SF30 Fuel Solicitation.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGE OF PAGES

1 4

2. AMENDMENT/MODIFICATION NO.

A0001

3. EFFECTIVE DATE

07/23/2025

4. REQUISITION/PURCHASE REQ. NO.

PR15189463-0001

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE

TZ200

7. ADMINISTERED BY (If other than Item 6)

CODE

AMERICAN EMBASSY, DAR ES SALAAM

P.O. BOX 9123 OLD BAGAMOYO RD MSASANI,

ATTN: GSO DAR ES SALAAM, TANZANIA

AMERICAN EMBASSY, DAR ES SALAAM

P.O. BOX 9123 OLD BAGAMOYO RD MSASANI,

ATTN: GSO DAR ES SALAAM, TANZANIA

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

9a. AMENDMENT OF SOLICITATION NO.

19TZ2025R0001

9b. DATED(SEE ITEM 11)

02/25/2025

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 _______ 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.)

1. This solicitation is hereby amended to extend the proposal due date to 22 August 2025.

2. The Scope of Work, Section I, is amended to specify that the U.S. Government will reimburse the contractor for the cost to remove the existing fuel distribution system equipment and return it to its owner, TotalEnergies.

3. The Base Year Pricing Table is amended to include a line item for service charges associated with the removal and return of the existing equipment to TotalEnergies.

The Pricing Tables for the Base and Option Years are included as an addendum to this form for clarity and easy reference.

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

Antoaneta Gougleva

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

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

ADDENDUM

BASE YEAR – August 2025 through July 2026

CLIN Estimated Quantity/Year

Unit Price

(TZS)

Total

(TZS)

Fuel Station Upgrade:

Service charge for removal of existing storage tanks and dispensers

3 tanks / 2 dispensers

Service charge to supply and install a new storage tank and dispenser 1 tank / 1 dispenser

Fuel management software installation, configuration, training, and future updates 1

Supply of Bulk Fuel – Diesel:

Delivery to U.S. Embassy 250000 Liters

To be collected by U.S. Embassy 200000 Liters

Supply of Fuel by Cards:

Diesel (80 Cards) 45000 Liters

Petrol (20 Cards) 5000 Liters Discount Value Added Tax 18% Total Base Year

Base Year DBA Insurance in the amount of $ ________________ USD

OPTION YEAR ONE – August 2026 through July 2027

CLIN

Estimated Quantity/Year

Unit Price

Total (TZS)

Supply of bulk fuel – Diesel:

Delivery to U.S. Embassy 250000 Liters

To be collected by U.S. Embassy 200000 Liters

Supply of Fuel by Cards:

Diesel (80 Cards) 45000 Liters

Petrol (20 Cards) 5000 Liters Discount

Total Option Year One

Option Year One DBA Insurance in the amount of $ ________________ USD

OPTION YEAR TWO – August 2027 through July 2028

Quantity/Year

Unit Price

Delivery to U.S. Embassy 250000 Liters

To be collected by U.S. Embassy 200000 Liters

Supply of Fuel by Cards:

Diesel (80 Cards) 45000 Liters

Petrol (80 Cards) 5000 Liters Discount

Option Year Two DBA Insurance in the amount of $ ________________ USD

OPTION YEAR THREE – August 2028 through July 2029

Quantity/Year

Unit Price

Delivery to U.S. Embassy 250000 Liters

To be collected by U.S. Embassy 200000 Liters

Supply of Fuel by Cards:

Diesel (80 Cards) 45000 Liters

Petrol (20 Cards) 5000 Liters Discount

Option Year Three DBA Insurance in the amount of $ ________________ USD

OPTION YEAR FOUR – August 2029 through July 2030

Quantity/Year

Unit Price

Delivery to U.S. Embassy 250000 Liters

To be collected by U.S. Embassy 200000 Liters

Supply of Fuel by Cards:

Diesel (80 Cards) 45000 Liters

Petrol (20 Cards) 5000 Liters Discount

Option Year Four DBA Insurance in the amount of $ ________________ USD

GRAND TOTAL

Base Year Total

Option Year 1 Total

Option Year 2 Total

Option Year 3 Total

Option Year 4 Total

Grand Total for Base plus All Option Years

Grand Total DBA