W52P1J-18-C-5017_P00003.pdf

GARRISON CONTRACTING BRANCH

CCRC-IG

BLDG 60, 3RD FLOOR

3055 RODMAN AVENUE

ROCK ISLAND IL 61299

SEE SCHEDULE 2018-2188

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

See Summary of Changes

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 25-Oct-2019

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 W52P1J18C5017

10B. DATED (SEE ITEM 13)

X

9A. AMENDMENT OF SOLICITATION NO.

30-Aug-2018

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)

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:

FAR 52.243-4 (b), FAR 43.103(a)

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.

P00003

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

6. ISSUED BY

3. EFFECTIVE DATE

25-Oct-2019

CODE

ARMY CONTRACTING COMMAND - ROCK ISLAND

3055 RODMAN AVENUE

ROCK ISLAND IL 61299-8000

W52P1J 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W52P1J

E & H RESTORATION LLC

MARK EDME

1926 COMMENITZ DR

DAVENPORT IA 52802-2315

FACILITY CODE0HFA6CODE

molly.j.lewis4.civ@mail.milEMAIL:309-782-1837TEL:

MOLLY J. LEWIS / CONTRACT SPECIALIST

Modification Control Number: kerch2071

W52P1J18C5017 P00003

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE (SF 30)

The following have been added by full text:

MOD P00003

The purpose of this modification is IAW FAR 52.243(b):

1. To amend the Period of Performance end date to 31 October 2019 from 18 October 2019.

2. All other terms and conditions remain unchanged.

SECTION 00 10 00 - SOLICITATION

The following Delivery Schedule item for CLIN 0001 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 30-AUG-2018 TO

18-OCT-2019

N/A GARRISON - ROCK ISLAND ARSENAL

ERIC BUTZ

IMRI-PW

BLDG 102, 1ST FLOOR

1 ROCK ISLAND ARSENAL

ROCK ISLAND IL 61299

309-782-2365 FOB: Destination

W91QFD

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 30-AUG-2018 TO

31-OCT-2019

N/A GARRISON - ROCK ISLAND ARSENAL

ERIC BUTZ

IMRI-PW

BLDG 102, 1ST FLOOR

1 ROCK ISLAND ARSENAL

ROCK ISLAND IL 61299

309-782-2365

The following Delivery Schedule item for CLIN 0002 has been changed from:

CAGE

POP 30-AUG-2018 TO

18-OCT-2019

N/A GARRISON - ROCK ISLAND ARSENAL

ERIC BUTZ

IMRI-PW

BLDG 102, 1ST FLOOR

1 ROCK ISLAND ARSENAL

ROCK ISLAND IL 61299

309-782-2365

CAGE

POP 30-AUG-2018 TO

31-OCT-2019

N/A GARRISON - ROCK ISLAND ARSENAL

ERIC BUTZ

IMRI-PW

BLDG 102, 1ST FLOOR

1 ROCK ISLAND ARSENAL

ROCK ISLAND IL 61299

309-782-2365

The following Delivery Schedule item for CLIN 0003 has been changed from:

CAGE

POP 30-AUG-2018 TO

18-OCT-2019

N/A GARRISON - ROCK ISLAND ARSENAL

ERIC BUTZ

IMRI-PW

BLDG 102, 1ST FLOOR

1 ROCK ISLAND ARSENAL

ROCK ISLAND IL 61299

309-782-2365

CAGE

POP 30-AUG-2018 TO

31-OCT-2019

N/A GARRISON - ROCK ISLAND ARSENAL

ERIC BUTZ

IMRI-PW

BLDG 102, 1ST FLOOR

1 ROCK ISLAND ARSENAL

ROCK ISLAND IL 61299

309-782-2365

The following Delivery Schedule item for CLIN 0004 has been changed from:

CAGE

POP 30-APR-2019 TO

18-OCT-2019

N/A GARRISON - ROCK ISLAND ARSENAL

ERIC BUTZ

IMRI-PW

BLDG 102, 1ST FLOOR

1 ROCK ISLAND ARSENAL

ROCK ISLAND IL 61299

309-782-2365

CAGE

POP 30-APR-2019 TO

31-OCT-2019

N/A GARRISON - ROCK ISLAND ARSENAL

ERIC BUTZ

IMRI-PW

BLDG 102, 1ST FLOOR

1 ROCK ISLAND ARSENAL

ROCK ISLAND IL 61299

309-782-2365

(End of Summary of Changes)