SPE602-20-R-0700_Amendment 0007_conformed.pdf

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

2. AMENDMENT/MODIFICATION NO.

4. REQUISITION/PURCHASE REQ. NO.

See Block 14

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE SPE602 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

SPE60220R0700

X

2019 NOV 15

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, X is required to sign this document and return 1 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

DLA ENERGY

BULK PETROLEUM PRODUCT

8725 JOHN J. KINGMAN ROAD

FORT BELVOIR VA 22060

15C. DATE SIGNED 16C. DATE SIGNED

D. OTHER (Specify type of modification and authority)

3. EFFECTIVE DATE

02/24/2020

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 18 PAGES

SPE60220R0700 - 0007

Block 14 Cont’d:

Amendment 0007 is issued to advise Offerors of schedule changes under Solicitation SPE602-20-R-0700; and to incorporate schedule notes, an additional clause and price escalator PLATTS ROTTERDAM FOB JET KERO BARGE for JA1 and JP8 (See Attachment 1). In addition, Amendment 0007 - Attachment 1 is incorporated into the solicitation.

1. The following schedule notes are hereby incorporated under section SOLICITATION NOTES, of the solicitation.

#13. Solicitation Line Item 0017 is for FOB Destination Truck. Offerors will need to include transportation costs in their offered price. PLEASE REVIEW SOLICITATION NOTES 13 AND 14 REGARDING ADDITIONAL TRUCK/DELIVERY REQUIREMENTS.

#14. Truck requirements:

Mode: Tank Truck with Pump & Meter (TTWP) Pump: PTO Driven Adapter: Italian Quick Disconnect (Bayonet) Size: 4" Male Meter type: Liters Hose: 20', preferably a 3" hose that connects to a 4" Male Italian Bayonet Fitting

Additional Comments:

Trucks ordered for this operation need to be equipped with a PTO driven pump, 3" hose, and a Standard Italian Quick Connection Fitting. Trucks and hoses will need to meet MILSTD 3004D, table # TABLE XXVI, prior to loading.

Physical Address:

BLDG 466, NAS 2

STRADA STATALE 417

Sigonella, Italy

Please note: Delivery times of Monday through Friday from 0730-1630 are preferred. The region can adjust if needed to meet the required quantity of trucks. Fuels is manned 24 hours. Contractor hours are based on contractor vendor cards; some require sponsoring and some do not based on vetting levels.

#15. NAS Sigonella pass information:

NAS Sigonella, in conjunction with the ITAF, will be issuing passes to NAS 2 for the winning Contractor.

The pass access packet must be hand delivered to the following address:

Naval Air Station Sigonella NAS 2 STRADA PROVINCIALE 69ii 95016, Lentini SR

Please contact the following for more information:

Riccardo Resina (+39095865002) James Hess (+39095866362) LT Feyen (+39095862555)

** Please note that the address is the meeting point and one of the provided points of contact must be notified in advance of delivery.

Please see attached Check List for Contractor Pass. All documents must be typed, except the signature.

Documents required for pass:

- Casellario Giudiziale (Valid Italian Criminal Record) (Original & 1 copy)

- Carichi Pendenti (Valid Italian Pending Charges) (Original & 1 copy)

- Documento identita’ (Personal ID) (1 copy)

- Completed Richiesta Autorizzaione Accesso Personale Ditta (Company Personal Access Authorization Request” form (see attached form)

- 2 photos (must be a color photo on photo paper with a white background, size must be 45mm x 33 mm)

- Completed Richiesta di Pass per NAS Sigonella (Request for Pass for NAS Sigonella) form (see attached form)

- If Personal Vehicle:

- 1 copy of Libretto macchina (Vehicle Registration)

- 1 copy of Assicurazione (Car Insurance)

- If Company Vehicle:

- Completed Richiesta Autorizzione Acceso Personale Ditta (Request for access to company vehicles) form (see attached form)

- 1 copy of Libretto macchina (Vehicle Registration)

- 1 copy of Assicurazione (Car Insurance)

** Please ensure drivers follow proper Italian and European laws concerning transporting hazardous materials.

**The truck will be subjected to an inspection when approaching the gate. Therefore, it is preferred truck drivers speak English or have access to an English speaker.

2. Under B19.34 ECONOMIC PRICE ADJUSTMENT (OVERSEAS BULK) (DLA ENERGY JAN 2012), the escalator PLATTS ROTTERDAM FOB

PAGE 3 OF 18 PAGES

SPE60220R0700 - 0007

JET KERO BARGE is hereby approved for JA1 and JP8. The reference price, effective September 04, 2019, is $1.851288 and the adjustment factor is $-0.006111. The conversion factor is 328.42 USG/Metric Ton.

3. The following clause is hereby incorporated by reference under Section I - CONTRACT CLAUSES, of the solicitation:

DFAR 252.225-7974 Representation Regarding Business Operations with the Maduro Regime. (Deviation 2020-O0005) is hereby incorporated under SECTION I – CONTRACT CLAUSES.

4. The changes set forth herein are incorporated into the solicitation.

The following line item has been deleted:

ITEM PRODUCT QUANTITY (USG) DELIVERY IDENTIFICATION

0018 JP5 13,500,000 SIGONELLA

The following line items have been modified:

Total JP5 quantity: reduced from 53,500,000 USG to 27,000,000 USG

ITEM PRODUCT QUANTITY (USG) DELIVERY IDENTIFICATION

0007 JP5 Decreased from 19,000,000 USG to 12,500,000 DFSP Souda Bay 0004 JP5 Decreased from 11,000,000 USG to 4,500,000 Rota

Total JP8 quantity: increased from 78,000,000 USG to 83,500,000 USG

ITEM PRODUCT QUANTITY (USG) DELIVERY IDENTIFICATION

0013 JP8 Increased from 70,000,000 USG to 75,000,000 Incirlik 0014 JP8 Increase from 8,000,000 USG to 8,500,000 Thule

Total JA1 quantity: increased from 198,025,500 USG to 212,235,350 USG

ITEM PRODUCT QUANTITY (USG) DELIVERY IDENTIFICATION

0009 JA1 Increased from 81,500,000 USG to 90,709,500 CEPS 0011 JA1 Increased from 52,000,000 USG to 53,000,000 CLH-PS/DFSP GPSS 0010 JA1 Increased from 10,025,500 USG to 10,025,850 NIPS 0015 JA1 Increased from 11,000,000 USG to 15,000,000 Spanish PL

