W911PT25QA0090001.pdf

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 amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or electronic communication 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 letter or electronic communication, provided each letter or electronic communication 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 NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER 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

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

Continuation of Supplies or Services and Prices/Costs

The miscellaneous text for the following CLIN(s) / SLIN(s) / ELIN(s) were deleted:

The following CLIN(s) / SLIN(s) / ELIN(s) were modified:

INFORMATION FROM TO CHANGED

BY

Description

BROACH FINISH SPOTFACE, T-15

HSS, SINGLE DETAIL PER

DRAWING 12529621Tl79, DETAIL

NUMBER 13 MANUFACTURER

8T516 WOLVERINE BROACH CO INC

OR EQUAL

MID: VR/A

BROACH FINISH

TAPERFACE, T-15 HSS,

SINGLE DETAIL PER

DRAWING 12529621T191,

DETAIL NUMBER 19

MANUFACTURER 8T516

WOLVERINE BROACH

CO INC

OR EQUAL

MID:VR/A

INFORMATION FROM TO CHANGED BY

Manufacturer's Part Number 12529621T191-13 12529621T179-13

The following CLIN(s) / SLIN(s) / ELIN(s) were deleted:

Item Supplies / Services Quantity Unit Unit Price Amount

BROACH FINISH SPOTFACE,

T-15 HSS,

SINGLE DETAIL PER

DRAWING

12529621Tl79, DETAIL

NUMBER 13

MANUFACTURER 8T516

WOLVERINE BROACH

CO INC

OR EQUAL

MID: VR/A

CLIN only - Requisition Document Number (MILSTRIP, DLMS, FEDSTRIP):

1 Each

W911PT25QA0090001

W16H1F516100QV

Product Service Code: 5133 Program Code: C9E Bill to Party: W16H1F Manufacturer's CAGE: 8T516 Manufacturer's Part Number:

12529621T191-13 Pricing Arrangement: Firm Fixed Price

Continuation of Inspection and Acceptance

The inspection and acceptance locations for the following CLIN(s) / SLIN(s) / ELIN

(s) were deleted:

Inspection and Acceptance Location - W911PT - W6QK ACC WVA

Continuation of Deliveries or Performance

The delivery information for the following CLIN(s) / SLIN(s) / ELIN(s) were deleted:

FoB Point Payment Method Ship To - W16H1F - W0K9 OSC WVA-STOCK RECORD ACCT

W911PT25QA0090001

ACC WATERVLIET ARSENAL, 1 BUFFINGTON ST

WATERVLIET, NY 12189-4000

UNITED STATES

BRIANNE DENOFIO, EMAIL: BRIANNE.M.DENOFIO.CIV@ARMY.MIL TELEPHONE: 518-266-4644

AdminBy:

SCD: PAS: