FA860419R81160007.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

See Block #2

PAGE OF PAGES

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ.NO.

5. PROJECT NO. (If applicable)

6. ISSUED BY AFLCMC/PZIEB CODE FA8604 7. ADMINISTERED BY (If other than Item 6) CODE

USAF/AFMC/AFLCMC

AF LIFE CYCLE MANAGEMENT CENTER

2275 D STREET, BLDG 16, RM 128

WRIGHT-PATTERSON AFB OH 45433-7228

ZACHARY P. REYNOLDS 937-656-7381

ZACHARY.REYNOLDS@US.AF.MIL

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NO.

FA8604-19-R-8116

X

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

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 Offers X 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 0 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 MODIFICATION OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

(X )

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: ( ) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. 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 X 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.)

Non-ACAT MMHS at SHAW AFB,SC Amendment to extend the proposal submission date, incorporate SubCLINs that correspond with previous amendments.

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 SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR

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

16C. DATE SIGNED

(Signature of person authorized to sign)

BY________________________________________

(Signature of Contracting Officer)

NSN 7540-01-152-8070 30-105 STANDARD FORM 30 (REV.10-83)

PREVIOUS EDITION UNUSABLE Prescribed by GSA ConWrite Version 7.2.1.9 FAR (48 CFR) 53.243 Created 15 Aug 2019 1:41 PM

SCHEDULE

FA8604-19-R-8116 0007

1. This amendment hereby incorporates:

a. Updated CLIN structure

b. Extended proposal submission date of 27 Aug 2019.

Qty Unit Price ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount

0008AC CLIN Establish 1 __________ Each __________ Noun: RIDER REACH VEHICLE FOR BLDG 1604,MANUFACTRED

AND DELIVERED

PSC: 3990

NSN: N - Not Applicable Contract type: J - FIRM FIXED PRICE Inspection: DESTINATION Acceptance: DESTINATION

FOB: DESTINATION

Descriptive Data:

The contractor shall manufacture and deliver one (1) rider reach vehicle for project CSN:

TSH804 in accordance with the Cover Purchase Description (PD) dated 30 July 2019, paragraph 3.1.7) REV 1 and Appendix G, Rider-Reach Vehicles, dated 09 July 2019 and associated drawings.

SECURITY FENCING, MANUFACTURED AND DELIVERED

0011 CLIN Change __________ Noun: SECURITY FENCING MANUFACTURED AND DELIVERED NSN: N - Not Applicable Descriptive Data:

The Contractor shall manfacture and deliver wire partition security fencing for project CSN: TSH804 in accordance with the Cover Purchase Description (PD) dated 30 July 2019, (paragraph 3.1.10) REV 1, and Drawings TSH804-02 and TSH804-06.

SECURITY FENCING, MANUFACTURED AND DELIVERED

0011AA CLIN Establish 1 __________ Lot __________ Noun: SECURITY FENCING FOR BLDG 216,MANUFACTRED AND

DELIVERED

PSC: 3990

NSN: N - Not Applicable Contract type: J - FIRM FIXED PRICE Inspection: DESTINATION Acceptance: DESTINATION

FOB: DESTINATION

Descriptive Data:

The Contractor shall manfacture and deliver wire partition security fencing for project CSN: TSH804 in accordance with the Cover Purchase Description (PD) dated 30 July 2019, (paragraph 3.1.10) REV 1 and TSH804-02.

Qty Unit Price ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount

Security Cage BLDG 1604

0011AB CLIN Establish 1 __________ Lot __________ Noun: SECURITY FENCING (CAGE) FOR BLDG 1604

MANUFACTURED AND DELIVERED

PSC: 3990

NSN: N - Not Applicable Contract type: J - FIRM FIXED PRICE Inspection: DESTINATION Acceptance: DESTINATION

FOB: DESTINATION

Descriptive Data:

The Contractor shall manfacture and deliver one (1) wire partition security fencing for project CSN: TSH804 in accordance with the Cover Purchase Description (PD) dated 30 July 2019, (paragraph 3.1.10) REV 1 and TSH804-06.

PROCESSING COUNTER, MANUFACTURED AND DELIVERED

0012 CLIN Change __________ Noun: PROCESSING COUNTERS, MANUFACTURED AND

DELIVERED

NSN: N - Not Applicable Descriptive Data:

The Contractor shall manfacture and deliver processing counters for project CSN:

TSH804 in accordance with the Cover Purchase Description (PD) dated 30 July 2019, (paragraph 3.1.11) REV 1, and Drawings TSH804-02 and TSH804-06.

