Solicitation Amendment FA857126Q00720002 SF 30.pdf
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- Solicitation number
- FA857126Q0072
About this file
This is an Amendment of Solicitation/Modification of Contract (Standard Form 30) issued by the U.S. Air Force to modify solicitation FA857126Q0072, dated May 21, 2026. The amendment, effective June 15, 2026, incorporates a new Performance Work Statement and reassigns CDRL A004 to A003, consolidating contract data requirements.
The response due date has been extended from June 12, 2026 to June 17, 2026. The solicitation number has been updated from FA857126Q00720001 to FA857126Q00720002. Under Supplies or Services & Prices or Costs, Line Item 0002 originally contained four line items (A001, A002, A003, A004) but has been modified to include only three items (A001, A002, A003). Line Item A003 now encompasses CDRL A003 (Accident/Incident Report IAW PWS, paragraph 4.15), combining what were previously separate deliverables. Line Item A004, which contained CDRL A004 (Accident/Incident Report), has been deleted entirely. The inspection and acceptance location remains F3QCCL, WR ALC OBCA SERVICES at Robins AFB, Georgia, with Charles Poole designated as the point of contact. Service performance is set at 20 calendar days from after the mishap to completion of performance. The attachments have been updated to include an updated Performance Work Statement dated June 15, 2026 and the revised CDRL A003 document, while older versions of these documents have been removed from the contract.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 81915 - PWS 15 June 2026.docx | DOCX document | |
| 81915 - CDRL A003 - Accident Incident Report.pdf | ||
| FA857126Q00720001.pdf | ||
| 81915 - CDRL A002 - Status Report_EnMS Training.pdf | ||
| 81915 - PWS 2 Apr 2026.docx | DOCX document | |
| 81915 - CDRL A004 - Accident Incident Report.pdf | ||
| 81915 - Appendix C.docx | DOCX document | |
| Solicitation - FA857126Q0072.pdf | ||
| 81915 - CDRL A001 - Status Report_EMS Training.pdf | ||
| 81915 - CDRL A003 - Contractors Safety Plan.pdf |
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Text version
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE
J
2. AMENDMENT/MODIFICATION NUMBER
3. EFFECTIVE DATE
15 Jun 2026
4. REQUISITION/PURCHASE
REQUISITION NUMBER
5. PROJECT NUMBER (if applicable)
6. ISSUED BY CODE FA8571
FA8571 AFSC PZIO MXW
375 PERRY ST BLDG 255, CP 478 222 4098
ROBINS AFB, GA 31098-1672
UNITED STATES
Elizabeth Haines, Email: elizabeth.haines.2@us.af.mil Telephone: 472-0000 TAYLOR WALKER, Email: taylor.walker.10@us.af.mil Telephone: 478-926-4518
7. ADMINISTERED BY (if other than Item 6)
CODE
SCD: PAS:
8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code)
CODE: FACILITY CODE:
9A. AMENDMENT OF SOLICITATION NUMBER
FA857126Q0072
9B. DATED (SEE ITEM 11)
21 May 2026
10A. MODIFICATION OF CONTRACT/ORDER
NUMBER
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; 1 or (c) By separate letter or electronic communication 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 letter or electronic communication, provided each letter or electronic communication 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) See Section G - Contract Administration Data
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.
IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.
CHECK
ONE
A.THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NUMBER IN ITEM 10A.
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, 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.)
The purpose of this amendment is to incorporate a new Performance Work Statement and reassign CDRL A004 to A003.
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) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
Taylor M. Walker
15B. CONTRACTOR/OFFEROR
(Signature of person authorized to sign)
15C. DATE SIGNED 16B. UNITED STATES OF AMERICA
(Signature of Contracting Officer)
16C. DATE SIGNED
15 Jun 2026
Computer generated. Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA-FAR (48 CFR) 53.243
SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
Solicitation/Contract Form
The following modifications were made:
Information From To Response Due Date 12 Jun 2026 17 Jun 2026 Solicitation Number FA857126Q00720001 FA857126Q00720002
Supplies or Services & Prices or Costs
Line Item 0002
The following Line Item modifications were made:
Information From To ELINs A001, A002, A003, A004 A001, A002, A003
Line Item A003
The following Line Item modifications were made:
Information From To
Description CDRL A003, DI-SAFT-82080/T NOT 1, Contractor's Safety Plan IAW PWS, para 4.14.1 dated 2 April 2026
CDRL A003, DI-SAFT-81563 NOT 2, Accident/Incident Report IAW PWS, para 4.15 dated 2 April 2026
Line Item A004
The following Line Item(s) were deleted:
Item Supplies / Services Quantity Unit Unit Price Amount
A004
CDRL A004, DI-SAFT-81563 NOT 2,
Accident/Incident Report IAW PWS, para 4.15 dated 2 April 2026
Product Service Code: W045 Pricing Arrangement: Firm Fixed Price
1 Each Not Separately Priced
Inspection and Acceptance
Line Item A003
The following Inspection and Acceptance Location(s) were added:
Inspection and Acceptance Location - DoDAAC: F3QCCL
Information Value Action Both Location Destination
Inspection and Acceptance Location
F3QCCL
F3QCCL WR ALC OBCA SERVICES
AF BPN NO MLSBLS PROC CP4782221708, 155 RICHARD RAY BLVD STE 100 RM 102
ROBINS AFB, GA 31098-1813
UNITED STATES
Instructions See Statement of Work (SOW) or Performance Work Statement (PWS) for Acceptance/inspection criteria.
POC Name Charles Poole POC Email charles.poole.6@us.af.mil POC Telephone 4789268851
The following Inspection and Acceptance Location(s) were deleted:
Inspection and Acceptance Location - DoDAAC: F3QCCL
FA857126Q00720002
Line Item A004
The following Inspection and Acceptance Location(s) were deleted:
Inspection and Acceptance Location - DoDAAC: F3QCCL
Deliveries or Performance
Line Item A003
The following Delivery Information was added:
Service Performance Site - DoDAAC: F3QCCL
Information Value
Address
Service Performance Site
F3QCCL
F3QCCL WR ALC OBCA SERVICES
AF BPN NO MLSBLS PROC CP4782221708, 155 RICHARD RAY BLVD STE 100 RM 102
ROBINS AFB, GA 31098-1813
UNITED STATES
POC Name Charles Poole POC Email charles.poole.6@us.af.mil POC Telephone 4789268851 Delivery 20 Calendar Days, From After the mishap to completion of performance
The following Delivery Information was deleted:
Service Performance Site - DoDAAC: F3QCCL
Line Item A004
The following Delivery Information was deleted:
Service Performance Site - DoDAAC: F3QCCL
List of Attachments
The following Header Attachment(s) were added:
Information Value Attachment Description Contract Data Requirements List (CDRL) Attachment Name 81915 - CDRL A003 - Accident Incident Report Date 27 Apr 2026 Number 08
Information Value Attachment Description Performance Work Statement Attachment Name 81915 - PWS, 15 June 2026 Date 15 Jun 2026 Number 07
The following Header Attachment(s) were deleted:
81915 - CDRL A003 - Contractors Safety Plan 81915 - CDRL A004 - Accident Incident Report 81915 - PWS, 2 Apr 2026
FA857126Q00720002
| SUMMARY OF CHANGES |
| Solicitation/Contract Form |
| Supplies or Services & Prices or Costs |
| Inspection and Acceptance |
| Deliveries or Performance |
| List of Attachments |
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