FA5004-15-B-C008-0005.pdf

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 inlcude answ ers to questions #3, and revised SOW and HVAC Standards.

354 CONS POC: TSgt Jeremy Hemington / jeremy.hemington@us.af.mil

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

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

16C. DATE SIGNED

BY 19-Jun-2015

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 FA5004-15-B-C008

X 9B. DATED (SEE ITEM 11)

04-May-2015

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

19-Jun-2015

CODE

354 CONTRACTING SQUADRON ISSUING OFFICE

2310 CENTRAL AVE, BLDG 2258

LGCA - CONSTRUCTION

EIELSON AFB AK 99702-1801

FA5004 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA5004-15-B-C008

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

LIST OF ATTACHMENTS

LIST OF ATTACHMENTS

(All Listed Attachments are at the end of this document.)

FORM

NUMBER

DOCUMENT TITLE

CURRENT

AS OF

NUMBER OF

PAGES

JA-1 FTQW131503 Statement of Work 18 Jun 15 9

JA-2 Tab 1_Motor Replacement List FTQW131503 18 Jun 15 1

JA-3 Tab 2_Specification 01030 - SAFETY, ENVIRONMENTAL PROTECTION_16Mar2015

16 Mar 15 40

JA-4 Tab 3_Specification 01300-Submittals 18 Mar 15 5

JA-5 Tab 4_Specification_15035_Testing, Adjusting, and Balancing for HVAC

18 Mar 15 7

JA-6 Tab 5_Eielson AFB HVAC Standards Apr 2013 18 Jun 15 22

JA-7 Tab 6_Supplemental Mech Guide Specs 18 Mar 15 5

JA-8 Tab 7_FTQW131503 AF Form 66 18 Mar 15 1

JA-9 AF Form 103 03 Apr 15 2

JA-10 AF Form 3000 07 Apr 15 2

JA-11 AF Form 3064 07 Apr 15 2

JA-12 AF Form 3065 07 Apr 15 1

JA-13 Wage Determination 07 Apr 15 14

(End of Section J)

(End of Summary of Changes)