W56HZV20Q0064 AMD 0004.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

0004 2021MAY05

W56HZV

ACC-DTA

6501 E. 11 MILE RD.

DETROIT ARSENAL, MI 48397-5000

KA'NIQUIA WILLIAMS

EMAIL: KANIQUIA.B.WILLIAMS.CIV@MAIL.MIL

W56HZV-20-Q-0064

2020APR03

X

X 2021JUN16

/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: KA'NIQUIA WILLIAMS

Buyer Office Symbol/Telephone Number: CCTA-APN-A/(586)282-8998

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

Amendment 0004 hereby makes the following changes to solicitation W56HZV-20-Q-0064:

1. The following CLIN(s) have been added:

0011 - FIRST ORDERING YEAR

0012 - SECOND ORDERING YEAR

0013 - THIRD ORDERING YEAR

0014 - FOURTH ORDERING YEAR

0015 - FIFTH ORDERING YEAR

2. CLAUSE 52.211-8 "Time of Delivery (JUN 1997)" has been added.

3. Solicitation W56HZV-20-Q-0064 response date has been extended to 15 MAY 2021.

4. All other terms and conditions remain unchanged.

*** END OF NARRATIVE A0005 ***

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W56HZV-20-Q-0064

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

SUPPLIES OR SERVICES AND PRICES/COSTS:

IN THE FOUR DIGIT ITEM NUMBERS

(CLINS) THAT FOLLOW, THE NUMBERING SYSTEM

THAT IS USED IS AS FOLLOWS:

THE FIRST THREE DIGITS SIGNIFY ITEM AND

THE FOURTH (LAST) DIGIT SIGNIFIES THE

APPLICABLE CONTRACT YEAR, i.e., CLIN 0011

IS FOR THE FIRST ITEM - FIRST ORDERING

YEAR, CLIN 0012 IS FOR THE FIRST ITEM -

SECOND ORDERING YEAR, CLIN 0013 IS FOR THE

FIRST ITEM - THIRD ORDERING YEAR, ETC.

THE FINAL LINE ITEM(S) ASSOCIATED WITH EACH

PART, SUCH AS FAT, TECHNICAL MANUALS, SERVICES,

OR TRAINING, WILL BECOME THE LAST ITEM NUMBER

IN NUMERICAL SEQUENCE FOR EACH ITEM, e.g.

0016 (5 YEAR LONG TERM CONTRACT) OR 0014

(3 YEAR LONG TERM CONTRACT). IF MORE THAN

ONE ITEM IS BEING PROCURED, THE NUMBERS WILL

BE 0026 OR 0024 DEPENDING ON THE LENGTH OF THE

LONG TERM CONTRACT.

THE FOLLOWING DEFINITIONS APPLY TO THE

ENTIRE SOLICITATION AND RESULTING CONTRACT:

FIRST ORDERING YEAR OF THE CONTRACT IS THE DATE ___________________

OF AWARD PLUS 364 DAYS.

SECOND ORDERING YEAR OF THE CONTRACT IS 365 DAYS ____________________

THROUGH 729 DAYS AFTER CONTRACT AWARD.

THIRD ORDERING YEAR OF THE CONTRACT IS 730 DAYS ___________________

THROUGH 1,094 DAYS AFTER CONTRACT AWARD.

FOURTH ORDERING YEAR OF THE CONTRACT IS 1,095 ____________________

DAYS THROUGH 1,459 DAYS AFTER CONTRACT AWARD.

FIFTH ORDERING YEAR OF THE CONTRACT IS 1,460 ___________________

DAYS THROUGH 1,824 DAYS AFTER CONTRACT AWARD.

NOTE: THE PRICE APPLICABLE TO AN INDIVIDUAL

ORDER IS THE PRICE FOR THE ORDERING YEAR IN

WHICH THE ORDER IS ISSUED. THE DELIVERY DATE

DOES NOT DETERMINE THE CONTRACT YEAR.

NOTE: EACH ORDERING YEAR QUANTITY IS AN ESTIMATE____

THAT MAY BE ORDERED OVER A 12 MONTH PERIOD.

