Solicitation Amendment FA860121Q01270002 SF 30.pdf

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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 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)

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.)

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)

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBE

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

Supplies or Services & Prices or Costs

The following CLIN(s) / SLIN(s) / ELIN(s) were added:

Item Supplies / Services Quantity Unit Unit Price Amount

Delivery/Installation in accordance with the

SOW.

Product Service Code: N071 Firm Fixed Price

1 Lot

Inspection and Acceptance

The inspection and acceptance locations for the following CLIN(s) / SLIN(s) were added:

Inspection and Acceptance Location - F4F2AA - F4F2AA 88 CEG

INFORMATION VALUE

Action Both Location Destination

Acceptance Location

F4F2AA

F4F2AA 88 CEG

1450 LITTRELL RD

AF NO MILSBILLS PROC CP 9372573781

WRIGHT PATTERSON AFB, OH 45433-5261

UNITED STATES

Instructions none POC Name Sharion Harvin POC Email sharion.harvin@us.af.mil POC Telephone (937) 656-3390

Deliveries or Performance

The delivery information for the following CLIN(s) / SLIN(s) / ELIN(s) were added:

Ship To - F4FBEK - F4FBEK AFRL CSH

INFORMATION VALUE

Address

Ship To - F4FBEK - F4FBEK AFRL CSH

F4FBEK

F4FBEK AFRL CSH

1864 4TH ST

AF BPN NO MILSBILLS PROCESSES

WRIGHT PATTERSON AFB, OH 45433-7130

UNITED STATES

POC Name Kyle Baker POC Email kyle.baker.19@us.af.mil POC Telephone (937)255-3363 Delivery Delivery Week Starting 01 Nov 2021.

FA860121Q01270002

1940 ALLBROOK DR RM 109

BLDG 1 CP 937 257 6803

WRIGHT PATTERSON AFB, OH 45433-5344

UNITED STATES

KIRBY WILLIAMS, Email: kirby.williams.1@us.af.mil Telephone: 9375224531

Email: kirby.williams.1@us.af.mil Telephone: 9375224531