HE125418R30030001_Modification_Copy.pdf

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

The reason for this amendment is to:

1. Adjust CLIN's 0005AA-CLIN's 0005AD

2. Edit Salient Characteristics under Attachment 4.

1. CONTRACT ID CODE PAGE OF PAGES

1 8

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

16C. DATE SIGNED

BY 17-Jan-2018

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 HE125418Q3003

X 9B. DATED (SEE ITEM 11)

09-Jan-2018

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 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

17-Jan-2018

CODE

DOD EDUCATION ACTIVITY PROCUREMENT DIV

ATTN: MICHAEL RIDLEY

MICHAEL.RIDLEY@HQ.DODEA.EDU

4800 MARK CENTER DRIVE

ALEXANDRIA VA 22350-1400

HE1254 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

HE125418Q3003

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

SUBCLIN 0005AA

The CLIN description has changed from Provide Lexmark CS410n to Provide Lexmark Toner for

CS410n.

The CLIN extended description has changed from:

Lexmark CS410n (Min 27 ppm, Color Laser).See Attachment 4 for Salient Characteristics.

To:

Provide part number 70C1K0 Color: BlackSee Attachment 4 for Salient Characteristics.

The pricing detail quantity has increased by 70.00 from 30.00 to 100.00.

SUBCLIN 0005AB

The CLIN description has changed from Provide Toner Cartridges for CS410n to Provide Lexmark Toner for CS410n.

Toner Cartridges for CS410n or equal product..See Attachment 4 for Salient Characteristics

Provide part number 70C1C0 Color: CyanSee Attachment 4 for Salient Characteristics

The pricing detail quantity has decreased by 20.00 from 50.00 to 30.00.

SUBCLIN 0005AC

The CLIN description has changed from Provide Toner ink catchers for excess to Provide Lexmark Toner for CS410n.

Toner ink catchers for excess ink.See Attachment 4 for Salient Characteristcs.

Provide part number 70C1M0 Color: MagentaSee Attachment 4 for Salient Characteristcs.

The pricing detail quantity has decreased by 30.00 from 60.00 to 30.00.

SUBCLIN 0005AD

This SUBCLIN has been renumbered to SUBCLIN 0005AE.

SUBCLIN 0005AD is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0005AD 30 Each Provide Lexmark Toner for CS410n

FFP

Provide part number 70C1Y0 Color: Yellow.

See Attachment 4 for Salient Characteristcs.

FOB: Destination

NET AMT

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for SUBCLIN 0005AA has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

30 dys. ADC 30 LISA ELLISON

4800 MARK CENTER DR.

ALEXANDRIA VA

571-372-5831

HE1254

30 dys. ADC 100 LISA ELLISON

ALEXANDRIA VA

571-372-5831

The following Delivery Schedule item for SUBCLIN 0005AB has been changed from:

30 dys. ADC 50 LISA ELLISON

ALEXANDRIA VA

571-372-5831

ALEXANDRIA VA

571-372-5831

The following Delivery Schedule item for SUBCLIN 0005AC has been changed from:

30 dys. ADC 60 LISA ELLISON

ALEXANDRIA VA

571-372-5831

ALEXANDRIA VA

571-372-5831

The following Delivery Schedule Item has been deleted from SUBCLIN 0005AD:

30 dys. ADC LISA ELLISON

ALEXANDRIA VA

571-372-5831

The following Delivery Schedule item has been added to SUBCLIN 0005AD:

ALEXANDRIA VA

571-372-5831

The following Delivery Schedule for SUBCLIN 0005AE has been added:

30 dys. ADC LISA ELLISON

ALEXANDRIA VA

571-372-5831

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for SUBCLIN 0005AD:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

The following have been modified:

