Amendment 4.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGES

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

4/7/21

4. REQUISITION/PURCHASE REQ. NO.

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE

7. ADMINISTERED BY (If other than Item 6)

CODE

American Embassy Madrid GSO/Procurement Serrano, 75 28006 Madrid

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

9a. AMENDMENT OF SOLICITATION NO.

19SP5021Q0003

9b. DATED (SEE ITEM 11)

2/10/21

10a. MODIFICATION OF CONTRACT/ORDER NO.

10b. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

[X] The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers [X] 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 __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 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 you 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 (If required)

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

IT MODIFIES THE CONTRACT/ORDER NO. 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 ___ copies to the issuing office.

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

A. Section 1, III Pricing is hereby revised to add Roaming Zones 6, 7 and 8. Pages 4-18 are hereby substituted in lieu of with pages 4-18 (attached).

B. The offer due date is hereby extended until April 16, 2021 at 04:00 p.m. local time. Page 1 (attached) has been changed accordingly.

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 OF CONTRACTING OFFICER

Liv I. Kilpatrick

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

4/07/21

NSN 7540-01-152-8070 Standard Form 30 (revised 10/83) Previous edition unusable Prescribed by GSA FAR (48 CFR) 53.243

III. PRICING

BASE YEAR OF SERVICE (base period of the contract, starting on the date of contract award and continuing for a period of 12 months)

(A) STANDARD SERVICES - Estimated Quantities:

CLIN Description Minutes

/GB

Est.

Yearly Qty.

Unit Unit Price

Total Yearly Price

Activation Costs

001 SIM Cards/eSIMs (types as required)

400 Each ________ _________

002 Line Activation Fee 390 each ________ _________

Service Plans

003 Plan A . Unlimited national voice calling . Unlimited national data at maximum available speed . Unlimited roaming data/voice within the EU . Unlimited national SMS . Voice mail . MultiSIM

300 month _________ __________

. Minutes for international calling to the US and the countries specified by provider (minimum: 150 minutes)

004 Plan B

240 month _________ __________

. Unlimited national data with maximum available speed up to (minimum: 50GB)

. Unlimited roaming data/voice within the EU . Unlimited national SMS . Voice mail

. Minutes for international calling to the US and the countries specified by provider

. Minutes for roaming in the U.S.

. Data for roaming in the U.S.

(minimum: 1GB)

005 Plan C

3,396 month _________ __________

. Unlimited national data with maximum available speed up to specified by provider (minimum: 50 minutes)

006 Plan D . Unlimited national data at maximum available speed . Unlimited roaming data within the EU

600 month _________ __________

007 Plan E

144 month _________ __________

Unit Costs for Service Plan overages

008 Additional international calls to the US and the countries specified by provider.

Call connection fee

1712 call _________ __________

009 Additional minute international calls to the US and the countries specified by provider

9253 minute _________ __________

010 Additional calls roaming in the U.S.

Call connection fee

156 call _________ __________

011 Additional minute roaming in the U.S. 534 minute _________ __________

012 Additional MB roaming in the U.S. 71194 MB _________ __________

National Services and Services within the EU not included in Service Plans

013 Calls to information services, 90X numbers, 80X numbers and other special numbers.

Call connection fee

25 call _________ __________

014 Calls to information services, 90X numbers, 80X numbers and other special numbers

923 minute _________ __________

015 Multi-media messages MMS 309 message _________ __________

016 MultiSIM Service 120 month _________ __________

International Services not included in

017 Call connection fee 1960 call _________ __________

018 Zone 1 (as defined by provider)

2000 minute _________ __________

019 Zone 2 (as defined by provider)

020 Zone 3 (as defined by provider)

021 Zone 4 (as defined by provider)

Zone 5 (as defined by provider)

023 International SMS messages 1941 message _________ __________

024 International MMS messages 1 message _________ __________

Roaming Services outside the EU not included in Service Plans

Zone 1 (as defined by provider)

025 Call connection fee

25 call _________ __________

026 Outgoing calls

70 minute _________ __________

027 Incoming calls

20 minute _________ __________

028 SMS messages

60 message _________ __________

029 MMS messages

1 message _________ __________

030 Data services

3000 MB _________ __________

Zone 2 (as defined by provider)

031 Call connection fee

032 Outgoing calls

033 Incoming calls

034 SMS messages

035 MMS messages

036 Data services

Zone 3 (as defined by provider)

