Amendment_0001.pdf

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Government-Owned Vehicles Insurance
Solicitation number
19MX53-19-R-0002
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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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