A23 HQ003421R0179 Amendment 0004.pdf

RMS050620211212

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

The reason for this amendment is to add the follow ing CLIN's to the solicitation and pricing sheet.

0002AG, 0002AH,1002AG, 1002AH, 2002AG, 2002AH, 3002AG, 3002AH, 4002AG, 4002AH

All other terms and conditions remain the same and unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

1 11

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

16C. DATE SIGNED

BY 24-Aug-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 HQ003421R0179

X 9B. DATED (SEE ITEM 11)

26-Jul-2021

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

24-Aug-2021

CODE

WHS - ACQUISITION DIRECTORATE

4800 MARK CENTER DRIVE, SUITE 09F09

ALEXANDRIA VA 22350

HQ0034 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

HQ003421R0179

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B - SUPPLIES OR SERVICES AND PRICES

SUBCLIN 0002AG is added as follows:

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0002AG 30 Gallon heliport

FFP

heliport. SLIN Units shall be purchased by the Government on a separate task order from the base IDIQ contract.

FOB: Destination S218

MAX

NET AMT

SUBCLIN 0002AH is added as follows:

UNIT UNIT PRICE MAX AMOUNT

0002AH 25 Pound K-9 safe melting product

FFP

Ice Melt - Quantity of (25) 50-pound bags. Refer to PWS Section 4.6. SLIN Units shall be purchased by the Government on a separate task order from the base IDIQ contract.

SUBCLIN 1002AG is added as follows:

UNIT UNIT PRICE MAX AMOUNT

1002AG 30 Gallon heliport

FFP

heliport. SLIN Units shall be purchased by the Government on a separate task order from the base IDIQ contract.

SUBCLIN 1002AH is added as follows:

UNIT UNIT PRICE MAX AMOUNT

1002AH 25 Pound K-9 safe melting product

FFP

Ice Melt - Quantity of (25) 50-pound bags. Refer to PWS Section 4.6. SLIN Units shall be purchased by the Government on a separate task order from the base IDIQ contract.

SUBCLIN 2002AG is added as follows:

UNIT UNIT PRICE MAX AMOUNT

2002AG 30 Gallon heliport

FFP

heliport. SLIN Units shall be purchased by the Government on a separate task order from the base IDIQ contract.

SUBCLIN 2002AH is added as follows:

UNIT UNIT PRICE MAX AMOUNT

2002AH 25 Pound K-9 safe melting product

FFP

Ice Melt - Quantity of (25) 50-pound bags. Refer to PWS Section 4.6. SLIN Units shall be purchased by the Government on a separate task order from the base IDIQ contract.

SUBCLIN 3002AG is added as follows:

UNIT UNIT PRICE MAX AMOUNT

3002AG 30 Gallon heliport

FFP

heliport. SLIN Units shall be purchased by the Government on a separate task order from the base IDIQ contract.

SUBCLIN 3002AH is added as follows:

UNIT UNIT PRICE MAX AMOUNT

3002AH 25 Pound K-9 safe melting product

FFP

Ice Melt - Quantity of (25) 50-pound bags. Refer to PWS Section 4.6. SLIN Units shall be purchased by the Government on a separate task order from the base IDIQ contract.

SUBCLIN 4002AG is added as follows:

UNIT UNIT PRICE MAX AMOUNT

4002AG 30 Gallon heliport

FFP

heliport. SLIN Units shall be purchased by the Government on a separate task order from the base IDIQ contract.

SUBCLIN 4002AH is added as follows:

UNIT UNIT PRICE MAX AMOUNT

4002AH 25 Pound K-9 safe melting product

FFP

Ice Melt - Quantity of (25) 50-pound bags. Refer to PWS Section 4.6. SLIN Units shall be purchased by the Government on a separate task order from the base IDIQ contract.

SECTION E - INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for SUBCLIN 0002AG:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination N/A Destination Government

The following Acceptance/Inspection Schedule was added for SUBCLIN 0002AH:

The following Acceptance/Inspection Schedule was added for SUBCLIN 1002AG:

The following Acceptance/Inspection Schedule was added for SUBCLIN 1002AH:

The following Acceptance/Inspection Schedule was added for SUBCLIN 2002AG:

The following Acceptance/Inspection Schedule was added for SUBCLIN 2002AH:

The following Acceptance/Inspection Schedule was added for SUBCLIN 3002AG:

The following Acceptance/Inspection Schedule was added for SUBCLIN 3002AH:

The following Acceptance/Inspection Schedule was added for SUBCLIN 4002AG:

The following Acceptance/Inspection Schedule was added for SUBCLIN 4002AH:

