Sol_140P1522Q0025_Amd_0003.pdf

(x)

140P1522Q0025 x x

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 electronic communication 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 letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

PIA

Flagstaff AZ 86001-2694 1824 S Thompson St, Ste 200 NPS, IMR - Arizona MABO

03/24/20220003

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

03/09/2022

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

GRCA water/wastewater treatment chemicals.

The purpose of amendment three is to delete the following bulk delivery items from the specifications, the price schedules, and this requirement:

1. 28% Sodium Bisulfite Solution (bulk delivery)

2. Aluminum Chloride Polymer, HB104C or equivalent (bulk delivery)

A revised list of required chemicals is provided on page 3 of this amendment.

When completing the price schedules, please leave the lines for 28% Sodium Bisulfite

Solution (bulk delivery) and Aluminum Chloride Polymer, HB104C or equivalent (bulk

Continued ...

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

Connie Gordon

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140P1522Q0025/0003 delivery) blank. Revised price schedules will not be posted.

Any pricing provided for these items will not be included in the total evaluated price.

Contractors are reminded that they must sign and submit all amendments with their quote.

All other terms and conditions remain the same.

Legacy Doc #: NPS

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

Item # Chemical Quantity Unit

Estimated Annual

Quantity*

001 Calcium Hypochlorite, granular 25 pound bucket 25 002 Calcium Hypochlorite,Norweca 3", tabular 45 pound bucket 25

003 Chlorine Gas 150 pound cylinder 130

004 12.5% Sodium Hypochlorite Solution 6 gallon carboy 50 005 12.5% Sodium Hypochlorite Solution 55 gallon drum 10 006 Magnesium Hydroxide, Thioguard or equivalent 5 gallon bucket 500 007 Soda Ash, Dense 50 pound bag 40 008 28% Sodium Bisulfite Solution 50 gallon drum 65

28% Sodium Bisulfite Solution (bulk delivery) This item is deleted from the requirement per Amendment 03.

Gallon 2000

010 Norweco bioneutralizer tab 45 pound bucket 75 011 Noweco biomax tab 48 pound bucket 75

012 Aluminum Chloride Polymer, HB104C or equivalent 580 pound drum 80

Aluminum Chloride Polymer, HB104C or equivalent (bulk delivery) This item is deleted from the requirement per Amendment 03.

Gallon 285