W58RGZ16R0293-0001.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 2018JAN03

W58RGZ

ARMY CONTRACTING COMMAND-REDSTONE

REDSTONE ARSENAL AL 35898-5280

JOSE GAMBOA

EMAIL: JOSE.M.GAMBOA.CIV@MAIL.MIL

W58RGZ-16-R-0293

2017DEC21

X

X

2 signed

SEE SECOND PAGE FOR DESCRIPTION

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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: JOSE GAMBOA

Buyer Office Symbol/Telephone Number: CCAM-AL-M/(256)955-9282

Type of Contract 1: Firm Fixed Price

Kind of Contract: Maintenance Contracts

*** End of Narrative A0000 ***

THE PURPOSE OF AMENDMENT 1 TO SOLICITATION W58RGZ-16-R-0293 IS TO REPLACE ALL REFERENCES OF THE UH-60 BLACKHAWK TO T700.

*** END OF NARRATIVE A0003 ***

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W58RGZ-16-R-0293 0001

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

0001 PVA

CLIN 0001AA is for the Upgrade/Repair (M&O)

Plan and Product Verification Audit (PVA) for the T700 Control Unit, Supervisory, Output

NSN: 2995-01-642-2307.

PVA and M&O Plan CLIN for the following item:

INPUT:

NSN: 2995-01-521-0520

P/N: 5078T29G06

OUTPUT:

NSN: 2995-01-642-2307

P/N: 5078T29G14

M&O Plan must be submitted and approved per

CDRL A005, Exhibit E, before PVA may be conducted.

PVA must be approved before upgrade may begin.

(End of narrative A001)

0001AA PRODUCT VERIFICATION AUDIT (PVA) CONTROL UNIT, ______________________________________________

SUPERVISORY $ ___________ __________________

SERVICE REQUESTED: PVA

0002 PVA

CLIN 0002AA is for the Upgrade/Repair(M&O)

Plan and Product Verification Audit (PVA) for the T700 Control Unit, Supervisory Output

NSN: 2995-01-642-7525.

PVA and M&O Plan CLIN for the following item:

INPUT:

NSN: 2995-01-530-2353

P/N: 5078T29G10

OUTPUT:

NSN: 2995-01-642-7525

P/N: 5078T29G17

M&O Plan must be submitted and approved per

CDRL A005, Exhibit E, before PVA may be conducted.

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

PVA must be approved before upgrade/repair may begin.

(End of narrative A001)

0002AA PRODUCT VERIFICATION AUDIT (PVA) CONTROL UNIT, ______________________________________________

SUPERVISORY $ ___________ __________________

SERVICE REQUESTED: PVA

0003 CONTROL UNIT, SUPERVISORY

Mfr CAGE: 63760

Mfr Part Number: 5078T29G14

0003AA UPGRADE/REPAIR CONTROL UNIT, SUPERVISORY (US) $ $ _____________________________________________ ______________ __________________

COMMODITY NAME: CONTROL UNIT, SUPERVISORY

CLIN CONTRACT TYPE:

Firm Fixed Price

This CLIN is for the Upgrade/Repair of the ______________

T700, Control Unit, Supervisory.

Input:

NSN: 2995-01-521-0520

P/N: 5078T29G06

Output:

NSN: 2995-01-642-2307

P/N: 5078T29G14

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0004AA UPGRADE/REPAIR CONTROL UNIT, SUPERVISORY (US) $ $ _____________________________________________ ______________ __________________

COMMODITY NAME: CONTROL UNIT, SUPERVISORY

CLIN CONTRACT TYPE:

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Firm Fixed Price

This CLIN is for the Upgrade/Repair of T700, ______________

Control Unit, Supervisory.

Input:

NSN: 2995-01-530-2353

P/N: 5078T29G10

Output:

NSN: 2995-01-642-7525

P/N: 5078T29G17

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0005AA UPGRADE/REPAIR CONTROL UNIT, SUPERVISORY (FMS) $ $ ______________________________________________ ______________ __________________

COMMODITY NAME: CONTROL UNIT, SUPERVISORY

CLIN CONTRACT TYPE:

Firm Fixed Price

This CLIN is for the Upgrade/Repair of the ______________

T700, Control Unit, Supervisory.

Input:

NSN: 2995-01-521-0520

P/N: 5078T29G06

Output:

NSN: 2995-01-642-2307

P/N: 5078T29G14

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

5 6

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0006AA UPGRADE/REPAIR CONTROL UNIT SUPERVISORY (FMS) $ $ _____________________________________________ ______________ __________________

COMMODITY NAME: CONTROL UNIT, SUPERVISORY

CLIN CONTRACT TYPE:

Firm Fixed Price

This CLIN is for the Upgrade/Repair of the ______________

T700, Control Unit, Supervisory.

Input:

NSN: 2995-01-530-2353

P/N: 5078T29G10

Output:

NSN: 2995-01-642-7525

P/N: 5078T29G17

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0007 CONTROL UNIT SUPERVISORY

0007AA SCRAP OF T700 CONTROL UNIT SUPERVISORY $ ______________________________________ __________________

SERVICE REQUESTED: CONTROL UNIT SUPERVISORY

CLIN CONTRACT TYPE:

Firm Fixed Price

0008 CONTROL UNIT SUPERVISORY

0008AA SCRAP OF T700 CONTROL UNIT SUPERVISORY $ ______________________________________ __________________

SERVICE REQUESTED: CONTROL UNIT SUPERVISORY

CLIN CONTRACT TYPE:

Firm Fixed Price

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