SP7000-24-Q-0004 P00002.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

SP700024Q0004

X

2024 JAN 05

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 X is extended, 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).

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

E. IMPORTANT: Contractor 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)

02/16/2024

3. EFFECTIVE DATE

Opening/Closing Date Changed to:

2024 JAN 05 / 2024 MAR 07

TIME 12:00 AM

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 31 PAGES

SP700024Q0004 - 0002

P00002

The purpose of this amendment is to extend the submission deadline to 3/7/2024 @ 1200 EST.

PAGE 3 OF 31 PAGES

SUPPLIES/SERVICES: W074-N0D0R0717

ITEM DESCRIPTION:

FDR 85774FDEM11988

CLIN 0001

VB-1NM

Quantity: 27 EA x 4 MO = 108 EA

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

0001 W074-N0D0R0717 108.000 EA $ ________________ $ ________________

EMS Lease & Service Fixed Rate

(CON&OCON

PRICING TERMS: Firm Fixed Price

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2024 SEP 30

PREP FOR DELIVERY:

N/A

SEE DELIVERY SCHEDULE

CLIN 0002

VB-1NC

Quantity: 4 EA x 4 MO = 16 EA

0002 W074-N0D0R0717 16.000 EA $ ________________ $ ________________

EMS Lease &

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2024 SEP 30

PAGE 4 OF 31 PAGES

SUPPLY/SERVICE: W074-N0D0R0717 CONT'D

CLIN 0003

VB-2NM

Quantity: 11 EA x 4 MO = 44 EA

0003 W074-N0D0R0717 44.000 EA $ ________________ $ ________________

EMS Lease &

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2024 SEP 30

CLIN 0004

VB-2NC

Quantity: 3 EA x 4 MO = 12 EA

0004 W074-N0D0R0717 12.000 EA $ ________________ $ ________________

EMS Lease &

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2024 SEP 30

PAGE 5 OF 31 PAGES

CLIN 0005

VB-3NM

Quantity: 12 EA x 4 MO = 48 EA

0005 W074-N0D0R0717 48.000 EA $ ________________ $ ________________

EMS Lease &

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2024 SEP 30

CLIN 0006

VB-3NC

Quantity: 5 EA x 4 MO = 20 EA

0006 W074-N0D0R0717 20.000 EA $ ________________ $ ________________

EMS Lease &

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2024 SEP 30

PAGE 6 OF 31 PAGES

CLIN 0007

VB-4NM

Quantity: 5 EA x 4 MO = 20 EA

0007 W074-N0D0R0717 20.000 EA $ ________________ $ ________________

EMS Lease &

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2024 SEP 30

CLIN 0008

VB-4NC

Quantity: 2 EA x 4 MO = 8 EA

0008 W074-N0D0R0717 8.000 EA $ ________________ $ ________________

EMS Lease &

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2024 SEP 30

PAGE 7 OF 31 PAGES

CLIN 0009

VB-5NM

Quantity: 3 EA x 4 MO = 12 EA

0009 W074-N0D0R0717 12.000 EA $ ________________ $ ________________

EMS Lease &

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2024 SEP 30

CLIN 1001

Quantity: 27 EA x 12 MO = 324 EA

1001 W074-N0D0R0717 324.000 EA $ ________________ $ ________________

EMS Lease &

This line item is an option in accordance with the terms and conditions of the solicitation/award.

