FA5209-11-R-0004 Amendment 0004.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

See Schedule.

1. CONTRACT ID CODE PAGE OF PAGES

1 3

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

16C. DATE SIGNED

BY 15-Jul-2011

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 FA5209-11-R-0004

X 9B. DATED (SEE ITEM 11)

23-Jun-2011

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

15-Jul-2011

CODE

374TH CONTRACTING SQUADRON

UNIT 5228, BLDG 620, YOKOTA AB

FUSSA-SHI, TOKYO 197-0001 JAPAN

FA5209 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA5209-11-R-0004

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

A. The purpose of this amendment is to respond to the questions raised from prospective offerors and incorporate changes into attachment 4b in Section J.

B. The Government responses are hereby provided (see attachment 1 of this amendment).

C. SECTION J - List OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

DOCUMENT TYPE

DESCRIPTION PAGES DATE

Attachment 1 Multiple Award Construction Contract (MACC) General Provisions for Department of U.S. Air Force in Japan

40 27 Jun 11 (Revised by Amendment 0001)

Attachment 2 Past Performance Reference List (This attachment will not be part of the resultant contract)

1 N/A

Attachment 3 Past Performance Questionnaire

2 N/A

Attachment 4 Multiple Award Construction Contract (MACC) Mock Project, Project No. ZNRE 10-1238

a. Statement of Work (SOW)

b. Phasing Schedule Execution Plan Scenario (Revised by Amendment 0004)

c. Drawings

d. Photographs

13 Jul 11 (Revised by Amendment 0003)

N/A

N/A

Attachment 5 Multiple Award Construction Contract (MACC) Seed Project, Project No. ZNRE11-1022/11-6002

a. Statement of Work (SOW)

b. Specifications

c. Drawings

d. Section B (Price Schedule)

e. Construction Cost Estimate Breakdown

(ZNRE11-1022)

f. Construction Cost Estimate Breakdown

(ZNRE11-6002)

g. As-built drawings (ZNRE 11-6002)

h. Photographs (First Floor, ZNRE 11-6002)

i. Photographs (Third Floor, ZNRE 11-6002)

j. Photographs (Roof, ZNRE 11-6002)

k. Photographs (ZNRE 11-1022)

25 May 11 25 May 11 25 May 11

N/A

FA5209-11-R-0004

D. Other terms and conditions remain unchanged.

2 Attachments

1. Offeror’s questions and the Government responses, dated 15 Jul 11.

2. Revised Phasing Schedule Execution Plan Scenario with revision mark 1

(End of Summary of Changes)