SPE4A817Q00700001.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 SPE4A8 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

SPE4A817Q0070

X

2017 SEP 18

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, 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, X is required to sign this document and return 1 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 AVIATION

ASC INDUSTRIAL PLANT EQUIPMENT

8000 JEFFERSON DAVIS HWY

RICHMOND VA 23297

15C. DATE SIGNED 16C. DATE SIGNED

D. OTHER (Specify type of modification and authority)

3. EFFECTIVE DATE

See Attached Continuation Sheet(s).

(X)

CHECK ONE

PAGE OF PAGES

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.

CONTINUED ON NEXT PAGE

Amendment 0001 is issued to add all the pages of the Past Performance sheet.

1. Potential contractors shall sign, date and return one copy of Amendment 0001 by fax (804) 279-5948, email Chanda.tyler@dla.mil, or with offer.

2. If you have questions, contact Chanda Tyler at (804) 279-2805.

3. All other Terms and Conditions remain the same.

End of Amendment

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SPE4A817Q0070-0001

SUPPLIES/SERVICES: 4920-N00001796

ITEM DESCRIPTION:

SEE ATTACHED PURCHASE DESCRIPTION

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

0001 4920-N00001796 1.000 EA $ ________________ $ ________________

IPE - Test Stand Equipment

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: ORIGIN

ACCEPTANCE POINT: ORIGIN

FOB: DESTINATION DELIVERY DATE: 364 DAYS ADO

PREP FOR DELIVERY:

SHALL BE PACKAGED STANDARD IN ACCORDANCE WITH ASTM D 3951

FLEET READINESS CENTER SOUTHWEST

NORTH ISLAND, CORONADO NAVAL BASE

BUILDING 472

SAN DIEGO CA. 92135

GOVT USE

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

0001 0068864218 0001 N/A N/A N/A 12/30/2018

SUPPLIES/SERVICES: 3419-N00001761

PAGE 3 OF 9 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: 3419-N00001761 CONT'D

0002 3419-N00001761 1.000 EA $ ________________ $ ________________

IPE - Tooling

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: ORIGIN

ACCEPTANCE POINT: ORIGIN

FOB: DESTINATION DELIVERY DATE: 364 DAYS ADO

PREP FOR DELIVERY:

SHALL BE PACKAGED STANDARD IN ACCORDANCE WITH ASTM D 3951

FLEET READINESS CENTER SOUTHWEST

NORTH ISLAND, CORONADO NAVAL BASE

ITEM PR PRLI PR PRLI Material Need Ship Date .

0002 0068864218 0002 N/A N/A N/A 12/30/2018

SUPPLIES/SERVICES: 0001-V00011541

0003 0001-V00011541 1.000 EA $ ________________ $ ________________

IPE - Installation

PREP FOR DELIVERY:

SHALL BE PACKAGED STANDARD IN ACCORDANCE WITH ASTM D 3951

PAGE 4 OF 9 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: 0001-V00011541 CONT'D

FLEET READINESS CENTER SOUTHWEST

NORTH ISLAND, CORONADO NAVAL BASE

ITEM PR PRLI PR PRLI Material Need Ship Date .

0003 0068864218 0003 N/A N/A N/A 12/30/2018

SUPPLIES/SERVICES: 0001-V00011544

0004 0001-V00011544 1.000 EA $ ________________ $ ________________

IPE - Training

FLEET READINESS CENTER SOUTHWEST

NORTH ISLAND, CORONADO NAVAL BASE

PAGE 5 OF 9 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: 0001-V00011545 CONT'D

ITEM PR PRLI PR PRLI Material Need Ship Date .

0004 0068864218 0004 N/A N/A N/A 12/30/2018

SUPPLIES/SERVICES: 0001-V00011545

0005 0001-V00011545 1.000 EA $ ________________ $ ________________

IPE - IUID Tag

FLEET READINESS CENTER SOUTHWEST

NORTH ISLAND, CORONADO NAVAL BASE

ITEM PR PRLI PR PRLI Material Need Ship Date .

0005 0068864218 0005 N/A N/A N/A 12/30/2018

SUPPLIES/SERVICES: 0001-V00011542

PAGE 6 OF 9 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: 0001-V00011542 CONT'D

0006 0001-V00011542 1.000 EA $ ________________ $ ________________

IPE - Shipping

FLEET READINESS CENTER SOUTHWEST

NORTH ISLAND, CORONADO NAVAL BASE

ITEM PR PRLI PR PRLI Material Need Ship Date .

0006 0068864218 0006 N/A N/A N/A 12/30/2018

SUPPLIES/SERVICES: 0001-V00011724

0007 0001-V00011724 1.000 EA $ ________________ $ ________________

IPE - Technical Data

FLEET READINESS CENTER SOUTHWEST

NORTH ISLAND, CORONADO NAVAL BASE

PAGE 7 OF 9 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: 0001-V00011724 CONT'D

ITEM PR PRLI PR PRLI Material Need Ship Date .

0007 0068864218 0007 N/A N/A N/A 12/30/2018

PAGE 8 OF 9 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

Attachments

List of Attachments

Description File Name

ATTACH.PAST

PERFORMANCE

QUESTIONNAIRE

SPE4A8-17-Q-0070

PAST PERFORMANCE

QUESTIONNAIRE.pdf

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