EST = ESTIMATE

(End of narrative A002)

0011 FIRST ORDERING YEAR EST 55 EA $ $ ___________________ ______________ __________________

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

NSN: 1670-01-575-8147

COMMODITY NAME: OXYGEN REGULATOR

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 04577

Mfr Part Number: B47315-1

PROGRAM YEAR: 1

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0012 SECOND ORDERING YEAR EST 16 EA $ $ ____________________ ______________ __________________

NSN: 1670-01-575-8147

COMMODITY NAME: OXYGEN REGULATOR

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 04577

Mfr Part Number: B47315-1

PROGRAM YEAR: 2

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

FOB POINT: Destination

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0013 THIRD ORDERING YEAR EST 3 EA $ $ ___________________ ______________ __________________

NSN: 1670-01-575-8147

COMMODITY NAME: OXYGEN REGULATOR

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 04577

Mfr Part Number: B47315-1

PROGRAM YEAR: 3

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0014 FOURTH ORDERING YEAR EST 3 EA $ $ ____________________ ______________ __________________

NSN: 1670-01-575-8147

COMMODITY NAME: OXYGEN REGULATOR

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 04577

Mfr Part Number: B47315-1

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

PROGRAM YEAR: 4

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

0015 FIFTH ORDERING YEAR EST 3 EA $ $ ___________________ ______________ __________________

NSN: 1670-01-575-8147

COMMODITY NAME: OXYGEN REGULATOR

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 04577

Mfr Part Number: B47315-1

PROGRAM YEAR: 5

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

FOB POINT: Destination

SHIP TO:

(Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE

(SHIP-TO) WILL BE FURNISHED PRIOR

TO THE SCHEDULED DELIVERY DATE FOR

ITEMS REQUIRED UNDER THIS

REQUISITION.

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Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

DELIVERIES OR PERFORMANCE

Status Regulatory Cite Title Date Status Regulatory Cite Title Date _______ _______________ ______________________________________________________________________ ____________ _______ _______________ ______________________________________________________________________ ____________

1 CHANGED 52.211-8 TIME OF DELIVERY JUN/1997

(a) The Government requires delivery to be made according to the following schedule:

REQUIRED DELIVERY SCHEDULE

ITEM NO. QUANTITY WITHIN DAYS

AFTER DATE OF

CONTRACT

CLIN 0011 55EA WITHIN 90 DAYS AFTER DELIVERY ORDER AWARD

CLIN 0012 16EA WITHIN 90 DAYS AFTER DELIVERY ORDER AWARD

CLIN 0013 3EA WITHIN 90 DAYS AFTER DELIVERY ORDER AWARD

CLIN 0014 3EA WITHIN 90 DAYS AFTER DELIVERY ORDER AWARD

CLIN 0015 3EA WITHIN 90 DAYS AFTER DELIVERY ORDER AWARD

The Government will evaluate equally, as regards time of delivery, offers that propose delivery of each quantity within the applicable delivery period specified above. Offers that propose delivery that will not clearly fall within the applicable required delivery period specified above, will be considered nonresponsive and rejected. The Government reserves the right to award under either the required delivery schedule or the proposed delivery schedule, when an offeror offers an earlier delivery schedule than required above. If the offeror proposes no other delivery schedule, the required delivery schedule above will apply.

OFFERORS PROPOSED DELIVERY SCHEDULE

ITEM NO. QUANTITY WITHIN DAYS

AFTER DATE OF

CONTRACT

(b) Attention is directed to the Contract Award provision of the solicitation that provides that a written award or acceptance of offer mailed, or otherwise furnished to the successful offeror, results in a binding contract. The Government will mail or otherwise furnish to the offeror an award or notice of award not later than the day award is dated. Therefore, the offeror should compute the time available for performance beginning with the actual date of award, rather than the date the written notice of award is received from the

Contracting Officer through the ordinary mails. However, the Government will evaluate an offer that proposes delivery based on the

Contractors date of receipt of the contract or notice of award by adding

(1) five calendar days for delivery of the award through the ordinary mails, or

(2) one working day if the solicitation states that the contract or notice of award will be transmitted electronically. (The term working day excludes weekends and U.S. Federal holidays.) If, as so computed, the offered delivery date is later than the required delivery date, the offer will be considered nonresponsive and rejected.

(End of Clause)

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