11-R-0302-0001.pdf

OMB Approval 271lO-OO42

11. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT r' EFFECTIVE DATE

PAGE OF PAGES

1 1

2. AMENDMENTIMODIFICATION NO.

0001 See Block 16C

4. REQUISITIONIPURCHASE REQ. NO.

SP0600-10-2037

rPROJECT NO. (If applicable)

6. ISSUED BY CODEI SP0600

DEFENSE ENERGY SUPPORT CENTER (DESC-MK)

BLDG 1621

1014 BILLY MITCHELL BLVD.• SUITE 128

SAN ANTONIO TX 78226

Contract Specialist: Janell A. Davila 210-925-0766

7. ADMINISTERED BY (If other than /tem 6) CODEI SP0600

SAME AS BLOCK 6

8. NAME AND ADDRESS OF CONTRACTOR (No. Street. county, State and ZIP: Code) (4) 9A. AMENDMENT OF SOLICITATION NO.

9B. DATED (SEE ITEM 11)

X lOA. MODIFICATION OF CONTRACT/ORDER NO.

SP0600-11-R-0302

lOB. DATED (SEE ITEM 13)

25 Jan 2011 CODE IFACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

lEI The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers 0 is extended, l8l 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 one (1) copy 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 DATA SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire 10 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 data 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.

(4) 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 lOA.

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 o is not, l8l is required to sign this document and return -.1 copies to the issuing office.

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

A. The purpose of this amendment is to add a (1) 2,000 gallon Contractor leased tank to Attachment 4.

B. Attachment 4 of the RFP is hereby replaced with Attachment 4 of this Amendment.

E_ as provided herein. alllenn$ and coooRions of !he _ ref~ in Item 9A or lOA, as _fore changed. remains unchanged and In full force aoo elfec;t.

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

BRADLEYW. STATON

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 168. UNITED STATES OF AMERICA 1OC. DATE SIGNED

(Signature of person authorized to sign)

BY

(Signature of Ccntracting Officer)

NSN 7540-01-152-8070 30·105 STANDARD FORM 30 (REV, 10-83)

PREVIOUS EDITION UNUSABLE Computer Generated Prescribed by GSA FAR (48 CFR) 53.243

ATIACHMENT4

Delivery locations and Tanks

Tank i Government-Owned Tanks I An MAWPCapacity I locations Product lIallons) Tank NSN I (psiS) Ship to Address Delivery Hours

31 LR5/LGRF, Martina , Cristante-Cryogenies iSection Area F, Bldg

1099-Unit 6108-Box

230, APO AE 09604 0700-1600 Monday-Friday, IAVlano AB Italy 26,8flllj!-Viator'S Br~~thlng Oxygen (ABO) 2,000 -0.1~:'~"!~""'o 50 18230, Avlano AB Italy Exci Federal Holidays

31 LRS/LGRF, Martina Cristante-Cryogenics

Section Area F, Bldg

1099-Unit 6108-Box

,230, APO AE 09604 10700-1600 Monday-Friday, IAv,ano AB Italy 1Aviator'sBr~athing Oxygen (ABO) 2,000 13655-00:442-7119 50W~~O, Aviano AB II aly Excl Federal Holidays

I 31 LRS/LGRF, Martina

Cristante-Cryogenics

Section Area F, Bldg

1099-Unit 6108-Box

230, APO AE 09604 0700-1600 Monday-Friday, ."\II.<lno AS Italy Aviator's Breathing Oxygen (ABO) 3,000 : 365S"()1-552-3894 65 IS230, Aviano AB Italy Exel Feder<illitllidays

I ,31 LRS/LGRF, Martina iCristante-Cryogenies

Section Area F, Bldg

1099-Unit 610S-Box

230, APO AE 09604 10700-1600 Monday-Friday, IAVianCl.~.!l-,!aly __ ~~ ....__ .---+__---1~=~'~'."~"',"'~Oxygen (ABO) lo"n A";'no AB Italy Excl Federal Holidays

31 LR5/LGRF, Martina

Cristante-Cryogenies

Section Area F, Bldg

1099-Unit 6108-Box

230, APO AE 09604 0700-1600 Monday-Friday, Jl.viano AB Italy I 24,600 • liqUid Nitr0l!~I1JLN2) 2,000 13655-01-192-2~~() 8230, Aviano AB Italy Excl Federal Holidays

