Solicitation Amendment FA857126Q00670001 SF 30 (1).pdf

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

J

2. AMENDMENT/MODIFICATION NUMBER

3. EFFECTIVE DATE

15 May 2026

4. REQUISITION/PURCHASE

REQUISITION NUMBER

5. PROJECT NUMBER (if applicable)

6. ISSUED BY CODE FA8571

FA8571 AFSC PZIO MXW

375 PERRY ST BLDG 255, CP 478 222 4098

ROBINS AFB, GA 31098-1672

UNITED STATES

Nikia Streeter, Email: nikia.streeter@us.af.mil Telephone: 678-863-1951 Andrew Harth, Email: andrew.harth@us.af.mil Telephone: 9999999999

7. ADMINISTERED BY (if other than Item 6)

CODE

SCD: PAS:

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code)

CODE: FACILITY CODE:

9A. AMENDMENT OF SOLICITATION NUMBER

FA857126Q0067

9B. DATED (SEE ITEM 11)

28 Apr 2026

10A. MODIFICATION OF CONTRACT/ORDER

NUMBER

10B. DATED (SEE ITEM 13)

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 is extended. is not extended.

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 items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; 1 or (c) By separate letter or electronic communication 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 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.

12. ACCOUNTING AND APPROPRIATION DATA (if required) See Section G - Contract Administration Data

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

IT MODIFIES THE CONTRACT/ORDER NUMBER 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 ORDER NUMBER IN

ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER 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 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.)

See Schedule

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

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Computer generated. Previous edition unusable STANDARD FORM 30 (REV. 11/2016)

Created On:

15 May 2026, 09:07 AM Central Daylight Time

Prescribed by GSA-FAR (48 CFR) 53.243

SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

1. The purpose of the solicitation amendment is to remove CDRL A001 quality control plan Block 14 (Description of Amendment/Modification):

2. Renumber CDRLs to A001-A004 as follows:

CDRL A001 Status Report EMS Training CDRL A002 Status Report EnMS Training CDRL A003 Contractor's Safety Plan CDRL A004 Accident Incident Report

3. Update the CDRLS, PWS, and Appendix C

4. Extend the modification through 21 May 26.

5. All other terms and conditions shall remain unchanged.

Solicitation/Contract Form

The following modifications were made:

Information From To Response Due Date 05 May 2026 21 May 2026

List of Attachments

The following Header Attachment(s) were added:

Information Value Other Attachment Appendix C Attachment Name 80640 - Appendix C Date 15 May 2026 Number 12

Information Value Attachment Description Performance Work Statement Attachment Name 80640 - PD - Customer Approved Date 15 May 2026 Number 11

Line Item A002

The following Line Item Attachment(s) were added:

Line Item A002

Information Value Attachment Description Contract Data Requirements List (CDRL) Attachment Name 80640 - CDRL - A001 - Status Report EMS Training Date 15 May 2026 Number 07 Associated Line Item(s) A002

Line Item A003

The following Line Item Attachment(s) were added:

Line Item A003

Information Value Attachment Description Contract Data Requirements List (CDRL) Attachment Name 80640 - CDRL - A002 - Status Report - EnMs Training Date 15 May 2026

FA857126Q00670001

Number 08 Associated Line Item(s) A003

Line Item A004

The following Line Item Attachment(s) were added:

Line Item A004

Information Value Attachment Description Contract Data Requirements List (CDRL) Attachment Name 80640 - CDRL - A003 - Contractor_s Safety Plan Date 15 May 2026 Number 09 Associated Line Item(s) A004

Line Item A005

The following Line Item Attachment(s) were added:

Line Item A005

Information Value Attachment Description Contract Data Requirements List (CDRL) Attachment Name 80640 - CDRL - A004 - Accident Incident Report Date 15 May 2026 Number 10 Associated Line Item(s) A005

FA857126Q00670001