FA8224-11-R-0005-0010.pdf

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 amendment is to include the revised Performance Work Statement (PWS), dated 14 April 2011. The attached revised

PWS reflects an addition to paragraph 2.1.1 w ith the last sentence. Performance period for the contract performance has been changed to reflect a 2 May 2011 start date. Please see the Summary of Changes for all CLINs.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 5

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

16C. DATE SIGNED

BY 14-Apr-2011

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) X FA8224-11-R-0005

X 9B. DATED (SEE ITEM 11)

18-Jan-2011

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X 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)

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 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.)

10A. MOD. OF CONTRACT/ORDER NO.

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

6. ISSUED BY

3. EFFECTIVE DATE

14-Apr-2011

CODE

OO-ALC/PKEA

TERRY CLARK 6038 ASPEN AVE B1289 UPSTAIR

HILL AFB UT 84056-5805

FA8224 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA8224-11-R-0005

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B - SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from The contractor shall provide systems engineering support services in accordance with the Performance Work Statement, dated 2 March 2011. Place of performance is

Schriever AFB, CO. to The contractor shall provide systems engineering support services in accordance with the

Performance Work Statement, dated 14 April 2011. Place of performance is Schriever AFB, CO..

CLIN 0003

The CLIN extended description has changed from **If required, this CLIN will be exercised in accordance with FAR 52.217-8 Option to Extend Services.** The contractor shall provide systems engineering support services in accordance with the Performance Work Statement, dated 2 March 2011. Place of performance is

Schriever AFB, CO. to **If required, this CLIN will be exercised in accordance with FAR 52.217-8 Option to

Extend Services.** The contractor shall provide systems engineering support services in accordance with the

CLIN 0101

The CLIN extended description has changed from The contractor shall provide systems engineering support services in accordance with the Performance Work Statement, dated 2 March 2011. Place of performance is

Schriever AFB, CO. to The contractor shall provide systems engineering support services in accordance with the

SECTION F - DELIVERIES OR PERFORMANCE

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

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 25-APR-2011 TO

24-APR-2012

N/A 309 SMXG

GEORGIA MCLENDON

7278 4TH ST BLDG 100 P RM 108

HILL AFB UT 84056-5203

801-586-6862

FOB: Destination

F2DCCF

To:

POP 02-MAY-2011 TO

01-MAY-2012

N/A 309 SMXG

GEORGIA MCLENDON

7278 4TH ST BLDG 100 P RM 108

HILL AFB UT 84056-5203

801-586-6862

The following Delivery Schedule item for CLIN 0002 has been changed from:

POP 25-APR-2011 TO

24-APR-2012

N/A 309 SMXG

GEORGIA MCLENDON

7278 4TH ST BLDG 100 P RM 108

HILL AFB UT 84056-5203

801-586-6862

POP 02-MAY-2011 TO

01-MAY-2012

N/A 309 SMXG

GEORGIA MCLENDON

7278 4TH ST BLDG 100 P RM 108

HILL AFB UT 84056-5203

801-586-6862

The following Delivery Schedule item for CLIN 0003 has been changed from:

POP 25-APR-2013 TO

24-OCT-2013

N/A 309 SMXG

GEORGIA MCLENDON

7278 4TH ST BLDG 100 P RM 108

HILL AFB UT 84056-5203

801-586-6862

POP 02-MAY-2013 TO

01-NOV-2013

N/A 309 SMXG

GEORGIA MCLENDON

7278 4TH ST BLDG 100 P RM 108

HILL AFB UT 84056-5203

801-586-6862

The following Delivery Schedule item for CLIN 0101 has been changed from:

POP 25-APR-2012 TO

24-APR-2013

N/A 309 SMXG

GEORGIA MCLENDON

7278 4TH ST BLDG 100 P RM 108

HILL AFB UT 84056-5203

801-586-6862

POP 02-MAY-2012 TO

01-MAY-2013

N/A 309 SMXG

GEORGIA MCLENDON

7278 4TH ST BLDG 100 P RM 108

HILL AFB UT 84056-5203

801-586-6862

The following Delivery Schedule item for CLIN 0102 has been changed from:

POP 25-APR-2012 TO

24-APR-2013

N/A 309 SMXG

GEORGIA MCLENDON

7278 4TH ST BLDG 100 P RM 108

HILL AFB UT 84056-5203

801-586-6862

POP 02-MAY-2012 TO

01-MAY-2013

N/A 309 SMXG

GEORGIA MCLENDON

7278 4TH ST BLDG 100 P RM 108

HILL AFB UT 84056-5203

801-586-6862

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The Table of Contents has changed from:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 Performance Work

Statement (Corrected

Version)

9 02-MAR-2011

Attachment 2 Contract Data

Requirements List

4 02-MAR-2011

Attachment 3 DD Form 254 Contract

Security Classification

Specification

6 03-DEC-2010

to:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 Performance Work

Statement

9 14-APR-2011

Attachment 2 Contract Data

Requirements List

4 02-MAR-2011

Attachment 3 DD Form 254 Contract

Security Classification

Specification

6 03-DEC-2010

(End of Summary of Changes)