HDEC04-15-R-0027_Amendment.pdf

HQCSKU50142700000

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

POC: Christina Willis, 804-734-8000 x86249, christina.w illis@deca.mil

The above referenced solicitation for MHE Maintenance and Repair services to be performed at the Fort Buchanan Commissary located in Puerto Rico is amended to remove "perform equalization charge" from the PM Checklist. See summary of changes.

1. CONTRACT ID CODE PAGE OF PAGES

Y 1 8

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

16C. DATE SIGNED

BY 03-Apr-2015

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 HDEC04-15-R-0027

X 9B. DATED (SEE ITEM 11)

05-Mar-2015

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 is extended, X 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

03-Apr-2015

CODE

DEFENSE COMMISSARY AGENCY

SUPPLY & EQUIPMENT DIVISION

BUILDING P 11200

1300 E AVENUE

FORT LEE VA 23801-1800

HDEC04 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

HDEC04-15-R-0027

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

PM CHECKLIST

CED# PREVENTIVE MAINTENANCE TASK LIST

1R13 ORDER PICKER / STOCK SELECTOR

Task Procedure or Action Service Tech Initials

1 Battery check water level and add water if necessary

Panels - Latches check operation

Power Disconnect check operation

2 Brake check operation

Fluid check fluid level and add fluid if necessary

Change brake fluid annually (TO BE PERFORMED DURING THE

FIRST "SEMI-ANNUAL" PREVENTIVE MAINTENANCE (PM)

Rods & Drum Splines lubricate with anti-seize lubricant if necessary

Master Cylinder check operation

3 Control Handle check operation

Control Handle Bushing check condition and lubricate with multi-purpose grease

4 Electrical Circuits check operation

Contactors check condition

Motor Brushes check condition and replace if needed

5 Forks check for damage

Fork pin & guides lubricate with engine oil if necessary

Lowering interrupt switch check operation

6 Gauges, Horn, Lights, Fuses check operation

7 Hydraulic hoses and clamps check for leaks

Hydraulic oil level check level and add hydraulic oil if necessary change hydraulic oil annually (TO BE PERFORMED DURING THE

Dipstick/Breather Cap clean or replace

Hydraulic oil filter replace annually (TO BE PERFORMED DURING THE FIRST "SEMI-

ANNUAL" PREVENTIVE MAINTENANCE (PM)

8 Lift Chains and Anchors check for damage and lubricate with engine oil

Sheaves check condition and lubricate with engine oil

9 Mast and Platform check condition

10 Header hoses and clamps check condition

11 Sliding surfaces check condition and lubricate with multipurpose grease

12 Wheel nut torque tighten if required

13 Master Drive Unit check operation

M.D.U. splines check operation

14 Steering Chain check condition and lubricate with multipurpose grease

15 Electrical Cable Sheaves check condition and lubricate with engine oil

16 Pedals, Levers, Hinges, Linkages check operation and lubricate with anti-seize lubricant

17 Base Arm Bearing lubricate with engine oil if necessary

18 Drive Tire and Wheels check condition

Wheel bearings check condition and lubricate with multipurpose grease if necessary

19 All motors clean with compressed air

20 Safety Labels check condition and replace if needed

NOTE* If deficiencies are detected during semi-annual PM checks, report findings to the COR.

CED# PREVENTIVE MAINTENANCE TASK LIST

1R06 FORKLIFT, ELECTRIC, SIT-DOWN LOW PROFILE

Task Procedure or Action Service Tech

Initials

2 Brake check operation

Fluid check fluid level and add fluid if necessary change brake fluid annually (TO BE PERFORMED DURING THE FIRST

"SEMI-ANNUAL" PREVENTIVE MAINTENANCE (PM)

Rods & Drum Splines check operation and lubricate with anti-seize lubricant

Brake linkage and shafts check operation and lubricate with multipurpose grease

Master Cylinder check operation

3 Parking Brake Check operation and adjust as necessary

Linkage check condition and lubricate with silicone spray

4 Direction and speed control pedals check operation

5 Electrical Circuits check operation

Contactors check condition

Motor Brushes check condition and replace if needed

6 Differential and speed reducer check for leaks change gear oil annually (TO BE PERFORMED DURING THE FIRST

7 Forks check condition

Fork pins and guides check condition and lubricate with engine oil if necessary

8 Side shift carriage check 4 fittings and lubricate with multipurpose grease

Integral Side shift carriage (upper/lower bearings) check wear on bearings and replace as necessary

9 Gauges, Horn, Lights, Fuses check operation

10 Hydraulic hoses and clamps check for leaks

Hydraulic oil level check hydraulic oil level and add if necessary change hydraulic oil level annually (TO BE PERFORMED DURING THE

Hydraulic Tank Breather Clean or replace

11 DC motor brushes hydraulic pump check condition and replace if needed

12 Pivots (mast) check fittings and lubricate with multipurpose grease as necessary

Mast check operation

Mast sliding surfaces check condition and lubricate with multipurpose grease as necessary Mast carriage, header, hoses check condition

Lift chains check condition and lubricate with engine oil if necessary

13 Tires Check condition

Steering and drive wheel nuts Check torque Wheel bearings check condition and lubricate with multipurpose grease if needed

14 All motors clean with compressed air

15 Safety Labels check condition and replace if needed

1R05-A PALLET JACK, ELECTRIC, (WALKIE 1R05-A) AND (WALKIE/RIDER 1R08)

