19AQMM18R0131-00002.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 11. CONTRACT ID CODE

IPA~E

OF PAGES

I 3

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASEREQUISITIONNUMBER 15. PROJECT NUMBER (If applicable)

00002 10103/2018

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE I U.S. Department of State (NOPE/LM) 2009 Dyess Ave., Bldg. # F Charleston, SC 29405

8. NAME AND ADDRESS OF CONTRACTOR (Number, street. county, State and ZIP Code) gL 9A. AMENDMENT OF SOLICITATION NUMBER

[g] 19AQMM18R0131

9B. DATED (SEE ITEM 11)

09/04/2018

10A. MODIFICATION OF CONTRACTIORDER NUMBER

D

10B. DATED (SEE ITEM 13)

CODE IFACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

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

NUMBER IN ITEM 10A.

D 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).

D C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor D is not [g] 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.)

This amendment is hereby issued in order to make the following changes;

1, The solicitation due date is hereby changed to 10.12.2018, 1100 hour e.s.t.

2. Add Attachment I (Contractor Past Performance Evaluation (DS-1771)

3. Change the current Contracting Officer from Pete W. Jones to Michael P. Henderson, hendersonMP@state.gov, 843.308.4245

*******ALL OTHER TERMS AND CONDITIONS REMAINS UNCHANGED****************

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.

(Signature of person authorized to sign)

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

Pete W. Jones Contracting Officer

10/3/2018

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

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16C. DATE SIGNED

Previous edition unusable NDARD FORM 30 (REV. 11/2016) P escribed by GSA FAR (48 CFR) 53.243

ATTACHMENT I

U.S. Department of State

CONTRACTOR PAST PERFORMANCE EVALUATION

Contract Information Contract Number Dollar Value

Contractor Name

Division/Contracting Office

Contract Start Date (mm-dd-yyyy) Contract End Date (mm-dd-yyyy)

Type of Contract (FP, CPFF, TM, etc.)

Type of Award (SBSAl8(a), IFB, Negotiated, Competitive/Noncompetitive)

Subject of Contract

Ratings Information Quality - Numerical Rating (Low 0 - High 5)

D Timeliness of Performance - Numerical Rating (L.ow a - High 5)

DNarrative: Narrative:

Cost Control - Numerical Rating (Low a - High 5) D

Customer Satisfaction - Numerical Rating (Low 0 - High 5) DNarrative: Narrative:

Business Relations - Numerical Rating (Low 0 - High 5) D

Would you recommend that the contractor be used again?

Narrative: DYes DNa Narrative:

Key Personnel

Name Title Start Date End Date Rating (0-5) D(mm-dd-yyyy) (mm-dd-yyyy)

Name Title Start Date End Date Rating (0-5) D(mm-dd-yyyy) (mm·dd-yyyy)

Name Title Start Date End Date Rating (0-5) 0(mm-dd-yyyy) (mm-dd-yyyy)

Name Title Start Date End Date Rating (0·5) D(mm-dd-yyyy) (mm-dd-yyyy)

COR/Program Officer Name Title

Reviews

Contracting Officer NamelTitle

Date Signed (mm-dd-yyyy) Phone/Fax/E-Mail

Response Information

Date Review Sent (mm-dd-yyyy) Response Date (mm-dd-yyyy) Receive Date (mm-dd-yyyy)

Contractor Review Comments

Respondent Phone/FaxlE-Mail

Reviewed at Level above Contracting Officer? DYes D No Date (mm-dd-yyyy)

NamelTitle Phone/Fax/E-Mail

Comments

DS-1771

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