SF30_SPE60520R02320006.pdf

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 SPE605 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

SPE60520R0232

X

2020 MAY 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, 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

DLA ENERGY

POST, CAMPS, AND STATIONS

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

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 6 PAGES

SPE60520R0232 - 0006

The solicitation, SPE60520R02320006, is heareby amended as follows:

1. The below line item, previously known as Line Item 0079, is hereby cancelled.

Item: 0079 Quantity:7,100.000 UG6 Period of Performance: 01/01/2021-12/31/2026 Escalator: PLWCWBUL87- PLATTS WESTCOAST WATER UNL 87 PGADI00 Base-Ref: 03/25/2020 Base-Price: 0.505400 NSN Delivery Identification State

9130-001487103 (MUR) WAKE - WAKE ISLAND

GASOLINE, AUTOMOTIVE

Delivery Address: BLDG 1402 FUELS SUPERVISOR WAKE ISLAND 96898

Service Code Delivery DODAAC Ordering Office DODAAC

USAF SE8F0H SE8F0H

Name Phone

WILLIAM G. WILSON 808-424-2292

Mode Receipt % Max Parcel Min Parcel FOB Restriction

BULK:TANKER

2. All other terms and conditions remain unchanged.

PAGE 3 OF 6 PAGES

SPE60520R0232 - 0006

The following line items have been added:

Quality Technical Provisions

GASOLINE, AUTOMOTIVE,MUR,3.10

9130-001487103

PR #: 0083621352

IAW BASIC QAP 52838 ENERGY-QAP-C16.69-1

REVISION NR B DTD 04/01/2017

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E18.01

REVISION NR A DTD 08/01/2009

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E37

REVISION NR A DTD 12/01/2011

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-E22

REVISION NR C DTD 08/07/2020

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

DIESEL FUEL,DS2,3.10

9140-015240139

PR #: 0083621352

IAW BASIC NON GOVT STD ASTM D975

REVISION NR 12 DTD

PART PIECE NUMBER: ULTRA LOW SULFUR DIESEL 2 S15

IAW REFERENCE QAP 52838 ENERGY-QAP-E18.01

REVISION NR A DTD 08/01/2009

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E37

REVISION NR A DTD 12/01/2011

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-E22

REVISION NR C DTD 08/07/2020

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-C16.69-11

REVISION NR A 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

DIESEL FUEL,DSS,3.10

9140-015416760

PR #: 0083621352

IAW BASIC NON GOVT STD ASTM D975

REVISION NR 12 DTD

PART PIECE NUMBER: ULTRA LOW SULFUR DIESEL 2 S15

IAW REFERENCE QAP 52838 ENERGY-QAP-E18.01

REVISION NR A DTD 08/01/2009

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E37

REVISION NR A DTD 12/01/2011

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E21.01

REVISION NR B DTD 06/26/2015

PART PIECE NUMBER:

PAGE 4 OF 6 PAGES

SPE60520R0232 - 0006

IAW REFERENCE QAP 52838 ENERGY-QAP-E22

REVISION NR C DTD 08/07/2020

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-C16.69-12

REVISION NR A DTD 10/01/2014

PART PIECE NUMBER:

IAW REFERENCE QAP 52838 ENERGY-QAP-E12

REVISION NR A DTD 07/30/2015

PART PIECE NUMBER:

PR #: 0083621352

Item: 0075 Quantity: 20,000.000UoM: UG6 Period of Performance: 01/01/2021-12/31/2026 Escalator: PDLAULSD - PLATTS DAILY LA USLD POAET00 Base-Ref: 03/25/2020 Base-Price: 1.119500

NSN Delivery Identification State

9140-015416760 (DSS) W91J72076 - WAHIAWA - D CO 53RD SIGNAL HI

DIESEL FUEL

Delivery Address: 500 CENTER STREET BLDG 520 MIDWAY DR. WAHIAAWA HI 96789

Service Code Delivery DODAAC Ordering Office DODAAC

ARMY W91J72 W91J72

Name Phone

JUSTIN M. HAND 808-653-8952

Mode Receipt % Max Parcel Min Parcel FOB Restriction

TANK TRUCK

No. of Tanks Capacity Type Tank Location

2 10000 ABOVE GROUND TANK(S)

Delivery Hours: DELIVERY HOURS TIME FRAME VARIOUS - WILL BE SPECIFIED ON DD1155 OR SF30 MONDAY TO

SUNDAY

Delivery Notes: Fuel tank supports generator(s) of which supplies back-up power to the site. Fuel is required during emergency situations (i.e.commercial/base power outages), after lengthy generator testing or tank maintenance is completed. Therefore, fuel will not be required on a regular basis.

Item: 0076 Quantity: 67,500.000UoM: UG6 Period of Performance: 01/01/2021-12/31/2026 Escalator: PLWCWBUL87- PLATTS WESTCOAST WATER UNL 87 PGADI00 Base-Ref: 03/25/2020 Base-Price: 0.505400

NSN Delivery Identification State

9130-001487103 (MUR) CDGNMCPNCA - NATIONAL MEMORIAL CEMETERY HI

GASOLINE, AUTOMOTIVE

Delivery Address: 2177 Puowaina Dr Honolulu HI 96813

Service Code Delivery DODAAC Ordering Office DODAAC

VA 369202 369202

Name Phone

DONALD TALAWVA 808-532-3720

Mode Receipt % Max Parcel Min Parcel FOB Restriction

TANK WAGON

No. of Tanks Capacity Type Tank Location

1 500 ABOVE GROUND TANK(S) MAINTENANCE FACILITY

Delivery Hours: 8:00AM - 2:00PM MONDAY – FRIDAY CLOSED US FEDERAL HOLIDAYS

Delivery Notes: Customer requesting ETHANOL FREE GASOLINE, only. NSN for ethanol free gasoline is not available at this time, the process to enact it has not been completed. Amount and delivery of fuel is

PAGE 5 OF 6 PAGES

SPE60520R0232 - 0006

on an as-needed basis.

