FA3016-17-R-0025_New_SOW_attch_D.pdf

TYMX 15-0072

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 replace attachment 1 SOW w ith now dated SOW of 22 Jun 17 w hich adds the replacement of T-28 Pnew matic Pipe Infrastructure. It also replaces appendix D to the SOW, Existing Draw ings. NO CHANGE TO THE PRE-BID SITE VISIT OR

PROPOSAL DUE HAS BEEN MADE.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

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

16C. DATE SIGNED

BY 23-Jun-2017

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 FA3016-17-R-0025

X 9B. DATED (SEE ITEM 11)

02-May-2017

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 1 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

23-Jun-2017

CODE

502D CONTRACTING SQUADRON

395 B STREET WEST, SUITE 2, BLDG 224

JBSA RANDOLPH TX 78150-4525

FA3016 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

1151063833C Typewritten Text Jon L. Sanders, Contracting Officer

1151063833C Typewritten Text jon.sanders.2@us.af.mil

1151063833C Typewritten Text 210-652-9103

FA3016-17-R-0025

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

ATTACHMENT DOCUMENT TITLE DATE PAGES

Attachment 1 Statement of Work 22 Jun 2017 22 Appendix A Specifications Undated N/A Appendix B CASS Technical Order 1 Feb 1984 13 Appendix C Computerized Master Control CASS Undated 3 Appendix D CASS Drawing 2001 N/A Attachment 2 Wage Determination 02 Jun 2017 6 Attachment 3 Base Access Request Form Undated 4 Attachment 4 Financial Information Questionnaire Undated 1 Attachment 5 Contractor Responsibility Questionnaire Undated 2 Attachment 6 Cost Estimate Breakdown Undated 2 Attachment 7 AETC Form 47 15 Jan 2016 1 Attachment 8 HAZMAT Letter 23 Nov 2016 1 Attachment 9 Progress Schedule Undated 1 Attachment 10 Local Information Undated 4 Attachment 11 Project Location Undated 1

(End of Summary of Changes)