FA6703-14-B-0003-0001.pdf

F5B3234213A001

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 update the CLIN structure.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 21-Aug-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 FA6703-14-B-0003

X 9B. DATED (SEE ITEM 11)

20-Aug-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

20-Aug-2014

CODE

94 CONF/LGC - FA6703

1538 ATLANTIC AVENUE

DOBBINS ARB GA 30069-4917

FA6703 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA6703-14-B-0003

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B - SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN description has changed from Repair Storm Water System to Repair Storm Water System Site A.

The CLIN extended description has changed from FGWB 10-0030, Repair Storm Water System Basewide: Repair drainage and erosion issues on Dobbins ARB in accordance with attached specifications, not dated, and drawings dated 13 Dec 2013 to FGWB 10-0030, Repair Storm Water System Basewide: Site A consists of the elimination of drainage and erosions issues on both sides of Gym Road on Dobbins ARB in accordance with attached Specifications, 14 Aug 2014, and drawings date 13 Dec 2013. Work under this project will require a NPDES permit. Governement has submitted Notice of Intent. Contractor shall submit Notice of termination at the end of the project completion..

The signal code A has been added.

CLIN 0002 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0002 1 Lot Repair Storm Water System Site B

FFP

FGWB 10-0030, Repair Storm Water System Basewide: Site B consists of the repair of an existing drainage feature to prevent drainage flow from entering Little Lake on Dobbins ARB in accordance with attached Specifications, 14 Aug 2014, and drawings date 13 Dec 2013. Work under this project will require a NPDES permit. Governement has submitted Notice of Intent. Contractor shall submit Notice of termination at the end of the project completion.

FOB: Destination

PURCHASE REQUEST NUMBER: F5B3234213A001

SIGNAL CODE: A

NET AMT

CLIN 0003 is added as follows:

0003 1 Lot Repair Storm Water System Site C

FFP

FGWB 10-0030, Repair Storm Water System Basewide: Site C consists of the repair to the drainage channel alongside Spill Pone 3 on Dobbins ARB in accordance with attached Specifications, 14 Aug 2014, and drawings date 13 Dec 2013. Work under this project will require a NPDES permit. Governement has submitted Notice of Intent. Contractor shall submit Notice of termination at the end of the project completion.

FOB: Destination

CLIN 0004 is added as follows:

0004 1 Lot Repair Storm Water System Site D

FFP

FGWB 10-0030, Repair Storm Water System Basewide: Site D consists of the constructing measure to prevent sediment from being discharge into a downstream wetland from the USAF Civil Engineering Training Site on Dobbins ARB in accordance with attached Specifications, 14 Aug 2014, and drawings date 13 Dec 2013. Work under this project will require a NPDES permit. Governement has submitted Notice of Intent. Contractor shall submit Notice of termination at the end of the project completion.

FOB: Destination

SECTION E - INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0002:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

The following Acceptance/Inspection Schedule was added for CLIN 0003:

The following Acceptance/Inspection Schedule was added for CLIN 0004:

SECTION F - DELIVERIES OR PERFORMANCE

The following Delivery Schedule item has been added to CLIN 0002:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

120 dys. ADC 1 94MSG/CE - F5B323

884 INDUSTRIAL DRIVE

DOBBINS ARB GA 30069-4210

FOB: Destination

F5B323

The following Delivery Schedule item has been added to CLIN 0003:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

120 dys. ADC 1 94MSG/CE - F5B323

884 INDUSTRIAL DRIVE

DOBBINS ARB GA 30069-4210

The following Delivery Schedule item has been added to CLIN 0004:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

120 dys. ADC 1 94MSG/CE - F5B323

884 INDUSTRIAL DRIVE

DOBBINS ARB GA 30069-4210

(End of Summary of Changes)