037 Call connection fee

038 Outgoing calls

039 Incoming calls

040 SMS messages

041 MMS messages

042 Data services

Zone 4 (as defined by provider)

043 Call connection fee

044 Outgoing calls

045 Incoming calls

046 SMS messages

047 MMS messages

048 Data services

049 Call connection fee

050 Outgoing calls

051 Incoming calls

052 SMS messages

053 MMS messages

054 Data services

Zone 6 (as defined by provider)

055 Call connection fee 25 call _________ __________

056 Outgoing calls 70 minute _________ __________

057 Incoming calls 20 minute _________ __________

058 SMS messages 60 message _________ __________

059 MMS messages 1 message _________ __________

060 Data services 3000 MB _________ __________

Zone 7 (as defined by provider)

061 Call connection fee

062 Outgoing calls

063 Incoming calls

064 SMS messages

065 MMS messages

066 Data services

Zone 8 (as defined by provider)

067 Call connection fee 25 call _________ __________

068 Outgoing calls 70 minute _________ __________

069 Incoming calls 20 minute _________ __________

070 SMS messages 60 message _________ __________

071 MMS messages 1 message _________ __________

072 Data services 3000 MB _________ __________

073 Worldwide data services package

_____ 10 month _________ __________

074 Total for Standard Services (001- 073)

Euros __________

075 21% VAT for Standard Services (074 x 0.21)

Euros __________

076 Base Year Grand Total for Standard Services (074 + 075)

7-1

(B) ADDITIONAL EQUIPMENT - Estimated Quantities:

The Contractor shall provide the following Additional Equipment at the below unit price when the Contracting Officer places an order in accordance with FAR 52.216-18 Ordering.

CLIN Description Est.

Yearly Qty.

Unit Unit Price Total Yearly

059 Apple iPhone 12 or last equal model available and approved by the Government

65 each _________ __________

060 Apple iPad Pro 12,9” or last equal model available and approved by the Government

5 each _________ __________

061 Total for Additional Equipment (059+060)

062 21% VAT for Additional Equipment (061 x 0.21)

063 Base Year Grand Total for Additional Equipment (061 + 062)

BASE YEAR GRAND TOTAL: Euros _____________.

(058 Base Year Grand Total for Standard Services + 063 Base Year Grand Total for Additional Equipment)

VALUE ADDED TAX. Value Added Tax (VAT) is not included in the CLIN rates. Instead, it will be priced as a separate Line Item in the contract and on Invoices. Local law dictates the portion of the contract price that is subject to VAT; this percentage is multiplied only against that portion. It is reflected for each performance period. The portions of the solicitation subject to VAT are: all portions.

The Government shall place additional equipment orders totaling a minimum of:

. 12 Apple iPhone 12 or last equal model available and approved by the Government . 1 Apple iPad Pro 12,9” or last equal model available and approved by the Government

The amount of all additional equipment orders shall not exceed the following quantities:

. 65 Apple iPhone 12 or last equal model available and approved by the Government . 5 Apple iPad Pro 12,9” or last equal model available and approved by the Government

During this contract period, the Government shall place orders totaling a minimum of Euros 5,000. This reflects the contract minimum for this period of performance. The amount of all orders shall not exceed Euros 200,000. This reflects the contract maximum for this period of performance.

FIRST OPTION YEAR (12 months period)

STANDARD SERVICES - Estimated Quantities:

Est.

Yearly Qty.

Unit Unit Price

50 Each ________ _________

002 Line Activation Fee 40 each ________ _________

. Unlimited national data at maximum available speed . Unlimited roaming data/voice within the EU . Unlimited national SMS . Voice mail . MultiSIM

300 month _________ __________

. Minutes for international calling to the US and the countries specified by provider

240 month _________ __________

. Unlimited national data with maximum available speed up to specified by provider

. Data for roaming in the U.S.

3,396 month _________ __________

. Unlimited national data with maximum available speed up to maximum available speed

Call connection fee

1712 call _________ __________

012 Additional MB roaming in the U.S. 71194 MB _________ __________

Call connection fee

25 call _________ __________

014 Calls to information services, 90X numbers, 80X numbers and other special numbers

923 minute _________ __________

024 International MMS messages 1 message _________ __________

057 Incoming calls 20 minute _________ __________

058 SMS messages 60 message _________ __________

069 Incoming calls 20 minute _________ __________

070 SMS messages 60 message _________ __________

071 MMS messages 1 message _________ __________

072 Data services 3000 MB _________ __________

073)

Euros __________

076 First Option Year Grand Total for Standard Services (074 + 075)

FIRST OPTION YEAR GRAND TOTAL: Euros _____________.

