W911RZ-18-Q-0132_U02.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

The purpose of this amendment is to add the respective part numbers to the various sizes for the face pieces. SM-20215-07, Med

20215-08, LG 20215-09.

The product code of CLIN 0010 SKA-Pak is changed from SAR 424060641201 to 424060641001

All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 26-Sep-2018

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 W911RZ18Q0132

X 9B. DATED (SEE ITEM 11)

23-Sep-2018

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-Sep-2018

CODE

MICC - FORT CARSON

ATTN: VANESSA A. COLEMAN 1676 EVANS ST, BLDG

FL

FORT CARSON CO 80913-5198

W911RZ 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W911RZ18Q0132

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0002

The CLIN extended description has changed from:

Brand name or equal to 3M Scott Safety (SS-Government SIN 465 22) – AV-3000 HT Facepiece – Product Code 201215-08 (S) 3M Scott’s AV-3000 HT facepiece meets all requirements established in the NFPA 1981:2013 Edition standard, with state-of-the-art material technology to provide enhanced thermal durability and voice intelligibility performance for added safety. It is approved as a component of NFPA 1981:2002 Ed. Air-Pak Fifty and NxG2, 2007 Ed. Air-Pak 75 and NxG7 SCBAs, and 2013 Ed. Air-Pak X3 and Air-Pak 75 SCBAs. The new AV-3000 HT facepiece utilizes the proven SureSeal technology, 3M Scott’s reverse-reflex sealing surface to provide excellent comfort and superior fit. State-of-the-art materials and design for enhanced performance. Proven SureSeal faceseal for excellent fit and comfort. Compatible with EPIC 3 Communication System with right and left communication installation options and compatible with Scott Sight In-Mask Thermal Imager. Developed to meet NFPA 1981:2002 edition and 2007 edition Air-Pak SCBAs and edition 2013 Edition Air-Pak X3 and ANSI Z87.1- 2010 Impact Rated. Delivery 30 Days After Date of Contract.

To:

Brand name or equal to 3M Scott Safety (SS-Government SIN 465 22) – AV-3000 HT Facepiece – Product Code 201215-07 (S) 3M Scott’s AV-3000 HT facepiece meets all requirements established in the NFPA 1981:2013 Edition standard, with state-of-the-art material technology to provide enhanced thermal durability and voice intelligibility performance for added safety. It is approved as a component of NFPA 1981:2002 Ed. Air-Pak Fifty and NxG2, 2007 Ed. Air-Pak 75 and NxG7 SCBAs, and 2013 Ed. Air-Pak X3 and Air-Pak 75 SCBAs. The new AV-3000 HT facepiece utilizes the proven SureSeal technology, 3M Scott’s reverse-reflex sealing surface to provide excellent comfort and superior fit. State-of-the-art materials and design for enhanced performance. Proven SureSeal faceseal for excellent fit and comfort. Compatible with EPIC 3 Communication System with right and left communication installation options and compatible with Scott Sight In-Mask Thermal Imager. Developed to meet NFPA 1981:2002 edition and 2007 edition Air-Pak SCBAs and edition 2013 Edition Air-Pak X3 and ANSI Z87.1- 2010 Impact Rated. Delivery 30 Days After Date of Contract.

The manufacturer part number has changed from Product Code 201215-08 to Product Code 201215-07.

CLIN 0003

The CLIN extended description has changed from:

Brand name or equal to 3M Scott Safety (SS-Government SIN 465 22) – AV-3000 HT Facepiece – Product Code 201215-08 (L) 3M Scott’s AV-3000 HT facepiece meets all requirements established in the NFPA 1981:2013 Edition standard, with state-of-the-art material technology to provide enhanced thermal durability and voice intelligibility performance for added safety. It is approved as a component of NFPA 1981:2002 Ed. Air-Pak Fifty and NxG2, 2007 Ed. Air-Pak 75 and NxG7 SCBAs, and 2013 Ed. Air-Pak X3 and Air-Pak 75 SCBAs. The new AV-3000 HT facepiece utilizes the proven SureSeal technology, 3M Scott’s reverse-reflex sealing surface to provide excellent comfort and superior fit. State-of-the-art materials and design for enhanced performance. Proven SureSeal faceseal for excellent fit and comfort. Compatible with EPIC 3 Communication System with right and left communication installation options and compatible with Scott Sight In-Mask Thermal Imager. Developed to meet NFPA 1981:2002 edition and 2007 edition Air-Pak SCBAs and edition 2013 Edition Air-Pak X3 and ANSI Z87.1- 2010 Impact Rated. Delivery 30 Days After Date of Contract.

