BEP-RFP-17-0499-A0005.pdf

OMB Approval

1. CONTRACT ID CODE PAGE OF PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1 9

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

BEP-RFP-17-0499-A0005 1/31/17 N/A

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

CODE

U.S. TREASURY DEPARTMENT

BUREAU OF ENGRAVING AND PRINTING

14TH AND C STS., S.W.

WASHINGTON, D.C. 20228-0001

Same as Block 6

8. NAME AND ADDRESS OF CONTRACTOR (No. Street, county, State and ZIP: Code) () 9A. AMENDMENT OF SOLICITATION NO.

X BEP-RFP-17-0499

9B. DATED (SEE ITEM 11)

PROSPECTIVE OFFERORS 1/05/17

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.

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 one (1) copy 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 DATA 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 data specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

N/A

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).

D. OTHER Specify type of modification and authority)

E. IMPORTANT: Contractor [ ] is not, [ x] is required to sign this document and return ____1_ copies 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 post an updated Bid Form with the correct quantity of long and short sleeved shirts. The updated Bid form is attached as Technical Exhibit #7 Bid Form (updated). All amendments shall be signed and attached to submitted proposals.

SEE PAGES 2 TO 9

Except at 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)

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

(Signature of person authorized to sign)

BY _____________________________________________

(Signature of Contracting Officer)

NSN 7540-01-152-8070 30-105 STANDARD FORM 30 (REV. 10-83)

PREVIOUS EDITION UNUSABLE Computer Generated Prescribed by GSA

FAR (48 CFR) 53.243

BEP-RFP-17-0499 Amendment A0005 Page 2 of 9

The purpose of this amendment is to add Technical Exhibit #7 Bid Form (updated) for pricing.

Technical Exhibit #7 Bid Form (updated)

BID FORM BASE YEAR

DESCRIPTION MONTHLY X UNIT PRICE MONTHLY QUANTITY ANNUAL COST

POLY/COTTON BLEND

SHIRTS – Long Sleeve COTTON/POLY BLEND 12 ($ 0.00 ) x 3230 (646 X 5 EA = _3230___ shirts) __________________ __________ = _______________

SHIRTS – Short Sleeve COTTON/POLY BLEND 12 ($ 0.00 ) x 3230 (646 X 5 EA = _3230___ shirts) __________________ __________ = _______________

PANTS

COTTON/POLY BLEND 12 ($ 0.00 ) x 6460 (646 X 10 EA = _6460__pants) __________________ __________ = _______________

COVERALLS

COTTON/POLY BLEND 12 ($ 0.00 ) x 40 (4X 10 EA= ___40__ cov’s) _______________ __________ = _______________

100% COTTON

SHIRTS – Long Sleeve 100% COTTON 12 ($ 0.00 ) x 550 (110 X 5 EA = 550_shirts) ______________ __________ = _______________

SHIRTS -- Short Sleeve 100% COTTON 12 ($ 0.00 ) x 550 (110 X 5 EA = 550 shirts) _______________ __________ = _______________

PANTS

100% COTTON 12 ($ 0.00 ) x 1100 (#110 X 10 EA = 1100_shirts) _______________ ____________ =

FLAME-RESISTANT (ARC rating > 8 cal/cm)

SHIRTS

FLAME RESISTANT 12 ($ 0.00 ) x 445 ( 89 X 5 EA = 445 shirts) _________________ _____________ = _______________

BEP-RFP-17-0499 Amendment A0005 Page 3 of 9

PANTS

FLAME RESISTANT 12 ($ 0.00 ) x 890 ( 89 X 10 = 890 pants) ________________ _____________ = _______________

CLIN 0002 TOWELS MONTHS MONTHLY QUANTITY ANNUAL COST

12 ($ 0.00 ) x 400

400 EA X 12 MONTHS________________ ________ = _______________

PLEASE INCLUDE THE PATCHES & SEW-ON COST FOR THE THREE ITEMS IN THE PRICE

REQUESTED ABOVE FOR THESE ITEMS:

1) NAME TAG

2) FACILITY NAME/DEPARTMENT PATCH

3) US FLAG

ALTERATION/ REPAIR COSTS FOR THE FOLLOWING:

1) Buttons $_________

2) Rips/tears $_________

3) Maintenance of patches $___________

BID FORM OPTION YEAR I

DESCRIPTION MONTHLY X UNIT PRICE MONTHLY QUANTITY ANNUAL COST

POLY/COTTON BLEND

SHIRTS – Long Sleeve COTTON/POLY BLEND 12 ($ 0.00 ) x 3230 (646 X 5 EA = _3230___ shirts) __________________ __________ = _______________

SHIRTS – Short Sleeve COTTON/POLY BLEND 12 ($ 0.00 ) x 3230 (646 X 5 EA = _3230___ shirts) __________________ __________ = _______________

PANTS

COTTON/POLY BLEND 12 ($ 0.00 ) x 6460 (646 X 10 EA = _6460__pants) __________________ __________ = _______________

COVERALLS

COTTON/POLY BLEND 12 ($ 0.00 ) x 40 (4X 10 EA= ___40__ cov’s) _______________ __________ = _______________

BEP-RFP-17-0499 Amendment A0005 Page 4 of 9

100% COTTON

SHIRTS – Long Sleeve 100% COTTON 12 ($ 0.00 ) x 550 (110 X 5 EA = 550_shirts) ______________ __________ = _______________

