Enclosure1_to_5_Draft.xlsx

XLSX spreadsheet 858 KB Posted

Attached to
Provide High Voltage Electricity At US Naval Support Facility, Romanian Military Base, Deveselu, Romania
Solicitation number
N3319123R9002
Issued by

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

ENCLOSURE (1)

ENCLOSURE (1)
SAMPLE SF30

ENCLOSURE (2)

ENCLOSURE (2)
ENERGY CONSUMPTION DATA FORMAT - HOURLY PEAK DEMAND SAMPLE
Measured Interval Data (WINTER sample) - Curba de sarcina masurata
Period : 01 October 2020 - 31 October 2020 - Perioada 01.10.2020 - 31.10.2020
masura MT
Ora\Data1-Oct2-Oct3-Oct4-Oct5-Oct6-Oct7-Oct8-Oct9-Oct10-Oct11-Oct12-Oct13-Oct14-Oct15-Oct16-Oct17-Oct18-Oct19-Oct20-Oct21-Oct22-Oct23-Oct24-Oct25-Oct26-Oct27-Oct28-Oct29-Oct30-Oct31-OctTotal
01.6161.5681.6321.5841.6321.6081.6001.5520.4561.4641.6241.4561.5441.4961.4321.5841.5361.5521.5201.5441.6241.5761.5440.5441.4801.5041.5121.5521.5921.5281.56846.024
11.6401.5521.5121.6081.6321.5921.6161.6560.4161.5841.6801.4321.6321.4721.4961.6321.5361.5601.5361.5761.7121.6561.6640.5361.4561.5281.5441.6801.5281.6161.54446.824
21.6241.5601.5281.6401.6161.5841.6161.6160.3921.5921.6081.4801.6801.4881.5201.5921.4801.5921.7201.7201.6561.5521.6560.5362.8961.5601.5601.6481.4881.6321.68048.512
31.5841.5521.4881.6081.5921.6641.6401.4560.7521.5441.4881.4561.5841.4641.5361.6081.5441.5921.6721.6481.5441.5841.5440.5281.4881.5601.6001.6081.6001.6401.69646.864
41.5841.5761.5921.6241.6241.6481.6481.4801.5121.5441.4801.4401.5441.5361.5681.6641.5521.5761.7121.5761.5601.5281.5920.5601.4881.5761.6481.5921.5281.6721.67247.896
51.5921.5681.5761.5361.5601.6001.5201.4961.5281.4961.4641.4081.5521.5041.4801.5441.5281.5121.5761.5761.5761.5361.5680.5361.5201.5601.5361.5601.6001.5681.57646.752
61.6081.5841.5201.5441.6001.5921.5361.5121.5041.4721.5041.4481.5681.5361.4481.5361.5921.5361.5521.5441.5761.5921.6161.5521.5121.5601.5441.6081.5921.5761.54448.008
71.4881.5841.4241.4561.5281.6321.4881.4961.5121.4481.4081.4321.5841.5761.5041.5281.5361.4961.5921.5681.5921.6001.6401.5601.4161.5201.5121.6081.5361.5281.48847.280
81.5041.5121.4881.4161.5761.5281.4241.4081.4481.4001.3681.4001.5361.4561.4721.4641.4241.4081.5041.5201.5281.5041.5041.4321.5921.5281.4961.5281.4961.5041.44045.808
91.4801.5441.4161.4401.5921.5841.4641.4561.4801.3921.3921.3921.5040.4641.4161.5121.4241.4481.5361.4641.5041.6401.5361.4401.5601.5281.5281.5681.5681.5441.48045.296
101.5681.5361.5041.5041.6001.5121.4561.4881.4881.4081.4401.4881.4880.4561.3841.4961.4481.4561.4961.4561.5361.5521.5281.4961.5201.5441.5441.5361.5201.5681.45645.472
111.5121.6081.5041.4961.6001.5281.5201.4561.4561.4081.4241.4881.5280.4321.4241.4641.4641.4321.4481.4561.4561.4881.5521.4721.5361.5681.5361.5201.5441.5521.48845.360
121.6081.5121.5041.5041.6561.5201.5281.4801.4961.4801.4001.4801.4960.4241.4641.5281.4561.4321.4721.4321.4561.5041.5041.4881.5121.4961.4641.5281.4881.5121.46445.288
131.5681.5121.4881.5281.6561.5121.5361.4561.5041.4001.4241.4961.4400.3921.4561.5121.4161.4081.4561.4401.4641.5121.5281.5281.4801.4881.4561.4961.5201.4801.47245.024
