W56HZV19Q0118-0001.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

0001 2019MAY30

W56HZV

U.S. ARMY CONTRACTING COMMAND

WARREN, MICHIGAN 48397-5000

KATHY KESSLER

EMAIL: KATHY.A.KESSLER.CIV@MAIL.MIL

W56HZV-19-Q-0118

2019APR25

X

X 2019JUN07 03:00pm

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: KATHY KESSLER

Buyer Office Symbol/Telephone Number: CCTA-HDB-N/(586)282-3538

Type of Contract 1: Firm Fixed Price

Kind of Contract: Other

Weapon System: Armament Subsystem, 30mm, XM139

*** End of Narrative A0000 ***

The purpose of Amendment 0001 is to increase the quantity on CLIN 0001AA and 0002AA and extend closing date.

1. CLIN 0001AA, Helmet Alignment Kit quantity is being increased by 5 each from 5 each to 10 each.

2. Option CLIN 0002AA, Helmet Alignment Kit item quantity is being increased by 5 each from 5 each to 10 each.

3. Solicitation closing date is being changed from May 9, 2019 to June 7, 2019.

4. Except as stated herein, all other term and conditions of this solicitation remain the same.

*** END OF NARRATIVE A0002 ***

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W56HZV-19-Q-0118

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

0001 ALIGNMENT KIT HELME

NSN: 4933-01-249-4537

Mfr CAGE: 0WEC9

Mfr Part Number: KG1488AC01

0001AA HELMET ALIGNMENT KIT 10 EA $ $ ____________________ ______________ __________________

COMMODITY NAME: ALIGNMENT KIT HELME

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH9C0290EH PRON AMD: 02

AMS CD: SM2B1100000

NSN: 4933-01-249-4537

NOUN: Alignment Kit

PART NR: KG1488AC01

(End of narrative B001)

Packaging and Marking _____________________

Level of Preservation: Military

Level of Packing: B

Mark for Shipment as specified and in accordance with

MIL STD 129.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

001 W56HZV8331V350 W562RM J 2

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 10 01-AUG-2019

FOB POINT: Destination

SHIP TO:

(W562RM) SU W0MC ARMY GENERAL SUPPLY

CENTRAL RECIEVING

10TH STREET AND K AVENUE

TEXARKANA,TX,75507-5000

3 4

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

0002 OPTION 1:ALIGNMENT KIT HELMET

NSN: 4933-01-249-4537

Mfr CAGE: 0WEC9

Mfr Part Number: KG1488AC01

0002AA OPTION 1: ALIGNMENT KIT HELMET 10 EA $ $ _______________________________ ______________ __________________

COMMODITY NAME: OPTION 1:ALIGNMENT KIT HELMET

CLIN CONTRACT TYPE:

Firm Fixed Price

OPTION CLIN:

NSN: 4933-01-249-4537

NOUN: Alignment Kit

PART NR: KG1488AC01

(End of narrative B001)

Packaging and Marking _____________________

Level of Preservation: Military

Level of Packing: B

Mark for Shipment as specified and in accordance with

MIL STD 129.

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 10 UNDEFINITIZED

FOB POINT: Destination

4 4