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This amendment modifies a solicitation for automated tank gauging, independent alarm system, and overfill protection equipment maintenance services in the continental United States and Caribbean. The services include maintenance program management, preventative maintenance, corrective maintenance, site support projects, and transition assistance. Offerors must provide their full company name, CAGE code and government contracts point of contact by emailing the contracting officer and contract specialist by specified dates to receive the performance work statement, pricing matrix and other documents. A pre-proposal conference will be held virtually for interested offerors. The award will be a five-year firm-fixed-price indefinite-delivery/indefinite-quantity contract with multiple contract line items for the base year and each option year.

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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NO.

See Block 14

4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

6. ISSUED BY CODE SP4702 7. ADMINISTERED BY (If other than Item 6) CODE

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

CODE FACILITY CODE

SP470220R0032

X

2020 OCT 28

10A. MODIFICATION OF CONTRACT/ORDER NO.

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 OffersX is extended, X is not extended.

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 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.

1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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:

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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 10A.

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:

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to 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)

NSN 7540-01-152-8070

Previous edition unusable

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

16B. UNITED STATES OF AMERICA15B. CONTRACTOR/OFFEROR

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

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

(a) By completing Items 8 and 15, and returning

DCSO COLUMBUS

PO BOX 3990

COLUMBUS OH 43218-3990

USA

15C. DATE SIGNED 16C. DATE SIGNED

D. OTHER (Specify type of modification and authority)

3. EFFECTIVE DATE

See Attached Continuation Sheet(s).

(X)

CHECK ONE

9A. AMENDMENT OF SOLICITATION NO.

9B. DATED (SEE ITEM 11)

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

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

CONTINUED ON NEXT PAGE

PAGE 2 OF 10 PAGES

SP470220R0032 -

Amendment 0004 is hereby issued to update the following areas of solicitation, SP470220R0032:

PWS Section 4.3.2, Privileged Access, is hereby modified as follows. The first sentence has been updated to, “All contractor personnel requiring elevated / privileged access to any network or system components (System Administrators), either during provisioning or post award, shall obtain an IT-II clearance, and meet DoD 8570.01-M Information Assurance Technical (IAT) II baseline and computing environment certifications, provide a copy of all current certifications to the Contracting Officer at time of award and remain in good standing during the contract period of performance.”

Note: The only change to the sentence above was the addition of “(System Administrators)”.

Amendment 0004 Attachments:

SP470220R0032 Amendment 0004 Attachment 1 – Questions and Answers

All other terms and conditions remain unchanged.

PAGE 3 OF 10 PAGES

SP470220R0032 -

SECTION B

SUPPLIES/SERVICES: R425-V00007570

MFR. CAGE: .. P/N:

ITEM DESCRIPTION:

See Attached Performance Work Statement.

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0001 R425-V00007570 1.000 MO $ ________________ $ ________________

TRANSITION IN

PRICING TERMS: Firm Fixed Price

PREP FOR DELIVERY:

See Attached Performance Work Statement.

PERIOD OF PERFORMANCE: 07/13/2021 - 10/12/2021

SUPPLIES/SERVICES: R425-V00007570

MFR. CAGE: .. P/N:

See Attached Statement of Work.

0002 R425-V00007570 1.000 MO $ ________________ $ ________________

MX PROGRAM

MANAGEMENT

PERIOD OF PERFORMANCE: 10/13/2021 - 07/12/2022

SUPPLIES/SERVICES: R425-V00007570

MFR. CAGE: .. P/N:

0003 R425-V00007570 1.000 MO $ ________________ $ ________________

PREVENTATIVE

MAINTENANCE

MFR. CAGE: .. P/N:

PAGE 4 OF 10 PAGES

SP470220R0032 -

SECTION B

SUPPLY/SERVICE: R425-V00007570 MFR. CAGE: .. P/N: CONT'D

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0004 R425-V00007570 1.000 MO $ ________________ $ ________________

CORRECTIVE

MFR. CAGE: .. P/N:

0005 R425-V00007570 1.000 MO $ ________________ $ ________________

SITE SUPPORT

(OPTIONAL)

This line item is an option in accordance with the terms and conditions of the solicitation/award.