141.5201.4721.5041.5521.6401.5041.5041.4641.5601.4321.4081.4721.4400.3921.4561.5121.4241.4481.4481.4321.4481.4881.5441.4881.5281.4641.4241.5521.5201.5121.48045.032
151.5681.6001.6001.5521.7121.5121.6081.4481.5601.4561.4321.5121.4480.4801.4961.5201.4481.4641.4721.4641.4561.5601.5521.5841.5121.5281.5441.5281.5201.4881.51246.136
161.5041.5441.5841.5681.7121.5361.5681.4641.4641.4481.4241.5041.3921.4561.5041.5281.4641.4641.4801.4801.4881.5201.5441.5921.5281.5041.5521.5681.5281.4641.55246.928
171.5121.5761.5601.5921.7121.4961.5921.4481.4481.4241.4481.5201.4401.4641.4961.5041.4081.4961.5121.4641.4641.5121.4961.5041.5761.5121.5601.5761.5361.5521.57646.976
181.4961.5761.5761.6401.7601.5761.5441.4481.5601.4801.4481.5361.4241.4881.4961.6321.4561.4881.4881.5441.4961.5361.5681.5041.6081.5921.6001.6401.5921.5601.60047.952
191.5841.5841.5841.6241.7201.6241.6561.4721.6241.4961.5041.5441.5121.6001.5121.6161.5281.5441.5361.5521.5121.6241.0481.5521.5761.5441.6001.6001.5841.5601.64848.264
201.5841.5841.5921.6641.6881.6321.5841.5121.6161.4961.5601.5361.5201.5761.5281.5441.6401.5681.4961.5761.5521.5760.5361.4961.5361.5761.5921.6161.5841.5601.60047.720
211.6001.6081.6001.6321.7041.6321.6801.5361.6321.5281.6321.5841.4961.5761.5841.6081.7361.5921.5601.5921.5681.6160.5521.4881.5441.5601.6161.6241.6001.5361.58448.400
221.5681.5681.5841.5921.6481.6241.6080.6641.4961.5681.5761.5761.4961.5841.5441.5761.6321.7121.5441.5441.5441.5840.5521.4721.5201.4961.5841.5521.5761.5281.58446.696
231.5681.5841.6401.6081.6481.5601.5680.4241.4641.6081.4961.5201.5121.5121.5681.5601.5361.5841.5281.5201.5361.5760.5761.4641.5201.5201.5841.5441.5441.5601.60046.032
Total37.48037.46437.00037.51239.40837.80037.50433.88832.36835.56835.63235.60036.36028.82435.78437.26436.20836.36036.85636.68836.84837.41632.94430.35237.90436.81637.13637.83237.18437.24037.3041120.544MWh
Measured Interval Data (SUMMER sample) - Curba de sarcina masurata
Period : 01 August 2020 - 31 August 2020 - Perioada 01.08.2020 - 31.08.2020
masura MT
Ora\Data1-Aug2-Aug3-Aug4-Aug5-Aug6-Aug7-Aug8-Aug9-Aug10-Aug11-Aug12-Aug13-Aug14-Aug15-Aug16-Aug17-Aug18-Aug19-Aug20-Aug21-Aug22-Aug23-Aug24-Aug25-Aug26-Aug27-Aug28-Aug29-Aug30-Aug31-AugTotal
01.8561.7921.7281.7201.6241.6241.6321.5521.6321.6401.5441.6241.5921.8001.8081.6321.5761.5841.5921.6401.8561.6641.7281.7281.8641.6241.6241.6241.7121.6081.63251.856
11.8641.7681.7041.6961.5841.6481.5601.5041.6401.6001.5281.6001.5601.7681.6881.6241.6001.5281.5681.6001.7281.6161.6961.7361.7601.7681.5761.6161.6801.6001.56850.976
21.8561.8001.7681.6481.6561.6001.5681.4881.8001.6481.6001.5921.6321.7921.6561.6961.6481.6081.6801.6241.7761.5361.8321.8641.8161.7441.6641.5761.6721.5521.56051.952
31.7681.7921.7281.6161.6561.5521.5361.5041.7681.7281.5121.7441.7121.6481.5201.6641.6561.5601.6801.6881.8321.5361.7681.8401.7921.7841.6481.6481.6481.5281.55251.608
41.8321.8161.7041.5361.7121.5201.5761.4721.8001.7521.5681.7281.6801.7761.5521.6641.6081.5681.6961.7121.7761.5601.7121.8401.7681.6961.6801.6721.6801.6241.53651.816
51.7041.6321.5201.5361.5521.5121.5281.4641.6321.6001.5761.6081.4961.5601.6481.6961.5921.5281.5921.5841.6161.5841.6721.6961.6801.5681.5281.5041.4961.5521.54449.000
