1. Contract ID Code Page 1 Of 5 AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 2. Amendment/Modification No. 3. Effective Date 4. Requisition/Purchase Req No. 5. Project No. (If applicable) 14 2014FEB12 SEE SCHEDULE 6. Issued By Code W56HZV 7. Administered By (If other than Item 6) Code U.S. ARMY CONTRACTING COMMAND PATRICK BURCH WARREN, MICHIGAN 48397-5000 HTTP://CONTRACTING.TACOM.ARMY.MIL DCMA CHICAGO 1523 WEST CENTRAL ROAD BLDG 203 ARLINGTON HEIGHTS IL 60005-2451 S1403A EMAIL: PATRICK.BURCH1@US.ARMY.MIL 8. Name And Address Of Contractor (No., Street, City, County, State and Zip Code) 9A. Amendment Of Solicitation No. 201 EVANS LN SAINT LOUIS, MO 63121-1126 X 9B. Dated (See Item 11) 10A. Modification Of Contract/Order No. Code 98255 Facility Code W56HZV-09-D-0107/0001 10B. Dated (See Item 13) 2009MAY20 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) ACRN: AC NET DECREASE: -$56,497.00 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: X Changes Clause 52.243-1 D. Other (Specify type of modification and authority) E. IMPORTANT: Contractor is not, X 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.) SEE SECOND PAGE FOR DESCRIPTION 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) JENNIFER M. MEYER JENNIFER.M.MEYER3@US.ARMY.MIL (586)282-5483 15B. Contractor/Offeror 15C. Date Signed 16B. United States Of America 16C. Date Signed (Signature of person authorized to sign) NSN 7540-01-152-8070 PREVIOUS EDITIONS UNUSABLE By /SIGNED/ 2014FEB12 (Signature of Contracting Officer) 30-105-02 STANDARD FORM 30 (REV. 10-83) Prescribed by GSA FAR (48 CFR) 53.243
Name of Offeror or Contractor: SECTION A - SUPPLEMENTAL INFORMATION Reference No. of Document Being Continued Page 2 of 5 Buyer Name: PATRICK BURCH Buyer Office Symbol/Telephone Number: CCTA-HTA-B/(586)282-8022 Type of Contract: Kind of Contract: Other Type of Business: Large Business Performing in U.S. Surveillance Criticality Designator: C Weapon System: No Identified Army Weapons Systems Contract: W56HZV-09-D-0107 Delivery Order: 0001 Modification: 14 Contractor: DRS Sustainment Systems, Inc. Prepared by: PB *** End of Narrative A0000 *** Prior Award Amount: $ 104,867,270.86 Change in Obligation: -$ 56,497.00 Decrease Cumulative Obligation Amount: $ 104,810,773.86 The purpose of Modification 14, to contract W56HZV-09-D-0107, Delivery Order 0001, is to: 1. Deobligate $56,497.00 from CLIN 0022AA - NON-RECURRING RETROFIT COST for Marzocchi Pump - on this delivery order. This deobligation is in accordance with the Consideration Agreement dated 12 DEC 2013 and incorporated into the contract via modification P00016 of the base contract. 2. Change the delivery date on CLIN 0022AA - NON-RECURRING RETROFIT COST for Marzocchi Pump - from 01-NOV-2011 to 30-SEP-2015. No consideration will be sought for this delivery date change. 3. Change the delivery date on CLIN 0018AA - ILS Phase II - from 31-JAN-2014 to 31-MAY-2014. Because of the Government initiated decision to conserve the remaining ten (10) months of ILS activities (documented via mod P00011 of base contract W56HZV-09-D-0107), no consideration will be sought for this delivery date change. 4. This modification decreases the value of this delivery order by $56,497.00 from $104,867,270.86 to $104,810,773.86. 5. All other terms and conditions remain in full force and effect. *** END OF NARRATIVE A0015 ***
