1.FA520915T0171-Amendment0001.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

POC: Mr. Sato, 042-552-0314 or DSN 225-7619

1. CONTRACT ID CODE PAGE OF PAGES

J 1 5

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

16C. DATE SIGNED

BY 21-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-T-0171

X 9B. DATED (SEE ITEM 11)

13-Aug-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

21-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-T-0171

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

SECTION SF 1449 - CONTINUATION SHEET

SUMMARY OF CHANGES

A. The purposes of this amendment are as follows:

1. To change the Quantity and Unit of Issue from “836 Gallon” to “1 Lot” for all the Contract Line Item Numbers (CLINs), and incorporate Contract Sub-Line Item Numbers (CSLINs) under each CLIN by Exhibit 1 (Pricing Schedule).

2. To revise the Performance Work Statement along with Appendixes.

3. List of Documents, Exhibits, or Attachments has been updated according to changes in #1 & 2 above.

4. To revise Addenda to FAR 52.212-1 Instructions to Offerors - Commercial Items (April 2014)

5. To delete FAR 52.212-3 and replace it with FAR 52.212-3 Aternate I.

B. Refer to the conformed solicitation document for all the updates and to complete necessary filli-ins.

C. Changes have been made as follows:

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

Global Changes

CLIN 0001 -- CLIN 6001

The pricing detail quantity has decreased by 835.00 from 836.00 to 1.00.

The unit of issue has changed from Gallon to Lot.

CLIN 0001

The CLIN extended description has changed

From: Parts Washer Solvent Replacement for Yokota Air Base and Tama Service Annex in accordance with the attached Performance Work Statement (SOW).

Period: 15 Sep 15 (or the date of award if subsequent thereto) through 14 Sep 16

To: Parts Washer Solvent Replacement for Yokota Air Base and Tama Service Annex in accordance with the attached Performance Work Statement (SOW)(Attachment 1) and Pricing Schedule (Exhibit 1), CLINs 0001AA thru 0001AG .

Period: 15 Sep 15 (or the date of award if subsequent thereto) through 14 Sep 16.

CLIN 1001

From: Parts Washer Solvent Replacement for Yokota Air Base and Tama Service Annex in accordance with the attached SOW.

Period: 15 Sep 16 through 14 Sep 17 with the attached SOW (Attachment 1) and Pricing Schedule (Exhibit 1), CLINs 1001AA thru

1001AG .

Period: 15 Sep 16 through 14 Sep 17.

CLIN 2001

From: Parts Washer Solvent Replacement for Yokota Air Base and Tama Service Annex in accordance with the

Period: 15 Sep 17 through 14 Sep 18

To Parts Washer Solvent Replacement for Yokota Air Base and Tama Service Annex in accordance with the attached SOW (Attachment 1) and Pricing Schedule (Exhibit 1), CLINs 2001AA thru

2001AG .

Period: 15 Sep 17 through 14 Sep 18.

CLIN 3001

From: Parts Washer Solvent Replacement for Yokota Air Base and Tama Service Annex in accordance with the

Period: 15 Sep 18 through 14 Sep 19 with the attached SOW (Attachment 1) and Pricing Schedule (Exhibit 1), CLINs 3001AA thru

3001AG .

Period: 15 Sep 18 through 14 Sep 19.

CLIN 4001

From: Parts Washer Solvent Replacement for Yokota Air Base and Tama Service Annex in accordance with the attached SOW.Period: 15 Sep 19 through 14 Sep 20

To: Parts Washer Solvent Replacement for Yokota Air Base and Tama Service Annex in accordance with the attached SOW (Attachment 1) and Pricing Schedule (Exhibit 1), CLINs 4001AA thru

4001AG .

Period: 15 Sep 19 through 14 Sep 20.

CLIN 5001

From: Parts Washer Solvent Replacement for Yokota Air Base and Tama Service Annex in accordance with the

Period: 15 Sep 20 through 14 Sep 21 with the attached SOW (Attachment 1) and Pricing Schedule (Exhibit 1), CLINs 5001AA thru

5001AG .

Period: 15 Sep 20 through 14 Sep 21.

CLIN 6001

From: Parts Washer Solvent Replacement for Yokota Air Base and Tama Service Annex in accordance with the

Period: 15 Sep 21 through 14 Sep 22

To : Parts Washer Solvent Replacement for Yokota Air Base and Tama Service Annex in accordance with the attached SOW (Attachment 1) and Pricing Schedule (Exhibit 1), CLINs 6001AA thru

6001AG .

Period: 15 Sep 21 through 14 Sep 22.

The following have been modified:

LIST OF DOCUMENTS, EXHIBITS, OR ATTACHMENTS:

From:

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 Statement of Work 6 Pages 11 Aug 15

(+ Appendix) To:

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 Performance Work Statement 6 Pages 20 Aug 15

(+ Appendix A & B)

Exhibit 1 Pricing Schedule 2 Pages N/A

Addenda to FAR 52.212-1 Instructions to Offerors - Commercial Items (April 2014) The following portions have been changed:

From:

(b) Supplies or Services and Prices/Costs (Continuation of Blocks 19 through 24 of SF1449 and Pricing Exhibit attached to this solicitation). Insert proposed unit and extended prices in the Pricing Schedules. The extended amount must equal the whole dollar unit price multiplied by the number of units. The proposal(s) must be submitted for a base year plus three (3) Option Years.

(c) Complete the necessary fill-ins and certifications in provisions. The provisions FAR 52.212-3, Offeror Representations and Certifications – Commercial Items with Alternate I.

To:

(b) Supplies or Services and Prices/Costs (Continuation of Blocks 19 through 24 of SF1449 and Pricing Exhibit attached to this solicitation). Insert proposed unit and extended prices in the Pricing Schedules.

The extended amount must equal the whole dollar unit price multiplied by the number of units. The proposal(s) must be submitted for a base year plus six (6) Option Years.

(c) Complete the necessary fill-ins and certifications in provisions. Return the provision FAR 52.212-3, Offeror Representations and Certifications – Commercial Items with Alternate I. For other provisions and clauses in the solicitation, the offeror is required to submit the pages that require an offeror fill-in.

The following have been deleted:

52.212-3 Offeror Representations and Certification--Commercial Items MAR 2015

The following have been added by full text:

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (MAR

2015) ALTERNATE I (OCT 2014)

(The full text is provided in the conformed solicitation documents.)

(End of Summary of Changes)