FA520915R0023-0001.pdf

F4G3C55057AC01

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 continuation page for details.

Contracting Officer: Mr Thomas L. Reese, Tel: 042-553-8549, DSN: 225-7545, Fax: 042-551-0973, Email: thomas.reese.2@us.af.mil

Contract Specialist: Ms Saw ako Arioka, Tel: 042-553-8549, DSN: 225-2256, Fax: 042-551-0973, Email: saw ako.arioka.jp@us.af.mil

1. CONTRACT ID CODE PAGE OF PAGES

J 1 6

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

16C. DATE SIGNED

BY 18-Dec-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-0023

X 9B. DATED (SEE ITEM 11)

03-Dec-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 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

18-Dec-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-0023

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

SUMMARY OF CHANGES

Reasons for Amendment: To incorporate changes to SF1449, and Attachment 1: Performance-based Work Statement (PWS).

A. SF1449, page 6 of 47 through 19 of 47, add quantity as follows:

CLIN 1001: Quantity 12 CLIN 1002: Quantity 12 CLIN 1003: Quantity 12 CLIN 1004: Quantity 12 CLIN 1005: Quantity 12 CLIN 1006: Quantity 144

CLIN 2001: Quantity 12 CLIN 2002: Quantity 12 CLIN 2003: Quantity 12 CLIN 2004: Quantity 12 CLIN 2005: Quantity 12 CLIN 2006: Quantity 144

CLIN 3001: Quantity 12 CLIN 3002: Quantity 12 CLIN 3003: Quantity 12 CLIN 3004: Quantity 12 CLIN 3005: Quantity 12 CLIN 3006: Quantity 144

CLIN 4001: Quantity 12 CLIN 4002: Quantity 12 CLIN 4003: Quantity 12 CLIN 4004: Quantity 12 CLIN 4005: Quantity 12 CLIN 4006: Quantity 144

B. PWS, Page 12 of 22, TABLE A-3, MAJOR EQUIPMENT TOKOROZAWA, delete the following equipment:

QTY EQUIPMENT MAKE MODEL RATING

1 BATTERY YUASA FOR COMPLASER 12V 110A

C. PWS, Page 12 of 22, TABLE A-3, MAJOR EQUIPMENT TOKOROZAWA, incorporate the change indicated in bold text to read:

2 FUEL TANK UNDERGROUND 12,000 GAL

D. PWS, Page 13 of 22, TABLE A-5, MAJOR EQUIPMENT BLDG 650 YOKOTA, delete the following equipment:

12 BATTERY GS HS400E 400 Ah

E. PWS, Page 11 of 22 through 15 of 22, TABLE A-1 through A-8, add the year of installation indicated in bold text to read:

TABLE A-1, MAJOR EQUIPMENT

OWADA

TABLE A-2, MAJOR EQUIPMENT

SASEBO

QTY EQUIPMENT MAKE MODEL RATING Year Installation

1 B/U GEN DAIHATSU DP-54RS 54KVA 1997

2 BATTERY OPTIMA 34-78 12V 2014

1 ATS PANEL GENERAC-1989 89A02769-W 60 KW 1984

1 RECTIFIER FURUKAWA BATTERY DP5048T-400/0800SMN

S

400 A 48VDC 2006

24 BATTERY YUASA SNLX-1000 1000Ah 2010

1 FUEL TANK STEEL ABOVE GROUND 1000 GAL Unknown 1 INVERTER SANYO DENKI SANUPS DA10SR 5kVA 120VAC 2010

TABLE A-3, MAJOR EQUIPMENT

TOKOROZAWA

TABLE A-4, MAJOR EQUIPMENT

ZAMA

QTY EQUIPMENT MAKE MODEL RATING Year

1 B/U GEN HITACHI LDE-440E 240 KW 2002

24 BATTERY FURUKAWA MSE-200K 200 x 2 Ah 2009

1 TEMP B/U GEN HITACHI LDE-440E 240 KW 2005

24 BATTERY FURUKAWA MSE-200K 200 x 2Ah 2009

1 SWITCH GEAR AICHI DENKI 612WN-4BA 2002

1 F CONVERTER FUJI ELECTRIC INR-HF51748 400 kVA 2002

1 RECTIFIRE FURUKAWA DP5048T-0200/0400SM

NM

200 AMP 2009

1 UPS FUJI ELECTRIC UPS600 75kVA 2002 180 UPS BATTERY FURUKAWA battery FVL-150 360V 150Ah 2008

48 BATTERY FURUKAWA FMU-S-500-8-24S 500 Ah 2013

1 FUEL TANK STEEL ABOVE GROUND 2630GAL 2002

QTY EQUIPMENT MAKE MODEL RATING Year Installation

1 B/U GEN DENYO DCA-300ESKT 300 KW 2015

1 CONVERTER MEIDENSHA GEC-114 800 KW 1968

1 ATS/SWITCH MEIDENSHA 2000A 1968

1 RECTIFIER YUASA battery FTT048-6X50 300A 2003

24 BATTERY FURUKAWA FMU-S-500 500 Ah 2006

1 RECTIFIER GS YUASA TR-SNWF10050-A 50A 2007

52 BATTERY GS YUASA SNS-300 300Ah /104V 2007

1 RECTIFIER GS BATTERY BROS10015SFGKGY 15A 2004

54 BATTERY GS BATTERY SNS-100-6 100Ah/108V 2004

2 FUEL TANK UNDERGROUND 12,000 GAL 2002

QTY EQUIPMENT MAKE MODEL RATING Year Installation

1 RECTIFIER YUASA FTT-48-2X200W 400 A DC 2003

24 BATTERY FURUKAWA battery FMU-S-1000 1000Ah 2010

2 UPS POWERWARE 9315-160/130 130 kVA 2011

128 UPS BATTERY C&D Technologies UPS-12-400MR 12V 2011

TABLE A-5, MAJOR EQUIPMENT

BLDG 650 YOKOTA

QTY EQUIPMENT MAKE MODEL RATING Year Installation

2 B/U GEN MITSUBISHI S12R-PTA 1250KVA 2014

24 BATTERY SHIN KOBE MSE-300 24 V /300Ah 2014

1 ATS/SWITCH 1984

1 RECTIFIER BENNING HD12002001110-C 48 V (56A x 20) 2009 2 UPS POWERWARE 9315-500 400kVA 2005

1 DSN POWER LORAIN 1231A2 48 VDC 1984

1 RECTIFIER FURUKAWA BATTERY DP2100T-050SMNS 50A 100VDC 2006

1 RECTIFIER FURUKAWA BATTERY CR124-40SMRL 24 VDC 2015

12 BATTERY FURUKAWA BATTRY MSE-300 24V/300Ah 2015

RECTIFIER GS FTEL04100-6/6WTF 600A 2001

72 BATTERY GS SNLX-3000 3000 Ah 2001

96 BATTERY ABSOLYTE GNB (A)100A-81

(B)100A-27 (A)3888Ah (B)1300Ah

54 BATTERY FURUKAWA FMU-A-300-8-54S 300Ah 2004 480 UPS BATTERY ENERSYS DDm 85-25 1020 Ah 2005

2 FUEL TANK STEEL UNDER GROUND 10000 GAL 2002

TABLE A-6, MAJOR EQUIPMENT

BLDG 714 YOKOTA

QTY EQUIPMENT MAKE MODEL RATING Year Installation

2 UPS POWERWARE Powerware 160 160 kVA 2011

128 UPS BATTERY C&D Technologies UPS-12-400MR 12V 2011

TABLE A-7, MAJOR EQUIPMENT

HOSPITAL bldg 4408, YOKOTA QTY EQUIPMENT MAKE MODEL RATING Year Installation

1 RECTIFIER FURUKAWA DP5048T-0150/

0300SMNM

150A (50A x 3) 2008

24 BATTERY FURUKAWA FMU-S-500-8-24S 500Ah 2013

TABLE A-8, MAJOR EQUIPMENT

MAN Shelters

BLDG 654 (near ALS)

