FA8224-12-R-0027-0001.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 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 pupose of this amendment is to:

Correct the Quantity and UNIT of issue of Line Item 0003.

Correct the Employee Class, Monetary Wage, and Fringe Benefits in FAR Clause 52.222-42.

Update PWS w ith corrected calculations in Appendix F, see PWS dated 15-AUG-2012.

Post Q&As.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 16-Aug-2012

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 FA8224-12-R-0027

X 9B. DATED (SEE ITEM 11)

31-Jul-2012

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

16-Aug-2012

CODE

OO-ALC/PZIM

BEN CROSBY 6038 ASPEN AVE B1289 UPSTARIS

HILL AFB UT 84056-5805

FA8224 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA8224-12-R-0027

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0003

The pricing detail quantity has increased by 5.00 from 1.00 to 6.00.

The unit of issue has changed from Lot to Months.

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0003 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 24-SEP-2012 TO

23-SEP-2013

N/A 309 MXW/FM

JOHN MINNOCH

309 MXW

5851 F AVE, BLDG 849

HILL AFB UT 84056-5713

801-586-3948

FOB: Destination

F2DCAU

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 24-SEP-2012 TO

23-SEP-2013

N/A 309 MXW/FM

JOHN MINNOCH

309 MXW

5851 F AVE, BLDG 849

HILL AFB UT 84056-5713

801-586-3948

FOB: Destination

F2DCAU

TABLE OF CONTENTS

The Table of Contents has changed from:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Exhibit 2 Contract Data

Requirements list

2 18-JUL-2012

Exhibit 3 DI-MGMT-80227 2 05-SEP-1986

Exhibit 4 DI-ALSS-81530 1 18-NOV-1996

Exhibit 5 DI-MGMT-80257 2 30-OCT-1986

FA8224-12-R-0027

Exhibit 6 Osha Form 300A 1 01-JAN-2004

Exhibit 7 DI-SAFT-81563 2 02-JUN-1998

Exhibit 8 DI-MISC-81397 2 14-APR-1994

Exhibit 9 DI-ENVR-81375 3 16-DEC-1993

Attachment 1 Performance-Based Work

Statement

19 12-JUN-2012

to:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Exhibit 2 Contract Data

Requirements list

2 18-JUL-2012

Exhibit 3 DI-MGMT-80227 2 05-SEP-1986

Exhibit 4 DI-ALSS-81530 1 18-NOV-1996

Exhibit 5 DI-MGMT-80257 2 30-OCT-1986

Exhibit 6 Osha Form 300A 1 01-JAN-2004

Exhibit 7 DI-SAFT-81563 2 02-JUN-1998

Exhibit 8 DI-MISC-81397 2 14-APR-1994

Exhibit 9 DI-ENVR-81375 3 16-DEC-1993

Attachment 1 Performance Based Work

Statement

19 15-AUG-2012

The following have been modified:

52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 1989)

In compliance with the Service Contract Act of 1965, as amended, and the regulations of the Secretary of Labor (29

CFR Part 4), this clause identifies the classes of service employees expected to be employed under the contract and states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the provisions of 5 U.S.C. 5341 or 5332.

THIS STATEMENT IS FOR INFORMATION ONLY: IT IS NOT A WAGE DETERMINATION

WD Employee Class Monetary Wage Fringe Benefits

05-2531 (REV. -12) Material Handling Laborer (21050) $11.67 $3.71

(End of clause)

(End of Summary of Changes)