31 LRS/LGRF, Martina

Cristante-Cryogenics

Section Area F, Bldg

1099-Unit 61OB-Box no, APO AE 09604 1°700-1600 Monday-Friday, Aviano AB Italy Iliquid Nitrogen (LN2) I 2,000 i3655"()H92-2446 50 18230, Aviano AB Italy £Xci Federal Holidays

31lRS/LGRF, Martina Cristante-Cryogenics

Section Area F, Bldg

1099-Unit 6108-Box

230, APO AE 09604 :0700-1600 Monday-Friday, .Aviano AS Italy 50 8230, Aviano AB Italy Excl Federal Holidays

I

31 LRS/LGRF, Martina

Cristante-Cryogenics

Section Area F, Bldg 1099-Unit 610S-Box

230, APO AE 09604 1°700-1600 Monday-Friday, ,AvianOAS Italy .~ I o"n A..;.~~ AD Ita tv Excl Federal HOlidays

I 31 LRS/lGRF, Martina

Cristante-Cryogenies

5ection Area F, Bldg

'1099-Unit 610S-Box

,Aviano AS ItalyjLiquidNitrogen (LN2) 3,QOi) -t3~?5jll-552-3895 i230, APO AE 09604 i0700-1600 Monday-Friday, 18230, Aviano AB Italy Excl F~~~ral~lidays-----J 39 WG/LGRF-Unit I

7085, Box 105, APO

AE 09824-5105, 10900-1600 Monday-Friday, I Incirlik AB Turkey I 62,400 IAViator's Breathing Oxygen(ABO) ! 5,000 I3655"()1-Z5Z-1257 150 Incirlik AB Turkey £Xci Federal HOlidaysmmmmm

I 39 WG/LGRF·Unit I 7085, Box 105, APO

I AE 09S24-5105, 10900-1600 Monday-Friday, Incirlik AB Turkey IAviator's Breathing Oxygen (ABO) 5,000 13655-01-252-1257 50 Incirlik AB Turkey Exci federal Holidays

ATTACHMENT 4

Delivery Locations and Tanks

Tank Government-Owned Tanks Annual capacity locations Usage Product (gallons) Tank NSN

Moron AB Spain 4,500 Aviator's Breathing Oxygeo (ABO) I 400 13655-01-308-0943

I I Ii I !

i lIII.oroo AB Spain Aviator's Breathing Oxygen (ABO) 400 'h~~-fl1_,nSl.nQ.n i

Muniz ANGB Puerto Rico 10,O<JQ.~Aviator's Breathing Oxygen (ABO) i400 3655-01-308-0943

I I i Muniz ANGB Puerto Rico

I ...............+Avi.tor·s Breathing Oxygen (ABO) ~400 3655-01-308-0943

I 1I

1 I

NAS Sigonella Italy 8,52Qli\vi.tor's Breathing Oxygen (ABO) 1 500 3655-01-090-8463 ..--

I NAS 5igonella Italy Aviator's~r~~!~ing Oxygen (ABO) _ 1,000. 3655-01-222-5309 -

NAS Sigonella Italy 4,69! ~iquid Nitrogen (lN2) 500 3655-01-090-8463

NAS Sigonella Italy liqUid Nitr()~l!I1(lN2) 1.000 3655-01-222-5308

RAF Fairford United Kingdom 1,000 Aviator's Breathing Oxygen (ABO) 400 ...

~~irf()rdlJl1it<!dl<'!1gdom .... Aviator's Breathing Oxygen (ABO) 400

RAF lakenheath United Kingdom 15,500 Aviator's Breathing Oxygen (ABO) 400 i

M".~"... ""''''''~dom t-I"-,,,..·~-~ ~3,ooo

I

~ lakenheath United King<i()rrI~_~ Aviator's Breathing Oxygen (ABO) 3,000 _

RAF Mildenhall United Kingdom 16,867 Aviator'S Breathing Oxygen (ABO) 6,000 3655-01-552-3892

MAWP

(psig) Ship to Address Oelivery Hours i496 ABS/lGRF, Unit

16585, APO AE 09643, 0830-1700 Monday-Friday, 50 Moron AB Spai~ Excl Federal Holidays

