W56HZV19R0276-0003.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

0003 2020JAN10

W56HZV

ACC-DTA

6501 E. 11 MILE RD.

DETROIT ARSENAL, MI 48397-5000

MARK D. HILSON JR.

EMAIL: MARK.D.HILSON.CIV@MAIL.MIL

W56HZV-19-R-0276

2019OCT22

X

X

/SIGNED/

2 signed

SEE SECOND PAGE FOR DESCRIPTION

1 3

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: MARK D. HILSON JR.

Buyer Office Symbol/Telephone Number: CCTA-HCS-B/(586)467-6132

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

Weapon System: Detection and Alarm Devices

*** End of Narrative A0000 ***

Army Contracting Command

6501 E. 11 Mile Road

Warren, MI 48397-5000

Solicitation: W56HZV19R0276

Issue Date: 22 Oct 2019

Amendment: 0001

Issue Date: 27 Nov 2019

Amendment: 0002

Issue Date: 02 Jan 2020

Amendment: 0003

Issue Date: 10 Jan 2020

Number of Pages: 003

Description of Amendment:_________________________

1. The purpose of Amendment 0003 to Solicitation W56HZV19R0276 is to add

Attachment 0004, "Notice of Revision Engineering Change Proposal", to

Section J.

2. All other terms and conditions of Solicitation W56HZV19R0276 remain unchanged and in full force and effect.

If you have any questions concerning this amendment, please contact the POC listed below.

Government POC:

Mark D. Hilson

Phone: 586.282.6857

Email: mark.d.hilson.civ@mail.mil

*** END OF NARRATIVE A0008 ***

2 3

W56HZV-19-R-0276

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION J - LIST OF ATTACHMENTS

List of Number List of Number

Addenda Title Date of Pages Transmitted By Addenda Title Date of Pages Transmitted By________________ ____________________________________________________________ _______________ ____________ _______________________________ ____________________________________________________________ _______________ ____________ _______________

Attachment 0004 NOTICE OF REVISION ENGINEERING CHANGE PROPOSAL 27-DEC-2019 012 EMAIL

3 3

PIIN/SIIN

MOD/AMD

ATT/EXH ID

PAGE

Attachment 0004

NOTICE OF REVISION (NOR)

NOR NO: 843-0011-002

AFFECTED DOCUMENT/REVISION: 5-77-3545

See NOR Sheet 1, block 6.e for any outstanding un-incorporated NORs against this document.

1. Add to end of Note 3. Alternatively, identification markings may be printed directly onto Item No. 1 using black ink, text height

.25, and Arial font.

2. Note 5. Replace with PACKET SHALL CONTAIN 1 GRAM OF 156 MICRON SOLID SPHERICAL GLASS BEADS. SUGGESTED SOURCE OF SUPPLY:

POTTERS INDUSTRIES INC,

300 Lindenwood Drive

Malvern, PA 19355-1740

CAGE: 04UX7

3. ZONE A1, update to current approved organization name

4. ZONE A4, update to current approved Distribution Statement C

See NOR Sheet 1, block 6.e for any outstanding un-incorporated NORs against this document.

1. Add to end of Note 4 Alternatively, identification markings may be printed directly onto Item No. 1 using black ink, text height .10, and Arial font.

2. ZONE A1, update to current approved organization name

3. ZONE A4, update to current approved Distribution Statement C

See NOR Sheet 1, block 6.e for any outstanding un-incorporated NORs against this document.

1. Add to end of Note 4 Alternatively, identification markings may be printed directly onto Item No. 1 using black ink, text height .10, and Arial font.

2. ZONE A1, update to current approved organization name

3. ZONE A4, update to current approved Distribution Statement C

See NOR Sheet 1, block 6.e for any outstanding un-incorporated NORs against this document.

1. Add to end of Note 6 Alternatively, identification markings may be printed directly onto Item No. 5 using black ink, text height .10, and Arial font.

2. ZONE A1, update to current approved organization name

3. ZONE A4, update to current approved Distribution Statement C

See NOR Sheet 1, block 6.e for any outstanding un-incorporated NORs against this document.

1. Add to end of Note 6 Alternatively, identification markings may be printed directly onto Item No. 3 using black ink, text height .10, and Arial font.

2. ZONE A1, update to current approved organization name

PIIN/SIIN

MOD/AMD

ATT/EXH ID

PAGE

Attachment 0004

3. ZONE A4, update to current approved Distribution Statement C

See NOR Sheet 1, block 6.e for any outstanding un-incorporated NORs against this document.

1. Add to end of Note 5 Alternatively, box may be fabricated from pre-printed cardboard with required colors.

2. Add to end of Note 6. ALTERNATIVELY, ALL MARKINGS DESCRIBED ABOVE MAY BE PRINTED ON A LABEL TO BE APPLIED TO THE AREA SHOWN. COLOR OF

LABEL BACKGROUND SHALL BE SIMILAR TO COLOR OF BOX. SUGGESTED SOURCE OF SUPPLY OF LABEL: TECHNICOTE, INC., 222 MOUND AVE., MIAMIBURG, OH

45342, P/N 78005.

3. Note 8, line 4, change from ASTM D4727 to ASTM D4727/D4727M

4. ZONE D1, Parts List, Item No.16, change NOMENCLATURE OR MATERIALS from FED-STD-595 to SAE-AMS-STD-595

5. ZONE D1, Parts List, Item No. 15 and 16, change SPECIFICATION from ASTM D5486 to ASTM-D5486/D5486M

6. ZONE A1, update to current approved organization name

7. ZONE A4, update to current approved Distribution Statement C