FA520521R00030004.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

J

PAGE OF PAGES

1 3

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

24-May-2021

4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO.(If applicable)

1090686

6. ISSUED BY CODE FA5205 7. ADMINISTERED BY (If other than item 6) CODE

FA5205 35 CONS/LGC

UNIT 5201

APO AP 96319-5201

United States Capt Byron Muhlenberg, Contracting Officer, Telephone:315-226-2502 Email:

byron.muhlenberg.2@us.af.mil Mr. Takafumi Nosaki, Contract Specialist, Telephone: 315-226-2059 Email:

takafumi.nosaki.jp@us.af.mil

See Item 6

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X 9A. AMENDMENT OF SOLICITATION NO.

FA520521R0003

X 9B. DATED (SEE ITEM 11)

18-Mar-2021

10A. MOD. OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

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.)

See Schedule.

POC: Takafumi Nosaki, Contract Administrator/Comm Ph: 0176-77-2059

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

TEL: EMAIL:

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

BY

(Signature of Contracting Officer)

16C. DATE SIGNED

24-May-2021

EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

30-105-04 STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

FA520521R0003

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

The purpose of this amendment is to provide an updated “Consolidated List of the Government Response/Clarification” based on the 2nd questionnaires submitted by the prospective offerors and to incorporate Addendum No. 2 dated 21 May 21 into the subject solicitation.

(a) The Government hereby provides an updated “Consolidated List of the Government Response/Clarification”

(Attachment 1 to this amendment) and incorporates Addendum No. 2 dated 21 May 21 (Attachment 2 to this amendment). Accordingly, the following changes are provided to the solicitation.

(1) Section J

(A) Attachment 1, Specifications. The following sections are revised or removed; therefore, replaced with the attached revised sections dated 13 May 21 (Attachment 3 to this amendment).

Revised Specifications (4 sections) Table of Contents 01 57 20.00 10 02 82 00 *02 84 33

*Removed in its entirety.

(B) Attachment 2, Drawings. The following drawing sheets are revised; therefore, replaced with the attached revised drawing sheets dated 7 May 21, 13 May 21, and 14 May 21 (Attachment 4 to this amendment).

Revised Drawings (44 sheets; listed in alphabetical order)

AD100A AD101A-C1 AD101A-C2 AD101A-C4 AD101A-C5

AD101C-D2 AE100A AE101 AE101A-C1 AE101A-C1.5

AE101A-C2 AE101A-C3 AE101A-C4 AE101A-C5 AE101C-B1

AE101C-D2 AE121A AE504 AE510 AE601

AE602 AE610 E002 ET602 GI005

GI006 GI007-C1 GI008-C2 GI009-C3 GI010-C4

GI011-C5 GI110 GI110-A1 GI110-A2 GI110-B1

GI110-B2 GI110-C2 GI110-C3 GI110-C4 GI110-C5

GI110-D1 GI110-D2 IN101A SB102

(C) Attachment 11, “Consolidated List of the Government Response/Clarification with As-built Drawings” dated 17 May 21 is updated; therefore, replaced with the attached revised Government Response/Clarification dated 20 May 21 (Attachment 1 to this amendment).

(D) Based on the changes stated in the above, Section J, “List of Documents, Exhibits and Other

Attachments”, page 21 of the solicitation is revised as follows; therefore, replaced with the attached revised page 21 of the solicitation (Attachment 5 to this amendment).

DOCUMENT TYPE DESCRIPTION PAGE DATE

Attachment 1 Specifications Volume 1 of 2 989 Rev. 13 May 2021 Specifications Volume 2 of 2 922 Rev. 15 Apr 2021 Attachment 2 Drawings – General 32 Rev. 14 May 2021 Drawings – Civil 7 23 Dec 2019 Drawings – Structural 7 Rev. 13 May 2021 Drawings – Architectural 54 Rev. 13 May 2021 Drawings – Interiors 14 Rev. 13 May 2021 Drawings – Equipment 10 Rev. 15 Apr 2021 Drawings – Fire Protection 29 23 Dec 2019 Drawings – Plumbing 51 Rev. 15 Apr 2021 Drawings – Mechanical 84 Rev. 15 Apr 2021 Drawings – Electrical 98 Rev. 7 May 2021 Attachment 3 Other Contract Requirements 6 Rev. 15 Apr 2021 Attachment 4 Construction Timeline 14 4 Feb 2021

FA520521R0003

Attachment 5 Submittal Register 13 Rev. 15 Apr 2021 Attachment 6 List of Contractor Furnished U.S. Material (CFUSM) 2 1 Feb 2021 Attachment 7-1 Equipment Data and Cut Sheets – Logistics Category A 526 Rev. 15 Apr 2021 Attachment 7-2 Structural Interior Design (SID) Package Volume 1 thru 3 102 23 Dec 2019 Attachment 7-3 Mobile Sterile Processing Department (SPD) Trailer

Information 70 16 Jan 2020

Attachment 8 Hazardous Material Survey Report 47 Nov 2018 Attachment 9 Past Performance Questionnaire (PPQ) Cover Letter 1 3 Mar 2021 Attachment 10 Past/Present Performance Questionnaire (PPQ) 5 3 Mar 2021 Attachment 11 Consolidated List of the Government

Response/Clarification with As-built Drawings 929 Rev. 20 May 2021

(2) Standard Form (SF) 1442. Solicitation number in Block 1 of the SF1442 is changed from

FA520521R00030003 to FA520521R00030004; therefore, replaced with the attached revised page 1 of SF1442 numbered with FA520521R00030004 (Attachment 5 to this amendment).

(b) The offerors are required to replace with the revised solicitation pages, specifications, drawings, and the

Government Response/Clarification provided under this amendment.

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

Attachments:

1. Consolidated List of the Government Response/Clarification dated 20 May 21, 18 pages (without as-built drawings)

2. Addendum No. 2 dated 21 May 21, 2 pages

3. Revised specifications sections dated 13 May 21, 69 pages

4. Revised drawing sheets dated 7 May 21, 13 May 21, and 14 May 21, 44 sheets

5. Revised solicitation page 1 and 21, numbered with FA520521R00030004