5. All other terms and conditions remain unchanged.

PAGE 4 OF 18 PAGES

SPE60220R0700 - 0007

Section B Quality Technical Provisions

DISTILLATE,NAVAL,F76,1.1B

9140-002732377

PR #: 0081205285,0081194125,0081207724

IAW BASIC QAP 52838 ENERGY-QAP-C1.02

REVISION NR C DTD 12/01/2016

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-C16.23

REVISION NR F DTD 12/06/2018

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E21.01

REVISION NR B DTD 06/26/2015

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E40.01

REVISION NR A DTD 07/08/2014

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E1

REVISION NR A DTD 09/01/2013

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E22

REVISION NR B DTD 04/04/2016

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E35

REVISION NR A DTD 12/01/2011

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E12

REVISION NR A DTD 07/30/2015

PART PIECE NUMBER:

Quality Technical Provisions

TURBINE FUEL,AVIATION,JA1,1.1I

9130-007535026

PR #: 0081205285,0081194125,0081207724

IAW BASIC QAP 52838 ENERGY-QAP-C16.09

REVISION NR E DTD 10/24/2017

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E21.01

REVISION NR B DTD 06/26/2015

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E1.21

REVISION NR A DTD 02/01/2014

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E40.01

REVISION NR A DTD 07/08/2014

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E1

REVISION NR A DTD 09/01/2013

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E22

REVISION NR B DTD 04/04/2016

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E35

REVISION NR A DTD 12/01/2011

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E12

REVISION NR A DTD 07/30/2015

PART PIECE NUMBER:

Quality Technical Provisions

TURBINE FUEL,AVIATION,JP5,1.1D

9130-002732379

PR #: 0081205285,0081194125,0081207724

IAW BASIC QAP 52838 ENERGY-QAP-C16.01

REVISION NR E DTD 04/27/2018

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E21.01

REVISION NR B DTD 06/26/2015

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E40.01

PAGE 5 OF 18 PAGES

SPE60220R0700 - 0007

Section B

REVISION NR A DTD 07/08/2014

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E1

REVISION NR A DTD 09/01/2013

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E22

REVISION NR B DTD 04/04/2016

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E35

REVISION NR A DTD 12/01/2011

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-C1.02

REVISION NR C DTD 12/01/2016

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E12

REVISION NR A DTD 07/30/2015

PART PIECE NUMBER:

Quality Technical Provisions

TURBINE FUEL, AVIATION,JP8,1.1I

9130-010315816

PR #: 0081205285,0081194125,0081207724

IAW BASIC QAP 52838 ENERGY-QAP-C16.64-1

REVISION NR D DTD 10/12/2018

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E21.01

REVISION NR B DTD 06/26/2015

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E40.01

REVISION NR A DTD 07/08/2014

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E1

REVISION NR A DTD 09/01/2013

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E22

REVISION NR B DTD 04/04/2016

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E35

REVISION NR A DTD 12/01/2011

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-C1.02

REVISION NR C DTD 12/01/2016

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E12

REVISION NR A DTD 07/30/2015

PART PIECE NUMBER:

DISTILLATE,NAVAL,F76,1.1B

9140-002732377

PR #: 0081205285,0081194125,0081207724

F76 Requirement Totals are as follows:

Total Qty Set Aside 8A Reservation Qty Non Set Aside Qty UoM .

71,000,000 0 0 71,000,000 UG6

Total Estimated ( F76 ) Quantity to be Purchased: 71,000,000

EPA Region Quantity Escalator Id Base Ref Price Base Ref Date .

AE 71,000,000 FOBMDGSOIL 0.000000 09/04/2019

AE .

Item: 0002

PAGE 6 OF 18 PAGES

SPE60220R0700 - 0007

Section B Quantity: 35,500,000.000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 35,500,000

Period of Performance: 07/01/2020-06/30/2021

NSN Delivery Identification State

9140-002732377 (F76) ROTA - ROTA SP

DISTILLATE,NAVAL

Region Requirement SPLC

AE 901001270

Delivery Address: BLDG 55 NAVAL STATION ROTA ROTA SP 11520

Service Code Delivery DODAAC Ordering Office DODAAC

NAVY SE6N04

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:TANKER 100 180,000 O N N N

BULK:PIPE 100 80,000 D N N N

Delivery Hours: 24HRS

Delivery Notes:

For FOB Destination Pipeline offers, quantity determination occurs at DFSP Rota using before and after Automatic Tank Gauge (ATG) readings. Quality determination and product acceptance occurs at origin.

QTY determination at DFSP Rota

Item: 0003 Quantity: 35,500,000.000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 35,500,000

Period of Performance: 07/01/2020-06/30/2021

NSN Delivery Identification State

9140-002732377 (F76) SOUDABAY - DFSP SOUDA BAY

DISTILLATE,NAVAL

Region Requirement SPLC

AE 911001270

Delivery Address: DLA ENERGY DFSP SOUDA BAY CRETE SOUDA BAY 73100

Service Code Delivery DODAAC Ordering Office DODAAC

SE6P07

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:TANKER 100 235,000 O N N N

Delivery Hours: 24HRS

TURBINE FUEL,AVIATION,JA1,1.1I

9130-007535026

PR #: 0081205285,0081194125,0081207724

JA1 Requirement Totals are as follows:

Total Qty Set Aside 8A Reservation Qty Non Set Aside Qty UoM .

212,235,350 0 0 212,235,350 UG6

Total Estimated ( JA1 ) Quantity to be Purchased: 212,235,350

EPA Region Quantity Escalator Id Base Ref Price Base Ref Date .

AE 212,235,350 CIFNWEJET 0.000000 09/04/2019

AE .