496 ABS/lGRF, Unit

6585. APO AE 09643. 0830-1700 Monday·Friday, SO Moron AB Spain Excl Federal Holidays

156 AW/LGRF, Jose A.

Santana Ave, Bldg 13, MunizANGB, Carolina Puerto Rico, 0630-1200 Monday-Friday, 50 00979-1502~~""1 Excl Federal Holidays

156 AW/LGRF, Jose A.

S.ntana Ave, Bldg 13, 1

Muniz ANGB, Carolina Puerto Rico, 0630-1200 Monday-Friday, 50 00979-1502 Excl Federal Holidays ~----"ReCeiving Officer, Strada Statale 417, Catania Gela Bldg I

SS

452, U.S. Naval Air 10900-1500 Monday

,Station Sigonella Italy IThursday, 0900-1200 Friday, 195030 ! Exclf~~ral Holidays ._ .

!Receiving Officer, IStrada Statale 417, Catania Gela Bldg

452, U.S. Naval Air 0900-1S00 Monday-

Station Sigonelia Italy Thursday, 0900-1200 Friday, 55 95030 Excl Federal Holiday~_~ Receiving Officer, Strada 5tatale 417, Catania Gela Bldg

452, U.S. Naval Air 0900-1500 Monday-

Station 5igonella Italy Thursday, 0900-1200 Friday, 55 95030 ExclFl!~l!ral Holid!ys_ Receiving Officer, Strada Statale 417.

Catania Gela Bldg

452, U.S. Naval Air 0900-1500 Monday-

IStation Sigonella Italy Thursday, 0900-1200 Friday, 55 195030 Excl Federal Holidays

420 AB5/lGRF, RAF Fairford

Gloucestershire, Gl7 0730-1500 Monday-Friday, 50 4DL, United Kingdom Excl Federal Holidays .....~~

1 420 AB5/lGRF, RAF Fairford

IGloucestershire, GL7 0730-1500 Monday-Friday, 50 i4DL, United Kingdom Excl Federal Holidays .....~~ 1REC Classification

I Warehouse 3, IP27

!9PN, Bldg 1072, RAF

1 Lakenheath United 0700-1600 Monday-Friday, 55 Kingdom Excl Federal Holidays

REC Classification

Warehouse 3, IP27

9PN, Bldg 1072, RAF lakenheath United 0700-1600 Monday-Friday, 55 Kingdom ... ~FI!~~rlll Holidays REC Classification

Warehouse 3, IP27

9PN, Bldg 1072, RAF

! lakenheath United 0700-1600 Monday-Friday, 55 IKingdom Exc.I~I!~I!!al Holiday~_ Mildenhall Suffolk, IP28 8NF, Bldg 704, RAF Mildenhall 0800-1600 Monday-Friday, 55 United Kingdom Excl Federal Holidays

ATIACHMENT4

Delivery locations and Tanks

1 I Tank I i

Government-Owned Tanks Annllal Capacity I II MAWP locations Usage ,1--- Product (ga"ons) , Tank NSN (psig) Ship to Address Oelivery Hours --------- --, ___________-'--'____"--+~---"--c~~--~-~------'----iii Mildenhall Suffolk, I i IP28 8Nf, Bldg 704, i ! RAF Mildenhall 0800-1600 Monday-Friday, RAF Mildenh~lll1~it!!d Kingdom ,Aviator's Breathi~ Oxygen (ABO) 6,000 !3~55-NC-C62-7902 70 United Kingdom_ Excl federal Holidays i i ~~~~~

I! iRamstein Flugplatz i66877, Ramstein-

Ii i Miesenbach, 10700-1600 Monday-Friday, Ramstein-Misenbach Germany 106,()()()iAviator's Breathing Oxygen (AB0l.____--tI _ 3,000 3655-01-552-3894 55 1~:~7:;JLGRF' _______ li~~~I~ederal Holidays

! Ramstein Flugplatz i66877, Ramstein i i Miesenbach, i0700-1600 Monday-Friday, Ramstein-Misenbach Gerrnllfly Aviator's Breathing Oxygen (ABO) 3,000 3655-NC-C62-7841 70 Germany iExci Federal Holiday_s____

435 LR5/~RF,

Ramstein Flugplatz 66877, Ramstein- Miesenbach, 0700-1600 Monday-Friday, Ramstein-Misenbach Germany Aviator's Breathing Oxygen (ABO) 5,000 3655-01-252-1257 50 1 Germany Exe! Federal Holidays

