N0025318Q026700001.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

The purpose of this amendment is to correct requested quantity in the product description.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 13-Aug-2018

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 N0025318Q0267

X 9B. DATED (SEE ITEM 11)

10-Aug-2018

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

13-Aug-2018

CODE

NAVAL UNDERSEA WARFARE CENTER

ATTN: JODI HULTQUIST

JODI.HULTQUIST@NAVY.MIL

610 DOWELL STREET, BLDG 206

KEYPORT WA 98345

N00253 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N0025318Q0267

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been modified:

STATEMENT OF WORK

On-site services to provide estimated 22,000 gallons of propane fuel on a "keep as filled basis", by metered vehicle to various locations at Naval Undersea Warfare Center, Division Keyport Annex at Bangor, WA.

Delivery shall be made to the following Government-owned tanks:

DELIVERY LOCATIONS TANK SIZE/GALLONS

Keyport Annex Bangor

BLDG 5091 50 Gallon

BLDG 5092 1000 Gallon

BLDG 5094 1000 Gallon each (2 tanks)

BLDG 5095 1000 Gallon each (2 tanks)

Delivery and Invoice instructions For each delivery, the contractor shall provide an original delivery ticket to the Technical Point of Contact which must contain the following information:

Unique delivery ticket number.

Date of delivery.

Location of delivery.

Total gallons delivered.

When invoicing through Wide Area Workflow (WAWF), invoice must contain the same information provided for each delivery.

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from:

On-site services to provide estimated 22,200 gallons of propane fuel on a "keep as filled basis", by metered vehicle to various locations at Naval Undersea Warface Center, Division Keyport Annex at Bangor, WA, in accordance with the attached Statement of Work.

To:

On-site services to provide estimated 22,000 gallons of propane fuel on a "keep as filled basis", by metered vehicle to various locations at Naval Undersea Warface Center, Division Keyport Annex at Bangor, WA, in accordance with

N0025318Q0267 the attached Statement of Work.

CLIN 1001

The CLIN extended description has changed from:

On-site services to provide estimated 22,200 gallons of propane fuel on a "keep as filled basis", by metered vehicle to various locations at Naval Undersea Warface Center, Division Keyport Annex at Bangor, WA, in accordance with the attached Statement of Work.This is an Option Item only and in no way are purchased or guaranteed under the resulting contract. Work cannot be started or performed under the Option Items without Option Exercise by the

Contracting Officer in accordance with FAR Clause 52.217-7.

To:

On-site services to provide estimated 22,000 gallons of propane fuel on a "keep as filled basis", by metered vehicle to various locations at Naval Undersea Warface Center, Division Keyport Annex at Bangor, WA, in accordance with the attached Statement of Work.This is an Option Item only and in no way are purchased or guaranteed under the resulting contract. Work cannot be started or performed under the Option Items without Option Exercise by the

Contracting Officer in accordance with FAR Clause 52.217-7.

(End of Summary of Changes)