Free Motion for Summary Judgment - District Court of Federal Claims - federal

Case 1:05-cv-00183-NBF

Document 25-4

Filed 08/10/2006

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ATTACHMENT 3

Case 1:05-cv-00183-NBF

Document 25-4

Filed 08/10/2006
1.

Page 2 of 3

CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OP CONTRACT
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE

J

1

PGEA

4.REQUISITION/PURCHASE REQ.NO.

PROJECT NO. (If

2 applicable)

P00001 6, ISSUED BY Defense Supply Center Columbus P.O. BOX 3990 COLUMBUS, OH 43218-3990
CODE

See Elk. 16C
SP0700

RPCO3251000965
7.ADMINISTERED BY (If other than Item 6)

S3603A

INITIATOR: Betty J. Lavery DSCC-PPPAMC3 614-692-2947 , FAX (614)692-4170 H. NAME AND ADDRESS OF CONTRACTOR (No., Code)

DCMA CLEVELAND ADMIRAL KIDD CENTER 555 EAST 88TH STREET 44108-1068 BRATENAHL OHIO - ·
OF SOLICITATION

street, city,

county, State and ZIP

(x) 9A. AMENDMENT

NO.

9B. DATED (SEE ITEM 11) KAEPER MACHINE INC. 8680 TWINBROOK RD 8680 TWINBROOK RD MENTOR OH 44060-4341 X 10A. MODIFICATION
OF

(CONTRACT/ORDER NO.

SP0750-04-M-9839
10B. DATED (SEE ITEM 13)

CODE

2004 FEB 20 FACILITY CODE__ 11 THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation

in amended as set forth in Item 14. The hour and date

is I extended,

is extended_

Offeror must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of (a) By completing Items 8 and 15, and copies or the (b) By acknowledging receipt of amendment on
each

FAILURE OF YOUR submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFI ED MAY RESULT IN REJECTION OF YOUR OFFER_ If by virtue of th s amendment you desire to change an offer already submitted, such change may be made by prior telegram or letter, provided each telegram or Letter makes reference to the solicitation and this amendment

i

12. Accounting and Appropriation Data (if required) CG: 97X4930 5CCO 001 26.0 S33150 Payment By: HQ0337 13. THIS ITEM
(x)

Decrease $123279.00

APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS, IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

THIS CHANGE ORDER IS ISSUED PURSUANT TO (Specify authority) THE CHANGES SET FORTH IN ITEM 14 APE MADE IN THE CONTRACT IN ITEM 10A. B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES as in appropriation data, etc). OFT FORTH IN ITEM 14, PURSUANT TO TOE AUTHORITY OF FAR 43.10(b). C THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: ofice

X

D. OTHER (Specify type of modification and authority)

E . IMPORTANT :
it

Contractor

x

nor_

is required to sign this document and return .

copl,, t,

T,qUir1,1. office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.) NSN: 2530-00-832-5250 The above cited purchase order was an offer to purchase the supplies described therein provided that delivery was made by 10/11/2004. Since that date was not met, the Government's offer to purchase has lapsed. No (deliveries will be accepted by the Government under this order for the following =Ws),

CONTINUED ON NEXT PAGE

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 prin t )

Betty J. Lavery PPPAMC3
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STAT S OF AMERICA BY
(Signature of person authorized to sign)

160. DATE SIGNED

NSN 7540

(Signature of Contractin g Officer) perFoRm (DNA)

2004 OCT 12

previous

editon

STANDARD FORM 30 (C E st I 0 8-; by GSA (
T )

Case 1:05-cv-00183-NBF

Document 25-4

Filed 08/10/2006

Page 3 of 3

CONTINUATION SHEET
NSN/Part Number 2530-00-832-5258 From Quantity 146

Reference Number of Document Being Continued:

SP0750-04-M-9839/ P00001
To Quantity 0

2

CLIN 0001

Destination SW3120

K 'RE'

Total amount of contract/order is ( ) increased Distribution: S3603A/S3603A DCMA CLEVELAND HQ0337/HQ0337 DFAS COLUMBUS CENTER

decreased by $123279.00 tram =.,12327.00 to

0.00.