SF-30 (Amendment of Solicitation - 72066823Q00097) dh.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGE OF PAGES

1 2

2. AMENDMENT/MODIFICATION NO.

00001

3. EFFECTIVE DATE

8/14/2023

4. REQUISITION/PURCHASE REQ. NO

REQ-668-23-000187

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE 720668 7. ADMINISTERED BY (IF OTHER THAN ITEM 6) CODE 720668

USAID/SOUTH SUDAN

4420 Juba Place

Washington DC 20521-4420

00000

USAID/EXO/SOUTH SUDAN

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State, and Zip Code)

9A. AMENDMENT OF SOLICITATION NO.

72066823Q00097

9B. DATED (SEE ITEM 11) 8/11/2023

10A. MODIFICATION OF CONTRACT/ORDER NO.

CODE:

FACILITY CODE:

10B. DATED (SEE ITEM 11)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

Offers 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)

N/A

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.

The purpose of this amendment no. 00001 is to include alternative shipping address to the SOL no. 72066823Q00097 for Gym equipment.

Accordingly, the solicitation is amended as follows:

Insert shipping address for US vendors:

USDA IKUN, LLC - USAID/South Sudan

2801 ROUTE 130 UNIT 1

North Brunswick, NJ 08902

United States

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

16A. NAME AND TITLE OF CONTRACTING OFFICER

DAVID HALLENGREN

15B. CONTRACTOR/OFFEROR 15C. DATE

SIGNED

16B. UNITED STATES OF AMERICA

16C. DATE

SIGNED

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

NSN 7540-01-152-8070 STANDARD FORM 30 (REV. 10-83)

Previous Edition Unusable Prescribed by GSA FAR (48 CFR) 53.243

REQ # 72066823Q00097 - PROCUREMENT OF GYM EQUIPMENT

S/No Description Part # Qty UoM U/Cost T/Cost

1. Model-Club Series+ Treadmill (220V, 50Hz) 4 ea

2. Integrity Lifecycle Upright Exercise Bike (230V, 50Hz) 2 ea

3. Powermill Climber (240V, 50Hz) 1 ea

4. Elevation Elliptical 2 ea

5. Squat Press 1 ea

6. Leg Press 1 ea

7. Overhead Press 1 ea

8. Chest Press 1 ea

9. Flat Bench 2 ea

10. Adjustable -10° to 80° Bench 2 ea

11. Adjustable Decline Bench 1 ea

12. Multipurpose Chrome Bar 4 ea

RECYCLED RUBBER BUMPER PLATES

13. Hammer Strength Rubber Crumb Bumper 45LB 20 Pair

14. Hammer Strength Rubber Crumb Bumper 25LB 6 Pair

15. Hammer Strength Rubber Crumb Bumper 10LB 10 Pair

16. Hammer Strength Rubber Crumb Bumper 35LB 3 Pair

17. Hammer Strength Rubber Crumb Bumper 5LB 7 Pair

18. EZ-Curl Bar 2 ea

19. Torque Fitness Tank MX

STEEL OLYMPIC PLATES full set

20. 45LB Rogue Olympic Plate – Pair 10 pair

21. 25LB Rogue Olympic Plate – Pair 4 pair

22. 10LB Rogue Olympic Plate – Pair 4 pair

23. 5LB Rogue Olympic Plate – Pair 4 pair

24. 2.5LB Rogue Olympic Plate – Pair 3 pair

Sub Total

Estimated Delivery Time

For NON-US vendors: Estimated Sea freight charges (door-to-door USAID/Juba warehouse) to Juba, South Sudan

For US vendors: Estimated in land freight charges to USDA NJ if any, IKUN, LLC 2801 ROUTE 130 UNIT 1 NORTH BRUNSWICK, NJ

08902 UNITED STATES

GRAND TOTAL