W90VN723R0019-0002.pdf

411TH CSB, KOREA - RCO KUNSAN

POC: MS. CHOI, HYUN K.

DSN:315-755-9312

HYUN.K.CHOI.CIV@ARMY.MIL

APO AP 96264-2112

UNITED STATES

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

A. The purpose of this amendment is

1. to add one (1) CLIN (X001AG) for monthly jetting services under Scheduled Work for Septic Tank, Kunsan (X001).

2. to change the Quantity and UoM for X002AD from 20 Truckload to 611,643 Liter.

B. All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

1 5

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

16C. DATE SIGNED

BY 12-May-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) X W90VN723R0019

X 9B. DATED (SEE ITEM 11)

24-Apr-2023

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X 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 1 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.

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:

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.)

10A. MOD. OF CONTRACT/ORDER NO.

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

6. ISSUED BY

3. EFFECTIVE DATE

12-May-2023

CODE

411TH CONTRACTING SUPPORT BRIGADE, KOREA

RCO KUNSAN, UNIT #2112

APO AP 96264-2112

UNITED STATES

W90VN7 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W90VN7

FACILITY CODECODE

EMAIL:TEL:

W90VN723R0019

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

SUBCLIN 0001AG is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001AG 611,643 Liter Monthly Sewer Jetting Services

FFP

See a section, 5 of Performance Work Statement (PWS) FOB: Destination

PSC CD: S216

NET AMT

SUBCLIN 1001AG is added as follows:

1001AG 611,643 Liter OPTION Monthly Sewer Jetting Services

FFP

See a section, 5 of Performance Work Statement (PWS)

SUBCLIN 2001AG is added as follows:

2001AG 611,643 Liter OPTION Monthly Sewer Jetting Services

FFP

See a section, 5 of Performance Work Statement (PWS)

SUBCLIN 3001AG is added as follows:

3001AG 611,643 Liter OPTION Monthly Sewer Jetting Services

FFP

See a section, 5 of Performance Work Statement (PWS)

SUBCLIN 4001AG is added as follows:

4001AG 611,643 Liter OPTION Monthly Sewer Jetting Services

FFP

See a section, 5 of Performance Work Statement (PWS)

DELIVERIES AND PERFORMANCE

The following Delivery Schedule for SUBCLIN 0001AG has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 01-JUN-2023 TO

30-NOV-2023

N/A 8TH CES/CEOES

TURNER, DANIEL B. SSGT USAF

UNIT#2018

APO AP

UNITED STATES

315-782-4139

F2L3CE

The following Delivery Schedule for SUBCLIN 1001AG has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 01-DEC-2023 TO

30-NOV-2024

N/A 8TH CES/CEOES

TURNER, DANIEL B. SSGT USAF

UNIT#2018

APO AP

UNITED STATES

315-782-4139

The following Delivery Schedule for SUBCLIN 2001AG has been added:

CAGE

POP 01-DEC-2024 TO

30-NOV-2025

N/A 8TH CES/CEOES

TURNER, DANIEL B. SSGT USAF

UNIT#2018

APO AP

UNITED STATES

315-782-4139

The following Delivery Schedule for SUBCLIN 3001AG has been added:

CAGE

POP 01-DEC-2025 TO

30-NOV-2026

N/A 8TH CES/CEOES

TURNER, DANIEL B. SSGT USAF

UNIT#2018

APO AP

UNITED STATES

315-782-4139

The following Delivery Schedule for SUBCLIN 4001AG has been added:

CAGE

POP 01-DEC-2026 TO

30-NOV-2027

N/A 8TH CES/CEOES

TURNER, DANIEL B. SSGT USAF

UNIT#2018

APO AP

UNITED STATES

315-782-4139

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for SUBCLIN 0001AG:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

The following Acceptance/Inspection Schedule was added for SUBCLIN 1001AG:

The following Acceptance/Inspection Schedule was added for SUBCLIN 2001AG:

The following Acceptance/Inspection Schedule was added for SUBCLIN 3001AG:

The following Acceptance/Inspection Schedule was added for SUBCLIN 4001AG:

(End of Summary of Changes)