W56HZV21C0097-P00004.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

P00004 2021SEP27

W56HZV

ACC-DTA

6501 E. 11 MILE RD.

DETROIT ARSENAL, MI 48397-5000

ANGELINA SMITH

EMAIL: ANGELINA.V.SMITH2.CIV@MAIL.MIL

S3101A

DCMA MUNITIONS & SUPPORT SYSTEMS -

SPRINGFIELD

BLDG 93, ARDEC

PICATINNY NJ 07806-5000

0V4D3

ACROW CORP OF AMERICA

181 NEW RD STE 202

PARSIPPANY, NJ 07054-5645

W56HZV-21-C-0097

2021JUN10

SEE SECTION G (IF APPLICABLE)

X FAR 43.103(a)(3)

X

SEE SECOND PAGE FOR DESCRIPTION

/SIGNED/ 2021SEP27

JENNIFER SCHNEIDER

JENNIFER.A.SCHNEIDER17.CIV@MAIL.MIL (586)282-8396

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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: ANGELINA SMITH

Buyer Office Symbol/Telephone Number: CCTA-HCP-A/(586)282-7163

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

Kind of Modification: G

Type of Business: Other Small Business Performing in U.S.

Surveillance Criticality Designator: C

Weapon System: No Identified Army Weapons Systems

Paying Office: HQ0337

DFAS-COLUMBUS CENTER

NORTH ENTITLEMENT OPERATIONS

P.O. BOX 182317

COLUMBUS OH 43218-2317

*** End of Narrative A0000 ***

Previous Obligated Amount: $4,613,319.35

Amount of this Action:______________________ $7,048,023.00_________________

Current Obligated Amount: $11,661,342.35

Modification P00004 to Contract W56HZV-21-C-0097.

1. The purpose of this bilateral modification is to incorporate additional hardware CLINs into this contract. As a result, the following is incorporated:

Section B

2. Establish CLIN 2001AA to fund the acquisition of 1 EA 50M FIXED TYPE II HARDWARE. Unit Price is $1,509,709.00 ea.

Ship To: W90X44

3. Establish CLIN 2002AA to fund the acquisition of 1 EA 130M FLOAT TYPE II HARDWARE. Unit Price is $5,538,314.00 ea.

Ship To: W81BJ9

Conclusion

4. As a result of this modification, the obligated amount of the contract increases by $7,048,023.00 from $4,613,319.35 to

$11,661,342.35.

5. All other terms and conditions, with the exception of this modification are to remain in full force and effect.

*** END OF NARRATIVE A0004 ***

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W56HZV-21-C-0097

P00004

ACROW CORP OF AMERICA

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

SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS

2001 LOCB - Acrow - 1x50m

NSN: 9999-99-999-9999

2001AA 50M FIXED TYPE II HARDWARE 1 EA $ 1,509,709.000 $ 1,509,709.00 __________________________ ______________ __________________

COMMODITY NAME: LOCB - Acrow - 1x50m

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: P21DN0512T PRON AMD: 01 ACRN: AQ

PSC: 5420

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

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

001 W502E81258N051 W90X44 J 3

PROJ CD BRK BLK PT _______ __________

GFE

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 1 20-MAR-2022

FOB POINT: Destination

SHIP TO:

(W90X44) XR W4K7 USA ENGINEER SCHOOL

292 ORDINANCE DRIVE

FORT LEONARD WOOD,MO,65473-8947

2002 LOCB - Acrow - 1x130

NSN: 9999-99-999-9999

2002AA 130M FLOAT TYPE II HARDWARE 1 EA $ 5,538,314.000 $ 5,538,314.00 ___________________________ ______________ __________________

COMMODITY NAME: LOCB - Acrow - 1x130

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: P21DN0522T PRON AMD: 01 ACRN: AR

PSC: 5420

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W56HZV-21-C-0097

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

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Please note, Inspection/Acceptance location for

BRIDGING COMPONENTS will be at the following address:

ACROW CORPORATION OF AMERICA (CAGE 5EAF8)

24 Randazzo Rd, Lafayette, NJ 07848

(PH:973-244-0080, FX:973-244-0085)

and Inspection/Acceptance location for Qty.34 BARGES will be at:

POSEIDON BARGE LTD,(CAGE 0RRV8)

725 E. Parr Rd.,Berne,IN 46711

(PH:866-992-2743,PH:260-422-8767,FX:260-589-2088).

(End of narrative E001)

Deliveries or Performance _________________________

DOC SUPPL

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

001 W502E81258N052 W81BJ9 J 3

PROJ CD BRK BLK PT _______ __________

GFE

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 1 20-MAR-2022

FOB POINT: Destination

SHIP TO:

(W81BJ9) SRV434 CS BN DET 2 CO D ELE

15000 HWY 115 BLDG U 42

CAMP RIPLEY

LITTLE FALLS MN 56345-4173

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W56HZV-21-C-0097

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION G - CONTRACT ADMINISTRATION DATA

PRON/ PRON/

AMS CD/ AMS CD/

LINE MIPR/ OBLG JO NO/ INCREASE/ CUMULATIVELINE MIPR/ OBLG JO NO/ INCREASE/ CUMULATIVE

ITEM GFEBS ATA STAT ACCT ASSIGN ACRN PRIOR AMOUNT DECREASE AMOUNTITEM GFEBS ATA STAT ACCT ASSIGN ACRN PRIOR AMOUNT DECREASE AMOUNT_____ _________ _____ ___________ ____ ____________ __________ ________________ _________ _____ ___________ ____ ____________ __________ ___________

2001AA P21DN0512T 2 A.0048673.2.3.2.2 AQ $ 0.00 $ 1,509,709.00 $ 1,509,709.00

2002AA P21DN0522T 2 A.0048673.2.3.2.2 AR $ 0.00 $ 5,538,314.00 $ 5,538,314.00

NET CHANGE $ 7,048,023.00

INCREASE/ INCREASE/

ACRN ACCOUNTING CLASSIFICATION DECREASEACRN ACCOUNTING CLASSIFICATION DECREASE____ _________________________ ______________ _________________________ __________

AQ 021 202120232035 A5XDN G82404ARF01 3101 L074925995 A.0048673.2.3.2.2 021001 $ 1,509,709.00

AR 021 202120232035 A5XDN G82404ARF01 3101 L074925996 A.0048673.2.3.2.2 021001 $ 5,538,314.00 __________________

NET CHANGE $ 7,048,023.00

PRIOR AMOUNT INCREASE/DECREASE CUMULATIVE PRIOR AMOUNT INCREASE/DECREASE CUMULATIVE

OF AWARD AMOUNT OBLIG AMT OF AWARD AMOUNT OBLIG AMT _____________ __________________ ___________ _____________ __________________ ___________

NET CHANGE FOR AWARD: $ 5,521,302.61 $ 7,048,023.00 $ 12,569,325.61

LINELINE

ITEM ACRN EDI/SFIS ACCOUNTING CLASSIFICATIONITEM ACRN EDI/SFIS ACCOUNTING CLASSIFICATION_____ ____ _______________________________________ ____ __________________________________

2001AA AQ 021 202120232035 A5XDN G82404ARF01 3101 L074925995 A.0048673.2.3.2.2 021001

2002AA AR 021 202120232035 A5XDN G82404ARF01 3101 L074925996 A.0048673.2.3.2.2 021001

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W56HZV-21-C-0097