To:

Brand name or equal to 3M Scott Safety (SS-Government SIN 465 22) – AV-3000 HT Facepiece – Product Code 201215-09 (L) 3M Scott’s AV-3000 HT facepiece meets all requirements established in the NFPA 1981:2013 Edition standard, with state-of-the-art material technology to provide enhanced thermal durability and voice intelligibility performance for added safety. It is approved as a component of NFPA 1981:2002 Ed. Air-Pak Fifty and NxG2, 2007 Ed. Air-Pak 75 and NxG7 SCBAs, and 2013 Ed. Air-Pak X3 and Air-Pak 75 SCBAs. The new AV-3000 HT facepiece utilizes the proven SureSeal technology, 3M Scott’s reverse-reflex sealing surface to provide excellent comfort and superior fit. State-of-the-art materials and design for enhanced performance. Proven SureSeal faceseal for excellent fit and comfort. Compatible with EPIC 3 Communication System with right and left communication installation options and compatible with Scott Sight In-Mask Thermal Imager. Developed to meet NFPA 1981:2002 edition and 2007 edition Air-Pak SCBAs and edition 2013 Edition Air-Pak X3 and ANSI Z87.1- 2010 Impact Rated. Delivery 30 Days After Date of Contract.

The manufacturer part number has changed from Product Code 201215-08 to Product Code 201215-09.

CLIN 0010

The CLIN extended description has changed from:

Brand name or equal to 3M Scott Safety (SS-Government SIN 465 22) – Ska-Pak AT Supplied Air Respirator (15 minute) – Product Code SAR424060641201 Hansen. The Ska-Pak AT is the most advanced Supplied-Air Respirator with the added benefit of a patented, automatic, hands-free air transfer capability. If the continuous air supply is interrupted, the air source is instantly switched to the portable air cylinder automatically. Upon transfer, the Vibralert tactile alarm system activates, letting the user know that the respirator has transferred to cylinder air.

The Ska-Pak AT is available with either a padded nylon or padded Kevlar harness, or an integrated Full Body Harness for fall protection, ideal for confined space applications. Automatic, hands-free transfer from external air source to cylinder in the event of primary air source interruption. Personal, tactile Vibralert alarm lets wearer know their air source has been transferred to cylinder air. “Onboard” cylinder low pressure indicator for ultimate safety and awareness. Combination Type C positive pressure respirator with escape cylinder for entry into escape from hazardous, confined space, or Immediately Dangerous To Life (IDLH) situations. Includes E-Z Flo Pressure Demand Regulator with First Breath Activation and low exhalation resistance for easy breathing and reduced user fatigue. Optional E-Z Flo Modulair regulator can be used with the Industrial SCBA or E-Z Airline supplied air respirators for ease of training and minimized inventory cost. Developed to meet NFPA 1500, NFPA 1852, NFPA 1981, ANSI Z88.2, OSHA 29 CFR 1910.134, Department of Transportation (DOT) DOT-SP-10915 and National Institute of Occupational Safety and Health (NIOSH) Delivery 30 Days After Date of Contract.

To:

Brand name or equal to 3M Scott Safety (SS-Government SIN 465 22) – Ska-Pak AT Supplied Air Respirator (15 minute) – Product Code SAR424060641001 Hansen. The Ska-Pak AT is the most advanced Supplied-Air Respirator with the added benefit of a patented, automatic, hands-free air transfer capability. If the continuous air supply is interrupted, the air source is instantly switched to the portable air cylinder automatically. Upon transfer, the Vibralert tactile alarm system activates, letting the user know that the respirator has transferred to cylinder air.

The Ska-Pak AT is available with either a padded nylon or padded Kevlar harness, or an integrated Full Body Harness for fall protection, ideal for confined space applications. Automatic, hands-free transfer from external air source to cylinder in the event of primary air source interruption. Personal, tactile Vibralert alarm lets wearer know their air source has been transferred to cylinder air. “Onboard” cylinder low pressure indicator for ultimate safety and awareness. Combination Type C positive pressure respirator with escape cylinder for entry into escape from hazardous, confined space, or Immediately Dangerous To Life (IDLH) situations. Includes E-Z Flo Pressure Demand Regulator with First Breath Activation and low exhalation resistance for easy breathing and reduced user fatigue. Optional E-Z Flo Modulair regulator can be used with the Industrial SCBA or E-Z Airline supplied air respirators for ease of training and minimized inventory cost. Developed to meet NFPA 1500, NFPA 1852, NFPA 1981, ANSI Z88.2, OSHA 29 CFR 1910.134, Department of Transportation (DOT) DOT-SP-10915 and National Institute of Occupational Safety and Health (NIOSH) Delivery 30 Days After Date of Contract.

The manufacturer part number has changed from SAR424060641201 to SAR424060641001.

(End of Summary of Changes)