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2025 SEP 30

PAGE 8 OF 31 PAGES

CLIN 1002

Quantity: 4 EA x 12 MO = 48 EA

1002 W074-N0D0R0717 48.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2025 SEP 30

CLIN 1003

Quantity: 11 EA x 12 MO = 132 EA

1003 W074-N0D0R0717 132.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2025 SEP 30

PAGE 9 OF 31 PAGES

CLIN 1004

Quantity: 3 EA x 12 MO = 36 EA

1004 W074-N0D0R0717 36.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2025 SEP 30

CLIN 1005

Quantity: 12 EA x 12 MO = 144 EA

1005 W074-N0D0R0717 144.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2025 SEP 30

PAGE 10 OF 31 PAGES

CLIN 1006

Quantity: 5 EA x 12 MO = 60 EA

1006 W074-N0D0R0717 60.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2025 SEP 30

CLIN 1007

1007 W074-N0D0R0717 60.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2025 SEP 30

PAGE 11 OF 31 PAGES

CLIN 1008

Quantity: 2 EA x 12 MO = 24 EA

1008 W074-N0D0R0717 24.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2025 SEP 30

CLIN 1009

1009 W074-N0D0R0717 36.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2025 SEP 30

PAGE 12 OF 31 PAGES

CLIN 2001

2001 W074-N0D0R0717 324.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2026 SEP 30

CLIN 2002

2002 W074-N0D0R0717 48.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2026 SEP 30

PAGE 13 OF 31 PAGES

CLIN 2003

2003 W074-N0D0R0717 132.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2026 SEP 30

CLIN 2004

2004 W074-N0D0R0717 36.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2026 SEP 30

PAGE 14 OF 31 PAGES

CLIN 2005

2005 W074-N0D0R0717 144.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2026 SEP 30

CLIN 2006

2006 W074-N0D0R0717 60.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2026 SEP 30

PAGE 15 OF 31 PAGES

CLIN 2007

2007 W074-N0D0R0717 60.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2026 SEP 30

CLIN 2008

2008 W074-N0D0R0717 24.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2026 SEP 30

PAGE 16 OF 31 PAGES

CLIN 2009

2009 W074-N0D0R0717 36.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2026 SEP 30

CLIN 3001

3001 W074-N0D0R0717 324.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2027 SEP 30

PAGE 17 OF 31 PAGES

CLIN 3002

3002 W074-N0D0R0717 48.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2027 SEP 30

CLIN 3003

3003 W074-N0D0R0717 132.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2027 SEP 30

PAGE 18 OF 31 PAGES

CLIN 3004

3004 W074-N0D0R0717 36.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2027 SEP 30

CLIN 3005

3005 W074-N0D0R0717 144.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2027 SEP 30

PAGE 19 OF 31 PAGES

CLIN 3006

3006 W074-N0D0R0717 60.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2027 SEP 30

CLIN 3007

3007 W074-N0D0R0717 60.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2027 SEP 30

PAGE 20 OF 31 PAGES

CLIN 3008

3008 W074-N0D0R0717 24.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2027 SEP 30

CLIN 3009

3009 W074-N0D0R0717 36.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2027 SEP 30

PAGE 21 OF 31 PAGES

CLIN 4001

4001 W074-N0D0R0717 324.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2028 SEP 30

CLIN 4002

4002 W074-N0D0R0717 48.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2028 SEP 30

PAGE 22 OF 31 PAGES

CLIN 4003

4003 W074-N0D0R0717 132.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2028 SEP 30

CLIN 4004

4004 W074-N0D0R0717 36.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2028 SEP 30

PAGE 23 OF 31 PAGES

CLIN 4005

4005 W074-N0D0R0717 144.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2028 SEP 30

CLIN 4006

4006 W074-N0D0R0717 60.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2028 SEP 30

PAGE 24 OF 31 PAGES

CLIN 4007

4007 W074-N0D0R0717 60.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2028 SEP 30

