A21._Amendment_W90VN917T0007-0001.pdf

411TH CSB, KOREA - RCO DAEGU

POC: MS. KWON, CHONG-HYON

TEL: 053-470-8790

CHONGHYON.KWON.LN@MAIL.MIL

APO AP 96218-5682

UNITED STATES OF AMERICA (THE)

0010960507

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 to correct Quantity on CLIN 0006, 1006, 2006, 3006 and 4006 from 37 Job to 110 Job.

B. All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 5

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

16C. DATE SIGNED

BY 18-Apr-2017

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 W90VN9-17-T-0007

X 9B. DATED (SEE ITEM 11)

12-Apr-2017

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 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

18-Apr-2017

CODE

411TH CONTRACTING SUPPORT BRIGADE, KOREA

RCO DAEGU, UNIT #15682

APO AP 96218-5682

UNITED STATES OF AMERICA (THE)

W90VN9 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W90VN9

FACILITY CODECODE

EMAIL:TEL:

W90VN9-17-T-0007

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The 'issued by' organization has changed from

411TH CSB, KOREA - IMB

UNIT#15289

APO AP 96205

to

411TH CONTRACTING SUPPORT BRIGADE, KOREA

RCO DAEGU, UNIT #15682

APO AP 96218-5682

UNITED STATES OF AMERICA (THE)

SUPPLIES OR SERVICES AND PRICES

CLIN 0006

The pricing detail quantity has increased by 73.00 from 37.00 to 110.00.

CLIN 1006

CLIN 2006

CLIN 3006

CLIN 4006

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0006 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

POP 01-MAY-2017 TO

30-APR-2018

N/A 20TH SPT GP

PAK, YONG SUN

ATTN: EANC-T-RM-B

UNIT #15494

APO AP 96218-0562

UNITED STATES OF AMERICA (THE)

768-8334 FOB: Destination

WT4KB6

To:

POP 01-MAY-2017 TO

30-APR-2018

N/A DPW, USAG DAEGU

PAK, CHONG HWAN

ATTN: IMKO-ADP-F

UNIT #15746

APO AP 96218-5746

UNITED STATES OF AMERICA (THE)

768-7166

The following Delivery Schedule item for CLIN 1006 has been changed from:

POP 01-MAY-2018 TO

30-APR-2019

N/A 20TH SPT GP

PAK, YONG SUN

ATTN: EANC-T-RM-B

UNIT #15494

APO AP 96218-0562

UNITED STATES OF AMERICA (THE)

768-8334

POP 01-MAY-2018 TO

30-APR-2019

N/A DPW, USAG DAEGU

PAK, CHONG HWAN

ATTN: IMKO-ADP-F

UNIT #15746

APO AP 96218-5746

UNITED STATES OF AMERICA (THE)

768-7166

The following Delivery Schedule item has been added to CLIN 2006:

POP 01-MAY-2019 TO

30-APR-2020

N/A DPW, USAG DAEGU

PAK, CHONG HWAN

ATTN: IMKO-ADP-F

UNIT #15746

APO AP 96218-5746

UNITED STATES OF AMERICA (THE)

768-7166

The following Delivery Schedule item for CLIN 3006 has been changed from:

POP 01-MAY-2020 TO

30-APR-2021

N/A 20TH SPT GP

PAK, YONG SUN

ATTN: EANC-T-RM-B

UNIT #15494

APO AP 96218-0562

UNITED STATES OF AMERICA (THE)

768-8334

POP 01-MAY-2020 TO

30-APR-2021

N/A DPW, USAG DAEGU

PAK, CHONG HWAN

ATTN: IMKO-ADP-F

UNIT #15746

APO AP 96218-5746

UNITED STATES OF AMERICA (THE)

768-7166

The following Delivery Schedule item for CLIN 4006 has been changed from:

POP 01-MAY-2021 TO

30-APR-2022

N/A 20TH SPT GP

PAK, YONG SUN

ATTN: EANC-T-RM-B

UNIT #15494

APO AP 96218-0562

UNITED STATES OF AMERICA (THE)

768-8334

POP 01-MAY-2021 TO

30-APR-2022

N/A DPW, USAG DAEGU

PAK, CHONG HWAN

ATTN: IMKO-ADP-F

UNIT #15746

APO AP 96218-5746

UNITED STATES OF AMERICA (THE)

768-7166

(End of Summary of Changes)