SHIRTS -- Short Sleeve 100% COTTON 12 ($ 0.00 ) x 550 (110 X 5 EA = 550 shirts) _______________ __________ = _______________

PANTS

100% COTTON 12 ($ 0.00 ) x 1100 (110 X 10 EA = 1100_shirts) _______________ ____________ =

( 89 X 10 = 890 pants) ________________ _____________ = _______________

CLIN 0002 TOWELS MONTHS MONTHLY QUANTITY ANNUAL COST

12 ($ 0.00 ) x 400

400 EA X 12 MONTHS________________ ________ = _______________

BEP-RFP-17-0499 Amendment A0005 Page 5 of 9

BID FORM OPTION YEAR II

POLY/COTTON BLEND

SHIRTS – Long Sleeve COTTON/POLY BLEND 12 ($ 0.00 ) x 3230 (646 X 5 EA = _3230___ shirts) __________________ __________ = _______________

SHIRTS – Short Sleeve COTTON/POLY BLEND 12 ($ 0.00 ) x 3230 (646 X 5 EA = _3230___ shirts) __________________ __________ = _______________

PANTS

COTTON/POLY BLEND 12 ($ 0.00 ) x 6460 (646 X 10 EA = _6460__pants) __________________ __________ = _______________

COVERALLS

COTTON/POLY BLEND 12 ($ 0.00 ) x 40 (4X 10 EA= ___40__ cov’s) _______________ __________ = _______________

100% COTTON

SHIRTS – Long Sleeve 100% COTTON 12 ($ 0.00 ) x 550 (110 X 5 EA = 550_shirts) ______________ __________ = _______________

SHIRTS -- Short Sleeve 100% COTTON 12 ($ 0.00 ) x 550 (110 X 5 EA = 550 shirts) _______________ __________ = _______________

PANTS

100% COTTON 12 ($ 0.00 ) x 1100 (110 X 10 EA = 1100_shirts) _______________ ____________ =

FLAME-RESISTANT (ARC rating > 8 cal/cm)

SHIRTS

( 89 X 5 EA = 445 shirts) ______________ _____________ = _______________

BEP-RFP-17-0499 Amendment A0005 Page 6 of 9

400 EA X 12 MONTHS________________ ________ = _______________

BID FORM OPTION YEAR III

POLY/COTTON BLEND

SHIRTS – Long Sleeve COTTON/POLY BLEND 12 ($ 0.00 ) x 3230 (646 X 5 EA = _3230___ shirts) __________________ __________ = _______________

SHIRTS – Short Sleeve COTTON/POLY BLEND 12 ($ 0.00 ) x 3230 (646 X 5 EA = _3230___ shirts) __________________ __________ = _______________

PANTS

COTTON/POLY BLEND 12 ($ 0.00 ) x 6460 (646 X 10 EA = _6460__pants) __________________ __________ = _______________

COVERALLS

COTTON/POLY BLEND 12 ($ 0.00 ) x 40 (4X 10 EA= ___40__ cov’s) _______________ __________ = _______________

100% COTTON

SHIRTS – Long Sleeve 100% COTTON 12 ($ 0.00 ) x 550 (110 X 5 EA = 550_shirts) ______________ __________ = _______________

BEP-RFP-17-0499 Amendment A0005 Page 7 of 9

SHIRTS -- Short Sleeve 100% COTTON 12 ($ 0.00 ) x 550 (110 X 5 EA = 550 shirts) _______________ __________ = _______________

PANTS

100% COTTON 12 ($ 0.00 ) x 1100

400 EA X 12 MONTHS________________ ________ = _______________

BID FORM OPTION YEAR IV

POLY/COTTON BLEND

SHIRTS – Long Sleeve COTTON/POLY BLEND 12 ($ 0.00 ) x 3230 (646 X 5 EA = _3230___ shirts) __________________ __________ = _______________

BEP-RFP-17-0499 Amendment A0005 Page 8 of 9

SHIRTS – Short Sleeve COTTON/POLY BLEND 12 ($ 0.00 ) x 3230 (646 X 5 EA = _3230___ shirts) __________________ __________ = _______________

PANTS

COTTON/POLY BLEND 12 ($ 0.00 ) x 6460 (646 X 10 EA = _6460__pants) __________________ __________ = _______________

COVERALLS

COTTON/POLY BLEND 12 ($ 0.00 ) x 40 (4X 10 EA= ___40__ cov’s) _______________ __________ = _______________

100% COTTON

SHIRTS – Long Sleeve 100% COTTON 12 ($ 0.00 ) x 550 (110 X 5 EA = 550_shirts) ______________ __________ = _______________

SHIRTS -- Short Sleeve 100% COTTON 12 ($ 0.00 ) x 550 (110 X 5 EA = 550 shirts) _______________ __________ = _______________

PANTS

100% COTTON 12 ($ 0.00 ) x 1100

( 89 X 10 = 890 pants) ________________ _____________ = _______________

CLIN 0002 TOWELS MONTHS MONTHLY QUANTITY ANNUAL COST

400 EA X 12 MONTHS________________ ________ = _______________

BEP-RFP-17-0499 Amendment A0005 Page 9 of 9