W31P4Q23R0059-0004.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

0004 2023OCT05

W31P4Q

ARMY CONTRACTING COMMAND-REDSTONE

REDSTONE ARSENAL AL 35898-5280

CELIA FARRELL

EMAIL: CELIA.L.FARRELL.CIV@ARMY.MIL

W31P4Q-23-R-0059

2023SEP05

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: CELIA FARRELL

Buyer Office Symbol/Telephone Number: CCAM-PFA/(000)000-0000

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

A-1. The purpose of Amendment 0004 is to incorporate the following for the First Article Inspection and update the delivery schedule date on CLIN 0008AA:

A-2. Incorporating the following narrative for CLIN 0008AA:

The contractor shall test 1 unit of Lot/Item 0001AA as specified in this contract. At least 30 Calendar Days before beginning of First

Article tests, the Contractor shall notify the Contracting Officer, in writing, of the time and location of the testing so the

Government may witness the tests. First Article Test Time is 3 days. Units to be tested is 1 Each. Begin testing at 90 Days after

Contract Award (DACA). End testing 93 DACA. The Contractor shall submit the Inert Warhead First Article Test Report 15 days after test completion IAW CDRL A008, or 108 DACA. The Government has 15 days after receipt of the Test Report to approve or disapprove the Test

Report, or 123 DACA.

A-3. Updating the delivery schedule date for CLIN 0008AA:

From 20 DEC 2024 to TBD

A-4. Offerors shall submit all responses and proposals electronically no later than 1700 hours CDT on 16 October 2023 to the following email addresses:

celia.l.farrell.civ@army.mil and latisha.r.walters.civ@army.mil

*** END OF NARRATIVE A0005 ***

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W31P4Q-23-R-0059

CONTINUATION SHEET

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

0008AA FIRST ARTICLE INSPECTION/PRODUCTION LOT 1 LO $ _______________________________________ __________________

SERVICE REQUESTED: INERT WH FAI/PLV

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: PF3RRPA92K PRON AMD: 01

DLVR SCH QTY COMPL DATE________ ___ __________

001 1 TBD

The contractor shall test 1 unit of Lot/Item

0001AA as specified in this contract. At least 30

Calendar Days before beginning of First Article tests, the Contractor shall notify the

Contracting Officer, in writing, of the time and location of the testing so the Government may witness the tests. First Article Test Time is 3 days. Units to be tested is 1 Each. Begin testing at 90 Days after Contract Award (DACA). End testing 93 DACA. The Contractor shall submit the

Inert Warhead First Article Test Report 15 days after test completion IAW CDRL A008, or 108 DACA.

The Government has 15 days after receipt of the

Test Report to approve or disapprove the Test

Report, or 123 DACA.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

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W31P4Q-23-R-0059