Solicitation Amendment W911PT26QA0120001 SF 30.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 following CLIN(s) / SLIN(s) / ELIN(s) were modified:

INFORMATION FROM TO CHANGED

BY

Description

Safety Glasses Fittings

To cover the cost of all labor, materials, travel and associated costs to provide prescription safety glasses for personnel at Watervliet Arsenal. Cost of service to include:

Two (2) on-site visits per month to review prescriptions, order safety glasses, dispense, fit, adjust glasses, and attach safety side shields as needed. It is anticipated that 3 to 6 employees will be serviced with glasses per visit.

Watervliet arsenal will provide contractor a table & 2 chairs in a room that can be locked and used each visit. NYS licensed Ophthalmic dispenser is requirement for successful offer.

Watervliet Arsenal hours of operation: 6:30 am to 4:00 pm.

CLIN 0001 Pricing based on 48 Labor Hours per year (Two visits per month for two hours each visit) Price per labor hour:

CLINs 0002-0004 pricing based on below:

Glasses And Frames Must Meet Or Exceed ANSI Z87.1-2003 Standards. Include Unit Price for Each of the Following Items:

Shipping - Tool Kit For Repairs - Clip-On Side Shield - Tints (Not To Exceed 25%) - Scratch Protective - Lenses: - Single Vision - Per Pair - Bifocals - Per Pair -

Safety Glasses Fittings

To cover the cost of all labor, materials, travel and associated costs to provide prescription safety glasses for personnel at Watervliet Arsenal. Cost of service to include:

Two (2) on-site visits per month to review prescriptions, order safety glasses, dispense, fit, adjust glasses, and attach safety side shields as needed. It is anticipated that 3 to 6 employees will be serviced with glasses per visit.

Watervliet arsenal will provide contractor a table & 2 chairs in a room that can be locked and used each visit. NYS licensed Ophthalmic dispenser is requirement for successful offer.

Watervliet Arsenal hours of operation: 6:30 am to 4:00 pm.

CLIN 0001 Pricing based on 48 Labor Hours per year (Two visits per month for two hours each visit) Price per labor hour:

CLINs 0002-0004 pricing based on below:

Glasses And Frames Must Meet Or Exceed ANSI Z87.1-2003 Standards. Include Unit Price for Each of the Following Items:

Shipping - Tool Kit For Repairs - Clip-On Side Shield - Tints (Not To Exceed 25%) - Scratch Protective - Lenses: -

W911PT26QA0120001

Executive Bifocal Frames-

Jackson Safety V60 Safeview; with removable prescription Inserts;

Prescription grade lens, Clear anti-fog lens; Black frame w/black tip or equal- All Frames Including Side Shields (Per Pair)- Class I: - SC900- SP83- 70F Class II: - Bc101- Bc102 - Bc104 - Bc108 - Bc109 - Bc115 Clip-On Side Shields (Spares To Be Ordered As Needed):

All Spare Side Shields (Per Pair)-

C101- C105- CS60- CS64- CS75-

CS77- CS96

Please Note: Optional items that may be offered by the Vendor will be charged directly to the individual employee requesting the upgrade. It will be the responsibility of the Vendor to notify the requiring party to coordinate with the respective parties.

Upgrades Include Class 3 & 4 Frames with Corresponding Clip- On Side Shield, and TriFocal or Progressive Lenses.

Single Vision - Per Pair - Bifocals - Per Pair - Executive Bifocal Frames- Progressive Lenses-

All Frames Including Side Shields (Per Pair)- Class I: - SC900- SP83- 70F Class II: - Bc101- Bc102 - Bc104 - Bc108 - Bc109 - Bc115 Clip-On Side Shields (Spares To Be Ordered As Needed):

All Spare Side Shields (Per Pair)-

C101- C105- CS60- CS64- CS75-

CS77- CS96

Please Note: Optional items that may be offered by the Vendor will be charged directly to the individual employee requesting the upgrade. It will be the responsibility of the Vendor to notify the requiring party to coordinate with the respective parties.

Upgrades Include Class 3 & 4 Frames with Corresponding Clip- On Side Shield, and TriFocal or Progressive Lenses.

