W56HZV21R0045-0002.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

0002 2022DEC08

W56HZV

ACC-DTA

6501 E. 11 MILE RD.

DETROIT ARSENAL, MI 48397-5000

NICHOLAS LANG

EMAIL: NICHOLAS.A.LANG.CIV@ARMY.MIL

W56HZV-21-R-0045

2022AUG15

X

X 2023JAN19 11:59pm

/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: NICHOLAS LANG

Buyer Office Symbol/Telephone Number: CCTA-APS-D/(586)282-4440

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

*** End of Narrative A0000 ***

SOLICITATION: W56HZV-21-R-0045

AMENDMENT: 0002

1. The purpose of this Amendment 0002 to Solicitation W56HZV-21-R-0045 is to:

SF33:____

a) Extend solicitation close date from 16 December 2022 to 19 January 2023.

SECTION B:_________

b) Update range quantities on CLINs 0011 and 0012.

SECTION J:_________

c) Remove Attachment 0001 - Additional Guidelines for Controlled Unclassified Information.

This concludes all Sections affected by this Amendment.

2. The contractor shall acknowledge this Amendment 0002, in Paragraph A.4 - Acknowledgement of Amendments of its proposal submission.

3. Proposals shall be submitted electronically to email address: nicholas.a.lang.civ@army.mil by 11:59 PM EST on 19 January 2023.

4. All other terms and conditions of Solicitation W56HZV-21-R-0045 remain unchanged.

*** END OF NARRATIVE A0003 ***

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W56HZV-21-R-0045

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

0011 FIRST ORDERING YEAR EST 100 EA $ ___________________ __________________

See Range Pricing

NSN: 1375-01-583-6388

COMMODITY NAME: ADAPTER, SHOCK TUBE

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 96JA0

Mfr Part Number: 11754100

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

3 24 $

25 49 $

50 99 $

100 199 $

200 299 $

300 300 $

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D - PACKAGING AND MARKING

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

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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

0012 SECOND ORDERING YEAR EST 100 EA $ ____________________ __________________

See Range Pricing

NSN: 1375-01-583-6388

COMMODITY NAME: ADAPTER, SHOCK TUBE

CLIN CONTRACT TYPE:

Firm Fixed Price

Mfr CAGE: 96JA0

Mfr Part Number: 11754100

Range Quantities ________________

FROM TO UNIT PRICE ____ __ __________

3 24 $

25 49 $

50 99 $

100 199 $

200 299 $

300 300 $

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE SECTION D - PACKAGING AND MARKING

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

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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 0001 ADDITIONAL GUIDELINES FOR CONTROLLED UNCLASSIFIED DELETED 002 EMAIL

INFORMATION

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