SPRDL119P0074-P00002.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

P00002 2019OCT01

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

NICHOLAS M. ZANE

EMAIL: NICHOLAS.M.ZANE.CIV@MAIL.MIL

S2401A

DCMA TWIN CITIES

5600 AMERICAN BLVD W.

SUITE 600

BLOOMINGTON, MN 55437

4EST1

D & S MANUFACTURING INC

319 S. OAK ST.

WICHITA, KS 67213-4637

SPRDL1-19-P-0074

2019JAN03

ACRN: AA NET DECREASE: -$200,772.00

X Mutual Agreement of the Parties

X

SEE SECOND PAGE FOR DESCRIPTION

/SIGNED/ 2019OCT01

MORRIS BELLEVILLE

MORRIS.A.BELLEVILLE.CIV@MAIL.MIL (586)467-1157

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: NICHOLAS M. ZANE

Buyer Office Symbol/Telephone Number: ZGAA/(586)461-1238

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

Kind of Modification: G

Type of Business: Other Small Business Performing in U.S.

Surveillance Criticality Designator: B

Paying Office: HQ0339

DFAS - COLUMBUS CENTER

WEST ENTITLEMENT OPERATIONS

P O BOX 182317

COLUMBUS OH 43218-2317

*** End of Narrative A0000 ***

PREVIOUS OBLIGATED CONTRACT VALUE: $200,772.00

OBLIGATED VALUE OF THIS ACTION: $-($200,772.00)

TOTAL OBLIGATED CONTRACT VALUE: $ 0

1. This bilateral modification P00002, to Purchase Order SPRDL1-19-P-0074, is issued to:

a. Cancel the Purchase Order in its entirety by deleting CLIN 0001AA, Production Quantity, and CLIN 0002AA, Exercised

Option Quantity, and at no additional cost to the Government or the contractor, D&S Manufacturing Inc. (CAGE: 4EST1).

2. As a result of Modification P00002:

SECTION B:

a. CLIN 0001AA has been deleted in its entirety.

b. CLIN 0002AA has been deleted in its entirety.

3. As a result of Modification P00002, the total contract obligated amount is $0.

4. The contractor unconditionally waives any charges against the Government because of the cancellation of Purchase Order SPRDL1-19-P-

0074 and releases it from all obligations due to its cancellation. Furthermore, the Government releases the contractor from all obligations under this contract.

*** END OF NARRATIVE A0003 ***

2 4

SPRDL1-19-P-0074

P00002

D & S MANUFACTURING INC

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

0001AA DELETED _______

0002AA DELETED _______

3 4

SPRDL1-19-P-0074

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION G - CONTRACT ADMINISTRATION DATA

PRON/ PRON/

AMS CD/ AMS CD/

LINE MIPR/ OBLG JO NO/ INCREASE/ CUMULATIVELINE MIPR/ OBLG JO NO/ INCREASE/ CUMULATIVE

ITEM GFEBS ATA STAT ACCT ASSIGN ACRN PRIOR AMOUNT DECREASE AMOUNTITEM GFEBS ATA STAT ACCT ASSIGN ACRN PRIOR AMOUNT DECREASE AMOUNT_____ _________ _____ ___________ ____ ____________ __________ ________________ _________ _____ ___________ ____ ____________ __________ ___________

0001AA EH8E0858EH 2 AA $ 100,386.00 $ -100,386.00 $ 0.00

SM2B1100000

0002AA EH9RB152EH 2 AA $ 100,386.00 $ -100,386.00 $ 0.00

SM2B1100000

NET CHANGE $ -200,772.00

INCREASE/ INCREASE/

ACRN ACCOUNTING CLASSIFICATION DECREASEACRN ACCOUNTING CLASSIFICATION DECREASE____ _________________________ ______________ _________________________ __________

AA 97 X4930AC9D 6D 26KB S20113 W56HZV $ -200,772.00 __________________

NET CHANGE $ -200,772.00

PRIOR AMOUNT INCREASE/DECREASE CUMULATIVE PRIOR AMOUNT INCREASE/DECREASE CUMULATIVE

OF AWARD AMOUNT OBLIG AMT OF AWARD AMOUNT OBLIG AMT _____________ __________________ ___________ _____________ __________________ ___________

NET CHANGE FOR AWARD: $ 200,772.00 $ -200,772.00 $ 0.00

LINELINE

ITEM ACRN EDI/SFIS ACCOUNTING CLASSIFICATIONITEM ACRN EDI/SFIS ACCOUNTING CLASSIFICATION_____ ____ _______________________________________ ____ __________________________________

0001AA AA 97 0X0X4930AC9D S20113 6D0000SM2B110000026KB S20113 W56HZV

0002AA AA 97 0X0X4930AC9D S20113 6D0000SM2B110000026KB S20113 W56HZV

4 4

SPRDL1-19-P-0074