FA5209-17-T-0009-0001.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

The purpose of this modif ication is to revise the Performance Work Statement (PWS).

POC:

Contract Administrator: Mr. Yuma Kato, Phone: 042-552-3010, Fax: 042-551-0973, E-mail: yuma.kato.jp@us.af.mil Contracting Officer: Ms. Maki Kodama, Phone/Fax: (Same as above), E-mail: maki.kodama.jp@us.af.mil

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 02-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

02-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

The purpose of this amendment is to incorporate revisions in Appendices A, C, D, and E in the Performance Work Statement (PWS).

A. PWS, page 7 of 14, Appendix A: Estimated Work Load, A. Repair of Trackage, the quantity of the items listed below is changed to read as follows:

Item From: To:

a. Replacement of Regular Tie 16 20

d. Replacement of Brace 1 2

f. Alignment of Track 80 70

B. PWS, page 9 of 14, Appendix C: List of Repair Work:

1. The quantity of the items listed below is changed to read as follows:

Item From: To:

a. Replacement of Regular Tie 16 20

d. Replacement of Brace 1 2

f. Alignment of Track 80 70

2. Third item of No. 1, Replacement of regular tie, Remarks, incorporate the change as indicated in bold text to read as follows:

From: ※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。

※ Refer to sketch on the attached sheet. For one close to the Seibu line, and night time construction.

To: ※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, removal and restoration of a derailment prevention guard are included.

3. Sixth item of No. 1, Alignment of the track, Remarks, incorporate the change as indicated in bold text to read as follows:

From: 9番線(1k390m～1k400m) 20m V=63 Track No.9 (1k390m ～ 1k400m) 20m V= 63

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

4. Eighth item of No. 1, Replacement of bridge tie bottom packing, incorporate the change as indicated in bold text to read as follows:

From: 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

Industrial track No.3, Replacement of bridge tie bottom packing of Tamagawa Bridge.

※ Refer to photo on the attached sheet.

To: 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。 Industrial track No.3, Replacement of bridge tie bottom packing of Tamagawa Bridge.

※ Refer to photo on the attached sheet. ※Removal and restoration of a rail are included.

C. PWS, page 10 of 14, Appendix D: U.S. Military Sidetrack Drawings, the quantity of the items listed below is changed to read as follows:

No. Item From: To:

No. 9 Replacement of Regular Tie 8 12 No. 9 Alignment of Track 20 10 Industrial No. 3 Replacement of Brace 1 2

D. PWS, page 11 of 14, Appendix E: Replacement List, Replacement of regular tie breakdown list is changed to read as follows:

From:

To:

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

Industrial track No.3

番線名 Remarks 記事

チョック

(Place)

脱線防止ガード

No.9

チョックは全て５０Ｎ用、×印のみ交換

For one cl ose t o t he Sei bu l i ne, and ni ght t i me const r uct i on

西武線に近接している1本については、夜間施工とする

All breces are 50N, Only x mark is replacement

16 1 4

合計 Total

9番

(Job)(Job)

No.8

No.

Brace 並まくらぎ Regular tie

(本) Derailment prevention guard

（箇所）

引込3番 脱線防止ガード締結箇所はまくらぎ削正を行うこと

Derailment prevention guard conclusion point perform tie adzing

8番

(個)

7番 No.7

Derailment prevention guard

（箇所）

8番

(個)

7番 No.7

並まくらぎ Regular tie

(本)

9番

(Job)(Job)

No.8

No.

合計 Total 20 2 3

No.9

チョックは全て５０Ｎ用、×印のみ交換

For one cl ose t o t he Sei bu l i ne, and ni ght t i me const r uct i on

西武線に近接している1本については、夜間施工とする

All breces are 50N, Only x mark is replacement

記事

チョック

(Place)

脱線防止ガード

Remarks

引込3番

番線名 Brace

Industrial track No.3 3本については、脱線防止ガードの仮撤去、復旧含む

For three, removal and restoration of a derailment prevention guard are included.

脱線防止ガード締結箇所はまくらぎ削正を行うこと

Derailment prevention guard conclusion point perform tie adzing

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

G. 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)