------ 1435 LRS/LGRF, --------------------------

IRamstein flugplatz

I 166877, Ramstein- I Miesenbach, 0700-1600 Monday-Friday, ~l\I1i~ce~~ach Germany 224,000 Liquid Nitrogen (LN2) 5,000 1365S-01-143-5293YD 50 iGermany ________________ ~e! Federal Holidays

! 1435 LRS/LGRF,

1Ramstein Flugplatz 66877, Ramstein- Miesenbach, 0700-1600 Monday-Friday, Ramstein-Misenbach Germany Liquid Nitrogen (LN2) 6,000 3655-01-447-7790 70 Germany Excl Federal Holidays --~----------------------- .................... 435 lRS/LGRF,-

Ramstein Flugplatz 66877, Ramstein- Miesenbach, i07oo-1600 Monday-Friday, Ramstein-Misenbach Germany Liquid Nitrogen (LN2) 6,000 3655-01-447-7790 70 Germany iExcl Federal Holidays i Bldg 504, Enrique St, i PSC 819 Box 59 FPO, I AE 0964S, N5 Rota 0730-1630 Monday-Friday, ~val~tatiClnSpain 46,757 Aviator's Breathing Oxygen (ASO)1,QOQ3655-01-222-5309 55 Spain Excl Federal~()Ii~ays __ Bldg 504, Enrique St, PSC 819 Box 59 FPO, AE 09645, NS Rota 0730-1630 Monday-Friday, Rota Naval Station Spain 119,478 Liquid Nitrogen (LN2)__ _2,()()() 3655-01-226-8891 55 Spain~~cl Federal Holi~ays___ : Bldg 504, Enrique St, i PSC 819 Box S9 FPO, ! AE 09645, NS Rota 0730-1630 Monday-Friday, Rota Naval Station Spain iUquid Nitrogen (LN21 2,000 i3655-o1-226-8891 55 Spain iEXCI Federal Holidays ------- -- ------ I 52 lRS/LGRF, Unit

, 3665, APO AE 09126

I 3665, Spangdahlem 0700-1600 Monday-Friday, ~~rT1C;~rmany ..... 10,000 Aviator's Breathing Oxygen (ABO) 3,000 i365S-01-391-9281YD 70 AB Germany ~_ Extl Federal Holidays _ 52 lRS/lGRf, Unit

3665, APO AE 09126

i i 3665, Spangdahlem 0700-1600 Monday-Friday, Spangdahlem Germany Aviator's Breathing Oxygen (ABO) 3,000 3655-o1-391-9281YD 70 AS Germany Exd Federal Holidays ~LRS/LGRF, Unit ...................... ~-

3665, APO AE 09126

13665, Spangdahlem 0700-1600 Monday-Friday, Spangdahlem Germany 31,000 Liquid Nitrogen (LN2) 5,000 3655-01-252-1257 73 iAB Germany Excl Federal Holidays ------~--- i52 lRS/lGRF, Unit ......--~--i3665, APO AE 09126 665' 5pangdahlem 0700-1600 Monday-Friday, Spangdahlem Germany Liquid Nitrogen (l!"2L___~_ ~,()oo 3655-01-252-1257 --i- 73 Allc;ermany Exci FederalHoli~ays __ _

Contractor leased Tanks ' Locations

Bldg 943 AveC iMoron AS Spain Aviator's Breathing Oxygen (ADO) __ __ 2,000 Stre_e_t_7-----t------______~

496 AS5/LGRF, Unit

6585, APO AE 09643, 0830-1700 Monday-Friday, Moron AS Spain 12,000 Liquid Nitrogen IlN2) 8,000 I I Moron AB Spain Exd Federal Holidays

ATTACHMENT 4

Delivery Locations and Tanks

Government-Owned Tanks Locations

I Annual

I Usage Product

Tank

Capacity

(gaUons) Tank NSN f----

MAWP

(psig) Ship to Address Delivery Hours

Rota Naval Station Spain Ii 59,739 Liquid Nitrogen (LN2) 5,000

Bldg 504, Enrique St, PSC 819 Box 59 FPO, AE 09645, NS Rota

Spain

0730-1630 Monday-Friday, Excl Federal Holidays