FA2523-17-R-0002-0001.pdf

l.CONTRACTID CODE PAGE OF PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT J 1 3

2. AMENDMENT/MODiFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECTNO.(Ifapplicabie)

0001 27-Feb-201 7

6. ISSUED BY CODE FA2523 7. ADMINISTERED BY (Ifother than itern6) CODE

DEtACHMENT 1.21 CONTRACTING SQUADRON DAGHAMMARSKJOLDSALLE24 See Item 6

2100 COPENHAGEN 0

DENMARK

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) x 9A.AMENDMENT OF SOLICITATION NO.

x 9B. DATED (SEE ITEM 11) 09-Feb-201 7 bA. MOD. OF CONTRACT/ORDER NO.

lOB. DATED (SEE ITEM 13)

CODE IFACILITY CODE —

1 1. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

~11seabovenutnbered solicitation is atncnded as set Ertis in Isetnl4, Thehourand datespecified lbrreceipt ofOlfer is extended, is notextended.

OlRr muss acknowledge receipt ofthis atsundsncnt priorto site hour atsd date specified in tise solicitation or as amunded by one ofthe Ibliowing isvtlsods:

(a) By conpieting Itenx 8 and 15. and returning 1 copies oftise ann~ndnvnt: (b) By acknowledging receipt ofthis anvndnxtnt on cads copy ofthe otEr submitted:

or (c) By separate letter or telegraniwisich includes a rel~rence to site solicitation and anvndnent nuithers. FAILURE OF YOUR ACKNOWLEDGMENT’lO BE RECEIVED ATTHE PLACE DESIGNATED FOR THE RECEIPTOFOFFERS PRIOR 10 ThE HOUR AND DATE SPECIFIED MAY RESULTIN

REJECTION OF YOUR OFFER. Ifby virtue ofthis anundnvnt you desire so change an oiler already subsijited, suds change smy be made by telegrainor letter, provided each telegrarnor letter tmkes relerence to site solicitation and this atsvndnaint, and is received priorso site opetting 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 bA.

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 ~l1ere feasible.)

The reason for this arrtEndment is to add the following four clauses and one provision to the solicitation only:

52.203-12 52.203-17 52.209-7 52.217-5 52.232-39 The estirreted quantities in Attachnent 4 was incorrect. Updated Spreadsheet has been uploaded to the solicitation and replaced the old attachrrtEnt 4.

All other terrrs and conditions in the solicitation rerrein unchanged.

1 5A. NAME AND TITLE OF SIGNER (Type or print) l6A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

TEL EMAIL

15B. CONTRACTORJOFFEROR 15C, DATE SIGNED 16B. UNITELY~TAT F AMERICA 16C. DATE SIGNED

BY ~,~2 ~ 27-Feb-20 17 (Signature of person authorized to sign) (Signature of Contracting Officer)..~.J

Except as provided herein, all semis and conditions oftlse docutncns referenced in IsesnilA or 1 OA, as heretolere changed, remains unclsanged and in fill lbrce and efibct.

EXCEPTION TO SF30 30-105-04

APPROVED BY OIRM 11-84

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

FAR (48 CFR) 53.243

FA2523-17-R-0002

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SECTION SF30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been added by reference:

52.203-12 52.203-17 52.217-5

52.23 2-39

The following have been added by full text:

52.209-7 INFORMATION REGARDING RESPONSIBILITY MAYfERS (JULY 2013)

(a) Definitions. As used in this provision--

Administrative proceeding means a non-judicial process that is adjudicatory in nature in order to make a determination of fault or liability (e.g., Securities and Exchange Commission Administrative Proceedings, Civilian Board of Contract Appeals Proceedings, and Armed Services Board of Contract Appeals Proceedings). This includes administrative proceedings at the Federal and State level but only in connection with performance of a Federal contract or grant. It does not include agency actions such as contract audits, site visits, corrective plans, or inspection of deliverables.

Federal contracts and grants with total value greater than $10,000,000 means--

(1) The total value of all current, active contracts and grants, including all priced options; and

(2) The total value of all current, active orders including all priced options under indefinite-delivery, indefinite-quantity, 8(a), or requirements contracts (including task and delivery and multiple-award Schedules).

Principal means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

(b) The offeror ()has ()does not have current active Federal contracts and grants with total value greater than $10,000,000.

(c) If the offeror checked “has” in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information:

(1) Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the Federal or State level that resulted in any of the following dispositions:

(i) In a criminal proceeding, a conviction.

FA2523-17-R-0002

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(ii) In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more.

(iii) In an administrative proceeding, a finding of fault and liability that results in--

(A) The payment of a monetary fine or penalty of $5,000 or more; or

(B) The payment of a reimbursement, restitution, or damages in excess of$ 100,000.

(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1)(i), (c)(l)(ii), or (c)(l)(iii) of this provision.

(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(l) of this provision, whether the offeror has provided the requested information with regard to each occurrence.

(d) The offeror shall post the information in paragraphs (c)(l)(i) through (c)(1)(iv) of this provision in FAPIIS as required through maintaining an active registration in the System for Award Management database via https: www.acguisition.gov (see 52.204-7).

(End of provision)

(End of Summary of Changes)