PAGE 7 OF 18 PAGES

SPE60220R0700 - 0007

Section B

Item: 0009 Quantity: 90,709,500.000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 90,709,500

Period of Performance: 07/01/2020-06/30/2021

NSN Delivery Identification State

9130-007535026 (JA1) CEPS - DFSP CEPS

TURBINE FUEL,AVIATION

Region Requirement SPLC

AE 961001270

Delivery Address: BELGIAN CEPS DIVISION DEFAULT 78005

Service Code Delivery DODAAC Ordering Office DODAAC

DLA SE6P09

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:TANKER 100 235,000 O N Y N

BULK:PIPE 100 63,000 O N Y N

Delivery Hours: 24HRS

Delivery Notes: Delivery Notes: Acceptable locations, pipeline, entry into DFSP CEPS are: France:

Marseilles (Lavera), Feyzin, Le Havre Belgium: Antwerp, Ghent Netherlands: Rotterdam (Pernis) Germany:

Lingen The only acceptable point of entry for tanker deliveries is Marseilles, France. CEPS will only accept origin pipeline deliveries. The custody transfer point is the connecting valves into the CEPS for product offered into the entry points of Ghent and Le Havre (commercial terminals). Offerors will need to obtain CEPS entry capacity through CEPS managing agent, independent of DOD. Transportation capacity rights, interim storage and all other costs associated with offered locations Ghent or Le Havre will be the responsibility of the supplier and should be reflected in the overall price. Any cost for interim storage will be paid by the contractor. The parcel size indicated is representative of the historical pipeline batch quantities. Ocean Tanker offers are an FOB Origin basis unless otherwise specified in schedule B-1. DLA Energy reserves the right to reject any offer requiring the use of DLA Energy Facilities for delivery by tanker to requiring activity.

Ocean tanker deliveries into the Government Pipeline & Storage System (GPSS) require certification of performing vessels prior three (3) cargos as FAME (Fatty Acid Methyl Ester) free or, in instances where any of prior three (3) cargoes contained FAME, identification of which cargoes tanks, FAME concentration (i.e. 5%, 15%, etc.), as well as certification that affected tanks were prepared in accordance with the guidelines established in the Energy Institute (EI) HM50 document. Upon request, vessel must be prepared to provide previous cargo documentation and cleaning history demonstrating compliance with HM50 guidance.

All entry points into the CEPS require the fuel to include SDA with conductivity levels between 150-250 pS/m, with the exception of France entry points: Marsilles (Lavera), Feyzin and Le Havre where SDA is NOT required.

Item: 0011 Quantity: 53,000,000.000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 53,000,000

Period of Performance: 07/01/2020-06/30/2021

NSN Delivery Identification State

9130-007535026 (JA1) GPSSUKPL - DFSP GPSSUKPL SP

TURBINE FUEL,AVIATION

Region Requirement SPLC

AE 941001270

Delivery Address: WEST MOORS WIMBORNE DORSET SP BH21 6QS

Service Code Delivery DODAAC Ordering Office DODAAC

SE6P04

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:TANKER 100 235,000 O N N N

BULK:PIPE 100 235,000 O N N N

Delivery Hours: 24HRS

Delivery Notes: South Killingholme Jetty is the acceptable tanker entry point, FOB Origin only for ingress into UK Pipeline. Aldermaston, Saffron Walden and South Killingholme Jetty (at entry to the W/E(E) pipeline from Radcliffe) is the acceptable pipeline entry point, for ingress into CLH-PS, formerly GPSS.

PAGE 8 OF 18 PAGES

SPE60220R0700 - 0007

Section B Suppliers offering at pipeline entry pints other than Killingholme must confirm with the CLH-PS Managing Agent and UK MOD that they can comply with the GPSS entry point requirements for scheduling and input flow rates/pressures, and confirm the location at which sale of product to DLA Energy will occur.

The proposed locations must be directly connected to the UK Pipeline. The UK Managing Agent may require suppliers to obtain pipeline capacity required to transport product from the proposed entry point.

Transportation, capacity rights, and all other cost associated with offered locations, other than those listed above, will be the responsibility of the supplier.

Ocean tanker deliveries into the Government Pipeline & Storage System (GPSS) require certification of performing vessels prior three (3) cargos as FAME (Fatty Acid Methyl Ester) free or, in instances where any of prior three (3) cargoes contained FAME, identification of which cargoes tanks, FAME concentration (i.e. 5%, 15%, etc.), as well as certification that affected tanks were prepared in accordance with the guidelines established in the Energy Institute (EI) HM50 document. Upon request, vessel must be prepared to provide previous cargo documentation and cleaning history demonstrating compliance with HM50 guidance.

Item: 0012 Quantity: 30,000,000.000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 30,000,000

Period of Performance: 07/01/2020-06/30/2021

NSN Delivery Identification State

9130-007535026 (JA1) ROTA - ROTA SP

TURBINE FUEL,AVIATION

Region Requirement SPLC

AE 901001270

Delivery Address: BLDG 55 NAVAL STATION ROTA ROTA SP 11520

Service Code Delivery DODAAC Ordering Office DODAAC

NAVY SE6N04

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:TANKER 100 235,000 O Y Y Y

BULK:PIPE 100 235,000 D Y Y Y

Delivery Mode Notes: For FOB Destination Pipeline offers, quantity determination occurs at DFSP Rota using before and after Automatic Tank Gauge (ATG) readings. Quality determination and product acceptance occurs at origin.

Delivery Hours: 24HRS

Item: 0015 Quantity: 15,000,000.000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 15,000,000

Period of Performance: 07/01/2020-06/30/2021

NSN Delivery Identification State

9130-007535026 (JA1) SPANISHPL - SPANISH PIPELINE

TURBINE FUEL,AVIATION

Region Requirement SPLC

AE 999100002

Delivery Address: El Arahal 09227

Service Code Delivery DODAAC Ordering Office DODAAC

SE6P03

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:PIPE 100 85,000 D N N N

Item: 0017 Quantity: 13,500,000.000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 13,500,000

Period of Performance: 07/01/2020-06/30/2021

NSN Delivery Identification State

PAGE 9 OF 18 PAGES

SPE60220R0700 - 0007

Section B

9130-007535026 (JA1) SIGONELLA - U.S. NAVAL AIR STATION IT

TURBINE FUEL,AVIATION

Region Requirement SPLC

AE 931005290

Delivery Address: STRADA STATALE 417 CATANIA GELA SIGONELLA IT 95040

Service Code Delivery DODAAC Ordering Office DODAAC

NAVY SE6N03

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:PIPE 100 6,000 O Y Y Y

BULK:TRUCK 100 D Y Y Y

Delivery Hours: 0800-1800 Delivery Hours: 0800-1800

Item: 0010 Quantity: 10,025,850.000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 10,025,850

Period of Performance: 07/01/2020-06/30/2021

NSN Delivery Identification State

9130-007535026 (JA1) NIPS - NORTHERN ITALIAN PIPELINE

TURBINE FUEL,AVIATION

Region Requirement SPLC

AE 931002270

Delivery Address: Sede Operativa di Parma PARMA 43100

Service Code Delivery DODAAC Ordering Office DODAAC

SE6P05

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:TANKER 100 120,000 O N Y Y

BULK:PIPE 100 80,000 D N Y Y

Delivery Hours: 24HRS

TURBINE FUEL,AVIATION,JP5,1.1D

9130-002732379

PR #: 0081205285,0081194125,0081207724

JP5 Requirement Totals are as follows:

Total Qty Set Aside 8A Reservation Qty Non Set Aside Qty UoM .

