SPRDL122R0101-0007.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

0007 2023MAY24

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

JACOB SILCOX

EMAIL: JACOB.SILCOX@DLA.MIL

SPRDL1-22-R-0101

2022JUL18

X

X

/SIGNED/

2 signed

SEE SECOND PAGE FOR DESCRIPTION

1 6

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: JACOB SILCOX

Buyer Office Symbol/Telephone Number: ZGAC/(586)467-1259

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

The purpose of this Amendment 0007 to Solicitation SPRDL1-22-R-0101 is to:

1. Add CLIN 0003-- Contract Data Requirements List

2. The following Sub CLINs have been added:

A001- ACCEPTANCE INSPECTION EQUIPMENT (AIE) REPORT

A002- TEST PROCEDURE - LIGHT PHOSPHATE COATING

A003- TEST PROCEDURE - HEAVY PHOSPHATE COATING

A004- FIRST ARTICLE TEST REPORT (FATR)

3. The solicitation due date is not extended as a result of this amendment.

4. All other terms and conditions remain in full force and effect.

*** END OF NARRATIVE A0009 ***

2 6

SPRDL1-22-R-0101

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

0003 CONTRACT DATA REQUIREMENTS LIST _______________________________

A001 ACCEPTANCE INSPECTION EQUIPMENT (AIE) REPORT 1 EA $ ** NSP ** $ ** NSP ** ____________________________________________ ______________ __________________

COMMODITY NAME: AIE REPORT

See DD Form 1423

(End of narrative C001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

001 3

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 1 SEE DD FORM 1423

FOB POINT: Destination

SHIP TO:

(SPRDL1) DLA LAND WARREN

ZGA

6501 EAST ELEVEN MILE ROAD

WARREN,MI,48397-5000

DLA LAND WARREN

ZGA

6501 EAST ELEVEN MILE ROAD

WARREN,MI,48397

A002 TEST PROCEDURE - LIGHT PHOSPHATE COATING 1 EA $ ** NSP ** $ ** NSP ** ________________________________________ ______________ __________________

COMMODITY NAME: PRE-PRODUCTION PROCEDURE

See DD Form 1423

(End of narrative C001)

3 6

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

001 3

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 1 SEE DD FORM 1423

FOB POINT: Destination

SHIP TO:

(SPRDL1) DLA LAND WARREN

ZGA

6501 EAST ELEVEN MILE ROAD

WARREN,MI,48397-5000

DLA LAND WARREN

ZGA

6501 EAST ELEVEN MILE ROAD

WARREN,MI,48397

A003 TEST PROCEDURE - HEAVY PHOSPHATE COATING 1 EA $ ** NSP ** $ ** NSP ** ________________________________________ ______________ __________________

COMMODITY NAME: PRE-PRODUCTION PROCEDURE

See DD Form 1423

(End of narrative C001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

001 3

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 1 SEE DD FORM 1423

4 6

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

FOB POINT: Destination

SHIP TO:

(SPRDL1) DLA LAND WARREN

ZGA

6501 EAST ELEVEN MILE ROAD

WARREN,MI,48397-5000

DLA LAND WARREN

ZGA

6501 EAST ELEVEN MILE ROAD

WARREN,MI,48397

A004 FIRST ARTICLE TEST REPORT (FATR) 1 EA $ ** NSP ** $ ** NSP ** ________________________________ ______________ __________________

COMMODITY NAME: TEST/INSPECTION REPORT

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

001 3

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 1 SEE DD FORM 1423

FOB POINT: Destination

SHIP TO:

(SPRDL1) DLA LAND WARREN

ZGA

6501 EAST ELEVEN MILE ROAD

WARREN,MI,48397-5000

DLA LAND WARREN

ZGA

6501 EAST ELEVEN MILE ROAD

WARREN,MI,48397

5 6

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION J - LIST OF ATTACHMENTS

List of Number List of Number

Addenda Title Date of Pages Transmitted By Addenda Title Date of Pages Transmitted By________________ ____________________________________________________________ _______________ ____________ _______________________________ ____________________________________________________________ _______________ ____________ _______________

Exhibit A CONTRACT DATA REQUIREMENTS LIST 13-MAY-2021 004

6 6

MOD/AMD

ATT/EXH ID

PAGE

Exhibit A

CONTRACT DATA REQUIREMENTS LIST

Form Approval OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 440 hours 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, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork

Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.: 0003

B. EXHIBIT: A

C. CATEGORY:

TDP _X__ TM ____ OTHER ___

D. SYSTEM/ITEM: M14 ELEVATING MECHANISM ASSY EQUILIBRATED, NSN: 1025-01-312-1014

E. CONTRACT/PR NO.: TBD

F. CONTRACTOR: TBD

1. DATA ITEM NO.: A001

2. TITLE OF DATA ITEM: ACCEPTANCE INSPECTION EQUIPMENT (AIE) REPORT

3. SUBTITLE: SPECIAL INSPECTION EQUIPMENT DESCRIPTIVE DOCUMENTATION

4. AUTHORITY: DI-MGMT-81979

5. CONTRACT REFERENCE: SECTION C.6 and E.1

6. REQUIRING OFFICE: RDAR-EIQ-P

7. DD250 REQ: Not required

8. APP CODE: A

9. DIST. STATEMENT: A

10. FREQUENCY: ASREQ

11. AS OF DATE: Date of Contract Award

12. DATE OF FIRST SUB: ASREQ (See Block 16)

13. DATE OF SUBS: ASREQ (See Block 16)

14. DISTRIBUTION:

A. ADDRESSEE: Engineering, USARMY.PICA.ARDEC.MBX.QESA-QEW-AIE@MAIL.MIL, Quality Assurance, USARMY.RIA.ARDEC.MBX.RDAR-QEP2@MAIL.MIL, and

Contract Specialist, Lakesha Smith, Contract Specialist, lakesha.m.smith.civ@mail.mil

B. COPIES: 3

DRAFT:

FINAL: 3

15. TOTAL: 3

16. REMARKS:

BOX 12: PRIOR TO INITIATION OF PRODUCTION OR FIRST ARTICLE TEST, IF CONTRACTUALLY REQUIRED (SEE NOTE 1).

BOX 13: WHENEVER ANY REVISION THERETO IS NEEDED FOR ANY REASON.

NOTE 1: THE GOVT WILL FURNISH DISPOSITION WITHIN 45 CALENDAR DAYS AFTER RECEIPT.

NOTE 2: MICROSOFT OFFICE 97 DRAWINGS: AUTOCAD-RELEASE 14 (EXPRESS MAILED

HARD COPIES WILL BE ACCEPTED) FILES MAY BE COMPRESSED USING ZIP PROGRAM.

WARNING: LARGE PACKAGES MAY CAUSE DELAYS IN DELIVERY USING MAIL INTERNET. EMAIL SUBJECT LINE MUST CONTAIN END ITEM NOMENCLATURE

A. CONTRACT LINE ITEM NO.: 0003

B. EXHIBIT: A

C. CATEGORY:

TDP _X__ TM ____ OTHER ___

D. SYSTEM/ITEM: M14 ELEVATING MECHANISM ASSY EQUILIBRATED, NSN: 1025-01-312-1014

E. CONTRACT/PR NO.: TBD

F. CONTRACTOR: TBD

1. DATA ITEM NO.: A002

2. TITLE OF DATA ITEM: TEST PROCEDURE - LIGHT PHOSPHATE COATING

3. SUBTITLE: PRE-PRODUCTION PROCEDURE

4. AUTHORITY: DI-NDTI-80603A

5. CONTRACT REFERENCE: Section C.4, C.6, and Paragraphs 3.2.1 and 3.2.2 of the Federal Specification TT-C-490F, TYPE 1

ATT/EXH ID

PAGE

Exhibit A

6. REQUIRING OFFICE: RDAR-MEE-W(R)

7. DD250 REQ: Not required

8. APP CODE: A (SEE BLOCK 16)

9. DIST. STATEMENT: D

10. FREQUENCY: ONE/R

11. AS OF DATE: Date of Contract Award

12. DATE OF FIRST SUB: 60DAC

13. DATE OF SUBS: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Patricia Pierce, Contracting Officer, patricia.pierce3.civ@mail.mil and Lakesha Smith, Contract Specialist, lakesha.m.smith.civ@mail.mil

B. COPIES: 2

DRAFT:

FINAL: 2

15. TOTAL: 2

16. REMARKS: BLOCK 8 CONT. - PRIOR TO PRODUCTION, APPROVAL THROUGH THE CONTRACTING OFFICER IS REQUIRED WIHTIN 60 CALENDAR DAYS AFTER

CONTRACT AWARD. CONTRACTING OFFICER WILL ROUTE INTERNALLY TO THE APPROVING OFFICE (RDAR-MEE-W(R)). CONTRACTING OFFICER SHALL PROVIDE

PROCEDURE REVIEW RESPONSE BACK TO CONTRACTOR. COATED PANELS PER PARA 3.2.2 of TT-C-490F SHALL INCLUDE THREE WITH PHOSPHATE ONLY, THREE

WITH PHOSPHATE AND PRIMER, AND THREE WITH PHOSPHATE, PRIMER AND TOP COAT. CONTRACTOR FORMAT ACCEPTABLE.

