0093-0001.pdf

F3YCDH9313A001

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

TO CORRECT PART NUMBERS AND ESTABLISH A DELIVERY SCHEDULE.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 31-Dec-2009

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X FA8125-10-Q-0093

X 9B. DATED (SEE ITEM 11)

28-Dec-2009

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

Offer 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 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 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 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 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.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

31-Dec-2009

CODE

OC-ALC/PKEA

BILL AKINS/405-739-2908

3001 STAFF DR 2S76

TINKER AFB OK 73145-3303

FA8125 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA8125-10-Q-0093

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 04-Jan-2010 01:00 PM to 06-Jan-2010 01:00 PM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from REM500SL CHEMICAL RESISTANT SLEEVE

EQUIVALENT TO DUPONT PART #IC444SWHXL02000B. UNIVERSAL SIZE 100 PR/PER CASE. to

REM500SL CHEMICAL RESISTANT SLEEVE EQUIVALENT TO DUPONT PART #IC444SWHXL02000B.

UNIVERSAL SIZE 100 PR/PER CASE.DELIVERY IS 140 CASES/60 DAYS. GOVERNMENT CAN CHOOSE

TO TAKE LAGER SHIPMENTS IF NEEDED UNTIL THE TOTAL QUANTITY HAS BEEN SHIPPED..

CLIN 0002

The CLIN extended description has changed from REM444BC HI-TOP BOOT COVER WITH NON-

SLIP PVC SOLE EQUIVALENT TO DUPONT PART #IC444SWHXL02000B UNIVERSAL SIZE 100 PR/PER

CASE to REM444BC HI-TOP BOOT COVER WITH NON-SLIP PVC SOLE EQUIVALENT TO DUPONT

PART #IC458BWHXL01000B XL SIZE 50 PR/PER CASE. DELIVERY IS 80 CASES/60 DAYS.

GOVERNMENT CAN CHOOSE TO TAKE LAGER SHIPMENTS IF NEEDED UNTIL THE TOTAL

QUANTITY HAS BEEN SHIPPED..

The pricing detail quantity has increased by 350.00 from 350.00 to 700.00.

DELIVERIES AND PERFORMANCE

The following Delivery Schedule Item has been deleted from CLIN 0001:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

20 dys. ADC 400 F3YCDH

76 MXSG/MGMB

5680 E DRIVE BLDG 2280 ROOM 102C

TINKER AFB OK 73145

405-734-1276

FOB: Destination

F3YCDH

The following Delivery Schedule item has been added to CLIN 0001:

FA8125-10-Q-0093

POP 01-FEB-2010 TO

31-JAN-2011

N/A F3YCDH

EDDIE WOOD

76 MXSG/MGMB

5680 E DRIVE BLDG 2280 ROOM 102C

TINKER AFB OK 73145

405-734-1276

The following Delivery Schedule Item has been deleted from CLIN 0002:

20 dys. ADC 350 F3YCDH

76 MXSG/MGMB

5680 E DRIVE BLDG 2280 ROOM 102C

TINKER AFB OK 73145

405-734-1276

The following Delivery Schedule item has been added to CLIN 0002:

POP 01-FEB-2010 TO

31-JAN-2011

N/A F3YCDH

EDDIE WOOD

76 MXSG/MGMB

5680 E DRIVE BLDG 2280 ROOM 102C

TINKER AFB OK 73145

405-734-1276

(End of Summary of Changes)