27,000,000 0 0 27,000,000 UG6

Total Estimated ( JP5 ) Quantity to be Purchased: 27,000,000

EPA Region Quantity Escalator Id Base Ref Price Base Ref Date .

AE 27,000,000 CIFNWEJET 0.000000 09/04/2019

AE .

Item: T0001 Throughput SPLC: 911001270 DFSP SOUDA BAY Quantity: 22,500,000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 22,500,000

NSN Delivery Identification State

9130-002732379 (JP5) SOUDABAY - DFSP SOUDA BAY

TURBINE FUEL,AVIATION

Region Throughput SPLC Requirement SPLC

AE 911001270 911001270

PAGE 10 OF 18 PAGES

SPE60220R0700 - 0007

Section B Delivery Address: NATO POL DEPOT SOUDA BAY MARATHI BAY, CHANIA CRETE 73100

Service Code Delivery DODAAC Ordering Office DODAAC

DLA SE6P07

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:TANKER 100 235,000 O Y N Y

Delivery Hours: 24HRS

Delivery Notes:

Item: 0007 Quantity: 12,500,000.000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 12,500,000

Period of Performance: 07/01/2020-06/30/2021

NSN Delivery Identification State

9130-002732379 (JP5) SOUDABAY - DFSP SOUDA BAY

TURBINE FUEL,AVIATION

Region Throughput SPLC Requirement SPLC

AE 911001270 911001270

Delivery Address: DLA ENERGY DFSP SOUDA BAY CRETE SOUDA BAY 73100

Service Code Delivery DODAAC Ordering Office DODAAC

SE6P07

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:TANKER 100 235,000 O Y N Y

Delivery Hours: 24HRS

Delivery Notes:

Item: 0005 Quantity: 10,000,000.000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 10,000,000

Period of Performance: 07/01/2020-06/30/2021

NSN Delivery Identification State

9130-002732379 (JP5) SOUDANSA - NAS SOUDA BAY 26

TURBINE FUEL,AVIATION

Region Throughput SPLC Requirement SPLC

AE 911001270 999900164

Delivery Address: MOUZOURAS AKROTIRIOU FLCSI CHANIA, CRETE 26 73100

Service Code Delivery DODAAC Ordering Office DODAAC

NAVY SE6N00

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:PIPE 100 5,000 O Y N Y

Delivery Hours: 0800 - 1800

Item: 0004 Quantity: 4,500,000.000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 4,500,000

Period of Performance: 07/01/2020-06/30/2021

PAGE 11 OF 18 PAGES

SPE60220R0700 - 0007

Section B

NSN Delivery Identification State

9130-002732379 (JP5) ROTA - ROTA SP

TURBINE FUEL,AVIATION

Region Requirement SPLC

AE 901001270

Delivery Address: BLDG 55 NAVAL STATION ROTA ROTA SP 11520

Service Code Delivery DODAAC Ordering Office DODAAC

NAVY SE6N04

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:TANKER 100 180,000 O Y N Y

BULK:PIPE 100 85,000 D Y N Y

Delivery Mode Notes: For FOB Destination Pipeline offers, quantity determination occurs at DFSP Rota using before and after Automatic Tank Gauge (ATG) readings. Quality determination and product acceptance occurs at origin.

Delivery Hours: 24HRS

TURBINE FUEL, AVIATION,JP8,1.1I

9130-010315816

PR #: 0081205285,0081194125,0081207724

JP8 Requirement Totals are as follows:

Total Qty Set Aside 8A Reservation Qty Non Set Aside Qty UoM .

83,500,000 0 0 83,500,000 UG6

Total Estimated ( JP8 ) Quantity to be Purchased: 83,500,000

EPA Region Quantity Escalator Id Base Ref Price Base Ref Date .

AE 83,500,000 CIFNWEJET 0.000000 09/04/2019

AE .

Item: T0002 Throughput SPLC: 911003270 TNPS-EAST Quantity: 75,000,000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 75,000,000

NSN Delivery Identification State

9130-010315816 (JP8) TURKNATOPL - TNPS-EAST

TURBINE FUEL, AVIATION

Region Throughput SPLC Requirement SPLC

AE 911003270 911003270

Delivery Address: AKARYAKIT IKMAL VE NATO POL, Kuzgun Sok. No 51, Ankara, Asagi Ayranci, 6540

Service Code Delivery DODAAC Ordering Office DODAAC

SE6P0B

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:TANKER 100 188,000 O Y Y Y

Delivery Hours: 24HRS

Item: 0013 Quantity: 75,000,000.000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 75,000,000

Period of Performance: 07/01/2020-06/30/2021

NSN Delivery Identification State

9130-010315816 (JP8) INCIRLIK - IZMIR AREA

TURBINE FUEL, AVIATION

PAGE 12 OF 18 PAGES

SPE60220R0700 - 0007

Section B

Region Throughput SPLC Requirement SPLC

AE 911003270 911001240

Delivery Address: RESOURCE CONTROL CENTER INCIRLIK AB TURKEY 99999

Service Code Delivery DODAAC Ordering Office DODAAC

USAF SE6F08

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:PIPE 100 45,000 O Y Y Y

Delivery Hours: 8-18HRS

Item: 0014 Quantity: 8,500,000.000 UG6 8A Quantity: 0 SA Quantity: 0 Unrestricted: 8,500,000

