HQ003417R0070_Amendment_0002.pdf
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- HQ003417R0070
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HQ003471R0070 Amendment 0002
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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
Except as provided herein, al l terms and condit ions 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
The purpose of this amendment is to:
1. Replace, via Attachment 1, “PWS” with “PWS Version 2.0”
2. Replace, via Attachment 2, “J-1 Inventory” with “J-1 Inventory Version 2.0".
3. Replace, via Attachment 4, “Services 2015-4281 Rev 6 Wage Determination” with “Services 2015-4281 Rev 7 Wage Determination”
4. Replace, via Attachment 5, “Construction VA170013 VA13 Mod 3 Wage Determination” with “Construction WD VA170013 VA13”.
5. Replace, via Attachment 6, “Past Performance Questionnaire” with “Past Performance Questionnaire Version 2.0”.
6. Incorporate, via Attachment 9, Requests for Information (RFI) Responses.
7. Incorporate, via Attachment 10, Site Visit Attendee List.
1. CONTRACT ID CODE PAGE OF PAGES
J 1 3
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
16C. DATE SIGNED
BY 04-Aug-2017
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 HQ003417R0070
X 9B. DATED (SEE ITEM 11)
14-Jul-2017
10B. DATED (SEE ITEM 13)
9A. AMENDMENT OF SOLICITATION NO.
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
X The above numbered sol ici tat ion i s amended as set forth in It em 14. The hour and date speci fied 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 soli cit ation or as amended by one of the fol lowing 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 let ter or telegram which includes a reference to the sol ici tat ion 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 vi rtue of this amendment you desi re to change an offer al ready submitt ed, such change may be made by t elegram or letter, provided each telegram or let ter makes reference to the sol ici tat ion and this amendment , and is received prior to the opening hour and date speci fied.
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 appl icable)
6. ISSUED BY
3. EFFECTIVE DATE
04-Aug-2017
CODE
WHS - ACQUISITION DIRECTORATE
1225 SOUTH CLARK ST, SUITE 1202
ARLINGTON VA 22202- 3909
HQ0034 7. ADMINISTERED BY (If other than item 6)
4. REQUISITION/PURCHASE REQ. NO.
CODE
See Item 6
FACILITY CODECODE
EMAIL:TEL:
HQ003417R0070
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS
The Table of Contents has changed from:
Exhibit/Attachment Table of Contents
DOCUMENT TYPE DESCRIPTION PAGES DATE
Attachment 1 PWS 15 12-JUL-2017 Attachment 2 Inventory J-1 1 09-JUN-2017 Attachment 3 CBA-2012-5463 Wage
Determination
21 09-JUN-2017
Attachment 4 Services 2015-4281 Rev 6 Wage Determination
11 13-JUL-2017
Attachment 5 Construction VA170013 VA13 Mod 3 Wage Determination
7 13-JUL-2017
Attachment 6 Past Performance Questionnaire
5 09-JUN-2017
Attachment 7 Past Performance Data Sheet
1 09-JUN-2017
Attachment 8 Subcontracting Plan 7 09-JUN-2017 to:
Exhibit/Attachment Table of Contents
DOCUMENT TYPE DESCRIPTION PAGES DATE
Attachment 1 PWS Version 2.0 17 04-AUG-2017 Attachment 10 Site Visit Attendee List 1 28-JUL-2017 Attachment 2 J-1 Inventory Version 2.0 04-AUG-2017 Attachment 3 CBA-2012-5463 Wage
Determination
21 09-JUN-2017
Attachment 4 Services 2015-4281 Rev 7 Wage Determination
11 04-AUG-2017
Attachment 5 Construction WD
VA170013 VA13
7 04-AUG-2017
Attachment 6 Past Performance Questionnaire Version 2.0
5 04-AUG-2017
Attachment 7 Past Performance Data Sheet
1 09-JUN-2017
Attachment 8 Subcontracting Plan 7 09-JUN-2017 Attachment 9 Requests for Information
(RFI) Responses
4 04-AUG-2017
(End of Summary of Changes)
HQ003417R0070
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