FA520918Q01440001.pdf

F4G3D58194AW01

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

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY

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 FA520918Q0144

X 9B. DATED (SEE ITEM 11)

16-Aug-2018

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.)

The purpose of this amendment is to add the approved camera list to the PWS.

10A. MOD. OF CONTRACT/ORDER NO.

U0001

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

29-Aug-2018

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:

FA520918Q0144

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

APPENDIX A OF PWS, CAMERA LIST

Approved Camera List:

Assessment Cameras Aventura CAM –IPE-2XW Internet Protocol (IP) Aventura CAM-IPM-8ZA-36X-IR (PTZ) + Bosch NWC-04-95-20P Internet Protocol (IP) Camera + Bosch NWC-04-95-20P (1/3 Format) + Bosch NBN-498-21P Internet Protocol (IP) Camera + Bosch Auto Dome VG 4-322-ECE1M + Bosch Auto Dome VG5-623-ECS + Bosch Auto Dome VG5-624-ECS + Bosch Auto Dome VG5-724-ECE2 Bosch Auto Dome 7000 Internet Protocol (IP) Camera with environmental housing + Bosch Dinion Internet Protocol (IP) 7000 Camera with environmental housing Bosch DINION Internet Protocol (IP) Starlight 7000 HD (NBN-73013-BA) *Bosch NBN-63013-B *Bosch NBN-63023-B *Bosch NBN-71013-B *Bosch NBN-71022-B + Burle 300H Camera + Burle TC 351 Camera (1/2 inch format) + Cohu 4865 Camera (WS3) (2/3 inch format) + Cohu 48x Camera (KUMMSC) (2/3 inch format) + Cohu 4915/4912-3000 Camera (1/2 inch format) Cohu 3930HD Indigo Vision 512147 (PTZ) Indigo Vision 11650-Audio-HD + IQ Eye 752 Internet Protocol (IP) Camera + Lumenera Le 165M-DN Internet Protocol (IP) Camera Lumenera Le 165ME-DN Internet Protocol (IP) Camera with environmental housing + Lumenera Le 165MP-DN Internet Protocol (IP) Camera with environmental housing + Pelco ES31CBW35-2N Pan Tilt Zoom (PTZ) System + Pelco ES30C/ES31C Pan Tilt Zoom (PTZ) System (1/4 inch format) with/ without optional Wiper Pelco ES4136-2N Esprit ES system Pan Tilt Zoom (PTZ) System (1/4 inch format) with/ without optional Wiper + Pelco MC3651H-2 Interior Camera (1/3 inch format)

FA520918Q0144

+ Pelco IXE20 IP Camera Pelco ES4036-5W Esprit Series, with and without wiper, standard and pressurized + Pelco ES40E36-5W Esprit Series, with and without wiper, standard and pressurized Pelco ES40/41 Series Positioning System, Analog, PTZ, w/wo wiper Esprit SE Standard & Pressurized, model ES4036-5W Pelco ES40E/41E Series Positioning System, IP, PTZ, w/wo wiper Esprit SE Standard & Pressurized, Model ES40E36-5W Pelco IXE21 Internet Protocol (IP) Pelco P1220-ESR1 (PTZ)

VICON SN680D-B-WNIR(PTZ)

VICON IQ762WI-V6 Internet Protocol (IP) + Vivotek IP 7151 Vivotek SD8364E (PTZ) *Vivotek IP816A-HP (interior only)

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

LIST OF DOCUMENTS, ATTACHMENTS:

DISCRIPTON PAGE DATE

Attachment 1. Performance Work Statements (PWS) 4 30 June 2018 Revised 28 Aug 18 Attachment 1-1~4. *Sketches 4 N/A Attachment 2. PPI List 1 N/A Attachment 3. PP Survey 4 N/A

*Sketches will be provided to only offerors attended to the site visit.

(End of Summary of Changes)