Solicitation_Amendment_FA670319BA0010002_SF_30.pdf

R

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;

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)

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.)

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

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

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

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

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

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBE

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

Section B - Supplies or Services & Prices or Costs

The following CLIN(s) / SLIN(s) were added:

INFORMATION VALUE

Description Contractor shall provide all necessary tools, equipment, materials, personnel, and transportation to perform all work, required to complete project FGWB 19-0005, REPLACE GAS LINE, FACILITY 2090. All work shall be in accordance with attached Statement of Work and Drawing.

Product/Service Services Quantity 1.0 Unit of Measure Lot Option No

Section E - Inspection and Acceptance

The inspection and acceptance locations for the following CLIN(s) / SLIN(s) were added:

0002 - Contractor shall provide all necessary tools, equipment, materials, personnel, and transportation to perform all work, required to complete project FGWB 19-0005, REPLACE GAS LINE, FACILITY 2090. All work shall be in accordance with attached Statement of Work and Drawing.

Inspection and Acceptance Location - F5B323 - 94MSG CE

INFORMATION VALUE

Action Both Location Destination Inspection and Acceptance Location F5B323

94MSG CE

AF BPN NO MILSBILLS PROCESSES

864 INDUSTRIAL DR

DOBBINS AFB, GA 30069-4210

United States

Cage Code :

DUNS Number :

DUNS+4 :

Instructions In accordance with attached Statement of Work and Drawing

Point of Contact (POC) Name Kenneth Jacob

FA670319BA0010002

POC Phone Number 6786555745 POC Email kenneth.jacob.1@us.af.mil

Section J - List of Attachments

The following attachments were added:

ATTACH 9 - FGWB 19-0005 Drawing

Attendance sheet Bldg 813

ATTACH 10 - Statement of Work FGWB 19-0005

Site Visit Questions and Answers

FA670319BA0010002

ADMINISTRATIVE ONLY NO REQUISITIONS

1538 ATLANTIC AVE

DOBBINS AFB, GA 30069-4824

United States Kevin Song, Email: kevin.song@us.af.mil Telephone: 6786553695

Email: kenneth.jacob.1@us.af.mil Telephone: 6786555745