SPRDL119P0248-P00001.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

P00001 2019JUL25

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

SHARON VAN DYKE

EMAIL: SHARON.M.VANDYKE.CIV@MAIL.MIL

SGR18A

DCMA EUROPE

CMR 410, BOX 761

APO, AE 09046

K0824

PEARSON ENGINEERING, LTD

SCOTSWOODROAD

NEWCASTLE UPON TYNE, GB

UNITED KINGDOM NE15 6UX

SPRDL1-19-P-0248

2019JUL16

NO CHANGE TO OBLIGATION DATA

X

X

SEE SECOND PAGE FOR DESCRIPTION

/SIGNED/ 2019JUL25

JEFFREY MAHLMEISTER

JEFFREY.J.MAHLMEISTER.CIV@MAIL.MIL (586)467-1158

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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: SHARON VAN DYKE

Buyer Office Symbol/Telephone Number: ZGAC/(586)467-1218

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

Kind of Modification: B

Type of Business: Large Business Performing in U.S.

Surveillance Criticality Designator: C

Paying Office: HQ0339

DFAS - COLUMBUS CENTER

WEST ENTITLEMENT OPERATIONS

P O BOX 182317

COLUMBUS OH 43218-2317

*** End of Narrative A0000 ***

Modification P00001 to SPRDL1-19-P-0248

Previous Amount of Purchase Order: $80,976.70

Amount Changed by this Action: $0.00

Current Amount of Purchase Order: $80,976.70

1. The purpose of this modification P00001 to SPRDL1-19-P-0248 is to extend the delivery schedule for CLIN 0001AA

FROM:

0001AA 10 units due 31 DEC 2019

TO:

0001AA 10 units due 14 JAN 2020

2. The FOB point on CLIN 0002AA has been corrected from Destination to Origin

3. As a result of these actions, the total Purchase Order amount remains unchanged.

4. All other terms and conditions remain unchanged.

*** END OF NARRATIVE A0002 ***

2 5

SPRDL1-19-P-0248

P00001

PEARSON ENGINEERING, LTD

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 FUNCTION BLOCK ASSE

NSN: 2590-99-299-9515

Mfr CAGE: K0824

Mfr Part Number: CS2015

0001AA PRODUCTION QUANTITY 10 EA $ 8,097.67000 $ 80,976.70 ____________________ ______________ __________________

COMMODITY NAME: FUNCTION BLOCK ASSE

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH9C0714EH PRON AMD: 02 ACRN: AA

AMS CD: SM2B1100000

PSC: 2590

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING CLAUSE

INTERMEDIATE 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 W56HZV9065968Z W562RP J 2

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 10 14-JAN-2020

FOB POINT: Origin

SHIP TO:

(W562RP) SR ARMY GENERAL SUPPLY LMP STOCK RE

DLA DISTRIBUTION ANNISTON

7 FRANKFORD AVE 362

ANNISTON,AL,36201-4199

CONTRACT/DELIVERY ORDER NUMBER ______________________________

SPRDL1-19-P-0248/0000

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SPRDL1-19-P-0248

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 FUNCTION BLOCK ASSEMBLY

NSN: 2590-99-299-515

Mfr CAGE: K0824

Mfr Part Number: CS2015

0002AA UNEXERCISED OPTION QUANTITY 10 EA $ 8,097.67000 $ 80,976.70 ___________________________ ______________ __________________

COMMODITY NAME: FUNCTION BLOCK ASSEMBLY

CLIN CONTRACT TYPE:

Firm Fixed Price

PSC: 2590

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING CLAUSE

INTERMEDIATE PACK: DELETED

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 10 0168

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.

CONTRACT/DELIVERY ORDER NUMBER ______________________________

SPRDL1-19-P-0248/0000

4 5

SPRDL1-19-P-0248

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

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SPRDL1-19-P-0248