QTY EQUIPMENT MAKE MODEL RATING Year Installation

1 RECTIFIER

FURUKAWA

BATTERY

DP5048T-

100A 2003

100/0200SMBM

8 BATTERY

FURUKAWA

MSE-100-6 100Ah 2003

BATTERY

1 AC unit MITSUBISHI PC-P80GA 7.1kW(24,000BTU) 2003

BLDG 4331 (near east fire department)

1 B/U GEN DENYO DCA-20SPKIIT 17kVA 2004

1 RECTIFIER

FURUKAWA DP5048T-

100A 2004

BATTERY 100/200SMBM

8 BATTERY

FURUKAWA

MSE-100-6 100Ah 2012

1 AC unit MITSUBISHI MPC-RP80GA 7.1kW(24,000BTU) 2004

BLDG1246 (near west fire department)

1 BU/GEN DENYO DCA-20ESKT 17kVA 2006

1 RECTIFIER

FURUKAWA DP5048T-

100A 2006

BATTERY 100/0200SMBM

8 BATTERY

FURUKAWA

MSE-100-6 100Ah 2014

1 AC unit MITSUBISHI MPC-RP80GA 7.1kW(24,000BTU) 2006

BLDG 4064 (near motor pool)

1 BU/GEN DENYO DCA-20SPKIIT 17kVA 2003

RECTIFIER

FURUKAWA DP5048T-

100A 2003

1 BATTERY 100/0200SMBM

8 BATTERY

FURUKAWA

BATTERY

MSE-100-6 100Ah 2012

1 AC unit MITSUBISHI MPC-RP80GA 7.1kW(24,000BTU) 2013

BLDG 8

1 RECTIFIER

FURUKAWA DP5048T-

100A 2007

BATTERY 100/0200SMBM

8 BATTERY

FURUKAWA

MSE-100-6 100Ah 2015

BLDG 312

1 BU/GEN DENYO DCA-20ESKT 17kVA 2008

1 RECTIFIER FURUKAWA DP5048T-

100A

BATTERY 100/0200SMBM

8 BATTERY FURUKAWA

BATTERY MSE-100-6 100Ah

1 AC unit MITSUBISHI MPC-RP80GA 7.1kW(24,000BTU) 2008

BLDG 556

1 BU/GEN DENYO DCA-20ESKT 17kVA 2008

1 RECTIFIER

FURUKAWA DP5048T-

100A 2008

BATTERY 100/0200SMBM

8 BATTERY

FURUKAWA

MSE-100-6 100Ah 2008

1 AC unit MITSUBISHI MPC-RP80GA 7.1kW(24,000BTU) 2008

BLDG 817

1 BU/GEN DENYO DCA-20LSKT 17kVA 2014

1 RECTIFIER

FURUKAWA DP5048T-

100A 2014

BATTERY 100/0200SMBM

8 BATTERY

FURUKAWA

MSE-100-6 100Ah 2014

1 AC unit MITSUBISHI MPC-RP80GA 7.1kW(24,000BTU) 2014

BLDG 1337

1 BU/GEN DENYO DCA-20ESKT 17kVA 2009

1 RECTIFIER GS YUASA

FTEL0410-2/2WTRP

GY

200A 2009

8 BATTERY GS YUASA MSE-100-6 100Ah 2009

1 AC unit MITSUBISHI MPC-RP80GA 7.1kW(24,000BTU) 2009

F. Replacement pages to reflect the above changes are attached herewith. For the SF1449, changes are indicated with vertical lines on the left margin of the replacement pages.

G. Except as provided herein, all terms and conditions of this solicitation remain unchanged and in full force and effect.

(End of Summary of Changes)