61.5921.5441.4721.4641.4881.4641.4321.4961.5201.5681.5281.5121.3841.5201.5681.6081.5361.4481.5681.5841.5441.5921.6321.6161.6161.5281.5201.4401.4961.5441.52047.344
71.6081.5201.4721.4481.4881.5201.4881.4961.5121.5361.5361.5521.4001.5041.5361.5521.5441.4241.5281.5841.5121.5601.6001.6241.5521.5121.4721.4241.4001.5841.49646.984
81.5761.5121.5361.4721.5121.5361.5201.5121.5441.5921.5521.6001.5201.5521.4721.5361.5281.4081.5121.3521.5201.4561.6641.6241.5921.4721.4961.3921.4321.5521.59247.136
91.6641.5681.6561.6001.6081.6081.6481.5921.5841.6241.6481.6241.5521.6161.4881.4641.6081.4801.5761.3361.2081.5041.6561.7281.5921.5761.5681.4561.5041.6241.63248.592
101.6241.6081.6961.6401.6241.6161.6481.6321.5761.6801.6881.7041.6081.7121.4881.4961.5921.4641.5601.3761.6241.5521.6801.7121.7121.5841.6321.5041.5601.6321.69649.920
111.6481.6241.6961.6401.5841.6081.7041.6801.6561.6561.7521.7441.5041.6641.4881.4321.5841.4401.6081.4241.3761.6001.7601.6721.7041.6401.6161.5681.5921.6641.74450.072
121.7441.6721.7041.6881.5921.6161.7601.6961.7281.6961.8401.7201.6161.7281.4961.6641.6081.5041.6081.5841.7841.7601.7281.7841.5761.6321.6241.6401.6401.7441.76051.936
131.7521.6721.7281.6641.6001.6641.6961.7121.6721.6641.8241.7841.6721.7201.5361.5201.5921.5681.6721.6881.6721.7121.7921.7761.4641.6401.6561.6001.6961.7201.80851.936
141.7601.7041.7361.7201.6481.6961.8081.7921.7121.7441.8401.8081.7361.7681.5921.5921.6481.5361.6801.7761.7121.7361.7841.8401.4961.6561.6881.7121.7601.8401.85653.376
151.7761.7361.7361.7441.6561.7441.8401.8001.7041.8001.8161.8641.7361.7761.6081.6081.6481.5521.6801.6161.7681.8161.8401.8881.4961.6321.7521.7041.8001.8721.86453.872
161.8001.7361.8401.7841.6881.8001.8801.8001.7521.8321.8721.8401.7601.7441.6321.6081.6801.6161.6241.7761.7041.7761.8721.8481.5761.6801.7521.7121.8641.8401.86454.552
171.8161.7601.7761.7201.6561.7361.7761.7281.7761.8081.7441.7281.7361.9441.6241.5841.6561.6001.6641.5761.7361.8161.8401.8721.5601.6401.7681.7041.8241.8801.83253.880
181.8801.7681.8241.7441.6641.7361.7601.7681.7601.7921.6561.6481.7281.8321.6321.6001.6961.5841.6481.6241.7361.7761.8481.8481.6001.6721.7601.6961.8961.8321.81653.824
191.8481.6961.7841.7201.6721.7201.7361.7041.6881.7681.6801.5121.7361.8081.5921.5761.6481.6241.6161.8081.6961.7521.8001.8481.5521.6321.6561.6641.8001.8481.81653.000
201.8321.6641.7201.6481.6321.6801.6961.8081.7361.6881.6401.5841.7281.7441.6641.6001.6721.6961.6321.7921.8561.7841.8641.8321.5761.7921.6801.6321.8001.8081.80053.280
211.8561.6881.7201.6801.6881.7201.7921.9041.7361.7681.6881.6881.7361.8161.6881.6161.6641.6561.6801.7521.8721.7761.8241.8801.6321.7041.6161.6561.7361.7601.76053.752
221.8161.7201.6801.6721.6961.7601.6801.8161.8481.6401.6561.6561.8561.7761.6641.6081.6721.6081.6961.7681.7841.8561.9681.8321.5441.7201.6561.5841.6561.7041.75253.344
231.7681.6321.6161.6641.7041.6801.5761.7921.7521.5601.6481.7121.8241.7121.6401.6241.6001.6321.6641.8081.6721.8241.9361.7121.5281.6721.5681.5921.6721.6321.72852.144
Total42.24040.42440.54439.46438.98439.36039.84039.71240.52840.38439.93640.17639.50441.28038.28038.26438.85637.21639.02439.07240.36040.14442.49642.64039.04839.56839.20038.32040.01640.54440.7281236.152MWh

