14R0712_SF30Amend_0003.pdf

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 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 your 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.

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

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

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

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

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION

NO.

9B. DATED (SEE ITEM 11)

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 Offers is extended, is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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

IT MODIFIES THE CONTRACT/ORDER NO. 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 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:

D. OTHER (Specify type of modification and authority)

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.

15C. DATE SIGNED

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

16C. DATE SIGNED

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

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

PAGE OF PAGES

6. ISSUED BY CODE

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

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

Block 14 Continued

THE FOLLOWING CHANGES APPLY TO THE SOLICITATION, ADDENDUM AND OFFER SUBMISSION PACKAGES REDUCING THE MINIMUIM PARCEL QUANTITY FROM 5,000 UG6 TO 3,500 UG6 FOR LINE ITEMS (0021)(0035)and to include the following clause:

K-0005 K28 REFINERY INFORMATION (BULK) (DLA) ENERGY JUN 1986)

Offerors are required to submit the following information on each item offered. Dealers should indicate the producing company and manufacturing point of the product on which they are offering.

All such information shall be received by the Defense Logistics Agency Energy (DLA Energy) at time of initial offer. COMPLETE ADDRESS (INCLUDING NAME OF REFINERY/SHIPPING POINT, STREET ADDRESS, CITY, COUNTY, STATE AND ZIP CODE, TELEPHONE NUMBER AND NUMBER OF EMPLOYEES AT EACH SHIPPING POINT).

A. B-0001 B1 SUPPLIES TO BE FURNISHED (BULK) (DLA ENERGY JAN 2012) is hereby modified as follows:

Item: 0021 Quantity: 13,580 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 13,580

Period of Performance: 01/01/2015-12/31/2016

NSN Product Code Delivery Identification State

6850-010576427 SIH COLUMDFSP - ITAPCO PIPELINE GA

INHIBITOR, FUEL SYSTEM ICING

Region Requirement SPLC

WF 464390270

Delivery Address: C/O ITAPCO-COLUMBUS TRANS CO COLUMBUS GA 31909-5564

Delivery DODAAC Billing DODAAC Ordering Office DODAAC SE5P0E SJ0630

Mode Receipt 100% Max Parcel Min Parcel FOB Restriction

TANK TRUCK 6,000 UG6 3,500 UG6

Item: 0035 Quantity: 20,000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 20,000

Period of Performance: 01/01/2015-12/31/2016

NSN Product Code Delivery Identification State

6850-010576427 SIH LOCKHART - MCCAIN PL (DFSP MS

LOCKHART)INHIBITOR, FUEL SYSTEM ICING

Region Requirement SPLC

WF 486115000

Delivery Address: DFSP MCCAIN PIPELINE CO LOCKHART MS 39335

Delivery DODAAC Billing DODAAC Ordering Office DODAAC SE5P00 SJ0630

Mode Receipt % Max Parcel Min Parcel FOB Restriction

TANK TRUCK 5,000 UG6 3,500 UG6

B. All other terms and conditions remain unchanged and in full force and effect.

SEE CONTINUATION PAGES

8725 JOHN J. KINGMAN RD SUITE 2954

FT BELVOIR VA 22060-6222

BUYER/SYMBOL – Oscar Taylor III/ DLA ENERGY FEBAB

PHONE - (703) 767-6492 FAX – (703) 767-9269