Amendment_0001.pdf
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- Attached to
- Government-Owned Vehicles Insurance
- Solicitation number
- 19MX53-19-R-0002
- Issued by
-
Department of State US Embassy Mexico
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Amendment 0001 to Solicitation Number 19MX53-19-R-0002
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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1. CONTRACT ID CODE
PAGE OF PAGES
1 6
2. AMENDMENT/MODIFICATION NO.
3. EFFECTIVE DATE
March 19, 2019
4. REQUISITION/PURCHASE REQ. NO.
5. PROJECT NO. (If applicable)
6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE
U.S. Embassy Mexico City
General Services Office/Contracts
Paseo de la Reforma No. 305
Colonia Cuauhtémoc 06500 Ciudad de Mexico
U.S. Embassy Mexico City
GSO Customs & Shipping
Paseo de la Reforma No. 305
Colonia Cuauhtemoc
Mexico City, 06500
8. NAME AND ADDRESS OF CONTRACTOR (Number, street, city, county, State, and ZIP Code)
9A. AMENDMENT OF SOLICITATION NO.
19MX53‐19‐R‐0002
☒ 9B. DATED (SEE ITEM 11)
February 22, 2019
10A. MODIFICATION OF CONTRACT/ORDER NO.
☐ 10B. DATED (SEE ITEM 13)
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 date specified for receipt of Offers ☐ is extended, ☒ is not extended 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 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.
☐ 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 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 (Specify type of modification and authority)
E. IMPORTANT: Contractor ☐ is not, ☐ is required to sign this document and return _________ original(s) to the issuing office.
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
The purpose of this amendment is to add Exhibit I to this Solicitation. Please see the enclosed Attachment A continuation sheet to this SF‐ 30 with the specific changes to this Solicitation.
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 (Type or print)
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
Melora Johnston General Services Officer
15B. CONTRACTOR/OFFEROR
(Signature of person authorized to sign)
15C. DATE SIGNED 16B. UNITED STATES OF AMERICA
(Signature of Contracting Officer)
16C. DATE SIGNED
NSN 7540‐01‐152‐8070 STANDARD FORM 30 (revised 11/2016) Previous edition unusable Prescribed by GSA FAR (48 CFR) 53.243
Attachment A Continuation to SF-30, Block 14
Solicitation Amendment 0001 To Solicitation 19MX53‐19‐R‐0002
PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS
1. List of Attachments chart, under Section J, is hereby replaced in its entirety to read as follows:
“SECTION J
LIST OF ATTACHMENTS
Description
Exhibit A List of Government Owned Vehicles
Exhibit B Contractor’s Monthly and Bi-Annual Status Reports
Exhibit C Contractor’s Insurance Policy
Exhibit D DUNS, NCAGE & SAM Registration Instructions
Exhibit E Consular Districts in Mexico
Exhibit F Payment Registration Form – Pesos
Exhibit G Payment Registration Form – U.S. Dollars
Exhibit H Task Order Form OF 347
Exhibit I Claims Report”
2. The following List is added under Part III, Section J, List of Attachments, as
Exhibit I to Solicitation 19MX53‐19‐R‐0002:
“EXHIBIT I
CLAIMS REPORT
# DATE VEHICLE INFORMATION
CLAIM
AMOUNT
LOCATION
1 6-Jul-17 GRAND CHEROKEE 2011 $5,210.27 MEX
2 7-Jul-17 FORD EXPEDITION 2014 $17,181.64 MEX
3 19-Jul-17 NI VERSA 2015 $450.00 MEX
4 3-Aug-17 SUBURBAN 2011 $581.00 MTY
5 9-Aug-17 FORD EXPEDITION 2015 $16,863.86 MEX
6 15-Aug-17 CHEVROLET SUBURBAN 2009 $450.00 TIJ
7 18-Aug-17 TOYOTA LAND CRUISER 2012 $11,223.91 MEX
8 30-Aug-17 CHEVROLET SUBURBAN 2013 $17,142.17 MEX
9 31-Aug-17 JEEP GRAND CHEROKEE 2014 $16,740.17 MEX
