B08 W519TC-23-Q-2421 0003 Safety Glasses.pdf

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 extend this solicitation out to Monday October 23, 2023 at 10am.

1. CONTRACT ID CODE PAGE OF PAGES

1 3

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

16C. DATE SIGNED

BY 17-Oct-2023

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 W519TC23Q2421

X 9B. DATED (SEE ITEM 11)

25-Sep-2023

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 X is extended, 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

17-Oct-2023

CODE

ARMY CONTRACTING COMMAND - ROCK ISLAND

3055 RODMAN AVE

ROCK ISLAND IL 61299

W519TC 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W519TC23Q2421

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 18-Oct-2023 10:00 AM to 23-Oct-2023 10:00 AM.

The following have been modified:

BPA DESCRIPTION

Description of agreement

I. Description of agreement: this is a blanket purchase agreement for the purchase of the following scope of work and priced material list for prescription safety eyewear, if and when requested by the contracting officer or their authorized representative during the period 23 October 2023 thru 30 September 2025.

II. Extent of obligation: the government is obligated under this blanket purchase agreement only to the extent of authorized calls actually placed against this agreement.

Individuals authorized to place calls under this agreement are:

Stephen R. Dunbar, Contracting Officer Darla A. Lott, Contracting Officer Andrea J. Jones, Contract Specialist Regina L. Gibson, Contract Specialist Casey Pratt, Contract Specialist Angela M. Rouse, Purchasing Agent

No other individuals are authorized to place calls against this agreement unless added by modification.

III. Pricing: the prices to the government for all purchases made under this agreement shall be as low as, or lower than, those charged under similar terms and conditions to the general public, in addition to any discounts for prompt payment.

Item: 0001 comprehensive eye and visual examinations in accordance with following scope of work $____

Item 0002 prescription safety glasses (frames and lenses) In accordance with scope of work and below priced material list for prescription safety eyewear.

W519TC23Q2421

Priced material list prescription safety eyewear McAlester army ammunition plant

Frames description price per frame

F1 ** Base frame (plastic) $____ F2 ** Base frame (metal) $____

Lenses description Price per lenses

L1 single vision $____ L2 bifocal $____ L3 progressive no line bifocal (case-by-case basis) $____ L4 trifocal $____ L5 Blue Light Blocker (case-by-case basis) $____

Additional requested pricing: eye exam including retina examination $_____

North spectacle insert kit 80100 (plastic frame) $_____ North spectacle insert kit 760023 (wire frame) $_____ 3M102 spectacle insert kit (plastic frame) $_____

**Note frames other than standard plastic or metal are not authorized**

IV. Negotiation authority: the issuance of individual calls under this blanket purchase agreement will be made under the authority of 10 U.S.C. 2304(g).

i. Invoices: an invoice shall be submitted in Procurement Integrated Enterprise Environment at least monthly for all exams and glasses made during the month identifying the applicable BPA call and stating the total dollar value (see para 6.4(f) of the scope of work).

ii. Purchase limitation: no call placed under this agreement shall exceed $25,000.00. Minimum order guarantee: none

(End of Summary of Changes)