PROCESSING COUNTER, MANUFACTURED AND DELIVERED

0012AA CLIN Establish 1 __________ Each __________ Noun: PROCESSING COUNTER FOR BLDG 216

MANUFACTURED AND DELIVERED

ACRN: AA

PSC: 3990

NSN: N - Not Applicable Contract type: J - FIRM FIXED PRICE Inspection: DESTINATION Acceptance: DESTINATION

FOB: DESTINATION

Descriptive Data:

The Contractor shall manfacture and deliver processing counters for project CSN:

TSH804 in accordance with the Cover Purchase Description (PD) dated 30 July 2019, (paragraph 3.1.11) REV 1, and Drawing TSH804-02.

Qty Unit Price ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount

ESD Workstations BLDG 1604

0012AB CLIN Establish 1 __________ Each __________ Noun: PROCESSING COUNTER/ESD WORKSTATION FOR BLDG

1604 MANUFACTURED AND DELIVERED

ACRN: AA

PSC: 3990

NSN: N - Not Applicable Contract type: J - FIRM FIXED PRICE Inspection: DESTINATION Acceptance: DESTINATION

FOB: DESTINATION

Descriptive Data:

The Contractor shall manfacture and deliver one (1) ESD Workstation for project CSN:

TSH804 in accordance with the Cover Purchase Description (PD) dated 30 July 2019, (paragraph 3.1.11.1) REV 1, and Drawing TSH804-06.

SHIP MARK TRANS

ITEM SUPPLIES SCHEDULE DATA QTY TO FOR PRI DATE

0008AC 1 FB4803 FB4803 150 DARO

Noun: RIDER REACH VEHICLE FOR BLDG

1604,MANUFACTRED AND DELIVERED

Descriptive Data:

The contractor shall deliver the rider reach vehicle to:

20th Logistics Readiness Squadron Shaw AFB, SC 29152 Bldg 1604

NOTE : Add to the shipping label the verbiage, "To be offloaded and opened by the Contractor or Contractor's Representative." In addition, the following information should be included on the shipping label:

Contractor Name Contractor Representative Name Local Commercial Phone Number Building Number 1604

0011AA 1 FB4803 FB4803 150 DARO

Noun: SECURITY FENCING FOR BLDG 216,MANUFACTRED

AND DELIVERED

Descriptive Data:

The contractor shall deliver one wire partition security fencing to:

20th Logistics Readiness Squadron Bldg 216 Shaw AFB, SC 29152

NOTE : Add to the shipping label the verbiage, "To be offloaded and opened by the Contractor or Contractor's Representative." In addition, the following information should be included on the shipping label:

Contractor Name

Contractor Representative Name

Building Number 216

0011AB 1 FB4803 FB4803 150 DARO

Noun: SECURITY FENCING (CAGE) FOR BLDG 1604

MANUFACTURED AND DELIVERED

Descriptive Data:

The contractor shall deliver one wire partition security fencing to:

20th Logistics Readiness Squadron Bldg 1604 Shaw AFB, SC 29152

NOTE : Add to the shipping label the verbiage, "To be offloaded and opened by the Contractor or Contractor's Representative." In addition, the following information should be included on the shipping label:

Contractor Name Contractor Representative Name

0012AA 1 FB4803 FB4803 150 DARO

Noun: PROCESSING COUNTER FOR BLDG 216

MANUFACTURED AND DELIVERED

ACRN: AA

Descriptive Data:

The contractor shall deliver one processing counter to:

20th Logistics Readiness Squadron Bldg 216 Shaw AFB, SC 29152

NOTE : Add to the shipping label the verbiage, "To be offloaded and opened by the Contractor or Contractor's Representative." In addition, the following information should be included on the shipping label:

Contractor Name Contractor Representative Name

Building Number 216

0012AB 1 FB4803 FB4803 150 DARO

Noun: PROCESSING COUNTER/ESD WORKSTATION FOR

BLDG 1604 MANUFACTURED AND DELIVERED

ACRN: AA

Descriptive Data:

The contractor shall deliver one wire partition security fencing to:

20th Logistics Readiness Squadron Bldg 1604 Shaw AFB, SC 29152

NOTE : Add to the shipping label the verbiage, "To be offloaded and opened by the Contractor or Contractor's Representative." In addition, the following information should be included on the shipping label:

Contractor Name Contractor Representative Name