FA5575-14-R-0013-0002.pdf

QUUG-12-000005

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. There are no vacant duct to run the f iber using existing ducts betw een MH 69 and MH-New 3. This w ill require the installation of four (4) additional new manhole 4’x4’x51” on locations as show n in the attached Sketch 5.

2. Distances from corresponding point of the draw s have been provided.

3. Road crossing that require boring have been provided for clarif ication along w ith distances.

4. MAX CELL clarif ication has been provided in document Modif ication of Technical Design dated 09 Jul 14.

5. Revised Cost Estimate Breaksdow n USAFE QUUG-12-00005-01 Ver2 has been provided.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

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

16C. DATE SIGNED

BY 11-Jul-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 FA5575-14-R-0013

X 9B. DATED (SEE ITEM 11)

20-Jun-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

11-Jul-2014

CODE

496 ABS/LGC (FA5575)

APARTADO 221

41530 MORON

SEVILLA

FA5575 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

1138736322A Typewritten Text

JOSHUA J. MORELL

314-722-8528 joshua.morell@us.af.mil

1138736322A Typewritten Text

1138736322A Typewritten Text

FA5575-14-R-0013

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

LIST OF ATTAHCEMENTS

ATTACHMENTS

LIST OF DOCUMENTS

ATTACHMENT TITLE DATE NUMBER OF

NUMBER PAGES

1 SOO For Installation of Manhole/Duct Ssytem and Fiber 07 April 2014 61

Optic Cable to Core 4 Buildings Moron Air Base, Spain

2 Sketch 1-4 N/A 4

3 Past Performance Reference List (not part of the resultant N/A 1 contract)

4 Past Performance Questionnaires (not part of the resultant N/A 4 contract) 5 Cost Estimate Breakdown USAFE QUUG-12-000005-01 N/A 6

6 Modification Clarification to Technical design 09 Jul 2014 2

7 Sketch 5 N/A 1

(End of Summary of Changes)