Amd_0004_SPE600-17-R-0210.pdf

NSN 7540-01-152-8070 30-105 STANDARD FORM 30 (REV.

10-83) PREVIOUS EDITION UNUSABLE Prescribed by GSA

FAR (48 CFR) 53.243

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)

6. ISSUED BY

CODE

DLA ENERGY

SPE600 7. ADMINISTERED BY (If other than Item

6) CODE

8725 JOHN J. KINGMAN ROAD, SUITE 4950

FORT BELVOIR, VA 22060-6222

BUYERS/SYMBOL–Lawrence Watson / Bryan Sveum

PHONE - (703) 767-9546 / 9556 P.P. 3.23

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

X

9a. AMENDMENT OF SOLICITATION NO.

SPE600-17-R-0210

9b. DATED (SEE ITEM 11)

28 April 2017 10a. MODIFICATION OF CONTRACT/ORDER NO.

10b. DATED (SEE ITEM 13)

CODE FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

[X] 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 [X] 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 _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 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.

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.

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)

E. IMPORTANT: Contractor [ ] is not, [ X ] is required to sign this document and return _1_ copy to the issuing office.

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

(SEE CONTINUATION PAGES)

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 OF CONTRACTING OFFICER

15B. NAME OF CONTRACTOR/OFFEROR

BY

(Signature of person authorized to sign)

15C. DATE

SIGNED

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

SPE600-17-R-0210

AMENDMENT 0004

This Amendment is hereby issued for the following reasons:

A. Line item 0203 in BOLD is hereby modified and should now read as follows:

Item: 0203 Quantity:143,000 UG6 Period of Performance: 08/01/2017-08/31/2022 Escalator: OPIS Chicago, IL RFG Ethanol 10% Base-Ref: 02/02/2017 Base-Price: 1.571200

NSN Delivery Identification State

9130-013884080 (MRR) 185244D28 - GARY IN

GASOLINE,AUTOMOTIVE

Delivery Address: USPS MGR VMF 1499 MARTIN LUTHER KING DR GARY IN 46401

B. Delivery notes for Line item 0238 is hereby modified and should now read as follows:

Delivery Notes: NOTE 1: DELIVERY TRUCKS MUST ENTER POST VIA RT 715 OFF RT 40. NOTE

2: MUST CALL FOR AN ATTENDANT ON ARRIVAL, UNDER NO CIRCUMSTANCES WILL

THE FUEL BE DELIVERED WITHOUT THE ATTENDANT PRESENT.

CALL 469-734-8667 and/or 410-278-9180 Delivery Ticket Notes: Delivery ticket required.

C. Tank location and delivery notes for Line item 0510 is hereby modified and should now read as follows:

No. of Tanks Capacity Type Tank Location

2 15000 TANKS AT BLDG 4029

1 20000 TANKS AT Edgewood BLDG E4019

Delivery Mode Notes: TT w / ADAPTER FOR 4 INCH CAMLOCK & 40 FT HOSE Delivery Hours: 0700|1100|WEEKDAYS|1300|1500|WEEKDAYS| Delivery Notes: NOTE 1: DELIVERY TRUCKS MUST ENTER POST VIA RT 715 OFF RT 40. NOTE

2: MUST CALL FOR AN ATTENDANT ON ARRIVAL, UNDER NO CIRCUMSTANCES WILL

THE FUEL BE DELIVERED WITHOUT THE ATTENDANT PRESENT.

CALL 469-734-8667 and/or 410-278-9180 Delivery Ticket Notes: Delivery ticket required.

D. All other terms and conditions remain unchanged.