SPRDL117R0023-0003.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

0003 2017FEB28

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

GRETCHEN PERRY

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

SPRDL1-17-R-0023

2017JAN03

X

X 2017MAR14 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: 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 0003 to Solicitation SPRDL1-17-R-0023 is to revise the Technical Data Package (TDP) and Section C Exceptions, and extend the closing date.

1. The CLIN 0001AA and CLIN 0002AA Description/Specs/Work Statement DATE is revised from 07-SEP-2016 to 24-FEB-2017.

2. The Clause 52.210-4501 DRAWINGS/SPECIFICATIONS TDP date is revised from 07-SEP-2016 to 24-FEB-2017.

3. The Section C Exceptions, posted on FBO, with the TDP, are updated.

4. The Solicitation Close date is extended to March 14, 2017 at 4:00 PM EST.

5. All other terms and conditions remain unchanged.

*** END OF NARRATIVE A0004 ***

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SPRDL1-17-R-0023 0003

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-PARTICULATE

NSN: 4240-00-853-3201

Mfr CAGE: 81361

Mfr Part Number: PL5-19-1779

0001AA PRODUCTION QUANTITY 103 EA $ $ _____________________________ ______________ __________________

COMMODITY NAME: FILTER UNIT, GAS-PARTICULATE

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH68E553EH PRON AMD: 03

AMS CD: SM2B1100000

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: 20160361

DATE: 24-FEB-2017

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 ______ ________ ______ ______ ________ _____

001 W56HZV6120V640 W22PVJ J 2

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 55 0390

002 48 0420

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 entitiled "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 1 EA $ ** NSP ** $ ** NSP ** __________________ ______________ __________________

COMMODITY NAME: FILTER UNIT, GAS PARTICULATE

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 0270

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-PARTICULATE

NSN: 4240-00-853-3201

Mfr CAGE: 81361

Mfr Part Number: PL5-19-1779

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 103 EA $ $ _____________________________ ______________ __________________

COMMODITY NAME: FILTER UNIT, GAS-PARTICULATE

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: 20160361

DATE: 07-SEP-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 55 0150

002 48 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 C - DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

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

C-1 CHANGED 52.210-4501 DRAWINGS/SPECIFICATIONS JAN/2016

TACOM (RI)

In addition to the drawing(s) and/or specifications listed below, other documents which are part of this procurement and which apply to

Preservation/Packaging/Packing and Inspection and Acceptance are contained elsewhere.

Drawings and Specifications in accordance with Technical Data Package/Technical Data Package Listing 20160361, with revisions in effect as of 02/24/2017, are applicable to this procurement with the following exceptions:

Vendors to access this information with the technical data posted on FedBizOpps.

(End of Clause)

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