W912PA-19-Q-0010-0004.pdf

RCO BENELUX

ANIKA MOMIK

32-2-7179615 (FAX 9610)

LEUVENSESTEEWEG 13

1932 SINT-STEVENS-WOLUWE

BELGIUM

0011364370

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:

1. Reinstate the requirement for Item Type 4 on CLINs 0001, 1001, 2001 and 3001 in accordance w ith Attachment I - Statement Of Work, Part 2 - Specifications and Attachment II - Price Schedule;

2. Remove the requirement for Item Type 5 on CLINs 0001, 1001, 2001 and 3001 in accordance w ith Attachment I - Statement Of Work, Part 2 - Specifications and Attachment II - Price Schedule;

All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 9

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

16C. DATE SIGNED

BY 17-Sep-2019

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 W912PA19Q0010

X 9B. DATED (SEE ITEM 11)

22-Aug-2019

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

17-Sep-2019

CODE

RCO BENELUX

LEUVENSESTEENWEG 13

1932 SINT-STEVENS-WOLUWE

BELGIUM

W912PA 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W912PA

FACILITY CODECODE

EMAIL:TEL:

W912PA19Q0010

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

ATTACHMENT I

Attachment 1

STATEMENT OF WORK (SOW)

Material Handling Equipment / 405th AFSB-APS-2 Eygelshoven

Material Handling Equipment – Nine (09) Each Solicitation Number: W912PA-19-Q-0010

PART 1

General Information

1. GENERAL: This is rental service contract under which the personnel delivering’ setting up and servicing the Material Handling Equipment (MHE) contracted for are not subject to the supervision and control usually prevailing in relationships between the government and its employees.

1.1 Description of services/Introduction: This is a rental service contract to provide APS 2

Eygelshoven with nine (09) pieces of MHE

1.2 The government shall not exercise any supervision or control over the contractor responsible for delivering and placing the acquired MHE in operational status. Such contract service providers shall be accountable solely to the contractor who, in turn is responsible to the government.

1.2 Background: These MHE are used in support of the Army Preposition Stock operations at APS 2 sites in Eygelshoven, which will include lifting (relocation, leveling and stocking) equipment and containers of various sizes and weights (not to exceed the manufacturers load capacity).

1.3. Scope: The contractor shall provide rental/lease services for MHE at location APS 2 Site, Rimbergerweg 50, 6471 Eygelshoven, The Netherlands in accordance with this Statement of Work (SOW) and in accordance with the terms of the contract. The cost of scheduled and periodic maintenance as specified by the manufacturer will be included in the price of the lease.

The contractor shall accomplish the periodic services on-site, or provide the requestor with MHE of the same capacity and fuel requirements as a substitute during the performance of periodic services. The government agrees to comply with the periodic maintenance schedules as established by the original equipment manufacturer and/or the vendor. At the end of the contract performance period and prior to the payment of the final invoice, the contractor shall remove all MHE equipment from the premises.

1.3.1 The contractor shall provide one (1) charging system for each of the electrically operated forklifts. The battery chargers for the electrically powered MHE must be compatible with existing installation electrical supply and connections and compliant with local codes and regulations. The battery chargers will have a minimum input rating of 200/415 volts AC, 50/60 Hz, 15.5 Amps, 5-pin configuration. The contractor will provide Type 3 to Type 4 patch cables as required. The potential offerors will have the opportunity to perform a site survey in order to confirm that the installation’s current electrical supply configuration is suitable for their MHE battery charging equipment. During the site survey, the potential offerors shall engage with facility maintenance personnel/electricians as required to ensure proper installation and safe operations of the battery chargers for the electrically powered MHE.

1.3.2 The contractor shall provide at minimum two hours of on-site instructions to two (2) United States Government master drivers, and an additional four ($) host nation employees in familiarization with the equipment and its proper use and safe operation. The contractor is not and will not be involved with the daily operation of the MHE, nor be responsible for providing the fuel required to operate the equipment.

1.4 Period of Performance: The period of performance shall be for one (1) Base Year of 12 months and three (3) 12-months option periods.

1.5 General Information

1.5.1 Quality Control Plan (QCP): The government will be responsible for informing the contractor when periodic services are due and to provide the contractor with all necessary information and access to the installation as required in a timely manner. The contractor is responsible for delivering, and picking up the MHE as required for services and at the beginning and ending of the contract.

1.5.2 Quality Assurance: The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.5.3 Hours of Operation: The contractor is responsible for conducting business, between the hours of 0730 – 1600 hrs. Monday through Friday except for US and Host Nation holidays or when the government facility is closed due to local or national emergencies, administrative closings, or similar government directed facility closings. The contractor will not be reimbursed when the government facility is closed for the above reasons. The contractor must, at all times, maintain an adequate workforce for the uninterrupted performance of all tasks defined within this SOW when the government facility is not closed for the above reasons.

