22Q0078 MOD DOC.pdf

N4523A12794000

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

AMENDED TO:

REVISE LINE ITEM DETAILS

EXTEND THE OFFER DUE DATE

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 19-Oct-2021

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street , County, State and Zip Code) X SPMYM222Q0078

X 9B. DATED (SEE ITEM 11)

12-Oct-2021

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

Offer 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)

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.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

19-Oct-2021

CODE

DLA MARITIME PUGET SOUND

ATTN: DENISE QUIST

467 W ST

BREMERTON WA 98314

SPMYM2 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

SPMYM222Q0078

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 19-Oct-2021 10:00 AM to 22-Oct-2021 08:00 AM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from:

LEAD - 0.5" SLAB LEAD BALLAST SLABS, W-20096D OR EQUAL (QQ-L-171), SLABS TO BE SUPPLIED IN THE FOLLOWING SIZE: 3 1/8" X 14" X 0.5", 446 PCS @ ABOUT 8.97 LBS EACH. *AUL EXEMPT -

ARTICLE LEAD, BALLAST, WOOL, FOR WEIGHT AND SHIELDING OPERATIONS ANY SIZE*SEE

MATERIAL ORDERING DATA SHEET ATTACHEDNO MSDS REQUIRED.

To:

LEAD - 0.5" SLAB LEAD BALLAST SLABS, (QQ-L-171)SLABS TO BE SUPPLIED IN THE FOLLOWING SIZE: 3 1/8" X 14" X 0.5", 446 PCS @ ABOUT 8.97 LBS EACH. SEE MATERIAL ORDERING DATA SHEET

ATTACHEDNO MSDS REQUIRED.

CLIN 0002

LEAD BALLAST SHIMS, W-20096D OR EQUAL (QQ-L-171),SHIMS TO BE SUPPLIED IN THE

FOLLOWING SIZE: 3 1/8" X 3 1/8" X 1/4", 4000 PCS, @ ABOUT 1LB EACH.*AUL EXEMPT - ARTICLE

LEAD, BALLAST, WOOL, FOR WEIGHT AND SHIELDING OPERATIONS ANY SIZE*SEE MATERIAL

ORDERING DATA SHEET ATTACHED

LEAD BALLAST SHIMS (QQ-L-171),SHIMS TO BE SUPPLIED IN THE FOLLOWING SIZE: 3 1/8" X 3 1/8"

X 1/4", 4000 PCS, @ ABOUT 1LB EACH.SEE MATERIAL ORDERING DATA SHEET ATTACHED

CLIN 0003

LEAD BALLAST SHIMS, W-20096D OR EQUAL (QQ-L-171),SHIMS TO BE SUPPLIED IN THE

FOLLOWING SIZE: 3 1/8" X 3 1/8" X 1/2", 2000 PCS, @ ABOUT 2 LBS EACH.*AUL EXEMPT - ARTICLE

X 1/2", 2000 PCS, @ ABOUT 2 LBS EACH.SEE MATERIAL ORDERING DATA SHEET ATTACHED

CLIN 0004

LEAD BALLAST SHIMS, W-20096D OR EQUAL (QQ-L-171),SHIMS TO BE SUPPLIED IN THE

FOLLOWING SIZE: 3 1/8" X 3 1/8" X 1/8", 8000 PCS, @ ABOUT 0.5 LBS EACH.*AUL EXEMPT - ARTICLE

X 1/8", 8000 PCS, @ ABOUT 0.5 LBS EACHSEE MATERIAL ORDERING DATA SHEET ATTACHED

CLIN 0005

LEAD BALLAST SHIMS, W-20096D OR EQUAL (QQ-L-171),SHIMS TO BE SUPPLIED IN THE

FOLLOWING SIZE: 3 1/8" X 3 1/8" X 1", 1000 PCS @ ABOUT 4 LBS EACH.*AUL EXEMPT - ARTICLE

LEAD BALLAST SHIMS (QQ-L-171)SHIMS TO BE SUPPLIED IN THE FOLLOWING SIZE: 3 1/8" X 3 1/8" X

1", 1000 PCS @ ABOUT 4 LBS EACH.SEE MATERIAL ORDERING DATA SHEET ATTACHED

CLIN 0006

LEAD BALLAST SHIMS, W-20096D OR EQUAL (QQ-L-171),SHIMS TO BE SUPPLIED IN THE

FOLLOWING SIZE: 3 1/8" X 3 1/8" X 1/16"", 16000 PCS, @ ABOUT 0.25LB EACH.*AUL EXEMPT -

ARTICLE LEAD, BALLAST, WOOL, FOR WEIGHT AND SHIELDING OPERATIONS ANY SIZE*SEE

MATERIAL ORDERING DATA SHEET ATTACHED

LEAD BALLAST SHIMS (QQ-L-171)SHIMS TO BE SUPPLIED IN THE FOLLOWING SIZE: 3 1/8" X 3 1/8" X

1/16"", 16000 PCS, @ ABOUT 0.25LB EACH.SEE MATERIAL ORDERING DATA SHEET ATTACHED

CLIN 0007

LEAD BALLAST SHIMS, 3500 POUNDS TOTAL REQUIRED, W-20096D OR EQUAL (QQ-L-171),SHIMS TO BE SUPPLIED IN THE FOLLOWING SIZE: 3 1/8" X 3 1/8" X 2", ABOUT 500 PCS, @ ABOUT 8LB

EACH.*AUL EXEMPT - ARTICLE LEAD, BALLAST, WOOL (FOR WEIGHT AND SHIELDING

OPERATIONS) ANY SIZE*SEE MATERIAL ORDERING DATA SHEET ATTACHED

LEAD BALLAST SHIMS, 3500 POUNDS TOTAL REQUIRED (QQ-L-171)SHIMS TO BE SUPPLIED IN THE FOLLOWING SIZE: 3 1/8" X 3 1/8" X 2", ABOUT 500 PCS, @ ABOUT 8LB EACH.SEE MATERIAL

CLIN 0008

LEAD BALLAST SLABS, W-20096D OR EQUAL (QQ-L-171),SLABS TO BE SUPPLIED IN THE

FOLLOWING SIZE: 3 1/8" X 14" X 2", 112 PCS @ ABOUT 35.86 LBS EACH.*AUL EXEMPT - ARTICLE

LEAD BALLAST SLABS (QQ-L-171)SLABS TO BE SUPPLIED IN THE FOLLOWING SIZE: 3 1/8" X 14" X

2", 112 PCS @ ABOUT 35.86 LBS EACH.SEE MATERIAL ORDERING DATA SHEET ATTACHED

(End of Summary of Changes)