W15QKN21R0008-0002.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 2020NOV23

W15QKN

ARMY CONTRACTING COMMAND - NJ

PICATINNY ARSENAL, NJ 07806-5000

MELISSA SENA

EMAIL: MELISSA.L.SENA.CIV@MAIL.MIL

W15QKN-21-R-0008

2020OCT28

X

X

2 signed

SEE SECOND PAGE FOR DESCRIPTION

1 11

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: MELISSA SENA

Buyer Office Symbol/Telephone Number: CCNJ-MC/(973)724-9002

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

The purpose of Amendment 0002 to solicitation W15QKN-21-R-0008 is as follows:

1. Update National Stock Numbers (NSNs) in Section B as follows:

LEAD FREE

Nomenclature DODIC NSN

Ctg. 5.56mm M1042 Practice Ammunition Rifle (BLUE) AC39 1305-01-670-5103

Ctg. 5.56mm M1042 Practice Ammunition Rifle (RED) AC40 1305-01-670-5126

Ctg. 5.56mm M1042 Practice Ammunition Rifle (YELLOW) AC41 1305-01-671-1588

Ctg. 5.56mm M1071 Practice Ammunition SAW (BLUE) AC42 1305-01-670-4995

Ctg. 5.56mm M1071 Practice Ammunition SAW (RED) AC43 1305-01-670-5149

Ctg. 5.56mm M1071 Practice Ammunition SAW (YELLOW) AC44 1305-01-671-1541

2) Update DFARS Clause 252.223-7007 in Section I.

3) All other terms and conditions remain unchanged.

*** END OF NARRATIVE A0003 ***

2 11

W15QKN-21-R-0008

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 5.56MM M1071 - ORDERING PERIOD (OP) 1 $ $ _____________________________________ ______________ __________________

COMMODITY NAME: M1071 (BLUE/RED/YELLOW) OP1

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-4995 (Blue)

1305-01-670-5149 (Red)

1305-01-671-1541 (Yellow)

(End of narrative B002)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0002 5.56MM M1042 - ORDERING PERIOD 1 $ $ ________________________________ ______________ __________________

COMMODITY NAME: M1042 (BLUE/RED/YELLOW) OP1

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-5103 (Blue)

1305-01-670-5126 (Red)

1305-01-671-1588 (Yellow)

(End of narrative B002)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0003 5.56MM M1071 - ORDERING PERIOD 2 $ $ ________________________________ ______________ __________________

COMMODITY NAME: M1071 (BLUE/RED/YELLOW) OP2

CLIN CONTRACT TYPE:

Firm Fixed Price

3 11

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

NSN:

1305-01-670-4995 (Blue)

1305-01-670-5149 (Red)

1305-01-671-1541 (Yellow)

(End of narrative B002)

Packaging and Marking _____________________

0004 5.56MM M1042 - ORDERING PERIOD 2 $ $ ________________________________ ______________ __________________

COMMODITY NAME: M1042 (BLUE/RED/YELLOW) OP2

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-5103 (Blue)

1305-01-670-5126 (Red)

1305-01-671-1588 (Yellow)

(End of narrative B002)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0005 5.56MM M1071 - ORDERING PERIOD 3 $ $ ________________________________ ______________ __________________

COMMODITY NAME: M1071 (BLUE/RED/YELLOW) OP3

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-4995 (Blue)

1305-01-670-5149 (Red)

1305-01-671-1541 (Yellow)

(End of narrative B002)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

4 11

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

INSPECTION: Origin ACCEPTANCE: Origin

0006 5.56MM M1042 - ORDERING PERIOD 3 $ $ ________________________________ ______________ __________________

COMMODITY NAME: M1042 (BLUE/RED/YELLOW) OP3

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-5103 (Blue)

1305-01-670-5126 (Red)

1305-01-671-1588 (Yellow)

(End of narrative B002)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0007 5.56MM M1071 - ORDERING PERIOD 4 $ $ ________________________________ ______________ __________________

COMMODITY NAME: M1071 (BLUE/RED/YELLOW) OP4

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-4995 (Blue)

1305-01-670-5149 (Red)

1305-01-671-1541 (Yellow)

(End of narrative B002)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0008 5.56MM M1042 - ORDERING PERIOD 4 $ $ ________________________________ ______________ __________________

COMMODITY NAME: M1042 (BLUE/RED/YELLOW) OP4

CLIN CONTRACT TYPE:

Firm Fixed Price

5 11

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

NSN:

1305-01-670-5103 (Blue)

1305-01-670-5126 (Red)

1305-01-671-1588 (Yellow)

(End of narrative B002)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0009 5.56MM M1071 - ORDERING PERIOD 5 $ $ ________________________________ ______________ __________________

COMMODITY NAME: M1071 (BLUE/RED/YELLOW) OP5

CLIN CONTRACT TYPE:

Firm Fixed Price

5.56MM M1071

NSN:

1305-01-670-4995 (Blue)

1305-01-670-5149 (Red)

1305-01-671-1541 (Yellow)

(End of narrative B002)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

0010 5.56MM M1042 - ORDERING PERIOD 5 $ $ ________________________________ ______________ __________________

COMMODITY NAME: M1042 (BLUE/RED/YELLOW) OP5

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-5103 (Blue)

1305-01-670-5126 (Red)

1305-01-671-1588 (Yellow)

(End of narrative B002)