A. CONTRACT LINE ITEM NO.: 0003

B. EXHIBIT: A

C. CATEGORY:

TDP _X__ TM ____ OTHER ___

D. SYSTEM/ITEM: M14 ELEVATING MECHANISM ASSY EQUILIBRATED, NSN: 1025-01-312-1014

E. CONTRACT/PR NO.: TBD

F. CONTRACTOR: TBD

1. DATA ITEM NO.: A003

2. TITLE OF DATA ITEM: TEST PROCEDURE HEAVY PHOSPHATE COATING

3. SUBTITLE: PRE-PRODUCTION PROCEDURE

4. AUTHORITY: DI-NDTI-80603A

5. CONTRACT REFERENCE: Section C.5, C.6, and paragraph 3.1 of MIL-DTL-16232G

6. REQUIRING OFFICE: RDAR-MEE-W(R)

7. DD250 REQ: Not Required

8. APP CODE: A

9. DIST. STATEMENT: D

10. FREQUENCY: ONE/R

11. AS OF DATE: Date of Contract award

12. DATE OF FIRST SUB: 60DAC

13. DATE OF SUBS: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Patricia Pierce, Contracting Officer, patricia.pierce3.civ@mail.mil and Lakesha Smith, Contract Specialist, lakesha.m.smith.civ@mail.mil

B. COPIES: 2

DRAFT:

FINAL: 2

15. TOTAL: 2

16. REMARKS:

BLOCK 8 CONT. - PRIOR TO PRODUCTION, APPROVAL THRU THE CONTRACTING OFFICER IS REQUIRED W/IN 60 DAYS AFTER CONTRACT AWARD. CONTRACTING

OFFICER WILL ROUTE INTERNALLY TO THE APPROVING OFFICE (RDAR-MEE-W(R)). CONTRACTING OFFICER SHALL PROVIDE PROCEDURE REVIEW RESPONSE BACK

TO CONTRACTOR. COATED PANELS PER PARA 3.2.2 SHALL INCLUDE THREE WITH PHOSPHATE ONLY, THREE WITH PHOSPHATE AND PRIMER, AND THREE WITH

PHOSPHATE, PRIMER AND TOP COAT.

The contract number must be cited on all phosphate coating procedures submitted for review and approval. Procedures shall include product name and manufacturer of all chemicals/materials to be used. All processes, equipment, controls along with testing and test frequencies used for phosphating including application of supplemental finishes shall be described in detail.

A. CONTRACT LINE ITEM NO.: 0003

ATT/EXH ID

PAGE

Exhibit A

B. EXHIBIT: A

C. CATEGORY:

TDP _X__ TM ____ OTHER ___

D. SYSTEM/ITEM: ELEVATING MECHANISM ASSY EQUILIBRATED, NSN: 1025-01-312-1014

E. CONTRACT/PR NO.: TBD

F. CONTRACTOR: TBD

1. DATA ITEM NO.: A004

2. TITLE OF DATA ITEM: FIRST ARTICLE TEST REPORT (FATR)

3. SUBTITLE: TEST/INSPECTION REPORT

4. AUTHORITY: DI-NDTI-80809B

5. CONTRACT REFERENCE: SECTION C.6 and F.1

6. REQUIRING OFFICE: RDAR-EIQ-P

7. DD250 REQ: Not required

8. APP CODE: A*

9. DIST. STATEMENT: D

10. FREQUENCY: ASREQ

11. AS OF DATE: Date of Contract Award

12. DATE OF FIRST SUB: ASREQ

13. DATE OF SUBS: ASREQ

14. DISTRIBUTION:

A. ADDRESSEE: Engineering, USARMY.PICA.ARDEC.MBX.QESA-QEW-AIE@MAIL.MIL, Quality Assurance, USARMY.RIA.ARDEC.MBX.RDAR-QEP2@MAIL.MIL, and

Lakesha Smith, Contract Specialist, lakesha.m.smith.civ@mail.mil

B. COPIES: 3

DRAFT:

FINAL: 3

15. TOTAL: 3

16. REMARKS: REQUIRED BY THE AUTHORITY IN BOX 4, PARA 10.2 AND ITS SUBPARAGRAPHS. CONTRACTOR FORMAT IS ACCEPTABLE.

The FATR shall include actual inspection and test results to include all measurements, recorded test data, and certifications (if applicable) keyed to each drawing, specification and QAP requirement and identified by each individual QAP characteristic, drawing/specification characteristic and unlisted characteristic. Evidence of the QAR's verification will be provided. THE CONTRACTOR

SHALL PROVIDE TO THE PROCURING CONTRACTING OFFICER, QAR, AND RDAR-EIQ-P AT LEAST 15 CALENDAR DAYS ADVANCE NOTICE (IN WRITING) OF THE

SCHEDULED DATE, TIME AND LOCATION OF START OF FAT, SO THAT THE GOVERNMENT MAY WITNESS THE TESTS. THE GOVERNMENT WILL REVIEW THE FATR AND

PROVIDE FEEDBACK TO THE CONTRACTOR WITHIN 30 CALENDAR DAYS OF RECEIPT OF FATR.

BLOCK 13: SUBSEQUENT SUBMISSION ONLY IF INITIAL FAT FAILS.

13 MAY 2021