ROMANIA - TIME OF USE 6bands

Definitions:
WINTERPeriodDaysHours
Off Peak Winter1-Oct31-MarMon to Fri + weekends22000800
On Peak Winter1-Oct31-MarMon to Fri08001000+17002200
Normal Winter1-Oct31-MarMon to Fri10001700
SUMMER
Off Peak Summer1-Apr30-SepMon to Fri + weekends21000800
On Peak Summer1-Apr30-SepMon to Fri08000900
Normal Summer1-Apr30-SepMon to Fri09002100
Graph:
Winter (Oct 1 - Mar 31)123456789101112131415161718192021222324
MON - FRI
SAT, SUN & HOL
Summer (Apr 1 - Sept 30)123456789101112131415161718192021222324
MON - FRI
SAT, SUN & HOL

As published by ANRE on….

ENCLOSURE (3)

ENCLOSURE (3)
FIRM FIXED PRICE FORM (EXHIBIT D SHALL BE INSERTED AT TIME OF AWARD AS ENCLOSURE 3 )
EXHIBIT D - Price Proposal Table
PeriodPIsol
Published OpCom Index by Formula [lei/MWh]Transaction Fee
[lei/MWh]Reference Consumption [MWh]Total Annual Values

(PI+TF)*Consumption (lei)

1st year0.00fill in14,660.00ERROR:#VALUE!
2nd year0.00fill in14,660.00ERROR:#VALUE!
3rd year0.00fill in14,660.00ERROR:#VALUE!
TOTAL OFFER VALUE [LEI]ERROR:#VALUE!
NOTEs:
PIsol is given only for the purpose of price evaluation as a coefficient of the solicitation and is equal for all three years.

TF = Transaction Fees for each of the three one-year periods. The Transaction fee shall remain constant during each of the three years of contract performance. Transaction fees can be different by year.

In order to avoid errors in filling a cell this sheet has been protected - Please fill out the highlighted yellow cells 'fill out' only, in LEI/MWh (€/MWh XX.XX) currency, two decimals only.

The Government’s evaluation of price will be based on "Total Offer Value" that is the sum of the three Total Annual Values

The Government evaluation of price will be based on consumption referred to CY2021 [MWh] indicated in above table

For Price evaluation Sample Only: (see tab "Price Proposal Example")

Statement: The Offeror agrees to hold the offer price for 7 days from the date of submission.

