Case 1:05-cv-00183-NBF
Document 25-3
Filed 08/10/2006
Page 1 of 3
ATTACHMENT 2
07/21/05 13:57 FAX 2166811709
DCMAE-GZG
Viol°
Case 1:05-cv-00183-NBF
Document 25-3
Filed 08/10/2006
Page 2 of 3
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
2. AMENDMENT/MODIFICATION NO. A00001 9_ ISSUED BY
CODE
3. EFFECTIVE DATE 2004 AUG 27 S3603A
PAGE OF PAGES l 1 4. REQUISITION/PURCHASE REQ. NO. 5_ PROJECT NO. (If applicable)
7.
1. CONTRACT IL) co pe
ADMINISTERED BY (If other than Item 6
See Schedule
CODE
DCMA CLEVELAND PH 216 661 1543 ADMIRAL KIDD =ER 555 EAST S8TH STREET OH 44108-1068 BRATENAHL
STEVE IWCHAV
8_ NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)
(X)
9A_ AMENDMENT OF SOLICITATION NO.
KAEPER MACHINE INC . 8680 TWINBROOK RD D OH 44060-4341 MENTOR
DR_ DATED (SEE ITEM 11)
10A. MODIFICATION OF
CONTRACT/ORDER NO.
SP0750-04-M-9839
1 OB.
DATED (SEE ITEM 13)
CODE
1HFX2
FACILITY CODE
ITEM ONLY APPLIES TO AMENDMENTS 11. THIS
2004 FEB 20
OF SOLICITATIONS
I The above cumbered solicitation is amended as set forth In item 14. The hour and date specified for receipt of Offers extended, s 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: copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer N By completing llama 6 and 15, and returning submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers, FAILURE OF YOUR ACKNOWLEDGEMENT 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.
i
12. Accounting and Appropriation Data (If required) CG :DECREASE (1 989 _ 00 )
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS, IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. (X) 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.
appropriation date, etc). SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b). email dtd.
THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying Office,
X
G_ THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: FAR 42.302 (b) (3) ; contractor 0. OTH ER (Specify type of modification and authority)
·
8/20/04 confirming ' this action
incorporated
E. IMPORTANT:
Contractor
iXi i$
not,
la required to sign this document *rill return
copies to the issuing office.
Ref: PAR 42.302 (b) (3)
a.
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
NM: 2530-00-832-5258
The
purpose of this modification is to extend the delivery
date.
effect.
Except as provided herein, all terms and conditions of the document referenced 15A, NAME AND TITLE OF SIGNER 15 g . CONTRACTOR/OFFEROR
(Signature of person authorized to sign
in Item 9
A or 10A. as heretofore changed, remains unchanged and in full force and
(Type Or Print)
18A. NAME AND TITLE OF CONTRACTING OFFICER (Typo or print) 15C_ DATE SIGNED
Created
16B. UNITED STATES OF AMERICA BY /s/
KENNETH D. FREEZE Admin. Contracting Officer
16C. DATE SIGNED
(o2Sig0naftureo4ifCce8cr7)
NSN 7540-01-152-9070 PREVIOUS EDITION UNUSABLE
using PerForm Pro software.
STANDARD FORM 30 (REV- 10-83) Prescribed by GSA FAR (48 CF R) 53.243
07/21/05 13:57 FAX 2166811709
DCMAE-GZG
Case 1:05-cv-00183-NBF
Document 25-3
Filed 08/10/2006
Von Page 3 of 3
CONTINUATION SHEET
FROM: SHIP TO 51,13120 TO ; SW2120
REFERENCE NO, OF DOCUMENT BEING CONTINUED SP0750-04-M-9839 MILSTRIP A00001 DEL DATE 2004 AUG 23 2004 OCT 11 QTY 145 146
PAGE OF PAGES 2 TP 2
0001
c_ As a result of this modification, the contract obligation is hereby decreased by $1,989.00 from $125, 268.00 to $123,279.00_ d. Me total amount of the contract ID $123,279.00 e. AUTHORITY: DSCC-PAMC email dtd 8/19/04_ DISTRIBUTION: PCO: CONTRACTOR: PAY OFFICE: OTHER (1): END OF MODIFICATION
NSN 7540-01-152-a-6T
36-109
STANDARD FORM
3
(REV- 10-83)