N00104-19-Q-X043_amendment_1__.pdf

N774 SPECIAL PROGRAMS DIVISION

5450 CARLISLE PIKE

MECHANICSBURG PA 17055-0788

N0010419PR26340

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:

A. Incorporate SLIN 0001AC for a quantity 1 EA and SLIN 0001AD for a quantity 1 EA for a total quanity increase of 2 EA.

B. Extend the response date from 19SEP2019 to 14NOV2019.

C. Incorporate clause 52.232-18.

1. CONTRACT ID CODE PAGE OF PAGES

1 3

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

16C. DATE SIGNED

BY 04-Nov-2019

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 N0010419QX043

X 9B. DATED (SEE ITEM 11)

26-Aug-2019

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

05-Nov-2019

CODE

N774 SPECIAL PROGRAMS DIVISION

5450 CARLISLE PIKE

MECHANICSBURG PA 17050-2411

N00104 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE N00104

FACILITY CODECODE

steven.davanzo@navy.milEMAIL:717-605-2383TEL:

STEVEN A. DAVANZO / CONTRACT SPECIALIST

N0010419QX043

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION A - SOLICITATION/CONTRACT FORM

The required response date/time has changed from 03-Sep-2019 05:00 PM to 14-Nov-

2019 05:00 PM.

SECTION B - SUPPLIES OR SERVICES AND PRICES

SUBCLIN 0001AC is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001AC 1 Each Electronic Component

FFP

SAME AS ITEM 0001

ACR: AA

REQ: PTWBE492810039

SERIAL #: 456

SUPPAD: PA4MCI

SHIP TO: PTW004

MARK FOR: PTWB00

CASE: TW-P-MCI PROJ: TP: 3

DELIVERY:

FOB: Origin (Shipping Point)

NSN: 5998-01-373-9324

SIGNAL CODE: A

PSC CD: 5998

NET AMT

SUBCLIN 0001AD is added as follows:

N0010419QX043

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001AD 1 Each Electronic Component

FFP

SAME AS ITEM 0001

ACR: AA

REQ: PTWBE492810040

SERIAL #: 450

SUPPAD: PA4MCI

SHIP TO: PTW004

MARK FOR: PTWB00

CASE: TW-P-MCI PROJ: TP: 3

DELIVERY:

FOB: Origin (Shipping Point)

NSN: 5998-01-373-9324

SIGNAL CODE: A

PSC CD: 5998

NET AMT

SECTION E - INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for SUBCLIN 0001AC:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Origin Government Origin Government

The following Acceptance/Inspection Schedule was added for SUBCLIN 0001AD:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Origin Government Origin Government

SECTION I - CONTRACT CLAUSES

The following have been added by reference:

52.232-18 Availability Of Funds APR 1984

(End of Summary of Changes)