DTFH7016Q00055_A1.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

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

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

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

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

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

D. OTHER (Specify type of modification and authority)

E. IMPORTANT:

Contractor is not, 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.)

In consideration of the modification agreed to herein as complete equitable adjustments for the changes detailed herein, the contractor hereby releases the government from any and all liability under this contract attributable to the facts or circumstances giving rise to, arising from, or relating to, this modification.

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 a nd effect.

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

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

BY

(Signature of Contracting Officer)

16C. DATE SIGNED

PREVIOUS EDITION UNUSABLE

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

FAR (48 CFR) 53.243

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

This form was electronically produced by Elite Federal Forms, Inc.

( ) 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).

0001 8/01/2016 N/A

Federal Highway Administration Western Federal Lands Highway Division 610 E 5th Street Vancouver, WA 98661

Federal Highway Administration Western Federal Lands Highway Division 610 E 5th Street Vancouver, WA 98661

DTFH7016Q00055

7/25/2016 one (1)

Amendment No. 0001 modifies the item description for item 0001.

The item description is amended as indicated by red and lined through text on the attached page.

All other stipulations remain unchanged.

N/A

DTFH7016Q00055 July 25, 2016

REQUEST FOR QUOTE

1. SCHEDULE OF ITEMS

Item # Qty Description

0001 3 EA

Trimble UX5HP UAS Kit to include: Trimble UX5HP Aerial Imaging Rover, Trimble Tablet with Trimble Access, APM 36 MP RGB Camera w/ 15 mm, 25mm, and 35 mm lenses, 2 batteries, 1 charger, communication cables, durable shipping case and standard manufacturer’s warranty

0002 1 EA Trimble Business Center Advanced software with Photogrammetry module, network license

0003 1 EA Trimble Business Center Advanced software with Photogrammetry module, dongle license

0004 1 EA Trimble Business Center Photogrammetry Module for existing Advanced network license, License ID 124429886627

0005 3 PG MFR P/N UX-S00129-01, Lithium Polymer Battery (14.8 V) for Trimble UX5HP (Unit of Issue contains 2 each)

0006 3 PG MFR P/N UX-S00172-01, LiPo Battery Charge Cable for Trimble UX5HP (Unit of Issue contains 3 each)

2. SHIPPING AND DELIVERY

The Contractor shall make use of commercial best practices in the packing and shipment of required items FOB Destination no later than thirty (30) days after receipt of order (ARO) to the following addresses:

a. Quantity of 1 for items 0001, 0002, 0003, 0005 and 0006

Ship To:

Federal Highway Administration Western Federal Lands Highway Division ATTN: Larry Goble 610 E 5th Street Vancouver, WA 98661

(360) 619-7707

b. Quantity of 1 for items 0001, 0004, 0005 and 0006 Ship To:

Federal Highway Administration Central Federal Lands Highway Division Attn: Robert Bell 12300 W Dakota Ave Ste #320 Lakewood, CO 80228

(720) 963-3709