W15QKN18R0004-0003.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

0003 2018JAN12

W15QKN

ARMY CONTRACTING COMMAND - NJ

PICATINNY ARSENAL, NJ 07806-5000

MARLENE SANCHEZ

EMAIL: MARLENE.A.SANCHEZ2.CIV@MAIL.MIL

W15QKN-18-R-0004

2017OCT25

X

X

2 signed

SEE SECOND PAGE FOR DESCRIPTION

1 4

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: MARLENE SANCHEZ

Buyer Office Symbol/Telephone Number: ACC-NJ-SW/(973)724-2332

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

W15QKN-18-R-0004

Amendment 0003

The purpose of this Amendment (0003) is to:

1) Add Proposal Instructions for Hand Delivery to Section A.7.

A.7 Proposal Instructions for Hand Delivery. Offerors who intend to hand deliver proposals in response to this Solicitation, shall submit a Notification and Authorization to Release Criminal Information for Entry (Attachment 0015) to the following contacts:

timothy.l.hendrickson.civ@mail.mil kevin.m.goodwin10.civ@mail.mil and gregory.p.hale.civ@mail.mil

Once the Notification and Authorization to Release Criminal Information for Entry has been submitted, offerors shall submit the following information for all visitors to Picatinny Arsenal to the Contract Specialist, Marlene Sanchez, via email, marlene.a.sanchez2.civ@mail.mil:

First Name

Last Name

Company Name

Email Address

US Citizen - Yes or No (Foreign Nationals will not be allowed to visit)

CAC Holder - Yes or No (Issued by which DoD Department)

Vehicle Make

Vehicle Mode

Vehicle Plate No.

Date of Visit

Estimated time of arrival

2) Add DFARS clause 252.225-7007 PROHIBITION ON ACQUISITION OF UNITED STATES MUNITIONS LIST ITEMS FROM COMMUNIST CHINESE MILITARY

COMPANIES to Section J.

3) Add Attachment 0014 INDUSTRY QUESTIONS AND GOVERNMENT RESPONSES #3 to Section J.

4) Add Attachment 0015 Notification and Authorization to Release Criminal Information for Entry to Section J.

5) All other terms and conditions remain unchanged.

*** END OF NARRATIVE A0004 ***

2 4

W15QKN-18-R-0004 0003

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION I - CONTRACT CLAUSES

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

I-1 ADDED 252.225-7007 PROHIBITION ON ACQUISITION OF UNITED STATES MUNITIONS LIST ITEMS FROM SEP/2006

COMMUNIST CHINESE MILITARY COMPANIES

3 4

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 0014 INDUSTRY QUESTIONS AND GOVERNMENT RESPONSES #3 12-JAN-2018 003

Attachment 0015 NOTIFICATION AND AUTHORIZATION TO RELEASE CRIMINAL 12-JAN-2018 001

INFORMATION FOR ENTRY

4 4