SF 30 amendment 1 for posting.pdf

FA4620-10-Q-A018

Amendment 0001

EXCEPTION OF SF 30, APPROVED BY NARS 5/79

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

J

PAGE OF

PAGES

1 | 5

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

17 June 2010

4. REQUISITION/PURCHASE REQ. NO.

F1X4MG0039A001

5. PROJECT NO. (If applicable)

6. ISSUED BY

CODE

7. ADMINISTERED BY (If other than Item 6)

CODE

92nd Contracting Sq/LGCA 110 W Ent St SAME AS BLOCK 6 Fairchild AFB, WA 99011-8568 POC: Melissa Kinzner (509) 247-4403

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (√) 9A. AMENDMENT OF SOLICITATION NO.

9B. DATED (SEE ITEM 11)

14 June 10

X

10A. MODIFICATION OF CONTRACT/ORDER

NO.

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

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 Offers [] is extended, [X ] 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 ONE (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 hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACT/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.)

A. Please see Page 2 “Summary of Changes”.

B. Offeror reminded to complete blocks 8, 15a, 15b, 15c and return with proposal.

C. The point of contact for this amendment is SSgt Melissa Kinzner. She can be reached at (509) 247-4403 or Melissa.kinzner@us.af.mil.

////////////////////////////////////////////////////////////////////////////////Last Item//////////////////////////////////////////////////////////////////////////////////////////

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

BY

(Signature of Contracting Officer)

16C. DATE SIGNED

17 June 2010

NSN 7540-01-152-8070 30-105-03 STANDARD FORM 30 (REV. 10-83)

PREVIOUS EDITION UNUSABLE Prescribed by GSA

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 – CONTINUATION SHEET

The purpose of this amendment is to:

1) Add a separate CLIN for "parking lot snow removal" and "parking lot de-icing" as specified in the PWS. Attachment 1, Pricing Schedule, has been amended to add CLINs 0001AD, 0001AE, 1001AD, 1001AE, 2001AD, 2001AE, 3001AD, and 3001AE. Pages 15-17 are to be replaced with the new Attachment 1, Pricing Schedule (attached).

2) Replace AFFAR clause 5352.223-9001 Health and Safety on Government Installations with updated AFFAR clause 5352.223- 9001 Health and Safety on Government Installations. The updated clause reads:

5352.223-9001 HEALTH AND SAFETY ON GOVERNMENT INSTALLATIONS (JUN 1997)

(a) In performing work under this contract on a Government installation, the contractor shall:

(1) Comply with the specific health and safety requirements established in this PWS, as well as OSHA;

(2) Comply with the health and safety rules of the Government installation that concern related activities not directly addressed in this contract;

(3) Take all reasonable steps and precautions to prevent accidents and preserve the health and safety of contractor and Government personnel performing or in any way coming in contact with the performance of this requirement; and

(4) Take such additional immediate precautions identified by the contracting officer for health and safety purposes.

(b) The contracting officer may, by written order, direct Air Force Occupational Safety and Health Standards (AFOSH) and/or health/safety standards as may be required in the performance of the resulting contract and any adjustments resulting from such direction will be in accordance with FAR Clause 52.212-4(c), Contract Terms and Conditions – Commercial Items.

(c) Violations of these health and safety rules and requirements are to be promptly corrected as directed by the contracting officer.

Failure to correct the violation(s) will be grounds for termination of this contract in accordance with FAR Clause 52.212-4(c), Contract Terms and Conditions – Commercial Items.

