17T0009_Amend_0002.pdf

F4G3B46223AQ01

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

POC:

Contract Specialist: Mr. Yuma Kato/Phone: 042-530-3010/E-mail: yuma.kato.jp@us.af.mil

Contracting Officer: Ms. Maki Kodama: 042-530-3010/E-mail: maki.kodama.jp@us.af.mil

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

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

16C. DATE SIGNED

BY 09-Nov-2016

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 FA5209-17-T-0009

X 9B. DATED (SEE ITEM 11)

24-Oct-2016

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

09-Nov-2016

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:

FA5209-17-T-0009

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

SUMMARY OF CHANGES

Reason for Amendment: To incorporate corrections in Performance Work Statement (PWS), Appendices A and C.

A. PWS, page 7 of 14, Appendix A: Estimated Work Load, D. Weeding, the quantity of the item listed below is hereby changed to read as follows:

Item From: To:

d. Tree Trimming 3 6

B. PWS, page 9 of 14, Appendix C: List of Repair Work, the quantity of the item listed below is hereby changed to read as follows:

Item From: To:

Paint of Curve Post 1 2

C. The hour and date for offerors to respond to this amendment remains unchanged.

D. Revised PWS reflecting the above changes is attached herewith. The changes are indicated with a vertical line on the left margin.

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

(End of Summary of Changes)

Attachment 1 to Solicitation No. FA5209-17-T-0009-0002

APPENDIX A: ESTIMATED WORK LOAD

A. Repair of Trackage Unit Quantities

a. Replacement of Regular Tie EA 20

b. Replacement of Steel Tie EA 15

c. Replacement and Restore of Fuel Pan EA 1

d. Replacement of Brace EA 2

e. Paint of Curve Post EA 2

f. Alignment of Track m 70

g. Tamping of Ballast m 20

h. Replacement of Bridge Gasket EA 1

B. Repair of Switching Device

a. Replace Switching Device Tie (day shift) EA 5

b. Lubrication of Switching Device EA 7

C. Cleaning of Railroad Crossing

a. Cleaning of Flange Way (night shift) EA 3

b. Cleaning of Withered Leaves Set 5

D. Weeding

a. Chemical Weed Control m2 34,496

b. Weeding m2 5,224.8 (870.8 m2 x 6 times)

c. Tree Trimming EA 6

E. Repair of Railroad Crossing

a. Paint of Concrete Fence EA 3

b. Paint of Stop Line EA 2

1264923839U Line

Attachment 1 to Solicitation No. FA5209-17-T-0009-0002

Appendix C: List of Repair Work 【 保守工事数量表 】 No.1-止 List of Repair and Maintenance Work

番号 工 事 種 別 単位 数 量 摘 要

No. Description Unit Quantity Remarks 1 軌道補修

Repair of trackage 鉄まくらぎ交換 本 ※別紙略図参照 【設計確認必要】

Replacement of steel tie Job ※ Refer to sketch on the attached sheet 【Design validation is needed】 燃料漏油処理板仮撤去復旧 箇所 ７番線１箇所（鉄まくらぎ交換） ※別紙略図参照

Remove and restore of fuel pan Place No.7 = 1 place (Replacement of steel tie) ※ Refer to sketch on the attached sheet 並まくらぎ交換 本

Replacement of regular tie Job

※別紙略図参照 西武線に近接している1本については、夜間施工とする。

3本については、脱線防止ガードの仮撤去、復旧含む。

※ Refer to sketch on the attached sheet. For one close to the Seibu line, and night time construction. For three , r emova l and res tora t i on o f a dera i lment prevention guard are included.

チョック交換（50N） 個 引込3番線（拝島方曲線部） ※×印のみ交換、他は再用

Replacement of brace（50N） Job Industrial track No.3 （For haijima ） ※ × Mark - Replacement, Others - Re - use material

曲線標塗色 箇所 7番線 2♯レール付近 ※R=600、S＝10、C=0に塗色

Paint of curve post Place No.7 Around 2# rail ※ It is change paint to R= 600, S= 10 and C= 0 7番線(1k350m～1k390m) 40m V=63 Track No.7 (1k350m ～ 1k390m) 40m V= 63 9

番線(1k390m～1k400m) 10m V=63 Track No.9 (1k390m ～ 1k400m) 10m V= 63

通り整正 ｍ 17番線(0k930m～0k950m) 20m V=42 Track No.17 (0k930m ～ 0k950m) 20m V= 42

Alignment of the track m ※必要により継目部の犬釘増打ちを含む。

※ Additional strike of a dog nail of a joint is included by need.

