SPRBL116R0016-0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. Contract ID Code Page Of

2. Amendment/Modification No.

3. Effective Date

4. Requisition/Purchase Req No.

5. Project No. (If applicable)

6. Issued By Code 7. Administered By (If other than Item 6) Code

8. Name And Address Of Contractor (No., Street, City, County, State and Zip Code)

9A. Amendment Of Solicitation No.

9B. Dated (See Item 11)

10A. Modification Of Contract/Order No.

10B. Dated (See Item 13) Code Facility Code

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 Offers is extended, is not extended.

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:

(a) By completing items 8 and 15, and returning ____________ copies of the amendments: (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 ONLY APPLIES TO MODIFICATIONS OF CONTRACTS/ORDERS

It Modifies The Contract/Order No. As Described In Item 14.

A. This Change Order is Issued Pursuant To: 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 data, 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.)

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)

16A. Name And Title Of Contracting Officer (Type or print)

15B. Contractor/Offeror 15C. Date Signed 16B. United States Of America 16C. Date Signed

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

NSN 7540-01-152-8070

PREVIOUS EDITIONS UNUSABLE

30-105-02 STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

SEE SCHEDULE

X

Firm Fixed Price

0001 2016JAN14

SPRBL1

DLA LAND AT ABERDEEN

6001 COMBAT DRIVE ROOM C1-301

APG, MD 21005-1846

WILLIAM F. WITTMAN

EMAIL: WILLIAM.WITTMAN@DLA.MIL

SPRBL1-16-R-0016

2016JAN13

X

X

/SIGNED/

2 signed

SEE SECOND PAGE FOR DESCRIPTION

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CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION A - SUPPLEMENTAL INFORMATION

Buyer Name: WILLIAM F. WITTMAN

Buyer Office Symbol/Telephone Number: DSCC-ZL/(443)861-4535

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

Amendment 0001 is being issued to delete clauses 5152.211-9010 and 52.247-9012, to specify proposal delivery, to change packaging under

CLINs 1001 and 2001, and to add CDRLs.

Number 4. in Narrative A0001 should read as:

All documents and proposals must be submitted electronically through FBO. The URL for FBO is https://www.fbo.gov/.

*** END OF NARRATIVE A0003 ***

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SPRBL1-16-R-0016 0001

PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS

1001 PRODUCTION QUANTITY - YEAR 1 $ $ ____________________________ ______________ __________________

NSN: 2815-01-588-5596

COMMODITY NAME: 10KW ENGINE ASSEMBLY

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 44940

Mfr Part Number: 04-20158

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

IAW MIL-STD-129R & SOW

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

1002 BASIC CLIN FOR ELIN ___________________

The below ELINs are associated with the Data Item

Numbers on the Contract Data Requirements List (CDRL)

(DD Form 1423), found within the statement of work located in section J.

(End of narrative A001)

A001 HARDWARD DATA ITEM - NOT PRICED $ ** NSP ** $ ** NSP ** _______________________________ ______________ __________________

COMMODITY NAME: IUID MARKING INSTRUCTIONS

See Section 3.4.2.3 of the statement of work for details.

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(SPRBL1) DLA LAND AT ABERDEEN

DLR PROCUREMENT OPERATIONS-ZL

6001 COMBAT DRIVE RM C1-301

APG, MD 21005-1846

A002 HARDWARE DATA-NOT PRICED $ ** NSP ** $ ** NSP ** ________________________ ______________ __________________

COMMODITY NAME: PACKAGING DATA

See Section 3.4.12 of the statement of work for details.

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(SPRBL1) DLA LAND AT ABERDEEN

DLR PROCUREMENT OPERATIONS-ZL

6001 COMBAT DRIVE RM C1-301

APG, MD 21005-1846

A003 HARDWARE DATA-NOT PRICED $ ** NSP ** $ ** NSP ** ________________________ ______________ __________________

COMMODITY NAME: CONFIGURATION MANAGEMENT

See Section 3.4.12 of the statement of work for details.

(End of narrative B001)

See Section 3.6.5.3 of the statement of work for details.

(End of narrative B002)

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(SPRBL1) DLA LAND AT ABERDEEN

DLR PROCUREMENT OPERATIONS-ZL

6001 COMBAT DRIVE RM C1-301

APG, MD 21005-1846

2001 PRODUCTION QUANTITY - YEAR 2 $ $ ____________________________ ______________ __________________

NSN: 2815-01-588-5596

COMMODITY NAME: 10KW ENGINE ASSEMBLY

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 44940

Mfr Part Number: 04-20158

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

IAW MIL-STD-129R & SOW

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

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Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION D - PACKAGING AND MARKING

Status Regulatory Cite Title Date Status Regulatory Cite Title Date _______ _______________ ______________________________________________________________________ ____________ _______ _______________ ______________________________________________________________________ ____________

D-1 DELETED 5152.211-9010 SHIPPING LABEL REQUIREMENTS MIL-STD-129P (MAR 2012) MAR/2012

DLAD

D-2 DELETED 52.247-9012 REQUIREMENTS FOR TREATMENT OF WOOD PACKAGING MATERIAL (WPM) (FEB FEB/2007

DLAD 2007)

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