CLIN 4008

4008 W074-N0D0R0717 24.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2028 SEP 30

PAGE 25 OF 31 PAGES

CLIN 4009

4009 W074-N0D0R0717 36.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2028 SEP 30

CLIN 5001

Quantity: 27 EA x 8 MO = 216 EA

5001 W074-N0D0R0717 216.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2029 MAY 31

PAGE 26 OF 31 PAGES

CLIN 5002

Quantity: 4 EA x 8 MO = 32 EA

5002 W074-N0D0R0717 32.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2029 MAY 31

CLIN 5003

Quantity: 11 EA x 8 MO = 88 EA

5003 W074-N0D0R0717 88.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2029 MAY 31

PAGE 27 OF 31 PAGES

CLIN 5004

Quantity: 3 EA x 8 MO = 24 EA

5004 W074-N0D0R0717 24.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2029 MAY 31

CLIN 5005

Quantity: 12 EA x 8 MO = 96 EA

5005 W074-N0D0R0717 96.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2029 MAY 31

PAGE 28 OF 31 PAGES

CLIN 5006

Quantity: 5 EA x 8 MO = 40 EA

5006 W074-N0D0R0717 40.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2029 MAY 31

CLIN 5007

Quantity: 5 EA x 8 MO = 40 EA

5007 W074-N0D0R0717 40.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2029 MAY 31

PAGE 29 OF 31 PAGES

CLIN 5008

Quantity: 2 EA x 8 MO = 16 EA

5008 W074-N0D0R0717 16.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2029 MAY 31

CLIN 5009

Quantity: 3 EA x 8 MO = 24 EA

5009 W074-N0D0R0717 24.000 EA $ ________________ $ ________________

EMS Lease &

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE: 2029 MAY 31

PAGE 30 OF 31 PAGES

GOVT USE

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

0001 7005316224 0001 N/A N/A DAPSR0717 09/30/2024

0002 7005316224 0002 N/A N/A DAPSR0717 09/30/2024

0003 7005316224 0003 N/A N/A DAPSR0717 09/30/2024

0004 7005316224 0004 N/A N/A DAPSR0717 09/30/2024

0005 7005316224 0005 N/A N/A DAPSR0717 09/30/2024

0006 7005316224 0006 N/A N/A DAPSR0717 09/30/2024

0007 7005316224 0007 N/A N/A DAPSR0717 09/30/2024

0008 7005316224 0008 N/A N/A DAPSR0717 09/30/2024

0009 7005316224 0009 N/A N/A DAPSR0717 09/30/2024

1001 N/A N/A N/A N/A DAPSR0717 N/A

1002 N/A N/A N/A N/A DAPSR0717 N/A

1003 N/A N/A N/A N/A DAPSR0717 N/A

1004 N/A N/A N/A N/A DAPSR0717 N/A

1005 N/A N/A N/A N/A DAPSR0717 N/A

1006 N/A N/A N/A N/A DAPSR0717 N/A

1007 N/A N/A N/A N/A DAPSR0717 N/A

1008 N/A N/A N/A N/A DAPSR0717 N/A

1009 N/A N/A N/A N/A DAPSR0717 N/A

2001 N/A N/A N/A N/A DAPSR0717 N/A

2002 N/A N/A N/A N/A DAPSR0717 N/A

2003 N/A N/A N/A N/A DAPSR0717 N/A

2004 N/A N/A N/A N/A DAPSR0717 N/A

2005 N/A N/A N/A N/A DAPSR0717 N/A

2006 N/A N/A N/A N/A DAPSR0717 N/A

2007 N/A N/A N/A N/A DAPSR0717 N/A

2008 N/A N/A N/A N/A DAPSR0717 N/A

2009 N/A N/A N/A N/A DAPSR0717 N/A

3001 N/A N/A N/A N/A DAPSR0717 N/A

3002 N/A N/A N/A N/A DAPSR0717 N/A

3003 N/A N/A N/A N/A DAPSR0717 N/A

3004 N/A N/A N/A N/A DAPSR0717 N/A

3005 N/A N/A N/A N/A DAPSR0717 N/A

3006 N/A N/A N/A N/A DAPSR0717 N/A

3007 N/A N/A N/A N/A DAPSR0717 N/A

3008 N/A N/A N/A N/A DAPSR0717 N/A

3009 N/A N/A N/A N/A DAPSR0717 N/A

4001 N/A N/A N/A N/A DAPSR0717 N/A

4002 N/A N/A N/A N/A DAPSR0717 N/A

4003 N/A N/A N/A N/A DAPSR0717 N/A

4004 N/A N/A N/A N/A DAPSR0717 N/A

4005 N/A N/A N/A N/A DAPSR0717 N/A

4006 N/A N/A N/A N/A DAPSR0717 N/A

4007 N/A N/A N/A N/A DAPSR0717 N/A

4008 N/A N/A N/A N/A DAPSR0717 N/A

4009 N/A N/A N/A N/A DAPSR0717 N/A

5001 N/A N/A N/A N/A DAPSR0717 N/A

5002 N/A N/A N/A N/A DAPSR0717 N/A

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 31 OF 31 PAGES

GOVT USE

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

5003 N/A N/A N/A N/A DAPSR0717 N/A

5004 N/A N/A N/A N/A DAPSR0717 N/A

5005 N/A N/A N/A N/A DAPSR0717 N/A

5006 N/A N/A N/A N/A DAPSR0717 N/A

5007 N/A N/A N/A N/A DAPSR0717 N/A

5008 N/A N/A N/A N/A DAPSR0717 N/A

5009 N/A N/A N/A N/A DAPSR0717 N/A