Solicitation W50S8Y25QA0150001 SF30.pdf

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.

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 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or electronic communication 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 letter or electronic communication, provided each letter or electronic communication 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 NUMBER 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

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, 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 is required to sign this document and return copies to the 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) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

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

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

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

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

Continuation of Supplies or Services and Prices/Costs

The following CLIN(s) / SLIN(s) / ELIN(s) were added:

Item Supplies / Services Quantity Unit Unit Price Amount

Part Time Level 2 Massage Therapist Product Service Code: Q518 Pricing Arrangement: Firm Fixed Price

12 Months

The following CLIN(s) / SLIN(s) / ELIN(s) were modified:

INFORMATION FROM TO CHANGED

BY

Description Provide OHWS services in accordance with the PWS

Full Time Level 2 Athletic Trainer

Continuation of Inspection and Acceptance

The inspection and acceptance locations for the following CLIN(s) / SLIN(s) / ELIN

(s) were added:

Inspection and Acceptance Location - F8T3A1 - 142 OPS AIRFIELD MANAGER

INFORMATION VALUE

Action Both Location Destination

Acceptance Location

F8T3A1

142 OPS AIRFIELD MANAGER

AF BPN NO MILSBILLS PROCESSES, 6801 NE CORNFOOT RD BLDG 265

PORTLAND, OR 97218-2797

UNITED STATES

Instructions Appropriate credentials for access to Base and building facility of certified physical trainer must be obtained. Must show on days assigned per PWS.

POC Name Robert Grande POC Email robert.grande.3@us.af.mil POC Telephone 503-335-5011

Continuation of Deliveries or Performance

The delivery information for the following CLIN(s) / SLIN(s) / ELIN(s) were added:

W50S8Y25QA0150001

INFORMATION VALUE

Period of Performance 29 Sep 2025 to 28 Sep 2026

Ship To - F8T3A1 - USAF:142 OPS AIRFIELD MANAGER

INFORMATION VALUE

Address

Ship To F8T3A1

USAF:142 OPS AIRFIELD MANAGER

142 OPS AIRFIELD MANAGER AF BPN NO MILSBILLS PROCESSES 6801 NE

CORNFOOT RD BLDG 265 PORTLAND OR 97218-2797

Delivery Delivery Requested By 29 Jun 2025.

List of Contract Documents, Exhibits, or Attachments

The attachments table has changed from:

Identifier Document Name Document Description Reference Identifier

Date Line Item Page Numbers

Document Type

Provided Under Separate Cover

PWS - 142WG

OHWS

Performance Work Statement 16 Jul 2025 Attachment No

Wage Determination 2015-

Wage Determination 16 Jul 2025 Attachment No

To:

Identifier Document Name Document Description Reference Identifier

Date Line Item Page Numbers

Document Type

Provided Under Separate Cover

01 PWS - OHWS v5 Performance Work Statement 16 Jul 2025 Attachment No

Wage Determination 2015-

Wage Determination 16 Jul 2025 Attachment No

The following contract documents were added:

PWS - OHWS v5

The following contract documents were deleted:

PWS - 142WG OHWS

The following contract documents Page Counts were changed:

DOCUMENT PAGE COUNTS

DOCUMENT NAME FROM TO

PWS - OHWS v5 none

W50S8Y25QA0150001

KO FOR ORANG DO NOT DELETE, 6801 NE CORNFOOT ROAD

PORTLAND, OR 97218-2797

UNITED STATES

KALENE KAPLAN, EMAIL: KALENE.KAPLAN.1@US.AF.MIL TELEPHONE: 503-335-4492

AdminBy:

SCD: PAS: