M6700121Q1204_0001.pdf

M67001MARINE CORPS FIELD CONTRACTING SYS

SGT QUINTANA

PO BOX 8368

CAMP LEJEUNE NC 28542

MMP10021SSM1037

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

Amendment issued to update CLIN 0001 extended description. All other terms conditions remain the same. See Summary of Changes for details.

POC: Oscar Quintana Phone: (910)451-8859 Email: oscar.quintana@usmc.mil

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

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

16C. DATE SIGNED

BY 08-Jun-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 M6700121Q1204

X 9B. DATED (SEE ITEM 11)

04-Jun-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 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 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

08-Jun-2021

CODE

M67001MARINE CORPS FIELD CONTRACTING SYS

CONTRACTING DEPARTMENT

MCIEAST

308 HOLCOMB BOULEVARD

CAMP LEJEUNE NC 28547-8368

M67001 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE M67001

FACILITY CODECODE

EMAIL:TEL:

M6700121Q1204

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from:

BRAND NAME ONLYManufacturer: Tavrida ElectricPart Number: OSM25_A1_2(630_150_5) Specifications:

11M Umbilical Cable SEL-651R Recloser Control Stainless Steel Pole-Mount Bracket6x Surge Arrestors (8.4kV MCOV)1kVA Transformer, 1-Bushing- 7.2KV/120VPrimary Wiring (Aresstors & Transformer) Ground Bus Assembly11m 3-Pin Power Cable 6x Four-Hole NEMA PadsWildlife Protectionwith SWL-651R Recloser Control Moduel Part Number: 0651R273XGA82C1113DE01

To:

-BRAND NAME ONLY-Manufacturer: Tavrida Electric-Part Number: OSM25_A1_2(630_150_5) - Specifications: -11M Umbilical Cable -SEL- 0651R2AC1GA8AE1113B301-Stainless Steel Pole-Mount Bracket-6x Surge Arrestors (8.4kV MCOV)-1kVA Transformer, 1-Bushing- 7.2KV/120V-Primary Wiring (Aresstors & Transformer) -Ground Bus Assembly-11m 3-Pin Power Cable -6x Four-Hole NEMA Pads-Wildlife Protection

(End of Summary of Changes)