SPE2D221R0109 0002.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 SPE2D2 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

SPE2D221R0109

X

2021 AUG 03

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).

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

DLA TROOP SUPPORT

MEDICAL SUPPLY CHAIN FSGB

700 ROBBINS AVENUE

PHILADELPHIA PA 19111

15C. DATE SIGNED 16C. DATE SIGNED

D. OTHER (Specify type of modification and authority)

09/14/2021

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

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SPE2D221R0109 - 0002

1. The purpose of this amendment is to remove the following items from the Schedule of Supplies:

CLIN 0003 - Azithromycin 500 MG Tablet – 50 Count Bottle CLIN 0007 – Azithromycin 250 MG Tablet – 100 Count Bottle

Updated Schedule of Supplies is below:

Item No.Schedule of Supplies/ServicesEstimated QuantityUnit 0001 Azithromycin 500 MG Tablet – 3 Count* National Drug Code (NDC)______- ______-______ 0001AABase Year8,174 BT** 0001ABOption Year 18,174BT 0001ACOption Year 28,174BT 0001ADOption Year 38,174BT 0001AEOption Year 48,174BT

0002Azithromycin 500 MG Tablet – 30 Count* National Drug Code (NDC)______- ______-______ 0002AABase Year11,215BT 0002ABOption Year 111,215BT 0002ACOption Year 211,215BT 0002ADOption Year 311,215BT 0002AEOption Year 411,215BT

0003Azithromycin 250 MG Tablet – 6 Count* National Drug Code (NDC)______- ______-______ 0003AABase Year103,704BT 0003ABOption Year 1103,704BT 0003ACOption Year 2103,704BT 0003ADOption Year 3103,704BT 0003AEOption Year 4103,704BT

0004Azithromycin 250 MG Tablet – 30 Count* National Drug Code (NDC)______- ______-______ 0004AABase Year87,782BT 0004ABOption Year 187,782BT 0004ACOption Year 287,782BT 0004ADOption Year 387,782BT 0004AEOption Year 487,782BT

0005Azithromycin 250 MG Tablet – 50 Count* National Drug Code (NDC)______- ______-______ 0005AABase Year500 BT 0005ABOption Year 1500BT 0005ACOption Year 2500BT 0005ADOption Year 3500BT 0005AEOption Year 4500BT

0006Azithromycin 600 MG Tablet – 30 Count* National Drug Code (NDC)______- ______-______ 0006AABase Year864BT 0006ABOption Year 1864BT 0006ACOption Year 2864BT 0006ADOption Year 3864BT 0006AEOption Year 4864BT

* Package size is unit of use and is subject to Statement of Work – “Preparation for Delivery” requirement.

**BT = One Bottle

- The quantities specified in the Schedule are estimates only. Reference FAR 52.216-21 Requirement for details.

2.All other terms and conditions remain unchanged.

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 3 OF 3 PAGES

SPE2D221R0109 - 0002

Attachments

List of Attachments

Description File Name

ATTACH_REVISED_SCH

EDULE_OF_SUPPLIES__

_SPE2D221R0109___AZI

THROMYCIN

REVISED Schedule of Supplies - SPE2D221