W44W9M21Q0114P00001.pdf

CONTRACTING OFFICE/JAK

JEREME A. KEMP

918-420-7425/MCALESTER CONTRACTNG

1 C TREE ROAD

MCALESTER OK 74501-9002

SEE SCHEDULE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

THE PURPOSE OF THIS AMENDMENT IS TO ADD CLIN0003-WEIGH BATCH SYSTEM AND QUALIFYING STATEMENT FOR WEIGH BATCH

SYSTEM

1. CONTRACT ID CODE PAGE OF PAGES

1 5

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 01-Jul-2021

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street , County, State and Zip Code) X W44W9M21Q0114

X 9B. DATED (SEE ITEM 11)

30-Jun-2021

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer 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 1 copies of the amendment; (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 APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) 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 date, 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.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

01-Jul-2021

CODE

CONTRACTING OFFICE

MCALESTER CONTRACTING OFFICE

1 C TREE ROAD

MCALESTER OK 74501-9002

W44W9M 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W44W9M

FACILITY CODECODE

EMAIL:TEL:

W44W9M21Q0114

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0003 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0003 1 Each

WEIGH BATCH HOPPER SYSTEM

FFP

WEIGH BATCH HOPPER SYSTEM. FLEXICON MODEL: HPX1-H48-X.

BRAND NAME ONLY NO SUBSTITUTE. PLEASE SEE QUALIFYING

STATEMENT FOR WEIGH BATCH SYSTEM.

FOB: Destination

NSN: HPX1-H48-X:4U5A6

MILSTRIP: W44W9M116803E5

PURCHASE REQUEST NUMBER: W44W9M116803E5

PSC CD: 3915

NET AMT

DELIVERIES AND PERFORMANCE

The following Delivery Schedule for CLIN 0003 has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

30-NOV-2021 1 MCALESTER ARMY AMMUNITION

PLANT

RECEIVING DEPT

1C TREE ROAD B8

MCALESTER OK 74501-9002

918-420-6695 FOB: Destination

W44W9M

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0003:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

The following have been added by full text:

QUALIFYING STATEMENT WEIGH BAT

Qualifying Statement for Weigh Batch System for CXM Powder

Manufacture/Brand: Flexicon Description:

Weigh batch hopper Model: HPX1-H48-X with a 37 cubic foot capacity. Weigh batch hopper will have a solid hopper cover with hopper vent assembly. The hopper will be equipped with turbine vibrator assembly and mounting pad. The batching system will include a support structure for hopper and load cell modules. The hopper, cover, vent assembly and mounting pad will be constructed of 316L Stainless steel. Structural frame members shall be open style (C-Channel, I-Beam, ETC.) to the greatest extent possible. If tubular members are utilized then they must possess cut openings to facilitate inspection and wash down of the interior of the member. All welds will be continuous and ground smooth. All steel components are to be painted. All electrical must meet or exceed Class 2 Division 1 Group E, F and G Ratings.

1. The weigh batch hopper Model: HPX1-H48-X shall consist of the following:

1. –Quantity 1

2. -Special floor hopper

3. -37 cubic foot approximate measured capacity

4. -Measures 48" square x approximately 52" high

5. -Vertical side wall extension

6. -10 gauge construction with reinforcement straps

7. -Includes four support tabs in lieu of legs

8. -Discharge flange to mate with 10" Posi-Flate valve

9. -Includes grounding lug

10. -316L stainless steel construction

11. -Mounting pad for pneumatic turbine vibrator with 316L stainless steel construction

12. Discharge Valve ( Model: SPL-X) that shall consist of the following:

2. -10" diameter Series 486 Posi-Flate inflatable seated butterfly material discharge valve with

316L stainless steel single piece disc and shaft. The disc is polished material contact surface and uses a black EPDM semi-conductive seat.

3. -Includes grounding option

4. -Meets hazardous area classification

5. -316 stainless steel material contact surfaces

6. -Valve inlet/outlet adapter To facilitate connection between valve and adjacent process equipment

7. -Includes grounding lug

8. -10” diameter flexible connector with Anti-static design

2. The hopper cover (CVS-H42-X) shall consist of the following:

2. -Solid hopper cover

3. -Bolted to hopper flange

4. -316L stainless steel construction

5. -Includes grounding lug

6. Inlet valve attached to the cover shall consist of the following;

1. -Quantity 1

2. -8" diameter Series 486 Posi-Flate inflatable seated butterfly material discharge valve with 316L stainless steel single piece disc and shaft. The disc is polished material contact surface and uses a black EPDM semi-conductive seat.

3. -Includes grounding option

4. -Meets hazardous area classification

5. -316 stainless steel material contact surfaces

3. The hopper vent assembly shall consist of the following:

1. Quantity 1

2. -Hopper vent assembly

3. -Designed to vent displaced air from process vessels

4. -Reverse pulse jet filter cleaning system

5. -1 sq. ft. filtration area through (1) anti-static filter bag rated at 99.99% collection efficiency for materials with a particle size of 1 microns or greater

6. -Includes 24 VDC NEMA 7/9 solenoid valve

7. -Includes filter and regulator with gauge

8. -Electrical controls includes adjustable timing feature for automatic and continuous filter cleaning mounted in a NEMA 7/9 enclosure

9. -316L stainless steel construction

10. -Requires 60-80 psi air supply

4. The Hopper load cell weigh modules shall consist of the following

1. - QTY 4

2. FM approved, NTEP certified nickel plated precision load cells

3. -With (4) zinc plated load cell mounting assemblies which allow multidirectional movement

4. -Includes uncased intrinsic safety barrier

5. -Includes NEMA 4X stainless steel junction box with 25 feet severe environment load cell cable.

6. -Includes uncased intrinsic safety barrier

5. The support structure for the weigh hopper shall consist of the following:

1. –QTY 1

2. – Constructed of mild steel, primed and painted

3. – Structure to accommodate load cells

6. The pneumatic turbine vibrator assembly shall consist of the following:

1. –QTY 1

2. Pneumatic turbine vibrator

3. –Includes 24 VDC NEMA 7/9 solenoid valve, filter and regulator with gauge

4. –Requires 60-80 psi air supply

Approval drawing(s) is/are required and shall be furnished within 4 weeks after award. An electronic 2D/3D CAD drawing in AutoCAD or Solidworks format as part of the final delivery is required as well.

(End of Summary of Changes)