(076 First Option Year Grand Total for Standard Services)

12-1

VALUE ADDED TAX. Value Added Tax (VAT) is not included in the CLIN rates. Instead, it will be priced as a separate Line Item in the contract and on Invoices. Local law dictates the portion of the contract price that is subject to VAT; this percentage is multiplied only against that portion. It is reflected for each performance period. The portions of the solicitation subject to VAT are: all portions.

During this contract period, the Government shall place orders totaling a minimum of Euros 5,000. This reflects the contract minimum for this period of performance. The amount of all orders shall not exceed

SECOND OPTION YEAR (12 months period)

STANDARD SERVICES - Estimated Quantities:

Est.

Yearly Qty.

Unit Unit Price

50 Each ________ _________

002 Line Activation Fee 40 each ________ _________

. Unlimited national data at maximum available speed . Unlimited roaming data/voice within the EU . Unlimited national SMS . Voice mail . MultiSIM

300 month _________ __________

. Minutes for international calling to the US and the countries specified by provider

240 month _________ __________

. Unlimited national data with maximum available speed up to specified by provider

. Data for roaming in the U.S.

3,396 month _________ __________

. Unlimited national data with maximum available speed up to maximum available speed

Call connection fee

1712 call _________ __________

012 Additional MB roaming in the U.S. 71194 MB _________ __________

Call connection fee

25 call _________ __________

014 Calls to information services, 90X numbers, 80X numbers and other special numbers

923 minute _________ __________

024 International MMS messages 1 message _________ __________

057 Incoming calls 20 minute _________ __________

058 SMS messages 60 message _________ __________

069 Incoming calls 20 minute _________ __________

070 SMS messages 60 message _________ __________

071 MMS messages 1 message _________ __________

072 Data services 3000 MB _________ __________

073)

Euros __________

076 Second Option Year Grand Total for Standard Services (074 + 075)

SECOND OPTION YEAR GRAND TOTAL: Euros _____________.

(076 Second Option Year Grand Total for Standard Services)

17-1

VALUE ADDED TAX. Value Added Tax (VAT) is not included in the CLIN rates. Instead, it will be priced as a separate Line Item in the contract and on Invoices. Local law dictates the portion of the contract price that is subject to VAT; this percentage is multiplied only against that portion. It is reflected for each performance period. The portions of the solicitation subject to VAT are: all portions.

During this contract period, the Government shall place orders totaling a minimum of Euros 5,000. This reflects the contract minimum for this period of performance. The amount of all orders shall not exceed

Base Year Total Euros Option Year 1 Total Euros Option Year 2 Total Euros

GRAND TOTAL FOR BASE + ALL OPTION YEARS EUROS

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV. 02/2012)

PREVIOUS EDITION IS NOT USABLE Computer Generated Prescribed by GSA - FAR (48 CFR) 53.212

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER

2. CONTRACT NO.

3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER

5. SOLICITATION NUMBER

19SP5021Q0003

6. SOLICITATION ISSUE DATE

2/10/2021

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Lydia Ruiz

b. TELEPHONE NUMBER(No collect calls)

915872545

8. OFFER DUE DATE/ LOCAL

TIME

4/16/2021 / 04:00 p.m.

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE:____ % FOR:

AMERICAN EMBASSY MADRID SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS

GSO/Procurement Serrano, 75 S

HUBZONE SMALL

BUSINESS

(WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM NAICS:

28006 Madrid Spain

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

EDWOSB

8 (A) SIZE STANDARD:

11. DELIVERY FOR FOB DESTINAT-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS 13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

AMERICAN EMBASSY MADRID

Atn. General Services Office/LR Serrano, 75 28006 Madrid, SPAIN

17a. CONTRACTOR/

OFFERER

TELEPHONE NO.

CODE FACILITY

18a. PAYMENT WILL BE MADE BY

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

MOBILE TELECOMMUNICATIONS SERVICES

(SEE ATTACHED)

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a.SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED

27b.CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN ____

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL

ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

29. AWARD OF CONTRACT: REF. _________________ OFFER DATED

____________. YOUR OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY

ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS

TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print)

30c. DATE SIGNED

31b. NAME OF CONTRACTING OFFICER (Type or print)

31c. DATE SIGNED