SPRBL119R0005_0004.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

0004 2019MAR14

SPRBL1

DLA LAND AT ABERDEEN

6565 SURVEILLANCE LOOP, ROOM C1301

APG, MD 21005-1846

JEONG HYO KIM

EMAIL: JEONGHYO.KIM@DLA.MIL

SPRBL1-19-R-0005

2019FEB01

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: JEONG HYO KIM

Buyer Office Symbol/Telephone Number: DSCC ZLAA/(443)861-4546

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

1. The purpose of Amendment 0004 to SPRBL1-19-R-0005 is as follows:

a. To incorporate Government Furnished Equipment (GFE) for NSN 6645-01-616-7897, Generator Time Code as follows:

NSN: 5825-01-593-7395

P/N: 987-9705-001

CAGE: 0EFD0

Nomenclature: Receiver, Radio Navigation

Description: MPES-Type II GB-GRAM

Consideration: The awardee must store excess stock of GFE to be used to fulfill future requirements.

b. To add the following five (5) clauses:

1) 52.245-1 GOVERNMENT PROPERTY

2) 252.245-7001 TAGGING, LABELING, AND MARKING OF GOV'T-FURNISHED PROPERTY

3) 252-245-7002 REPORTING LOSS OF GOV'T. PROPERTY

4) 252.245-7003 CONTRACTOR PROPERTY MANAGEMENT SYSTEM ADMINISTRATION

5) 252.245-7004 REPORTING, REUTILIZATION, AND DISPOSAL

c. To add Section 7 Government Furnished Equipment (GFE) and Contract Data Requirements List (CDRL) A003 to the Technical

Requirements document, Attachment 0002, which is hereby revised, and dated March 12, 2019.

2. Amendment 0003 was skipped due to a contract writing system error.

3. Except as provided herein, all other terms and conditions remain unchanged and in full force and effect.

*** END OF NARRATIVE A0004 ***

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SPRBL1-19-R-0005

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

0099 Basic CLIN for ELIN ___________________

A003 CONTRACT STATUS REPORT $ ** NSP ** $ ** NSP ** ______________________ ______________ __________________

COMMODITY NAME: GFE REPORT

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

6565 SURVEILLANCE LOOP, ROOM C1301

APG, MD 21005-1846

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION I - CONTRACT CLAUSES

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

I-1 ADDED 52.245-1 GOVERNMENT PROPERTY JAN/2017

I-2 ADDED 252.245-7001 TAGGING, LABELING, AND MARKING OF GOVERNMENT-FURNISHED PROPERTY APR/2012

I-3 ADDED 252.245-7002 REPORTING LOSS OF GOVERNMENT PROPERTY DEC/2017

I-4 ADDED 252.245-7003 CONTRACTOR PROPERTY MANAGEMENT SYSTEM ADMINISTRATION APR/2012

I-5 ADDED 252.245-7004 REPORTING, REUTILIZATION, AND DISPOSAL DEC/2017

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION J - LIST OF ATTACHMENTS

List of Number List of Number

Addenda Title Date of Pages Transmitted By Addenda Title Date of Pages Transmitted By________________ ____________________________________________________________ _______________ ____________ _______________________________ ____________________________________________________________ _______________ ____________ _______________

Attachment 0002 TECHNICAL REQUIREMENTS 12-MAR-2019 011 DATA

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