W912CH25Q0055-0007.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. Contract ID Code Page Of

2. Amendment/Modification No.

3. Effective Date

4. Requisition/Purchase Req No.

5. Project No. (If applicable)

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

8. Name And Address Of Contractor (No., Street, City, County, State and Zip Code)

9A. Amendment Of Solicitation No.

9B. Dated (See Item 11)

10A. Modification Of Contract/Order No.

10B. Dated (See Item 13) Code Facility Code

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 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.)

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

By (Signature of person authorized to sign) (Signature of Contracting Officer)

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

SEE SCHEDULE

X

Firm Fixed Price

0007 2026AUG12

W912CH

ACC-DTA

6501 E. 11 MILE RD.

DETROIT ARSENAL, MI 48397-5000

DANIELLE CAMPBELL

EMAIL: DANIELLE.R.CAMPBELL9.CIV@ARMY.MIL

W912CH-25-Q-0055

2026MAR23

X

X 2026AUG20 12:00pm

/SIGNED/

2 signed

SEE SECOND PAGE FOR DESCRIPTION

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CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: DANIELLE CAMPBELL

Buyer Office Symbol/Telephone Number: CCTA-APS-A/(571)588-1532

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

Weapon System: Gas Masks

*** End of Narrative A0000 ***

The purpose of Amendment 0007 to Solicitation W912CH-25-Q-0055 is to:

a. Change the CLIN 0002AA Quantity from 24 EA to 72 EA.

b. Add lines F.1.3.3 and F.1.3.3.1 to Section F.1 Delivery Schedule

c. Extend the solicitation close date to 20 August 2026 at 12:00 PM Local Warren, MI time.

All other terms and conditions remain unchanged and in full force and effect.

*** END OF NARRATIVE A0008 ***

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W912CH-25-Q-0055

PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SUPPLIES OR SERVICES AND PRICES/COSTS

0002 HOSE ASSEMBLY, AIR BREATHING

NSN: 4240-01-663-6235

Mfr CAGE: 1WEL5

Mfr Part Number: 602108

0002AA UNEXERCISED OPTION QUANTITY 72 EA $ $ _____________________________ ______________ __________________

COMMODITY NAME: HOSE ASSEMBLY, AIR BREATHING

CLIN CONTRACT TYPE:

Firm Fixed Price

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING REQUIREMENTS; SECTION D

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

DEL REL CD QUANTITY DAYS AFTER AWARD __________ ______________ ________________

001 72 0045

FOB POINT: Destination

SHIP TO:

(W22PVJ) XU W0L7 BLUE GRASS ARMY DEPOT

XU GEN SUP STORAGE PT CRP WHSE 211

431 BATTLEFIELD MEMORIAL HIGHWAY

RICHMOND,KY,40475-5070

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Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

DELIVERIES OR PERFORMANCE

F.1 DELIVERY SCHEDULE

F.1.1 Delivery under this contract must conform to the required schedule specified below, unless no-cost acceleration is acceptable.

F.1.2 DEFINITIONS:

F.1.2.1 DAYS means the number of days after the date of contract award in which you must deliver the stated quantity (QTY) of supplies.

F.1.2.2 DELIVERY is defined as follows:

F.1.2.3 DARCA (Days After Receipt of Contract Award).

FOB Origin - Contractor is required to deliver its shipment as provided in FAR 52.247-29(a)(1)-(4) by the time specified in the individual contract; or

FOB Destination - Contractor is required to deliver its shipment as provided in FAR 52.247-34(a)(1)-(2) by the time specified in the individual contract. The contractor must take into consideration the length of time necessary to deliver its shipment to the destination designated in the contract, to ensure that the item reaches its destination by the time reflected in the contract.

F.1.3 The Government requires deliveries according to the following schedule:

F.1.3.1 GOVERNMENT SOLICITED DELIVERY SCHEDULE: CLIN 0001AA

F.1.3.1.1 Delivery is required to be made 75 days after contract award; or FAT Approval, whichever is later.

F.1.3.2 GOVERNMENT SOLICITED DELIVERY SCHEDULE: CLIN 0001AB

F.1.3.2.1 Delivery is required to be made 45 days after contract award.

F.1.3.2.2 Offerors may not propose an alternative Delivery Schedule for this CLIN 0001AB.

F.1.3.3 GOVERNMENT SOLICITED DELIVERY SCHEDULE: CLIN 0002AA

F.1.3.3.1 Delivery is required to be made 45 days after contract award.

F.1.4 Accelerated delivery schedule is acceptable for CLIN 0001AA and CLIN 0002AA.

F.1.5 The Offeror may propose an alternative delivery schedule or accelerated delivery schedule at no additional cost for CLIN 0001AA;

fill in the appropriate information here:

F.1.5.1 OFFERORS PROPOSED DELIVERY SCHEDULE:

F.1.5.1 Delivery shall be made DARCA; or FAT Approval, whichever is later.

F.1.5.1.1 Any acceleration in F.1.5.1 will be subtracted from F.1.3.2.1 at award.

*** END OF NARRATIVE F0001 ***

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