Signature and stamp:

ENCLOSURE (4)

ENCLOSURE (4)
REGULATED CHARGES INFORMATION FORM (EXHIBIT C SHALL BE INSERTED AT TIME OF AWARD AS ENCLOSURE 4)

ENCLOSURE (5)

ENCLOSURE (5)
DEFINITIONS AND ACRONYMS

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 or (c) By separate letter or electronic communication 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 letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

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

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

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

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

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.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, 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)

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.

15C. DATE SIGNED

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

16C. DATE SIGNED

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

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

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

Previous edition unusable

INSTRUCTIONS (Back Page):

Instructions for items other than those that are self-explanatory, are as follows:

Item 1 (Contract ID Code). Insert the contract type identification code that appears in the title block of the contract being modified.

Item 3 (Effective date).

(1)

(2)

(3)

(4)

(5)

For a solicitation amendment, change order, or administrative change, the effective date shall be the issue date of the amendment, change order, or administrative change.

For a supplemental agreement, the effective date shall be the date agreed to by the contracting parties.

For a modification issued as an initial or confirming notice of termination for the convenience of the Government, the effective date and the modification number of the confirming notice shall be the same as the effective date and modification number of the initial notice.

For a modification converting a termination for default to a termination for the convenience of the Government, the effective date shall be the same as the effective date of the termination for default.

For a modification confirming the contracting officer's determination of the amount due in settlement of a contract termination, the effective date shall be the same as the effective date of the initial decision.

(a)

(b)

(c)

(d)

(e)

(f)

Item 6 (Issued By). Insert the name and address of the issuing office. If applicable, insert the appropriate issuing office code in the code block.

Item 8 (Name and Address of Contractor). For modifications to a contract or order, enter the contractor's name, address, and code as shown in the original contract or order, unless changed by this or a previous modification.

Items 9, (Amendment of Solicitation Number - Dated), and 10, (Modification of Contract/Order Number - Dated). Check the appropriate box and in the corresponding blanks insert the number and date of the original solicitation, contract, or order.

Item 12 (Accounting and Appropriation Data).

When appropriate, indicate the impact of the modification on each affected accounting classification by inserting one of the following entries:

(2) Accounting classification Net decrease $

Include subject matter or short title of solicitation/contract where feasible.

Item 16B. The contracting officer's signature is not required on solicitation amendments. The contracting officer's signature is normally affixed last on supplemental agreements.

(i)

NOTE: If there are changes to multiple accounting classifications that cannot be placed in block 12, insert an asterisk and the words "See continuation sheet".

Item 13. Check the appropriate box to indicate the type of modification. Insert in the corresponding blank the authority under which the modification is issued. Check whether or not contractor must sign this document. (See FAR 43.103.)

Item 14 (Description of Amendment/Modification).

Organize amendments or modifications under the appropriate Uniform Contract Format (UCF) section headings from the applicable solicitation or contract. The UCF table of contents, however, shall not be set forth in this document.

Indicate the impact of the modification on the overall total contract price by inserting one of the following entries:

(i) Total contract price increased by $

(ii) Total contract price decreased by $

(iii) Total contract price unchanged.

State reason for modification.

When removing, reinstating, or adding funds, identify the contract items and accounting classifications.

(g)

(h)

When the SF 30 is used to reflect a determination by the contracting officer of the amount due in settlement of a contract terminated for the convenience of the Government, the entry in Item 14 of the modification may be limited to --

(i) A reference to the letter determination; and

(ii) A statement of the net amount determined to be due in settlement of the contract.

(6)

STANDARD FORM 30 (REV. 11/2016) BACK

(1) Accounting classification Net increase $

1.2

C:\PERFORM\FORMS\S30.FRP

Forms Management

C:PERFORMFORMSS30.FRP

Acrobat PDFWriter 2.01 for Windows

D:19971010095222

D:19990614133004

C:PERFORMFORMSS30.FRP

Standard Form 30 - Amendment of Solicitation/Modification of Contract

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 or (c) By separate letter or electronic communication 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 letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

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

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQUISITION NUMBER

5. PROJECT NUMBER (If applicable)

7. ADMINISTERED BY (If other than Item 6)

CODE

STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

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.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, 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)

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.