6 11

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: Origin ACCEPTANCE: Origin

0011 M1071 FIRST ARTICLE TEST - ORDERING PERIOD 1 $ ____________________________________________ __________________

SERVICE REQUESTED: FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-4995 (Blue)

1305-01-670-5149 (Red)

1305-01-671-1541 (Yellow)

(End of narrative B002)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

0012 M1042 FIRST ARTICLE TEST - ORDERING PERIOD 1 $ ____________________________________________ __________________

SERVICE REQUESTED: FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-5103 (Blue)

1305-01-670-5126 (Red)

1305-01-671-1588 (Yellow)

(End of narrative B002)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

0013 M1071 FIRST ARTICLE TEST - ORDERING PERIOD 2 $ ____________________________________________ __________________

SERVICE REQUESTED: FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

7 11

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

NSN:

1305-01-670-4995 (Blue)

1305-01-670-5149 (Red)

1305-01-671-1541 (Yellow)

(End of narrative B002)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

0014 M1042 FIRST ARTICLE TEST - ORDERING PERIOD 2 $ ____________________________________________ __________________

SERVICE REQUESTED: FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-5103 (Blue)

1305-01-670-5126 (Red)

1305-01-671-1588 (Yellow)

(End of narrative B002)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

0015 M1071 FIRST ARTICLE TEST - ORDERING PERIOD 3 $ ____________________________________________ __________________

SERVICE REQUESTED: FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-4995 (Blue)

1305-01-670-5149 (Red)

1305-01-671-1541 (Yellow)

(End of narrative B002)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

0016 M1042 FIRST ARTICLE TEST - ORDERING PERIOD 3 $ ____________________________________________ __________________

8 11

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SERVICE REQUESTED: FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-5103 (Blue)

1305-01-670-5126 (Red)

1305-01-671-1588 (Yellow)

(End of narrative B002)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

0017 M1071 FIRST ARTICLE TEST - ORDERING PERIOD 4 $ ____________________________________________ __________________

SERVICE REQUESTED: FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-4995 (Blue)

1305-01-670-5149 (Red)

1305-01-671-1541 (Yellow)

(End of narrative B002)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

0018 M1042 FIRST ARTICLE TEST - ORDERING PERIOD 4 $ ____________________________________________ __________________

SERVICE REQUESTED: FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-5103 (Blue)

1305-01-670-5126 (Red)

1305-01-671-1588 (Yellow)

(End of narrative B002)

9 11

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

0019 M1071 FIRST ARTICLE TEST - ORDERING PERIOD 5 $ ____________________________________________ __________________

SERVICE REQUESTED: FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-4995 (Blue)

1305-01-670-5149 (Red)

1305-01-671-1541 (Yellow)

(End of narrative B002)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

0020 M1042 FIRST ARTICLE TEST - ORDERING PERIOD 5 $ ____________________________________________ __________________

SERVICE REQUESTED: FAT

CLIN CONTRACT TYPE:

Firm Fixed Price

NSN:

1305-01-670-5103 (Blue)

1305-01-670-5126 (Red)

1305-01-671-1588 (Yellow)

(End of narrative B002)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

10 11

Reference No. of Document Being Continued Page of

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 CHANGED 252.223-7007 SAFEGUARDING SENSITIVE CONVENTIONAL ARMS, AMMUNITION, AND EXPLOSIVES SEP/1999

(a) Definition. Arms, ammunition, and explosives (AA&E), as used in this clause, means those items within the scope (chapter 1, paragraph B) of DoD 5100.76-M, Physical Security of Sensitive Conventional Arms, Ammunition, and Explosives.

(b) The requirements of DoD 5100.76-M apply to the following items of AA&E being developed, produced, manufactured, or purchased for the

Government, or provided to the Contractor as Government-furnished property under this contract:

NOMENCLATURE NATIONAL SENSITIVITY/

STOCK NUMBER CATEGORY

5.56mm M1042 Practice Ammunition Rifle (BLUE) 1305-01-670-5103 Category IV

5.56mm M1042 Practice Ammunition Rifle (RED) 1305-01-670-5126 Category IV

5.56mm M1042 Practice Ammunition Rifle (YELLOW) 1305-01-671-1588 Category IV

5.56mm M1071 Practice Ammunition SAW (BLUE) 1305-01-670-4995 Category IV

5.56mm M1071 Practice Ammunition SAW (RED) 1305-01-670-5149 Category IV

5.56mm M1071 Practice Ammunition SAW (YELLOW) 1305-01-671-1541 Category IV

(c) The Contractor shall comply with the requirements of DoD 5100.76-M, as specified in the statement of work. The edition of DoD

5100.76-M in effect on the date of issuance of the solicitation for this contract shall apply.

(d) The Contractor shall allow representatives of the Defense Security Service (DSS), and representatives of other appropriate offices of the Government, access at all reasonable times into its facilities and those of its subcontractors, for the purpose of performing surveys, inspections, and investigations necessary to review compliance with the physical security standards applicable to this contract.

(e) The Contractor shall notify the cognizant DSS field office of any subcontract involving AA&E within 10 days after award of the subcontract.

(f) The Contractor shall ensure that the requirements of this clause are included in all subcontracts, at every tier--

(1) For the development, production, manufacture, or purchase of AA&E; or

(2) When AA&E will be provided to the subcontractor as Government-furnished property.

(g) Nothing in this clause shall relieve the Contractor of its responsibility for complying with applicable Federal, state, and local laws, ordinances, codes, and regulations (including requirements for obtaining licenses and permits) in connection with the performance of this contract.

(End of clause)

11 11