Amend0004.pdf

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11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended. is not extended.

Offers 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 electronic communication 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 letter or electronic communication, provided each letter or electronic communication 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)

See Section G

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, 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 incorporate Attachment J-5 c, Questions and Answers #3, and To revise the due date of Attachment J-4, Past Performance Evaluation Cover Letter and Past Performance Questionnaire

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) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print) Contracting Officer Email: gary.scullin.1@us.af.mil Telephone: DSN: 315-225-5426

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES

1 2

2. AMENDMENT/MODIFICATION NUMBER

3. EFFECTIVE DATE

8/5/2019

4. REQUISITION/PURCHASE REQUISITION NUMBER

A002342

5. PROJECT NUMBER (If applicable)

N/A

6. ISSUED BY CODE FA5209 7. ADMINISTERED BY (If other than Item 6) CODE

FA5209 374 CONS LGC

UNIT 5228

APO AP 96328-5228

APO, AP 96328-5228

United States Ken Sato, Email: ken.sato.jp@us.af.mil Telephone: 225-7619

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

FA520919RA006

9B. DATED (SEE ITEM 11)

5/28/2019

10A. MODIFICATION OF CONTRACT/ORDER NUMBE

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

mailto:gary.scullin.1@us.af.mil mailto:ken.sato.jp@us.af.mil

FA520919RA0060004

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

Section J - List of Attachments

Miscellaneous text in this section has been modified to:

DOCUMENT TYPE DESCRIPTION PAGE(S) DATE

Attachment J-1 Other Contract Requirements

(Revised by Amendment 0003) 11 N/A

Attachment J-2 a MACC, U.S. Army Installations within Honshu, Japan, General Provisions

78 6 Feb 2019

Attachment J-2 b MACC General Provisions for Yokota Air Base, its Geographically Separated Units (GSUs), Japan

48 28 May 2019

Attachment J-3 a Statement of Work (SOW) for Mock Project, Project No.

ZNRE 19-1069, Repair Bldg 907 Annex at Yokota Air Base, Japan

16 23 Apr 2019

Attachment J-3 b Addendum to the SOW 2 N/A Attachment J-3 c.1 Section B (Price Schedule) 1 N/A Attachment J-3 c.2 Exemption from Japanese Customs Duties and Taxes

Pursuant to Status of Forces Agreement 1 N/A

Attachment J-3 d Reference Documents for the Mock Project (14documents as listed in the Addendum to SOW)

N/A

Attachment J-4 Past Performance Evaluation Cover Letter (Revised by Amendment 0004 ) and Past Performance Questionnaire

6 N/A

Attachment J-5 a

Questions & Answers #1 (Added by Amendment 0003)

1 13 Jun 2019

Attachment J-5 b

Questions & Answers #2 with four (4) Attachments (Added by Amendment 0003)

11 Jul 2019

Attachment J-5 c

Questions & Answers #3 (Added by Amendment 0004)

5 Aug 2019

(Attachments J-3 a through J-3 d and J-4 will not be part of the resultant contract)