PERIOD OF PERFORMANCE: 07/13/2021 - 07/12/2022

MFR. CAGE: .. P/N:

0006 R425-V00007570 1.000 MO $ ________________ $ ________________

TRANSITION OUT

PERIOD OF PERFORMANCE: 04/13/2026 - 07/12/2026

MFR. CAGE: .. P/N:

PAGE 5 OF 10 PAGES

SP470220R0032 -

SECTION B

SUPPLY/SERVICE: R425-V00007570 MFR. CAGE: .. P/N: CONT'D

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0007 R425-V00007570 1.000 MO $ ________________ $ ________________

PERIOD OF PERFORMANCE: 07/13/2022 - 07/12/2023

MFR. CAGE: .. P/N:

0008 R425-V00007570 1.000 MO $ ________________ $ ________________

MFR. CAGE: .. P/N:

0009 R425-V00007570 1.000 MO $ ________________ $ ________________

MFR. CAGE: .. P/N:

PAGE 6 OF 10 PAGES

SP470220R0032 -

SECTION B

SUPPLY/SERVICE: R425-V00007570 MFR. CAGE: .. P/N: CONT'D

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0010 R425-V00007570 1.000 MO $ ________________ $ ________________

MFR. CAGE: .. P/N:

0011 R425-V00007570 1.000 MO $ ________________ $ ________________

PERIOD OF PERFORMANCE: 07/13/2023 - 07/12/2024

MFR. CAGE: .. P/N:

0012 R425-V00007570 1.000 MO $ ________________ $ ________________

MFR. CAGE: .. P/N:

PAGE 7 OF 10 PAGES

SP470220R0032 -

SECTION B

SUPPLY/SERVICE: R425-V00007570 MFR. CAGE: .. P/N: CONT'D

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0013 R425-V00007570 1.000 MO $ ________________ $ ________________

MFR. CAGE: .. P/N:

0014 R425-V00007570 1.000 MO $ ________________ $ ________________

MFR. CAGE: .. P/N:

0015 R425-V00007570 1.000 MO $ ________________ $ ________________

PERIOD OF PERFORMANCE: 07/13/2024 - 07/12/2025

MFR. CAGE: .. P/N:

PAGE 8 OF 10 PAGES

SP470220R0032 -

SECTION B

SUPPLY/SERVICE: R425-V00007570 MFR. CAGE: .. P/N: CONT'D

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0016 R425-V00007570 1.000 MO $ ________________ $ ________________

MFR. CAGE: .. P/N:

0017 R425-V00007570 1.000 MO $ ________________ $ ________________

MFR. CAGE: .. P/N:

0018 R425-V00007570 1.000 MO $ ________________ $ ________________

MFR. CAGE: .. P/N:

PAGE 9 OF 10 PAGES

SP470220R0032 -

SECTION B

SUPPLY/SERVICE: R425-V00007570 MFR. CAGE: .. P/N: CONT'D

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0019 R425-V00007570 1.000 MO $ ________________ $ ________________

PERIOD OF PERFORMANCE: 07/13/2025 - 07/12/2026

MFR. CAGE: .. P/N:

0020 R425-V00007570 1.000 MO $ ________________ $ ________________

MFR. CAGE: .. P/N:

0021 R425-V00007570 1.000 MO $ ________________ $ ________________

MFR. CAGE: .. P/N:

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 10 OF 10 PAGES

SP470220R0032 -

SECTION B

SUPPLY/SERVICE: R425-V00007570 MFR. CAGE: .. P/N: CONT'D

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0022 R425-V00007570 1.000 MO $ ________________ $ ________________

GOVT USE

External External External Customer RDD/ ITEM PR PRLI PR PRLI Material Need Ship Date .

0001 1000101384 0001 N/A N/A N/A N/A

0002 N/A N/A N/A N/A N/A N/A

0003 N/A N/A N/A N/A N/A N/A

0004 N/A N/A N/A N/A N/A N/A

0005 N/A N/A N/A N/A N/A N/A

0006 N/A N/A N/A N/A N/A N/A

0007 N/A N/A N/A N/A N/A N/A

0008 N/A N/A N/A N/A N/A N/A

0009 N/A N/A N/A N/A N/A N/A

0010 N/A N/A N/A N/A N/A N/A

0011 N/A N/A N/A N/A N/A N/A

0012 N/A N/A N/A N/A N/A N/A

0013 N/A N/A N/A N/A N/A N/A

0014 N/A N/A N/A N/A N/A N/A

0015 N/A N/A N/A N/A N/A N/A

0016 N/A N/A N/A N/A N/A N/A

0017 N/A N/A N/A N/A N/A N/A

0018 N/A N/A N/A N/A N/A N/A

0019 N/A N/A N/A N/A N/A N/A

0020 N/A N/A N/A N/A N/A N/A

0021 N/A N/A N/A N/A N/A N/A

0022 N/A N/A N/A N/A N/A N/A

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