Amendment 5 Price Breakdown.pdf

DOC-ANNISTON ARMY DEPOT(2)

BARBARA GUNTER 7 FRANKFORD AVENUE 256-2

ANNISTON AL 36201-4199

W31G1Y027902OI

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 PAGE TWO

1. CONTRACT ID CODE PAGE OF PAGES

1 4

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

16C. DATE SIGNED

BY 22-Feb-2021

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 W911KF21Q0005

X 9B. DATED (SEE ITEM 11)

26-Oct-2020

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

22-Feb-2021

CODE

ACC-ANAD

ANNISTON ARMY DEPOT

7 FRANKFORD AVENUE, BLDG 35

ANNISTON AL 36201-4199

W911KF 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W911KF

FACILITY CODECODE

EMAIL:TEL:

W911KF21Q0005

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

SUMMARY OF CHANGES

1. The purpose of this amendment is to include a price breakdown sheet.

2. Price Breakdown sheet is below and attached as a part of this solicitation:

PRICE BREAKDOWN

Base Year Appearance Fees:

Administrative Hearings:

Hourly: $_________ 1/2 Day: $________ Whole Day: $________ Discovery Proceedings:

Hourly: $_________ 1/2 Day: $________ Whole Day: $________ Transcript (within 14 calendar days of the close of the hearing):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page Transcript (no later than 7 calendar days from close of the proceedings):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page Transcript of Taped Statements (no later than 7 calendar days from request):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page HECAP Verbatim Hearing Transcripts & Exhibits (within 14 calendar days of the hearing):

Hourly: $________ -Transcripts:

Original Signed Copy: $________ per copy (1) Electronic PDF: $________ Additional Copies: $________ per page -Exhibits:

Original Signed Copy: $________ per copy (1) Electronic PDF: $________ Additional Copies: $________ per page

OPTION YEAR ONE

Appearance Fees:

Administrative Hearings:

Hourly: $_________ 1/2 Day: $________ Whole Day: $________ Discovery Proceedings:

Hourly: $_________ 1/2 Day: $________ Whole Day: $________ Transcript (within 14 calendar days of the close of the hearing):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page Transcript (no later than 7 calendar days from close of the proceedings):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page Transcript of Taped Statements (no later than 7calendar days from request):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page HECAP Verbatim Hearing Transcripts & Exhibits (within 14 calendar days of the hearing):

-Transcripts:

Original Signed Copy: $________ per copy (1) Electronic PDF: $________ Additional Copies: $________ per page -Exhibits:

Original Signed Copy: $________ per copy (1) Electronic PDF: $________

OPTION YEAR TWO

Appearance Fees:

Administrative Hearings:

Hourly: $_________ 1/2 Day: $________ Whole Day: $________ Discovery Proceedings:

Hourly: $_________ 1/2 Day: $________ Whole Day: $________ Transcript (within 14 calendar days of the close of the hearing):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page Transcript (no later than 7 calendar days from close of the proceedings):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page Transcript of Taped Statements (no later than 7 calendar days from request):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page HECAP Verbatim Hearing Transcripts & Exhibits (within 14 calendar days of the hearing):

-Transcripts:

Original Signed Copy: $________ per copy (1) Electronic PDF: $________ Additional Copies: $________ per page -Exhibits:

Original Signed Copy: $________ per copy (1) Electronic PDF: $________ Additional Copies: $________ per page

OPTION YEAR THREE

Appearance Fees:

Administrative Hearings:

Hourly: $_________ 1/2 Day: $________ Whole Day: $________ Discovery Proceedings:

Hourly: $_________ 1/2 Day: $________ Whole Day: $________ Transcript (within 14 calendar days of the close of the hearing):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page Transcript (no later than 7 calendar days from close of the proceedings):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page Transcript of Taped Statements (no later than 7 calendar days from request):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page HECAP Verbatim Hearing Transcripts & Exhibits (within 14 calendar days of the hearing):

-Transcripts:

Original Signed Copy: $________ per copy (1) Electronic PDF: $________ Additional Copies: $________ per page -Exhibits:

Original Signed Copy: $________ per copy (1) Electronic PDF: $________ Additional Copies: $________ per page

OPTION YEAR FOUR

Appearance Fees:

Administrative Hearings:

Hourly: $_________ 1/2 Day: $________ Whole Day: $________ Discovery Proceedings:

Hourly: $_________ 1/2 Day: $________ Whole Day: $________ Transcript (within 14 calendar days of the close of the hearing):

4 Original Signed Copies: $________ per copy Total: $________

Transcript (no later than 7 calendar days from close of the proceedings):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page Transcript of Taped Statements (no later than 7 calendar days from request):

4 Original Signed Copies: $________ per copy Total: $________ Additional Copies: $________ per page HECAP Verbatim Hearing Transcripts & Exhibits (within 14 calendar days of the hearing):

-Transcripts:

Original Signed Copy: $________ per copy (1) Electronic PDF: $________ Additional Copies: $________ per page -Exhibits:

Original Signed Copy: $________ per copy (1) Electronic PDF: $________ Additional Copies: $________ per page

3. All other terms and conditions remain unchanged.

(End of Summary of Changes)