SPRBL121R0014-0001 - Amendment.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 2021NOV02

SPRBL1

DLA LAND AT ABERDEEN

6565 SURVEILLANCE LOOP, ROOM C1301

APG, MD 21005-1846

ESHA GUHANIYOGI

EMAIL: ESHA.GUHANIYOGI@DLA.MIL

SPRBL1-21-R-0014

2021SEP30

X

X 2021DEC10 03:00pm

/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: ESHA GUHANIYOGI

Buyer Office Symbol/Telephone Number: DSCC-ZLAA/(443)252-6504

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 is to extend the solicitation deadline and include additional CAGE codes and Mfr Part Numbers.

2. Addition of COVID-19 regulation DFARS 252.233-7999.

3. All other terms and conditions remain in effect.

*** END OF NARRATIVE A0004 ***

2 10

SPRBL1-21-R-0014

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: 5855-01-612-5116

COMMODITY NAME: PASGT HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Approved sources;

NSN: 5855-01-612-5116

CAGE Code: 0B5K8

Part Number: 1955010-1GC-1

CAGE Code: 004F1

Part Number: 56100G20

(End of narrative B002)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

1002 PRODUCTION QUANTITY YEAR 1 $ $ __________________________ ______________ __________________

NSN: 5855-01-610-8704

COMMODITY NAME: ACH HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Approved sources;

NSN: 5855-01-610-8704

CAGE Code: 0B5K8

Part Number: 1955010-2GC-1

CAGE Code: 004F1

Part Number: 56100G19

(End of narrative B001)

3 10

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

2001 PRODUCTION QUANTITY YEAR 2 $ $ __________________________ ______________ __________________

NSN: 5855-01-612-5116

COMMODITY NAME: PASGT HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Approved sources;

NSN: 5855-01-612-5116

CAGE Code: 0B5K8

Part Number: 1955010-1GC-1

CAGE Code: 004F1

Part Number: 56100G20

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

2002 PRODUCTION QUANTITY YEAR 2 $ $ __________________________ ______________ __________________

NSN: 5855-01-610-8704

COMMODITY NAME: ACH HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Approved sources;

NSN: 5855-01-610-8704

CAGE Code: 0B5K8

Part Number: 1955010-2GC-1

4 10

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

CAGE Code: 004F1

Part Number: 56100G19

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

3001 PRODUCTION QUANTITY YEAR 3 $ $ __________________________ ______________ __________________

NSN: 5855-01-612-5116

COMMODITY NAME: PASGT HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Approved sources;

NSN: 5855-01-612-5116

CAGE Code: 0B5K8

Part Number: 1955010-1GC-1

CAGE Code: 004F1

Part Number: 56100G20

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

3002 PRODUCTION QUANTITY YEAR 3 $ $ __________________________ ______________ __________________

NSN: 5855-01-610-8704

COMMODITY NAME: ACH HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

5 10

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Approved sources;

NSN: 5855-01-610-8704

CAGE Code: 0B5K8

Part Number: 1955010-2GC-1

CAGE Code: 004F1

Part Number: 56100G19

(End of narrative B001)

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 YEAR 4 $ $ __________________________ ______________ __________________

NSN: 5855-01-612-5116

COMMODITY NAME: PASGT HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Approved sources;

NSN: 5855-01-612-5116

CAGE Code: 0B5K8

Part Number: 1955010-1GC-1

CAGE Code: 004F1

Part Number: 56100G20

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

6 10

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

4002 PRODUCTION QUANTITY YEAR 4 $ $ __________________________ ______________ __________________

NSN: 5855-01-610-8704

COMMODITY NAME: ACH HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Approved sources;

NSN: 5855-01-610-8704

CAGE Code: 0B5K8

Part Number: 1955010-2GC-1

CAGE Code: 004F1

Part Number: 56100G19

(End of narrative B001)

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 YEAR 5 $ $ __________________________ ______________ __________________

NSN: 5855-01-612-5116

COMMODITY NAME: PASGT HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: OB5K8

Mfr Part Number: 1955010-1GC-1

Approved sources;

NSN: 5855-01-612-5116

CAGE Code: 0B5K8

Part Number: 1955010-1GC-1

CAGE Code: 004F1

Part Number: 56100G20

(End of narrative B001)

Packaging and Marking _____________________

7 10

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/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

5002 PRODUCTION QUANTITY YEAR 5 $ $ __________________________ ______________ __________________

NSN: 5855-01-610-8704

COMMODITY NAME: ACH HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 0B5K8

Mfr Part Number: 1955010-2GC-1

Approved sources;

NSN: 5855-01-610-8704

CAGE Code: 0B5K8

Part Number: 1955010-2GC-1

CAGE Code: 004F1

Part Number: 56100G19

(End of narrative B001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

8001 FAT SAMPLE $ $ __________ ______________ __________________

NSN: 5855-01-612-5116

COMMODITY NAME: PASGT HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Approved sources;

NSN: 5855-01-612-5116

CAGE Code: 0B5K8

Part Number: 1955010-1GC-1

8 10

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

CAGE Code: 004F1

Part Number: 56100G20

(End of narrative B002)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Government Approval/Disapproval Days: 180

8002 FAT SAMPLE $ $ __________ ______________ __________________

NSN: 5855-01-610-8704

COMMODITY NAME: ACH HELMET MOUNT

CLIN CONTRACT TYPE:

Firm Fixed Price

Approved sources;

NSN: 5855-01-610-8704

CAGE Code: 0B5K8

Part Number: 1955010-2GC-1

CAGE Code: 004F1

Part Number: 56100G19

(End of narrative B002)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-2073-1E

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Government Approval/Disapproval Days: 180

9 10

Reference No. of Document Being Continued Page of

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 252.223-7999 ENSURING ADEQUATE COVID-19 SAFETY PROTOCOLS FOR FEDERAL CONTRACTORS OCT/2021

(DEVIATION 2021-O0009)

(a) Definition. As used in this clause--

"United States or its outlying areas" means--

(1) The fifty States;

(2) The District of Columbia;

(3) The commonwealths of Puerto Rico and the Northern Mariana Islands;

(4) The territories of American Samoa, Guam, and the United States Virgin Islands; and

(5) The minor outlying islands of Baker Island, Howland Island, Jarvis Island, Johnston Atoll, Kingman Reef, Midway Islands, Navassa

Island, Palmyra Atoll, and Wake Atoll.

(b) Authority. This clause implements Executive Order 14042, Ensuring Adequate COVID Safety Protocols for Federal Contractors, dated

September 9, 2021 (published in the Federal Register on September 14, 2021, 86 FR 50985).

(c) Compliance. The Contractor shall comply with all guidance, including guidance conveyed through Frequently Asked Questions, as amended during the performance of this contract, for contractor or subcontractor workplace locations published by the Safer Federal

Workforce Task Force (Task Force Guidance) at https:/www.saferfederalworkforce.gov/contractors/.

(d) Subcontracts. The Contractor shall include the substance of this clause, including this paragraph (d), in subcontracts at any tier that exceed the simplified acquisition threshold, as defined in Federal Acquisition Regulation 2.101 on the date of subcontract award, and are for services, including construction, performed in whole or in part within the United States or its outlying areas.

(End of clause)

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