Period of Performance: 07/01/2020-06/30/2021

NSN Delivery Identification State

9130-010315816 (JP8) THULE - DFSP THULE

TURBINE FUEL, AVIATION

Region Requirement SPLC

AE 921002240

Delivery Address: 821 SPTS LGF Cresent Road DEFAULT 09704

Service Code Delivery DODAAC Ordering Office DODAAC

USAF SE6F05

Mode Receipt % Max Parcel Min Parcel FOB Restriction FSII SDA CI

BULK:TANKER 100 235,000 O Y Y Y

Delivery Hours: 24HRS

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 13 OF 18 PAGES

SPE60220R0700 - 0007

SECTION J - LIST OF ATTACHMENTS

List of Attachments

File Name Description ATTACH_Attachment_1 Conformed 0007

Amendment 00007 – Attachment 1

REFERENCE NO. OF DOCUMENT BEING CONTINUED

CONTINUATION SHEET SPE602-20-R-0700 Page 14 of 18

SOLICITATION NOTES

(Unless otherwise stated in the schedule, solicitation notes apply to all line items)

13. Solicitation Line Item 0007 is for FOB Destination Truck. Offerors will need to include transportation costs in their offered price. PLEASE REVIEW SOLICITATION NOTES 13 AND

14 REGARDING ADDITIONAL TRUCK/DELIVERY REQUIREMENTS.

14. Truck requirements:

Mode: Tank Truck with Pump & Meter (TTWP) Pump: PTO Driven Adapter: Italian Quick Disconnect (Bayonet) Size: 4" Male Meter type: Liters Hose: 20', preferably a 3" hose that connects to a 4" Male Italian Bayonet Fitting

Additional Comments:

Trucks ordered for this operation need to be equipped with a PTO driven pump, 3" hose, and a Standard Italian Quick Connection Fitting. Trucks and hoses will need to meet MILSTD 3004D, table # TABLE XXVI, prior to loading.

Physical Address:

BLDG 466, NAS 2

STRADA STATALE 417

Sigonella, Italy

Please note: Delivery times of Monday through Friday from 0730-1630 are preferred. The region can adjust if needed to meet the required quantity of trucks. Fuels is manned 24 hours.

Contractor hours are based on contractor vendor cards; some require sponsoring and some do not based on vetting levels.

15. NAS Sigonella pass information:

NAS Sigonella, in conjunction with the ITAF, will be issuing passes to NAS 2 for the winning Contractor.

The pass access packet must be hand delivered to the following address:

Naval Air Station Sigonella NAS 2 STRADA PROVINCIALE 69ii 95016, Lentini SR

Please contact the following for more information:

Riccardo Resina (+39095865002) James Hess (+39095866362) LT Feyen (+39095862555)

CONTINUATION SHEET SPE602-20-R-0700 Page 15 of 18

** Please note that the address is the meeting point and one of the provided points of contact must be notified in advance of delivery.

Please see attached Check List for Contractor Pass. All documents must be typed, except the signature. Documents required for pass:

- Casellario Giudiziale (Valid Italian Criminal Record) (Original & 1 copy)

- Carichi Pendenti (Valid Italian Pending Charges) (Original & 1 copy)

- Documento identita’ (Personal ID) (1 copy)

- Completed Richiesta Autorizzaione Accesso Personale Ditta (Company Personal Access Authorization Request” form (see attached form 1)

- 2 photos (must be a color photo on photo paper with a white background, size must be 45mm x 33 mm)

- Completed Richiesta di Pass per NAS Sigonella (Request for Pass for NAS Sigonella) form (see attached form)

- If Personal Vehicle:

- 1 copy of Libretto macchina (Vehicle Registration)

- 1 copy of Assicurazione (Car Insurance)

- If Company Vehicle:

- Completed Richiesta Autorizzione Acceso Personale Ditta (Request for access to company vehicles) form (see attached form 2)

- 1 copy of Libretto macchina (Vehicle Registration)

- 1 copy of Assicurazione (Car Insurance)

** Please ensure drivers follow proper Italian and European laws concerning Transporting hazardous materials.

**The truck will be subjected to an inspection when approaching the gate. Therefore, it is preferred truck drivers speak English or have access to an English speaker.

SECTION B – SUPPLIES OR SERVICES AND PRICES OR COSTS

B19.34 ECONOMIC PRICE ADJUSTMENT (OVERSEAS BULK) (DLA ENERGY JAN

2012)

(f) TABLE.

Item No.

(Listed Items)

NAME OF

PUBLICATION

HEADING UNDER

WHICH

REFERENCE

PRICE IS

PUBLISHED AND

NAME OF

PRODUCT

LOCATION

WHERE

REFERENCE

PRICE IS

APPLICABLE

REFERENCE

PRICE AS OF

SEPTEMBER 04,

2019 (EXCLUDES

ALL TAXES)

CONTINUATION SHEET SPE602-20-R-0700 Page 16 of 18

F76 Platt’s Gasoil 0.1 100% Cargoes CIF NWE Basis

ARA

$1.809071

Note 1: Offers based on Gasoil 0.1 CIF NWE Basis ARA Subheading market price indicator will be subject to a factor of zero -$0- for evaluation purposes only.

Item No.

(Listed Items)

NAME OF

PUBLICATION

HEADING UNDER

WHICH

REFERENCE

PRICE IS

PUBLISHED AND

NAME OF

PRODUCT

LOCATION

WHERE

REFERENCE

PRICE IS

APPLICABLE

REFERENCE

PRICE AS OF

SEPTEMBER 04,

2019 (EXCLUSES

ALL TAXES)

F76 Platt’s Gasoil 0.1S 100% FOB Med Basis Italy

$1.782271

Note: Offers based on the Gasoil 0.1S FOB Med Basis Italy Subheading market price indicator will be subject to a negative factor of -$0.013096 for evaluation purposes only.

Item No.

(Listed Items)

NAME OF

PUBLICATION

HEADING UNDER

WHICH

REFERENCE

PRICE IS

PUBLISHED AND

NAME OF

PRODUCT

LOCATION

WHERE

REFERENCE

PRICE IS

APPLICABLE

REFERENCE

PRICE AS OF

SEPTEMBER 04,

2019 (EXCLUSES

ALL TAXES)

F76 Platt’s Gasoil Asia/Singapore Subheading

$1.775714

Note: Offers based on the Gasoil Asia/Singapore Subheading market price indicator will be subject to a positive factor of $0.037498 for evaluation purposes only.

Item No.

