SPRDL117R0313-0001.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 2017AUG03

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

TERRY ZIELINSKI

EMAIL: TERRY.J.ZIELINSKI.CIV@MAIL.MIL

SPRDL1-17-R-0313

2017JUL17

X

X

/SIGNED/

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

SECTION A - SUPPLEMENTAL INFORMATION

Buyer Name: TERRY ZIELINSKI

Buyer Office Symbol/Telephone Number: ZGA/(586)282-3226

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

1. The purpose of Amendment 0001 is to change the 2 Dana manufacturer's part numbers and CAGE Codes under CLINs 0001AA and 0002AA from the Dana Commercial Vehicle Manufacturing,LLC DBA Dana Commercial Vehicle Products,CAGE:9R200,p/n:329020. Dana Commercial Vehicle

Products,LLC,CAGE:52304,p/n:824964. These 2 part numbers are being changed from DANA to the Bendix Commercial Vehicle Systems, CAGE:06853,p/n: 329020N.

2. The closing date still remains unchanged on August 17,2017 at 1:00 pm eastern standard time.

*** END OF NARRATIVE A0001 ***

2 4

SPRDL1-17-R-0313 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 Parts Kit Brake Shoe

NSN: 2530-01-500-1722

Mfr CAGE: 06853

Mfr Part Number: 329020N

0001AA PRODUCTION QUANTITY 324 EA $ $ _____________________ ______________ __________________

COMMODITY NAME: Parts Kit Brake Shoe

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH7C1034EH PRON AMD: 03

AMS CD: SM2B1100000

(Deleted narrative B001)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: NO TDP MFG P/N

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING CLAUSE IN SOLICITATION

UNIT PACK: 001 INTERMEDIATE PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0002 PARTS KIT BRAKE SHOE

NSN: 2530-01-500-1722

Mfr CAGE: 06853

Mfr Part Number: 329020N

0002AA UN-EXERCISED OPTION CLIN 486 EA $ $ ________________________ ______________ __________________

COMMODITY NAME: PARTS KIT BRAKE SHOE

CLIN CONTRACT TYPE:

Firm Fixed Price

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.

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

The failure of the offeror to insert a unit price applicable to the option quantity shall mean that the offeror will supply all or any part of the option. if exercised by the

Government, at the basic contract unit price.

(End of narrative B001)

(Deleted narrative B002)

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: NO TDP MFG P/N

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING CLAUSE IN SOLICITATION

UNIT PACK: 001 INTERMEDIATE PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

4 4