SF30 Amendment 0001.pdf

EXCEPTION OF SF 30, APPROVED BY NARS 5/79

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGE OF PAGES

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

27 December 2022

4. REQUISITION/PURCHASE REQ. NO.

5. PROJECT NO. (If applicable)

6. ISSUED BY

CODE

7. ADMINISTERED BY (If other than Item 6)

CODE

92nd Contracting Sq./PKA 110 W Ent St., Suite 200 SAME AS BLOCK 6 Fairchild AFB, WA 99011 Attn:

Contract Specialist: tristian.ellenson@us.af.mil Contracting Officer: paul.blais@us.af.mil

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

X

FA462023QA203

All Offerors 9B. DATED (SEE ITEM 11)

15 December 2022

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 _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.)

SEE SUMMARY OF CHANGES

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10 A, 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

BY

(Signature of Contracting Officer)

16C. DATE SIGNED

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

PREVIOUS EDITION UNUSABLE Prescribed by GSA

1091986228C Typewritten Text Paul Blais, Contracting Officer

1091986228C Typewritten Text 27 Dec 22

FA462023QA203

Amendment 0001 Page 2

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

The purpose of this amendment is to change the description in CLIN 0001 and Attachment 1 – Salient Characteristics.

CLIN 0001 description will hereby be changed from

ITEM NO DESCRIPTION QTY UNIT Unit Cost Total Price

0001 Vaughn SE3V3-078 Pump 1 Lot $ $

The contractor shall provide a (1) Vaughn SE3V3-078 submersible chopper pump, in accordance with the attached Salient Characteristics.

*The contractor shall include all shipping cost required to provide the above-mentioned equipment to Fairchild AFB, WA Delivery: 30 Days ADC

FFP

FOB: Destination to

ITEM NO DESCRIPTION QTY UNIT Unit Cost Total Price

0001 Vaughan S3V3-078 Pump 1 Lot $ $

The contractor shall provide a (1) Vaughan S3V3-078 submersible chopper pump, in accordance with the attached Salient Characteristics.

*The contractor shall include all shipping cost required to provide the above-mentioned equipment to Fairchild AFB, WA Delivery: 30 Days ADC

FFP

FOB: Destination

Attachment 1 - Salient Characteristics will be replaced with Attachment 1 Amendment 1 – Salient Characteristics. All changes reflected in the solicitation and Attachment 1 – Salient Characteristics are in bold and highlighted.

Fill out blocks 8, 15a, 15b, and 15c and then return back to us.

END SUMMARY OF CHANGES

27 December 2022