Page 3 of 5 Reference No. of Document Being Continued Name of Offeror or Contractor: ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS 0018 ILS Phase 2 0018AA M1000 ILS PHASE 2 1 LO $ 167,767.46000 $ 167,767.46 SERVICE REQUESTED: ILS Phase 2 CLIN CONTRACT TYPE: PRON: J602C388J6 PRON AMD: 03 ACRN: AD AMS CD: 51108309007 This CLIN 0018AA is to be performed IAW sections C.10.1.1, C.10.4.3.7, and C.10.4.3.10 awarded in mod P00008 and P00011 in the base contract. (End of narrative B001) Packaging and Marking Inspection and Acceptance INSPECTION: Origin ACCEPTANCE: Origin Deliveries or Performance DOC SUPPL REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD 001 000000 3 DEL REL CD QUANTITY DEL DATE 001 1 31-MAY-2014 FOB POINT: Origin SHIP TO: (Y00000) SHIPPING INSTRUCTIONS FOR CONSIGNEE (SHIP-TO) WILL BE FURNISHED PRIOR TO THE SCHEDULED DELIVERY DATE FOR ITEMS REQUIRED UNDER THIS REQUISITION. CONTRACT/DELIVERY ORDER NUMBER W56HZV-09-D-0107/0001 0022 M1000 Hydraulic Pump 0022AA NON-RECURRING RETROFIT COST 1 LO $ 31,793.00
Page 4 of 5 Reference No. of Document Being Continued CONTINUATION SHEET Name of Offeror or Contractor: ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT SERVICE REQUESTED: M1000 Hydraulic Pump CLIN CONTRACT TYPE: PRON: J692C193J6 PRON AMD: 01 ACRN: AC AMS CD: 51108309007 The purpose of this CLIN is to cover the Non- Recurring Retrofit Costs associated with retrofitting 185 EA M1000 trailers, units #90 to #274, with the new Pressure Balanced (PB) Hydraulic Pump. The PB Pump is the replacement for the old GC Pump that was originally installed on M1000 trailers. Additionally, the remaining 89 trailers, units #1 to #89, will be retrofitted with the new Pressure Balanced (PB) Hydraulic Pump at no cost to the Government. There will be no cost to the Government for either labor or materials. (End of narrative B001) In accordance with the Consideration Agreement dated 12 DEC 2013 in the base contract, the PB pumps that were to be replaced for units #90 to #274 will now be replaced by Marzocchi Pumps. These Marzocchi Pumps are implemented in accordance with ECP U6126 which was incorporated into the base contract via modification P00016. As a result of the incorporation ECP U6126, a credit of $56,497.00 was owed the Government. CLIN 0022AA was deobligated by $56,497.00 for a new CLIN total of $31,793.00 via modification 14. The remaining 89 trailers, units #1 to #89, will be retrofitted with the Marzocchi Hydraulic Pump at no cost to the Government. There will be no cost to the Government for either labor or materials. DRS is authorized to dispose of all old GC pumps being retrofitted for this CLIN at its discretion. Original CLIN Amount: $88,290.00 Deobligation: -$56,497.00 New CLIN Amount: $33,793.00 (End of narrative B002) Inspection and Acceptance INSPECTION: Origin ACCEPTANCE: Origin Deliveries or Performance DLVR SCH PERF COMPL REL CD QUANTITY DATE 001 1 30-SEP-2015 $ 31,793.00
Reference No. of Document Being Continued Page 5 of 5 Name of Offeror or Contractor: SECTION G - CONTRACT ADMINISTRATION DATA PRON/ AMS CD/ LINE MIPR/ OBLG JO NO/ INCREASE/ CUMULATIVE ITEM GFEBS ATA STAT ACCT ASSIGN ACRN PRIOR AMOUNT DECREASE AMOUNT 0022AA J692C193J6 2 9HET1C AC $ 88,290.00 $ -56,497.00 $ 31,793.00 51108309007 NET CHANGE $ -56,497.00 INCREASE/ ACRN ACCOUNTING CLASSIFICATION DECREASE AC 21 92035000091C1C03P51108331E1 S20113 W56HZV $ -56,497.00 NET CHANGE $ -56,497.00 PRIOR AMOUNT INCREASE/DECREASE CUMULATIVE OF AWARD AMOUNT OBLIG AMT NET CHANGE FOR AWARD: $ 104,867,270.86 $ -56,497.00 $ 104,810,773.86 LINE ITEM ACRN EDI/SFIS ACCOUNTING CLASSIFICATION 0022AA AC 21 091120350000 W56HZV 91C1C035110830900731E1J692C193J6 9HET1CSHT S20113