SF30_47PL0219R0010_AMD0004.pdf

R

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 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 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.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, 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.)

Amendment 0004 to incorporate a full SF1449, including pricing pages, to be submitted with offer in accordance with Section L of the solicitation

Annual Fire Safety Inspections - R10 Daycares Alaska, Idaho, Oregon, & Washington 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)

Jessica H. Wilde, Contracting 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

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES

1 13

2. AMENDMENT/MODIFICATION NUMBER

3. EFFECTIVE DATE

7/18/2019

4. REQUISITION/PURCHASE REQUISITION NUMBER

EQ10PME-18-0056

5. PROJECT NUMBER (If applicable)

6. ISSUED BY CODE 10PQDA 7. ADMINISTERED BY (If other than Item 6) CODE 10PQDA Acquisition Management Division Services Branch Team A 400 - 15th Street SW Auburn, WA 98001-6599 USA

Acquisition Management Division Services Branch Team A 400 - 15th Street SW Auburn, WA 98001-6599 USA

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

47PL0219R0010

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBE

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

06/20/2019

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

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

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

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

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

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

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

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

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

EQ10PME-18-0056 12

47PL0219R0010

253-931-7974

10PQDB 100

LS000

NORTHWEST ARCTIC REGION

400 15TH ST SW

AUBURN, WA 98001

PBS Payments Branch P.O. Box 17181 Ft. Worth, TX 76102-0181

See below for additional information

Please see attached

Jessica Wilde

541690

$15 Million

6/20/2019

7/22/2019

2:00 PM (PST)

Acquisition Management Division Services Branch Team B 400 - 15th Street SW Auburn, WA 98001-6599 USA

BCFA

Karisa Kelley

Submit offers to karisa.kelley@gsa.gov

ONE

STANDARD FORM 1449 (REV. 2/2012) BACK

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

Section A Page 2

PAGE

GENERAL SERVICES ADMINISTRATION

OF

ITEM NO., FORM OR

STOCK NUMBER DESCRIPTION OF ARTICLES OR SERVICES QUAN-

TITY

UNIT

OF

ISSUE

UNIT

PRICE

AMOUNT

0003 Base Year - Conduct Annual

Seattle (WA0953KC)

PoP: 09/01/2019 - 08/31/2020

Firesafety Inspections for

Work to be accomplished per

Child Care Development Center

Daycare located at Building

LS

contract and Scope of Work

Base Year - Conduct Annual

(WA7321ZZ)

PoP: 09/01/2019 - 08/31/2020

Firesafety Inspections for contract and Scope of Work

Daycare located at Growing Years terms and conditions of the

Childhood Center Seattle

Firesafety Inspections for

Base Year- Conduct Annual

PoP: 09/01/2019 - 08/31/2020

Work to be accomplished per

Daycare Green Tree Early terms and conditions of the contract and Scope of Work

Work to be accomplished per

Center Auburn (WA0123KA)

LS

Base Year - Conduct Annual LS

Firesafety Inspections for

LS

Daycare Joyful Noise East terms and conditions of the

Blocks Child Care Development

Section B Page 3

OF

ITEM NO., FORM OR

STOCK NUMBER DESCRIPTION OF ARTICLES OR SERVICES QUAN-

TITY

UNIT

OF

ISSUE

UNIT

PRICE

AMOUNT

terms and conditions of the

Daycare Joyful Noise Child Care

PoP: 09/01/2019 - 08/31/2020

Firesafety Inspections for

PoP: 09/01/2019 - 08/31/2020

LS

terms and conditions of the

Work to be accomplished per

Firesafety Inspections for contract and Scope of Work

Base Year - Conduct Annual

Center Anchorage (AK3457ZZ)

Work to be accomplished per

Daycare Tundra Tykes Child Care contract and Scope of Work

Base Year - Conduct Annual terms and conditions of the terms and conditions of the

Portland (OR0033PE)

Work to be accomplished per

LS

PoP: 09/01/2019 - 08/31/2020

Firesafety Inspections for

Option Year 1- Conduct Annual

Center Juneau (AK0013ZZ)

LS

Base Year - Conduct Annual

PoP: 09/01/2019 - 08/31/2020

Work to be accomplished per contract and Scope of Work

Center, Inc. Portland (OR6485ZZ)

Daycare Gold Creek Child Care

LS

contract and Scope of Work

Section B Page 4

OF

ITEM NO., FORM OR

STOCK NUMBER DESCRIPTION OF ARTICLES OR SERVICES QUAN-

TITY

UNIT

OF

ISSUE

UNIT

PRICE

AMOUNT

Firesafety Inspections for

Work to be accomplished per

Daycare Joyful Noise East terms and conditions of the

Seattle (WA0953KC)

