W909MY23R0002-0004.pdf

X

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. Contract ID Code Firm Fixed Price

2. Amendment/Modification No.

3. Effective Date

2023JAN27

4. Requisition/Purchase Req No.

SEE SCHEDULE

5. Project No. (If applicable)

6. Issued By Code W909MY 7. Administered By (If other than Item 6) Code

ARMY CONTRACTING CMD-APG

BRIAN K PETCHEL

10205 BURBECK RD

FORT BELVOIR, VA 22060-5811

EMAIL: BRIAN.K.PETCHEL.CIV@ARMY.MIL

8. Name And Address Of Contractor (No., Street, City, County, State and Zip Code) X 9A. Amendment Of Solicitation No.

W909MY-23-R-0002

9B. Dated (See Item 11)

2022DEC12

10A. Modification Of Contract/Order No.

10B. Dated (See Item 13)

Code Facility Code

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 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 2 signed 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.)

SEE SECOND PAGE FOR DESCRIPTION

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)

Danny Lester Contracting Officer

15B. Contractor/Offeror

(Signature of person authorized to sign)

15C. Date Signed 16B. United States Of America

LESTER.DANNY.W. Digitally signed by

By 1082387494

/SIGNLEESDT/ER.DANNY.W.1082387494

(Signature of ContraDcattein: 2g02O3.f0f1i.c2e7r1)1:02:33 -05'00'

16C. Date Signed

27 JAN 2023

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 mailto:BRIAN.K.PETCHEL.CIV@ARMY.MIL

CONTINUATION SHEET

Reference No. of Document Being Continued

W909MY-23-R-0002

PIIN/SIIN MOD/AMD 0004

Name of Offeror or Contractor:

SECTION A - SUPPLEMENTAL INFORMATION

Buyer Name: BRIAN K PETCHEL

Buyer Office Symbol/Telephone Number: CCAP-CCV-B/(703)704-1275

Type of Contract 1: Firm Fixed Price

Type of Contract 2: Cost No Fee

Kind of Contract: Service Contracts

*** End of Narrative A0000 ***

Amendment 0004 updates Attachment 0006 - Pricing Model and replaces it with AMD 0004 Attachment 0006 - Pricing Model. Please use AMD

0004 Attachment 0006 - Pricing Model when submitting proposal. In addition, this amendment clarifies that CLIN 0047 will be used to order additional individual CDRLs on an ad hoc basis during the ordering period of the contract.

*** END OF NARRATIVE A0004 ***