FA853309R21835______0007.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE Page 1

2. AMENDMENT/MODIFICATION NO.

FA8533-09-R-21835-0007

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

FD2060-09-21835

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

WR ALC GRVKBB, MAJOR PROGRAMS

460 RICHARD RAY BLVD STE 200

BLDG 301 CP 478 222 1902

ROBINS AFB GA 31098-1813

BUYER: Salena W. Arrington/GRVKBB Salena.Arrington@robins.af.mil Phone: (478) 222- 1755 Fax: (478) 222-1854 No Collect Calls

7. ADMINISTERED BY (If other than item 6) CODEFA8533

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

FA853309R21835

9B. DATED (SEE ITEM 11)

29-JUN-2011

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, is not extended. Offers 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 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 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 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 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

ROUTINE

15A. NAME AND TITLE OF SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR

BY ________________________________________________________

(Signature of person authorized to sign)

15C. DATE SIGNED

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

16B. UNITED STATES OF AMERICA

BY ____________________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

FACILITY CODE

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE

30-105 STANDARD FORM 30 (REV. 10-83)

PRESCRIBED BY GSA

FAR (48 CFR) 53.243

X

X X

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.

Salena.Arrington Typewritten Text 4 Aug 2011

Amendment/Modification FA8533-09-R-21835-0007

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

(1) The purpose of this Amendment is to incorporate Attachment 8, Subcontractor/Teaming Partner Consent Form, for subject solicitation.

(2) Reference page 61 of 69 for subject solicitation issued 29 Jun 2011 . A Sample Subcontractor/Teaming Partner Consent Form is incorporated as an Attachment 8 in lieu of Attachment 5.

(3) The "List of Documents, Exhibits or Attachments" is hereby revised to incorporate Attachment 8, Subcontractor/Teaming Partner Consent Form.

(4) All other terms and conditions remain the same.

RFP FA8533-09-R-21835

ATTACHMENT 8

NOTE TO OFFERORS: Past performance information concerning critical subcontractors and/or joint venture partners cannot be disclosed to a private party without the critical subcontractor's or joint venture partner's consent. Because a prime contractor is a private party, the Government will need that consent before disclosing critical subcontractor/joint venture partner past and present performance information to the prime during exchanges. In an effort to assist the Government's Past Performance Team in assessing your past performance relevancy and confidence, we request that the following consent form be completed by the critical subcontractors/joint venture partners identified in your proposal. The completed consent forms should be submitted as part of your Past Performance Volume. (Note: Section L should specify if past performance is to be submitted as a separate proposal volume).

FOR OFFICIAL USE ONLY

CRITICAL SUBCONTRACTOR/JOINT VENTURE PARTNER CONSENT FORM FOR

THE RELEASE OF PAST AND PRESENT PERFORMANCE INFORMATION TO THE

PRIME CONTRACTOR

Dear (Contracting Officer)

We are currently participating as a (critical subcontractor/joint venture partner) with (prime contractor or name of entity providing proposal) in responding to the Department of the Air Force, (location) request for Proposal (solicitation number) for the (program title or description of effort).

We understand that the Government is placing increased emphasis on past performance in order to obtain best value in source selections. In order to facilitate the performance confidence assessment process we are signing this consent form to allow you to discuss our past and present performance information with the prime contractor during the source selection process.

(Signature and Title of individual who has the authority to sign for and legally bind the company)

Company Name:

Address:

FOR OFFICIAL USE ONLY