SECTION F - DELIVERIES OR PERFORMANCE

The following Delivery Schedule for SUBCLIN 0002AG has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 30-SEP-2021 TO

29-SEP-2022

N/A WHS/FSD/OPS/FFD/PENTAGON BLDG

MNT OFFICE

THOMAS BOARDMAN

PENTAGON BUILDING MANAGEMENT

OFFICE

ROOM 2E1040 PENTAGON BUILDING

WASHINGTON DC 20301-1155

703-614-4638

HQ0015

The following Delivery Schedule for SUBCLIN 0002AH has been added:

CAGE

POP 30-SEP-2021 TO

29-SEP-2022

N/A WHS/FSD/OPS/FFD/PENTAGON BLDG

MNT OFFICE

THOMAS BOARDMAN

PENTAGON BUILDING MANAGEMENT

OFFICE

ROOM 2E1040 PENTAGON BUILDING

WASHINGTON DC 20301-1155

703-614-4638

The following Delivery Schedule for SUBCLIN 1002AG has been added:

CAGE

POP 30-SEP-2022 TO

29-SEP-2023

N/A WHS/FSD/OPS/FFD/PENTAGON BLDG

MNT OFFICE

THOMAS BOARDMAN

PENTAGON BUILDING MANAGEMENT

OFFICE

ROOM 2E1040 PENTAGON BUILDING

WASHINGTON DC 20301-1155

703-614-4638

The following Delivery Schedule for SUBCLIN 1002AH has been added:

POP 30-SEP-2022 TO

29-SEP-2023

N/A WHS/FSD/OPS/FFD/PENTAGON BLDG

MNT OFFICE

THOMAS BOARDMAN

PENTAGON BUILDING MANAGEMENT

OFFICE

ROOM 2E1040 PENTAGON BUILDING

WASHINGTON DC 20301-1155

703-614-4638

The following Delivery Schedule for SUBCLIN 2002AG has been added:

CAGE

POP 30-SEP-2023 TO

29-SEP-2024

N/A WHS/FSD/OPS/FFD/PENTAGON BLDG

MNT OFFICE

THOMAS BOARDMAN

PENTAGON BUILDING MANAGEMENT

OFFICE

ROOM 2E1040 PENTAGON BUILDING

WASHINGTON DC 20301-1155

703-614-4638

The following Delivery Schedule for SUBCLIN 2002AH has been added:

CAGE

POP 30-SEP-2023 TO

29-SEP-2024

N/A WHS/FSD/OPS/FFD/PENTAGON BLDG

MNT OFFICE

THOMAS BOARDMAN

PENTAGON BUILDING MANAGEMENT

OFFICE

ROOM 2E1040 PENTAGON BUILDING

WASHINGTON DC 20301-1155

703-614-4638

The following Delivery Schedule for SUBCLIN 3002AG has been added:

POP 30-SEP-2024 TO

29-SEP-2025

N/A WHS/FSD/OPS/FFD/PENTAGON BLDG

MNT OFFICE

THOMAS BOARDMAN

PENTAGON BUILDING MANAGEMENT

OFFICE

ROOM 2E1040 PENTAGON BUILDING

WASHINGTON DC 20301-1155

703-614-4638

The following Delivery Schedule for SUBCLIN 3002AH has been added:

CAGE

POP 30-SEP-2024 TO

29-SEP-2025

N/A WHS/FSD/OPS/FFD/PENTAGON BLDG

MNT OFFICE

THOMAS BOARDMAN

PENTAGON BUILDING MANAGEMENT

OFFICE

ROOM 2E1040 PENTAGON BUILDING

WASHINGTON DC 20301-1155

703-614-4638

The following Delivery Schedule for SUBCLIN 4002AG has been added:

CAGE

POP 30-SEP-2025 TO

29-SEP-2026

N/A WHS/FSD/OPS/FFD/PENTAGON BLDG

MNT OFFICE

THOMAS BOARDMAN

PENTAGON BUILDING MANAGEMENT

OFFICE

ROOM 2E1040 PENTAGON BUILDING

WASHINGTON DC 20301-1155

703-614-4638

The following Delivery Schedule for SUBCLIN 4002AH has been added:

POP 30-SEP-2025 TO

29-SEP-2026

N/A WHS/FSD/OPS/FFD/PENTAGON BLDG

MNT OFFICE

THOMAS BOARDMAN

PENTAGON BUILDING MANAGEMENT

OFFICE

ROOM 2E1040 PENTAGON BUILDING

WASHINGTON DC 20301-1155

703-614-4638

(End of Summary of Changes)