SF_30_Amendment_0005 _FA5270-16-T-0007 _Change_Period_of_Performance.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as p rovid ed herein, all terms and cond itions o f th e document referenced in Item 9A o r 10 A, as hereto fore chang ed , remains un ch an ged and in full force and effect.

15A. NAME AND T IT LE OF SIGNER (T ype or print )

30-105-04EXCEP TION T O SF 30

AP PROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) P rescribed by GSA

FAR (48 CFR) 53.243

Amendment 0005 is issued to change period of perf ormance and extend closing date to 08 A ugust 2016, 1500 Hour, JA PAN STA NDARD

TIME (JST).

See attached "Summary of Changes."

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 28-Jul-2016

16B. UNITED STAT ES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signa ture of Cont ract ing Officer)(Signat ure of person aut horized t o sign)

8. NAME AND ADDRESS OF CONT RACT OR (No., St reet , County, Sta te and Zip Code) X FA 5270-16-T-0007

X 9B. DATED (SEE IT EM 11)

17-Mar-2016

10B. DATED (SEE IT EM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS IT EM ONLY AP PLIES TO AMENDMENT S OF SOLICITAT IONS

X Th e ab ove n umbered solicitation is amend ed as set forth in Item 1 4. Th e hou r and date sp ecified for receipt o f Offer X is extend ed , is not extended.

Offer mu st ackn owled ge receipt of this amen dment p rior to the h our an d d ate specified in the solicitation or as amen ded b y o ne of the following method s:

(a) By completing Items 8 and 15 , and returnin g 1 co pies of the amen dment; (b ) By ackn owled ging receipt of this amen dment o n each copy of the o ffer sub mitted ;

o r (c) By separate letter o r teleg ram wh ich includ es a reference to th e so licitation and amend men t nu mbers. 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 virtu e of this amen dment y ou desire to change an offer already su bmitted, su ch change may be made by teleg ram or letter, p rovid ed each telegram o r letter mak es reference to th e so licitation and this amen dment, an d is receiv ed prio r to the op en ing hou r and date sp ecified.

12. ACCOUNTING AND AP PROP RIATION DATA (If required)

13. THIS ITEM AP PLIES ONLY T O MODIFICATIONS OF CONT RACT S/ORDERS.

IT MODIFIES T HE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED P URSUANT T O: (Specify aut horit y) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN T HE

CONT RACT ORDER NO. IN ITEM 10A.

B. T HE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office , appropria tion dat e, et c.) SET FORT H IN ITEM 14, P URSUANT TO T HE AUT HORITY OF FAR 43.103(B).

C. T HIS SUPP LEMENTAL AGREEMENT IS ENT ERED INTO PURSUANT TO AUT HORITY OF:

D. OT HER (Specify type of modificat ion and aut horit y)

E. IMP ORTANT: Contrac tor is not, is required t o sign this document and re turn copies to t he issuing office.

14. DESCRIP TION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, inc luding solic ita tion/contrac t subject mat t er where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If app licable)

6. ISSUED BY

3. EFFECTIVE DATE

29-Jul-2016

CODE

18 CONS/LGCA

POC: RIEKO T OMA

UNIT 5199, BLDG 99 KADENA AB

APO AP 96368-5199

FA5270 7 . ADMINISTERED BY (If o ther than item 6)

4 . REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA5270-16-T-0007

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:

AMENDMENT 0005

Amendment 0005 is issued to change Period of Performance as follows:

FROM: Basic Year and Two (2) Option Years TO: Basic Year and One (1) Option Year

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 80,000 Gallon Pump-Out and Clean Oil Water Separator

FFP

Non-personal service: Pump out and cleaning services of Oil/ Water separators at Kadena Air Base in accordance with the Performance-Based Work Statement (PWS) dated 24 May 2016.

BASIC YEAR:

Period of Performance: 1 Oct 2016 thru 30 Sep 2017 FOB: Destination

NET AMT

FA5270-16-T-0007

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1001 80,000 Gallon OPTION Pump-Out and Clean Oil Water Separator

FFP

Non-personal service: Pump out and cleaning services of Oil/ Water separators at Kadena Air Base in accordance with the Performance-Based Work Statement (PWS) dated 24 May 2016.

OPTION YEAR ONE:

Period of Performance: 1 Oct 2017 thru 30 Sep 2018 FOB: Destination

NET AMT

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 31-May-2016 11:00 AM to 08-Aug-2016

03:00 PM.

(End of Summary of Changes)