W15QKN15R0240-0002.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 2016SEP02

W15QKN

ARMY CONTRACTING COMMAND - NJ

PICATINNY ARSENAL, NJ 07806-5000

CATHERINE E JOHN-ANGLE

EMAIL: CATHERINE.E.JOHNANGLE.CIV@MAIL.MIL

W15QKN-15-R-0240

2016JUL22

X

X

/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: CATHERINE E JOHN-ANGLE

Buyer Office Symbol/Telephone Number: ACC-NJ-SW/(973)724-3841

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

The closing date and time for this solicitation remains 2016SEP21 1500

The purpose of this amendment is the following:

A) The following changes are made to the base contract Section A Executive Summary:

1) Add: As part of the solicitation process the Government will make available the Drawing Addendum. This

Drawing Addendum (Attachment 0023) is categorized as DISTRIBUTION STATEMENT C. Distribution authorization and reason is listed on the applicable drawings/documents. The drawings/documents may also contain Export Control Warning.

2) Add; Contractors shall also be required to complete and sign Attachment 0024 Confirmation Certificate for

Limited Distribution Documents

3) Delete: Only contractors who have a completed and signed AMSTA-AR Form 1350 Technical Data Request

Questionnaire (ATTACHMENT 0002), Military Critical Tech Data Agreement Form (DD 2354) Attachment 0003) and a U.S. Government

Use and Non-Disclosure Agreement (NDA) (ATTACHMENT 0004), to be executed by an authorized representative of the respondent's firm, will be granted access to the Section J Attachments 0001, 0010, 0011 and 0018 documents. At the conclusion of the solicitation process, all respondents, except the offeror selected for contract award under this solicitation, in receipt of data covered under the NDA will be required to complete the supplied Certificate of Destruction (ATTACHMENT 0005) notifying the

USG that all licensed data received in response to the solicitation have been destroyed. The USG is required to maintain records of all persons or entities which have been provided this TDP. This includes name and address of the person/entity, time, date, purpose, description of what data was provided, and an executed copy of the non-disclosure agreement (ATTACHMENT

0004).

4) Add: Only contractors who have a completed and signed AMSTA-AR Form 1350 Technical Data Request Questionnaire

(ATTACHMENT 0002), Military Critical Tech Data Agreement Form (DD 2354) Attachment 0003) and a U.S. Government Use and Non-

Disclosure Agreement (NDA) (ATTACHMENT 0004), to be executed by an authorized representative of the respondent's firm, will be granted access to the Section J Attachments 0001, 0010, 0011, 0018 and 0023 documents. At the conclusion of the solicitation process, all respondents, except the offeror selected for contract award under this solicitation, in receipt of data covered under the NDA will be required to complete the supplied Certificate of Destruction (ATTACHMENT 0005) notifying the USG that all licensed data received in response to the solicitation have been destroyed. The USG is required to maintain records of all persons or entities which have been provided this TDP. This includes name and address of the person/entity, time, date, purpose, description of what data was provided, and an executed copy of the non-disclosure agreement (ATTACHMENT 0004).

B) Modifications to drawing number list in Amendment 0001, Section A, Paragraph 11:

a) Add Drawing Numbers WF-12555440, 10947310_C, 12446449_F, 12446650_D and 12485366_D

b) Change: Drawing Number CF-12555430 to CF-12555440

c) The following drawings reflect the drawing numbers in Attachment 0023:

13215702PL

13215703PL

13215704PL

PL13215701_A

2CF-12555440_0_1

2DJ-12555430_0_1

2WF-12555440_0_1

3DJ-12555430_0_1

4DJ-12555430_0_1

5DJ-12555430_0_1

6DJ-12555430_0_1

7DJ-12555430_0_1

8DJ-12555430_0_1

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W15QKN-15-R-0240 0002

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

9DJ-12555430_0_1

10DJ-12555430_0_1

11DJ-12555430_0_1

12DJ-12555430_0_1

13DJ-12555430_0_1

14DJ-12555430_0_1

15DJ-12555430_0_1

16DJ-12555430_0_1

17DJ-12555430_0_1

18DJ-12555430_0_1

AL-12555440_0_1

CF-12555440_0_1

DJ-12555430_0_1

HF-12555430_0_1

10947310_C

12446649_F

12446650_D

12485366_D

C) The following changes are made to Section J List of Attachments:

a) Add Limited Distribution Attachment 0023 Drawing Addendum date 29 August 2016

b) Add Attachment 0024 Confirmation Certificate for Limited Distribution Documents Request

c) Delete Attachment 0022 Government Furnished Property List date 18 August 2016

d) Add Attachment 0022 Government Furnished Property List date 29 August 2016 (Drawing Numbers DJ-12555406 and

WF-12555406 deleted from List)

D) All other terms and conditions of this solicitation remain the same.

*** END OF NARRATIVE A0003 ***

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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________________ ____________________________________________________________ _______________ ____________ _______________________________ ____________________________________________________________ _______________ ____________ _______________

Attachment 0022 GOVERNMENT FURNISHED PROPERTY LIST 29-AUG-2016 001 DATA

Attachment 0023 DRAWING ADDENDUM 29-AUG-2016 125 DATA

Attachment 0024 CONFIRMATION CERTIFICATE LIMITED DIST DOC 29-AUG-2016 002 DATA

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