10 12-Sep-17 EXPRESS VAN $450.00 CDJ
11 13-Sep-17 SUBURBAN $2,754.05 MEX
12 21-Sep-17 LAND CRUISER $16,740.17 MEX
13 21-Sep-17 SUBURBAN $8,552.90 MEX
14 2-Oct-17 CHEVROLET SUBURBAN $19,304.84 TIJ
15 2-Oct-17 FORD ESCAPE $450.00 MEX
16 2-Oct-17 BMW X5 $2,126.32 MEX
17 11-Oct-17 FORD EXPLORER $9,568.43 TIJ
18 24-Oct-17
RC CAMION 1.5 TON, DODGE RAM
$450.00 MEX
19 24-Oct-17 CHEVROLET SUBURBAN $450.00 MEX
20 24-Oct-17 CHEVROLET IMPALA $450.00 MEX
21 7-Nov-17 EXPEDITION $450.00 MEX
22 7-Nov-17 TOYOTA HILUX $203.00 HMO
23 8-Nov-17 TOYOTA LANDCRUISER $40,741.30 MEX
24 18-Nov-17 CAMION 1.5 TON DODG H $450.00 GDJ
25 23-Nov-17 TOYOTA HILUX $10,001.89 HMO
26 24-Nov-17 LANC CRUISER $15,999.81 GDJ
27 24-Nov-17 GRAND CARAVAN $2,666.64 MTY
1 10-Jan-18 CAMION 1.5 TON 3.5 FORD $3,294.87 MEX
2 20-Jan-18 EXPRESS VAN $450.00 MEX
3 31-Jan-18 LAND CRUISER $17,197.03 TIJ
4 7-Feb-18 SUBURBAN $450.00 MEX
5 14-Feb-18 LAND CRUISER $19,552.72 MEX
6 15-Feb-18 LAND CRUISER $33,300.00 MEX
7 20-Feb-18 TOYOTA HILUX $16,860.70 HMO
8 23-Feb-18 SUBURBAN $450.00 GDJ
9 28-Feb-18 HILUX $450.00 HMO
10 2-Mar-18 TOYOTA LAND CRUISER $17,610.49 MEX
11 2-Mar-18 CHEVROLET MALIBU $450.00 MTY
12 14-Mar-18 CHEVROLET SUBURBAN $450.00 TIJ
13 14-Mar-18 CHEVROLET SUBURBAN $13,496.35 MEX
14 15-Mar-18 TOYOTA RAV 4 $450.00 MEX
15 20-Mar-18 TOYOTA LAND CRUISER $450.00 MEX
16 20-Mar-18 CHEVROLET SUBURBAN $17,610.49 NOG
17 4-Apr-18 FORD FIESTA $450.00 GDJ
18 9-Apr-18 CHEVROLET SUBURBAN $450.00 MEX
19 10-Apr-18 DODGE RAM $2,748.73 MEX
20 11-Apr-18 TOYOTA LAND CRUISER $450.00 MEX
21 25-Apr-18 DODGE GRAND CARAVAN $450.00 MEX
22 26-Apr-18 DODGE CAMION 1.5 TON $450.00 CDJ
23 2-May-18 TOYOTA HILUX $450.00 MEX
24 2-May-18 TOYOTA LAND CRUISER $17,728.46 MEX
25 3-May-18 TOYOTA LAND CRUISER $1,358.68 MEX
26 8-May-18 DODGE CAMION 1.5 TON $450.00 MEX
27 8-May-18 FORD ESCAPE $17,728.46 MEX
28 12-May-18 LEXUS LX5 $402.00 MEX
29 17-May-18 FORD ESCAPE $353.00 MEX
30 21-May-18 FORD FIESTA $450.00 MTY
31 8-Jun-18 TOYOTA LAND CRUISER $402.00 MEX
32 18-Jun-18 CHEVROLET SUBURBAN $353.00 MEX
33 18-Jun-18 CHEVROLET SUBURBAN $11,217.60 NOG
34 22-Jun-18 LAND CRUISER $17,564.52 MEX
35 28-Jun-18 HONDA CIVIC $17,564.52 GDJ
36 20-Jul-18 CHEVROLET SUBURBAN $450.00 MEX
37 23-Jul-18 CHEVROLET SILVERADO $6,894.24 MTM
38 24-Jul-18 DODGE DAKOTA $450.00 MEX
39 24-Jul-18 TOYOTA LAND CRUISER $402.00 MEX
40 5-Aug-18 LEXUS LX5 $450.00 MEX
41 12-Aug-18 GRAND CHEROKEE $450.00 MEX
42 13-Aug-18 CHEVROLET COLORADO $450.00 MEX
43 15-Aug-18 CHEVROLET SILVERADO $4,529.42 MTY
44 20-Aug-18 LAND CRUISER $450.00 MEX
45 22-Aug-18 LAND CRUISER $402.00 MER
46 5-Sep-18 CHEVROLET SUBURBAN $17,867.10 MEX
47 12-Sep-18 TOYOTA LAND CRUISER $7,793.12 MEX
48 13-Sep-18 TOYOTA LAND CRUISER $5,009.86 MEX
49 30-Sep-18 CHEVROLET SUBURBAN $450.00 TIJ
50 7-Oct-18 CHEVROLET SUBURBAN $7,491.68 MEX
51 10-Oct-18 CHRYSLER AVENGER $450.00 MEX
52 10-Oct-18 TOYOTA LAND CRUISER $4,728.98 MEX
53 16-Oct-18 BMW X5 $20,849.37 MEX
54 25-Oct-18 CHEVROLET SUBURBAN $450.00 NLD
55 1-Nov-18 DODGE RAM 2500 $450.00 MEX
56 7-Nov-18 DODGE RAM 2500 $20,814.63 MEX
57 7-Nov-18 FORD ECONOLINE $1,496.99 MEX
58 7-Nov-18 DODGE RAM 2500 $18,314.63 MEX
59 9-Nov-18 DODGE RAM 2500 $10,807.94 MTY
60 9-Nov-18 LAND CRUISER $450.00 MEX
61 11-Nov-18 RAM 1500 $3,431.98 MTY
62 11-Nov-18 LAND CRUISER $450.00 TIJ
63 16-Nov-18 LAND CRUISER $402.00 MEX
64 16-Nov-18 CHEVROLET SUBURBAN $450.00 NLD
65 20-Nov-18 CHEVROLET SUBURBAN $450.00 MEX
66 20-Nov-18 FORD EXPLORER $450.00 MEX
67 23-Nov-18 CHEVROLET SUBURBAN $17,912.63 MEX
68 28-Nov-18 LAND CRUISER TBD TIJ
69 29-Nov-18 GMC DENALI $15,658.00 MEX
Total $622,752.56 ”
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