697DCK-21-R-00057-0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

5. PROJECT NO. (If applicable)2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ.NO.

PAGE OF PAGES

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6)

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

CODE

9A. AMENDMENT OF SOLICITATION NO.

9B. DATED (SEE ITEM 11)

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

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 is extended, is not extended.

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.

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

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO THE AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation date, etc.) SET FORTH IN ITEM 14.

E. IMPORTANT: Contractor is not, is required to sign this document and return

ORDER NO. IN ITEM 10A.

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0001 05/18/2021

FEDERAL AVIATION ADMINISTRATION

AAQ-500 - REGIONAL ACQUISITIONS

10101 HILLWOOD PARKWAY

FORT WORTH TX 76177-1524

AAQ520FTW-AFN

x

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

separate letter or telegram which includes a reference to the solicitation and amendment number. FAILURE OF YOUR ACKNOWLEDGEMENT 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.

copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By ___________ 1 x x

697DCK-21-R-00057

1 copies to the issuing office.

05/18/2021

(x)

Denver ATCT, Base Building, TRACON and Cafe O&M Services

Amendment 0001 - The purpose of this SIR Amendment is to incorporate the Contractor

Staffing Access Questionnaire that is required to be submitted with all proposals for this project. This amendment will also update Section L Clause SA18 Proposal Content to read as follows:

SA18 PROPOSAL CONTENT

Submission of Offer. An Offeror shall submit an offer which shall include the following:

Proposal (Provide 1 copy).

NOTE: The contractor's proposal shall include:

Continued ...

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. CONTRACT AUTHORITY 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

Jennifer J. Davis

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

697DCK-21-R-00057/0001

[ ] Cover letter stating that no exceptions are taken to any specification requirements or contract terms and condition, or detailed summary of all exceptions taken

[ ] Signed SOLICITATION, OFFER, AND AWARD form

(amendments if issued)

[ ] Part I, Section B, SUPPLIES/SERVICES &

PRICE/COST thru Part IV, Section K, REPRESENTATIONS, CERTIFICATIONS, AND OTHER

STATEMENTS (Note: ensure Offeror completes

Section I, clause 3.6.3-3 Hazardous Material

Identification and Material Safety Data)

[ ] A Technical Proposal demonstrating how all the required services in the Performance Work

Statement will be completed, a demonstration of

Key Personnel that will manage this contract, and a sample Service Call Log as any other pertinent information.

[ ] A financial capability letter from your financial institution with the below listed:

Name, email and telephone number of bank's point of contact

Number of year's business has been conducted with each bank

Types of open accounts (checking, loans, etc)

Balance of current accounts (the banks will provide a 'range of figures' for this information, such as medium five figures range)

[ ] A certificate of liability from your insurance company that shows you can meet the requirements identified in Part I, Section H, SW.H-1 Insurance Requirements Schedule.

[ ] No less than three (3) Past Performance

References of similar work to the requirements in this SIR

[ ] No less than three (3) Past Experience

Submittals showing completion of similar work to the requirements in this SIR

[ ] Completed Contractor Staffing Access

Questionnaire

Continued ...

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 6

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

697DCK-21-R-00057/0001

There will be no other changes to the terms and/or conditions as a result of this amendment.

Period of Performance: 07/01/2021 to 06/30/2026

LIST OF CHANGES:

Section J - List of Documents, Exhibits and Other Attachments was revised as follows.

Attachment List was revised as follows.

Table has been revised and now reads as follows:

ATTACHMENT TITLE DATE NO. OF

PAGES

1 PWS for Denver ATCT, BB, TRACON, and Cafe O&M Services 01/11/2021 20 2 SCA WD 2015-5419 Rev 15 dated 122020 05/17/2021 11 3 Customer Satisfaction Survey 12/07/2020 1 4 COVID-19 Wellness Self-Check / Visitor Protocol 05/17/2021 1 5 Contractor Staffing Access Questionnaire 05/20/2021 2