W56HZV21R0008-0004.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 2021MAY24

W56HZV

ACC-DTA

6501 E. 11 MILE RD.

DETROIT ARSENAL, MI 48397-5000

KATHY KESSLER

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

W56HZV-21-R-0008

2020OCT27

X

X 2021JUN25 12:00pm

/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

SECTION A - SUPPLEMENTAL INFORMATION

Buyer Name: KATHY KESSLER

Buyer Office Symbol/Telephone Number: CCTA-APS-A/(586)282-7228

Type of Contract 1: Firm Fixed Price

Kind of Contract: Other

Weapon System: Detection and Alarm Devices

*** End of Narrative A0000 ***

Amendment 0004 to Solicitation W56HZV21R0008 is to do the following:

1. Solicitation is changing from a long term contract to a one time procurement.

2. Solicitation closing date is being changed to 25 June 2021.

3. CLIN 0011 and 0012 are being deleted and CLIN 0001AA will be added.

4. This solicitation is sole sourced to CSES, however, all quotes will be evaluated.

5. Clauses that were added in Amendment 0002 for long term contracts will be removed.

6. Except for the changes here-in, all other terms and conditions of this solicitation remains the same.

*** END OF NARRATIVE A0004 ***

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W56HZV-21-R-0008

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

0001 INTAKE ASSEMBLY

NSN: 4710-01-537-0413

Mfr CAGE: 6KWZ6

Mfr Part Number: 30295-1260-3

0001AA SHIP DETECTOR INTAKE ASSEMBLY 34 EA $ $ _____________________________ ______________ __________________

COMMODITY NAME: INTAKE ASSEMBLY

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8E1723EH PRON AMD: 10

AMS CD: SM2B1100000

Packaging and Marking_____________________

PACKAGING/PACKING/SPECIFICATIONS:

SPI P30295-1260-3

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance_________________________

INSPECTION: Origin ACCEPTANCE: Origin

Inspection/Acceptance at Origin means the contractor

MUST contact DCMA to arrange for a Government inspection BEFORE production under this CLIN is shipped. Failure to have production inspected and accepted at Origin will result in its rejection at Destination. Rejected production will be returned at the contractor's expense.

(End of narrative E001)

Deliveries or Performance_________________________

DOC SUPPL

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

002 W58HZ10167V824 W562RM J 2

DEL REL CD QUANTITY DEL DATE__________ ______________ ___________

001 34 18-JUN-2022

FOB POINT: Destination

SHIP TO:

(W562RM) SU W0MC ARMY GENERAL SUPPLY

DLA DISTRIBUTION RED RIVER

HIGHWAY 82 WEST

TEXARKANA,TX,75507-5000

Early delivery is acceptable at no additional cost to the Government.

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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

(End of narrative F001)

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION F - DELIVERIES OR PERFORMANCE

Status Regulatory Cite Title DateStatus Regulatory Cite Title Date_______ _______________ ______________________________________________________________________ ___________________ _______________ ______________________________________________________________________ ____________

F-1 DELETED 52.211-8 TIME OF DELIVERY JUN/1997

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION I - CONTRACT CLAUSES

Status Regulatory Cite Title DateStatus Regulatory Cite Title Date_______ _______________ ______________________________________________________________________ ___________________ _______________ ______________________________________________________________________ ____________

I-1 DELETED 52.216-18 ORDERING AUG/2020

I-2 DELETED 52.216-19 ORDER LIMITATIONS OCT/1995

I-3 DELETED 52.216-21 REQUIREMENTS OCT/1995

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