(Listed Items)

NAME OF

PUBLICATION

HEADING UNDER

WHICH

REFERENCE

PRICE IS

PUBLISHED AND

NAME OF

PRODUCT

LOCATION

WHERE

REFERENCE

PRICE IS

APPLICABLE

REFERENCE

PRICE AS OF

SEPTEMBER 04,

2019 (EXCLUSES

ALL TAXES)

F76 Platt’s Gasoil Arab Gulf, FOB $1.722381 Note: Offers based on the Gasoil Arab Gulf, FOB Subheading market price indicator will be subject to a positive factor of $0.040040 for evaluation purposes only.

Item No.

(Listed Items)

NAME OF

PUBLICATION

HEADING UNDER

WHICH

REFERENCE

PRICE IS

PUBLISHED AND

NAME OF

PRODUCT

LOCATION

WHERE

REFERENCE

PRICE IS

APPLICABLE

REFERENCE

PRICE AS OF

SEPTEMBER 04,

2019 (EXCLUSES

ALL TAXES)

F76 Platt’s ULSD 10ppmS FOB Med Cargo

$1.796226

Note: Offers based on the ULSD FOB Med Cargo Subheading market price indicator will be subject to a positive factor of $0.013628 for evaluation purposes only.

CONTINUATION SHEET SPE602-20-R-0700 Page 17 of 18

Item No.

(Listed Items)

NAME OF

PUBLICATION

HEADING UNDER

WHICH

REFERENCE

PRICES IS

PUBLISHED AND

NAME OF

PRODUCT

LOCATION

WHERE

REFERENCE

PRICE IS

APPLICABLE

REFERENCE

PRICE AS OF

SEPTEMBER 04,

2019 (EXCLUSES

ALL TAXES)

JP5/JP8/JA1 Platt’s Jet Kerosene 100% Cargoes CIF NWE Basis

ARA

$1.852810

Note 1: Offers based on Jet Kerosene CIF NWE Basis ARA Subheading market price indicator will be subject to a factor of zero -$0- for evaluation purposes only.

Item No.

(Listed Items)

NAME OF

PUBLICATION

HEADING UNDER

WHICH

REFERENCE

PRICE IS

PUBLISHED AND

NAME OF

PRODUCT

LOCATION

WHERE

REFERENCE

PRICE IS

APPLICABLE

REFERENCE

PRICE AS OF

SEPTEMBER 04,

2019 (EXCLUSES

ALL TAXES)

JP8/JA1 Platt’s Jet Av. Fuel 100% FOB Med Basis Italy

$1.812770

Note 1: Offers based on the Jet Av. Fuel Med Basis Italy Subheading market price indicator will be subject to a negative factor of -$0.015873 for evaluation purposes only.

Item No.

(Listed Items)

NAME OF

PUBLICATION

HEADING UNDER

WHICH

REFERENCE

PRICE IS

PUBLISHED AND

NAME OF

PRODUCT

LOCATION

WHERE

REFERENCE

PRICE IS

APPLICABLE

REFERENCE

PRICE AS OF

SEPTEMBER 04,

2019 (EXCLUSES

ALL TAXES)

JP8/JA1 Platt’s Jet Kerosene Asia/Singapore $1.759524 Note: Offers based on the Jet Kerosene Asia/Singapore Subheading market price indicator will be subject to a positive factor of $0.019175 for evaluation purposes only.

Item No.

(Listed Items)

NAME OF

PUBLICATION

HEADING UNDER

WHICH

REFERENCE

PRICE IS

PUBLISHED AND

NAME OF

PRODUCT

LOCATION

WHERE

REFERENCE

PRICE IS

APPLICABLE

REFERENCE

PRICE AS OF

SEPTEMBER 04,

2019 (EXCLUSES

ALL TAXES)

JP8/JA1 Platt’s Kerosene Arab Gulf, FOB $1.709286 Note: Offers based on the Kerosene Arab Gulf, FOB Subheading market price indicator will be subject to a positive factor of $0.021506 for evaluation purposes only.

Item No.

(Listed Items)

NAME OF

PUBLICATION

HEADING UNDER

WHICH

REFERENCE

PRICE IS

PUBLISHED AND

LOCATION

WHERE

REFERENCE

PRICE IS

APPLICABLE

REFERENCE

PRICE AS OF

SEPTEMBER 04,

2019 (EXCLUSES

ALL TAXES)

CONTINUATION SHEET SPE602-20-R-0700 Page 18 of 18

NAME OF

PRODUCT

JP8/JA1 Platt’s Jet Kero FOB Jet Kero Barge Rotterdam

$1.851288

Note: Offers based on the Jet Kero, FOB Barge Rotterdam Subheading market price indicator will be subject to a negative factor of $-0.006111 for evaluation purposes only.

Note 1: For Platt's Oilgram: The Reference prices are calculated by averaging the respective low prices and averaging the respective high prices for the two days preceding the date of delivery, the date of delivery, and the two days subsequent to the date of delivery published effective days' prices. Both the low and high averages are then averaged to determine the new Reference Price. This average price is averaged to two (2) decimal places, regardless of whether the price is stated in dollars per barrel, dollars per metric ton, or cents per USG. This average will be converted to dollars per USG using the conversion factors cited in Note 2 and 3, if applicable, and rounded to six (6) decimal places.

In order to calculate the price, first determine the date of delivery price. If the actual date of delivery falls on Saturday or Sunday, the date of delivery for pricing purposes will be Friday.

If the actual date of delivery falls on a holiday, then the date of delivery for pricing purposes will become the previous business day. If Platt’s fails to publish the price for a particular product on the date of delivery, then the date of delivery will become the previous business day in which a price is published.

Once the date of delivery price is determined, then obtain the published effective days prices for the two business days immediately preceding the date of delivery and the two business days immediately subsequent to the date of delivery.

Any product offer must specify on which escalator it is based. Offers for JP8, may use any or all of the stated escalators for that product.

Note 2:The conversion factor 328.42 USG/Metric Ton will be used to calculate JP5, JA1, and JP8 escalators under Jet Av. Fuel, 100% FOB Med Basis, Italy, and Jet Kerosene, 100% Cargoes CIF NWE, Basis ARA.

Note 3: The conversion Factor 315.30 USG/Metric Ton will be used to calculate F76 escalators Gasoil 0.1%, 100% Cargoes CIF NWE, Basis ARA, and Gasoil 0.1%S, 100 % FOB Med, Basis Italy and JA1 and JP8 Gasoil 0.1% 100% Cargoes CIF NEW Basis ARA.

(End of B19.34 Text)

SECTION I – CONTRACT CLAUSES

DFAR 252.225-7974 Representation Regarding Business Operations with the Maduro Regime. (Deviation 2020-O0005)

(End of Amendment 0007 Text)

CHECK LIST CONTRACTOR PASS REQUEST

Casellario Giudiziario

New (Original & photocopy)

Carichi Pendenti

New (Original & photocopy)

Documento identita’ (personal ID)

“Richiesta Autorizzazione Accesso Personale Ditta” form

“Richiesta di Pass per NAS Sigonella” form

Personal Vehicle (If yes)

Copy Libretto macchina (Vehicle Registration)

- Copy Assicurazione (Car Insurance)

Company Car YES NO

“Richiesta Autorizzazione Accesso Personale Ditta” Form

Copy – Libretto macchina (Vehicle Registration)

Copy Assicurazione (Car Insurance)

Form 1

A: COMANDO AEROPORTO

GRUPPO PROTEZIONE DELLE FORZE

Nucleo Controllo Accessi / Rilascio Pass

= SIGONELLA =

RICHIESTA AUTORIZZAZIONE ACCESSO PERSONALE DITTA

Il sottoscritto:

COGNOME___________________________________________NOME_____________________________________________________________

NATO A_______________________________________IL__________________RESIDENTE A_________________________________________

VIA_________________________________________________________N°_________DOC. DI RIC.__________ N°________________________

SCADENTE IL________________________ DIPENDENTE DELLA DITTA_________________________________________________________

DITTA APPALTATRICE______________________________________________________.

CHIEDE

(Barrare la/le casella/e interessate)

IL RILASCIO DEL PASS PERSONALE IL RINNOVO DEL PASS PERSONALE

IL RILASCIO DEL PASS VEICOLO IL RINNOVO DEL PASS VEICOLO

VEICOLO 1 VEICOLO 2 VEICOLO 3

MARCA VEICOLO

MODELLO VEICOLO

TARGA VEICOLO

PROPRIETA’ (intestatario)

NOME ASSICURAZIONE

N° POLIZZA ASSICURAZIONE

SCADENZA ASSICURAZIONE

Si allegano i seguenti documenti:

FOTOCOPIA DOCUMENTO DI RICONOSCIMENTO

FOTOCOPIA F/R DEL LIBRETTO DI CIRCOLAZIONE (nel caso di Richiesta o Rinnovo Pass Auto) N° 2 FOTOGRAFIE FORMATO TESSERA (mod. ICAO – dim. 3,7x4,6) (nel caso di Richiesta o Rinnovo Pass Personale)

Dichiaro di aver preso visione delle “NORME PER IL RILASCIO DEI PASS” e di accettarle incondizionatamente in ogni sua parte.

(leggi il retro e firma per accettazione)

IL RICHIEDENTE

Sigonella, lì _____________________

PARTE RISERVATA AL GRUPPO PROTEZIONE DELLE FORZE – NUCLEO CONTROLLO ACCESSI/RILASCIO PASS

PROT. N° M_D ASR005._______________

DEL_________________________________

CARTELLA N°

DIPARTIMENTO RICHIEDENTE

RILASCIATO PASS:

MOD. “A1” N°___________________ MOD. “B” N°___________________ MOD. “D3” N°____________________

VALIDO DAL_______________________________ AL_______________________________

NEI GIORNI DAL ___________________ AL__________________ DALLE ORE ______________ ALLE ORE ______________

NORME PER IL RILASCIO DEI PASS

Per il rilascio dei Pass il richiedente si impegna a:

Tenere sempre esposto, sull’uniforme o sull’abito civile, il Pass personale;

Tenere sempre esposto sul cruscotto dell’automezzo, ben visibile, il relativo contrassegno nei periodi di permanenza all’interno dell’installazione aeronautica;

Osservare le norme di circolazione vigenti all’interno dell’installazione e la relativa segnaletica; in particolare non dovrà essere superata la velocità di 30 km/h, salvo diversa indicazione della segnaletica interna;

Denunciare tempestivamente, ad una Stazione dei Carabinieri, l’eventuale smarrimento o furto dei contrassegni e dare copia della denuncia al Gruppo Protezione delle Forze - Nucleo Controllo Accessi/Rilascio Pass;

Riconsegnare i Pass all’atto del congedo o trasferimento ad altro Ente, alla scadenza degli stessi, in caso di cessato rapporto di lavoro con la ditta o in caso di cessione o alienazione dell’automezzo;

Sollevare la Forza Armata da danni, fatti ed accidentalità non ricollegabili alla stessa;

Mantenere il veicolo in regola per quanto concerne la tassa di proprietà e gli obblighi assicurativi;

Fare ispezionare il veicolo, quando richiesto, dal personale addetto alla sorveglianza e al controllo;

Autorizzare l’Amministrazione a rimuovere il veicolo, anche senza preavviso, nei casi di inadempienza relativi alla sosta, esonerando la stessa da eventuali responsabilità di danni relativi alla rimozione.

NOTA BENE:

- L’autorizzazione è valida esclusivamente per la persona e l’automezzo a cui è stata rilasciata.

- L’autorizzazione all’accesso ed al parcheggio all’interno del sedime aeroportuale non costituisce un diritto, bensì una agevolazione subordinata al rispetto delle norme in vigore.

- Al momento dell’accesso all’installazione dovranno essere tempestivamente esibiti al personale addetto al controllo, il contrassegno auto ed il pass personale; in caso contrario, l’accesso non verrà consentito.

- I veicoli dovranno essere parcheggiati esclusivamente nelle zone predisposte ed entro le aree delimitate. Al personale che incorre in infrazioni del regolamento di parcheggio e di circolazione interna, verrà revocata l’autorizzazione di accesso.

- Il Comando Gruppo Protezione delle Forze si riserva, pertanto, la facoltà di revocare l’autorizzazione di accesso in qualunque momento, per esigenze particolari dell’Amministrazione, per infrazioni alle norme e/o inadempienza degli impegni assunti dall’interessato all’atto della richiesta di autorizzazione e per problemi inerenti la sicurezza dell’installazione.

Il richiedente, inoltre, autorizza al trattamento dei dati personali contenuti nel presente modulo ai sensi della Legge 675/96.

