FA5205-16-R-0005-0002.pdf

QKKA 14-1050

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 3

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

16C. DATE SIGNED

BY 24-Jun-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 FA5205-16-R-0005

X 9B. DATED (SEE ITEM 11)

28-Apr-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 X is extended, 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

24-Jun-2016

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:

FA5205-16-R-0005

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

This amendment is issued to incorporate Addendum A dated 23 Jun 16 and “Consolidated List of the Government

Response/Clarification” dated 23 Jun 16 into the subject solicitation based on the questionnaires submitted by the prospective offerors. In association with the changes of Addendum A, the closing time and date of the subject solicitation is extended.

(a) By incorporating Addendum A (Attachment 1 to this Amendment) and “Consolidated List of the Government

Response/Clarification”, the following changes are provided to the solicitation.

(1) Section J.

(A) Attachment 1, Specifications. Following sections including Table of Contents are revised; therefore, replaced with the attached specifications sections dated 23 Jun 16 (Attachment 2 to this Amendment).

Table of Contents 01 35 29 02 82 14.00 10 02 85 00.00 20 03 11 13.00 10

09 30 13 09 65 00 09 68 00 26 27 13.10 30 32 12 17

32 31 13 32 93 00 32 96 00

(B) Attachment 2, Drawings. Following drawing sheets are revised; therefore, replaced with the attached drawing sheets dated 16 Jun 16 (Attachment 3 to this Amendment).

G-001 G-003 C-101 S-100 A-002

AD402 AD420 A-401 A-420 A-453

A-502 A-603 E-101 E-102 E-103

E-104 E-401

(C) Consolidated List of the Government Response/Clarification is hereby incorporated into Section J of the solicitation as Attachment 9 (Attachment 4 to this Amendment).

(2) Accordingly, “List of Documents, Exhibits and Other Attachments” is revised as follows:

Section J – List of Documents, Exhibits and Other Attachments

DOCUMENT TYPE DESCRIPTION PAGE DATE

Attachment 1 Specifications 1,033 Rev. 23 Jun 16

Attachment 2 Drawings 195 Rev. 16 Jun 16

Attachment 3 Other Contract Requirements 6 28 Apr 16

Attachment 4 Past Performance Questionnaire (PPQ) Cover Letter 1 28 Apr 16

Attachment 5 Past/Present Performance Questionnaire (PPQ) 6 28 Apr 16

Attachment 6 Schedule of Material Submittals 52 25 Apr 16

Attachment 7 Schedule for Contractor-Furnished U.S. Material (CFUSM) 2 22 Feb 16

Attachment 8 Manufacturer’s Cut Sheet / Catalog Information 342 28 Oct 15

Attachment 9 Consolidated List of the Gov’t Response/ Clarification 13 23 Jun 16

(b) As a result of the changes above, the solicitation closing time and date specified in block 13A of SF1442 is extended to “02:00 PM” on “8 Jul 16”.

(c) To reflect the changes in para. (a) and (b) above, page 1 and 20 of the solicitation are revised. The offerors are required to replace solicitation, specifications, and drawings with the revised pages/sheets provided under this amendment.

FA5205-16-R-0005

(d) Except as provided herein, all terms and conditions remain unchanged.

Attachments:

1. Addendum A dated 23 Jun 16, 3 pages

2. Revised Specifications Sections dated 23 Jun 16, 149 pages

3. Revised Drawings dated 16 Jun 16, 17 sheets

4. Consolidated List of the Government Response/Clarification dated 23 Jun16, 13 pages

5. Revised Solicitation pages 1 and 20 numbered with FA5205-16-R-0005-0002, 2 pages