70Z08422QDL9500070001 A00001 - 1449.pdf

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

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

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

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NO.

9B. DATED (SEE ITEM 11)

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 your 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 MODIFICATION OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE 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 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.

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.

15C. DATE SIGNED

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

16C. DATE SIGNED

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

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

PAGE OF PAGES

6. ISSUED BY CODE

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

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

70Z08422QDL9500070001

Summary of Changes

Header Information

Negotiation Description is changed from HAZMAT Refill Cassette Kits for DOL44. Period of Performance one (1) one-year Base Year 01 October 2022 - 30 September 2023 and four (4) one-year options 01 October 2023 - 30 September 2027. to HAZMAT USCG Deployment Kits for DOL44. Period of Performance one (1) one-year Base Year 01 October 2022 - 30 September 2023 and four (4) one-year options 01 October 2023 - 30 September 2027..

Section II: Solicitation Form

Line Item Details:

The following changes are made to line item: 0001

Description is changed from CLIN 0001, Period of Performance 01 October 2022 - 30 September 2023, The HAZMAT Refill Cassette Kit shall be composed of ten (10) individual chemical sensors containing the following sensors (1) Acid (Low Ph), (2) Base (high pH), (3) Chlorine/Fluorine, (4) Hydrogen Sulfide, (5) Phosgene, (6) Phosphine, (7) Hydrazine, (8) Iodine, (9) Sulfer Dioxide and

(10) Hydrogen Fluoride. to CLIN 0001, Period of Performance 01 October 2022 - 30 September 2023, The HAZMAT USCG Deployment Kit shall be composed of ten (10) individual chemical sensors containing the following sensors (1) Acid (Low Ph), (2) Base (high pH), (3) Chlorine/Fluorine, (4) Hydrogen Sulfide, (5) Phosgene, (6) Phosphine, (7) Hydrazine, (8) Iodine, (9) Sulfer Dioxide and (10) Hydrogen Fluoride..

The following changes are made to line item: 1001

Description is changed from CLIN 1001, Period of Performance 01 October 2023 - 30 September 2024. The HAZMAT Refill Cassette Kit shall be composed of ten (10) individual packed chemical sensors containing the following sensors; (1) Acid (Low Ph),

(2) Base (high pH), (3) Chlorine/Fluorine, (4) Hydrogen Sulfide, (5) Phosgene, (6) Phosphine, (7) Hydrazine, (8) Iodine, (9) Sulfer Dioxide and (10) Hydrogen Fluoride. to CLIN 1001, Period of Performance 01 October 2023 - 30 September 2024. The HAZMAT USCG Deployment Kit shall be composed of ten (10) individual packed chemical sensors containing the following sensors; (1) Acid (Low Ph), (2) Base (high pH), (3) Chlorine/Fluorine, (4) Hydrogen Sulfide, (5) Phosgene, (6) Phosphine, (7) Hydrazine, (8) Iodine, (9) Sulfer Dioxide and (10) Hydrogen Fluoride..

The following changes are made to line item: 2001

Description is changed from CLIN 2001, Period of Performance 01 October 2024 - 30 September 2025.The HAZMAT Refill Cassette Kit shall be composed of ten (10) individual packed chemical sensors containing the following sensors; (1) Acid (Low Ph), (2) Base (high pH), (3) Chlorine/Fluorine, (4) Hydrogen Sulfide, (5) Phosgene, (6) Phosphine, (7) Hydrazine, (8) Iodine, (9) Sulfer Dioxide and

(10) Hydrogen Fluoride. to CLIN 2001, Period of Performance 01 October 2024 - 30 September 2025.The HAZMAT USCG Deployment Kit shall be composed of ten (10) individual packed chemical sensors containing the following sensors; (1) Acid (Low Ph), (2) Base (high pH), (3) Chlorine/Fluorine, (4) Hydrogen Sulfide, (5) Phosgene, (6) Phosphine, (7) Hydrazine, (8) Iodine, (9) Sulfer Dioxide and (10) Hydrogen Fluoride..

The following changes are made to line item: 3001

Description is changed from CLIN 3001, Period of Performance 01 October 2025 - 30 September 2026. The HAZMAT Refill Cassette Kit shall be composed of ten (10) individual packed chemical sensors containing the following sensors; (1) Acid (Low Ph),

(2) Base (high pH), (3) Chlorine/Fluorine, (4) Hydrogen Sulfide, (5) Phosgene, (6) Phosphine, (7) Hydrazine, (8) Iodine, (9) Sulfer Dioxide and (10) Hydrogen Fluoride. to CLIN 3001, Period of Performance 01 October 2025 - 30 September 2026. The HAZMAT USCG Deployment Kit shall be composed of ten (10) individual packed chemical sensors containing the following sensors; (1) Acid (Low Ph), (2) Base (high pH), (3) Chlorine/Fluorine, (4) Hydrogen Sulfide, (5) Phosgene, (6) Phosphine, (7) Hydrazine, (8) Iodine, (9) Sulfer Dioxide and (10) Hydrogen Fluoride..

70Z08422QDL9500070001

The following changes are made to line item: 4001

Description is changed from CLIN 4001, Period of Performance 01 October 2026 - 30 September 2027. The HAZMAT Refill Cassette Kit shall be composed of ten (10) individual packed chemical sensors containing the following sensors; (1) Acid (Low Ph),

(2) Base (high pH), (3) Chlorine/Fluorine, (4) Hydrogen Sulfide, (5) Phosgene, (6) Phosphine, (7) Hydrazine, (8) Iodine, (9) Sulfer Dioxide and (10) Hydrogen Fluoride. to CLIN 4001, Period of Performance 01 October 2026 - 30 September 2027. The HAZMAT USCG Deployment Kit shall be composed of ten (10) individual packed chemical sensors containing the following sensors; (1) Acid (Low Ph), (2) Base (high pH), (3) Chlorine/Fluorine, (4) Hydrogen Sulfide, (5) Phosgene, (6) Phosphine, (7) Hydrazine, (8) Iodine, (9) Sulfer Dioxide and (10) Hydrogen Fluoride..

Section IV: List of Documents, Exhibits, and other Attachments

Amendment specific attachments:

File Attachments:

Title Description File Name Entity Reference

A00001 - SOW

HAZMAT

USCG

Deployment Kit

- Attachment 1

Amended Statement of Work to remove reference of HAZMAT Refill Kit and replace with reference to

HAZMAT USCG

Deployment Kit and appropriate Part Number 085170.

A00001 - SOW HAZMAT

USCG Deployment Kit -

Attachment 1.pdf

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