SPRDL116Q0558-0003.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

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

KAY MACHACEK

EMAIL: KAY.L.MACHACEK.CIV@MAIL.MIL

SPRDL1-16-Q-0558

2017APR24

X

X 2018AUG31

2 signed

SEE SECOND PAGE FOR DESCRIPTION

1 4

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: KAY MACHACEK

Buyer Office Symbol/Telephone Number: ZGAB/(586)467-1156

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

The purpose of this amendment is to change the solicitation to a sole source procurement, reduce the item quantity, remove the FAT requirement, and change the closing date of the solicitation.

A. This requirement is changed from a small business set-aside to a restricted procurement to the following manufacturer and part number:

DRS Network & Imaging Systems (32865)

Part Number: 12496463

B. The item quantity is changed from 25 ea to 11 ea.

C. The requirement for First Article Testing (FAT) is removed.

D. The solicitation offer date is changed to 31 Aug 2018.

E. The following clauses have been removed due to the above stated changes:

ES6304 52.209-4000 01-MAR-2000 NOTICE REGARDING FIRST ARTICLE TEST SAMPLE

ES7032 52.209-4012 01-APR-2000 NOTICE REGARDING FIRST ARTICLE

ES7898 52.246-4017 01-FEB-2000 ALTERNATIVES TO LOT ACCEPTANCE SAMPLING (INCLUDING STATISTICAL PROCESS CONTROL (SPC))

FA60003 252.211-7006 01-JUN-2016 PASSIVE RADIO FREQUENCY IDENTIFICATION

IA00076 252.227-7013 01-FEB-2014 RIGHTS IN TECHNICAL DATA--NONCOMMERCIAL ITEMS

IA00096 252.227-7037 01-SEP-2016 VALIDATION OF RESTRICTIVE MARKINGS ON TECHNICAL DATA

IA00153 252.246-7001 01-MAR-2014 WARRANTY OF DATA--BASIC

IA00271 252.231-7000 01-DEC-1991 SUPPLEMENTAL COST PRINCIPLES

IF00072 52.219-6 01-NOV-2011 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE

IF00364 52.204-10 01-OCT-2016 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT AWARDS

IF60005 52.209-3 01-SEP-1989 FIRST ARTICLE APPROVAL -- CONTRACTOR TESTING (SEP 1989) -- ALTERNATE I (JAN 1997) AND ALTERNATE II (SEP

1989)

KA00005 252.227-7017 01-JAN-2011 IDENTIFICATION AND ASSERTION OF USE, RELEASE, OR DISCLOSURE RESTRICTIONS

KA00006 252.227-7028 01-JUN-1995 TECHNICAL DATA OR COMPUTER SOFTWARE PREVIOUSLY DELIVERED TO THE GOVERNMENT

LS6305 52.209-4005 01-FEB-1998 CONTRACT PRICE REDUCTION FOR WAIVER OF FIRST ARTICLE TEST

LS7304 52.209-4007 01-MAY-2006 PROVISION FOR WAIVER OF REQUIRED FIRST ARTICLE APPROVAL

MS6306 52.209-4006 01-JUL-2000 EVALUATION FACTORS FOR FIRST ARTICLE TEST REQUIREMENT

F. All other terms and conditions remain unchanged.

*** END OF NARRATIVE A0003 ***

2 4

SPRDL1-16-Q-0558

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 CIRCUIT CARD ASSEMB

NSN: 5998-01-575-3005

Mfr CAGE: 19207

Mfr Part Number: 12496463

0001AA 11 EA $ $ _ ______________ __________________PRODUCTION QUANTITY___________________

COMMODITY NAME: CIRCUIT CARD ASSEMB

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH67E894EH PRON AMD: 03

Packaging and Marking_____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS CLAUSE

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance_________________________

INSPECTION: Origin

ACCEPTANCE: Origin

Deliveries or Performance_________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD______ ________ ______ ______ ________ _____

001 W52H096207750Z W562RM J 2

DEL REL CD QUANTITY DAYS AFTER AWARD__________ ______________ ________________

001 11 0360

FOB POINT: Destination

SHIP TO:

(W562RM) SU W0MC ARMY GENERAL SUPPLY

CENTRAL RECIEVING

10TH STREET AND K AVENUE

TEXARKANA,TX,75507-5000

3 4

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

0001AB DELETED _______

0002 CIRCUIT CARD ASSEM

NSN: 5998-01-575-3005

Mfr CAGE: 19207

Mfr Part Number: 12496463

0002AA UNEXERCISED OPTION CLIN 11 EA $ $ _______________________ ______________ __________________

COMMODITY NAME: CIRCUIT CARD ASSEM

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking_____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS CLAUSE

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance_________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance_________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD______ ________ ______ ______ ________ _____

DEL REL CD QUANTITY DAYS AFTER AWARD__________ ______________ ________________

001 11 0360

FOB POINT: Destination

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

4 4