21R0009-0006.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

Please see Amendment 0005 Narrative

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 20-Dec-2021

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W9098S21R0009

X 9B. DATED (SEE ITEM 11)

20-Apr-2021

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

Offer 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 amendment; (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 APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) 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 date, 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.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

17-Dec-2021

CODE

ROCK ISLAND ARSENAL (ACC-RI)

3055 RODMAN AVENUE

ROCK ISLAND IL 61299-8000

W9098S 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W9098S21R0009

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

AMENDMENT 0005 NARRATIVE

The purpose of Amendment 0005 is to:

1. Re-open the solicitation for initial and revised quotes.

2. Update the following drawings: 11B5042089, 11B5042103, 11B5090015, 11B5090990, 11B5090991, 11B5190514, 11B5190585, 11B5190586, 11B5190626, 11B5190692, 11B5190770, 11B5190811, 11B5190812

3. Amend CLINs 0026 and 0047 (updated the first aid kit part to a NSN)

4. In accordance with Note 3 of original solicitation Page 5, “Deliveries must begin within 90 days of issuance of a delivery order.” Please indicate that your firm is able to meet this. If you are unable to meet this, what time frame is achievable?

All other terms and conditions remain unchanged.

End Amendment Narrative 0005.

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 02-Jul-2020 01:00 PM to 04-Jan-2022 11:00 AM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0026

The CLIN extended description has changed from:

PROVIDE THE FOLLOWING TOOLS: 20 EA OF NSN 4240-01-479-1523, 1 KIT OF 11B5090015, 1 EA OF 11B5090988, 11B5090989, 11B5090990, 11B5090991, 11B5090992, AND 11B5090452; 2 EA OF 11B5090450, 11B5090451, NSN 8415-01-092-0039, AND 11B5090039; 1 PKG OF 6515-01-386-9624; AND 3 EA OF

11B5090037. PLACE THE TOOLS TOGETHER IN A CONTAINER AND LABEL THE CONTAINER WITH

"SHELF C2". Certificate of Conformance - FAR 52.246-15 is required

To:

PROVIDE THE FOLLOWING TOOLS: 20 EA OF NSN 4240-01-479-1523, 1 EA 6545-00-922-1200FIRST AID KIT, UTILITY, 1 EA OF 11B5090988, 11B5090989, 11B5090990, 11B5090991,11B5090992, AND 11B5090452;

W9098S21R0009

2 EA OF 11B5090450, 11B5090451, NSN 8415-01-092-0039,AND 11B5090039; 1 PKG OF 6515-01-386-9624;

AND 3 EA OF 11B5090037. PLACE THE TOOLS TOGETHER IN A CONTAINER AND LABEL THE

CONTAINER WITH "SHELF C2"Certificate of Conformance - FAR 52.246-15 is required

CLIN 0047

The CLIN extended description has changed from:

CABINET J, DRAWER 2 TOOL LOAD INCLUDING THE FOLLOWING: (25) 012747709 CHOP SAW

BLADES; (1) 11B5090015 FIRST AID KIT (EQUIV TO FIRST AID ONLY P/N 253-U/FAO); AND (1)

11B5190822 PLASMA CONSUMABLES KIT (CONTAINS (5) 11B5190545 GOUGE SHIELDS, (15)

11B5190544 NOZZLES AND (15) 11B5090947 ELECTRODES PACKED IN CASE 11B5090171 AND

LABELED WITH DECALS 11B5091642-11 AND 11B5091641-23). ITEMS TO BE PACKED IN FOAM PER PRINT 11B5190692(INCLUDES (1) 11B5042063, (1) 11B5190770 AND (1) 11B5190626 GLUED TOGETHER WITH ADHESIVE AS REQUIRED). SEAL THE FOAM AND TOOLS IN CLEAR PLASTIC WITH A VAPOR CORROSION INHIBITOR, 1 YR MINIMUM DURATION. APPLY A LABEL WITH "DRAWER J2" AND ON

SEPARATE LABELINDICATE THE VCI ACTIVATION DATE. ENSURE LABELS AND VCI DO NOT

BLOCK VIEW OF OF TOOLS.Certificate of Conformance - FAR 52.246-15 is required

To:

CABINET J, DRAWER 2 TOOL LOAD INCLUDING THE FOLLOWING: (25) 012747709 CHOP SAW

BLADES; (1) 6546-00-922-1200 FIRST AID KIT, Utility (EQUIV TO FIRST AID ONLY P/N 253-U/FAO); AND

(1) 11B5190822 PLASMA CONSUMABLES KIT (CONTAINS (5)11B5190545 GOUGE SHIELDS, (15)

11B5190544 NOZZLES AND (15) 11B5090947 ELECTRODES PACKED IN CASE 11B5090171 AND

LABELED WITH DECALS 11B5091642-11 AND 11B5091641-23). ITEMS TO BE PACKED IN FOAM PER PRINT 11B5190692 (INCLUDES (1) 11B5042063, (1) 11B5190770 AND (1) 11B5190626 GLUED TOGETHER

WITH ADHESIVE AS REQUIRED).SEAL THE FOAM AND TOOLS IN CLEAR PLASTIC WITH A VAPOR

CORROSION INHIBITOR, 1 YR MINIMUM DURATION. APPLY A LABEL WITH "DRAWER J2" AND ON

SEPARATE LABEL INDICATE THE VCI ACTIVATIONDATE. ENSURE LABELS AND VCI DO NOT

BLOCK VIEW OF TOOLSCertificate of Conformance - FAR 52.246-15 is required

(End of Summary of Changes)