FA5205-15-R-0008-0005.pdf
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QKKA 13-3001-P1
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
See Schedule.
POC: Miyako Fujimoto, Contracting Officer/Comm Ph: 0176-77-2171
1. CONTRACT ID CODE PAGE OF PAGES
J 1 2
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
16C. DATE SIGNED
BY 01-Jul-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 FA5205-15-R-0008
X 9B. DATED (SEE ITEM 11)
10-Apr-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 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
01-Jul-2015
CODE
35 CONS/LGC (JAPAN)
DODAAC: FA5205
BLDG. 656, MISAWA AIR BASE
MISAWA-SHI, AOMORI-KEN 033-0012
FA5205 7. ADMINISTERED BY (If other than item 6)
4. REQUISITION/PURCHASE REQ. NO.
CODE
See Item 6
FACILITY CODECODE
EMAIL:TEL:
FA5205-15-R-0008
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
The following items are applicable to this modification:
This amendment is issued to add the revised drawings based on the Government response to Query No. 61 of
Consolidated List of the Government Response/Clarification dated 17 Jun 15, which was omitted from Addendum
No. 1 dated 17 Jun 15.
(a) To reflect the Government response to Query No. 61, Drawing Reference No. PH1B, 2-AE102 and its associated drawings of G-002R and 2-AE103 are revised (Attachment 1 to this Amendment).
(b) Accordingly, “List of Documents, Exhibits and Other Attachments” is revised as follows:
DOCMENT TYPE DESCRIPTION PAGE DATE
Attachment 1 Specifications 435 Rev. 17 Jun 15
Attachment 2 Drawings 170 Rev. 1 Jul 15
Attachment 3 Exhibit A and B 3 Rev. 17 Jun 15
Attachment 4 Past Performance Questionnaire (PPQ) Cover Letter 1 10 Apr 15
Attachment 5 Past/Present Performance Questionnaire (PPQ) 6 30 Mar 15
Attachment 6 IMFH Weatherization Phase I Construction Timeline 1 Rev. 17 Jun 15
Attachment 7 Schedule of Material Submittals 12 25 Mar 15
Attachment 8 Acceptable Japanese Product Substitutes 2 Rev. 17 Jun 15
Attachment 9 Manufacturer’s Cut Sheet / Catalog Information 182 27 Mar 15
Attachment 10 Consolidated List of the Gov’t Response/Clarification 19 17 Jun 15
(c) For the change in para. (b) above, page 24 of 41 of the solicitation is revised. The offerors are required to replace solicitation page 24 with the revised page numbered with FA5205-15-R-0008-0005.
(d) Except as provided herein, all terms and conditions remain unchanged.
Attachments:
1. Revised drawings dated 1 Jul 15, 3 sheets
2. Revised solicitation page 24 numbered with FA5205-15-R-0008-0005, 1 page
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