Blocks Child Care Development

LS

Option Year 1 - Conduct Annual

1 __________

PoP: 09/01/2020 - 08/31/2021

Firesafety Inspections for

Work to be accomplished per

Daycare located at Building

PoP: 09/01/2020 - 08/31/2021

Child Care Development Center contract and Scope of Work

Option Year 1 - Conduct Annual LS

(WA7321ZZ)

Daycare located at Growing Years

Firesafety Inspections for

LS

terms and conditions of the

Childhood Center Seattle contract and Scope of Work

Work to be accomplished per

PoP: 09/01/2020 - 08/31/2021 terms and conditions of the

Work to be accomplished per

Firesafety Inspections for

Daycare Green Tree Early

Option Year 1 - Conduct Annual

Portland (OR0033PE) contract and Scope of Work

Center Auburn (WA0123KA)

Section B Page 5

OF

ITEM NO., FORM OR

STOCK NUMBER DESCRIPTION OF ARTICLES OR SERVICES QUAN-

TITY

UNIT

OF

ISSUE

UNIT

PRICE

AMOUNT

LS

PoP: 09/01/2020 - 08/31/2021

Firesafety Inspections for

Work to be accomplished per

Option Year 2- Conduct Annual

Center Juneau (AK0013ZZ)

Option Year 1 - Conduct Annual

PoP: 09/01/2020 - 08/31/2021

12001 contract and Scope of Work

LS

Center, Inc. Portland (OR6485ZZ)

Daycare Gold Creek Child Care

LS

terms and conditions of the contract and Scope of Work

Work to be accomplished per

Daycare Joyful Noise Child Care

PoP: 09/01/2020 - 08/31/2021

Firesafety Inspections for

PoP: 09/01/2020 - 08/31/2021 terms and conditions of the contract and Scope of Work

Firesafety Inspections for

Option Year 1 - Conduct Annual

Center Anchorage (AK3457ZZ)

Daycare located at Building terms and conditions of the

Daycare Tundra Tykes Child Care

Option Year 1 - Conduct Annual __________ contract and Scope of Work

LS

terms and conditions of the

Firesafety Inspections for

Work to be accomplished per

Section B Page 6

OF

ITEM NO., FORM OR

STOCK NUMBER DESCRIPTION OF ARTICLES OR SERVICES QUAN-

TITY

UNIT

OF

ISSUE

UNIT

PRICE

AMOUNT

Childhood Center Seattle contract and Scope of Work

LS

Firesafety Inspections for

Work to be accomplished per

PoP: 09/01/2021 - 08/31/2022 terms and conditions of the

Work to be accomplished per

Daycare Green Tree Early

Option Year 2 - Conduct Annual

Portland (OR0033PE) contract and Scope of Work

Firesafety Inspections for

Center Auburn (WA0123KA)

Option Year 2 - Conduct Annual

Work to be accomplished per

Daycare Joyful Noise East terms and conditions of the

Seattle (WA0953KC)

Blocks Child Care Development

Firesafety Inspections for

PoP: 09/01/2021 - 08/31/2022

LS __________

Work to be accomplished per

LS

contract and Scope of Work

Option Year 2 - Conduct Annual

PoP: 09/01/2021 - 08/31/2022 contract and Scope of Work

Child Care Development Center

(WA7321ZZ)

Daycare located at Growing Years terms and conditions of the terms and conditions of the

Section B Page 7

OF

ITEM NO., FORM OR

STOCK NUMBER DESCRIPTION OF ARTICLES OR SERVICES QUAN-

TITY

UNIT

OF

ISSUE

UNIT

PRICE

AMOUNT

Option Year 2 - Conduct Annual

Center Anchorage (AK3457ZZ) contract and Scope of Work

Daycare located at Building terms and conditions of the

Daycare Tundra Tykes Child Care

Option Year 2 - Conduct Annual

LS

terms and conditions of the

Firesafety Inspections for

Work to be accomplished per

PoP: 09/01/2021 - 08/31/2022 contract and Scope of Work

2005 LS

Firesafety Inspections for

Work to be accomplished per

Option Year 3- Conduct Annual LS

Center Juneau (AK0013ZZ)

Option Year 2 - Conduct Annual

PoP: 09/01/2021 - 08/31/2022

13001

Center, Inc. Portland (OR6485ZZ)

2006 1

Daycare Gold Creek Child Care terms and conditions of the

Center Auburn (WA0123KA)

