HC101321R0003-AMEND 0002.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

RFP AMENDMENT ISSUED TO ADD:

A.) CONTRACT PAYMENTS – DELIVERY TICKET INVOICE (DTI) AND BILLING DATES TO SECTION G OF THE RFP.

B.) ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.

1. CONTRACT ID CODE PAGE OF PAGES

1 3

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 23-Mar-2021

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X HC101321R0003

X 9B. DATED (SEE ITEM 11)

10-Feb-2020

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

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 Offer is extended, X is not extended.

Offer 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.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM 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 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.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

23-Mar-2021

CODE

DISA/DITCO-SCOTT

2300 EAST DRIVE

BLDG 3600

SCOTT AFB IL 62225-5406

HC1013 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

HC101321R0003

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION G - CONTRACT ADMINISTRATION DATA

The following have been added by full text:

CONTRACT PAYMENTS – DELIVERY TICKET INVOICE (DTI)

Payments for all orders, to include Communications Service Authorizations (CSA), issued under this contract or agreement, shall be made by the US Government using the Delivery Ticket Invoice (DTI) contract payment method.

The DTI contract payment method is authorized in accordance with the Department of Defense Financial

Management Regulation (FMR), Volume 10, Chapter 7, Section 070203. As prescribed by the FMR, DTI contract payments will be provided to Contractors automatically by the US Government. The Contractor provided Receiving

Report containing the government acceptance combined with the order represents a DTI. The Receiving Report may consist of a Notice of Completion (NOC) signed by the government acceptor or a NOC combined with an email from an authorized government POC denoting acceptance. The Contractor shall not submit separate invoices for telecommunication services provided in any orders on this contract or agreement. Any separate invoices submitted by the Contractor will not be considered.

The Contractor shall provide a Receiving Report for each order under this contract or agreement and any modifications that state a NOC is required. The Contractor shall submit the Receiving Report to the Contracting

Officer in accordance with any other terms included in this contract/agreement.

The NOC for each order shall include, at a minimum, the following elements in order to be considered for payment:

a. Contract number

b. Communication Service Authorization (CSA)/Order Number

c. Contractor name and address

d. Description of service (Purpose statement of each individual order/modification)

e. Contractor Circuit ID

f. Date Service/Test Results Delivered

g. Government Service Acceptance/Completion Date

h. Government POC name and title that accepted the service

i. Contractor Program Manager information, name, signature, title, and date

j. Quantity

k. Unit of Measure

l. Non-Recurring Cost (NRC) Price

m. Monthly Recurring Cost (MRC) Price

Payments will be processed by: DFAS Columbus (HQ0252), P.O. Box 182317, Columbus, OH 43218-3125. DFAS point of contact for payment inquiries: 1-800-756-4571

(End of text)

BILLING DATES

For invoicing purposes, the Effective Billing Date (EBD) is the date the contracted service is delivered to the

Government in accordance with the contract and the Final Billing Date (FBD) is the date the Government requests

HC101321R0003

the service to be discontinued via contract modification.

(End of text)

(End of Summary of Changes)