AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1.
Contract ID Code Page of Pages
1 | 1
Amendment/Modification No. 3. Effective Date: 4. Requisition/Purchase Req. No. 5. Project No. (If Applicable)
PS-0025 Jun 29, 2016 78
6. Issued By: 7. Administered By: (If Other)
GSA/FAS/QV0CF
General Service Administration 450 GOLDEN GATE AVE 5 FL. EAST
GSA FAS 3QSAC SAN FRANCISCO, CA 94102
100 S INDEPENDENCE MALL WEST
PHILADELPHIA PA 19106
8. Name and Address of Contractor (No. Street, County, State and Zip Code) 9A Amendment of Soliciation No:
POWER SYSTEMS (PS), LLC
5700 CASEY DR 9B. Dated (See Item 11)
KNOXVILLE, TN 379091803 10A. Modification of Contract/Order No.
GS-03F-016DA
X
10B. Dated (See Item 13)
Nov 15, 2015
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 is extended is not extended.
date specified for receipt of Offers
Offerors 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 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 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.
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 data, etc.) SET FORTH IN
ITEM 14. PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
X C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: See Block 13 Notes...
D. OTHER (Specify type of modification and authority):
E. Contractor: is not , is required to sign this document and return, ___ copies to the issuing office.
IMPORTANT: X
14. DESCRIPTION OF MODIFICATION (Organized by UCF section headings,including solicitation/contract subject matter where feasible.)
Fitter International models 80350, Rocker Board 20" - Beginner; 80355, Wobble and Rocker
Boards (Set of 3 w/Stand); 80360, Wobble Board 20" - Intermediate; and 80370, Wobble
Board 16" - Advanced are added to the contract at a discount of 15%, FOB Origin, Freight
Prepaid per Power Systems (PS), LLC's request.
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
E-SIGNed 06/29/2016 by Daniel S Wells POWER SYSTEMS (PS), LLC E-SIGNed 06/29/2016 by Robert H. Gever GSA/FSS
__________________________________ See above By _____________________________________ See above
(Signature of person authorized to sign) (Signature of Contracting Officer)
NSN 7540-01-152-8070 30-105 STANDARD FORM 30 (REV.10-83)
PREVIOUS EDITION UNUSABLE Prescribed by GSA,
FAR (48 CFR) 53.243
Block 13 Notes
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Block 13.C:
552.238-81, MODIFICATIONS (FEDERAL SUPPLY SCHEDULE) (APR 2014) (ALTERNATE I - APR 2014)
List of Documents for the eMod Package:
---------------------------------------
File Name: [Link]
Submit Date: 6/29/2016 [Link] AM
Description: Commercial Pricelist
File Name: 2097_001.pdf
Submit Date: 6/29/2016 [Link] AM
Description: Letters of Supply
File Name: FitterFirst DISCOUNT PROPOSAL SPREADSHEET [Link]
Submit Date: 6/29/2016 [Link] AM
Description: Supporting Price Documentation
File Name: [Link]
Submit Date: 6/29/2016 [Link] AM
Description: Vendor Response Document
File Name: FitterFirst [Link]
Submit Date: 6/29/2016 [Link] AM
Description: Contractor's Commercial Sales Practice
