15R00080001.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 change CLIN structure.

Separate CLINs for tw o (2) O&M Facilities; Bldgs. 90 and 3266 are hereby established.

Other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 9

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

16C. DATE SIGNED

BY 04-Aug-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 FA5209-15-R-0008

X 9B. DATED (SEE ITEM 11)

06-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

04-Aug-2015

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:

FA5209-15-R-0008

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0002

This CLIN has been renumbered to CLIN 0004.

CLIN 0003

This CLIN has been renumbered to CLIN 0005.

CLIN 1002

This CLIN has been renumbered to CLIN 1004.

CLIN 1003

This CLIN has been renumbered to CLIN 1005.

CLIN 2002

This CLIN has been renumbered to CLIN 2004.

CLIN 2003

This CLIN has been renumbered to CLIN 2005.

CLIN 3002

This CLIN has been renumbered to CLIN 3004.

CLIN 3003

This CLIN has been renumbered to CLIN 3005.

CLIN 4002

This CLIN has been renumbered to CLIN 4004.

CLIN 4003

This CLIN has been renumbered to CLIN 4005.

CLIN 0002 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0002 12 Months Base Period: I&M Elev B90 (O&M)

FFP

Period of Performance: 1 Oct 2015 through 30 Sep 2016

Inspection and Maintenance of Elevator for Bldg. 90 at Yokota Air Base in accordance with the attached PWS (See Appendix A for Location and

Specification of Elevators and Escalators)

SIGNAL CODE: A

NET AMT

CLIN 0003 is added as follows:

0003 12 Months Base Period: I&M Elev B3266 (O&M)

FFP

Period of Performance: 1 Oct 2015 through 30 Sep 2016

Inspection and Maintenance of Elevator for Bldg. 3266 at Yokota Air Base in accordance with the attached PWS (See Appendix A for Location and

CLIN 1002 is added as follows:

1002 12 Months OPTION Option 1: I&M Elev B90 (O&M)

FFP

Period of Performance: 1 Oct 2016 through 30 Sep 2017

Inspection and Maintenance of Elevator for Bldg. 90 at Yokota Air Base in accordance with the attached PWS (See Appendix A for Location and

CLIN 1003 is added as follows:

1003 12 Months OPTION Option 1: I&M Elev B3266 (O&M)

FFP

Period of Performance: 1 Oct 2016 through 30 Sep 2017

Inspection and Maintenance of Elevator for Bldg. 3266 at Yokota Air Base in accordance with the attached PWS (See Appendix A for Location and

CLIN 2002 is added as follows:

2002 12 Months OPTION Option 2: I&M Elev B90 (O&M)

FFP

Period of Performance: 1 Oct 2017 through 30 Sep 2018

Inspection and Maintenance of Elevator for Bldg. 90 at Yokota Air Base in accordance with the attached PWS (See Appendix A for Location and

CLIN 2003 is added as follows:

2003 12 Months OPTION Option 2: I&M Elev B3266 (O&M)

FFP

Period of Performance: 1 Oct 2017 through 30 Sep 2018

Inspection and Maintenance of Elevator for Bldg. 3266 at Yokota Air Base in accordance with the attached PWS (See Appendix A for Location and

CLIN 3002 is added as follows:

3002 12 Months OPTION Option 3: I&M Elev B90 (O&M)

FFP

Period of Performance: 1 Oct 2018 through 30 Sep 2019

Inspection and Maintenance of Elevator for Bldg. 90 at Yokota Air Base in accordance with the attached PWS (See Appendix A for Location and

CLIN 3003 is added as follows:

3003 12 Months OPTION Option 3: I&M Elev B3266 (O&M)

FFP

Period of Performance: 1 Oct 2018 through 30 Sep 2019

Inspection and Maintenance of Elevator for Bldg. 3266 at Yokota Air Base in accordance with the attached PWS (See Appendix A for Location and

CLIN 4002 is added as follows:

4002 12 Months OPTION Option 4: I&M Elev B90 (O&M)

FFP

Period of Performance: 1 Oct 2019 through 30 Sep 2020

Inspection and Maintenance of Elevator for Bldg. 90 at Yokota Air Base in accordance with the attached PWS (See Appendix A for Location and

CLIN 4003 is added as follows:

4003 12 Months OPTION Option 4: I&M Elev B3266 (O&M)

FFP

Period of Performance: 1 Oct 2019 through 30 Sep 2020

Inspection and Maintenance of Elevator for Bldg. 3266 at Yokota Air Base in accordance with the attached PWS (See Appendix A for Location and

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0002:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

The following Acceptance/Inspection Schedule was added for CLIN 0003:

The following Acceptance/Inspection Schedule was added for CLIN 1002:

The following Acceptance/Inspection Schedule was added for CLIN 1003:

The following Acceptance/Inspection Schedule was added for CLIN 2002:

The following Acceptance/Inspection Schedule was added for CLIN 2003:

The following Acceptance/Inspection Schedule was added for CLIN 3002:

The following Acceptance/Inspection Schedule was added for CLIN 3003:

The following Acceptance/Inspection Schedule was added for CLIN 4002:

The following Acceptance/Inspection Schedule was added for CLIN 4003:

(End of Summary of Changes)