SF30 - Amendment.doc

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Supply and install a replacement manufacturers JIB boom a Government Furnished Bronto Bucket Truck
Solicitation number
DE-RQ65-11WJ92571
Issued by

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Amendment 001 which revises Line Item 0001 of Schedule B of the solicitation.

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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE
PAGE OF PAGES
N/A
1
1
2. AMENDMENT/MODIFICATION NO.
3. EFFECTIVE DATE
4. REQUISITION/PURCHASE REQ. NO
5. PROJECT NO. (If applicable)
001
15 Aug 11
N/A
N/A
6. ISSUED BY
CODE
J1500
7. ADMINISTERED BY (If other than Item 6)
CODE

U.S. DEPARTMENT OF ENERGY

Western Area Power Administration

P.O. Box 3700

5555 East Crossroads Blvd.

Loveland, CO 80539-3003

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

ALL PROSPECTIVE OFFERORS

FORMTEXT

X
DE-RQ65-11WJ92571

9B. DATED (SEE ITEM 11)

15 Aug 11

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

CODE
FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FORMCHECKBOX

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers FORMCHECKBOX is extended, FORMCHECKBOX 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 OFO 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 FORMCHECKBOX is not, FORMCHECKBOX 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. The purpose of this amendment is to revise Line Item 0001 of Schedule B of the solicitation as follows:

Supply and install a replacement telescoping/articulated type insulated manufacturer’s JIB boom on a

Government Furnished Bronto Bucket Truck. Mfg Year 2004, Model SI-105 HDT, Serial #4986-002 mounted on a 2005 Freightliner M2 Chassis, S/N 1FVHC5DE15HU28895. Assembly to include rewiring the engine compartment. Dielectric testing required for voltages up to 345kV. Contractor shall provide a complete breakdown of parts and labor with quotation.

2. The hour and date specified for receipt of offers remains unchanged.

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

BY

(Signature of person authorized to sign)

(Signature of Contracting Officer)

NSN 7540-01-152-8070

PRE VIOUS EDITION UNUSABLE

30-105

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

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