Amendment SPRDL123Q0059-0001.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 2023SEP07

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

DONALD MERKLE

EMAIL: DONALD.MERKLE@DLA.MIL

SPRDL1-23-Q-0059

2023JUL26

X

X 2023SEP21

/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

SUPPLEMENTAL INFORMATION

Buyer Name: DONALD MERKLE

Buyer Office Symbol/Telephone Number: ZGBC/(586)467-1217

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

The purpose of this amendment 0001 to solicitation SPRDL1-23-Q-0059 is to do the following:

1. Change this solicitation to a Small Business Set-Aside.

2. Remove line item 0001AB from solicitation due to administration error and add line item 0001AC for First Article Testing requirement.

3. Extend the solicitation closing date from 28 August 2023 to 21 September 2023.

4. All other terms and conditions remain unchanged.

*** END OF NARRATIVE A0002 ***

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SPRDL1-23-Q-0059

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

SUPPLIES OR SERVICES AND PRICES/COSTS

0001 CONVERTER, 2KW AC/DC

NSN: 6130-01-490-9998

Mfr CAGE: 81337

Mfr Part Number: 17-1-5790

0001AA PRODUCTION QUANTITY 5 EA $ $ _____________________ ______________ __________________

COMMODITY NAME: CONVERTER, 2KW AC/DC

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH3C0324EH PRON AMD: 01

AMS CD: SM2B1100000

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: TDP 17-1-5790

DATE: 30-MAY-2023

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENT NARRATIVE

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 W58HZ13095V021 W562RM J 2

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 5 0330

FOB POINT: Destination

SHIP TO:

(W562RM) SU W0MC ARMY GENERAL SUPPLY

DLA DISTRIBUTION RED RIVER

HIGHWAY 82 WEST

TEXARKANA,TX,75507-5000

0001AC DATA ITEM: FIRST ARTICLE TEST REPORT 1 EA $ ** NSP ** $ ** NSP ** _____________________________________ ______________ __________________

COMMODITY NAME: FIRST ARTICLE TEST

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

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.

(End of narrative C001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Destination

Deliveries or Performance _________________________

DOC SUPPL

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

001 3

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 1 0150

FOB POINT: Destination

SHIP TO:

(SPRDL1) DLA LAND WARREN

ZGA

6501 EAST ELEVEN MILE ROAD

WARREN,MI,48397-5000

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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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Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

CONTRACT CLAUSES

Status Regulatory Cite Title Date Status Regulatory Cite Title Date _______ _______________ ______________________________________________________________________ ____________ _______ _______________ ______________________________________________________________________ ____________

1 DELETED 52.219-3 NOTICE OF HUBZONE SET-ASIDE OR SOLE-SOURCE AWARD OCT/2022

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