W56HZV23R0033 AMD 0005 (4 August 2023).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

Fixed Price with EPA - Actual Costs

0005 2023AUG04

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

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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: 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 0005 is issued to RFP W56HZV-23-R-0033 to make the following changes to the solicitation:

1) The CDRL A020 is deleted, as it was not deleted previously in Amendment 0004.

2)The following CDRLs are added: A012, A013, A014, A015, A016, A017, A018, A019, A021, A022, A023 as priced.

3) 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.

4) No other changes to this solicitation other than those addressed in this amendment.

*** END OF NARRATIVE A0007 ***

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W56HZV-23-R-0033

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 Service Data Item - Priced $ __________________________ __________________

SERVICE REQUESTED: CONFIGURATION CHANGE PACKAGE

CLIN CONTRACT TYPE:

Firm Fixed Price

SERVICE REQUESTED: A012 - CONFIG. CHANGE PACKAGE

Configuration Status Accounting is IAW CDRL A012 and

Section C.12.1 of the SOW.

See DD 1423 for delivery schedule

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A013 Service Data Item - Priced $ __________________________ __________________

SERVICE REQUESTED: CDRL A013 TECH REPORT STUDY

CLIN CONTRACT TYPE:

Firm Fixed Price

SERVICE REQUESTED: A013 - SOURCE DATA

Technical Report - Study/Services is IAW CDRL A013 and Section C.12.3.2 of the SOW.

See DD 1423 for delivery schedule

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

A014 Service Data Item - Priced $ __________________________ __________________

3 7

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SERVICE REQUESTED: CDRL A014 COPYRIGHT RELEASE

CLIN CONTRACT TYPE:

Firm Fixed Price

SERVICE REQUESTED: A014 - COPYRIGHT RELEASE

Certification/ Data Report is IAW CDRL A014 and

Section C.12.3.3 and C.12.8 of the SOW.

See DD 1423 for delivery schedule

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A015 Service Data Item - Priced $ __________________________ __________________

SERVICE REQUESTED: CDRL A015 VALIDATION PLAN

CLIN CONTRACT TYPE:

Firm Fixed Price

SERVICE REQUESTED: A015 - VALIDATION PLAN

Logistics Management Information (LMI) Data Products is IAW CDRL A015 and Section C.12.6.1 of the SOW.

See DD 1423 for delivery schedule

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A016 Service Data Item - Priced $ __________________________ __________________

SERVICE REQUESTED: CDRL A016 - VALIDATION REPORT

CLIN CONTRACT TYPE:

Firm Fixed Price

SERVICE REQUESTED: A016 - VALIDATION REPORT

Logistics Management Information (LMI) Data Products

Validation Report is IAW CDRL A016 and Section

C.12.6.3 of the SOW.

4 7

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

See DD 1423 for See DD 1423 for delivery schedule

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A017 Service Data Item - Priced $ __________________________ __________________

SERVICE REQUESTED: CDRL A017 PROVISIONING PARTS

CLIN CONTRACT TYPE:

Firm Fixed Price

SERVICE REQUESTED: A017-PROVISIONING PARTS LIST

A Logistics Product Data and Logistics Product Data

Summaries is IAW CDRL A017 and Section C.13.3.1 of the SOW.

See DD 1423 for delivery schedule

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A018 Service Data Item - Priced $ __________________________ __________________

SERVICE REQUESTED: CDRL A018 PPLI

CLIN CONTRACT TYPE:

Firm Fixed Price

SERVICE REQUESTED: A018 - PPLI

Provisioning Parts List Index (PPLI) (LSA 151) is IAW

CDRL A018 and Section C.13.3.2 of the SOW.

See DD 1423 for delivery schedule

(End of narrative B001)

Inspection and Acceptance _________________________

5 7

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A019 Service Data Item - Priced $ __________________________ __________________

SERVICE REQUESTED: CDRL A019 PPS

CLIN CONTRACT TYPE:

Firm Fixed Price

SERVICE REQUESTED: A019 - PPS

Provisioning Pre-procurement Screening (PPS)is IAW

CDRL A019 and Section C.13.3.3 of the SOW.

See DD 1423 for delivery schedule

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A021 Service Data Item - Priced $ __________________________ __________________

SERVICE REQUESTED: CDRL A021 IUID MARKING PLAN

CLIN CONTRACT TYPE:

Firm Fixed Price

SERVICE REQUESTED: A021 - IUID MARKING PLAN

Item Unique Identification (IUID) Marking Plan is IAW

CDRL A021 and Section C.15.2 of the SOW.

See DD 1423 for delivery schedule

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A022 Service Data Item - Priced $ __________________________ __________________

6 7

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SERVICE REQUESTED: CDRL A022 PROOF DATA PLATE

CLIN CONTRACT TYPE:

Firm Fixed Price

SERVICE REQUESTED: A022 - PROOF DATA PLATE

Proof Data Plate is IAW CDRL A022 and Section C.15.4 of the SOW.

See DD 1423 for delivery schedule

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

A023 Service Data Item - Priced $ __________________________ __________________

SERVICE REQUESTED: CDRL A023 IUID REPORT

CLIN CONTRACT TYPE:

Firm Fixed Price

SERVICE REQUESTED: A023 - IUID REPORT

Item Unique Identification (IUID) Marking Activity

Validation and Verification report is IAW CDRL A023 and Section C.15.6 of the SOW.

See DD 1423 for delivery schedule

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

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