FA4890-12-R-0019-0003.pdf
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- FA4890-12-R-0019
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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 of this amendment is to:
A. Incorporate revised RFP Attachment 19, Section 7, Addendum to 52.212-2 dated 17 Apr 13.
B. Update Section 5 - List of Attachment(s).
C. All other terms and conditions remain the same.
1. CONTRACT ID CODE PAGE OF PAGES
S 1 2
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
16C. DATE SIGNED
BY 17-Apr-2013
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 FA4890-12-R-0019
X 9B. DATED (SEE ITEM 11)
21-Mar-2013
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
17-Apr-2013
CODE
ACC AMIC/PKC
11817 CANON BLVD, SUITE 306
NEWPORT NEWS VA 23606-4516
FA4890 7. ADMINISTERED BY (If other than item 6)
4. REQUISITION/PURCHASE REQ. NO.
CODE
See Item 6
FACILITY CODECODE
EMAIL:TEL:
FA4890-12-R-0019
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION 5 - LIST OF ATTACHMENT(S)
The following have been modified:
LIST OF ATTACHMENTS
DOCUMENT DESCRIPTION PAGES DATE
Attachment 1 Performance Work Statement 59 pages 11 Apr 2013 Attachment 2 ACC DD 254 (Draft) 2 pages 10 Jan 2013 Attachment 3 AFGSC DD 254 (Draft) 2 pages 10 Jan 2013 Attachment 4 WD 05-2025 Rev 14 (Davis Monthan AFB, AZ) 10 pages 13 Jun 2012 Attachment 5 WD 05-2517 Rev 16 (Dyess AFB, TX) 10 pages 13 Jun 2012 Attachment 6 WD 05-2485 Rev 14 (Ellsworth AFB, SD) 10 pages 13 Jun 2012 Attachment 7 WD 05-2511 Rev 16 (Holloman AFB, MO) 10 pages 13 Jun 2012 Attachment 8 WD 05-2543 Rev 14 (Langley AFB, VA) 10 pages 13 Jun 2012 Attachment 9 WD 05-2131 Rev 13 (Moody AFB, GA) 10 pages 13 Jun 2012 Attachment 10 WD 05-2159 Rev 13 (Mt. Home AFB, ID) 10 pages 13 Jun 2012 Attachment 11 WD 05-2331 Rev 12 (Nellis AFB, NV) 10 pages 13 Jun 2012 Attachment 12 WD 05-2393 Rev 13 (Seymour Johnson AFB, NC) 10 pages 13 Jun 2012 Attachment 13 WD 05-2475 Rev 14 (Shaw AFB, SC) 10 pages 13 Jun 2012 Attachment 14 WD 05-2235 Rev 14 (Barksdale AFB, LA) 10 pages 13 Jun 2012 Attachment 15 WD 05-2407 Rev 12 (Minot AFB, ND) 10 pages 13 Jun 2012 Attachment 16 WD 05-2307 Rev 13 (Whiteman AFB, ND) 10 pages 13 Jun 2012 Attachment 17 MPF CLIN Spread Sheet 6 pages 21 Mar 2013 Attachment 18 Section 6a-Addendum to 52.212-1 11 pages 3 Apr 2013 Attachment 19 Section 7, Addendum to 52.212-2 6 pages 17 Apr 2013
(End of Summary of Changes)
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