PER ACCETTAZIONE

(Firma del Richiedente)

A: COMANDO AEROPORTO

GRUPPO PROTEZIONE DELLE FORZE

Nucleo Controllo Accessi / Rilascio Pass

= SIGONELLA =

PARTE RISERVATA AL GRUPPO PROTEZIONE DELLE FORZE – NUCLEO CONTROLLI ACCESSI/RILASCIO PASS

PROT N° M_D ASR005.______________

DEL _______________________________

CARTELLA N°

DIPARTIMENTO RICHIEDENTE

VALIDO DAL ___________________________________ AL ____________________________________

NEI GIORNI DAL __________________ AL __________________ DALLE ORE _____________ ALLE ORE _____________

RICHIESTA AUTORIZZAZIONE ACCESSO AUTOMEZZI AZIENDALI DITTE

Il sottoscritto:

COGNOME________________________________________NOME________________________________________________________________

RESPONSABILE DELLA DITTA APPALTATRICE____________________________________________________________________________

DITTA SUBAPPALTATRICE___________________________________________________________.

CHIEDE

(Barrare la/le casella/e interessate)

IL RILASCIO DEL PASS AUTO AZIENDALE IL RINNOVO DEL PASS AUTO AZIENDALE

MARCA E MODELLO TARGA NOME ASSICURAZIONE SCADENZA ASSICURAZIONE

Si allegano i seguenti documenti:

- FOTOCOPIA DEL LIBRETTO DI CIRCOLAZIONE

Dichiaro di aver preso visione delle “NORME PER IL RILASCIO DEI PASS” e di accettarle incondizionatamente in ogni sua parte.

(leggi il retro e firma per accettazione)

Sigonella, lì _____________________ IL RESPONSABILE DELLA DITTA

DICHIARAZIONE DA COMPILARE ALL’ATTO DEL RITIRO DEI PASS

Il sottoscritto __________________________________ Responsabile della Ditta______________________________ dichiara di ricevere dal Comando Aeroporto – Gruppo Protezione delle Forze – Nucleo Controllo Accessi/Rilascio Pass, i Pass Automezzi Aziendali Mod. “D4” dal N° _____________________ al N° _____________________.

PER RICEVUTA

Sigonella, lì ____________________

NORME PER IL RILASCIO DEI PASS

Per il rilascio dei Pass il richiedente si impegna a:

Tenere sempre esposto, sull’uniforme o sull’abito civile, il Pass personale;

Tenere sempre esposto sul cruscotto dell’automezzo, ben visibile, il relativo contrassegno nei periodi di permanenza all’interno dell’installazione aeronautica;

Osservare le norme di circolazione vigenti all’interno dell’installazione e la relativa segnaletica; in particolare non dovrà essere superata la velocità di 30 km/h, salvo diversa indicazione della segnaletica interna;

Denunciare tempestivamente, ad una Stazione dei Carabinieri, l’eventuale smarrimento o furto dei contrassegni e dare copia della denuncia al Gruppo Protezione delle Forze - Nucleo Controllo Accessi/Rilascio Pass;

Riconsegnare i Pass all’atto del congedo o trasferimento ad altro Ente, alla scadenza degli stessi, in caso di cessato rapporto di lavoro con la ditta o in caso di cessione o alienazione dell’automezzo;

Sollevare la Forza Armata da danni, fatti ed accidentalità non ricollegabili alla stessa;

Mantenere il veicolo in regola per quanto concerne la tassa di proprietà e gli obblighi assicurativi;

Fare ispezionare il veicolo, quando richiesto, dal personale addetto alla sorveglianza e al controllo;

Autorizzare l’Amministrazione a rimuovere il veicolo, anche senza preavviso, nei casi di inadempienza relativi alla sosta, esonerando la stessa da eventuali responsabilità di danni relativi alla rimozione.

NOTA BENE:

- L’autorizzazione è valida esclusivamente per la persona e l’automezzo a cui è stata rilasciata.

- L’autorizzazione all’accesso ed al parcheggio all’interno del sedime aeroportuale non costituisce un diritto, bensì una agevolazione subordinata al rispetto delle norme in vigore.

- Al momento dell’accesso all’installazione dovranno essere tempestivamente esibiti al personale addetto al controllo, il contrassegno auto ed il pass personale; in caso contrario, l’accesso non verrà consentito.

- I veicoli dovranno essere parcheggiati esclusivamente nelle zone predisposte ed entro le aree delimitate. Al personale che incorre in infrazioni del regolamento di parcheggio e di circolazione interna, verrà revocata l’autorizzazione di accesso.

- Il Comando Gruppo Protezione delle Forze si riserva, pertanto, la facoltà di revocare l’autorizzazione di accesso in qualunque momento, per esigenze particolari dell’Amministrazione, per infrazioni alle norme e/o inadempienza degli impegni assunti dall’interessato all’atto della richiesta di autorizzazione e per problemi inerenti la sicurezza dell’installazione.

Il richiedente, inoltre, autorizza al trattamento dei dati personali contenuti nel presente modulo ai sensi della Legge 675/96.

PER ACCETTAZIONE

(Firma del Richiedente)

RICHIESTA DI PASS PER NAS SIGONELLA LUN-SAB, 07.30 - 20.00

FIRM SUBCONT TYPE OF PASS POSIT.

LIB.MATR LAST NAME NAME DATE & PLACE OF BIRTH RESIDENCY ID CARD OR

DRIV.LIC.

PLATE & TYPE OF

CAR

INSURANCE &

EXPIRATION DATE

LOCATION

NAS 2 NAS 1

DITTA SUBCONT TIPO DI PASS POSIZ. LIB.

MATR. COGNOME NOME DATA & LUOGO DI NASCITA RESIDENZA NO. CARTA O

PATENTE

TARGA E TIPO

MACCHINA

ASSICURAZIONE E

DATA SCADENZA

UBICAZIONE

NAS 1 NAS 2

From: COMPANY NAME From: FLCSI-SITE Sigonella To: NAVSUP FLCSI-SITE Sigonella To: Comandante 41 Stormo, Sigonella

1. Forwarded for your action Via: Security Officer

1. Forwarded for your approval

SIGNATURE COMP. REP.

NAVSUP FLCSI, SITE SIGONELLA

LCDR, R.R. STICKEL

By direction

VALIDITY FROM

TO

VALIDITA' DA

A

AND NO OTHERS

NOME ED INDIRIZZO

DELL'APPALTATOR

TITOLO E NO. DI

CONTRATTO:

Form 2