W56HZV19Q0114-0002.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 2019OCT25

W56HZV

U.S. ARMY CONTRACTING COMMAND

WARREN, MICHIGAN 48397-5000

DANIEL POEHLING

EMAIL: DANIEL.C.POEHLING.CIV@MAIL.MIL

W56HZV-19-Q-0114

2019OCT07

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

SUPPLEMENTAL INFORMATION

Buyer Name: DANIEL POEHLING

Buyer Office Symbol/Telephone Number: CCTA-ALS-E/(586)282-7516

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

Weapon System: Filter Units

*** End of Narrative A0000 ***

1. The purpose of Amendment 0002 to Request for Quotation (RFQ) W56HZV-19-Q-0114 is to:

a. Incorporate range pricing and set a minimum order quantity for the

Unexercised Option Production Quantity CLIN 0003AA

2. All other terms and conditions of this RFQ remain unchanged.

*** END OF NARRATIVE A0004 ***

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W56HZV-19-Q-0114

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

SUPPLIES OR SERVICES AND PRICES/COSTS

0003 M19 PARTICULATE FILTER ASSY

NSN: 4240-00-866-1825

Mfr CAGE: 81361

Mfr Part Number: 197-54-692

0003AA UNEXERCISED OPTION PRODUCTION QUANTITY 8694 EA $ ______________________________________ __________________

See Range Pricing

COMMODITY NAME: M19 PARTICULATE FILTER ASSY

CLIN CONTRACT TYPE:

Firm Fixed Price

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

1000 2000 $

2001 4000 $

4001 6000 $

6001 8694 $

OPTION QUANTITY, PURSUANT TO THE CLAUSE

ENTITLED OPTION FOR INCREASED - SEPARATELY PRICED

LINE ITEM (52.217-7).

The quantity stated for the option CLIN DOES

NOT Form a part of the basic contractual quantity

(CLIN 0001AA). However, part or all of it may be added to the contract by exercise of the option clause, at the discretion of the Government.

The failure of the offeror to insert a unit price applicable to the option quantity shall mean that the offeror will supply all or any part of the option, if exercised by the

Government, at the basic contract unit price

(CLIN 0001AA),and the offer will be evaluated for award accordingly.

**IF THE UNEXERCISED OPTION QUANTITY IS

INCREMENTALLY EXERCISED, THE GOVERNMENT WILL

ORDER A MINIMUM ORDER QUANTITY OF 1,000 EACH

FOR EACH ORDER. NO EXERCISED ORDER WILL EXCEED

THE MAXIMUM UNEXERCISED OPTION PRODUCTION

QUANTITY OF 8,694 EACH.**

(End of narrative B001)

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

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W56HZV-19-Q-0114