Amendment_3.pdf

F2J4PC5146AW05

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

This amendment is being accomplished to remove tw o FTE Medical Laboratory Technicians from base and option periods. Overage and travel CLINs w ill also be terminated.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 5

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

16C. DATE SIGNED

BY 10-Sep-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 FA3010-15-R-0019

X 9B. DATED (SEE ITEM 11)

12-Aug-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 X 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

09-Sep-2015

CODE

81ST CONTRACTING SQUADRON

PAUL MONTGOMERY

310 M STREET, RM 102

KEESLER AFB MS 39534-2701

FA3010 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA3010-15-R-0019

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 25-Aug-2015 02:00 PM to 14-Sep-2015 12:00 PM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0007

The pricing detail quantity has decreased by 4,000.00 from 4,000.00 to 0.00.

CLIN 0008

The pricing detail quantity has decreased by 300.00 from 300.00 to 0.00.

CLIN 0009

The pricing detail quantity has decreased by 1.00 from 1.00 to 0.00.

CLIN 1007

CLIN 1008

CLIN 1009

CLIN 2007

CLIN 2008

CLIN 2009

CLIN 3007

CLIN 3008

CLIN 3009

CLIN 4007

CLIN 4008

CLIN 4009

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0007 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 01-OCT-2015 TO

30-SEP-2016

N/A PROFESSIONAL CONTRACTS-MEDICAL -

F2J4PC

PROFESSIONAL CONTRACTS

301 FISHER STREET, RM BA-159

KEESLER AFB MS 39534-5300

228-376-5002

FOB: Destination

F2J4PC

To:

N/A PROFESSIONAL CONTRACTS-MEDICAL -

F2J4PC

PROFESSIONAL CONTRACTS

301 FISHER STREET, RM BA-159

KEESLER AFB MS 39534-5300

228-376-5002

The following Delivery Schedule item for CLIN 0008 has been changed from:

N/A PROFESSIONAL CONTRACTS-MEDICAL -

F2J4PC

PROFESSIONAL CONTRACTS

301 FISHER STREET, RM BA-159

KEESLER AFB MS 39534-5300

228-376-5002

N/A PROFESSIONAL CONTRACTS-MEDICAL -

F2J4PC

PROFESSIONAL CONTRACTS

301 FISHER STREET, RM BA-159

KEESLER AFB MS 39534-5300

228-376-5002

The following Delivery Schedule item for CLIN 0009 has been changed from:

N/A PROFESSIONAL CONTRACTS-MEDICAL -

F2J4PC

PROFESSIONAL CONTRACTS

301 FISHER STREET, RM BA-159

KEESLER AFB MS 39534-5300

228-376-5002

N/A PROFESSIONAL CONTRACTS-MEDICAL -

F2J4PC

PROFESSIONAL CONTRACTS

301 FISHER STREET, RM BA-159

KEESLER AFB MS 39534-5300

228-376-5002

(End of Summary of Changes)

The following items are applicable to this modification:

ATTACHMENTS

Attachment 1 Revised PWS, dated 9 Sep 15 28 Pages