SPRDL116Q0366-0001.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 2016JUN08

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

AMY ROBOSAN

EMAIL: AMY.S.ROBOSAN.CIV@MAIL.MIL

SPRDL1-16-Q-0366

2016JUN01

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: AMY ROBOSAN

Buyer Office Symbol/Telephone Number: ZGA/(586)282-3194

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

The purpose of amendment 0001 to solicitaton SPRDL1-16-Q-0366 is to correct the part numbers.

1. The part numbers are hereby amended as follows:

CLIN 0001 and 0005, NSN 4320-01-642-6684, PN: 4056-631

CLIN 0002 and CLIN 0006, NSN 4320-01-642-6694, PN: 4056-630

CLIN 0003 and CLIN 0007, NSN 4630-01-642-3436, PN: 4056-520

CLIN 0004 and CLIN 0008, NSN 4630-01-642-3447, PN: 4056-514

2. All other terms and conditions remain unchanged.

*** END OF NARRATIVE A0001 ***

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SPRDL1-16-Q-0366 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

SUPPLIES OR SERVICES AND PRICES/COSTS

0001 PUMPING UNIT CLEAR GREEN

NSN: 4320-01-642-6684

Mfr CAGE: 4JKJ9

Mfr Part Number: 4056-631

0001AA PRODUCTION QUANTITY 30 EA $ $ _________________________ ______________ __________________

COMMODITY NAME: PUMPING UNIT CLEAR GREEN

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: S669E601EH PRON AMD: 01

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING CLAUSE

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

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

0002 PUMPING UNIT CLEAR TAN

NSN: 4320-01-642-6694

Mfr CAGE: 4JKJ9

Mfr Part Number: 4056-630

0002AA PRODUCTION QUANTITY 30 EA $ $ _______________________ ______________ __________________

COMMODITY NAME: PUMPING UNIT CLEAR TAN

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: S669E602EH PRON AMD: 01

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING CLAUSE

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

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

0003 PUMPING UNIT SEWAGE GREEN

NSN: 4630-01-642-3436

Mfr CAGE: 4JKJ9

Mfr Part Number: 4056-520

0003AA PRODCUTION QUANTITY 30 EA $ $ __________________________ ______________ __________________

COMMODITY NAME: PUMPING UNIT SEWAGE GREEN

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: S669E603EH PRON AMD: 01

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING CLAUSE

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

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

0004 PUMPING UNIT SEWAGE TAN

NSN: 4630-01-642-3447

Mfr CAGE: 4JKJ9

Mfr Part Number: 4056-514

0004AA PRODUCTION QUANTITY 30 EA $ $ ________________________ ______________ __________________

COMMODITY NAME: PUMPING UNIT SEWAGE TAN

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: S669E604EH PRON AMD: 01

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING CLAUSE

LEVEL PRESERVATION: Military

LEVEL PACKING: A

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

0005 PUMPING UNIT CLEAR GREEN

NSN: 4320-01-642-6684

Mfr CAGE: 4JKJ9

Mfr Part Number: 4056-631

0005AA UNEXERCISED OPTION QUANTITY 30 EA $ $ ___________________________ ______________ __________________

COMMODITY NAME: PUMPING UNIT CLEAR GREEN

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING CLAUSE

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

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

0006 PUMPING UNIT CLEAR TAN

NSN: 4320-01-642-6694

Mfr CAGE: 4JKJ9

Mfr Part Number: 4056-630

0006AA UNEXERCISED OPTION QUANTITY 30 EA $ $ ___________________________ ______________ __________________

COMMODITY NAME: PUMPING UNIT CLEAR TAN

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING CLAUSE

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

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

0007 PUMPING UNIT SEWAGE GREEN

NSN: 4630-01-642-3436

Mfr CAGE: 4JKJ9

Mfr Part Number: 4056-520

0007AA UNEXERCISED OPTION QUANTITY 30 EA $ $ ___________________________ ______________ __________________

COMMODITY NAME: PUMPING UNIT SEWAGE GREEN

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING CLAUSE

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

9 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

0008 PUMPING UNIT SEWAGE TAN

NSN: 4630-01-642-3447

Mfr CAGE: 4JKJ9

Mfr Part Number: 4056-514

0008AA UNEXERCISED OPTION QUANTITY 30 EA $ $ ___________________________ ______________ __________________

COMMODITY NAME: PUMPING UNIT SEWAGE TAN

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING CLAUSE

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

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