Sol_12805B21Q0643_Amd_0001.pdf

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Fabricate 1 steel stanchion with 49 additional Stanchion upon approval
Solicitation number
12805B21Q0643
Issued by

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12805B21Q0643 x x copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT 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 letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

ARS-12805B

FORT COLLINS CO 80526

BLDG D, SUITE 300

2150 CENTRE AVENUE

USDA ARS PA AAO ACQ/PER PROP

09/16/20210001

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.

Items 8 and 15, and returning

Offers 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

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended,

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

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

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

09/16/2021

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

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

* Delivery of all 50 Stanchions must be received 120 days ARO.

*This solicitation will result in a Firm Fixed Price Contract (FFP).

*This is a small business set aside.

*Include delivery and any applicable Federal, State and local taxes in your quote.

*Quote to be submitted by email to: connie.faulkner@usda.gov

*Contractor must have an active Sam registration upon quote submission.

Contractor must enter their DUNS number below:

DUNS # _____________________________________

Please acknowledge SF 1449 and amendment SF 30

Continued ...

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

JOSHUA A. KEADLE

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

12805B21Q0643/0001

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

1 CONTRACT ID CODE:
09162021 3 EFFECTIVE DATE:
4 REQUISITIONPURCHASE REQ NO:
CODE 6 ISSUED BY:
ARS12805B:
5 PROJECT NO If applicableRow1:
FORT COLLINS CO 80526 BLDG D SUITE 300 2150 CENTRE AVENUE USDA ARS PA AAO ACQPER PROP:
12805B21Q0643 9A AMENDMENT OF SOLICITATION NO:
9B DATED SEE ITEM 11 09162021:
xRow1:
10A MODIFICATION OF CONTRACTORDER NO:
CODE:
10B DATED SEE ITEM 13:
is extended: Off
is not extended: Off
separate letter or electronic communication which includes a reference to the solicitation and amendment numbers: 1
13 THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTSORDERS IT MODIFIES THE CONTRACTORDER NO AS DESCRIBED IN ITEM 14:
CHECK ONERow1:
CHECK ONERow2:
B THE ABOVE NUMBERED CONTRACTORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES such as changes in paying office appropriation data etc SET FORTH IN ITEM 14 PURSUANT TO THE AUTHORITY OF FAR 43103b:
CHECK ONERow3:
C THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
CHECK ONERow4:
D OTHER Specify type of modification and authority:
is not: Off
is required to sign this document and return: Off
Contractor must enter their DUNS number below:
15A NAME AND TITLE OF SIGNER Type or print:
15C DATE SIGNED:
16C DATE SIGNED:
REFERENCE NO OF DOCUMENT BEING CONTINUED 12805B21Q06430001:
2:
Check Box1: Yes

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