Amendment_4.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

The purpose of this amendment is to revise Attachment J-1, Performance Work Statement (PWS) Appendix G Contractor Employee Support

Table, to add an additional Note indicating commissary privileges are not authorized at Kadena AB, Japan.

All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 02-Sep-2014

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 FA5215-13-R-7001

X 9B. DATED (SEE ITEM 11)

05-Mar-2014

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-Sep-2014

CODE

766 SPECIALIZED CONTRACTING SQUADRON

ATTN: RICKIE SHIFLET

90 G ST., BLDG 1201

JB PEARL HARBOR-HICKAM HI 96853-5230

FA5215 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA5215-13-R-7001

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:

PWS Appendix G Contractor Employee Support Table is revised as follows:

APPENDIX G

CONTRACTOR EMPLOYEE SUPPORT TABLE

EMPLOYEE

CATEGORY

TYPE OF

VISA

REQUIRED

EMPLOYEE

PRIVILEGES

DEPENDENT

PRIVILEGES

ACTION REQUIRED UPON

TERMINATION OF EMPLOYMENT

OR COMPLETION OF

ASSIGNMENT

1. CONUS hire SOFA stamp in passport

US Citizen

SOFA CAC: C, EU,

MWR (MS

Fee Charged)

Dependent ID Card: C, EU, MWR (MS Fee Charged)

Turn in ID card (unless transferring to another USPACOM base) on day of departure.

2. Overseas hire SOFA stamp in passport

US Citizen

SOFA CAC: C, EU,

MWR (MS

Fee Charged)

Dependent ID Card: C, EU, MWR (MS Fee Charged)

Turn in ID card (unless transferring to another USPACOM base) on last day of duty.

3. International travel of #1 & 2

SOFA (For

TDY

Location)

C, E, MWR

(MS Fee Charged)

None None

4. TDY from US less than 180 days

SOFA C, E, MWR,

(MS Fee Charged)

None None

5. Overseas hire U.S. in-country resident

In-Country Resident or Other Non-

SOFA MBA

Status

Base Pass Only

None Turn in Base Pass/RAPIDS issuance location on last day of employment.

SOFA = Status of Forces Agreement (applies to Japan, Korea, and Australia)

FA5215-13-R-7001

Privilege Codes: C = Commissary E = Exchange (EL: Limited/EU: Unlimited) MWR = Morale, Welfare, Recreation MS = Emergency Medical Care in Uniformed Services Facilities

Note: This support table does not apply to contractors assigned to Guam. Contractors assigned to Guam will be given base access, but are not guaranteed privileges listed above.

Note: Commissary privileges are not authorized at Kadena AB, Japan.

CAC process: http://www.cac.mil

The following have been deleted:

(End of Summary of Changes) http://www.cac.mil/