FA8125-13-Q-0056-0002.pdf

F3YCEB3217AQ01

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

To Add CLIN 0002, Replace the PWS Dated (1 August 2013) w ith the PWS dated (18 September 2013), and add Appendix A1 and Appendix

E.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 5

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

16C. DATE SIGNED

BY 19-Sep-2013

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 FA8125-13-Q-0056

X 9B. DATED (SEE ITEM 11)

26-Aug-2013

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

18-Sep-2013

CODE

AFSC/PZIMA

CAROL CASTLE/405-734-5066

3001 STAFF DR 2S76

TINKER AFB OK 73145-3303

FA8125 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA8125-13-Q-0056

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

FA8125-13-Q-0056-0002

The Subject Solicitation is Amended as follows:

FIRST: The Performance Work Statement dated (1 August 2013) is hereby replaced with the PWS dated

(18 September 2013).

SECOND: CLIN 0002 is hereby added for the One Time, 6 Year Maintenance of the 27 Bottles listed in

Appendix A1.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0002 1 Lot

One Time 6 Year Maintenance for the 27 Bottles

FFP

The Contractor shall provide all labor, tools, equipment, test equipment, material, parts, quality control, transportation, inspection manuals, personal protective equipment and clothing. The personal protective equipment and clothing shall include the following: reflective clothing (belt, vest, etc.) hearing and eye protection, plus prescription safety glasses, safety harnesses, fall protection equipment, lifting equipment and any incidentals necessary to perform a One Time

6 Year Maintenance on the 27 bottles listed in Appendix A1 at Tinker AFB OK.

Special Instructions are contained in Appendix E.

Basic:POP-(30 September 2013 through 29 September 2014)

Pricing is for the One Time 6 Year Maintenance of the 27 (150 lb. Halon

Bottles) listed in Appendix A1. In accordance with (IAW) the Performance Work

Statement (PWS).

Pricing: This is a Firm Fixed Price Line Item.

Pricing per Bottle: $ _____ Each

CONTRACTOR IS REGISTERED IN SAM,

REGISTRATION IS VALID UNTIL: _________

CAGE Code: __________

THE CONTRACTOR SHALL SUBMIT INVOICES IN ARREARS OF

SERVICES THROUGH WAWF(WAWF). SEE CLAUSE 252.232-7006

FOB: DESTINATION

NSN: J012-13-CDC-SVCS

SIGNAL CODE: A

NET AMT

THIRD: Appendix E is hereby added.

FOURTH: All other terms and conditions remain unchanged and in full effect.

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0002 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0002 1 Lot One Time 6 Year PM for the 27 Bottles

FFP

The Contractor shall provide all labor, tools, equipment, test equipment, material, parts, quality control, transportation, inspection manuals, personal protective equipment and clothing. The personal protective equipment and clothing shall include the following: reflective clothing (belt, vest, etc.) hearing and eye protection, plus prescription safety glasses, safety harnesses, fall protection equipment, lifting equipment and any incidentals necessary to perform a One Time

6 Year Maintenance on the 27 bottles listed in Appendix A1 at Tinker AFB OK.

Special Instructions are contained in Appendix E.

Basic:POP-(30 September 2013 through 29 September 2014)

Pricing is for the One Time 6 Year Maintenance of the 27 (150 lb. Halon Bottles) listed in Appendix A1. In accordance with (IAW) the Performance Work

Statement (PWS).

Pricing: This is a Firm Fixed Price Line Item.

Pricing per Bottle: $ _____ Each

CONTRACTOR IS REGISTERED IN SAM,

REGISTRATION IS VALID UNTIL: _________

CAGE Code: __________

THE CONTRACTOR SHALL SUBMIT INVOICES IN ARREARS OF

SERVICES THROUGH WAWF(WAWF). SEE CLAUSE 252.232-7006

FOB: DESTINATION

FOB: Destination

NSN: J012-13-CDC-SVCS

SIGNAL CODE: A

NET AMT

DELIVERIES AND PERFORMANCE

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

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 30-SEP-2013 TO

29-SEP-2014

N/A F3YCEB

RANDY HURLEY

76 MXW/OBWK

3001 STAFF DR STE S69

TINKER AFB OK 73145

405-736-5485

FOB: Destination

F3YCEB

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

(End of Summary of Changes)