W50S8S23C0002P00001_Construct Walls_MOD1.pdf

SEE SCHEDULE WYTD232003

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this modification is to add CLIN 0002 to the contract. CLIN 0002 adds construction of w all in building 101. The contract increases by $36,750.56 w ith a total from $28,976.64 to $65,727.20. There are no further changes currently and all items are now correct.

In consideration of this modification agreed upon herein as complete and no equitable adjustments from the contractor’s services as stated in the summery of change, the contractor hereby releases the Government from all liabilities under this contract for further equitable adjustments attributed to these changes.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 21-Sep-2023

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street , County, State and Zip Code)

9B. DATED (SEE ITEM 11)

X W50S8S23C0002

10B. DATED (SEE ITEM 13)

X

9A. AMENDMENT OF SOLICITATION NO.

13-Sep-2023

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 Offer is extended, is not extended.

Offer 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 copies 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)

See Schedule

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

X

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:

IAW FAR 52.243-4 changes

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, X is required to sign this document and return 1 copies to the issuing office.

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

10A. MOD. OF CONTRACT/ORDER NO.

P00001

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

21-Sep-2023

CODE

USPFO OH 180 MISSION SUPPORT CONTRACTING

2660 S EBER RD

SWANTON OH 43558-8752

W50S8S 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

GREYSTONE SERVICES LLC

FAIZAH A SAYED

6195 LEWIS AVE

TOLEDO OH 43612-4341

FACILITY CODE8BZL7CODE

barry.beale.1@us.af.milEMAIL:(419)-868-4142TEL:

BARRY B BEALE / CONTRACTING OFFICER

Modification Control Number: maxw ed3323195

W50S8S23C0002 P00001

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION 00010 - SOLICITATION CONTRACT FORM

The total cost of this contract was increased by $36,750.56 from $28,976.64 to $65,727.20.

CLIN 0002 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0002 1 Job $36,750.56 $36,750.56 WYTD232003- Construct Walls Bldg 101

FFP

The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, to construct a wall and perform interior renovations in accordance with the Performance Work Statement.

FOB: Destination MFR PART NR: Wall 101

PURCHASE REQUEST NUMBER: F9F3CE3261AW01

SIGNAL CODE: A

PSC CD: Y1AA

NET AMT $36,750.56

ACRN AA

CIN: 00000000000009470346

$36,750.56

DELIVERIES AND PERFORMANCE

The following Delivery Schedule for CLIN 0002 has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

60 dys. ANP 1 F9F3CE - 180TH CES

ROGER NIENBERG

2660 SOUTH EBER ROAD

SWANTON OH 43558-8752

419-868-4006 FOB: Destination

F9F3CE

W50S8S23C0002 P00001

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0002:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

SECTION 00800 - SPECIAL CONTRACT REQUIREMENTS

Accounting and Appropriation

Summary for the Payment Office

As a result of this modification, the total funded amount for this document was increased by $36,750.56 from $28,976.64 to $65,727.20.

CLIN 0002:

Funding on CLIN 0002 is initiated as follows:

ACRN: AA

CIN: 00000000000009470346

Acctng Data: 5733840 583 41H4 374449 01 52200 52276F 387700 F87700

Increase: $36,750.56

Total: $36,750.56

(End of Summary of Changes)