PoP: 09/01/2021 - 08/31/2022

Work to be accomplished per

Daycare Joyful Noise Child Care

Firesafety Inspections for

LS

PoP: 09/01/2021 - 08/31/2022

Blocks Child Care Development contract and Scope of Work

Firesafety Inspections for

Section B Page 8

OF

ITEM NO., FORM OR

STOCK NUMBER DESCRIPTION OF ARTICLES OR SERVICES QUAN-

TITY

UNIT

OF

ISSUE

UNIT

PRICE

AMOUNT

Work to be accomplished per

Child Care Development Center contract and Scope of Work

Option Year 3 - Conduct Annual

PoP: 09/01/2022 - 08/31/2023 contract and Scope of Work

(WA7321ZZ)

Daycare located at Growing Years terms and conditions of the

Childhood Center Seattle terms and conditions of the

Daycare Green Tree Early

LS

contract and Scope of Work

Firesafety Inspections for

Work to be accomplished per

PoP: 09/01/2022 - 08/31/2023 terms and conditions of the

Work to be accomplished per

Portland (OR0033PE)

Option Year 3 - Conduct Annual contract and Scope of Work

Firesafety Inspections for

Daycare Joyful Noise East

13005

Option Year 3 - Conduct Annual

LS

Work to be accomplished per terms and conditions of the

Seattle (WA0953KC)

PoP: 09/01/2022 - 08/31/2023

Firesafety Inspections for

LS

PoP: 09/01/2022 - 08/31/2023

LS

Section B Page 9

OF

ITEM NO., FORM OR

STOCK NUMBER DESCRIPTION OF ARTICLES OR SERVICES QUAN-

TITY

UNIT

OF

ISSUE

UNIT

PRICE

AMOUNT

Daycare Gold Creek Child Care terms and conditions of the

Center Auburn (WA0123KA)

PoP: 09/01/2022 - 08/31/2023

Work to be accomplished per

Daycare Joyful Noise Child Care

Firesafety Inspections for

1 __________

PoP: 09/01/2022 - 08/31/2023

Blocks Child Care Development contract and Scope of Work

3007 Option Year 3 - Conduct Annual

Firesafety Inspections for

LS

Center Anchorage (AK3457ZZ) contract and Scope of Work

Daycare located at Building terms and conditions of the

Daycare Tundra Tykes Child Care

Option Year 3 - Conduct Annual

LS

Firesafety Inspections for terms and conditions of the

Work to be accomplished per

LS

PoP: 09/01/2022 - 08/31/2023 terms and conditions of the

Option Year 4- Conduct Annual contract and Scope of Work

Work to be accomplished per

Firesafety Inspections for

Center Juneau (AK0013ZZ)

Option Year 3 - Conduct Annual

Work to be accomplished per

Center, Inc. Portland (OR6485ZZ)

Section B Page 10

OF

ITEM NO., FORM OR

STOCK NUMBER DESCRIPTION OF ARTICLES OR SERVICES QUAN-

TITY

UNIT

OF

ISSUE

UNIT

PRICE

AMOUNT

contract and Scope of Work

Firesafety Inspections for

Work to be accomplished per

Daycare Joyful Noise East

14005

Option Year 4 - Conduct Annual terms and conditions of the

Seattle (WA0953KC)

PoP: 09/01/2023 - 08/31/2024

Firesafety Inspections for

LS

Work to be accomplished per

PoP: 09/01/2023 - 08/31/2024

LS

(WA7321ZZ)

LS

Child Care Development Center contract and Scope of Work

Option Year 4 - Conduct Annual

PoP: 09/01/2023 - 08/31/2024 contract and Scope of Work terms and conditions of the

LS

Daycare located at Growing Years

Childhood Center Seattle

Firesafety Inspections for

Work to be accomplished per

Daycare Green Tree Early

Firesafety Inspections for contract and Scope of Work

PoP: 09/01/2023 - 08/31/2024 terms and conditions of the

Option Year 4 - Conduct Annual

Portland (OR0033PE)

Option Year 4 - Conduct Annual

Section B Page 11

OF

ITEM NO., FORM OR

STOCK NUMBER DESCRIPTION OF ARTICLES OR SERVICES QUAN-

TITY

UNIT

OF

ISSUE

UNIT

PRICE

AMOUNT

Work to be accomplished per

PoP: 09/01/2023 - 08/31/2024

Firesafety Inspections for contract and Scope of Work

Work to be accomplished per

Center Juneau (AK0013ZZ)

Option Year 4 - Conduct Annual4006

Daycare Gold Creek Child Care

Center, Inc. Portland (OR6485ZZ)

Firesafety Inspections for terms and conditions of the

PoP: 09/01/2023 - 08/31/2024

Work to be accomplished per

Daycare Joyful Noise Child Care

PoP: 09/01/2023 - 08/31/2024

LS __________

contract and Scope of Work

Option Year 4 - Conduct Annual LS contract and Scope of Work

Center Anchorage (AK3457ZZ) terms and conditions of the

Daycare Tundra Tykes Child Care terms and conditions of the

Section B Page 12