FA8823-19-R-0005_0002.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 SMC/SYK CODE FA8823 7. ADMINISTERED BY (If other than Item 6) CODE

SPACE & MISSILE SYSTEMS CENTER

1050 E. STEWART AVE., BLDG 2025

PETERSON AFB, CO 80914

STEPHANIE L. ROSENTHAL 7195562258

stephanie.rosenthal@us.af.mil

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

FA8823-19-R-0005

X

9B. DATED (SEE ITEM 11)

21 MAR 2019

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 is extended, X 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 1 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.)

See schedule of changes.

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)

SENECA J. ALVARADO

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 7.1.2.2 FAR (48 CFR) 53.243 Created 05 Apr 2019 10:42 AM

SCHEDULE OF CHANGES

FA8823-19-R-0005 0002 PAGE 2 OF 3

The purpose of this amendment is to:

1) Replace Attachment 1, PWS, Rev A, Chg 1 with Attachment 1, PWS, Rev A, Chg 2.

2) Replace Attachment 4, Work Breakdown Structure with Attachment 4, Work Breakdown Structure, Rev A, Chg 1.

3) Replace Attachment 8, Section L, Rev A, Chg 1 with Attachment 8, Section L, Rev A, Chg 2.

4) Replace Attachment 15, Basis of Estimate (BOE) Templates, with Attachment 15, BOE Templates, Rev A, Chg 1.

5) Delete clause 52.222-17-Non-Displacement of Qualified Workers.

LIST OF ATTACHMENTS

FA8823-19-R-0005 0002

DOCUMENT PGS DATE TITLE

ATTACHMENT 1 63 03 APR 2019 PERFORMANCE WORK STATEMENT FOR

MOSSAIC, REV A, CHG 2

ATTACHMENT 4 1 03 APR 2019 WORK BREAKDOWN STRUCTURE, REV A, CHG 1

ATTACHMENT 8 70 03 APR 2019 SECTION L, REV A, CHG 2

ATTACHMENT 15 1 03 APR 2019 BASIS OF ESTIMATE (BOE) TEMPLATES, REV A,

CHG 1