Option Line Item 0005

INFORMATION FROM TO CHANGED

BY

Safety Glasses Fittings

To cover the cost of all labor, materials, travel and associated costs to provide prescription safety glasses for personnel at Watervliet Arsenal. Cost of service to include:

Two (2) on-site visits per month to review prescriptions, order safety glasses, dispense, fit, adjust glasses, and attach safety side shields as needed. It is anticipated that 3 to 6 employees will be serviced with glasses per visit.

Watervliet arsenal will provide contractor a table & 2 chairs in a room that can be locked and used each visit. NYS licensed Ophthalmic dispenser is requirement for successful offer.

Watervliet Arsenal hours of

Safety Glasses Fittings

To cover the cost of all labor, materials, travel and associated costs to provide prescription safety glasses for personnel at Watervliet Arsenal. Cost of service to include:

Two (2) on-site visits per month to review prescriptions, order safety glasses, dispense, fit, adjust glasses, and attach safety side shields as needed. It is anticipated that 3 to 6 employees will be serviced with glasses per visit.

Watervliet arsenal will provide contractor a table & 2 chairs in a room that can be locked and used each visit. NYS licensed Ophthalmic dispenser is

Description operation: 6:30 am to 4:00 pm.

CLIN 0005 Pricing based on 48 Labor Hours per year (Two visits per month for two hours each visit) Price per labor hour:

CLINs 0006-0008 pricing based on below:

Glasses And Frames Must Meet Or Exceed ANSI Z87.1-2003 Standards. Include Unit Price for Each of the Following Items:

Shipping - Tool Kit For Repairs - Clip-On Side Shield - Tints (Not To Exceed 25%) - Scratch Protective - Lenses: - Single Vision - Per Pair - Bifocals - Per Pair - Executive Bifocal Frames-

Jackson Safety V60 Safeview; with removable prescription Inserts;

Prescription grade lens, Clear anti-fog lens; Black frame w/black tip or equal- All Frames Including Side Shields (Per Pair)- Class I: - SC900- SP83- 70F Class II: - Bc101- Bc102 - Bc104 - Bc108 - Bc109 - Bc115 Clip-On Side Shields (Spares To Be Ordered As Needed):

All Spare Side Shields (Per Pair)-

C101- C105- CS60- CS64- CS75-

CS77- CS96

Please Note: Optional items that may be offered by the Vendor will be charged directly to the individual employee requesting the upgrade. It will be the responsibility of the Vendor to notify the requiring party to coordinate with the respective parties.

Upgrades Include Class 3 & 4 Frames with Corresponding Clip- On Side Shield, and TriFocal or Progressive Lenses.

requirement for successful offer.

Watervliet Arsenal hours of operation: 6:30 am to 4:00 pm.

CLIN 0005 Pricing based on 48 Labor Hours per year (Two visits per month for two hours each visit) Price per labor hour:

CLINs 0006-0008 pricing based on below:

Glasses And Frames Must Meet Or Exceed ANSI Z87.1-2003 Standards. Include Unit Price for Each of the Following Items:

Shipping - Tool Kit For Repairs - Clip-On Side Shield - Tints (Not To Exceed 25%) - Scratch Protective - Lenses: - Single Vision - Per Pair - Bifocals - Per Pair - Executive Bifocal Frames- Progressive Lenses-

All Frames Including Side Shields (Per Pair)- Class I: - SC900- SP83- 70F Class II: - Bc101- Bc102 - Bc104 - Bc108 - Bc109 - Bc115 Clip-On Side Shields (Spares To Be Ordered As Needed):

All Spare Side Shields (Per Pair)-

C101- C105- CS60- CS64- CS75-

CS77- CS96

Please Note: Optional items that may be offered by the Vendor will be charged directly to the individual employee requesting the upgrade. It will be the responsibility of the Vendor to notify the requiring party to coordinate with the respective parties.

Upgrades Include Class 3 & 4 Frames with Corresponding Clip- On Side Shield, and TriFocal or Progressive Lenses.

