M67400-16-T-0132-0001.pdf

M9545016RC56E27

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 purpose of this amendment is to modify Attachment I. All other terms and conditions remain unchanged. See summary of changes for details.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 5

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

16C. DATE SIGNED

BY 06-Sep-2016

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 M67400-16-T-0132

X 9B. DATED (SEE ITEM 11)

23-Aug-2016

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 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

06-Sep-2016

CODE

MARINE CORPS REGIONAL CONTRACTING OFFICE

MARINE CORPS BASE

CAMP S.D. BUTLER

PSC 557 BOX 2000

FPO AP CA 96379-2000

M67400 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

M67400-16-T-0132

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

ATTACHMENT 1

1. The Contractor’s measurements shall be within 50mm less than the respective measurements given. Measurements that do not say approximate are exact.

ITEM: 0001

Forklift, counterbalanced, diesel engine driven, automatic transmission

Quantity: One (1) each

Note: Vehicle/Equipment and furnished accessories shall comply with Japanese motor Vehicle Safety Standard in effect on the date of manufacture.

A. VEHICLE SPECIFICATIONS:

(1) TYPE OF FORKLIFT: Counterbalanced type.

(2) MAST: Two-stage mast.

(3) LIFT HEIGHT: Approximately 3,000 mm.

(4) LIFT CAPACITY: No less than 10,000 kg at 3,000 mm with load center at 600 mm of forks.

(5) SIZE OF FORKS: Approximately 1,820 mm in length.

(6) OUTER MOST DISTANCE BETWEEN FORKS: No less than 2,140 mm.

(7) FREE LIFT: Manufacturer’s standard.

(8) ENGINE: Manufacturer’s standard diesel engine with no less than 170 horsepower.

(9) TRANSMISSION: Manufacturer’s standard automatic transmission.

(10) BATTERY: Manufacturer’s standard new for the engine.

(11) COLOR: Orange or yellow shall be the main color.

(12) STEERING: Power steering.

(13) BRAKES: Manufacturer’s standard.

(14) TIRES: Manufacturer’s standard pneumatic dual front tires

(15) INSTRUMENT/GAUGES: Manufacturer’s standard to include hour meter.

(16) LIGHTS: Manufacturer’s standard to include signal lights, brake lights and two halogen working lights in front.

(17) HORN: Manufacturer’s standard.

(18) SIGNAL LIGHT LEVER: Auto return.

(19) SIDE VIEW MIRRORS: Manufacturer’s standard for both sides.

(20) FLOOR MAT: Manufacturer’s standard.

(21) SEAT & SEAT BELT: Manufacturer’s standard seat with seat belt.

(22) WARNING DEVICES: Manufacturer’s standard to include back up warning buzzer and yellow beacon light at highest point.

(23) TOOLS: Standard tools normally provided by the manufacturer.

(24) SIDE SHIFT/FORK MOVER: Manufacturer’s standard side shift and individual fork mover with three (3) shift levers.

(25) FIRE EXTINGUISHER: Minimum 2 lb. (1.0 kg) ABC type mounted on pillar.

(26) HEAD GUARD COVER: Manufacturer’s standard.

(27) All other manufacturer’s standard items for the forklift.

(28) Loading capacity curb plate shall be visible from the operator.

(29) Equipment with visible rusts shall not be accepted.

B. SUBMITTALS:

a. Warranties and Manuals:

(1) One (1) Warranty. Standard Japanese.

(2) One (1) Operation manual. Standard Japanese.

(3) One (1) Operation manual. English.

(4) One (1) Maintenance manual. Standard Japanese. CD’s acceptable if readable by the government computer.

(5) One (1) Parts manual. Standard Japanese. CD’s acceptable if readable by the government computer.

(6) Engine serial number.

b. Certificates:

(1) One (1) Certificate of Transfer w/equipment data. Standard Japanese

(2) One (1) Certificate of load tested w/maximum load by appropriate method certified by the U.S. government.

Tested date required.

C. INTENDED USE: The equipment covered by this specification is intended for use by the U.S. Government in transporting cargo. The equipment furnished hereunder shall be delivered ready for immediate use.

D. DELIVERY POINT: All transportation charges borne by the contractor to the Logistics Department Motor

Transportation Division office, MCAS Iwakuni, Japan Bldg. #130A FPO AP 96310-0019, Mr. Yasuhiro Seiji, Tel

0827-79-4736; e-mail: yasuhiro.seiji.ja@usmc.mil.

E. DELIVERY DATE: The vehicle shall be delivered at the delivery point specified above within 180 days from the date of contract.

F. INSPECTION AND ACCEPTANCE: Final inspection and acceptance of the vehicle furnished hereunder will be made on Standard Form 1449, block 32a through 41c, by the receiving officer or his authorized representative at the time and place of delivery as specified.

ITEM: 0002

Forklift, counterbalanced, gasoline engine driven, automatic transmission

Quantity: Two (2) each

Note: Vehicle/Equipment and furnished accessories shall comply with Japanese motor Vehicle Safety Standard in effect on the date of manufacture.

A. VEHICLE SPECIFICATIONS:

(1) TYPE OF FORKLIFT: Counterbalanced type.

(2) MAST: Three-stage mast.

(3) LIFT HEIGHT: Approximately 5,000 mm.

(4) LIFT CAPACITY: No less than 2,950 kg at 5,000 mm with load center at 500 mm of forks.

(5) SIZE OF FORKS: Approximately 1,070 mm (Length) x 40 mm – 45 mm (Thickness).

(6) OUTER MOST DISTANCE BETWEEN FORKS: No less than 1,170 mm.

(7) FREE LIFT (Lift height of forks without raising mast): No less than 130 mm.

(8) ENGINE: Manufacturer’s standard gasoline engine with no less than 59 horsepower.

(9) TRANSMISSION: Manufacturer’s standard automatic transmission.

(10) BATTERY: Manufacturer’s standard new for the engine.

(11) COLOR: Orange or yellow shall be the main color.

(12) STEERING: Power steering.

(13) BRAKES: Manufacturer’s standard.

(14) TIRES: Manufacturer’s standard pneumatic dual front tires

(15) INSTRUMENT/GAUGES: Manufacturer’s standard to include hour meter.

(16) LIGHTS: Manufacturer’s standard to include signal lights, brake lights and two halogen working lights in front.

(17) HORN: Manufacturer’s standard.

(18) SIGNAL LIGHT LEVER: Auto return.

(19) SIDE VIEW MIRRORS: Manufacturer’s standard for both sides.

(20) FLOOR MAT: Manufacturer’s standard.

(21) SEAT & SEAT BELT: Manufacturer’s standard seat with seat belt.

(22) WARNING DEVICES: Manufacturer’s standard to include back up warning buzzer and yellow beacon light at highest point.

(23) TOOLS: Standard tools normally provided by the manufacturer.

(24) FIRE EXTINGUISHER: Minimum 2 lb. (1.0 kg) ABC type mounted on pillar.

(25) HEAD GUARD COVER: Manufacturer’s standard.

(26) All other manufacturer’s standard items for forklift.

(27) Loading capacity curb plate shall be visible from operator.

(28) Equipment with visible rusts shall not be accepted.

B. SUBMITTALS:

a. Warranties and Manuals:

(7) One (1) Warranty for each forklift. Standard Japanese.

(8) One (1) Operation manual for each forklift. Standard Japanese

(9) One (1) Operation manual for each forklift. English

(10) One (1) Maintenance manual. Standard Japanese

(11) One (1) Parts manual. Standard Japanese

(12) Engine serial number

b. Certificates:

(3) One (1) Certificate of Transfer w/equipment data per forklift. Standard Japanese

(4) One (1) Certificate of load tested per forklift w/maximum load by appropriate method certified by the U.S.

government. Tested date required.

C. INTENDED USE: The equipment covered by this specification is intended for use by the U.S. Government in transporting cargo. The equipment furnished hereunder shall be delivered ready for immediate use.

D. DELIVERY POINT: All transportation charges borne by the contractor to the Logistics Department Motor

Transportation Division office, MCAS Iwakuni, Japan Bldg. #130A FPO AP 96310-0019, Mr. Yasuhiro Seiji, Tel

0827-79-4736; e-mail: yasuhiro.seiji.ja@usmc.mil.

E. DELIVERY DATE: The vehicle shall be delivered at the delivery point specified above within 120 days from the date of contract.

F. INSPECTION AND ACCEPTANCE: Final inspection and acceptance of the vehicle furnished hereunder will be made on Standard Form 1449, block 32a through 41c, by the receiving officer or his authorized representative at the time and place of delivery as specified.

(End of Summary of Changes)