SPRDL122R0022-0002.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

0002 2022MAY17

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

KAY MACHACEK

EMAIL: KAY.MACHACEK@DLA.MIL

SPRDL1-22-R-0022

2022APR04

X

X 2022MAY25

/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: 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 extend the offer date and revise the quantities for CLINs 0001AA and 0002AA.

A. Extend the solicitation offer date to 25 May 2022.

B. Change the quantity for CLIN 0001AA to 431.

C. Change the quantity for CLIN 0002AA to 431.

D. All other terms and conditions remain unchanged.

*** END OF NARRATIVE A0003 ***

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SPRDL1-22-R-0022

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 WIRING HARNESS

NSN: 6150-01-106-7911

Mfr CAGE: 19207

Mfr Part Number: 12298035

0001AA Production Quantity 431 EA $ $ ___________________ ______________ __________________

COMMODITY NAME: WIRING HARNESS

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH2C0136EH PRON AMD: 04

Packaging and Marking_____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS 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 W56HZW1306751Z W562RM J 2

DEL REL CD QUANTITY DEL DATE__________ ______________ ___________

001 431 0630

FOB POINT: Destination

SHIP TO:

(W562RM) SU W0MC ARMY GENERAL SUPPLY

CENTRAL RECIEVING

10TH STREET AND K AVENUE

TEXARKANA,TX,75507-5000

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SPRDL1-22-R-0022

This Procurement is a Women Owned Small Business (WOSB) Set-Aside.

First Article Test is required. Waiver may be authorized; see waiver provision in Section L.

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0001AB FIRST ARTICLE TEST REPORT 1 LO $ ** NSP ** _________________________ __________________

SERVICE REQUESTED: FIRST ARTICLE TEST REPORT

Inspection and Acceptance_________________________

INSPECTION: Origin ACCEPTANCE: Origin

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SPRDL1-22-R-0022

A FIRST ARTICLE TEST REPORT IS REQUIRED IN

ACCORDANCE WITH THE CLAUSE ENTITLED "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.

DEL REL CD QUANTITY DEL DATE

001 1 330

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 WIRING HARNESS

NSN: 6150-01-106-7911

Mfr CAGE: 19207

Mfr Part Number: 12298035

0002AA UNEXERCISED OPTION QUANTITY 431 EA $ $ ___________________________ ______________ __________________

COMMODITY NAME: WIRING HARNESS

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS 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 DEL DATE __________ ______________ ___________

001 431 0270

FOB POINT: Destination

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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SPRDL1-22-R-0022