FA8201-15-B-0003_Amend_0003.pdf

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 T IT LE OF SIGNER (T ype or print)

30-105-04EXCEPT ION T O SF 30

APPROVED BY OIRM 11-84

ST ANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of the amendment is to add the follow ing documents to Section J Attachments: Revised Specif ication Section 01 11 00

Summary of Work, Revised Specif ication Section 01 33 00 Submittal Procedures, Revised Specif ication Section 02 41 00 Demolition, Contractor Questions and Addendum Items, SSCO lighting equipment approval, JRC lighting equipment approval, Sabol & Rice, Inc. equipment approval, Pavement Markings, Bldg 1A Free Zone, Revised Schedule of Draw ings, Revised Draw ing AE601.

1. CONTRACT ID CODE P AGE OF P AGES

J 1 2

16A. NAME AND T IT LE OF CONT RACT ING OFFICER (T ype or print)

16C. DAT E SIGNED

BY

16B. UNIT ED ST AT ES OF AMERICA15C. DAT E SIGNED15B. CONT RACT OR/OFFEROR

(Signature of Contract ing Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONT RACT OR (No., Street , County, State and Zip Code) X FA8201-15-B-0003

X 9B. DAT ED (SEE IT EM 11)

06-Aug-2015

10B. DAT ED (SEE IT EM 13)

9A. AMENDMENT OF SOLICIT AT ION NO.

11. T HIS IT EM ONLY APPLIES T O AMENDMENT S OF SOLICIT AT IONS

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 P LACE DESIGNATED FOR THE RECEIP T OF OFFERS P RIOR TO THE HOUR AND DATE SP ECIFIED 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. ACCOUNT ING AND APPROPRIAT ION DAT A (If required)

13. T HIS IT EM APPLIES ONLY T O MODIFICAT IONS OF CONT RACT S/ORDERS.

IT MODIFIES T HE CONT RACT /ORDER NO. AS DESCRIBED IN IT EM 14.

A. T HIS CHANGE ORDER IS ISSUED PURSUANT T O: (Specify authority) T HE CHANGES SET FORT H IN IT EM 14 ARE MADE IN T HE

CONT RACT ORDER NO. IN IT EM 10A.

B. T HE ABOVE NUMBERED CONT RACT /ORDER IS MODIFIED T O REFLECT T HE ADMINIST RAT IVE CHANGES (such as changes in paying office, appropriat ion date, etc.) SET FORT H IN IT EM 14, PURSUANT T O T HE AUT HORIT Y OF FAR 43.103(B).

C. T HIS SUPPLEMENT AL AGREEMENT IS ENT ERED INT O PURSUANT T O AUT HORIT Y OF:

D. OT HER (Specify type of modificat ion and authority)

E. IMPORT ANT : Contractor is not , is required to sign this document and return copies to the issuing office.

14. DESCRIPT ION OF AMENDMENT /MODIFICAT ION (Organized by UCF sect ion headings, including solicitat ion/contract subject matter where feasible.)

10A. MOD. OF CONT RACT /ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. P ROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

27-Aug-2015

CODE

OL:H/PZIO

PZIOC MARC MATTSSON

6038 ASPEN AVE B1289NE

HILL AFB UT 84056-5805

FA8201 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/P URCHASE REQ. NO.

CODE

See Item 6

FACILIT Y CODECODE

EMAIL:TEL:

FA8201-15-B-0003

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

ATTACHMENTS

DESCRIPTION PAGES DATE

Statement of Work 18 21 July 2015

Pricing Schedule 1 N/A

Davis Bacon Wage Determination UT150104 01/16/2015 UT104 5 16 Jan. 2015

Base Facility Design Standards 83 29 Jun. 2015

Architectural Compatibility Standards 46 April 2013

Asbestos Survey 9 3 Mar. 2015

LBP Survey 7 30 Mar. 2015

Appendix C 15 2 Mar. 2015

Basis of Design 25 24 Mar. 2015

Cut Sheets 126 30 Mar. 2015

ROOFING REPORT (B1 Report Revised) 44 30 Mar. 2015

Index of Specifications 4 14 Jul. 2015

Specifications (Cover – 32-31-13) 77 27 Mar. 2015

Staging 1 16 Jul. 2015

Schedule of Drawings 3 23 Jul. 2015

Site Visit Attendance Record 3 13 Aug. 2015

Revised Specification Section 01 11 00 Summary of Work 20 19 Aug 2015

Revised Specification Section 01 33 00 Submittal Procedures 16 undated

Revised Specification Section 02 41 00 Demolition 8 undated

Contractor Questions and Addendum Items 11 21 Aug 2015

SSCO lighting equipment approval 65 14 Aug 2015

JRC lighting equipment approval 50 19 Mar 2015

Sabol & Rice, Inc. equipment approval 1 21 Aug 2015

Pavement Markings 47 19 Jul 2004

Bldg 1A Free Zone 1 undated

Revised Schedule of Drawings 3 undated

Revised Drawing AE601 1 undated

DRAWINGS

ARCH (KRSM-1A_148028_AD101 – KRSM-1A_148028_AE640) 39 26 Mar. 2015

CIVIL (KRSM-1A_148028_C101 - KRSM-1A_148028_L101 8 26 Mar. 2015

ELEC (KRSM-1A_148028_EDL111 – KRSM-1A_148028_FA701) 51 26 Mar. 2015

GENERAL (KRSM1-1A_148028_G001 - KRSM1-1A_148028_G005) 5 26 Mar. 2015

MECH (KRSM1-1A_148028-FP101 - KRSM1-1A_148028-PL601) 28 26 Mar. 2015

STRUCTURAL (KRSM1-1A_148028-SB101 - KRSM1-1A_148028-SF502) 9 26 Mar. 2015

(End of Summary of Changes)