FA2521-15-B-0007-0002.pdf

DBEH 11-1535

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:

A. Rename Attachment 21 - Questions and Answ ers, as indicated in the Summary of Changes.

B. Incorporate Attachment 23 - Questions and Answ ers (Amend 0002), dated 01 JUL 2015.

C. All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 30-Jun-2015

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 FA2521-15-B-0007

X 9B. DATED (SEE ITEM 11)

05-Jun-2015

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, X 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

01-Jul-2015

CODE

45 CONS/LGCAC

14640 HANGAR ROAD

CCAFS 1704 ROOM 2102B MS2037

PATRICK AFB FL 32925-2206

FA2521 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA2521-15-B-0007

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

LIST OF ATTACHMENTS

No. Description No. of Pages Date

1. Project Drawings, DBEH 11-1535B 15 15 JAN 2015

2. Project Drawings, DBEH 11-1535E 9 18 AUG 2014

3. Project Drawings, DBEH 11-1535H (Includes Bid Alt. I) 21 06 MAR 2015

4. Project Drawings, DBEH 11-1535I 9 06 MAR 2015

5. Project Drawings, DBEH 11-1535J 12 29 DEC 2014

6. Project Drawings, DBEH 11-1535K 10 06 MAR 2015

7. Project Drawings, DBEH 11-1535C (Bid Alt. II) 13 10 MAR 2015

8. Project Specifications, DBEH 11-1535B 179 December 2014

9. Project Specifications, DBEH 11-1535E 160 March 2015

10. Project Specifications, DBEH 11-1535H (Includes Bid Alt. I) 179 March 2015

11. Project Specifications, DBEH 11-1535I 179 March 2015

12. Project Specifications, DBEH 11-1535J 179 March 2015

13. Project Specifications, DBEH 11-1535K 149 March 2015

14. Project Specifications, DBEH 11-1535C (Bid Alt. II) 239 March 2015

15. Davis-Bacon Wage Determination No. FL150001 8 08 MAY 2015

16. Forecast of Contractor’s Hazardous Waste Generation Form 2 N/A

17. Question and Answer Template 1 N/A

18. Green Purchasing Program Certification Determination 4 N/A

19. 45 SFS Badge-Visitor Request Form 2 N/A

20. Technical Specification, DBEH 11-1535 B, C, E, H, I, J, K, 19 June 2015

Section 33 11 00 – Water Distribution

21. Questions and Answers (Amend 0001) 4 16 JUN 2015

FA2521-15-B-0007

22. Pre-Bid Site Visit Record of Attendance 3 17 JUN 2015

23. Questions and Answers (Amend 0002) 10 01 JUL 2015

(End of Summary of Changes)