Sol_140A0321Q0009_Amd_0002.pdf

(x)

140A0321Q0009 x x

1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT 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 letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

A03

Anadarko OK 73005-0328 Contracting Office

100 NORTH RIVERSIDE DRIVE

BIA SPRO 00003

02/22/20210002

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

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

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

02/22/2021

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

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

This solicitation is an Indian Small Business Economic Enterprise (ISBEE) set-aside.

Under the Buy Indian Act, 25 U.S.C. 47, offers are solicited only from Indian Economic

Enterprises (Subpart 1480.8) that are also small business concerns. Any acquisition resulting from this solicitation will be from such a concern. Offers received from enterprises that are not both Indian economic enterprises and small business concerns will not be considered and will be rejected.

As part of your quote, you must complete and return the Indian Economic Enterprise

Representation form (DIAR Clause 1452.280-4 (see attached)).

Legacy Doc #: IA

Continued ...

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

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

Margie Tahdooahnippah

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140A0321Q0009/0002

THE PURPOSE OF THIS AMENDMENT IS:

1.) To change the quantity in CLIN 00004 from eight (8) of each ink cartridge to twelve (12) of each ink cartridge;

All other terms and conditions of this solicitation remain the same and in full effect.

Delivery: 06/11/2021

Delivery Location Code: 0009061846

BIA SPRO LTRO

1 Mile North Hwy 281

PO Box 368

ANADARKO OK 73005 US

Change Item 00004 to read as follows(amount shown is the obligated amount):

00004 1.) HP 656X High Yield Black Original LaserJet 48 EA

Toner Cartridge (~27,000 yield) CF460X, Qty: 12

2.) HP 656X High Yield Cyan Original LaserJet

Toner Cartridge (~22,000 yield) CF461X, Qty: 12

3.) HP 656X High Yield Yellow Original LaserJet

Toner Cartridge (~22,000 yield) CF462X, Qty: 12

4.) HP 656X High Yield Magenta Original LaserJet

Toner Cartridge (~22,000 yield) CF463X, Qty: 12

Ink Cartridges are to be delivered to the BIA, Southern Plains Regional Office, Land Titles and

Records Office, Attn: Clarrisa Pewo, 100

Riverside Drive, Anadarko, OK 73005. 405-247-1569

IT Approval Num: B-21-013

Product/Service Code: 7510

Product/Service Description: OFFICE SUPPLIES

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110