Amendment 0002.pdf

SEE SCHEDULE

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

This amendment is to add additional items.

1. CONTRACT ID CODE PAGE OF PAGES

1 6

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

16C. DATE SIGNED

BY 26-Jun-2020

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 W911KF20Q0055

X 9B. DATED (SEE ITEM 11)

25-Jun-2020

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 is extended, X 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 1 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

26-Jun-2020

CODE

DOC-ANNISTON ARMY DEPOT

DIRECTORATE OF CONTRACTING

7 FRANKFORD AVENUE

ANNISTON AL 36201-4199

W911KF 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W911KF20Q0055

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

TO ADD ADDITIONAL PARTS

1. The purpose of this amendment is to add additional respirator parts.

2. Listed below are items 0004 through 0009 that are being added.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0004 500 Each BREATHING TUBE Part Number: NV2021B

FFP

RPB NOVA3 Replacement Breathing tube.

Features:

• For use with RPB NOVA3 Abrasive Blasting Helmets

• Weight - .6 lbs.

• Dimensions – 33 x 2 x 2 in.

An equal is acceptable. If an equal is provided, technical literature must be provided.

FOB: Destination

NSN: NV2021B:75117

MILSTRIP: W31G1Y009701BF

PURCHASE REQUEST NUMBER: W31G1Y009701BF

PSC CD: 6515

NET AMT

0005 500 Each SIDE PADDING FRAME Part Number: NV3-731

FFP

Features:

• RPB Nova 3 side padding frames, both left and right frames.

• For use with RPB NOVA 3 Abrasive Blasting Helmets.

• Weight - .1 lb.

An equal is acceptable. If an equal is provided, technical literature must be provided.

FOB: Destination

NSN: A-NV3-731:75117

MILSTRIP: W31G1Y009701BT

PURCHASE REQUEST NUMBER: W31G1Y009701BT

0006 100 Each SIDE PADDING Part Number: NV3-732-A20

FFP

Features:

• For use with RPB Nova 3 helmet.

• Small side padding foam inserts.

• More padding for smaller heads.

• Weight - .1 lb.

An equal is acceptable. If an equal is provided, technical literature must be provided.

FOB: Destination

NSN: B-NV3-732-A20:75117

MILSTRIP: W31G1Y009701C1

PURCHASE REQUEST NUMBER: W31G1Y009701C1

0007 100 Each HEAD LINER KIT Part Number: NV3-734

FFP

Features:

• RPB Nova 3 Replacement headliner kit with pad and clips

• For use with RPB NOVA 3 Abrasive Blasting Helmets.

• Weight - .1 lb.

An equal is acceptable. If an equal is provided, technical literature must be provided.

FOB: Destination

NSN: C-NV3-734:75117

MILSTRIP: W31G1Y009701C4

PURCHASE REQUEST NUMBER: W31G1Y009701C4

0008 200 Each INNER GASKET Part Number: NV3-721

FFP

Features:

• RPB Nova 3 Replacement headliner kit with pad and clips

• For use with RPB NOVA 3 Abrasive Blasting Helmets.

• Weight - .1 lb.

An equal is acceptable. If an equal is provided, technical literature must be provided.

FOB: Destination

NSN: D-NV3-721:75117

MILSTRIP: W31G1Y009701C7

PURCHASE REQUEST NUMBER: W31G1Y009701C7

0009 200 Each

EXTRA LENGTH NYLON RESPIRATOR CAPE

FFP

Part Number NV3-751

Features:

• RPB Nova 3 cape,

• For use with RPB Nova 3 Respirator helmets.

• Weight - .5 lb.

• 38” Nylon, Green

An equal is acceptable. If an equal is provided, technical literature must be provided.

FOB: Destination

NSN: NV3-751:75117

MILSTRIP: W31G1Y009701BL

PURCHASE REQUEST NUMBER: W31G1Y009701BL

3. The date and time will not be extended.

4. All other terms and conditions remain unchanged.