Amendment_0001.pdf

RFQP02021600026/0001 Page 1 of 3

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

11. CONTRACT ID CODE

I

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE RE Q. NO. , 5. PROJECT NO. (If applicable)

000 1 08/26/20 16

6. ISSUED BY CODE BFAO 7. ADMINISTERED BY (If other than Item 6) CODE I BFTD

Federal Bureau of Prisons Edna Perry-Carter Federal Bureau of Prisons Field Acq ui sition Office (0) 972-3 52-4569 FCI Fort Di x U.S. Armed Forces Reserve Complex (F) 972-352-4545 5 7 5 6 Hartford Street 346 Mari ne Forces Drive eperry@ bop.gov Join t Base MDL, NJ 08640 Grand Prairie, TX 75051

6. NAME AND ADDRESS OF CONTRACTOR (No., street, country, slate and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NO. -

RFOP0202 I 600026

x 9B. DATED (SEE ITEM 11)

08/24/20 16

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

CODE I FACI LITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

@ The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers D is extended, [2U is not extended.

Offers must acknowledge receipt of th is amendment prior to the hour and date speci fied in the solicitation or as amended, by one of the fo llowing methods: (a) By completing items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of th is amendment on each copy of the offer submitted; or (c) By separate letter or telegram wh ich 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 your desire to change an offer already submitted, such change may be made by teleg ram or letter, provided each telegram or letter makes reference to the solicitation and th is amendment, and is received prior to the opening hour and date specified .

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

------1 ORDER NO. IN ITEM 1 OA.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT TH E 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. TH IS SUPPLEMENTAL AGREEM ENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor D is not, D 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.)

RFQP0202 I 600026 is hereby amended to schedule an onsite visit. See page 2 fo r detail s.

Except as provided herein, all 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) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

NSN 7540-01-152-6070

Previous edition unusable

15C. DATE SIGNED

Edna Perry-Carter

16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

By (Signature of Contracting Officer)

STANDARD FORM 30 (REV 10-83)

Prescribed by GSA FAR (46 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT - Continuation 1. CONTRACT ID CODE

RFOP02021600026

2. AMENDMENT/MODIFICATION NO. 3. EFF DATE 4. REQUISITION/PURCHASE REQ. NO. PAGE OF PAGE

0001 0812612016 2 of 3

An organized site visit has been scheduled for 8:00 a.m. Eastern Standard Time on Wednesday, Se~tember 7, 2016. The site visit will be held at the Metropolitan Detention Center (MDC}, 80 291 Street, Brooklyn, NY 11232.

Given the time required to comply with the security requirements associated with visiting the MDC, anyone interested in attending this site visit must complete and submit the attached BP-5660.012, NCIC Check Form to John Maffeo, General Foreman, preferably via e-mail @ jmaffeo@bop.gov or fax it to 718-840-5080, Attn: John Maffeo. The form must be received no later than 3:00 p.m. EST on Monday, September 5, 2016. All forms shall be filled out legibly in dark ink or typewritten and shall be submitted in a timely fashion to be received by Mr. Maffeo on or before 3:00 p.m. on Monday, September 5, 2016. This will allow the Bureau of Prisons ample time to conduct a limited background security clearance (NCIC) for ALL persons who will be attending this site visit and to be allowed access to enter the institution on September 7, 2016. Persons who are not deemed suitable to enter the institution will be contacted by phone as soon as practicable. No person will be allowed in the institution until a NCIC check is completed and approved. All prospective offerers who plan to attend this site visit are required to bring picture identification and meet in the Front Lobby of the MDC, no later than 7:30 a.m.

EST. This will be the only site visit scheduled. This site visit is NOT MANDATORY. Any issues or concerns expressed during this site visit, which are not addressed in the solicitation document, will be addressed in writing and posted along with the original solicitation document.

Offerors who previously submitted an offer for this solicitation need only sign and return this amendment if they intend to have their offer considered as is. All offerors may submit revised offers as they deem necessary.

BP-A0660

JUN 10

NCIC CHECK CDFRM Page 3of3

U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS

AUTHORIZATION FOR RELEASE OF INFORMATION

NCIC (National Crime Information Center) CHECK

I hereby authorize a representative of the Federal Bureau of Prisons to obtain any information on my criminal history background . I understand that this check must be done before I am allowed to enter/serve at any Bureau facility. I also understand that refusal to provide all necessary information may result in 1) denial of entry into a Bureau facility and 2) denial of volunteer/contract status .

1. Name (Last , First , Middle)

2. Address (Street address) (City , State , County , Zip Code)

3. Home Telephone Number (Area Code , Number)

4 . Aliases/Nickname :

5. Citizenship (List the country you are a citizen of)

6 . Social Security Number :

7 . Date of Birth (Month , day , year )

Ba. Sex : Bb . Race : .

Be. Height : Bd. Weight :

Be . Color of Eyes : 9f . Color of Hair :

9 . Place of Birth (City , State , County) , (List city , county and country if outside the U.S.A)

10 . The above listed information is true and correct . Applicant ' s Signature lOa . Date

PRIVACY ACT NOTICE

Authority for Collectinq Information : E . O. 10450 ; 5 USC 1303-1305 ; 42 USC 2165 and 2455 ;

22 use 25B5 and 2519 ; and 5 use 3301

Purposes and Uses : Information provided on this form will be furnished to individuals in order to obtain information regarding activities in connection with an investigation to determine (1) fitness for Federal employment , (2) clearance to perform contractual service for the Federal Government , (3) security clearance or access . The information obtained may be furnished to third parties as necessary in the fulfillment of official responsibilities.

Effects of Non-disclosures : Furnishing the requested information is voluntary , but failure to provide all or of part the information may result in lack of further consideration for employment , clearance or access , or in the termination of your employment .

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BP -A0660

J UNIO 10

DEPARTAMENTO DE JUSTICIA DE EE . UU.

CHEQUEO DE NCIC CDFRM

AGENCIA FEDERAL DE PRISIONES

**This template is provided to assist Spanish-speaking persons who are not fluent in English to complete the corresponding Bureau form . It is a template only for instructional purposes, and should not be filled in.**

**Este modelo se provee para ayudar a las personas que hablan espanol y no dominan el ingles para que completen el formulario correspondiente de la Agencia. Es solo un modelo que sirve como ejemplo , y no se debe completar . **

AUTORIZACION PARA LA DISTRIBUCION DE INFORMACION

CHEQUEO DE NCIC (Centro Nacional de Informaci6n sobre el Crimen)

Por este medio autorizo a un representante de la Agencia Federal de Prisiones a obtener cualquier informaci6n sobre los antecedentes de mi historial criminal. Entiendo que este chequeo debe ser hecho antes de recibir permiso para entrar/servir en cualquier instalaci6n de la Agencia Federal de Prisiones . Tambien entiendo que la negaci6n a proveer toda la informaci6n necesaria puede resultar en 1 ) la negaci6n de mi entrada a una instalaci6n de la Agencia Federal de Prisiones y 2) la negaci6n de mi clasificaci6n como voluntario/contratista .

1. Nombre (Apellido , Nombre , Segundo Nombre)

2. Direcci6n (Numero de Domicilio y Calle) (Ciudad , Estado , Condado , C6digo Postal)

3 . Numero de Telefono de Casa (C6digo de Area , Numero) :

4 . Alias/Apodos :

5 . Ciudadania ( Indique el pais de su ciudadania )

6 . Numero de Seguridad Social:

7. Fecha de Nacimiento (Mes , dia , ano)

Sa. Sexo: Sb. Raza :

Sc . Estatura : Sd . Peso :

Se. Color de Ojos : 9f . Color de Cabello :

9 . Lugar de Nacimiento (Ciudad , la ciudad , el condado y el pais , Estado , Condado) , ( Indique si es afuera de EE . UU . )

10 . La informaci6n anteriormente listada es verdadera y correcta .

Firma de Solicitante lOa . Fecha

AVISO SOBRE LA LEY DE PRIVACIDAD

Autoridad para Obtener Informaci6n: E . O. 10450 ; 5 USC 1303-1305 ; 42 USC 2165 y 2455 ; 22 USC 25S5 y 2519 ; y 5 USC 3301

Objetivos y Usos : La informaci6n provista en este formulario sera entregada a individuos , con el fin de obtener informaci6n en cuanto a actividades co mo parte de una investigaci6n realizada para determinar ( 1) la aptitud para obtener empleo Federal , (2) la autorizaci6n para realizar servicio contratado para el Gobierno Federal , (3 ) la autorizaci6n de seguridad o acceso . La informaci6n obtenida puede ser entregada a terceras partes , como lo sea necesario , para realizar las responsabilidades oficiales .

Efectos de Informaci6n No Divulgada : El proveer la informaci6n solicitada es voluntario , pero la falta de proveer toda o parte de la informaci6n puede resultar en la privaci6n de futura consideraci6n para empleo , para autorizaci6n o acceso , o puede resultar e~ la terminaci6n de su empleo .

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