ATTACHMENT

1. Pricing Schedule Medical Treatment Facility Maintenance 3 Pages

(End of Summary of Changes)

ATTACHMENT #1

Pricing Schedule Medical Treatment Facility Maintenance

Base Year ‐‐ ( 1 Oct 2010 to 30 Sep 2011 )

CLIN DESCRIPTION QUANTITY

UNIT OF

ISSUE UNIT PRICE

EXTENDED

TOTAL

Facility Maintenance for the Medical Treatment Facility at Fairchild AFB, WA for 1 Oct 11 to 30 Sep 12

0001AA Facility Maintenance 12 Months $_________ $_____________

0001AB Reimbursable Parts and Materials $25,000 US Dollar 1 $25,000.00

0001AC Reimbursables Services Rate(Overtime / Emergency Call Back) 100 HR $_________ $_____________

0001AD Parking lot snow removal IAW attached PWS 25 Pushes $_________ $_____________

0001AE Parking lot de-icing IAW attached PWS 12 Ea $_________ $_____________

Estimated Total ‐ Base Year

Option Year One ‐‐ ( 1 Oct 2011 to 30 Sep 2012 )

UNIT OF

ISSUE UNIT PRICE

EXTENDED

TOTAL

Facility Maintenance for the Medical Treatment Facility at Fairchild AFB, WA for 1 Oct 11 to 30 Sep 12

1001AA Facility Maintenance 12 Months $_________ $_____________

1001AB Reimbursable Parts and Materials $25,000 US Dollar 1 $25,000.00

1001AC Reimbursables Services Rate(Overtime / Emergency Call Back) 100 HR $_________ $_____________

1001AD Parking lot snow removal IAW attached PWS 25 Pushes $_________ $_____________

1001AE Parking lot de-icing IAW attached PWS 12 Ea $_________ $_____________

Estimated Total ‐ Option Year 1

Option Year Two ‐‐ ( 1 Oct 2012 to 30 Sep 2013 )

UNIT OF

ISSUE UNIT PRICE

EXTENDED

TOTAL

Facility Maintenance for the Medical Treatment Facility at Fairchild AFB, WA for 1 Oct 11 to 30 Sep 12

2001AA Facility Maintenance 12 Months $_________ $_____________

2001AB Reimbursable Parts and Materials $25,000 US Dollar 1 $25,000.00

2001AC Reimbursables Services Rate(Overtime / Emergency Call Back) 100 HR $_________ $_____________

2001AD Parking lot snow removal IAW attached PWS 25 Pushes $_________ $_____________

2001AE Parking lot de-icing IAW attached PWS 12 Ea $_________ $_____________

Estimated Total ‐ Option Year 2

Option Year Three ‐‐ ( 1 Oct 2013 to 30 Sep 2014 )

CLIN DESCRIPTION QUANTITY

UNIT OF

ISSUE UNIT PRICE

EXTENDED

TOTAL

Facility Maintenance for the Medical Treatment Facility at Fairchild AFB, WA for 1 Oct 11 to 30 Sep 12

3001AA Facility Maintenance 12 Months $_________ $_____________

3001AB Reimbursable Parts and Materials $25,000 US Dollar 1 $25,000.00

3001AC Reimbursables Services Rate(Overtime / Emergency Call Back) 100 HR $_________ $_____________

3001AD Parking lot snow removal IAW attached PWS 25 Pushes $_________ $_____________

3001AE Parking lot de-icing IAW attached PWS 12 Ea $_________ $_____________

Estimated Total ‐ Option Year 3

Option Year Four ‐‐ ( 1 Oct 2014 to 30 Sep 2015 )

UNIT OF

ISSUE UNIT PRICE

EXTENDED

TOTAL

Facility Maintenance for the Medical Treatment Facility at Fairchild AFB, WA for 1 Oct 11 to 30 Sep 12

4001AA Facility Maintenance 12 Months $_________ $____________

4001AB Reimbursable Parts and Materials $25,000 US Dollar 1 $25,000.00

4001AC Reimbursables Services Rate(Overtime / Emergency Call Back) 100 HR $_________ $____________

4001AD Parking lot snow removal IAW attached PWS 25 Pushes $_________ $____________

4001AE Parking lot de-icing IAW attached PWS 12 Ea $_________ $____________

Estimated Total ‐ Option Year 4

Grand Total for all years $__________________________