Delivery POC Name: Charles Winder, 808-532-3758/3720, charles.winder@va.gov

Delivery Ticket Notes: Multiple metered delivery tickets required.

Special Messages: FEDCIV

Item: 0077 Quantity: 70,000.000UoM: UG6 Period of Performance: 01/01/2021-12/31/2026 Escalator: PDLAULSD - PLATTS DAILY LA USLD POAET00 Base-Ref: 03/25/2020 Base-Price: 1.119500

NSN Delivery Identification State

9140-015416760 (DSS) CDGNMCPNCA - NATIONAL MEMORIAL CEMETERY HI

DIESEL FUEL

Delivery Address: 2177 Puowaina Dr Honolulu HI 96813

Service Code Delivery DODAAC Ordering Office DODAAC

VA 369202 369202

Name Phone

DONALD TALAWVA 808-532-3720

Mode Receipt % Max Parcel Min Parcel FOB Restriction

TANK WAGON

No. of Tanks Capacity Type Tank Location

1 156 ABOVE GROUND TANK(S) ADMINISTRATION BLDG.

1 500 ABOVE GROUND TANK(S) MAINTENANCE FACILITY

Delivery Hours: 8:00AM - 2:00PM MONDAY – FRIDAY CLOSED US FEDERAL HOLIDAYS

Delivery Notes: Delivery POC Name: Charles Winder, 808-532-3758/3720, charles.winder@va.gov Amount and delivery of fuel is on an as-needed basis.

Delivery Ticket Notes: Multiple metered delivery tickets required.

Special Messages: FEDCIV

Item: 0078 Quantity: 5,000.000UoM: UG6 Period of Performance: 01/01/2021-12/31/2026 Escalator: PDLAULSD - PLATTS DAILY LA USLD POAET00 Base-Ref: 03/25/2020 Base-Price: 1.119500

NSN Delivery Identification State

9140-015240139 (DS2) CDWDFSCBSB - CO D FSC 29TH BSB HI

DIESEL FUEL

Delivery Address: 81-1032 NANI KUPUNA PL KEALAKEKUA HI 96750-0021

Service Code Delivery DODAAC Ordering Office DODAAC

ARNG W802E2 W802E2

Name Phone

WILANIE QUIOCHO 808-844-6363

Mode Receipt % Max Parcel Min Parcel FOB Restriction

TANK WAGON

No. of Tanks Capacity Type Tank Location

1 1000 ABOVE GROUND TANK(S)

Delivery Hours: 0830-1500 MONDAY - FRIDAY CLOSED ON WEEKENDS CLOSED US FEDERAL HOLIDAYS CLOSED ON

LOCAL HOLIDAYS

Delivery Notes: Delivery POC Name: SSG PATRICK AMARAL, 808-844-6622, patrick.j.amaral.mil@mail.mil

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 6 OF 6 PAGES

SPE60520R0232 - 0006

Delivery Ticket Notes: Metered delivery tickets required.

Item: 0079 Quantity: 7,100.000UoM: UG6 Period of Performance: 01/01/2021-12/31/2026 Escalator: PLWCWBUL87- PLATTS WESTCOAST WATER UNL 87 PGADI00 Base-Ref: 03/25/2020 Base-Price: 0.505400

NSN Delivery Identification State

9130-001487103 (MUR) WAKE - WAKE ISLAND

GASOLINE, AUTOMOTIVE

Delivery Address: BLDG 1402 FUELS SUPERVISOR WAKE ISLAND 96898

Service Code Delivery DODAAC Ordering Office DODAAC

USAF SE8F0H SE8F0H

Name Phone

WILLIAM G. WILSON 808-424-2292

Mode Receipt % Max Parcel Min Parcel FOB Restriction

BULK:TANKER

Item: 0080 Quantity: 120,000.000UoM: UG6 Period of Performance: 01/01/2021-12/31/2025 Escalator: PDLAULSD - PLATTS DAILY LA USLD POAET00 Base-Ref: 03/25/2020 Base-Price: 1.119500

NSN Delivery Identification State

9140-015416760 (DSS) CDZSTKAUAI - STA KAUAI HI

DIESEL FUEL

Delivery Address: 3070 Waapa Rd Lihue HI 96766

Service Code Delivery DODAAC Ordering Office DODAAC

USCG Z30146 Z30146

Mode Receipt % Max Parcel Min Parcel FOB Restriction

TANK WAGON

No. of Tanks Capacity Type Tank Location

1 3000 ABOVE GROUND TANK(S)

Delivery Hours: 0700HRS – 1600HRS MONDAY – FRIDAY

Delivery Notes: Delivery POC: 808-246-1081

Delivery Ticket Notes: Metered delivery tickets required.