Amend_00002.pdf

(x)

DOL-ETA-15-R-00105

x x 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 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.

x

Washington DC 20210

ETA OCM NATIONAL

Room N-4643 200 Constitution Ave, NW Office of Contracts Management US Department of Labor

ETA OCM SF

San Francisco CA 94103 Suite 18-300 90 7th Street US Department of Labor

01/11/2016000002

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

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

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

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

01/11/2016

CHECK ONE 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 AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not, is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

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

Amendment

The purpose of this amendment is to include a listing of GSA vehicles in use at the job corps center

Attachment 1: GSA FMVRS Report

Period of Performance: 05/01/2016 to 05/31/2021

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

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

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

Sheryl Algee

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

Previous edition unusable

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 .

Current Tag Number

Vehicle Type (SUV, Truck, LSEV, Specialty, HD Equipment, etc)

Vehicle Identification Number (VIN) Trailer Specialty

Equipment

Vehicle used off campus

Drivers Ed Vehicle

Technical Training Vehicle

How was this vehicle acquired?

Is this vehicle awaiting disposal?

How is fuel purchased for this vehicle?

G10- 3107N Chevrolet Cruze 1G1PK5SB3E7392564 No No Yes No No GSAXcess No GSA Fuel

Card G32- 0161P Blue Bird Vision 1BABNBPA2FF310543 No No Yes No No GSAXcess No GSA Fuel

Card G32-0168 P Blue Bird Vision 1BAKBCPA4FF310509 No No Yes No No GSAXcess No GSA Fuel

Card G32- 02720 Blue Bird All American 1BABGCKA26F234149 No No Yes No No GSAXcess Yes GSA Fuel

Card G41 - 2295P Dodge Caravan 2C4RDGBG7ER35569 No No Yes No No GSAXcess No GSA Fuel

Card G41- 0327N Dodge Caravan 2C4RDGBG4DR702879 No No Yes No No GSAXcess No GSA Fuel

Card G41- 2282P Dodge Caravan 2C4RDGBG3ER355367 No No No No No GSAXcess No GSA Fuel

Card G41- 4700P Dodge Caravan 2C4RDGBG5ER355368 No No No No No GSAXcess No GSA Fuel

Card G41- 4702P Dodge Caravan 2C4RDGBG3ER355370 No No No No No GSAXcess No GSA Fuel

Card G42- 1041P Ford F150 Custom 1FTMF1CMEKE26655 No No No No No GSAXcess No GSA Fuel

Card G43- 1384R

Ford E350 Super Duty Pass 1FBZX2ZMXFKA95415 No No No No No GSAXcess No GSA Fuel

Card

G43- 1385R

Ford E350 Super Duty Pass 1FBZX2ZM8FKA95414 No No No No No GSAXcess No GSA Fuel

Card