1.6.1 Safety: MHE must be CE and ATEX certified (as applicable), meet BMWT requirements and comply with ISO 3691 Parts 1-8 dated 20016, and other applicable environmental regulations as specified in part 5 of this document.

1.6.2 Environmental Compliance: MHE must meet Final Governing Standards (FGS) and other applicable local environmental regulations.

1.7. Contractor Manpower Reporting (CMR): RESERVED

1.8 Antiterrorism / Operations Security Requirements

1.8.1 Access and General Protection/Security Policy and Procedures: Contractor and all associated sub-contractors employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation provost marshal office, director of emergency services, or security office. Contractor workforce must comply with all personal identification verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA, and/or local policy.

In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the government may require changes in contractor security matters or processes.

1.8.2 Contractors that do not require CACs, but require access to a DOD facility or installation: Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

PART 2

Specifications

The contractor shall provide the following Material Handling Equipment (MHE) in accordance with these specifications and the terms of the contract. The MHE shall be fully-operational and ready to be used on the day of delivery.

Type 1: 2,500 kg (2.5T) Electric Forklifts, CE and BWMT certified – 5 Each

• Capacity: 2500 kg

• Steering Wheel with Spinner Knob

• Hydraulic adjustable forks

• Fully enclosed cabin, Safety glass

• Load Weight Display

• Mast: 5900mm 3 Stage Full Free Lift Mast (2145mm Lowered Height),

• 5° Forward / 5° Back Mast Tilt

• High Load Backrest

• Heater, window defogger, cooling fan

• Dome/Reading light

• Panoramic Rear View Mirror

• Working lights, front and rear

• Windshield wiper, front and rear

• Rear, Blue Spot LED Pedestrian Warning light

• Amber Strobe Light

• Dutch and English Literature Pack

• Labeling: Dutch & English

Type 2: 2,500 kg (2.5T) Diesel Forklift, CE and BWMT certified – 1 Each

• Capacity: 2,500kg

• Stage V Engine, not suitable for JP8

• Upswept Exhaust

• Steering Wheel with Spinner Knob

• Hydraulic adjustable forks

• Fully enclosed cabin, Safety glass

• Load Weight Display

• Mast: 5900mm 3 Stage Full Free Lift Mast (2145mm Lowered Height),

• 5° Forward / 5° Back Mast Tilt

• High Load Backrest

• Heater, window defogger, cooling fan

• Dome/Reading light

• Panoramic Rear View Mirror

• Working lights, front and rear Side, Stop, Tail, Indicator & Reverse Lights

• Windshield wiper, front and rear

• Rear, Blue Spot LED Pedestrian Warning light

• Amber Strobe Light

Type 3: 1,600 kg (1.6T) Electric Forklift, CE, ATEX, BWMT Certified – 1 Each

• Capacity: 1600 kg

• Hydraulic adjustable forks

• Fully enclosed cabin, Safety Glass

• Load Weight Display

• Mast: 5900mm 3 Stage Full Free Lift Mast (2145mm Lowered Height),

• 5° Forward / 5° Back Mast Tilt

• High Load Backrest

• Heater, window defogger, cooling fan

• Dome/Reading light

• Panoramic Rear View Mirror

• LED Working lights, front and rear

• Windshield wiper, front and rear

• Rear, Blue Spot LED Pedestrian Warning light

• Amber Strobe Light

Type 4: 1,600 kg (1.6T) Electric Reach truck, CE, ATEX, BWMT Certified – 1 Each

• Capacity: 1600 kg

• Steering Wheel with Spinner Knob

• 6500mm 3 Stage Full Free Lift Mast (2711mm Lowered Height)

• 800mm Integral Side shift Carriage with Fork Positioner (SPED)

• High Load Backrest

• Autocenter Side shift

• Load Weight Display

• Panoramic Mirror

• 2175mm Overhead Guard

• Rocker Switch Directional Control

• 180/360 Degree Steering

• Standard Seat Belt

• Full Suspension MSG65 Cloth Seat

• Amber Strobe Light

• Pedestrian Awareness Light (P.A.L.)

Type 5: 25,000 kg (25T) Diesel Forklifts, CE, BWMT Certified – 1 Each

• Capacity: 25.000 kg @ 900 mm, or 22.000 kg @ 1.200 mm load center heavy fork lift truck with short wheelbase.