Option Line Item 0009

CHANGED

INFORMATION FROM TO BY

Description

Safety Glasses Fittings

To cover the cost of all labor, materials, travel and associated costs to provide prescription safety glasses for personnel at Watervliet Arsenal. Cost of service to include:

Two (2) on-site visits per month to review prescriptions, order safety glasses, dispense, fit, adjust glasses, and attach safety side shields as needed. It is anticipated that 3 to 6 employees will be serviced with glasses per visit.

Watervliet arsenal will provide contractor a table & 2 chairs in a room that can be locked and used each visit. NYS licensed Ophthalmic dispenser is requirement for successful offer.

Watervliet Arsenal hours of operation: 6:30 am to 4:00 pm.

CLIN 0009 Pricing based on 48 Labor Hours per year (Two visits per month for two hours each visit) Price per labor hour:

CLINs 0010-0012 pricing based on below:

Glasses And Frames Must Meet Or Exceed ANSI Z87.1-2003 Standards. Include Unit Price for Each of the Following Items:

Shipping - Tool Kit For Repairs - Clip-On Side Shield - Tints (Not To Exceed 25%) - Scratch Protective - Lenses: - Single Vision - Per Pair - Bifocals - Per Pair - Executive Bifocal Frames-

Jackson Safety V60 Safeview; with removable prescription Inserts;

Prescription grade lens, Clear anti-fog lens; Black frame w/black tip or equal- All Frames Including Side Shields (Per Pair)- Class I: - SC900- SP83- 70F Class II: - Bc101- Bc102 - Bc104 - Bc108 - Bc109 - Bc115 Clip-On Side Shields (Spares To

Safety Glasses Fittings

To cover the cost of all labor, materials, travel and associated costs to provide prescription safety glasses for personnel at Watervliet Arsenal. Cost of service to include:

Two (2) on-site visits per month to review prescriptions, order safety glasses, dispense, fit, adjust glasses, and attach safety side shields as needed. It is anticipated that 3 to 6 employees will be serviced with glasses per visit.

Watervliet arsenal will provide contractor a table & 2 chairs in a room that can be locked and used each visit. NYS licensed Ophthalmic dispenser is requirement for successful offer.

Watervliet Arsenal hours of operation: 6:30 am to 4:00 pm.

CLIN 0009 Pricing based on 48 Labor Hours per year (Two visits per month for two hours each visit) Price per labor hour:

CLINs 0010-0012 pricing based on below:

Glasses And Frames Must Meet Or Exceed ANSI Z87.1-2003 Standards. Include Unit Price for Each of the Following Items:

Shipping - Tool Kit For Repairs - Clip-On Side Shield - Tints (Not To Exceed 25%) - Scratch Protective - Lenses: - Single Vision - Per Pair - Bifocals - Per Pair - Executive Bifocal Frames- Progressive Lenses-

All Frames Including Side Shields (Per Pair)- Class I: - SC900- SP83- 70F Class II: - Bc101- Bc102 - Bc104 - Bc108 - Bc109 - Bc115 Clip-On Side Shields (Spares To Be Ordered As Needed):

All Spare Side Shields (Per Pair)-

Be Ordered As Needed):

All Spare Side Shields (Per Pair)-

C101- C105- CS60- CS64- CS75-

CS77- CS96

Please Note: Optional items that may be offered by the Vendor will be charged directly to the individual employee requesting the upgrade. It will be the responsibility of the Vendor to notify the requiring party to coordinate with the respective parties.

Upgrades Include Class 3 & 4 Frames with Corresponding Clip- On Side Shield, and TriFocal or Progressive Lenses.

C101- C105- CS60- CS64- CS75-

CS77- CS96

Please Note: Optional items that may be offered by the Vendor will be charged directly to the individual employee requesting the upgrade. It will be the responsibility of the Vendor to notify the requiring party to coordinate with the respective parties.

Upgrades Include Class 3 & 4 Frames with Corresponding Clip- On Side Shield, and TriFocal or Progressive Lenses.

ACC WATERVLIET ARSENAL, 1 BUFFINGTON ST

WATERVLIET, NY 12189-4000

UNITED STATES

DAVID DEANDA, EMAIL: DAVID.D.DEANDA.CIV@ARMY.MIL TELEPHONE: 586-282-5780

AdminBy:

SCD: PAS: