Amendment_1_to_SOL-CI-15-00023.pdf

(x)

SOL-CI-15-00023

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 telegram 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 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.

x

Cincinnati OH 45268

CPOD

Mail Code: NWD 26 West Martin Luther King Drive US Environmental Protection Agency

CPOD

08/28/2015000001

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.is 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

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

08/07/2015

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 date, 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.)

Support for Implementation of Municipal Wastewater and Drinking Water Programs

The purpose of this Amendment 1 is to revise Page 7 of 7 of Attachment 6, Cost Proposal

Instructions, and to add Provision EPAAR 1552.215-73, General Financial and Organizational

Information (AUG 1999), into Section L of the Solicitation.

Offerors are required to acknowledge receipt of this Amendment 1 in Block 14 on the

Standard Form 33 in their RFP response. The solicitation due date remains unchanged as a result of this Amendment 1.

Section L: Provision, 1552.215-73, is incorporated as follows:

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)

Sandra Stargardt-Licis

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

Previous edition unusable

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.

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

SOL-CI-15-00023/000001

GENERAL FINANCIAL AND ORGANIZATIONAL INFORMATION

(AUG 1999)

Offerors or quoters are requested to provide information regarding the following items in sufficient detail to allow a full and complete business evaluation. If the question indicated is not applicable or the answer is none, it should be annotated. If the offeror has previously submitted the information, it should certify the validity of that data currently on file at EPA and to whom and where it was submitted or update all outdated information on file.

(a) Contractor's Name:____________________

(b) Address (If financial records are maintained at some other location, show the address of the place where the records are kept):

(c) Telephone Number:____________________

(d) Individual(s) to contact re. this proposal:____________________

(e) Cognizant Government:

Audit Agency:____________________ Address:____________________ Auditor:____________________

(f)(1) Work Distribution for the Last Completed Fiscal Accounting Period:

Sales:

Government cost-reimbursement type prime contracts and subcontracts $____

Government fixed-price prime contracts and subcontracts $____

Commercial Sales $____

Total Sales $____

(2) Total Sales for first and second fiscal years immediately preceding last completed fiscal year.

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

3 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

SOL-CI-15-00023/000001

Total Sales for First Preceding Fiscal Year $____

Total Sales for Second Preceding Fiscal Year $____

(g) Is company a separate rate entity or division?

Yes____ No____

If a division or subsidiary corporation, name parent company:

(h) Date Company Organized:____________________

(i) Manpower:

Total Employees:____________________ Direct:____________________ Indirect:____________________ Standard Work Week (Hours):____________________

(j) Commercial Products:____________________

(k) Attach a current organizational chart of the company.

(l) Description of Contractor's system of estimating and accumulating costs under Government contracts. (Check appropriate blocks.)

Estimated/actual cost Standard cost Estimating System:

Job Order ___ ___ Process ___ ___

Accumulating System:

Job Order ___ ___ Process ___ ___

Has your cost estimating system been approved by any Government agency?

Yes ____ No ____

If yes, give name, date or approval, and location of agency:

Continued ...

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

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

SOL-CI-15-00023/000001

Has your cost accumulation system been approved by any Government agency?

Yes ____ No ____

If yes, give name, date of approval, and address of agency:

(m) What is your fiscal year period? (Give month-to-month dates):

What were the indirect cost rates for your last 3 completed fiscal years?

Fiscal year/Indirect cost rate/Basis of allocation for the following:

Fringe Benefits

Overhead

G&A Expense

Other

(n) Have the proposed indirect cost rate(s) been evaluated and accepted by any Government agency?

Yes ____ No ____

Continued ...

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

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

SOL-CI-15-00023/000001

If yes, give name, date of approval, and location of the Government agency:

Date of last preaward audit review by a Government agency:

If the answer is no, data supporting the proposed rates must accompany the cost or price proposal.

A breakdown of the items comprising overhead and G&A must be furnished.

(o) Cost estimating is performed by:

Accounting Department____________________ Contracting Department____________________ Other (describe)____________________

(p) Has system of control of Government property been approved by a Government agency?

Yes ____ No ____

If yes, give name, date of approval, and location of the Government agency:

(q) Purchasing System: FAR 44.302 requires EPA, where it is the cognizant Government agency, to conduct a Contractor Purchasing System Review for each contractor whose sales to the Government, using other than sealed bid procedures, are expected to exceed $25 million (annual billings) during the next twelve months. The $25 million sales threshold is comprised of prime contracts, subcontractors under Government prime contracts, and modifications (except when the negotiated price is based on established catalog or market prices or is set by law or regulation).

Has your purchasing system been approved by a Government agency?

Yes ____ No ____

Continued ...

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

6 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

SOL-CI-15-00023/000001

If yes, name and location of the Government agency:

Period of Approval:____________________

If no, do you estimate that your negotiated sales to the Government during the next twelve months will meet the $25 million threshold? Yes ____ No

If you responded yes to the $25 million threshold question, is EPA the cognizant agency for your organization based on the preponderance of Government contract dollars?

Yes ____ No ____

If EPA is not your cognizant Government agency, provide the name and location of the cognizant agency ______

Are your purchasing policies and procedures written?

Yes ____ No ____

(r) Does your firm have an established written incentive compensation or bonus plan?

Yes ____ No ____

(s) Additionally, offerors shall submit current financial statements, including a Balance Sheet, Statement of Income (Loss), and Cash Flow for the last two completed fiscal years. Specify resources available to perform the contract without assistance from any outside source. If sufficient resources are not available, indicate in proposal the amount required and the anticipated source (i.e., bank loans, letter or lines of credit, etc.).

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

Other Direct Costs

Other Direct Costs

Base Year

Base Year

Quantity Options

OP1

OP1

Quantity Options

OP2

OP2

Quantity Options

OP3

OP3

Quantity Options

OP4

OP4

Quantity Options

Total

Telephone and Teleconferences $4,000 $4,000 $4,120 $4,120 $4,244 $4,244 $4,371 $4,371 $4,502 $4,502 $42,474

Computer Usage/Software $15,000 $15,000 $15,450 $15,450 $15,914 $15,914 $16,391 $16,391 $16,883 $16,883 $159,276

Postage, Delivery, Courier, Freight $5,000 $5,000 $5,150 $5,150 $5,305 $5,305 $5,464 $5,464 $5,628 $5,628 $53,094

Reproduction $12,000 $12,000 $12,360 $12,360 $12,731 $12,731 $13,113 $13,113 $13,506 $13,506 $127,420

Material $3,000 $3,000 $3,090 $3,090 $3,183 $3,183 $3,278 $3,278 $3,377 $3,377 $31,856

Travel $110,000 $96,000 $113,300 $98,880 $116,699 $101,846 $120,200 $104,902 $123,806 $108,049 $1,093,682

Totals $149,000 $135,000 $153,470 $139,050 $158,076 $143,223 $162,817 $147,519 $167,702 $151,945 $1,507,802