W911S221B80000002.pdf

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

The purpose of this Amendment is to:

1. Replace Attachment 1 (Statement of Work) dated 1 July 2021 w ith Attachment 1 (Statement of Work REV 1) dated 8 September 2021.

2. Incorporate Attachment 4 (RFI Responses)

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 08-Sep-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 W911S221B8000

X 9B. DATED (SEE ITEM 11)

30-Jul-2021

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

08-Sep-2021

CODE

MICC-FT DRUM

925TH CBN & MICC FORT DRUM

FORT DRUM NY 13602-5434

W911S2 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W911S221B8000

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION 00010 - SOLICITATION CONTRACT FORM

TABLE OF CONTENTS

The Table of Contents has changed from:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Exhibit A Exhibit A UFGS 05 30 00 26 01-MAY-2015 Exhibit B Exhibit B UFGS 06 10 00 58 01-FEB-2012 Exhibit C Exhibit C PW-ENG-TYP-

ROOF Drawing

2 05-APR-2021

Exhibit D Exhibit D Fort Drum Installation Planning Standards

44 01-MAY-2017

Exhibit E Exhibit E UFGS 07 61

14.00 20

27 01-AUG-2016

Exhibit F Exhibit F UFGS 07 53 23 35 01-MAY-2012 Exhibit G Exhibit G UFGS 07 22 00 30 01-FEB-2016 Exhibit H Exhibit H UFGS 07 13 53 16 01-FEB-2016 Exhibit I Exhibit I UFC 3 575 01 31 01-JUL-2012 Exhibit J Exhibit J UFGS 26 41 00 14 01-NOV-2013 Exhibit K Exhibit K UT-PE3

Drawing

1 18-JUL-2019

Exhibit L Exhibit L UFGS 07 60 00 37 01-MAY-2017 Exhibit M Exhibit M UFGS 22 00

101 01-NOV-2015

Exhibit N Exhibit N UFGS 01 74 19 15 01-FEB-2019 Exhibit O Exhibit O UFGS 01 57 19 54 01-NOV-2015 Attachment 1 Statement of Work 14 01-JUL-2021 Attachment 2 Detailed Pricing Schedule 5 01-JUL-2021 Attachment 3 Wage Determination

(NY0022)

7 21-MAY-2021

to:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Exhibit A Exhibit A UFGS 05 30 00 26 01-MAY-2015 Exhibit B Exhibit B UFGS 06 10 00 58 01-FEB-2012 Exhibit C Exhibit C PW-ENG-TYP-

ROOF Drawing

2 05-APR-2021

Exhibit D Exhibit D Fort Drum Installation Planning Standards

44 01-MAY-2017

W911S221B8000

Exhibit E Exhibit E UFGS 07 61

14.00 20

27 01-AUG-2016

Exhibit F Exhibit F UFGS 07 53 23 35 01-MAY-2012 Exhibit G Exhibit G UFGS 07 22 00 30 01-FEB-2016 Exhibit H Exhibit H UFGS 07 13 53 16 01-FEB-2016 Exhibit I Exhibit I UFC 3 575 01 31 01-JUL-2012 Exhibit J Exhibit J UFGS 26 41 00 14 01-NOV-2013 Exhibit K Exhibit K UT-PE3

Drawing

1 18-JUL-2019

Exhibit L Exhibit L UFGS 07 60 00 37 01-MAY-2017 Exhibit M Exhibit M UFGS 22 00

101 01-NOV-2015

Exhibit N Exhibit N UFGS 01 74 19 15 01-FEB-2019 Exhibit O Exhibit O UFGS 01 57 19 54 01-NOV-2015 Attachment 1 Statement of Work REV 1 08-SEP-2021 Attachment 2 Detailed Pricing Schedule 5 01-JUL-2021 Attachment 3 Wage Determination

(NY0022)

7 21-MAY-2021

Attachment 4 RFI Responses 08-SEP-2021

(End of Summary of Changes)