECHANIZED)

CATEGORY: MISC

SYSTEM/ITEM: TURRET CONTROL BOX, ASSEMBLY (2A3)

TO CONTRACT/PR: EH9C1103EH

NSN: 1005-01-521-7960

1. \*.SEQUENCE NUMBER

2. TITLE OF DATA ITEM

3. SUBTITLE

4. DATA ITEM NUMBER

5. CONTRACT REFERENCE

6. TECHNICAL OFFICE

7. DD 250

8. APP CODE

9. DIST STATEMENT REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF 1ST SUBMISSION

13. DATE OF SUBSEQUENT SUBMISSION

14. DRFT/REG/REPRO/DISTRIBUTION/COPIES

15. TOTAL

16. REMARKS

1. A001

2. ENGINEERING CHANGE PROPOSAL (ECP)

3. N/A

4. DI-SESS-80639

5. SECTION C

6. RDAR-EIS-PD

7. LT

8. N/A

9. SEE BLOCK 16

10. ASREQ

11. N/A

12. ASREQ

13. ASREQ

14. SEE BLOCK 16

15. TOTAL 0 / 2 / 0

16. REMARKS

DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (e.g., MICROSOFT OFFICE OR

PORTABLE DOCUMENT FORMAT (pdf)). *DISTRIBUTION STATEMENT WILL BE ASSIGNED

AND IMPLEMENTED BY THE DOD CONFIGURATION MANAGER. **SUBMIT ELECTRONICALLY TO

"mailto:usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil" AND TO THE GOVERNMENT_____________________________________________________________

CONTRACT SPECIALIST. ELECTRONIC FILES SHALL BE LESS THAN 7MB. THE PREFERRED

METHOD IS THE DD FORM 1692 WHICH IS LOCATED AT

http://www.dtic.mil/whs/directives/infomgt/forms/ . CONTRACTOR FORMAT

ALTERNATIVE TO THE DD FORM IS ACCEPTABLE PROVIDED THE NECESSARY DATA

ELEMENTS ARE PROVIDED.

1. A002

2. REQUEST FOR VARIANCE (RFV)

3. N/A

4. DI-SESS-80640

5. SECTION C

6. RDAR-EIS-PD

7. LT

8. N/A

9. SEE BLOCK 16

10. ASREQ

11. N/A

12. ASREQ

13. ASREQ

14. SEE BLOCK 16

ATT/EXH ID

PAGE

Exhibit A

15. TOTAL 0 / 2 / 0

16. REMARKS

DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (e.g., MICROSOFT OFFICE OR

PORTABLE DOCUMENT FORMAT (pdf)). *DISTRIBUTION STATEMENT WILL BE ASSIGNED

AND IMPLEMENTED BY THE DOD CONFIGURATION MANAGER. **SUBMIT ELECTRONICALLY TO

"mailto:usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil" AND TO THE GOVERNMENT_____________________________________________________________

CONTRACT SPECIALIST. ELECTRONIC FILES SHALL BE LESS THAN 7MB. THE PREFERRED

METHOD IS THE DD FORM 1692 WHICH IS LOCATED AT

http://www.dtic.mil/whs/directives/infomgt/forms/ . CONTRACTOR FORMAT

ALTERNATIVE TO THE DD FORM IS ACCEPTABLE PROVIDED THE NECESSARY DATA

ELEMENTS ARE PROVIDED.

1. A003

2. NOTICE OF REVISION (NOR)

3. N/A

4. DI-SESS-80642

5. SECTION C

6. RDAR-EIS-PD

7. LT

8. N/A

9. SEE BLOCK 16

10. ASREQ

11. N/A

12. ASREQ

13. ASREQ

14. SEE BLOCK 16

15. TOTAL 0 / 2 / 0

16. REMARKS

DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (e.g., MICROSOFT OFFICE OR

PORTABLE DOCUMENT FORMAT (pdf)). *DISTRIBUTION STATEMENT WILL BE ASSIGNED

AND IMPLEMENTED BY THE DOD CONFIGURATION MANAGER. **SUBMIT ELECTRONICALLY TO

"mailto:usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil" AND TO THE GOVERNMENT_____________________________________________________________

CONTRACT SPECIALIST. ELECTRONIC FILES SHALL BE LESS THAN 7MB. THE PREFERRED

METHOD IS THE DD FORM 1692 WHICH IS LOCATED AT

http://www.dtic.mil/whs/directives/infomgt/forms/ . CONTRACTOR FORMAT

ALTERNATIVE TO THE DD FORM IS ACCEPTABLE PROVIDED THE NECESSARY DATA

ELEMENTS ARE PROVIDED.

