Amendment_0001.pdf

JFSD 201520

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 for this amendment to FA4659-17-R-0001, Grand Forks Air Force Base MATOC, is to:

A. Upload the Past Performance Information (PPI) tool required for contractor use IAW Section L-2 of the solicitation;

B. Upload the Site Visit Information (MFR and Contractor Sign-in sheet) for the Site Visit dated 29 November 2016;

C. Upload questions and answ ers 1-11.

No other changes.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 5

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

16C. DATE SIGNED

BY 14-Dec-2016

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 FA4659-17-R-0001

X 9B. DATED (SEE ITEM 11)

17-Nov-2016

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

14-Dec-2016

CODE

319 CONTRACTING FLIGHT

575 TUSKEGEE AIRMEN BLVD

GRAND FORKS AFB ND 58205 6436

FA4659 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA4659-17-R-0001

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

ATTACHMENTS

TABLE OF CONTENTS

Pages

1. MATOC Statement of Work (SOW) Table of Contents 1

2. Waiver Green Procurement Form 1

LIST OF EXTERNAL ATTACHMENTS

1. MATOC Statement of Work (SOW) Dated October 2016 62

2. Demonstration Project SOW (Appendices below) 449

A. Demonstration Project Drawings 30 B. Demonstration Project Bid Schedule 1 C. Demonstration Project Material Submittal Schedule 3 D. Wage determination Requirements 5 E. Climate Survey 4

3. Past Performance Reference 1

4. Past Performance Questionnaire 4

5. Past Performance Information Tool (PPI Tool) 1

6. Site Visit Information 2

7. Questions and Answers 1-11 1

MATOC STATEMENT OF WORK

TABLE OF CONTENTS

SECTION DESCRIPTION PAGES

01000 General Contract Requirements 44

01300 General Design Requirements 6

01400 Green Procurement 1

01500 Task Order Close Out 2

01600 Material And Equipment 1

01700 Contractor’s Quality Control 4

01800 On/Off Ramp Provision 2

WAIVER GREEN PROCUREMENT FORM

(Documentation of Non Purchases)

This form is to be utilized by the contractor to record non-purchases of Green Procurement Products Listed on the EPA’s Web Site www.epa.gov/cpg/products.htm

ITEM:______________________________________________

I have determined that the following Affirmative Procurement Product was considered for purchase but will not be purchased for the following reasons:

Item is not available within a reasonable period of time.

Date Needed: _________________ Date Item would be available: _______________

Item fails to meet a performance standard in the specifications.

Specifically, Item Cost More than the Green Procurement Item.

Price of Green Procurement Item ________________________________________

Price of Non-Green Procurement Item ____________________________________

Contractor Name Contractor Signature Date

QAE/Inspector Name QAE/Inspector Signature Date

Contracting Officer Name Contracting Officer Signature Date

(End of Summary of Changes)