Contract_W912DW23P0048-P00001 (Termination for Cause).pdf

W68MD930977423

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this no cost cancellation MOD (P00001) for MMD REC Playground Equip Installation is as Follows:

1). The contract is terminated for cause in accordance w ith FAR 52.213-4(g).

2). As a result of the termination for cause (no cost cancellation), the contract w ill be cancelled in its entirety. The contract value total is decreased to $0.00.

3). In consideration of this modif ication agreed to herein as complete and equitable adjustment for the changes described above, the Contractor hereby releases the Government from any and all liability under this contract for further adjustment attributable to such facts or circumstances rise to this modif ication.

SEE CONTINUATION PAGE

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 16-Oct-2023

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code)

9B. DATED (SEE ITEM 11)

X W912DW23P0048

10B. DATED (SEE ITEM 13)

X

9A. AMENDMENT OF SOLICITATION NO.

30-Jun-2023

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 Offer is extended, is not extended.

Offer 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) See Schedule

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

X

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:

FAR 52.213-4(g) Contract Terms and Conditions

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.)

10A. MOD. OF CONTRACT/ORDER NO.

P00001

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

13-Oct-2023

CODE

USA ENGINEER DISTRICT, SEATTLE

ATTN: CENWS-CT

4735 EAST MARGINAL WAY SOUTH, BLDG. 1202

SEATTLE WA 98134-2388

W912DW 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

SOS SOLUTIONS, LLC

LASHAWN BAKER

496 HIGHPOINT XING

POWDER SPRINGS GA 30127-5112

FACILITY CODE99L34CODE

robert.l.gonzalez@usace.army.milEMAIL:TEL:

ROBERT L GONZALEZ / CONTRACTING OFFICER

Modification Control Number: g3ctchh923467

W912DW23P0048

P00001

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The total cost of this contract was decreased by 4,250.00 from $4,250.00 to 0.00.

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

This CLIN has been cancelled.

The pricing detail quantity has decreased by 1.00 from 1.00 to 0.00.

The unit price amount has decreased by $4,250.00 from $4,250.00 to $0.00.

The total cost of this line item has decreased by $4,250.00 from $4,250.00 to $0.00.

ACCOUNTING AND APPROPRIATION

Summary for the Payment Office

As a result of this modification, the total funded amount for this document was decreased by $4,250.00 from $4,250.00 to $0.00.

CLIN 0001:

AA: 96X31230000 082433 254039H5BL011990 NA 96453 (CIN W68MD9309774230001) was decreased by $4,250.00 from $4,250.00 to $0.00

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0001 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

14-AUG-2023 1 MUD MOUNTAIN DAM PROJECT OFFICE

GEORGE HARCHACK

30525 SE MUD MTN ROAD

ENUMCLAW WA 98022-8010

206-316-3019 FOB: Destination

960509

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

W912DW23P0048

P00001

29-SEP-2023 0 MUD MOUNTAIN DAM PROJECT OFFICE

GEORGE HARCHACK

30525 SE MUD MTN ROAD

ENUMCLAW WA 98022-8010

206-316-3019 FOB: Destination

960509

(End of Summary of Changes)