A20 - SPRBL1-21-R-0010 Solicitation Amendment 0004 Final Version.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 2021NOV10

SPRBL1

DLA LAND AT ABERDEEN

6565 SURVEILLANCE LOOP, ROOM C1301

APG, MD 21005-1846

MATTHEW B CROUCH

EMAIL: MATTHEW.CROUCH@DLA.MIL

SPRBL1-21-R-0010

2021AUG24

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: MATTHEW B CROUCH

Buyer Office Symbol/Telephone Number: ZLAB/(443)861-4563

Type of Contract 1: Firm Fixed Price

Type of Contract 2: Cost Plus Fixed Fee

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

MOD 0004 completed for solicitation SPRBL1-21-R-0010 is needed to add the following range quanitity to CLINs 1001 - 5001 as follows:

1. FROM TO UNIT PRICE ____ __ __________

171 250 $

*** END OF NARRATIVE A0005 ***

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SPRBL1-21-R-0010

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 CONTRACT YEAR 1 $ ___________________________________ __________________

See Range Pricing

NSN: 5841-01-543-6979

COMMODITY NAME: C PROCESSOR

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 80063

Mfr Part Number: 001-008686-0001

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

1 9 $

10 19 $

20 70 $

71 120 $

121 170 $

171 250 $

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

2001 PRODUCTION QUANTITY CONTRACT YEAR 2 $ ___________________________________ __________________

See Range Pricing

NSN: 5841-01-543-6979

COMMODITY NAME: C PROCESSOR

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 80063

Mfr Part Number: 001-008686-0001

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

1 9 $

10 19 $

20 70 $

71 120 $

121 170 $

171 250 $

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

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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

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

3001 PRODUCTION QUANTITY CONTRACT YEAR 3 $ ___________________________________ __________________

See Range Pricing

NSN: 5841-01-543-6979

COMMODITY NAME: C PROCESSOR

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 80063

Mfr Part Number: 001-008686-0001

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

1 9 $

10 19 $

20 70 $

71 120 $

121 170 $

171 250 $

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

4001 PRODUCTION QUANTITY CONTRACT YEAR 4 $ ___________________________________ __________________

See Range Pricing

NSN: 5841-01-543-6979

COMMODITY NAME: C PROCESSOR

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 80063

Mfr Part Number: 001-008686-0001

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

1 9 $

10 19 $

20 70 $

71 120 $

121 170 $

171 250 $

4 5

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 _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

5001 PRODUCTION QUANTITY CONTRACT YEAR 5 $ ___________________________________ __________________

See Range Pricing

NSN: 5841-01-543-6979

COMMODITY NAME: C PROCESSOR

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 80063

Mfr Part Number: 001-008686-0001

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

1 9 $

10 19 $

20 70 $

71 120 $

121 170 $

171 250 $

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

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