• Stage V Engine, not suitable for JP8

• Empty Seat Engine Shutdown

• 25 ton 3760 mm 2 Stage Non-Free Lift Mast, 3795 mm Lowered, 5620 mm extended

Height

• 6° Forward / 10° Back Mast Tilt

• Jump Start Connector to Battery with NATO connector

• Recirculation Fan

• Reading Light Steering Wheel with Spinner Knob

• I - Type Single Blade Wiper on Front Windscreen

• Electrical Horn

• Full Steel Cab without Air Conditioning

• 2 External Mirrors on cab handrail mounted Exterior Wide Angle Mirrors

• Audible Reverse Alarm

• Amber Strobe Light with switch

• 4 LED Work Lights cab mounted, 2 LED Drive lights with Position and direction front fender mounted, 2 LED work lights on Rear of Operator Compartment / LED rear ward cluster with Stop, Tail, Indicator & reverse lights

Type 6: 50,000 kg (50T) Diesel Reach Stacker, CE, BWMT Certified – 1 Each

• Capacity: 50,000 kg

• Top Pick Spreader 817, 40.000 kg, spread 20' - 40' side shift +/- 800 mm, std. rotation +/- 12°

• 2-stage telescoping Boom

• Powered damping system +/- 5° on the longitudinal oscillating of the spreader

• Jump Start Connector to Battery with NATO connector

• Empty Seat Engine Shutdown

• Steering Wheel with Spinner Knob

• Hydraulics controlled by Joystick

• 3B6 Load moment with monochrome display

• H-Type double Blade Wiper on Front Windscreen

• Reading Light

• Recirculation Fan

• Air Horn

• Full Steel Cab Without Air Conditioning

• 2 External Mirrors on Front Fenders

• 2 additional LED Working lights - mounted on the spreader

• 2 LED Working lights - mounted on the spreader

• LED Twist lock Indicator Lights on Spreader (Twist lock indication inside cab is part of the digital operator display).

• Audible Reverse Alarm

• 4 Front LED Working Lights on Boom/4 Front LED Headlights on Fenders/2 LED

Working Lights on Rear Boom / LED Brake / Tail / Back-Up Lights with Turn Signals

ATTACHMENT II

W912PA-19-Q-0010

ATTACHMENT II

PRICE SCHEDULE

Item Description QTY U U.P. T.P.

CLIN 0001 Lease of MHE - Base Period Type 1 2,500 kg (2.5T) Electric Forklifts, CE and BWMT certified 5 Each Type 2 2,500 kg (2.5T) Diesel Forklift, CE and BWMT certified 1 Each Type 3 1,600 kg (1.6T) Electric Forklift, CE, ATEX, BWMT Certified 1 Each Type 4 1,600 kg (1.6T) Electric Reach truck, CE, ATEX, BWMT

Certified 1 Each

Type 5 25,000 kg (25T) Diesel Forklifts, CE, BWMT Certified 1 Each N/A N/A Type 6 50,000 kg (50T) Diesel Reach Stacker, CE, BWMT Certified 1 Each

TOTAL FOR CLIN 0001:

CLIN 1001 Lease of MHE – Option Period 1 Type 1 2,500 kg (2.5T) Electric Forklifts, CE and BWMT certified 5 Each Type 2 2,500 kg (2.5T) Diesel Forklift, CE and BWMT certified 1 Each Type 3 1,600 kg (1.6T) Electric Forklift, CE, ATEX, BWMT Certified 1 Each Type 4 1,600 kg (1.6T) Electric Reach truck, CE, ATEX, BWMT

Certified 1 Each

Type 5 25,000 kg (25T) Diesel Forklifts, CE, BWMT Certified 1 Each N/A N/A

TOTAL FOR CLIN 1001:

CLIN 2001 Lease of MHE – Option Period 2 Type 1 2,500 kg (2.5T) Electric Forklifts, CE and BWMT certified 5 Each Type 2 2,500 kg (2.5T) Diesel Forklift, CE and BWMT certified 1 Each Type 3 1,600 kg (1.6T) Electric Forklift, CE, ATEX, BWMT Certified 1 Each Type 4 1,600 kg (1.6T) Electric Reach truck, CE, ATEX, BWMT

Certified 1 Each

Type 5 25,000 kg (25T) Diesel Forklifts, CE, BWMT Certified 1 Each N/A N/A

TOTAL FOR CLIN 2001:

CLIN 3001 Lease of MHE – Option Period 3 Type 1 2,500 kg (2.5T) Electric Forklifts, CE and BWMT certified 5 Each Type 2 2,500 kg (2.5T) Diesel Forklift, CE and BWMT certified 1 Each Type 3 1,600 kg (1.6T) Electric Forklift, CE, ATEX, BWMT Certified 1 Each Type 4 1,600 kg (1.6T) Electric Reach truck, CE, ATEX, BWMT

Certified 1 Each

Type 5 25,000 kg (25T) Diesel Forklifts, CE, BWMT Certified 1 Each N/A N/A

TOTAL FOR CLIN 3001:

Legend:

QTY – Quantity U – Unit U.P. – Unit Price for 12 months lease T.P. – Total Price for 12 months lease

(End of Summary of Changes)