15C. DATE SIGNED

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

16C. DATE SIGNED

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

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

PAGE OF PAGES

6. ISSUED BY

CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code)

(X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

Previous edition unusable

INSTRUCTIONS (Back Page):

Instructions for items other than those that are self-explanatory, are as follows:

Item 1 (Contract ID Code). Insert the contract type identification code that appears in the title block of the contract being modified.

Item 3 (Effective date).

(1)

(2)

(3)

(4)

(5)

For a solicitation amendment, change order, or administrative change, the effective date shall be the issue date of the amendment, change order, or administrative change.

For a supplemental agreement, the effective date shall be the date agreed to by the contracting parties.

For a modification issued as an initial or confirming notice of termination for the convenience of the Government, the effective date and the modification number of the confirming notice shall be the same as the effective date and modification number of the initial notice.

For a modification converting a termination for default to a termination for the convenience of the Government, the effective date shall be the same as the effective date of the termination for default.

For a modification confirming the contracting officer's determination of the amount due in settlement of a contract termination, the effective date shall be the same as the effective date of the initial decision.

(a)

(b)

(c)

(d)

(e)

(f)

Item 6 (Issued By). Insert the name and address of the issuing office. If applicable, insert the appropriate issuing office code in the code block.

Item 8 (Name and Address of Contractor). For modifications to a contract or order, enter the contractor's name, address, and code as shown in the original contract or order, unless changed by this or a previous modification.

Items 9, (Amendment of Solicitation Number - Dated), and 10, (Modification of Contract/Order Number - Dated). Check the appropriate box and in the corresponding blanks insert the number and date of the original solicitation, contract, or order.

Item 12 (Accounting and Appropriation Data). When appropriate, indicate the impact of themodification on each affected accounting classification by inserting one of the following entries:

(2)

Accounting classification

Net decrease $

Include subject matter or short title of solicitation/contract where feasible.

Item 16B. The contracting officer's signature is not required on solicitation amendments. The contracting officer's signature is normally affixed last on supplemental agreements.

(i)

NOTE: If there are changes to multiple accounting classifications that cannot be placed in block 12, insert an asterisk and the words "See continuation sheet".

Item 13. Check the appropriate box to indicate the type of modification. Insert in the corresponding blank the authority under which the modification is issued. Check whether or not contractor must sign this document. (See FAR 43.103.)

Item 14 (Description of Amendment/Modification).

Organize amendments or modifications under the appropriate Uniform Contract Format (UCF) section headings from the applicable solicitation or contract. The UCF table of contents, however, shall not be set forth in this document.

Indicate the impact of the modification on the overall total contract price by inserting one ofthe following entries:

(i) Total contract price increased by $

When removing, reinstating, or adding funds, identify the contract items and accounting classifications.

(g)

When the SF 30 is used to reflect a determination by the contracting officer of the amount due in settlement of a contract terminated for the convenience of the Government, the entry in Item 14 of the modification may be limited to --

(ii) A statement of the net amount determinedto be due in settlement of the contract.

(2)

(3)

(4)

(5)

(6)

STANDARD FORM 30 (REV. 11/2016) BACK

(1)

Accounting classification

Net increase $

9A. AMENDMENT OF SOLICITATION NUMBER:

7. CODE:

12. ACCOUNTING AND APPROPRIATION DATA (If required):

13A. THIS CHANGE ORDER IS ISSUED PURSUANT TO. Specify authority. THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NUMBER IN ITEM 10A.:

13C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

13D. OTHER. Specify type of modification and authority.:

15A. NAME AND TITLE OF SIGNER. Type or print.:

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

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

FACILITY CODE:

6. ISSUED BY:

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code):

7. ADMINISTERED BY (If other than Item 6):

1. CONTRACT ID CODE:

4. REQUISITION/PURCHASE REQUISITION NUMBER:

10A. MODIFICATION OF CONTRACT/ORDER NUMBER:

5. PROJECT NUMBER. If applicable.:

PAGE:

PAGES:

3. EFFECTIVE DATE. Enter 2 digit month, 2 digit day and 4 digit year.:

9B. DATED. SEE ITEM 11. Enter 2 digit month, 2 digit day and 4 digit year.:

10B. DATED. SEE ITEM 13. Enter 2 digit month, 2 digit day and 4 digit year.:

9A. AMENDMENT OF SOLICITATION NUMBER: 0

10A. MODIFICATION OF CONTRACT/ORDER NUMBER: 0

11. The above numbered solicitation is amended as set forth in Item 14. : 0

13A. THIS CHANGE ORDER IS ISSUED PURSUANT TO. Specify authority. THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NUMBER IN ITEM 10A.: 0

13B. THE ABOVE NUMBERED CONTRACT OR 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 43.103b.: 0

13C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: 0

13D. OTHER Specify type of modification and authority.: 0

13E. IMPORTANT: Contractor is not required to sign this document and return copies to the issuing office.: 0

13E. IMPORTANT: Contractor is required to sign this document and return copies to the issuing office.: 0

11. The hour and date specified for receipt of Offers is extended : 0

11. The hour and date specified for receipt of Offers is not extended : 0

15B. CONTRACTOR OR OFFEROR. Signature of person authorized to sign. Digital Signature.:

16C. DATE SIGNED. Enter 2 digit month, 2 digit day and 4 digit year.:

number of copies:

number of copies:

Enter the total (in dollars) the contract price increased. :

image1.emf

INSTRUCTIONS (Back Page):

Instructions for items other than those that are self-explanatory, are as follows:

Item 1 (Contract ID Code). Insert the contract type identification code that appears in the title block of the contract being modified.

Item 3 (Effective date).

For a solicitation amendment, change order, or administrative change, the effective date shall be the issue date of the amendment, change order, or administrative change.

For a supplemental agreement, the effective date shall be the date agreed to by the contracting parties.

For a modification issued as an initial or confirming notice of termination for the convenience of the Government, the effective date and the modification number of the confirming notice shall be the same as the effective date and modification number of the initial notice.

For a modification converting a termination for default to a termination for the convenience of the Government, the effective date shall be the same as the effective date of the termination for default.

For a modification confirming the contracting officer's determination of the amount due in settlement of a contract termination, the effective date shall be the same as the effective date of the initial decision.

(a)

(b)

(c)

(d)

(e)

(f)

Item 6 (Issued By). Insert the name and address of the issuing office. If applicable, insert the appropriate issuing office code in the code block.

Item 8 (Name and Address of Contractor). For modifications to a contract or order, enter the contractor's name, address, and code as shown in the original contract or order, unless changed by this or a previous modification.

Items 9, (Amendment of Solicitation Number - Dated), and 10, (Modification of Contract/Order Number - Dated). Check the appropriate box and in the corresponding blanks insert the number and date of the original solicitation, contract, or order.

Item 12 (Accounting and Appropriation Data).

When appropriate, indicate the impact of the modification on each affected accounting classification by inserting one of the following entries:

(2) Accounting classification Net decrease $

Include subject matter or short title of solicitation/contract where feasible.

Item 16B. The contracting officer's signature is not required on solicitation amendments. The contracting officer's signature is normally affixed last on supplemental agreements.

(i)

NOTE: If there are changes to multiple accounting classifications that cannot be placed in block 12, insert an asterisk and the words "See continuation sheet".

Item 13. Check the appropriate box to indicate the type of modification. Insert in the corresponding blank the authority under which the modification is issued. Check whether or not contractor must sign this document. (See FAR 43.103.)

Item 14 (Description of Amendment/Modification).

Organize amendments or modifications under the appropriate Uniform Contract Format (UCF) section headings from the applicable solicitation or contract. The UCF table of contents, however, shall not be set forth in this document.

Indicate the impact of the modification on the overall total contract price by inserting one of the following entries:

(i) Total contract price increased by $

When removing, reinstating, or adding funds, identify the contract items and accounting classifications.

(g)

When the SF 30 is used to reflect a determination by the contracting officer of the amount due in settlement of a contract terminated for the convenience of the Government, the entry in Item 14 of the modification may be limited to --

(ii) A statement of the net amount determined to be due in settlement of the contract.

(6)

STANDARD FORM 30 (REV. 11/2016) BACK

(1) Accounting classification Net increase $ image2.emf image3.tmp image4.tmp

File details come from the government source that posted it. Updated .