W56HZV23R0033 AMD 0004 (3 August 2023).pdf
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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
Fixed Price with EPA - Actual Costs
0004 2023AUG03
W56HZV
ACC-DTA
6501 E. 11 MILE RD.
DETROIT ARSENAL, MI 48397-5000
JODIE M. PECKHAM
EMAIL: JODIE.M.PECKHAM.CIV@ARMY.MIL
W56HZV-23-R-0033
2023JUN14
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: JODIE M. PECKHAM
Buyer Office Symbol/Telephone Number: CCTA-HTA-B/(571)588-8932
Type of Contract 1: Fixed Price with EPA - Actual Costs
Type of Contract 2: Firm Fixed Price
Kind of Contract: Supply Contracts and Priced Orders
*** End of Narrative A0000 ***
Amendment 0004 is issued to RFP W56HZV-23-R-0033 to make the following changes to the solicitation:
1) The CDRLs were not removed via Amendment 0003, hereby Amendment 0004 will remove the following CDRLs: A012, A013, A014, A015, A016, A017, A018, A019, A020, A021, A022, A023.
2) Direct questions regarding this RFP to the US Army Contracting Command - Detroit Arsenal POCs: Naleya Scott, telephone: (571)588-
9371, electronic mail: naleya.k.scott.mil@army.mil. Jodie Peckham telephone: (571)588-8932, electronic mail:
jodie.m.peckham.civ@army.mil.
3) No other changes to this solicitation other than those addressed in this amendment.
*** END OF NARRATIVE A0006 ***
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W56HZV-23-R-0033
CONTINUATION SHEET
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
9000 DATA REQUIREMENTS _________________
A012 DELETED _______
A013 DELETED _______
A014 DELETED _______
A015 DELETED _______
A016 DELETED _______
A017 DELETED _______
A018 DELETED _______
A019 DELETED _______
A021 DELETED _______
A022 DELETED _______
A023 DELETED _______
3 3
W56HZV-23-R-0033
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