SPRDL119R0039-0001.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 2019FEB04

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

KAY MACHACEK

EMAIL: KAY.L.MACHACEK.CIV@MAIL.MIL

SPRDL1-19-R-0039

2019JAN08

X

X

/SIGNED/

2 signed

SEE SECOND PAGE FOR DESCRIPTION

1 2

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: KAY MACHACEK

Buyer Office Symbol/Telephone Number: ZGAB/(586)467-1156

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

The purpose of this amendment is to add the SPI attachment for AK13200530.

A. Add the SPI attachment for AK13200530 shown in 52.211-4515 PACKAGING REQUIREMENTS (SPECIAL PACKAGING INSTRUCTIONS).

B. All other terms and conditions remain unchanged.

*** END OF NARRATIVE A0001 ***

2 2

SPRDL1-19-R-0039

DD FORM 2169, JUN 1997 (EG) WCT 9-99 PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 2 Pages

SPECIAL PACKAGING INSTRUCTION Form Approved OMB No. 0704-0188

-MB

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THIS ADDRESS

1. PART OR DRAWING NO. (CAGE) NOMENCLATURE 2. CODE IDENT 3. SPI NO.

12350003-1 (19207) PUMP, COOLING SYSTEM 19207 AK13200530

4. NATIONAL STOCK NUMBER 5. DATE OF DRAWING 6. REVISION

2930-01-320-0530 07-19-2011 B

7. QUP 8. ICQ 9. UNIT PACK WT. (LB) 10. UNIT PACK CU (CU FT) 11. UNIT PACK SIZE (INCHES)

1 EA NONE 76.0 0.860 14.1 X 10.8 X 9.7

12. MILITARY PRESERVATION (METHOD) 18.

STEPS

19.

REQ’D

20.

DESCRIPTION

MIL-STD-2073-1D, METHOD 42 1-B PRESERVATIVE: MIL-PRF-2104H, GR 15W-40

13. CLEANING 2-C CAPS/PLUGS: NAS 847

MIL-STD-2073-1D 3-D PRESERVATIVE: MIL-PRF-16173, GR 4

14. DRYING 4-E WRAP: MIL-PRF-121, TY II, SIZE: 43 X 26

MIL-STD-2073-1D 5-F BLOCKING/BRACING: ASTM-D6199, SEE NOTES

6-G CONTAINER: ASTM-D5118, ST RSC, TY CF, CL D

15. PACKING V SW, GR 275, SIZE: 12-3/8 X 9-7/8 X 8-1/2

a. LEVEL A 7-H BAG: MIL-DTL-117, TY I, CL E, ST 1, SIZE: 21 X 25

MIL-STD-2073-1D AND NOTE J 8-I CONTAINER: ASTM-D5118, ST RSC, TY CF, CL WR

b. LEVEL B V SW, GR V3c, SIZE: 10-3/8 X 9-3/8 X 13

MIL-STD-2073-1D AND NOTE J

16. MARKING

MIL-STD-129

17. NOTES / DRAWING

A. INSPECT PRESERVATION, UNIT PACK, AND PACKING IN ACCORDANCE WITH MIL-STD-2073-1D AND THE

APPLICABLE CONTAINER SPECIFICATION

B. FLUSH INTERNALLY, ROTATE TO ASSURE COMPLETE COVERAGE AND DRAIN. IF INTERNAL PRESERVATION

IS ACCOMPLISHED DURING MANUFACTURE AND IF MEASURES HAVE BEEN TAKEN TO PREVENT

CONTAMINATION, INTERNAL PRESERVATION SHALL NOT BE REPEATED.

C. SEAL ALL FITTINGS AND OPENINGS WITH CAPS/PLUGS OF APPROPRIATE SIZE.

D. APPLY PRESERVATIVE TO ALL UNPAINTED, UNPLATED EXTERNAL METALLIC SURFACE.

E. WRAP ITEM ENTIRELY, SECURE WITH TAPE ASTM-D6123.

F. FOR BLOCKING/BRACING SIZE AND ORIENTATION, SEE PAGE 2.

G. CONTAINER CLOSURE SHALL BE IN ACCORDEANCE WITH ASTM D1974, METHOD 2B6.

H. CLOSE BAG BY HEAT SEAL.

I. CONTAINER CLOSURE SHALL BE IN ACCORDEANCE WITH ASTM D1974, METHOD 2B6.

DD FORM 2169C, JUN 1997 (EG) WCT 9-99 PREVIOUS EDITIONS ARE OBSOLETE Page 2 of 2 Pages

SPECIAL PACKAGING INSTRUCTION Form Approved OMB No. 0704-0188

-MB

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THIS ADDRESS

1. PART OR DRAWING NO. (CAGE) NOMENCLATURE 2. CODE IDENT 3. SPI NO.

12350003-1 (19207) PUMP, COOLING SYSTEM 19207 AK13200530

4. NATIONAL STOCK NUMBER 5. DATE OF DRAWING 6. REVISION

2930-01-320-0530 07-19-2011 B

17. NOTES / DRAWING

J. PACKING

LEVEL A PACKING SHALL BE ACCOMPLISHED USING WOOD-CLEATED PANELBOARD SHIPPING BOXES, CONFORMING TO ASTM-D 6251, TYPE III, CLASS 2 OR NAILED WOOD BOXES CONFORMING TO ASTM-D 6880, CLASS 2.

LEVEL B PACKING SHALL BE ACCOMPLISHED USING FIBERBOARD BOXES, WEATHER RESISTANT,

CONFORMING TO ASTM-D 5118 OR TRIPLEWALL, CORRUGATED FIBERBOARD BOXES, CLASS 2, CONFORMING TO ASTM-D 5168. CLOSURE, SEALING, AND REINFORCEMENT SHALL BE IAW SPECIFIC, APPLICABLE METHODS

OF ASTM-D 1974, OR AS REFERENCED IN THE CONTAINER SPECIFICATION.

WHEN THE TOTAL QUANTITY TO BE SHIPPED TO THE SAME DESTINATION EXCEEDS 125 POUNDS, EXTERIOR

PACKS WITHOUT SKIDS SHALL BE PALLETIZED IN ACCORDANCE WITH MIL-STD-147.

SECTION A