1. A004

2. TEST PROCEDURE-PHOSPHATE COATING

3. PRE-PRODUCTION PROCEDURE

4. DI-NDTI-80603

5. TT-C-490, TYPE 1, PARAS 3.2.1, 3.2.2

6. RDAR-MEE-W(R)

7. XX

8. A

9. N/A

10. ONE/R

11. N/A

12. 60DAC

13. N/A

14. THRU CONTRACTING OFFICER 0 / 1 / 0

15. TOTAL 0 / 1 / 0

16. REMARKS

SUBMIT ELECTRONICALLY TO THE GOVERNMENT CONTRACT SPECIALIST.

BLOCK 8 CONT. - PRIOR TO PRODUCTION, APPROVAL THRU THE CONTRACTING

OFFICER IS REQUIRED W/IN 90 DAYS AFTER CONTRACT AWARD. CONTRACTING

OFFICER WILL ROUTE INTERNALLY TO THE APPROVING OFFICE (FCDD-ACE-QP).

CONTRACTING OFFICER SHALL PROVIDE PROCEDURE AND TEST REVIEW

RESPONSE BACK TO CONTRACTOR. COATED PANELS PER PARA 3.2.2 SHALL INCLUDE

THREE WITH PHOSPHATE ONLY, THREE WITH PHOSPHATE AND PRIMER, AND THREE

WITH PHOSPHATE, PRIMER AND TOP COAT. THE PANELS SHALL BE MAILED TO THE

FOLLOWING ADDRESS:

ATT/EXH ID

PAGE

Exhibit A

Combat Capabilities Development Command Armaments Center

Attn: FCDD-ACE-QP/Mark Godlewski

1 Rock Island Arsenal

Bldg. 62 2nd Floor, NW Wing

Rock Island, IL 61299-7300

A DD FORM 250 IS NOT REQUIRED FOR PHOSPHATE COATING PROCEDURE APPROVAL. CONTRACTOR FORMAT ACCEPTABLE.

1. A005

2. TEST/INSPECTION REPORT

3. FIRST ARTICLE TEST REPORT (FATR)CONTRACTOR FACILITY

4. DI-NDTI-80809

5. SECTION E

6. RDAR-EIQ-P

7. XX

8. A*

9.

10. ASREQ

11. N/A

12. ASREQ

13. ASREQ

14. THRU QAR 0 / 1 / 0 PCO 0 /1 / 0 RDAR-EIQ-P O / 1 / 0

15. TOTAL 0 / 3 / 0

16. REMARKS

REQUIRED BY THE AUTHORITY IN BOX 4, PARA 10.2 AND ITS SUBPARAGRAPHS.

CONTRACTOR FORMAT IS ACCEPTABLE.

BOX 5: CONTRACT REFERENCE. THE CONTRACTOR SHALL PROVIDE TO THE PROCURING

CONTRACTING OFFICER, QAR, AND RDAR-EIQ-P AT LEAST 15 CALENDAR DAYS ADVANCE

NOTICE (IN WRITING) OF THE SCHEDULED DATE, TIME AND LOCATION OF START OF

FAT, SO THAT THE GOVERNMENT MAY WITNESS THE TESTS. THE GOVERNMENT WILL

REVIEW THE FATR AND PROVIDE FEEDBACK TO THE CONTRACTOR WITHIN 30 DAYS OF

RECEIPT OF FATR.

BLOCK 13: SUBSEQUENT SUBMISSION ONLY IF INITIAL FAT FAILS.

BLOCK 16: FATR MAY BE SUBMITTED ELECTRONICALLY THROUGH THE QAR, CONTRACTING

OFFICER, AND QUALITY ASSURANCE. QUALITY ASSURANCE ELECTRONIC SUBMISSION:

USARMY.RIA.ARDEC.MBX.RDAR-QEP2@MAIL.MIL ---------------------------

DATE: 6 June 2019