SPRBL119Q0133-0001.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 2019SEP04

SPRBL1

DLA LAND AT ABERDEEN

6565 SURVEILLANCE LOOP, ROOM C1301

APG, MD 21005-1846

JASON A HAHN

EMAIL: JASON.HAHN@DLA.MIL

SPRBL1-19-Q-0133

2019SEP03

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

SUPPLEMENTAL INFORMATION

Buyer Name: JASON A HAHN

Buyer Office Symbol/Telephone Number: DSCC-ZLAB/(443)861-4527

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

1. The purpose of amendment 0001 for solicitation SPRBL1-19-Q-0133 is to remove the fill-in text from E06, Inspection and Acceptance at

Origin.

2. The solicitation close date is not changed.

3. All other terms and conditions remain unchanged.

*** END OF NARRATIVE A0004 ***

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SPRBL1-19-Q-0133

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

INSPECTION AND ACCEPTANCE

E06: Inspection and Acceptance at Origin (SEP 2016)

The contractor shall indicate the location where supplies will be inspected:

Commercial and Government Entity (CAGE) code:_________ _______

Address:__________________________

Applicable to contract line-item numbers(s)

(CLIN(s)):_____________________

The contractor shall indicate the location where packaging will be inspected:

(X) Same as for supplies OR

CAGE code: _____________ __________________ ________________________________

Address: _____________________________

Applicable to CLIN(s): ________________________________________________

RQ009: INSPECTION AND ACCEPTANCE AT ORIGIN

The inspection location for supplies is the awardees CAGE CODE address unless otherwise indicated in the contract/purchase order.

Inspection will be conducted by the Governments Quality Assurance Representative (QAR). Inspection of packaging, if required, may be conducted at the packaging location cited in the award.

SECTION I (All Awards)

a. Objective evidence of conformance with all contract quality assurance requirements must be present at the inspection location. When requested, manufacturer drawings and technical information and complete records of all inspection work performed to verify that the supplies meet technical requirements shall be provided. If required to determine conformity with contract requirements, subcontractor records shall also be provided.

b. Objective evidence to establish the location of the actual manufacturing source may also requested to confirm the end product country of origin and/or business size of the manufacturer.

c. If the supplier is not the manufacturer of the supplies, objective evidence must be furnished to establish the supplies were produced by an approved manufacturer o approved source.

d. The QAR is required to notify the Post Award Administrator (PCO), if at time of Government Source Inspection (GSI), the QAR is denied access to the offerors facility. If supplies being provided are described only by manufacturers name/CAGE Code and part number, objective evidence must be furnished to establish that the supplies were manufactured under the direction of or under agreement with the

CAGE Code of the part number offered.

e. The QAR may require additional examinations and tests to determine:

i. Completeness of item

ii. Material is new and unused

iii. Absence of rust

iv. Contamination, or deterioration

v. Correct identification/item marking 824 vi. Correct packaging

vii. Absence of any damage

viii. Compliance with preparation for delivery

(End of TQ Requirement)

*** END OF NARRATIVE E0001 ***

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SPRBL1-19-Q-0133