FA853318R0496_______0001.pdf

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

2. AMENDMENT/MODIFICATION NO.

FA8533-18-R-0496-0001

3. EFFECTIVE DATE

11 MAY 2018

4. REQUISITION/PURCHASE REQ. NO.

FD2060-18-70496

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

BASE & A/C SUPPORT/ATS/HUMAN SYSTEM, AFLCMC/WNKAB

235 BYRON ST STE 19A

BLDG 300 CML PHN 478 222 1902

ROBINS AFB GA 31098-1670

BUYER: Victoria K. McDaris/WNKAB victoria.mcdaris@us.af.mil Phone: (478) 222- 1861 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.

FA853318R0496

9B. DATED (SEE ITEM 11)

5-APR-2018

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. 4-JUN-2018 4:30 PM

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.

FA8533-18-R-0496-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to extend the due date of the proposal, delete CDRL A013 dated 14 Feb 18 in Section J, List of Attachments, delete CDRL A015 dated 14 Feb 18 in Section J, List of Attachments, incorporate CDRL A013 dated 9 May 18 in Section J, List of Attachments, incorporate CDRL A015 dated 9 May 18 in Section J, List of Attachments, and restate Section J, List of Attachments.

a. The due date of this proposal is hereby extended to 4 June 18, Close of Business, 4:30 PM

EST.

b. CDRL A013, dated 14 Feb 18, is hereby deleted in its entirety in Section J, List of Attachments.

c. CDRL A015, dated 14 Feb 18, is hereby deleted in its entirety in Section J, List of Attachments.

d. CDRL A013, dated 9 May 18, is hereby incorporated in its entirety in Section J, List of Attachments.

e. CDRL A015, dated 9 May 18, is hereby incorporated in its entirety in Section J, List of Attachments.

f. Section J, List of Attachments is hereby restated as follows:

Part III-LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages Performance Based Work Statement 28MAR2018 11

DD1423-1 Contract Data Requirements List (CDRL) A001 thru A010, A012, A014, and A016

14Feb2018 26

DD1423-1 Contract Data Requirements List (CDRL) A011

21FEB2018 2

DD1423-1 Contract Data Requirements List (CDRL) A013 and A015

9MAY2018 4

Quality Assurance Surveillance Plan

(QASP)

08FEB2018 12

Government Furnished Property 15FEB2018 4

DD1653 Transportation 3

AFMC FORM 158 Packaging Requirements 2

Amendment/Modification FA8533-18-R-0496-0001

END OF AMENDMENT