ATTACHMENT 1

Technical Specifications for Peripheral Outfitting of Printers and Toner

Cartridges - Brand name or Equal

Quantity

Wilson Elementary School

Assorted Toner Cartridges- Brand Name or Equal

1 CLIN 0001AA- Lexmark T650H41G (Black for the T652). 6

2 CLIN 0001AB -LEXMARK T644 TONER CARTRIDGE NEW 64480XW, 64475XA, 64415XA 4

3 CLIN 0001AC- HP BOA (CF280A) Black Original LaserJet Toner Cartridge 3

4 CLIN 0001AD- HP 305X 2-pack High Yield Black Original LaserJet Toner Cartridges 1

5 CLIN 0001AE- HP 305A 3-pack Cyan/Magenta/Yellow Original LaserJet Toner Cartridges 1

6 CLIN 0001AF- HP 71180-ml Black DesignJet Ink Cartridge 2

7 CLIN 0001AG-HP 71129-ml Yellow DesignJet Ink Cartridge 3

8 CLIN 0001AH-HP 71129-ml Cyan DesignJet Ink Cartridge 3

9 CLIN 0001AJ- HP 71129-ml Magenta DesignJet Ink Cartridge 3

10 CLIN 0001AK-HP 131X High Yield Black Original LaserJet Toner Cartridge 2

11 CLIN 0001AL-HP 131A Cyan Original LaserJet Toner Cartridge 2

12 CLIN 0001AM- HP 131A Yellow Original LaserJet Toner Cartridge 2

13 CLIN 0001AN-HP 131A Magenta Original LaserJet Toner Cartridge 2

14 CLIN 0001AP-HP 410X High Yield - black - original - LaserJet - ( CF410X ) - for Color LaserJet

Pro M452dn

15 CLIN 0001AQ- HP 410A Cyan - original - LaserJet - toner cartridge ( CF411A ) - for Color LaserJet

Pro M452dn

16 CLIN 0001AR-HP 410A Yellow - original - LaserJet - toner cartridge ( CF412A ) - for Color

LaserJet Pro M452dn

17 CLIN 0001AS- HP 410A Magenta - original - LaserJet - toner cartridge ( CF413A ) - for Color

LaserJet Pro M452dn

18 CLIN 0001AT-Must include Standard Warranty for all cartridges

Dexter Elementary School

Assorted Toner Cartridges- Brand Name or Equal

19 CLIN 0002AA- Lexmark T650H41G (Black for the T652) 1

20 CLIN 0002AB-Lexmark 501U Ultra High Yield Return Program Toner Cartridge (SOF1UOO) 1

21 CLIN 0002AC-Lexmark C746A1MG Magenta Toner Cartridge7K 1

22 CLIN 0002AD-Lexmark C746A1YG Yellow Toner Cartridge 7K Yield 1

23 CLIN 0002AE-Lexmark C746A1CG Cyan Toner Cartridge 7K 2

24 CLIN 0002AF-Lexmark C746A1KG High-Yield Toner, 12000 Page-Yield,Black 1

25 CLIN 0002AG-Lexmark C734A1CG Laser Toner Cartridge, 6000 Page Yield 1

26 CLIN 0002AH-Lexmark C734A1YG Laser Toner Cartridge, 6000 Page Yield 1

27 CLIN 0002AJ-Lexmark C734A1MG Laser Toner Cartridge, 6000 Page Yield 1

28 CLIN 0002AK-HP 71180-ml Black DesignJet Ink Cartridge 2

29 CLIN 0002AL-HP 71129-ml Yellow DesignJet Ink Cartridge 2

30 CLIN 0002AM-HP 71129-ml Cyan DesignJet Ink Cartridge 2

31 CLIN 0002AN-HP 71129-ml Magenta DesignJet Ink Cartridge 2

32 CLIN 0002AP-Must include Standard Warranty

Attachment 2

Fort Rucker

Toner Cartridges and Printers- Brand Name or Equal

33 CLIN 0003AA-HP COLOR LASERJET M553 Yellow-CF362A 6

34 CLIN 0003AB-HP COLOR LA:;ERJET M553 Cyan-CF361A 6

35 CLIN 0003AC-HPCOLOR LASERJET M553 Magenta-CF363A 6

36 CLIN 0003AD-HPCOLOR LASERJET M553 Black-CF360A 6

37 CLIN 0003AE-HP COLOR LASER JET CP4525 Cyan CE261A 1

38 CLIN 0003AF-HPCOLOR lASER JET CP4525 Black CE260A 6

39 CLIN 0003AG-HPCOLOR lASER JET CP4525 Yellow CE262A 2

40 CLIN 0003AH-LEXMARK T644 Printer 7

41 CLIN 0003AJ-XEROX 6505 Yellow 106R1598 4

42 CLIN 0003AK-XEROX 6505 BLACK 108R01597 4

43 CLIN 0003AL-XEROX 6505 MAGENTA 108R01585 4

44 CLIN 0003AM-XEROX 8808 CYAN 108R01594 5

45 CLIN 0003AN-LEXMARK T652 Printer 23

46 CLIN 0003AP-HP M605 Printer 3

47 CLIN 0003AQ-HP 3600 Yellow 3

48 CLIN 0003AR-LEXMARK MS410dn Printer 6

49 CLIN 0003AS-Lexmark C746 Magenta 2

50 CLIN 0003AT-Lexmark C746 Yellow 2

51 CLIN 0003AU-Lexmark C746 Cyan 2

52 CLIN 0003AV-Lexmark C746 Black 2

53 CLIN 0003AW-HP LASERJET 2420 Q6511A 1

54 CLIN 0003AX-LEXMARK 738dn C736H4MG Magenta 1

55 CLIN 0003AY-LEXMARK 738dn C736H4YB Yellow 1

56 CLIN 0003AZ-Must include Standard Warranty

Attachment 3

McBride School

Toner Cartridges- Brand Name or Equal

57 CLIN 0004AA- Crtng, Tnr, HY, C736, BK 3

58 CLIN 0004AB- CRTNG, TNR, HY, C736, YW 3

59 CLIN 0004AC- CRTNG, TNR, HY, C736, MG 3

60 CLIN 0004AD- CRTNG, TNR, HY, C736, CY 3

61 CLIN 0004AE- CRTDG;TONER;BK;ORIG HP 508X 5

62 CLIN 0004AF- CRTDG;TONER;CYN;ORIG HP508X 5

63 CLIN 0004AG- CRTDG;TONER;YW;ORIG HP 508X 5

64 CLIN 0004AH- CRTDG;TONER;MA;ORIG HP 508X 5

65 CLIN 0004AJ-Must include Standard Warranty

Attachment 4

DoDEA HQ

Toner Cartridges and Printers- Brand Name or Equal

66 CLIN 0005AA- Minimum Lexmark CS410n (Min 27 ppm, Color Laser) 30

67 CLIN 0005AB- Must match Toner Cartridges for CS410n or equal product 50

68 CLIN 0005AC- Toner ink catchers for excess ink 60

70 CLIN 0006 AD- Must include Standard Warranty

Attachment 4

DoDEA HQ

Toner Cartridges and Printers- Brand Name or Equal

66 CLIN 0005AA- Provide part number 70C1K0 Color: Black 100

67 CLIN 0005AB- Provide part number 70C1C0 Color: Cyan 30

68 CLIN 0005AC- Provide part number 70C1M0 Color: Magenta 30

69 CLIN 0005 AD- Provide part number 70C1Y0 Color: Yellow 30

70 CLIN 0006 AD- Must include Standard Warranty

(End of Summary of Changes)