S5105A-15-R-0009-0002.pdf

PHDSB5PRCHQ0381

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 modif ication is to add Attachment 1: Pre-Bid Move List. (See summary for details)

1. CONTRACT ID CODE PAGE OF PAGES

J 1 7

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

16C. DATE SIGNED

BY

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 S5105A-15-R-0009

X

9B. DATED (SEE ITEM 11)

15-May-2015

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

11-Jun-2015

CODE

DCMA PROCUREMENT CENTER S5105A

DCMA PROCUREMENT CENTER (AQP)

3901 A AVE BLDG 10500

FORT LEE VA 23801-1809

S5105A 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

S5105A-15-R-0009

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

PRE-BID MOVE LIST

ITEM DESCRIPTION

BRAN

D

MODEL

NO.

SERIAL

NO. BARCODE Location

QUANTI

TY Comments

Artwork Walls, Supply & Storage Rooms

Audio/Video Center

(Receiver/Amplifier) SONY

DTR-

D665 8914536 A0002426 Garden Room

Automated External Defibrillator (AED) Trainer Philips Storage Room

Automated External

Defibrillator (AED) w/Case & Accessories Philips

Workbench, Network (72"Hx42"Dx72"W) Computer Room

Bins, Shredding Suite 100 & 200

Shred-it

Board, Awards Outside Front Office

Board, Picture

Outside Front

Office

Bookcase, Metal, 2-Shelf

Outside Mail

Room

Bookcase, Metal, 3-Shelf Supply Room

Bookcase, Wood, 3-Shelf

Commanders

Reception Area

Bookcase, Wood, 6-Shelf

Front Reception

Area

Bookcase, Wood, 6-Shelf Computer Room

Box of Files Storage Room

Bulletin Board, Employee Coffee Room

Bulletin Board, Glass (EEO, Safety) Break Room

Bulletin Board, Union Break Room

Cabinet, Wall, Key Supply Room

Cabinet, Wardrobe (78"Hx20"Dx36"W) Computer Room

Cart, Media, Metal Bretford Garden Room

Cart, Media, Plastic Supply Room

Cart, Stacking Chairs Storage Room

Cart, Television, Metal

Garden and Break

Rooms

Cart, Utility, Composite Rubber maid

Suite 200, Computer Room

Cart, Utility, Plastic Suite 200

CCTV for Low Vision Suite 100, Ability One

Chair, Fabric Upholstery, Purple

Front Reception

Area

Chair, Stacking Blue Fabric

Upholstery

Garden and

Fountain Rooms

Chair, Stacking Blue Vinyl

Upholstery

Garden and

Chair, Stacking Maroon Vinyl

Upholstery Suite 100

Chair, Task

Nightin gale

CXO

6200D

Chair, Task Various

Cozza, Maggie

Keller, Ta

Chair, Task , High Back, Blue Computer Room

Chair, Task , Low Back, Red Computer Room

Chemical & Homemade

Explosives Detection

Machine

DualDra w Mail Room

Commander's Service Set

Commanders

Reception Area

CPU, Desktop Computer Room

IT

CPU, Desktop Computer Room

CCTV

CPU, Desktop Work Spaces

CPU, Zero Client Work Spaces

CPU, Laptop Work Spaces

CPU, Laptop Computer Room

IT

CPU, Zero Client Computer Room

IT

CPU, Desktop Mail Room

Stamps.com

Contents of Supply Room

Contents of Computer Room

Cubicles

AIS and

HON Ability One

DVD Player SONY

DVP-

NS725P 2507100 A09060 Garden Room

Easel, Butcher Paper

Evacuation Chair Front Desk

Fax Brother Intellifax 1270 T0002407 Union Office

File Cabinet, 2-Drawer Boussom

Keys

File Cabinet, 2-Drawer Mail Room 1 Supply of

Stamps

File Cabinet, 2-Drawer NSEO 2

NSEO &

Property

File Cabinet, 2-Drawer Lateral Supply Room

File Cabinet, 5-Drawer Lateral

QA

File Cabinet, 5-Drawer

Lateral Supply Room

For supplies

File Cabinet, 5-Drawer

Lateral

Timecards, Security, Management

Support

File Cabinet, 5-Drawer

Lateral

Contracts

File Cabinet, 5-Drawer

Lateral

E&A

File Cabinet, 5-Drawer

Lateral

Ability One

File Cabinet, 5-Drawer

Lateral

NSEO&Propert y

Filters, DualDraw, Case Mail Room

Fire Extinguisher w/mount, ABC Dry 5 lbs. Suite 100 and 200

Fire Extinguisher w/mount, BC FE-36 4.75 lbs Computer Room

Flag Pole w/ base Storage Room

Flag w/ base and pole Garden Room

Flag w/ base and pole Front Desk

Flag w/ base and pole

Commander's

Office

Furniture, Office, Attorney Attorney's Office

Furniture, Office, Commander

Commander's

Furniture, Office, Deputy Deputy's Office

Furniture, Office, Jahn Enger

Jahn Enger's minus table and guest chairs

Furniture, Office, Jill

Schillinger - couch ONLY

Jill Schillinger's

Office Couch only

Furniture, Office, Jim Strother

Jim Strother's

Furniture, Office, Ma'at Little Ma'at Little's

Furniture, Office, Randy Cockrell

Randy Cockrell's Office will be group chief furniture

Furniture, Office, Susan Taunton

Susan Taunton's

Grill, BBQ

CAPT'

N Cook Storage Room

Hand Truck

Supply, Computer, Storage Rooms

Hand Truck, Small Supply Room

Ladder, Metal, 6 Feet Storage Room

Ladder, Step

Lectern Bretford Garden Room

Lectern, Table Top Bretford Storage Room

Monitor, Computer 22" Work Spaces

Monitor, Computer 22" Computer Room

CCTV

Monitor, Computer 22" Mail Room

Stamps.com

Paper, Case

Storage, Supply, Mail Rooms

Estimate

Phone, Conference, Wireless

Polyco m

SoundSta tion 2W

Garden and War

Phone, Voice over IP Cisco Work Spaces

Phone, Voice over IP Cisco Computer Room in original boxes

Printer, Color, Network

Lexmar k

Suite 200 &

Computer Room

Printer, Desktop, Mail Dymo Mail Room

Stamps.com

Printer, Desktop, Mail

EPSON

STYLU

S

PHOTO

R320

GCSK172

128 A09018 Mail Room

Stamps.com

Printer, Desktop

Hewlett

Packard

970CXI

DESKJE

T A09054 SUITE 200

Security System

Printer, Desktop

LEXM

ARK

OPTRA

E312 1165913 ADPE 011688 PBX Room

Field Spare

Refrigerator, Mini

Front Office &

Munz

Safe PBX Room

Scale, Electronic Suite 200

Scale, Mail Mail Room

Stamps.com

Fax Machine, Secure RICOH

SFX3900

M

R39MA5

070021 A0002345 PBX Room

Shelving, Metal, 60"Hx12"Dx36"W

Outside Mail Room

Shelving, Metal, 72"Hx18

1/2"Dx36"W Storage Room

Shelving, Metal, 86"Hx18

24"Dx36"W

Shelving, Metal, 84"Hx18"Dx48"W Computer Room

Shelving, Metal, 72"Hx18

1/2"Dx36"W Computer Room

Shredder WM-5X NONE Union Office

Shredder

Fellowe s

Powershr ed 220-2

220-2 040503 E

C

0007294 A09063 Suite 100

Olympi a

1280.4C-

KTR

2693-BM

35.952-

673624.02

623.B A09039

Suite 200

Southeast

Shredder SEM 1124 C/3 6153181 A09031 By Derek

Fellowe s

Powershr ed PS 80 36180 A0002405

Commander's

Shredder, Large Ideal Ideal 4002 2781393 A09035 By Mail Room

1 5 large shredders

Shredder, Large

Schleich er & Co.

Intimus

602CC

671134.01 106.U A0002384 Suite 200 West

1 5 large shredders

Shredder, Large

Destroyi t by

Ideal

2604/260

3/2 OIL 4028603 PBX Room

1 5 large shredders

Shredder, Large Dynamo 530CC 11100600

008 Suite 100 1 5 large shredders

Shredder, Large

Destroyi t by

Ideal

SMC 2524206 Computer Room

1 5 large shredders

Sideboard

Commanders

Reception Area

Signs, Parking Storage Room

Slots, Mail, Set Mail Room

Sound System, Ceiling Mounted (4 Spkrs)

Garden and

Speakers, Stereo, Set SONY Garden and Break

STE PBX Room

Hutch, Metal & Wood

(76"Hx36"Wx18"D) Break Room for snacks

Stool, Round

Stool, Step, Folding

Table, Rectangular Supply Room

Table, Coffee

Front Reception

Table, Conference Room (two

4’x6’ sections) War Room

Table, Corner Bretford Garden Room

Table, End

Table, Flip Top Bretford Garden Room

Table, Folding, Plastic Storage Room

Table, Meeting, Round

Table, Rectangular

72"Wx18"D Computer Room

Table, Rectangular, Rolling

26"Hx18"Dx37"W Computer Room

Television

MITSU

BISHI

CS-

35207

Garden and Break

Television, Flat Screen, 55 inch, w/ wall mount LG

War and Glass

Tool Box

(14"Hx13"Dx26"W) Stackon Computer Room

Tool Box, Rolling (36"Hx20"Dx29"W) Computer Room

Trash Can, Office

Trash Can, Tall Metal

Trash Can, Very Large w/Wheeled Base

Trash Cans, Tall Kitchen plastic

Trees, Fake Front Reception

Typewriter IBM Selectric

III

6705 11 4651560 A0002042 Suite 100

VHS Player

ZENIT

H

VR4206

HF Garden Room

Video Teleconference (VTC)

Polyco m

HDX

7000 Garden Room

On cart w/ 50" Flat Display w/ mounted camera

Wheelchair

Storage and

Supply Room

White Board WAR Room

White Board Garden Room

White Board Glass Room

White Board Taunton Office

White Board Storage Room

White Board Jack Huynh

White Board Curt Parkinson

White Board Computer Room 2

(End of Summary of Changes)