SPRDL116R0318-0001.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 2016SEP28

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

JEFFREY MAHLMEISTER

EMAIL: JEFFREY.J.MAHLMEISTER.CIV@MAIL.MIL

SPRDL1-16-R-0318

2016AUG31

X

X 2016OCT28 04:00pm

/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: JEFFREY MAHLMEISTER

Buyer Office Symbol/Telephone Number: ZGA/(586)282-3163

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

AMENDMENT NUMBER 0001 TO SPRDL1-16-R-0318

1. The purpose of Amendment, 0001, to Solicitation, SPRDL1-16-R-0318, is to increase the quantity on CLIN 0001AA and CLIN 0002AA.

2. The quantity on CLIN 0001AA is increased by 109 each from 330 each to 439 each.

3. The quantity on CLIN 0002AA is increased by 109 each from 330 each to 439 each.

4. As a result of the quantity increase, the closing date is extended from 03 October 2016 to 28 October 2016.

5. All other terms and conditions remain unchanged.

*** END OF NARRATIVE A0001 ***

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SPRDL1-16-R-0318 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

SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS

0001 WHEEL,SOLID RUBBERT

NSN: 2530-01-532-1569

Mfr CAGE: 19207

Mfr Part Number: 12478116

Top drawing is source controlled to the following contractor:

Veyance Technologies

CAGE: 08754

MFR P/N: 12478116

(End of narrative A002)

0001AA WHEEL, SOLID RUBBERT 439 EA $ $ ____________________ ______________ __________________

COMMODITY NAME: WHEEL,SOLID RUBBERT

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH66E164EH PRON AMD: 02

AMS CD: SM2B1100000

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: 12478116

DATE: 02-MAY-2016

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS CLAUSE

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

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

001 W56HZV6118400Z W562RM J 2

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 439 0210

FOB POINT: Origin

SHIP TO:

(W562RM) SU W0MC ARMY GENERAL SUPPLY

CENTRAL RECIEVING

10TH STREET AND K AVENUE

TEXARKANA,TX,75507-5000

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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

0002 WHEEL, SOLID RUBBERT

NSN: 2530-01-532-1569

Mfr CAGE: 19207

Mfr Part Number: 12478116

Top drawing is source controlled to the following contractor:

Veyance Technologies

CAGE: 08754

MFR P/N: 12478116

(End of narrative A002)

0002AA UNEXERCISED OPTION 439 EA $ $ _____________________ ______________ __________________

COMMODITY NAME: WHEEL, SOLID RUBBERT

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: 12478116

DATE: 02-MAY-2016

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS CLAUSE

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 __________ ______________ ________________

001 439 0210

FOB POINT: Origin

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

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