9番線(1k110m～1k120m) 10m Track No.9 (1k110m ～ 1k120m) 10m

道床つき固め ｍ 引込3番線(0k640m～0k650m) 10m Industrial track No.3 (0k640m ～ 0k650m) 10m Tamping tie m ※ゲートの開閉に支障しないよう、こう上量は20mm以内とすること。

※ The special amount on this way should be within the 20mm so that the trouble isn't made oil gate opening and shutting.

橋まくらぎ下部パッキン取替 引込3番線 玉川上水Ｂの橋まくらぎ下部のパッキン取替。 ※別紙写真参照

※レールの仮撤去、復旧含む。

Replacement of bridge tie 個 bottom packing Job Industrial track No.3, Replacement of bridge tie bottom packing of Tamagawa Bridge. ※ Refer to photo on the attached sheet. ※Remova l and res tora t i on o f a ra i l a re included.

2 分岐器補修

Repair of switching device ヨ5号 220×1本、280×1本、右基本レールのレールブレス調整含む。

YO5 = 220×1, 280×1, Including rail brace adjustment of the right stock rail.

ヨ15号 250×1本 YO15 = 250×1

分岐まくらぎ交換（昼間） 本 ヨ16号 220×1本、280×1本 YO16 = 220×1, 280×1

Replacement of switching Job ※密着調整・転換試験＝テムズ要請にて見積書へ計上 device tie (Day time) ※ Adhesion adjustment / Conversion examination of switch signal = It describes on a written estimateincluding a TEMS request.

ポイント部注油作業 組 2回 /年＝310ロ、312イ、ヨ5、ヨ8、ヨ9、ヨ15、ヨ16 Iubrication of switching device Set Twice a year ＝ 310RO、312I、YO5、YO8、YO9、YO15、YO16

3 清掃関係

Cleaning work 横田5号踏切＝4回 /年、横田1号踏切＝2回 /年、横田2号踏切＝2回 /年

輪縁路清掃（夜間） 箇所 ※踏切清掃時に、周囲に投棄された廃棄物も処分すること。

Repair of precast prestressed Place Yokota No.5 R.C. = four times a year, Yokota No.1 R.C. = twice a year, crossing (Night time) Yokota No.2 R.C. = twice a year

※ At the time of crossing cleaning, also to dispose of the refuse abandoned around.

1回 /年＝ヨ5号、ヨ6号、ヨ7号、ヨ8号、ヨ9号

ポイント部枯葉除去 組 Annual = YO5、YO6、YO7、YO8、YO9 Cleaning of switching device Set （12月～3月頃の間にて実施）

(Carried out between December and March) 4 除草作業

Weeding ①引込3番線 0k300m～燃料ゲートまで（3,648㎡）

① Industrial track No.3 between 0k300m and 0k908m (3,648㎡）

除草薬散布 ㎡ ②燃料基地内及び7番線、8番線、9番線の終点方含む（13,600㎡）

Chemical weed control ㎡ ② On base and the terminal point of No.7, No.8, and No.9 (13,600㎡）

17,248㎡ × 2回 /年 幅6mにて施工

17,248㎡ × Twice a year Construct width 6m 除草作業 ㎡ 燃料基地内：年6回 9番線（左側）＝870.8㎡×6 ＝ 5,224.8㎡ ※別紙求積表参照

Weeding ㎡

On fuel base: six times a year No.9 (Left side) = 870.8㎡ × 6 ＝ 5,224.8㎡ ※ Refer to breakdown list on the quadrature table

横田３号ＲＣ（拝島方 左側）＝３本

樹木伐採 Yokota No.3 R.C. (For haijima, Left side) = 3 jobs Cutting of trees 横田４号ＲＣ～横田５号ＲＣ間（右側）＝３本 ※別紙写真参照

Yokota No.4 R.C. ～ Yokota No.5 R.C. (Right side) = 3 jobs ※ Refer to photo on the attached sheet

5 踏切補修

Repair of railroad crossing 月形柵塗色 箇所 横田１号踏切（３箇所） ※別紙写真参照

Paint of fence Place Yokota No.1 R.C. = 3 places ※ Refer to photo on the attached sheet 停止線塗色 箇所 横田１号踏切（２箇所 450×2700）

Paint of stop line Place Yokota No.1 R.C. = 2 places （450×2700）

5,224.8

本

Job

34,496

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