19JA8026Q0017 - Amendment 0003 (SF-30) for CO approval.pdf

1BAMENDMENT OF SOLICITATION / MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

1 1

2. MODIFICATION NO.

3. EFFECTIVE DATE

See Item 16C

4. REQUISITION/PURCHASE REQ. NO.

PR15856094 / PR15845030

5. PROJECT NO.

6. ISSUED BY CODE

7. ADMINISTERED BY CODE

Procurement/Contracting Office U.S. Embassy Tokyo 1-10-5 Akasaka Minato-ku, Tokyo 107-8420

See Item 6.

8. NAME AND ADDRESS OF CONTRACTOR

9a. AMENDMENT OF SOLICITATION NO.

19JA8026Q0017

9b. DATED 02/27/2026

10a. MODIFICATION OF CONTRACT/PURCHASE ORDER NO.

10b. DATED

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

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

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

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: 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 date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b)

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

D. OTHER

E. IMPORTANT: Contractor [ ]is not, [ ]is required to sign this document and return one copy to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to:

- Overwrite the Answers provided in Amendment No. 00002 and revise subsection 1.2.1 (a) List of Items to be Purchased (3).

See the following page. The U.S. Government accepts random lengths.

- Extend the due date/time of quotations:

From 3:00 p.m., Tuesday, March 17, 2026 (Japan Standard Time) To 3:00 p.m., Friday, March 27, 2026 (Japan Standard Time)

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

16A. NAME OF CONTRACTING OFFICER

Christopher G. Staff

15B. NAME OF CONTRACTOR/OFFEROR

BY

(Signature of person authorized to sign)

15C.DATE SIGNED 16B. UNITED STATES OF AMERICA

BY

(Signature of Contracting Officer)

16C.DATE SIGNED

March 25, 2026

NSN 7540-01-152-8070 STANDARD FORM 30 (REV. 10-83)

Previous edition unusable Prescribed by GSA FAR (48 CFR) 53.2

03/25/2026 08:05 GMT

Staff, Christopher (StaffCG@state.gov)

Request for Quotations (RFQ) No. 19JA8026Q0017 Amendment No. 0003 - Page 5 of 55

1.1.4 Japanese Consumption Taxes

The U.S. Embassy Tokyo is exempt from Japanese consumption taxes; therefore, such taxes shall not be included in the price nor charged on invoices. After receipt of the Contractor’s invoice, the Government will provide the Contractor with a signed Certificate of Tax Exemption Purchase for Foreign Establishments.

For non-Designated Stores, please visit the following link for registration:

(Ministry of Foreign Affairs of Japan) Japanese: https://www.mofa.go.jp/mofaj/ms/po/page22_003420.html English: https://www.mofa.go.jp/ms/po/page22e_000946.html

(National Tax Agency) Japanese: https://www.nta.go.jp/taxes/tetsuzuki/shinsei/annai/shohi/annai/23120184.htm

1.2

Continuation to SF-1449, Request for Quotations (RFQ) Number 19JA8026Q0017, Block 20, SCHEDULE OF SUPPLIES/SERVICES

1.2.1

The Contractor shall furnish wood flooring materials and flooring adhesive as specified in the paragraph 1.2.1(a) List of Items to be Purchased and deliver all ordered items to the location specified in the paragraph 1.2.1(b) Delivery Location / Packing and Shipping Instructions.

(a) List of Items to be Purchased

Line Item 01: Wood Flooring Materials

(1) Style: HW582CA303 Oak Traditions, or its equivalent ( https://shawbuilderflooringsf.com/pdp/hardwoods/all_in_ii_5/rustic-natural/hw582-00135 )

(2) Color: Rustic Natural color # 00135

(3) Dimensions (per piece):

Random lengths: approximately 30 cm to 220 cm (typical industry random-length range) Width: 128.56 mm (including side groove) (equivalent to approx. 125.5 mm plank width excluding groove) Thickness: 8.4–8.5 mm Profile: Tongue-and-groove engineered wood suitable for glue-down installation

(4) Quantity: 5,000 square feet or about 465 square meters

(5) Wood Species: Red Oak

(6) Finish: Prefinished

Line Item 02: Adhesive

(7) Style: Wood adhesive, Shaw floor 3-in-1 Ultra, or its equivalent (https://efloors.com/shaw-3-n-1-ultra-adhesive-4-gallon-bucket/shaw/catalog_69154.htm)

(8) Measurement: 4 gallons per bucket/pail

(9) Quantity: 50 pails

(b) Delivery Location / Packing and Shipping Instructions

Any Contractor personnel involved with the delivery of the items shall comply with standard U.S.

Government regulations for receiving supplies.