SF30_Amendment_0001.pdf

F2H2B96089A001

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

POC: Atsuko.Izumi Phone (DSN): 634-4788/(Commercial): 098-938-1111, Ext: 634-4788 E-mail: atsuko.izumi.jp@us.af.mil

The purpose of this amendment is to revise the item description, SHIP TO ADDRESS for CLIN 0002 and attach Q&A document.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 05-Aug-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 FA5270-16-T-0200

X 9B. DATED (SEE ITEM 11)

21-Jul-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 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

05-Aug-2016

CODE

18 CONS/LGCA

POC: ATSUKO IZUMI

UNIT 5199, BLDG 95 KADENA AB

APO AP 96368

FA5270 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA5270-16-T-0200

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

PURPOSE:

The purpose of this amendment is to;

1. Revise the item description and SHIP TO ADDRESS for CLIN 0002

2. Attach Q&A document

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0002

The CLIN extended description has changed from Full XL quilted double-sided reversible mattress (54"x80"x8~10")Item MUST follow all specifications and follow the fire resistant law underconsumer product safety commission 16 CFR Part 1633 specification:- Must be no less than 312 Coils- Must be Bio Preferred- Stain and Water-Resistant*Must be a US product* to Full XL quilted double-sided reversible mattress (54"x80"x8~10")Item MUST follow all specifications and follow the fire resistant law underconsumer product safety commission 16 CFR Part 1633 specification:- Must be no less than 312 Coils- Must be Bio Preferred- Stain and Water-Resistant*Must be a US product or a product from a qualifying country IAW 252.225-7021*.

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0002 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

120 dys. ADC 200 718 CES/CEHU

CHRISTOPHER LEON

BUILDING 700

KADENA AB

APO AP 96368

315-634-7978 FOB: Destination

F2H2B9

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

FA5270-16-T-0200

120 dys. ADC 200 718 CES/CELM

CHRISTOPHER LEON

UNACCOMPANIED WAREHOUSE

WAREHOUSE 1 BLDG 54413

KADENA AFB

OKINAWA, JAPAN

634-7978 FOB: Destination

F2H2B9

(End of Summary of Changes)

The following items are applicable to this modification:

All other terms, conditions and offer due date/local time remain unchanged.

(End of SF30)