Amendment A00002_N6264921R00380002.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 as follow s:

1. Add the Department of Homeland Security, United States Coast Guard as an authorized ordering office

2. SubCLIN 0001AD- Change the title from Utility Services to Life Support Services, no other changes have been made to this ELIN or it’s subCLINs

3. INTERPRETER SERVICES ELIN- remove the 4 hours minimum for interpreter services

4. INTERPRETER SERVICES ELIN – separate interpreter services into tw o subCLINs, Day (DY) and Hours (HR) All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 12-Apr-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 N6264921R0038

X 9B. DATED (SEE ITEM 11)

02-Mar-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

12-Apr-2021

CODE

NAVSUP FLC YOKOSUKA

(CODE 200)

CONTRACTING DEPARTMENT

PSC 473 BOX 11

FPO AP 96349-0011

N62649 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N6264921R0038

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B - SUPPLIES OR SERVICES AND PRICES

SUBCLIN 0001AD

The CLIN description has changed from Utilities Services to Life Support Services.

The CLIN extended description has changed from:

The contractor shall provide Utilities Services to requesting activities in accordance with the attached PWS.

To:

The contractor shall provide Life Support Services to requesting activities in accordance with the attached PWS.

SUBCLIN 1001AD

The CLIN description has changed from Utilities Services to Life Support Services.

The CLIN extended description has changed from:

The contractor shall provide Utilities Services to requesting activities in accordance with the attached PWS.

To:

The contractor shall provide Life Support Services to requesting activities in accordance with the attached PWS.

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 Performance Work

Statement

49 02-MAR-2021

Attachment 2 Vendor Point of Contact 1 11-FEB-2021 Attachment 3 Past Performance

Questionnaire

6 11-FEB-2021

Attachment 4 QASP 1 22-FEB-2021 Attachment 5 QASP Surveillance

Matrix

1 22-FEB-2021

to:

N6264921R0038

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 Performance Work

Statement

49 12-APR-2021

Attachment 2 Vendor Point of Contact 1 11-FEB-2021 Attachment 3 Past Performance

Questionnaire

6 11-FEB-2021

Attachment 4 QASP 1 22-FEB-2021 Attachment 5 QASP Surveillance

Matrix

1 22-FEB-2021

(End of Summary of Changes)