Solicitation_Amendment_FA301619QA0780001_SF_30.pdf

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11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended. is not extended.

Offers 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 electronic communication 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 letter or electronic communication, provided each letter or electronic communication 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 NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, 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.)

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

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBE

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

Solicitation/Contract Form

The following changes have been made:

INFORMATION FROM TO

Ship To

Supplies or Services & Prices or Costs

Deliveries or Performance

The delivery information for the following CLIN(s) / SLIN(s) were modified:

0001 - PRE EMPLOYMENT WAGE GRADE CERTIFICATE OF MEDICAL EXAMINATION, OF178.

TO BE COMPLETED IN ACCORDANCE WITH STATEMENT OF WORK. ESTIMATED QUANTITY

IS 15 EACH PER MONTH.

INFORMATION FROM TO

Period of Performance 05/28/2019 to 05/27/2021 06/03/2019 to 06/02/2021

0002 - PRE EMPLOYMENT MEDICAL FIELD CERTIFICATE OF MEDICAL EXAMINATION, OF178.

TO BE COMPLETED IN ACCORDANCE WITH STATEMENT OF WORK. ESTIMATED QUANTITY

IS 15 EACH PER MONTH.

INFORMATION FROM TO

0003 - PRE EMPLOYMENT AIRCRAFT WAGE GRADE CERTIFICATE OF MEDICAL

EXAMINATION, OF178. TO BE COMPLETED IN ACCORDANCE WITH STATEMENT OF WORK.

ESTIMATED QUANTITY IS 15 EACH PER MONTH.

INFORMATION FROM TO

List of Attachments

The following attachments were added:

Aircraft Wage Grade OF 178 V2

Question and Answers 1

FA301619QA0780001

Wage Grade OF 178 v2

Medical Field OF 178 v2

FA301619QA0780001

CP 210-671-3617

1655 SELFRIDGE AVE BLDG 5450

JBSA LACKLAND, TX 78236-5286

United States Wanda Smith, Email: wanda.smith.4@us.af.mil Telephone: 210-671-1758

Questions and Answers # 1are attached Revised OF 178s are attached

Email: anthony.hill.26@us.af.mil Telephone: 210-671-4754