1R08 Task Procedure or Action Service Tech

Power Disconnect neutralize and clean

2 Brake check operation

3 Drive unit check level and add oil if necessary change oil annually (TO BE PERFORMED DURING THE FIRST

4 Electrical Circuits check operation

Motor Brushes check condition and replace if needed

5 Chassis check all fittings and lubricate with multipurpose grease if needed

6 Caster Wheel check clearance and adjust if needed

7 All linkage check condition and lubricate with multipurpose grease

8 Load wheel bearings check condition and lubricate with multipurpose grease clean and repack bearings annually (TO BE PERFORMED DURING

THE FIRST "SEMI-ANNUAL" PREVENTIVE MAINTENANCE (PM)

9 Hydraulic hoses and clamps check for leaks

Hydraulic oil level check level and add hydraulic oil if necessary change hydraulic oil annually (TO BE PERFORMED DURING THE

Dipstick/Breather Cap clean or replace

Relief valve check condition and settings

10 mounting bolts for the electric motor and drive unit check torque

11 Wheel bolts check torque 12 Controls clean as needed

13 Interlock switches check operation

14 All motors clean with compressed air

15 Steer handle pivot pins check torque

16 Emergency disconnect switch test operation

17 Safety Labels check condition and replace if needed

1R05-

B

PALLET JACK, ELECTRIC, WALKIE-STACKER

Task Procedure or Action Service Tech

Battery box and connectors neutralize and clean

2 Brake check operation

3 Drive unit check level and add oil if necessary change oil annually (TO BE PERFORMED DURING THE FIRST "SEMI-

4 Electrical Circuits check operation

Motor Brushes check condition and replace if needed

5 Chassis check all fittings and lubricate with multipurpose grease if needed

6 Caster Wheel check clearance and adjust as needed

7 All linkage check condition and lubricate with multipurpose grease

8 Load wheel bearings check condition and lubricate with multipurpose grease clean and repack bearings annually (TO BE PERFORMED DURING THE

FIRST "SEMI-ANNUAL" PREVENTIVE MAINTENANCE (PM)

9 Hydraulic hoses and clamps check for leaks

Hydraulic oil level check level and add hydraulic oil if necessary change hydraulic oil annually (TO BE PERFORMED DURING THE FIRST

"SEMI-ANNUAL" PREVENTIVE MAINTENANCE (PM)

Dipstick/Breather Cap clean or replace

Hydraulic oil filter replace annually (TO BE PERFORMED DURING THE FIRST "SEMI-

ANNUAL" PREVENTIVE MAINTENANCE (PM)

Relief valve check condition and settings

10 Mounting bolts for the electric motor and drive unit check torque

11 Wheel bolts check torque

12 Controls clean as needed

13 Interlock switches check operation

14 All motors clean with compressed air

15 Steer handle pivot pins check torque

16 Emergency disconnect switch test operation

17 Safety Labels check condition and replace if needed

NOTE

If deficiencies are detected during semi-annual PM checks, report findings to the COR.

1R12-A FORKLIFT, PROPANE (1R12-A), AND FORKLIFT , GAS (1R12-B), SIT-DOWN

1R12-B Task Procedure or Action Service

Tech Initials

1 Battery check condition and add water if needed

2 Brake check operation Fluid check fluid level and add fluid if necessary change brake fluid annually (TO BE PERFORMED DURING THE FIRST

Rods & Drum Splines check operation and lubricate with anti-seize lubricant Brake linkage and shafts check operation and lubricate with multipurpose grease Master Cylinder check operation

3 Parking Brake Check operation and adjust as necessary Linkage check condition and lubricate with silicone spray

4 Tires Check condition Steering and drive wheel nuts

Check torque

Wheel bearings check condition and lubricate with multipurpose grease if needed

5 Hydraulic hoses and clamps check for leaks

Hydraulic oil level check hydraulic oil level and add if necessary change hydraulic oil level annually (TO BE PERFORMED DURING THE

Hydraulic Tank Breather Clean or replace

6 Mast check operation Pivots (mast) check fittings and lubricate with multipurpose grease as necessary Mast sliding surfaces check condition and lubricate with multipurpose grease if needed Carriage, header, hoses, lift chains check condition

7 Differential and speed reducer check for leaks Change oil annually (TO BE PERFORMED DURING THE FIRST "SEMI-

8 Lift chains check condition and lubricate with engine oil if necessary

9 Forks check condition Fork pins and guides check condition and lubricate with engine oil if necessary

10 Side shift carriage check 4 fittings and lubricate with multipurpose grease Integral Side shift carriage

(upper/lower bearings) check wear on bearings and replace as necessary

11 Integral Side shift carriage (upper/lower bearings)

Check wear of bearings, replace if needed

12 Fork pins and guides check condition and lubricate with engine oil when needed

13 Transmission Check operation and top off fluid as necessary

14 Steering tie rods and spindles check fittings and lubricate with multipurpose grease when needed

15 Anti-Freeze check anti-freeze level and add if needed

16 Engine oil and filter check engine oil and filter replace oil and filter annually (TO BE PERFORMED DURING THE FIRST

17 Chassis check all fittings and lubricate with multipurpose grease if needed

18 Fuel Filter check annually and replace if necessary (TO BE PERFORMED DURING

THE FIRST "SEMI-ANNUAL" PREVENTIVE MAINTENANCE (PM)

19 Contactors Check condition and adjust if necessary

20 Gauges, Horn, Lights, Fuses check operation

(End of Summary of Changes)