SPRDL116R0365-0004.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 2016SEP21

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

GRETCHEN PERRY

EMAIL: GRETCHEN.E.PERRY.CIV@MAIL.MIL

SPRDL1-16-R-0365

2016JUL28

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: GRETCHEN PERRY

Buyer Office Symbol/Telephone Number: ZGA/(586)282-3216

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

The purpose of Amendment 0004 to Solicitation SPRDL1-16-R-0365 is to clarify the First Article Test (FAT) destructive testing, update the Section C Exceptions, and revise the delivery schedule.

1. Up to 4 of the FAT samples, not destroyed during testing, may be delivered as part of the production quantity.

2. No destructive testing is required for the packaging FAT.

3. The Section C Exceptions, available with the Technical Data Package posted on FedBizOpps, are updated.

4. The delivery schedule is revised as identified in Section B and Clause 52.242-4022 DELIVERY SCHEDULE.

5. All other terms and conditions are unchanged.

*** END OF NARRATIVE A0005 ***

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SPRDL1-16-R-0365 0004

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 FILTER UNIT,GAS-PAR

NSN: 4240-01-615-1867

Mfr CAGE: 81361

Mfr Part Number: 5-19-8892-20

0001AA PRODUCTION QUANTITY 31 EA $ $ ____________________ ______________ __________________

COMMODITY NAME: FILTER UNIT,GAS-PAR

PRON: EH48E721EH PRON AMD: 07

AMS CD: SM2B1100000

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: 20150838

DATE: 05-JAN-2016

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING 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 ______ ________ ______ ______ ________ _____

001 W56HZV3329V670 W22PVJ J 2

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 31 0450

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU W0L7 BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

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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

A First Article Test Report is required in accordance with the Clause entitled "First Article Approval --

Contractor Testing", FAR 52.209-3.

The price for First Article testing in the total amount of $_______________ is included in the total amount for CLIN 0001AA.

After submission of the First Article Test report, the Government will have 30 days to approve or disapprove.

(End of narrative B001)

0001AB FIRST ARTICLE TEST REPORT 1 EA $ ** NSP ** $ ** NSP ** _________________________ ______________ __________________

COMMODITY NAME: FIRST ARTICLE TEST REPORT

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Destination

Deliveries or Performance _________________________

DOC SUPPL

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

001 3

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 1 0350

FOB POINT: Destination

SHIP TO:

(Y00006) SEE FIRST ARTICLE TEST CLAUSE

FOR DISTRIBUTION

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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

0002 FILTER UNIT, GAS-PAR

NSN: 4240-01-615-1867

Mfr CAGE: 81361

Mfr Part Number: 5-19-8892-20

OPTION QUANTITY, PURSUANT TO THE CLAUSE ENTITLED

"SEPARATELY PRICED OPTION FOR INCREASED QUANTITY".

The quantity stated for the option CLIN does NOT form a part of the basic contractual quantity. Part or all of it may, however, be added to the contract by exercise of the option clause, at the discretion of the Government.

The failure of the offeror to insert a unit price applicable to the option quantity shall mean that the offeror will supply the option, if exercised by the

Government, at the basic contract unit price, and the offer will be evaluated for award accordingly.

(End of narrative B001)

0002AA UNEXERCISED OPTION QUANTITY 31 EA $ $ ___________________________ ______________ __________________

COMMODITY NAME: FILTER UNIT, GAS-PAR

CLIN CONTRACT TYPE:

Firm Fixed Price

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: 20150838

DATE: 05-JAN-2016

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING 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 31 0180

FOB POINT: Destination

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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

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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Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION F - DELIVERIES OR PERFORMANCE

Status Regulatory Cite Title Date Status Regulatory Cite Title Date _______ _______________ ______________________________________________________________________ ____________ _______ _______________ ______________________________________________________________________ ____________

F-1 CHANGED 52.242-4022 DELIVERY SCHEDULE SEP/2008

(TACOM)

(a) Delivery under this contract must conform to the required schedule specified below, unless acceleration is acceptable.

(b) DEFINITIONS:

(1) DAYS means the number of days after the date of contract award when you must deliver the stated quantity (QTY) of supplies.

(2) DELIVERY is defined as follows:

FOB Origin - Contractor is required to deliver its shipment as provided in FAR 52.247-29(a)(1)-(4) by the time specified in the individual contract; or

FOB Destination - Contractor is required to deliver its shipment as provided in FAR 52.247-34(a)(1)-(2) by the time specified in the individual contract. The contractor must take into consideration the length of time necessary to deliver its shipment to the destination designated in the contract, to ensure that the item reaches its destination by the time reflected in the contract.

(c) The Government requires delivery to be made according to the following schedule:

(1) GOVERNMENT REQUIRED DELIVERY SCHEDULE WITH FIRST ARTICLE TEST (FAT)

ITEM NO. QTY WITHIN DAYS AFTER DATE OF CONTRACT AWARD

0001AA 31 each 450 days after award

0001AB 1 each 350 days after award

0002AA 31 each 180 days after option exercise

(2) GOVERNMENT REQUIRED DELIVERY SCHEDULE IF THERE IS NO FIRST ARTICLE TEST (FAT), OR IF FAT IS WAIVED

ITEM NO. QTY WITHIN DAYS AFTER DATE OF CONTRACT AWARD

0001AA 31 each 180 days after award

0002AA 31 each 180 days after option exercise

(d) Accelerated delivery schedule IS acceptable. __

(e) If an accelerated delivery schedule is not acceptable, the required delivery schedule above will apply. If it is acceptable, you may propose an accelerated delivery schedule at no additional cost; fill in the appropriate information here:

(1) OFFERORS PROPOSED ACCELERATED DELIVERY SCHEDULE WITH FIRST ARTICLE TEST (FAT)

ITEM NO. QTY WITHIN DAYS AFTER DATE OF CONTRACT AWARD

(2) OFFERORS PROPOSED ACCELERATED DELIVERY SCHEDULE WITHOUT FIRST ARTICLE TEST (FAT), or IF FAT IS WAIVED

ITEM NO. QTY WITHIN DAYS AFTER DATE OF CONTRACT AWARD

[End of Clause]

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