FA3030-17-R-0003-0001.pdf

17TH CONTRACTING SQUADRON -FA3030

210 SCHERZ BLVD

JENNIFER.JEFFERSON.1@US.AF.MIL

GOODFELLOW AFB TX 76908-4705

F1Z50V6153AW01

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

Add CLINs for Emergency Services and Extend Due Date to 31 Jul 17, 2:00 PM local

1. CONTRACT ID CODE PAGE OF PAGES

J 1 6

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

16C. DATE SIGNED

BY 26-Jul-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 FA303017R0003

X 9B. DATED (SEE ITEM 11)

10-Jul-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 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 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

26-Jul-2017

CODE

17TH CONTRACTING SQUADRON -FA3030

210 SCHERZ BLVD

BRENDA.SIZEMORE.1@US.AF.MIL

GOODFELLOW AFB TX 76908-4705

FA3030 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE FA3030

FACILITY CODECODE

EMAIL:TEL:

FA303017R0003

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

AMENDMENT NARRATIVE

The purpose of this amendment is to incorporate the following changes:

1. The required response date/time has changed from 28-Jul-2017 02:00 PM to 31-Jul-2017 02:00 PM.

2. CLINs 0005, 1004, 2004, 3004, 4004 and the associted Deliveries and Performance and Inspection and Acceptance data have been added as shown below.

3. The revised PWS paragraph 1.1.3.1.3.1 (below) is added.

1.1.3.1.3.1 The Service Provider may be required to perform emergency services. Should such emergency requirements arise, the Contracting Officer will notify the Service Provider what specific services are required and the anticipated timeframe(s). The Service Provider shall invoice for services provided under CLINs 0005, 1004, 2004, 3004, and 4004 per manhour worked.

4. The PWS Revised 26 Jul 17 is provided.

5. No other changes occur from this amendment.

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 28-Jul-2017 02:00 PM to 31-Jul-

2017 02:00 PM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0005 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0005 125 Hours Emergency Services

FFP

Emergency Services IAW PWS 1.1.3.1.3.1.

FOB: Destination

NET AMT

CLIN 1004 is added as follows:

1004 125 Hours OPTION Emergency Services

FFP

CLIN 2004 is added as follows:

2004 125 Hours OPTION Emergency Services

FFP

CLIN 3004 is added as follows:

3004 125 Hours OPTION Emergency Services

FFP

CLIN 4004 is added as follows:

4004 125 Hours OPTION Emergency Services

FFP

DELIVERIES AND PERFORMANCE

The following Delivery Schedule for CLIN 0005 has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 01-OCT-2017 TO

30-SEP-2018

N/A 17 TRSS/TSR - F1Z50V

MARK SEALS

170 GRIFFIN ST

BLDG 448

GOODFELLOW AFB TX 76908

(325) 654-3732

F1Z50V

The following Delivery Schedule for CLIN 1004 has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 01-OCT-2018 TO

30-SEP-2019

N/A 17 TRSS/TSR - F1Z50V

MARK SEALS

170 GRIFFIN ST

BLDG 448

GOODFELLOW AFB TX 76908

(325) 654-3732

The following Delivery Schedule for CLIN 2004 has been added:

CAGE

POP 01-OCT-2019 TO

30-SEP-2020

N/A 17 TRSS/TSR - F1Z50V

MARK SEALS

170 GRIFFIN ST

BLDG 448

GOODFELLOW AFB TX 76908

(325) 654-3732

The following Delivery Schedule for CLIN 3004 has been added:

CAGE

POP 01-OCT-2020 TO

30-SEP-2021

N/A 17 TRSS/TSR - F1Z50V

MARK SEALS

170 GRIFFIN ST

BLDG 448

GOODFELLOW AFB TX 76908

(325) 654-3732

The following Delivery Schedule for CLIN 4004 has been added:

CAGE

POP 01-OCT-2021 TO

30-SEP-2022

N/A 17 TRSS/TSR - F1Z50V

MARK SEALS

170 GRIFFIN ST

BLDG 448

GOODFELLOW AFB TX 76908

(325) 654-3732

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0005:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

The following Acceptance/Inspection Schedule was added for CLIN 1004:

The following Acceptance/Inspection Schedule was added for CLIN 2004:

The following Acceptance/Inspection Schedule was added for CLIN 3004:

The following Acceptance/Inspection Schedule was added for CLIN 4004:

(End of Summary of Changes)