SP7000-21-Q-0011-0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NO.

See Block 14

4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

6. ISSUED BY CODE SP7000 7. ADMINISTERED BY (If other than Item 6) CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE FACILITY CODE

SP700021Q0011

X

2021 APR 14

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

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 OffersX is extended, X is not extended.

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.

1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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:

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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).X

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

E. IMPORTANT: Contractor X is not, is required to sign this document and return copies to issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

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)

NSN 7540-01-152-8070

Previous edition unusable

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

16B. UNITED STATES OF AMERICA15B. CONTRACTOR/OFFEROR

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

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

(a) By completing Items 8 and 15, and returning

DCSO-P NEW CUMBERLAND

5404 J AVE BLDG 404

NEW CUMBERLAND PA 17070-5059

USA

15C. DATE SIGNED 16C. DATE SIGNED

D. OTHER (Specify type of modification and authority)

04/15/2021

3. EFFECTIVE DATE

See Attached Continuation Sheet(s).

(X)

CHECK ONE

9A. AMENDMENT OF SOLICITATION NO.

9B. DATED (SEE ITEM 11)

13. THIS APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

CONTINUED ON NEXT PAGE

PAGE 2 OF 4 PAGES

SP700021Q0011 -

FDR 85771FDEM94919

This Request for Quote to purchase 400 digital barcode wireless scanners and 400 USB tethered scanners.

Delivery:

5450 Carlisle Pike Building 203 Door 12 Mechanicsburg, PA 17050

*Delivery Note: We understand these devices have longer lead times and complete delivery will not occur within 30 days. We will accept the delivery of devices as soon as they become available. Delivery must take place no later than August 1, 2021.

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

CONTINUED ON NEXT PAGE

PAGE 3 OF 4 PAGES

SP700021Q0011 -

SUPPLIES/SERVICES: W074-N0D0R0715

ITEM DESCRIPTION:

CLIN 0001

Purchase Scanner: Wireless. Honeywell Granit Ultra rugged/industrial. 1D, PDF417, 2D, XR (FlexRange) focus, with vibration. Red scanner. Bluetooth Class 1. TAA Compliant. Volume Band 0.

Part Number: 1991iXR-3-DLA-N.

QTY: 400 EA

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0001 W074-N0D0R0715 400.000 EA $ ________________ $ ________________

Dept of Navy EMS Device Purchase

PRICING TERMS: Firm Fixed Price

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 30 DAYS ADO

PREP FOR DELIVERY:

SHALL BE PACKAGED STANDARD IN ACCORDANCE WITH ASTM D 3951.

DLA SUSQUEHANNA

5450 CARLISLE PIKE

BUILDING 203, DOOR 12

MECHANICSBURG, PA 17050-2411

SUPPLIES/SERVICES: W074-N0D0R0715

ITEM DESCRIPTION:

CLIN 0002

Purchase USB Kit: Tethered. Honeywell Granit Ultra rugged/industrial. 1D, PDF417, 2D, SR focus, with vibration. Red scanner (1990iSR-3) USB Type A 3m Straight cable (CBL-500-300-S00). TAA Compliant. Volume Band 0.

Part Number: 1990iXR-3-DLA-N.

QTY: 400 EA

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0002 W074-N0D0R0715 400.000 EA $ ________________ $ ________________

Dept of Navy EMS Device Purchase

PRICING TERMS: Firm Fixed Price

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 30 DAYS ADO

PREP FOR DELIVERY:

SHALL BE PACKAGED STANDARD IN ACCORDANCE WITH ASTM D 3951.

DLA SUSQUEHANNA

5450 CARLISLE PIKE

BUILDING 203, DOOR 12

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 4 OF 4 PAGES

SP700021Q0011 -

SUPPLY/SERVICE: W074-N0D0R0715 CONT'D

MECHANICSBURG, PA 17050-2411

GOVT USE

External External External Customer RDD/ ITEM PR PRLI PR PRLI Material Need Ship Date .

0001 0087776341 0001 N/A N/A DAPSR0715 03/31/2021

0002 0087776341 0002 N/A N/A DAPSR0715 03/31/2021